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Spruce Health sells secure messaging, phone, fax, video, and telehealth software that helps healthcare practices communicate with patients and each other while staying compliant with privacy rules.
Spruce Health makes the communication layer for small and mid-sized healthcare practices. Doctors, therapists, clinics, and their front-desk staff use it to text patients, make and take phone calls, send faxes, and run video visits — all in one place, and all built to keep medical information private under HIPAA, the U.S. law that governs patient privacy.
The core problem it solves is messy, scattered communication. A typical clinic juggles a landline, a personal cell phone, a fax machine, a patient portal, and email, and staff waste time chasing messages across all of them. Spruce pulls those channels into a single inbox tied to each patient, so a text, a call, and a fax all show up in one thread. Patients can reply by text without downloading an app, which matters because many people ignore portals but answer texts. Spruce earns money by charging practices a subscription, typically per user per month, with tiers that unlock more features like video and call routing. Its customers are mostly independent and small-group practices — primary care, mental health, dermatology, physical therapy — that want the convenience of modern messaging without building their own compliant system or hiring a big IT team. It competes with general-purpose tools repurposed for healthcare and with larger telehealth and EHR platforms, but its pitch is focus: communication done well, priced for a small practice.
The company is privately held, so it does not report public financials, and it has raised venture funding to grow. The interesting tension in its business is that healthcare communication is high-stakes and heavily regulated, which scares off casual competitors but also means Spruce has to keep earning trust on security and reliability every single day.
Saved answer · last researched 15 Nov 2026