specification: FinOps Framework
specificationVersion: '1.0'
schema: https://www.finops.org/framework/
provider: Spruce Health
providerId: spruce-health
created: '2026-07-10'
modified: '2026-07-10'
reconciled: true
tags:
- Healthcare
- HIPAA
- Communication
- FinOps
- Cost Management
- FOCUS
description: >-
  FinOps view of Spruce Health spend. Spruce bills a flat per-user
  subscription - Basic at $24/user/month and Communicator at $49/user/month -
  rather than usage-metered API calls. The Public API does not carry a separate
  per-request charge; it is a feature of the Communicator plan (and must be
  enabled by Spruce Support). The dominant cost driver is therefore the number
  of billed users (teammates) on the plan, not API traffic. Some communication
  activity (for example telephony or fax volume) may incur usage charges outside
  the base subscription; verify against a current invoice.
notes: >-
  Per-user prices are grounded from sprucehealth.com/plans. Any overage or
  usage-based telephony/fax charges are not itemized here and should be
  reconciled from an actual Spruce invoice during a FinOps review.
sources:
- https://sprucehealth.com/plans
- https://developer.sprucehealth.com/docs/overview
- https://focus.finops.org/focus-specification/v1-3/
alignedWith:
  framework: FinOps Foundation Framework
  frameworkUrl: https://www.finops.org/framework/
  dataSpec: FOCUS
  dataSpecVersion: '1.3'
  dataSpecUrl: https://focus.finops.org/focus-specification/v1-3/
publisherName: Spruce Health
serviceCategory: Healthcare Communication
billingModel:
  pricingCategory: Subscription-Based
  billingFrequency: Monthly
  billingCurrency: USD
  chargeCategories:
  - Purchase
  - Usage
  - Adjustment
focusColumns:
  ServiceName: Spruce Health
  ServiceCategory: Healthcare Communication
  ProviderName: Spruce Health
  PublisherName: Spruce Health
  InvoiceIssuerName: Spruce Health
  BillingCurrency: USD
  ChargeCategory: Purchase
  PricingCategory: Subscription-Based
meters:
- name: user_seats
  description: Billed teammates (clinicians, staff, employees) on the plan, charged per user per month.
  unit: seats
  aggregation: sum
  dimensions:
  - organization
  - plan
- name: telephony_usage
  description: Optional voice / fax usage that may be billed beyond the base subscription.
  unit: minutes
  aggregation: sum
  dimensions:
  - organization
  - phone_line
principles:
- name: Visibility
  description: Track the number of active billed users per plan; the seat count, not API traffic, drives the invoice.
- name: Allocation
  description: Map user seats to locations, teams, or cost centers within the organization.
- name: Optimization
  description: Right-size the plan tier (Basic vs Communicator) to who actually needs API/integration and telephony features; deactivate unused teammates.
- name: Accountability
  description: Assign an owner for the Spruce subscription; review seat count and any telephony overages monthly.
maintainers:
- FN: Kin Lane
  email: kin@apievangelist.com