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HR · head to head

Spring Health vs TherapyNotes

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
-
Full reviewWebsite
TherapyNotes logo

TherapyNotes

Healthcare

EHR and practice management for therapists

From
$39/month
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: 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.; TherapyNotes no API access, preventing integration with external systems
  • They diverge on capability: Spring Health covers Precision matching, TherapyNotes covers Electronic Health Records.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which Spring Health and TherapyNotes actually diverge.

Attributes where Spring Health and TherapyNotes differ
AttributeSpring HealthTherapyNotes
Starting priceOn request$39/month
Pricing modelquotesubscription
PlatformsWeb, iOS, AndroidWeb
CategoryHRHealthcare
FoundedUnknown2010

Identical on both: free tier (No), user rating (Not yet rated).

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 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

Only in TherapyNotes

  • Electronic Health Records
  • Scheduling
  • Billing
  • Patient Portal
  • Telehealth
  • Outcome Tracking
  • Clearinghouses
  • Insurance

What people use each for

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

Spring Health

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

TherapyNotes

  • Patient Carenot Spring Health
  • Medical Recordsnot Spring Health
  • Practice Managementnot Spring Health
  • Telehealthnot Spring Health

Where each one falls short

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

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.

TherapyNotes

  • No API access, preventing integration with external systems
  • Outdated interface compared to AI-driven competitors
  • No native mobile app for iOS or Android
  • No bulk actions to update multiple sessions at once

Pricing, plan by plan

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

TherapyNotes

$39/month
  • Solo$39/month
    • Full EHR
    • Scheduling
    • Patient portal

Which should you pick?

Choose Spring Health if

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

Choose TherapyNotes if

  • You need electronic health records.
  • You also want scheduling.
TherapyNotes review

Questions people ask

Is Spring Health or TherapyNotes better?
Neither clearly leads. Spring Health starts at On request and TherapyNotes at $39/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Spring Health or TherapyNotes?
Spring Health starts at On request and TherapyNotes at $39/month.
Does Spring Health or TherapyNotes run on more platforms?
Spring Health runs on Web, iOS, Android. TherapyNotes runs on Web.
What is Spring Health best used for?
Spring Health is most often used for an employer replacing an eap with two percent utilisation that cannot demonstrate any clinical effect to its board, a benefits team facing long external waiting lists for therapy that are showing up in absence and disability claims, a distributed workforce where the incumbent eap provider network is thin outside major metropolitan areas, a health plan wanting to add a behavioural health layer without building a provider network itself. Of those, an employer replacing an eap with two percent utilisation that cannot demonstrate any clinical effect to its board and a benefits team facing long external waiting lists for therapy that are showing up in absence and disability claims are not what TherapyNotes is typically brought in for.
What can Spring Health do that TherapyNotes cannot?
Spring Health covers Precision matching, Sponsored session model, Psychiatry and medication management, Coaching tier. TherapyNotes covers Electronic Health Records, Scheduling, Billing, Patient Portal.

Answered from the vendors’ own pages

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.

TherapyNotes: Does TherapyNotes integrate with other applications?

TherapyNotes has zero API availability and cannot connect to external systems including marketing platforms, CRMs, or data dashboards. Unlike competitors, it lacks integration capabilities.

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.

TherapyNotes: What are TherapyNotes pricing plans?

TherapyNotes charges $69/month for a solo practitioner plan and $79/month for the first clinician in a group with $50/month per additional clinician. A 30-day free trial is included with every plan.

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.

TherapyNotes: Does TherapyNotes include telehealth?

Yes. TherapyNotes includes Basic Telehealth at no extra cost on every plan, with standard-definition video for up to 2 participants. Premium Telehealth with full HD, screen sharing, and closed captions costs $15 per clinician per month.

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.

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