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HR · head to head

Breathe HR vs Spring Health

Breathe HR logo

Breathe HR

HR

Simple HR software for SMEs

From
£13/month
Rated
-
Spring Health logo

Spring Health

HR

Employer mental health benefit that puts a share of its own fee at risk against measured symptom improvement

From
On request
Rated
-

The short version

  • Each has a real cost: Breathe HR pricing is banded by headcount, starting at £24 per month for 1 to 10 people, £44 per month for 11 to 20 and £99 per month for 21 to 50; Spring Health per employee per month cost is several times a conventional employee assistance programme, reported publicly at roughly one hundred to one hundred and fifty dollars per employee per year, so the business case has to rest on measured outcomes rather than price.
  • They diverge on capability: Breathe HR covers Employee Database, Spring Health covers Precision matching.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which Breathe HR and Spring Health actually diverge.

Attributes where Breathe HR and Spring Health differ
AttributeBreathe HRSpring Health
Starting price£13/monthOn request
Pricing modelsubscriptionquote
Founded2012Unknown

Identical on both: free tier (No), platforms (Web, Ios, Android), user rating (Not yet rated), category (HR).

What each one covers

Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.

Only in Breathe HR

  • Employee Database
  • Absence Management
  • Document Storage
  • HR Reporting
  • Performance Management
  • Training
  • Slack
  • Google Workspace

Only in Spring Health

  • Precision matching
  • Sponsored session model
  • Psychiatry and medication management
  • Coaching tier
  • Repeated outcome measurement
  • Outcomes-based fee
  • Manager and workforce reporting
  • Care navigation

What people use each for

The jobs each tool is most often brought in to do.

Breathe HR

  • Holiday, absence and sickness tracking for a UK small businessnot Spring Health
  • Storing HR documents, contracts and e-signaturesnot Spring Health
  • Performance reviews and onboarding workflows for small teamsnot Spring Health

Spring Health

  • An employer replacing an EAP with two percent utilisation that cannot demonstrate any clinical effect to its boardnot Breathe HR
  • A benefits team facing long external waiting lists for therapy that are showing up in absence and disability claimsnot Breathe HR
  • A distributed workforce where the incumbent EAP provider network is thin outside major metropolitan areasnot Breathe HR
  • A health plan wanting to add a behavioural health layer without building a provider network itselfnot Breathe HR

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

Breathe HR

  • Pricing is banded by headcount, starting at £24 per month for 1 to 10 people, £44 per month for 11 to 20 and £99 per month for 21 to 50
  • Plans are capped by band up to 151 to 200 people, so it is not sold to organisations above that range on the published ladder
  • The free trial is 14 days
  • Health and safety, e-learning and other modules are sold as add-ons on top of the core HR plan
  • Pricing is quoted in pounds and the product is marketed to UK SMEs

Spring Health

  • Per employee per month cost is several times a conventional employee assistance programme, reported publicly at roughly one hundred to one hundred and fifty dollars per employee per year, so the business case has to rest on measured outcomes rather than price.
  • Outcomes-based pricing only puts a portion of the fee at risk, and the measured cohort is people who engaged, which flatters the reported improvement relative to any effect across the whole workforce.
  • Sponsored sessions run out, and members who need longer treatment are handed to their health plan benefit where network adequacy and cost sharing may be exactly the problem they came to avoid.
  • The eligibility file integration is a real HR IT project, and employers with messy dependent and contractor data spend meaningful effort before launch.
  • Coverage and provider depth outside the United States is thinner than the domestic network, so multinational employers usually end up running a second vendor for other regions.

Pricing, plan by plan

Breathe HR

£13/month
  • Core$13/month
    • Employee Database
    • Absence Management
    • Documents
  • People Management$18/month
    • All Core features
    • Performance
    • Goals

Spring Health

On request
  • Spring Health employer programme$undefined/year
    • Per employee per month, invoiced to the employer, with an eligibility file feed
    • Portion of fee available at risk against measured symptom outcomes
    • Sponsored session count negotiated per contract

Which should you pick?

Choose Breathe HR if

  • You need employee database.
  • You work on Web, Ios, Android.
  • You also want absence management.

Choose Spring Health if

  • You need precision matching.
  • You work on Web, iOS, Android.
  • You also want sponsored session model.

Questions people ask

Is Breathe HR or Spring Health better?
Neither clearly leads. Breathe HR starts at £13/month and Spring Health at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Breathe HR or Spring Health?
Breathe HR starts at £13/month and Spring Health at On request.
Does Breathe HR or Spring Health run on more platforms?
Breathe HR runs on Web, Ios, Android. Spring Health runs on Web, iOS, Android.
What is Breathe HR best used for?
Breathe HR is most often used for holiday, absence and sickness tracking for a uk small business, storing hr documents, contracts and e-signatures, performance reviews and onboarding workflows for small teams. Of those, holiday, absence and sickness tracking for a uk small business and storing hr documents, contracts and e-signatures are not what Spring Health is typically brought in for.
What can Breathe HR do that Spring Health cannot?
Breathe HR covers Employee Database, Absence Management, Document Storage, HR Reporting. Spring Health covers Precision matching, Sponsored session model, Psychiatry and medication management, Coaching tier.

Answered from the vendors’ own pages

Breathe HR: Is there a free trial available?

Yes, Breathe HR offers a free trial with no credit card required to get started.

Source
Spring Health: How is it priced?

Per employee per month, billed to the employer, with a portion available at risk against measured outcomes. Rates are not published; public statements from the company suggest roughly one hundred to one hundred and fifty dollars per employee per year.

Breathe HR: Are there long-term contracts required?

No. Breathe HR explicitly states there are no long-term contracts, no hidden costs, and you have the freedom to cancel anytime.

Source
Spring Health: Who pays, the employer or the health plan?

Usually the employer, for the sponsored session block. After those sessions the member typically continues under their health plan benefit with normal cost sharing.

Breathe HR: What company sizes does Breathe HR support?

The software is designed to support businesses with up to 250 employees. Organization size options mentioned include 1-10, 11-50, and 51-250 employees.

Source
Spring Health: What does outcomes-based pricing actually guarantee?

That a defined portion of the vendor fee is contingent on measured change in assessment scores among engaged members. It is not a guarantee of workforce-level improvement.

Breathe HR: Are there different features for different plans?

Yes, flexible subscription-based plans exist with some features like Polls & Surveys available only for regular and above plans. The page does not specify plan names or detailed feature breakdowns.

Source
Spring Health: Is there a minimum headcount?

Yes in practice. Spring Health sells to mid-market and enterprise employers and health plans; very small employers are not the target and usually cannot get a quote.

Breathe HR: What happens if I want to cancel my subscription?

You can cancel anytime without worrying about hidden costs. Breathe HR emphasizes no long-term commitment and the freedom to leave whenever your needs change.

Source
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