Spruce is where doctors and therapists message patients and run video. KloudMD is the front office: booking, CRM, team inbox, forms, payments, reminders. Most teams that “compare” them are mixing two jobs.
Get startedSpruce Health is a HIPAA inbox: SMS, phone, video, fax, a patient app — used by the clinician for people already in care. It is a good product for that. It is not a practice scheduler, not a CRM, not a form builder, not a billing system, and not trying to run the new-patient line unattended.
If a psychiatrist wants a private thread and a video visit, Spruce (or the EHR portal) is the right shape. If the practice needs online booking, a staff inbox, intake, deposits, reviews, and a pipeline — that is KloudMD. Doctors should not be the front desk. These can coexist.
Keep charting where you chart today. KloudMD writes bookings into that calendar. Care messaging can stay in Spruce.
KloudMD is one platform. Scheduling, inbox, forms, payments, reviews, campaigns, and phones share one patient profile and one calendar.
Website widget, Google booking, waitlist, multi-provider, two-way EMR sync.
One profile per patient. Every call, form, and payment on it. Source tracked to revenue.
SMS, email, web chat, and phone in one thread. Team chat next to it.
Builder, auto-send before the visit, e-sign, saved to the profile.
Deposits at booking, invoices, pay-by-link, payment plans.
Email/SMS campaigns, review asks, ad conversions on booked visits.
No-code automations on booked, cancelled, no-show, missed call, form-in.
VoIP, recordings, call tracking — plus Voice AI if you want the line answered.
Appointments, revenue, missed calls, staff, and which channel actually booked.
Dedicated account manager, monthly meetings, we implement it. Not a help article and a ticket queue.
Booking, inbox, forms, payments, reviews, campaigns, phones — one platform. Not add-on SKUs and a second invoice.
Every module writes to the same profile and the same schedule. Staff do not swivel between four tabs that do not talk.
Spruce is self-serve software for clinicians. KloudMD implements the practice layer and trains the front desk so the doctor is not the help desk.
EHR connection, booking, inbox, forms, phones. You do not get a login and a 40-page help center.
Typical practices are booking and answering on the real number within 24 hours. We stay on the call until it works.
Yours, by name. They know the schedule, the call flow, and the EHR — not a rotating ticket queue that starts from zero.
A standing monthly review: what booked, what leaked, what to change. Not a QBR you have to beg for on an enterprise SKU.
Spruce is a clinician inbox. The front office is still a pile of tools. KloudMD is the desk, all-inclusive, next to Spruce if you keep it for care chat.
Scheduling, CRM, inbox, forms, payments, reviews, campaigns, workflows, phones, website. Not a stack of extra SKUs and a second invoice.
Online booking and forms are in the platform. You do not buy another SKU to get the calendar widget.
After-hours is not billed per minute. No overage on a busy Monday for the receptionist layer.
We connect the EHR and stand the desk up. You are not paying a partner to implement a product you already bought.
You need a provider-facing HIPAA inbox and telehealth for existing patients, and someone else already runs booking, intake, and the published number.
The gap is the practice: schedule, CRM, forms, payments, reminders, team inbox. Care messaging can stay in Spruce or the EHR.
| Spruce | KloudMD | |
|---|---|---|
| What it is | Clinician inbox + virtual care | Front office platform |
| Who uses it all day | The provider | The front desk and the practice |
| Online booking / CRM | Not the product | Live EMR sync, pipeline, source |
| Team inbox / forms / payments | Provider threads | Staff inbox, builder, deposits, invoices |
| Reminders / reviews / campaigns | Limited | Yes |
| Telehealth | Yes | Not the product — we book the visit |
| New-patient line | A person still has to work it | Staff, and/or Voice AI |
| You keep | EHR + Spruce for care chat if you want | The system you chart in today |
Same list on every compare page. Voice AI is one row under Phones.
| Feature | Spruce | KloudMD |
|---|---|---|
| Online booking widget | No | Yes |
| Two-way EMR / PMS calendar sync | No | Yes — 50+ systems |
| Multi-provider, multi-location | No | Yes |
| Waitlist and last-minute fills | No | Yes |
| Google / Yelp booking | No | Yes |
| Custom booking flows (questions, verify, approve) | No | Yes |
| Recall / due-back campaigns that book | No | Yes — reply can book |
| Feature | Spruce | KloudMD |
|---|---|---|
| Unified patient profile (every call, form, payment) | No | Yes |
| Lead pipeline with stages | No | Yes |
| Lead-source tracking to booked / showed / paid | No | Yes, through revenue |
| Tags, lists, and contact management | No | Yes |
| Patient portal / self-service | Patient app | Yes |
| Document and file storage on the profile | Attachments in threads | Yes |
| Feature | Spruce | KloudMD |
|---|---|---|
| Unified inbox (SMS, email, chat, phone) | Clinician inbox | Yes |
| Two-way SMS | Yes — provider-centric | Yes |
| Email on the same thread (Gmail / Outlook) | No | Yes |
| Website chat widget | Limited | Yes |
| Canned replies and templates | No | Yes |
| Internal team chat | No | Yes |
| Appointment reminders (SMS + email) | No | Yes |
| Missed-call text-back | No | Yes, can book |
| Feature | Spruce | KloudMD |
|---|---|---|
| Practice VoIP / desk phones | No practice phone system | Yes |
| Call recording and transcription | In-app calling, not practice VoIP | Yes, on the profile |
| Voicemail-to-text | No | Yes |
| IVR / auto-attendant | No | Yes |
| Call tracking / dynamic numbers | No | Yes |
| Voice AI receptionist | No | Yes — module, not the product |
| After-hours and overflow coverage | No | Yes |
| Feature | Spruce | KloudMD |
|---|---|---|
| Drag-and-drop form builder | No | Yes |
| Auto-send intake before the visit | No | Yes |
| E-signatures | No | Yes |
| HIPAA file uploads | No | Yes |
| Medical form templates | No | Yes |
| Feature | Spruce | KloudMD |
|---|---|---|
| Invoices and estimates | No | Yes |
| Deposits at booking | No | Yes |
| Text-to-pay / pay-by-link | No | Yes |
| Payment plans / recurring | No | Yes |
| Card processing logged to the profile | No | Yes |
| Feature | Spruce | KloudMD |
|---|---|---|
| Email and SMS campaigns | No | Yes |
| Automated review requests | No | Yes |
| Review monitoring and reply AI | No | Yes |
| Google / Meta conversions on booked visits | No | Yes — booked / showed / sold |
| AI site / SEO content | No | Yes |
| Website popups and widgets | No | Yes |
| Feature | Spruce | KloudMD |
|---|---|---|
| Visual no-code workflow builder | No | Yes |
| Triggers: booked, cancelled, no-show, missed call, form-in | No | Yes |
| Live dashboards (appointments, revenue, leads) | No | Yes |
| Missed-call analytics | No | Yes |
| Staff productivity reporting | No | Yes |
| Feature | Spruce | KloudMD |
|---|---|---|
| AI texting that can book | No | Yes |
| AI follow-up / reactivation | No | Yes |
| Insurance verification AI | No | Yes |
| AI scribe / clinical notes | No | Yes |
| Feature | Spruce | KloudMD |
|---|---|---|
| One product, not a bundle of apps | Clinician inbox + video | Yes — one platform |
| One patient profile for calls, texts, forms, payments, bookings | Thread, not a practice CRM | Yes |
| One inbox for SMS, email, chat, and phone | Provider inbox | Yes |
| Widget, staff, text, and Voice AI write the same calendar | No | Yes |
| Workflows span booking, inbox, forms, and payments | No | Yes |
| Every channel writes back to the EHR / PMS | Sits next to the EHR | Yes — 50+ systems |
| Same lead from ad click → booked → showed → paid | No | Yes |
| No third-party glue to make modules talk | You glue the desk around it | Native — no glue required |
| Front desk works one screen | Spruce + EHR + booking + phones | Yes |
| Feature | Spruce | KloudMD |
|---|---|---|
| One bill for the front office | One clinician-inbox bill | Yes — one platform |
| Online booking included (not a higher tier) | No | Included |
| Forms / e-sign included | No | Included |
| CRM + pipeline included | No | Included |
| Team inbox + two-way text included | Provider inbox, not the desk | Included |
| Practice phones included | No practice VoIP | Included |
| After-hours answering included (not per-minute) | No | Included — not a minute bucket |
| Deposits / text-to-pay included | No | Included |
| Review requests included | No | Included |
| Email / SMS campaigns included | No | Included |
| Workflows included | No | Included |
| Implementation included | Self-serve | Included — we do the work |
| Per-minute or overage billing | Plan tiers | No receptionist overage |
| Still need a second vendor for the desk | Yes — the whole front office | No — this is the desk |
| Feature | Spruce | KloudMD |
|---|---|---|
| Who implements the product | Self-serve | We do it — EHR, booking, inbox, phones |
| Time to go live | You create the workspace | Typically live in under a day |
| Human support vs help-center first | Help center + chat | Humans who know the practice |
| Front-desk training | Docs | Yes — we train the desk |
| Dedicated account manager | No | Yes — dedicated, by name |
| Monthly account meetings | No | Yes — monthly meetings |
| Direct Slack / Teams with the vendor | No | Yes |
| Priority support / SLA | No | Yes |
| Will build a missing EHR integration | No | Yes — we build it |
| Feature | Spruce | KloudMD |
|---|---|---|
| EHR / PMS integrations | Sits next to the EHR | 50+ medical, dental, specialty, wellness |
| HIPAA + BAA | Yes | Yes, BAA included |
| SOC 2 | Ask them | SOC 2 Type II |
| Native mobile app | Yes | Yes |
| Public API | No | Yes |
| Have to migrate the chart to start | No | No |
Providers, services, hours, and the insurance list come from the schedule you already run. No chart migration to go live.
Booking, inbox, forms, payments, reviews, campaigns, phones, Voice AI — cut over one surface at a time so patients are not double-texted.
Every call, form, booking, and payment lands on the same patient profile. Charting stays where it is until you decide otherwise.
No. Booking, inbox, forms, payments, reviews, and phones go live on top of the system you chart in today. Notes stay where they are.
You do not need it to be one to start. KloudMD is the front office — schedule, CRM, inbox, forms, billing, marketing, automations, phones — connected to 50+ practice systems. Chart in the system you use today.
Yes. Spruce (or the EHR portal) for clinician messaging. KloudMD for the published practice number, booking, forms, and the team inbox.
No. We book the visit. Video stays in the EHR or Spruce.
No. If that is the search, see AI vs a medical answering service.
Dedicated account manager, by name. Monthly meetings on what booked and what leaked. We connect the EHR, configure the desk, and train the staff. Slack or Teams with the team that implemented you. Not a help article and a ticket queue.
Scheduling, CRM, inbox, forms, payments, reviews, campaigns, workflows, and phones are the platform — not add-on SKUs. Implementation, a dedicated account manager, and monthly meetings are included. After-hours is not billed per minute.
15 minutes on your real booking and inbox, not a pitch about chat apps.
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