# SimplePractice vs Spruce Health

**Leader by vioscaleAI score:** Spruce Health

| Attribute | SimplePractice | Spruce Health |
|---|---|---|
| **vioscaleAI score** | 51.5 (64% (medium)) | 66.4 (49% (low)) |
| content.faq | `[{"answer":"SimplePractice is an electronic health record and practice management system that helps therapists and mental health practitioners manage clients, conduct virtual appointments, handle billing and insurance, and maintain secure patient records. It provides telehealth capabilities, automated documentation tools, client portals, and billing integration in a single cloud platform. It is indexed under Healthcare Software.","source":"https://www.simplepractice.com/pricing/","question":"What is SimplePractice?","confidence":0.6},{"answer":"SimplePractice offers a free tier, so you can start without paying. Paid plans start at $37 per practitioner per month. Prices are published openly on the vendor's own pricing page. Pricing changes often, so verify at source before relying on it.","source":"https://www.simplepractice.com/pricing/","question":"Is SimplePractice free?","confidence":0.6},{"answer":"We have confirmed browser-based access to SimplePractice. That is the extent of what we could verify from public sources, so it may well offer desktop or mobile clients we have not indexed.","source":"https://www.simplepractice.com/pricing/","question":"What platforms does SimplePractice support?","confidence":0.6},{"answer":"We have only confirmed a cloud / SaaS deployment for SimplePractice, so it appears to be vendor-hosted. If a self-hosted option exists we have not found it documented publicly.","source":"https://www.simplepractice.com/pricing/","question":"Can SimplePractice be self-hosted?","confidence":0.6},{"answer":"We have independently confirmed HIPAA for SimplePractice. Certifications we do not list are ones we have not been able to verify from public sources, which is not the same as SimplePractice not holding them. Always confirm compliance directly before you rely on it.","source":"https://www.simplepractice.com/pricing/","question":"What security certifications does SimplePractice have?","confidence":0.6},{"answer":"SimplePractice is available worldwide. The vendor is headquartered in the United States.","source":"https://www.simplepractice.com/pricing/","question":"Where is SimplePractice available?","confidence":0.75}]` | `[{"answer":"Spruce Health consolidates phone, text, video, and secure messaging for healthcare practitioners in one platform. It includes HIPAA compliance, business associate agreements, and tools to automate workflows while keeping patient communications secure and compliant. It is indexed under Telemedicine.","source":"https://sprucehealth.com/plans","question":"What is Spruce Health?","confidence":0.6},{"answer":"Spruce Health offers a free tier, so you can start without paying. Paid plans start at $24 per user per month. Prices are published openly on the vendor's own pricing page. Pricing changes often, so verify at source before relying on it.","source":"https://sprucehealth.com/plans","question":"Is Spruce Health free?","confidence":0.6},{"answer":"We have confirmed browser-based access to Spruce Health. That is the extent of what we could verify from public sources, so it may well offer desktop or mobile clients we have not indexed.","source":"https://sprucehealth.com/plans","question":"What platforms does Spruce Health support?","confidence":0.6},{"answer":"We have only confirmed a cloud / SaaS deployment for Spruce Health, so it appears to be vendor-hosted. If a self-hosted option exists we have not found it documented publicly.","source":"https://sprucehealth.com/plans","question":"Can Spruce Health be self-hosted?","confidence":0.6},{"answer":"We have independently confirmed HIPAA for Spruce Health. Certifications we do not list are ones we have not been able to verify from public sources, which is not the same as Spruce Health not holding them. Always confirm compliance directly before you rely on it.","source":"https://sprucehealth.com/plans","question":"What security certifications does Spruce Health have?","confidence":0.6},{"answer":"Spruce Health is available worldwide. Its primary market is the United States.","source":"https://sprucehealth.com/plans","question":"Where is Spruce Health available?","confidence":0.5}]` |
| deployment.options | `{"cloud":true}` | `{"cloud":true}` |
| description.long | SimplePractice is an electronic health record and practice management system that helps therapists and mental health practitioners manage clients, conduct virtual appointments, handle billing and insurance, and maintain secure patient records. It provides telehealth capabilities, automated documentation tools, client portals, and billing integration in a single cloud platform. | Spruce Health consolidates phone, text, video, and secure messaging for healthcare practitioners in one platform. It includes HIPAA compliance, business associate agreements, and tools to automate workflows while keeping patient communications secure and compliant. |
| features.capabilities | `{"epcs":true,"hipaa":true,"deployment":"cloud","care_setting":"ambulatory","product_type":"ehr","pricing_model":"per_seat","revenue_cycle":true,"patient_portal":true,"target_segment":"clinic","deployment_model":"cloud_web_app","telehealth_builtin":true,"e_prescribing_erx_integration":true}` | `{"pricing_model":"flat_monthly_subscription","deployment_model":"cloud_web_app","secure_asynchronous_text_messaging":true,"secure_1080p_hipaa_video_conferencing":true,"hipaa_baas_business_associate_agreement":true}` |
| market.availability | `{"hqCountry":"US","primaryMarkets":[],"availabilityScope":"global","availableCountries":[],"notAvailableCountries":[]}` | `{"primaryMarkets":["US"],"availabilityScope":"global","availableCountries":[],"notAvailableCountries":[]}` |
| platform.support | `{"web":true}` | `{"web":true}` |
| pricing | `{"type":"subscription","plans":[{"free":false,"name":"Starter (Solo)","summary":"$49/month (50% off first 3 months at $24.50/month)","commitment":"monthly","components":[{"kind":"fixed","amount":49,"period":"month","currency":"USD"}],"contactSales":false},{"free":false,"name":"Essential (Solo)","summary":"$79/month","commitment":"monthly","components":[{"kind":"fixed","amount":79,"period":"month","currency":"USD"}],"contactSales":false},{"free":false,"name":"Plus (Solo)","summary":"$99/month","commitment":"monthly","components":[{"kind":"fixed","amount":99,"period":"month","currency":"USD"}],"contactSales":false},{"free":false,"name":"Starter (Group)","summary":"$49.50/month for first practitioner","minSeats":1,"commitment":"monthly","components":[{"kind":"fixed","amount":49.5,"period":"month","currency":"USD"}],"contactSales":false},{"free":false,"name":"Plus (Group)","summary":"$74/month first practitioner, $37/month each additional","features":["Group appointments","Group telehealth","Premium support phone line","Appointment request widget"],"minSeats":1,"commitment":"monthly","components":[{"kind":"fixed","amount":74,"period":"month","currency":"USD"},{"kind":"per_unit","unit":"practitioner","amount":37,"period":"month","currency":"USD"}],"contactSales":false}],"addOns":[{"name":"Clinical Admin (Care Aide)","components":[{"kind":"fixed","amount":59,"period":"month","currency":"USD"}]},{"name":"Note Taker","components":[{"kind":"fixed","amount":35,"period":"month","currency":"USD"}]},{"name":"ePrescribe","components":[{"kind":"one_time","amount":89,"currency":"USD"}]},{"name":"Insurance Navigator","components":[{"per":{"qty":1,"unit":"claim"},"kind":"metered","amount":1.79,"currency":"USD"}]}],"summary":"From $49/month. Free 30-day trial.","currency":"USD","freeTier":true,"sourceUrl":"https://www.simplepractice.com/pricing/","retrievedAt":"2026-09-08T17:30:22.039Z","freeTrialDays":30,"startingPrice":{"amount":49,"period":"month","currency":"USD"},"billingPeriods":["month"]}` | `{"type":"subscription","plans":[{"free":false,"name":"Basic","summary":"$24/user/month, month-to-month billing","features":["Advanced medical phone system","SMS texting","Secure app-based messaging","Secure team chat","Video telemedicine","Scheduled messages","AI transcription","Auto-replies","Customizable shared inbox","Advanced spam call control","Business Associate Agreement (BAA)","User access management controls","Contact & conversation tags","Contact and patient list management"],"commitment":"monthly","components":[{"kind":"per_unit","unit":"user","amount":24,"period":"month","currency":"USD"}],"description":"Core communication tools to streamline patient interactions, simplify daily workflows, and stay compliant.","contactSales":false},{"free":false,"name":"Communicator","summary":"$49/user/month, month-to-month billing","features":["Everything in Basic, plus:","Self-service customizable call flows (IVR)","Urgent escalation and after-hours triage","Integrations & API access","VoIP phone service","AI-enabled transcription & summarization","Call recording","Missed-call text-back","Scheduled auto-replies and call routing","Bulk (broadcast) messaging","Task assignment and management","Internal paging (mentions)","Assignments oversight dashboard","Mobile payments","Dedicated support"],"commitment":"monthly","components":[{"kind":"per_unit","unit":"user","amount":49,"period":"month","currency":"USD"}],"description":"The advanced toolkit to automate workflows, enhance team collaboration, and optimize practice productivity.","contactSales":false}],"summary":"From $24/user/month. Free 14-day trial with no credit card required. Month-to-month billing.","currency":"USD","freeTier":false,"sourceUrl":"https://sprucehealth.com/plans","retrievedAt":"2026-08-21T16:45:04.244Z","freeTrialDays":14,"startingPrice":{"unit":"user","amount":24,"period":"month","currency":"USD"},"billingPeriods":["month"]}` |
| pricing.free_tier | yes | yes |
| pricing.model | freemium | freemium |
| pricing.price_level | mid | low |
| pricing.starting_price | `{"amount":49,"currency":"USD"}` | `{"amount":24,"currency":"USD"}` |
| pricing.transparent | yes | yes |
| reliability.status_page | yes | - |
| security.hipaa | yes | yes |
| security.pci | yes | - |
| security.trust_center | https://simplepractice.com/trust-center | - |

## Capabilities (Telemedicine)

| Capability | SimplePractice | Spruce Health |
|---|:--:|:--:|
| **Capabilities** |  |  |
| Deployment model | Cloud web app | Cloud web app |
| HIPAA baas business associate agreement | - | ✓ |
| Secure 1080p HIPAA video conferencing | - | ✓ |
| Virtual waiting room triage queue | - | - |
| E prescribing ERX integration | ✓ | - |
| Secure asynchronous text messaging | - | ✓ |
| EHR epic cerner two way sync | - | - |
| Multi participant family group calls | - | - |
| Screen sharing and medical image review | - | - |
| Integrated insurance eligibility checks | - | - |
| SOC2 type ii | - | - |
| ISO 27001 | - | - |
| Pricing model | per_seat | Flat monthly subscription |

*Source: vioscaleAI. Generated 2026-10-16T17:47:43.667Z. "-" = undocumented, not absent.*