Spruce Health

What Spruce Health does

Spruce Health, Inc. is a privately-held US company (mailing address San Diego, California) that operates a HIPAA-compliant, cloud-based healthcare communication platform branded as "Spruce." The platform unifies a business phone system (SIP-based VoIP with voicemail transcription, phone trees, call routing, and multiple lines per provider), secure messaging, e-fax, video visits, and team collaboration features (shared inbox, internal notes, @paging, conversation assignment, referrals) into a single cloud product, with workflow automation built on top. Underlying compliance posture includes HIPAA, HITRUST CSF, and SOC 2 certifications, with a signed Business Associate Agreement automatically included with every plan; the platform is intended only for entities subject to US jurisdiction.

The product is sold via a per-seat SaaS subscription model with two publicly listed tiers — Basic at $24 per user per month and Communicator at $49 per user per month — plus a 14-day free trial that requires no credit card. Revenue is supplemented by one-time hardware sales (VoIP desk phones), pass-through SMS registration and telecom surcharges, and onboarding/professional services fees applied to larger practices that require annual commitments. The company markets primarily to US-based independent and small-group healthcare practices, with explicit segmentation and dedicated landing pages for primary care, mental and behavioral health, and other specialties (surgery, pediatrics, multispecialty). Distribution combines a product-led self-serve funnel, an inside-sales demo motion for mid-market practices, a direct enterprise motion for 21+ care-team practices, native EHR integrations (athenahealth, DrChrono), and a Keragon-based healthcare workflow automation partnership.

Spruce reports operating for 10+ years and serving 25,000 healthcare providers, 50,000+ healthcare professionals, 5M+ patient accounts, and 500,000+ daily healthcare interactions, with a modest headcount of 11-50 employees. Disclosed venture funding totals approximately $17M, the last material round being a 2015 Series A with Baseline Ventures, Cowboy Ventures, Google Ventures, and Kleiner Perkins (Kleiner Perkins led a prior 2014 round). The company has pursued an integration-led expansion strategy through 2025-2026, launching EHR partnerships and a cross-platform Care Messenger web/iOS/Android release, while adding AI-enabled "Automations" capabilities (speech-to-text, summarization, generative text, sentiment, triage, translation) on top of the core communications stack.

Name

Spruce Health

Legal name

Spruce Health, Inc.

Website

https://sprucehealth.com

Company type

Private

Founded year

2013

Operating status

Operating

Headcount range

11–50 employees

Short description

Spruce Health provides a HIPAA-compliant cloud platform that unifies phone, secure messaging, e-fax, video visits, and team collaboration for US-based independent and small-group healthcare practices across primary care, mental health, and other specialties, sold on per-seat subscription.

Ownership category

akta.pro rank

Product category

Healthcare Communication Software

NAICS

Offices of Physicians (6211)

SIC

Services-Prepackaged Software (7372)

akta.pro primary industry

Patient Portals & Self-Service Access (HLACAEAA)

akta.pro secondary industries

Patient Communications (Reminders/Confirmations/Recalls) (HLACADAH), Family/Caregiver Engagement & Proxy Access Management (HLACAEAL)

Keywords

• HIPAA-compliant messaging
• Healthcare phone systems
• Secure telehealth platform
• Clinical team collaboration
• Electronic fax services

Headquarters

HQ city

San Francisco

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Technology or R&D, Personnel, Infrastructure, Marketing or Sales, Operations

Revenue model

1. Per-seat SaaS subscription (Basic & Communicator plans): Recurring monthly subscription priced per user per month; Basic at $24/user/month and Communicator at $49/user/month; all users in an organization must be on the same plan; default month-to-month billing, with annual contracts and onboarding fees required for larger practices.
2. One-time hardware sales (VoIP desk phones): One-time charge for Spruce VoIP desk phone hardware, billed separately from the Spruce subscription.
3. One-time SMS registration fee (pass-through): Mandatory one-time $19.50 telecom industry fee for registering business SMS traffic, passed along without markup; charged only once per organization that opts into SMS.
4. Telecommunications pass-through surcharges and taxes: From November 1, 2025 onwards, monthly invoices include applicable sales and telecommunication taxes plus federal/state/local surcharges for VoIP, e911, and texting, passed through without markup; vary by business address.
5. Onboarding and implementation services for larger practices: Onboarding fees for larger practices requiring additional setup, training, and customization to ensure a smooth transition to Spruce.

Pricing tiers

Go-to-market motion5 records

Distribution channels7 records

Marketing channels11 records

Core offering

Spruce Health sells a single, unified HIPAA-compliant healthcare communication platform that combines a SIP-based business phone system, secure messaging, e-fax, secure video visits, team collaboration, and AI-powered workflow automation. The product is sold on a per-user subscription basis to healthcare practices in primary care, mental/behavioral health, and other specialties, and includes a signed Business Associate Agreement in every plan.

Product overview

Spruce Health offers a single unified platform product called "Spruce" — described as the "#1 platform for HIPAA-compliant healthcare communication" — that bundles a business phone system, secure messaging, e-fax, video visits, team collaboration, and workflow automation into one cloud-based solution. On top of this core platform, Spruce Health exposes named modules/features including Secure Messaging, Phone (Professional Phone System with phone trees, call routing, multiple lines, voicemail transcription), Video Visits, E-Fax, Team Messaging, Team Inbox, Notes (Internal Notes), @Paging, Assignment, Referrals, Clinical Questionnaires, Digital Payments, and Workflow Automation (including AI-powered "Automations"). The same platform is delivered as the patient-facing "Care Messenger" app on web, iOS, and Android, and is extensible to developers and partners via the "Spruce API." Native integrations connect Spruce to EHR systems such as athenahealth and DrChrono, with additional connections (e.g., Google Calendar, Gmail, AdvancedMD) orchestrated through the Keragon healthcare workflow automation layer.

Differentiator

Problem solved

Functional benefit

Brands

• Care Messenger: Spruce's HIPAA-compliant messaging and calling platform available on web, iOS, and Android; marketed under the app name 'Spruce Care Messenger' on Apple App Store.

Products and services

• Spruce Spruce is the all-in-one HIPAA-compliant healthcare communication platform from Spruce Health that combines a business phone system, secure messaging, e-fax, video visits, and team collaboration into a single cloud platform for healthcare providers, with a signed Business Associate Agreement included in every plan.
• Spruce API Spruce API is the developer-facing integration offering that allows partners and healthcare teams to programmatically extend and connect to the Spruce healthcare communication platform, including phone, text, fax, video, secure messaging, and patient communication workflows.
• Care Messenger Care Messenger is the patient- and clinician-facing Spruce Health application available on web, iOS, and Android that enables secure messaging, voicemail, file sharing, and video calls between healthcare providers and their patients; published on app stores as 'Spruce Care Messenger'.

Named customers8 records

Segments4 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration6 records

AI capability8 records

Feature8 records

Partnerships

Four partnerships are on record, tiered core integration, flagship integration and core.

• DrChronocore integrationTechnology or Integration · 23 June 2026Spruce published a blog post titled "Your DrChrono Patients, Now in Spruce — Automatically" on June 23, 2026, announcing that DrChrono patients can be automatically brought into Spruce. This indicates a native integration enabling patient and data sync between DrChrono (EHR/practice management) and Spruce.
• athenahealthflagship integrationTechnology or Integration · 2 June 2025Spruce announced a native integration with athenahealth, a premier cloud-based electronic health record (EHR) system, on June 2, 2025. The integration syncs patient records from athenahealth into Spruce, automatically reflects new patients, keeps key contact fields updated in both systems, and syncs provider assignments as tags for routing. Conversations and notes sync from Spruce into the athenahealth patient chart, with either selective or automated daily sync options. Reported time savings of ~30 seconds per contact update and ~15 seconds per message update.
• Keragoncore integrationTechnology or IntegrationKeragon, a healthcare workflow automation company, announced new integrations connecting practice management systems like AdvancedMD and Athenahealth with patient communication tools including Spruce Health messaging, Google Calendar, and Gmail. The automations streamline patient appointment confirmations, calendar synchronization, and post-visit follow-up communications to reduce administrative burden and appointment no-shows. Spruce Health messaging is positioned as an integration endpoint within Keragon's interoperability layer.
• G2coreGTM or Marketing PartnerSpruce maintains an active presence on G2 (g2.com/products/spruce-health/reviews) where it has earned Leader badges in HIPAA Compliant Messaging and Small-Business Telemedicine. G2 reviews and badges are used on Spruce's homepage as social proof and demand-generation collateral.

Scale indicators9 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• TigerConnect: TigerConnect is a leading healthcare-specific secure messaging and team collaboration platform for clinicians and care teams. It directly competes with Spruce on HIPAA-compliant messaging, on-call scheduling, and care coordination across hospitals and ambulatory practices.
• PerfectServe (Telmediq): PerfectServe (which acquired Telmediq) offers a unified healthcare communication and collaboration platform spanning secure messaging, voice, and care team coordination. Its feature set and target clinician buyer closely overlap Spruce's communication stack.
• OhMD: OhMD is a HIPAA-compliant patient and team messaging platform used by practices and health systems for texting, telehealth, and patient communication. It competes head-to-head with Spruce in the small-to-mid ambulatory practice segment.
• Updox: Updox (a HealthCareFIRST company) provides HIPAA-compliant patient communication, secure messaging, telehealth, and document management for ambulatory practices. It targets the same primary care and specialty buyer profile as Spruce.
• Klara: Klara is a patient communication and messaging platform for healthcare practices, now part of ModMed. It overlaps with Spruce on secure patient messaging, team inbox workflows, and EHR-integrated communication.
• Providertech: Providertech offers HIPAA-compliant texting, telehealth, and patient engagement tools aimed at ambulatory and value-based-care providers. It competes with Spruce for the same clinical communication and patient outreach budget.
• Halo Communications: Halo Health (Halo Communications) offers a clinical communication and collaboration platform with secure messaging, on-call scheduling, and task management. It targets hospitals and large practices adjacent to Spruce's mid-market and enterprise motion.

Broad incumbents

• Doximity: Doximity is the largest professional network for U.S. physicians and offers secure messaging, telehealth (Doximity Dialer), and patient communication tools. As a publicly traded incumbent, it competes with Spruce for clinician mindshare and is expanding into adjacent workflow tools.
• Spok: Spok provides enterprise clinical communication and contact center solutions for hospitals and large health systems. While more enterprise/hospital-focused than Spruce, it competes in the broader healthcare communication category with overlapping messaging and paging features.
• Zoom for Healthcare: Zoom's healthcare vertical offers HIPAA-compliant video, messaging, and phone solutions widely used by clinicians for telehealth. While a broader unified-communications incumbent, it competes with Spruce on video visits, secure messaging, and VoIP in ambulatory care.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/SpruceHealth
• Facebookfacebook.com/SpruceHealth
• LinkedInlinkedin.com/company/spruce-health

Compliance5 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 records

Funding overview

Funding rounds5 records

Investors5 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Spruce Health