Spruce Health
HIPAA compliant messaging software
Patient engagement software
Medical spa software
Telemedicine software
Health care software
Patient experience software
Specialty practice management software
- Features
- Ease of use
- Ease of management
- Quality of support
- Affordability
- Market presence
Take the quiz to check if Spruce Health and its alternatives fit your requirements.
$24 per user per month
Free Trial
Free version unavailable
Small
Medium
Large
- Healthcare and life sciences
- Public sector and nonprofit organizations
- Information technology and software
What is Spruce Health
Spruce Health is a healthcare communication platform that provides HIPAA-compliant messaging and calling for care teams and patient-facing communication. It is used by outpatient clinics and specialty practices to coordinate internal workflows and communicate with patients via secure text, voice, and video. The product combines patient messaging with features such as shared inboxes, routing, templates, and basic telehealth capabilities to support day-to-day clinical operations.
HIPAA-focused patient communication
Spruce is designed around secure, HIPAA-compliant communication between staff and patients. It supports secure messaging and calling workflows that reduce reliance on consumer SMS for clinical conversations. This focus aligns well with practices that need auditable, policy-driven communication rather than general-purpose team chat.
Shared inbox and routing
The platform supports shared inboxes and team-based message handling so multiple staff can triage and respond without using personal devices. Routing, assignments, and internal notes help practices manage coverage and reduce missed messages. These capabilities are useful for front-desk and clinical teams that handle high volumes of patient requests.
Multi-channel communication options
Spruce combines secure messaging with voice and video options, enabling practices to handle quick questions, follow-ups, and remote visits in one system. This can simplify patient communication compared with using separate tools for texting, calling, and telemedicine. It also supports standardized responses through templates to improve consistency.
Not a full practice suite
Spruce primarily addresses communication and engagement rather than end-to-end practice management. Organizations typically still need separate systems for scheduling, billing, claims, and full EHR workflows. This can increase integration and administration work in multi-system environments.
Integration depth varies
The value of a messaging platform often depends on how well it connects to existing clinical and administrative systems. If required integrations (for example, with EHR/PM systems) are limited or require additional configuration, staff may need to duplicate data entry. Buyers should validate available integrations and workflow fit during evaluation.
May exceed needs for simple texting
Practices that only need basic business texting may find the healthcare-specific controls and workflows more than they require. Teams with minimal compliance requirements or low message volume may prefer simpler tools with fewer clinical features. Cost and change management can be harder to justify for lightweight use cases.
Plan & Pricing
| Plan | Price | Key features & notes |
|---|---|---|
| Basic | $24 per user, per month | Core HIPAA-compliant messaging and practice tools. Includes secure app messaging, team chat, video telemedicine, one phone line per user plus one additional line; free-trial access to Basic features (SMS disabled during trial). |
| Communicator | $49 per user, per month | Adds advanced medical phone system features: 2‑way SMS, auto-attendant/IVR, VoIP desk phones, missed-call text-back, scheduled auto-replies and call routing, urgent-escalation/after-hours triage, bulk messaging, dedicated support and onboarding options. |
Notes: 14-day free trial (no credit card). Pricing is per-user, per-month; month-to-month billing by default, with possible annual commitments/onboarding fees for larger practices. One-time SMS registration fee (industry pass-through) applies when enabling outbound SMS (listed as $19.50 on the vendor site).
