Tebra (formerly Kareo) vs Spruce Health

Side-by-side from the Top 11 rankings of The 11 Best EHR Software for Medical Practices (2026) and The 11 Best Telehealth Platforms (2026). Last verified June 15, 2026.

The short answer

Tebra (formerly Kareo) ranks higher on Top 11 (#7 vs #11) for Physicians and practice managers choosing an electronic health records system / Healthcare providers running virtual visits. Best all-in-one clinical and marketing platform for independent practices.

At a glance

Tebra (formerly Kareo)Spruce Health
Top 11 rank#7 / The 11 Best EHR Software for Medical Practices (2026)#11 / The 11 Best Telehealth Platforms (2026)
Score (out of 9.4)87.2
Best forIndependent practicesUnified communication for modern practices
Pricing$$ ($199 to $499/mo/provider)$ ($24 to $79/mo)
HQNewport Beach, CA, USASan Francisco, USA
Founded20042013

Tebra (formerly Kareo)

Best all-in-one clinical and marketing platform for independent practices.

www.tebra.com

See full entry in The 11 Best EHR Software for Medical Practices (2026)

Spruce Health

A communication-first platform where video is one piece of a unified patient conversation.

www.sprucehealth.com/

See full entry in The 11 Best Telehealth Platforms (2026)

Methodology and scoring weights live at /methodology. No vendor pays for placement — see about.