Compare
Soli vs Spruce for small healthcare practices
Spruce is a strong healthcare messaging app, with fax and video built in. You pay per person, and secure messages run in its app. Soli is priced per practice, and patients chat in their browser.
A healthcare communication app
Spruce
- Phone, text, video, fax and team chat
- Secure messaging in the Spruce app
- Priced per user, BAA included
A practice front desk
Soli
- Priced per practice, with several people and lines
- Secure chat in the browser, no app for clients
- Forms, booking and website chat included
In short
Spruce is built for healthcare and does a lot: phone, texts, video, fax. Every seat costs $24 to $49 a month, and the phone line needs the $49 plan. Soli Solo is $79 for two people. Patients open secure chat in their browser, and forms, booking and website chat come with it. We don’t do fax or built-in video.
What Spruce does well
- Fax and video visits in one app.
- Built for healthcare teams.
What we found on Spruce’s site
Spruce charges per person: $24 a month for Basic, $49 for Communicator, plus taxes and fees.
Source: sprucehealth.com/plans · checked 14 Oct 2026
Phone service is on Communicator, not Basic.
Source: sprucehealth.com/plans · checked 14 Oct 2026
Every trial and paid plan comes with a BAA.
Source: sprucehealth.com/plans · checked 14 Oct 2026
Secure messaging runs in Spruce’s app. It also has video, fax and AI voicemail transcription.
Source: sprucehealth.com/plans · checked 14 Oct 2026
What’s included
| Spruce | Soli | |
|---|---|---|
| Forms | Clinical questionnaires | Yes, answers sealed |
| Calls | Communicator plan | Yes |
| Texts | Yes | Yes |
| Booking | Not listed | Yes |
| Secure chat | Yes, in the Spruce app | Yes, in the browser |
| Website chat | Not listed | Yes |
| BAA | Every plan | Every plan (AI receptionist coverage coming soon) |
| Fax | Yes | No |
| Video | Yes | Your own video link on bookings |
From each company’s own pricing and plan pages, checked 14 Oct 2026. “Not listed” means we couldn’t find it on those pages.
What two people pay
Spruce
$98/month
2 × $49 Communicator (the plan with VoIP phone service), monthly billing
Soli Solo
$79/month
For the practice: 1 line and 2 team members, with forms, texting, booking, secure chat, website chat and a BAA
For two people with a phone line, Soli Solo costs less and adds forms, booking and website chat. Spruce has fax and video. Soli doesn’t.
Published prices, monthly billing, before tax, checked 14 Oct 2026. Prices change; check their site.
What Soli does differently
Priced by practice
Plans include several people and lines. Adding someone to the front desk doesn’t add a seat fee.
Secure chat without an app
Patients open a link and enter a code. They install nothing, and nothing stays on their phone.
Forms and booking built in
New patients book, sign and send forms. It all lands with your calls and texts.
No fax or built-in video
If you fax, or want video inside your phone app, Spruce does both. In Soli you add your own video link to bookings.
Which one fits your practice?
Spruce
Go with Spruce if fax and built-in video matter to your practice.
Soli
Go with Soli if you want the whole first contact handled, with one price for the practice.
Plans
Every feature on every plan.
You pay one price for the whole practice, and every plan comes with a BAA and a 30-day money-back guarantee.
Compare plansSolo
One clinician
$79/month
Practice
A small team
$149/month
Clinic
Several clinicians
$249/month
Questions
Is Spruce HIPAA compliant?
Spruce says every trial and paid plan comes with a BAA.
Does Soli do fax?
No. If you rely on fax, Spruce or a separate fax service covers it.
Do clients need an app for Soli’s secure chat?
No. They open a link, enter a code sent to their phone, and chat in their browser.
Founding practices
Be one of the first practices on Soli.
Founding practices get a setup call with us, the AI receptionist free for 3 months (150 minutes) and today’s price held for 24 months.
Save your founding spot