Alternatives · Therapy & Clinics
Spruce alternatives
As of Nov 13, 2026, the best Spruce alternative for most people is Carepatron (2.6 GPA), second in our ranking of therapy and clinic software. It's also the best free one.
Spruce compared with 5 alternatives: Quo, Dialpad, RingCentral, Healthie and Carepatron.
Spruce is a paid product with a free trial, starting at $24 per user / month, billed monthly. 1 of the 5 alternatives is free or has a free plan. 4 more offer a free trial.
Listings checked up to Nov 12, 2026 · Where the facts come from
Black Friday: is there a Spruce sale?
At a glance
| Tool | Price | Free plan | Runs on |
|---|---|---|---|
| SpruceThis tool | Free trial · from $24/mo | Trial only | Web, iOS, Android |
| Quo | Free trial · from $15/mo | Trial only | Web, macOS, Windows, iOS, Android |
| Dialpad | Free trial · from $15/mo | Trial only | Web, macOS, Windows, iOS, Android, Browser extension |
| RingCentral | Free trial · from $20/mo | Trial only | Web, macOS, Windows, iOS, Android |
| Healthie | Free trial · from $18/mo | Trial only | Web, iOS, Android |
| Carepatron | Free plan · from $31/mo | Yes | Web, iOS, Android |
Price against what you get
Spruce starts at $24 a month for each person and scores 2.3 out of 4 on features, ease of use and platforms. 1 of the 2 alternatives on this chart scores higher and starts lower: Healthie.
Carepatron scores higher without starting lower.
Features, ease of use and platforms, averaged
What paid plans start at, a month (each step along is roughly double) →
- The best score at each price
- Has a free plan
- No free plan
How each one differs from Spruce
Quo
Business phone app for calls and texts on shared team numbers
- Quo starts at $15 per user / month, billed annually ($19 billed monthly).
- Quo also lists macOS and Windows apps.
- Quo also covers transcription and AI support agent.
- Quo does not cover online fax and telehealth, which Spruce does.
Suits: Small businesses that want a second number apart from personal phones
Dialpad
AI business phone with live call transcripts and call summaries
- Dialpad starts at $15 per user / month, billed annually ($27 billed monthly).
- Dialpad also lists macOS and Windows apps and a browser extension.
- Dialpad also covers transcription, team chat and video calls.
- Dialpad does not cover shared inbox, online fax and telehealth, which Spruce does.
Suits: Teams that want every call transcribed and summarized automatically
RingCentral
Cloud phone system with texting, fax, video meetings and team chat
- RingCentral starts at $20 per user / month for 1-5 users, billed annually ($30 billed monthly).
- RingCentral also lists macOS and Windows apps.
- RingCentral also covers transcription, team chat and video calls.
- RingCentral does not cover shared inbox, online fax and telehealth, which Spruce does.
Suits: Businesses that want calls, texts, meetings and chat in one app
Healthie
EHR, telehealth and client programs for wellness and care practices
- Healthie starts at $18 per month, billed annually ($19.99 billed monthly).
- Healthie also covers clinical notes, insurance billing and appointment booking.
- Healthie does not cover shared inbox, business phone line and business texting, which Spruce does.
Suits: Dietitians and health coaches who run client programs
Carepatron
Practice management with a free plan, AI scribe and telehealth
- Carepatron starts at $31 per user / month, billed yearly ($39 billed monthly).
- Carepatron has a free plan, which Spruce lacks.
- Carepatron also covers transcription, clinical notes, insurance billing and appointment booking.
- Carepatron does not cover shared inbox, business phone line, business texting and online fax, which Spruce does.
Suits: Solo practitioners who want to start on a free plan
Limits worth knowing in Spruce
- It does not do scheduling, charting or insurance billing; a practice still needs a separate EHR.
- Sending business SMS requires a one-time A2P 10DLC registration fee of $19.50 per organization.
- Integrations and API access are limited to the $49 Communicator plan, and VoIP desk phone hardware is an extra.
- The free trial includes Basic features but not SMS sending, which needs the registration process first.
Common questions
What are the alternatives to Spruce?
The alternatives to Spruce in this directory are Quo, Dialpad, RingCentral, Healthie and Carepatron. Each one has a side-by-side comparison with Spruce.
Is there a free alternative to Spruce?
Yes. Carepatron has a free plan alongside paid ones.
Which Spruce alternatives work on Windows?
The Spruce listing does not include a Windows app. Quo, Dialpad and RingCentral list one.
Which Spruce alternatives work on macOS?
The Spruce listing does not include a macOS app. Quo, Dialpad and RingCentral list one.
When were these prices checked?
Each listing shows its own date. On this page they run from Oct 17, 2026 to Nov 12, 2026. Vendors change prices without notice, so confirm on their site before you buy.