Sep <var data-var='date'> 1</var>, <var data-var='time'>15:18</var> PDT Resolved - We have confirmation from our telecommunications partner that their systems are fully operational. We are noticing the same on our end. Sep <var data-var='date'> 1</var>, <var data-var='time'>15:17</var> PDT Update - We have confirmation from our telecommunications partner that their systems are fully operational. We are noticing the same on our end. Sep <var data-var='date'> 1</var>, <var data-var='time'>09:00</var> PDT Monitoring - Between 9:00 AM and 10:27 AM PT, an outage at one of our upstream telecommunications providers affected calling and message delivery on Spruce. During this window: * Calling: Some inbound and outbound calls failed to connect. Affected inbound calls were routed to voicemail where a voicemail greeting was configured. Affected outbound calls failed with an error indicating the call could not be placed. * Inbound SMS: Some incoming text messages were delayed. * Voicemail: Some voicemails were delayed in appearing in Spruce. Spruce itself remained available throughout. Teammates could sign in, access their conversations, and send messages as normal. Outbound text messages sent during this period were all eventually delivered. Our provider has confirmed their systems are operating normally, and we have seen normal calling and message delivery on Spruce since 10:27 AM PT. We're sorry for the disruption and are actively monitoring to ensure that the system remains fully operational.

Call failures and delayed SMS and voicemail delivery

Aug <var data-var='date'>31</var>, <var data-var='time'>20:43</var> PDT Completed - The scheduled infrastructure maintenance has been completed. We observed no impact to the Spruce application, API, messaging, or calling during this window. The platform is fully operational. Aug <var data-var='date'>31</var>, <var data-var='time'>20:00</var> PDT In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary. Aug <var data-var='date'>26</var>, <var data-var='time'>12:15</var> PDT Scheduled - We will be performing schedule infrastructure maintenance on August 31 between 8:00PM - 10:00PM PT. During this window, you may experience brief periods (typically a few seconds) where the Spruce API may return temporary errors on requests that use an idempotency key, and new group SMS conversations may fail to create. Existing conversations and other messaging should be largely unaffected. There will be no impact to accessing the Spruce application or to making and receiving calls. An engineer will be actively monitoring the system throughout the maintenance window. We'll work to keep any impact as brief as possible and will post updates here as work progresses. We apologize for any inconvenience.

Scheduled Maintenance

Aug <var data-var='date'>24</var>, <var data-var='time'>17:00</var> PDT Resolved - Resolved — This incident has been resolved. On August 24, 2026, Spruce Inbox intermittently failed to reflect the current state of conversations in real time, across three separate periods. During these windows, conversations were delayed in appearing or updating in the inbox, and unread counts could also be inaccurate — the two symptoms didn't always occur together, so a conversation could lag even when the unread count looked correct, and vice versa. This did not affect the ability to make or receive calls, or to send and receive messages; the issue was limited to how the inbox displayed and refreshed that activity. The issue was caused by a bug in inbox indexing introduced by a recent programming language runtime upgrade. A fix was deployed at 5:10 PM PT on August 24, and the inbox has been refreshing normally since. Affected periods (all times PT, August 24, 2026): * 12:11 PM – 1:05 PM * 1:39 PM – 1:55 PM * 2:50 PM – 3:05 PM Aug <var data-var='date'>24</var>, <var data-var='time'>12:00</var> PDT Identified - This is a retroactive update for an incident that occurred on August 24, 2026. The issue was identified around 12pm PT.

[RESOLVED] Delayed Inbox Updates in Spruce

Aug <var data-var='date'>17</var>, <var data-var='time'>01:27</var> PDT Completed - Database upgrade is complete. There were a brief period of potential impact to Spruce inbox availability that occurred during the maintenance window: 2026-08-17 08:15:51 UTC - 2026-08-17 08:16:32 UTC The platform is fully operational. Aug <var data-var='date'>17</var>, <var data-var='time'>01:00</var> PDT In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary. Aug <var data-var='date'>13</var>, <var data-var='time'>03:40</var> PDT Scheduled - We will be performing a database upgrade on August 17 between 1:00 AM – 3:00 AM PT. During this window, you may experience brief outages (typically 2–5 minutes) affecting core functionality, including the ability to log in, view contacts, access your inbox, and make and receive calls. To ensure you're notified of inbound activity during this time, we will be activating the Backup System. If you haven't already, please sign up for Backup System notifications under Settings > Backup System in the Spruce app. An engineer will be actively monitoring the system throughout the maintenance window. We'll work to keep any disruptions as short as possible and will post updates here as work progresses. We apologize for any inconvenience.

Database Upgrade

Aug <var data-var='date'> 3</var>, <var data-var='time'>00:18</var> PDT Completed - Database upgrade is complete. There were a brief period of potential impact to Spruce inbox availability that occurred during the maintenance window: 2026-08-03 07:03:45 UTC - 2026-08-03 07:05:00 UTC The platform is fully operational. Aug <var data-var='date'> 3</var>, <var data-var='time'>00:00</var> PDT In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary. Aug <var data-var='date'> 1</var>, <var data-var='time'>08:11</var> PDT Scheduled - We will be performing a database upgrade on August 3 between 12:00 AM – 2:00 AM PT. During this window, you may experience brief outages (typically 2–5 minutes) affecting core functionality, including the ability to log in, view contacts, access your inbox, and make and receive calls. To ensure you're notified of inbound activity during this time, we will be activating the Backup System. If you haven't already, please sign up for Backup System notifications under Settings > Backup System in the Spruce app. An engineer will be actively monitoring the system throughout the maintenance window. We'll work to keep any disruptions as short as possible and will post updates here as work progresses. We apologize for any inconvenience.

Jul <var data-var='date'>24</var>, <var data-var='time'>06:33</var> PDT Resolved - The intermittent performance issues have been resolved. Jul <var data-var='date'>23</var>, <var data-var='time'>14:43</var> PDT Monitoring - We have implemented a series of fixes to improve system stability and are currently monitoring the system. Jul <var data-var='date'>21</var>, <var data-var='time'>10:48</var> PDT Update - We have applied some initial fixes to help mitigate the impact, and are seeing some improvement. However, we are still working to identify the root cause of the issue. Our team continues to actively investigate, and we will provide another update as soon as we know more. We apologize for the ongoing inconvenience. Jul <var data-var='date'>20</var>, <var data-var='time'>14:11</var> PDT Update - We are continuing to investigate this issue. Jul <var data-var='date'>20</var>, <var data-var='time'>12:25</var> PDT Update - We are continuing to investigate this issue. Jul <var data-var='date'>20</var>, <var data-var='time'>12:25</var> PDT Investigating - We are currently investigating reports of slowness within the application. Some users may experience delays when loading pages or completing actions. We will provide an update as soon as we have more information.

Intermittent performance issues

Jul <var data-var='date'>22</var>, <var data-var='time'>10:35</var> PDT Resolved - Some areas of the Spruce application were inaccessible across desktop, web, iOS, and Android from 6:34 AM PT to 6:50 AM PT on July 22, 2026, due to an infrastructure issue. ‌User Impact during this time: The Spruce inbox was unavailable to patients and providers. Bulk messages and saved messages were unavailable for providers. Inbound calls were not affected. Inbound SMS messages, emails, and faxes were successfully delivered to the Spruce inbox during this time.‌ We are working to determine the root cause of the service issue and exploring ways to prevent similar incidents in the future. Jul <var data-var='date'>22</var>, <var data-var='time'>06:59</var> PDT Monitoring - We noticed loading issues starting around 13:34 UTC. We identified the issue and implemented a fix. We are seeing the system recover and will continue to monitor to ensure that the system is stable. Jul <var data-var='date'>22</var>, <var data-var='time'>06:47</var> PDT Investigating - We are investigating an issue with loading leading the inbox in the web and mobile apps.

[RESOLVED] Problems loading inbox

Jul <var data-var='date'> 2</var>, <var data-var='time'>16:47</var> PDT Resolved - This incident has been resolved. Jul <var data-var='date'> 2</var>, <var data-var='time'>15:41</var> PDT Monitoring - We identified an issue with our cloud service provider. We have taken action to resolve the issue and are now monitoring to ensure the Spruce application is stable. Jul <var data-var='date'> 2</var>, <var data-var='time'>13:57</var> PDT Investigating - We are currently investigating an issue that has caused the web and mobile applications to fail to load intermittently.

Spruce application issues

Jun <var data-var='date'> 9</var>, <var data-var='time'>16:30</var> PDT Resolved - This incident is fully resolved. From 11:30am to 2:30pm PT on June 9th, incoming calls did not ring Spruce VoIP Desk Phones. The cause was a malformed SIP header that Spruce was sending to our telecommunications infrastructure provider, which caused those calls to fail. Spruce corrected the header formatting, restoring normal call routing by 2:30pm PT. We then monitored through 4:30pm PT to confirm full restoration before closing the incident. Jun <var data-var='date'> 9</var>, <var data-var='time'>14:46</var> PDT Monitoring - We have rolled out a fix as of 2:41 PT. Incoming calls to VoIP Desk Phones should be functional now. There was no impact to incoming calls to cell phones or the Spruce application on mobile/computer via Internet Calling. We're continuing to monitor the platform to ensure that incoming calling is fully restored. We will continue to work with our telecommunications infrastructure partner to root cause the issue. Jun <var data-var='date'> 9</var>, <var data-var='time'>14:06</var> PDT Identified - We identified an issue with our telecommunications infrastructure provider that's affecting calls to VoIP Desk Phones. We've found a way to work around the issue such that calls start to work again. We'll post another update here shortly once the fix is rolled out. Jun <var data-var='date'> 9</var>, <var data-var='time'>12:31</var> PDT Investigating - We are getting multiple reports of issues with calls ringing to VoIP Desk Phones and are actively investigating the issue.

Incoming calls not ringing to VoIP Desk Phones

May <var data-var='date'>24</var>, <var data-var='time'>01:41</var> PDT Completed - Database upgrades are complete. There were brief periods of potential impact to Spruce inbox availability and phone call routing that occurred during the maintenance window: 2026-05-24 07:17:23 UTC - 2026-05-24 07:17:44 UTC 2026-05-24 07:39:32 UTC - 2026-05-24 07:40:04 UTC 2026-05-24 07:48:59 UTC - 2026-05-24 07:50:40 UTC 2026-05-24 07:58:29 UTC - 2026-05-24 07:59:08 UTC 2026-05-24 08:06:56 UTC - 2026-05-24 08:07:51 UTC The platform is fully operational. May <var data-var='date'>24</var>, <var data-var='time'>00:00</var> PDT In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary. May <var data-var='date'>13</var>, <var data-var='time'>14:43</var> PDT Scheduled - We will be performing scheduled database upgrades on May 24 between 12:00 AM – 3:00 AM PT. During this window, you may experience brief outages (typically 2–5 minutes) affecting core functionality, including the ability to log in, view contacts, access your inbox, and make and receive calls. To ensure you're notified of inbound activity during this time, we will be activating the Backup System. If you haven't already, please sign up for Backup System notifications under Settings > Backup System in the Spruce app. An engineer will be actively monitoring the system throughout the maintenance window. We'll work to keep any disruptions as short as possible and will post updates here as work progresses. We apologize for any inconvenience.

Database Upgrades

May <var data-var='date'>15</var>, <var data-var='time'>22:58</var> PDT Completed - Database upgrades are now complete. There were no delays with push notifications, SMS, email and fax. The Spruce API experienced a temporary disruption to write operations between 05:30 and 05:38 am UTC. The platform is fully operational. May <var data-var='date'>15</var>, <var data-var='time'>22:00</var> PDT In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary. May <var data-var='date'>13</var>, <var data-var='time'>14:26</var> PDT Update - We will be undergoing scheduled maintenance during this time. May <var data-var='date'> 8</var>, <var data-var='time'>11:40</var> PDT Scheduled - We will be performing scheduled database upgrades on May 15 between 10:00 PM – 1:00 AM PT. During this window, you may experience brief delays with push notifications, SMS, email, and fax. You may also temporarily be unable to view or upload attachments in the Spruce app. The Spruce API may also experience temporary outages during this time. There will be no impact to accessing the Spruce application or to making and receiving calls. An engineer will be actively monitoring the system throughout the maintenance window. We'll work to keep any disruptions as short as possible and will post updates here as work progresses. We apologize for any inconvenience.

Apr <var data-var='date'> 6</var>, <var data-var='time'>16:30</var> PDT Resolved - The system is fully operational at this time. We have increased capacity to ensure that we're able to process inbound communication without delivery delays. Apr <var data-var='date'> 6</var>, <var data-var='time'>12:31</var> PDT Update - We have identified the root cause as an unexpected increase in inbound message volume and have scaled our capacity accordingly. Delivery is back to normal and we are continuing to monitor to confirm the issue is fully resolved. Apr <var data-var='date'> 6</var>, <var data-var='time'>10:17</var> PDT Monitoring - All inbound SMS, call, fax, and email messages have been delivered successfully. Delivery rates have returned to normal and we are continuing to monitor. We are also investigating the root cause of the message delivery backlog and will provide an update once identified. Apr <var data-var='date'> 6</var>, <var data-var='time'>09:58</var> PDT Update - We are starting to see recovery in the processing of inbound messages (SMS, calls, email fax). The following activities were *NOT* impacted: - Inbound/outbound phone and video call connections - Outbound SMS delivery - Outbound Fax delivery - Secure message exchange Apr <var data-var='date'> 6</var>, <var data-var='time'>09:37</var> PDT Investigating - We are investigating an issue with delayed inbound call events. The issue seems to have started at 8am PT. We'll update this page as we learn more.

[RESOLVED] Delayed inbound messages (call, sms, email, fax)

Jan <var data-var='date'> 7</var>, <var data-var='time'>12:55</var> PST Resolved - The incident has been resolved. All Spruce systems should be fully operational at this time. Jan <var data-var='date'> 6</var>, <var data-var='time'>17:01</var> PST Monitoring - We have implemented a fix for the issue and are currently monitoring. All Spruce services should be fully operational at this time. Jan <var data-var='date'> 6</var>, <var data-var='time'>16:59</var> PST Update - We are continuing to investigate this issue. Jan <var data-var='date'> 6</var>, <var data-var='time'>11:23</var> PST Update - We are continuing to investigate the platform stability issues. You may receive intermittent errors during this time. Thank you for your patience as we work to identify the root cause. Jan <var data-var='date'> 6</var>, <var data-var='time'>08:04</var> PST Investigating - We are currently investigating issues with the Spruce service.

Intermittent service issues

Dec <var data-var='date'>10</var>, <var data-var='time'>21:05</var> PST Completed - The scheduled database upgrade has completed successfully. We will continue to monitor the platform to ensure everything operates as expected. Dec <var data-var='date'>10</var>, <var data-var='time'>20:51</var> PST Verifying - The database upgrade is complete and we are currently verifying that services are operating as expected. Dec <var data-var='date'>10</var>, <var data-var='time'>20:00</var> PST In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary. Dec <var data-var='date'> 4</var>, <var data-var='time'>15:05</var> PST Scheduled - We will be performing a scheduled database upgrade on December 10th between 8:00 PM and 10:00 PM PT. During this maintenance window, you may experience brief service interruptions (typically 2-4 minutes) as we upgrade our database infrastructure. A member of our engineering team will be actively monitoring the system throughout the process to minimize any impact.

Dec <var data-var='date'> 8</var>, <var data-var='time'>16:32</var> PST Resolved - The issue with outbound faxes is now resolved. Dec <var data-var='date'> 8</var>, <var data-var='time'>15:23</var> PST Investigating - Some outbound faxes are currently failing to send due to an issue with our fax provider. We're monitoring and will update as we know more.

Issue with outbound faxes

Dec <var data-var='date'> 7</var>, <var data-var='time'>15:24</var> PST Resolved - This incident has been resolved. Dec <var data-var='date'> 5</var>, <var data-var='time'>12:28</var> PST Identified - There is currently an issue with incoming MMS (SMS with attached media) from AT&T numbers. Some media (e.g. images) may be missing. Our upstream provider, Twilio, is investigating and working on a solution.

Issue with media in inbound MMS from AT&T

Oct <var data-var='date'>29</var>, <var data-var='time'>21:18</var> PDT Resolved - The issue has been resolved, and the platform is fully functional. Impact occurred between 11:33 AM and 11:48 AM PT. We’ve identified the root cause and will be discussing ways to reduce the likelihood of similar issues in the future. Oct <var data-var='date'>28</var>, <var data-var='time'>11:58</var> PDT Monitoring - The issue has been resolved, and the platform is currently functional. Impact occurred between 11:33 AM and 11:48 AM PT. We’re continuing to investigate the root cause and will monitor closely in case the issue reoccurs. Oct <var data-var='date'>28</var>, <var data-var='time'>11:49</var> PDT Investigating - We're currently investigating issues accessing the Spruce platform. We're investigating and will update this page as we learn more

Spruce platform issues

Oct <var data-var='date'>20</var>, <var data-var='time'>21:31</var> PDT Resolved - AWS has confirmed full recovery of their services, and Twilio has also reported full restoration of functionality. All Spruce systems are operating normally. The inbox, calls, secure messaging, video visits, faxes, and SMS are functioning as expected, and notifications are being delivered in real time. With all systems stable and fully operational, we are considering this incident resolved. Summary: From 11:57 PM PDT on October 19 to 2:25 PM PDT on October 20, Spruce experienced platform-wide instability caused by a widespread AWS outage and a concurrent Twilio disruption. Three separate windows resulted in major outages when most Spruce services were unavailable: - 00:04 AM → 02:23 AM PDT - 07:12 AM → 08:04 AM PDT - 11:42 AM → 11:52 AM PDT During other periods, the platform was in a partial outage state, where functionality was degraded but not entirely down. The incident impacted the following areas of Spruce: - Inbox loading and conversation access - Sending and receiving secure messages, SMS, faxes, and emails - Call handling and voicemail - Video visits - Public API We will follow up with a detailed postmortem outlining root causes and mitigations. Oct <var data-var='date'>20</var>, <var data-var='time'>14:35</var> PDT Update - We are seeing continued signs of recovery from AWS. Our push notification delivery system has caught up, and the Spruce Backup System has completed processing all pending notifications. Search-related events have also caught up, and the system is now running at its intended capacity to fully process requests. We are reviewing patient and provider accounts created during the outage period to ensure that all data is intact and consistent. Our communication infrastructure provider, Twilio, which also depends on AWS, continues to work toward full recovery. As they restore their services, inbound and outbound SMS may still experience delays, and call connections may occasionally be impacted. We are closely monitoring the recovery of both AWS and Twilio to ensure that Spruce remains fully operational and stable. Oct <var data-var='date'>20</var>, <var data-var='time'>12:50</var> PDT Update - Our systems are no longer experiencing delays in processing call events, outbound SMS, faxes, or emails. We have caught up on the backlog, and any previously delayed items should now appear in the inbox with a “delayed message” indicator. AWS has reported early signs of recovery, and we are also observing an increase in our system capacity as a result of prior scaling efforts. At this time, the Spruce inbox remains fully functional. Calls, secure messages, video visits, and related events are operating normally, and call events, emails, faxes, and SMS messages should now be delivered in a timely manner. There are still delays in processing push notifications and a backlog of search-related events. As a result, some users may experience delayed or missing push notifications, and search results or contact lists may appear stale or out of date. We are monitoring both areas closely to ensure that they continue to process and catch up over time. The backup system has been turned off now that there are no longer delays in processing inbound or outbound events. We will continue to closely monitor the situation to ensure the platform remains stable and fully restored. Oct <var data-var='date'>20</var>, <var data-var='time'>11:30</var> PDT Update - The Spruce inbox remains operational, and you can continue to make and receive calls, exchange secure messages, and conduct video visits. We are, however, experiencing additional delays in processing certain system events due to new issues reported by our cloud provider, AWS. Another part of their infrastructure that Spruce depends on has been impacted. • Push notifications: There is a delay in processing push notifications, which may prevent patients and providers from receiving real-time alerts for new messages or updates. • Backup system events: There is a delay in processing Spruce Backup system events, resulting in delayed delivery of email and SMS notifications related to inbound SMS and calls. In relative good news, we’ve been able to fully catch up and remain up to date with inbound SMS, email, and fax processing. Our team is now working to catch up on outbound SMS, call events, fax, and email in a similar manner. AWS continues to provide updates, but none have indicated signs of recovery yet. We are continuing to closely monitor the situation and will share updates as they become available. Oct <var data-var='date'>20</var>, <var data-var='time'>10:37</var> PDT Update - The Spruce inbox, as well as the ability to make and receive calls, send and receive secure messages, and conduct video visits, all remain currently functional. There continue to be significant, multi-hour delays in processing inbound and outbound call events, SMS messages, faxes, emails, and search-related updates. These delays have persisted for some time, and we are unable to increase processing capacity given the ongoing issues with our cloud provider, AWS. We are continuing to closely monitor the situation. While AWS has been providing updates, none have indicated signs of recovery. As a result, we cannot guarantee that services will remain stable until more progress is reported. Oct <var data-var='date'>20</var>, <var data-var='time'>08:45</var> PDT Update - As of 8:05 AM PT, the Spruce inbox is loading and operational. Inbound and outbound calls, as well as video visits, are currently functional. There continue to be delays in processing inbound and outbound call events, SMS messages, faxes, and emails. Please note that AWS, our cloud provider, has not yet provided an update on their recovery. As a result, platform stability cannot be guaranteed at this time. We are continuing to monitor the situation closely and will share updates as they become available. Oct <var data-var='date'>20</var>, <var data-var='time'>07:58</var> PDT Update - Our cloud provider (AWS) is currently experiencing widespread issues that are impacting the availability and performance of the Spruce platform. We are closely monitoring the situation and working to restore full functionality. At this time, you may experience disruptions across multiple areas of Spruce, including loading the inbox, sending and receiving messages, calls, SMS, faxes, and video visits. Some features may work intermittently or with delays. Oct <var data-var='date'>20</var>, <var data-var='time'>07:28</var> PDT Update - We have enabled the Spruce backup system (second time around during this incident) as of 7:21am PT. The backup system will help notify those that have subscribed to updates of any incoming calls and texts. You can learn more about the backup system here: https://help.sprucehealth.com/hc/en-us/articles/23003270604699-Spruce-Backup-System The Spruce inbox is intermittently loading at the moment. Oct <var data-var='date'>20</var>, <var data-var='time'>07:17</var> PDT Update - Our cloud provider AWS continues to experience operational issues which is delaying our recovery. Our system is currently working at partial capacity in servicing requests. Outbound fax and SMS are delayed. Inbound and outbound calls are functional without guarantees of full recovery yet. In general, you will continue to experience intermittent issues with Spruce given the limited capacity in which the platform is being serviced. Oct <var data-var='date'>20</var>, <var data-var='time'>06:14</var> PDT Update - We're seeing recovery across all systems. Our telephony partner is still reporting that there could be elevated rates of dropped calls, and that SMS may be delayed, but the majority of calls and SMS are now working normally. We will continue to provide updated information here as it becomes available. Oct <var data-var='date'>20</var>, <var data-var='time'>04:55</var> PDT Monitoring - We're seeing strong signs of recovery. Phone and video calls are now functional, and most users can once again send and receive SMS messages. Some delays in receiving SMS messages may still occur as our telephony partner continues their recovery efforts. Our team is closely monitoring the situation and will share additional updates as more information becomes available. Oct <var data-var='date'>20</var>, <var data-var='time'>03:33</var> PDT Identified - AWS has restored most service, and our telephony partner is beginning to restore service. The Spruce inbox is now accessible and secure messaging is working. Phone and SMS continue to be impacted. At this time we still expect that SMS sent and received during the outage will be delivered after our telephony partner's service has been restored. Oct <var data-var='date'>20</var>, <var data-var='time'>02:06</var> PDT Update - We are continuing to investigate workarounds, however our telephony infrastructure partner is also affected by the major AWS outage and as such cannot deliver phone calls or SMS to our system, so we cannot provide the typical backup system coverage that we are normally able to provide during a Spruce outage. AWS has reported that they have identified the root cause of the issue and are working on a resolution. Oct <var data-var='date'>20</var>, <var data-var='time'>00:41</var> PDT Investigating - Our cloud provider AWS is experiencing a major outage that is affecting the ability to log into Spruce, and for us to route phone calls. All messages received during this time will be delivered when the system recovers. We are currently investigating the full impact.

[RESOLVED] Cloud Provider (AWS) Outage

Sep <var data-var='date'>17</var>, <var data-var='time'>21:30</var> PDT Completed - The scheduled maintenance has been completed. Sep <var data-var='date'>17</var>, <var data-var='time'>21:07</var> PDT Verifying - The webhook upgrade has been completed. Webhook deliveries and API endpoints should now be functioning normally. We are monitoring closely to ensure stability. Sep <var data-var='date'>17</var>, <var data-var='time'>19:30</var> PDT In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary. Sep <var data-var='date'>10</var>, <var data-var='time'>14:35</var> PDT Scheduled - We will be upgrading the backend systems that power webhook delivery for the Spruce platform on September 17, 2025, between 7:30PM and 9:30PM PT. During this maintenance window, webhook deliveries may be delayed and the webhook API endpoints will be intermittently unavailable. A member of our engineering team will be online and closely monitoring throughout to ensure a smooth upgrade. Impact during this window: • Webhook event processing may be delayed. • Webhook API endpoints may be unavailable at times, including the ability to: • List, create, delete, or retrieve webhook destination endpoints • List events for an endpoint • Pause or resume a webhook destination endpoint All other services will remain available and unaffected.

Webhooks Component Upgrade

Jun <var data-var='date'>18</var>, <var data-var='time'>12:50</var> PDT Resolved - This issue has been resolved. Jun <var data-var='date'>18</var>, <var data-var='time'>08:11</var> PDT Monitoring - We have identified and fixed an issue with transferring calls to internal extensions where the call would be dropped. The call transfer failures began around 4:50 A.M. PDT and resolved around 7:50 A.M. PDT. These errors only occurred for transfers to extensions. Transfers to full 10 digit numbers continued to work properly. We are continuing to monitor the situation and expect transfers to extensions to be working correctly now.

Call transfer to extension failures

Jun <var data-var='date'> 5</var>, <var data-var='time'>12:27</var> PDT Resolved - The issue has been fully resolved, and we are no longer observing any SMS message delivery failures. Impacted message delivery occurred between 4:00 AM PT and approximately 11:00 AM PT on June 5, 2025. All systems are now operating normally. We appreciate your patience and understanding. Jun <var data-var='date'> 5</var>, <var data-var='time'>11:00</var> PDT Monitoring - SMS delivery failures are down and our telephony partner is working on resolving any final issues. We continue to monitor the situation and will update when full resolved. Jun <var data-var='date'> 5</var>, <var data-var='time'>09:54</var> PDT Identified - Our telephony infrastructure partner has identified this to be a platform wide issue on their end. That being said, we are seeing a reduced rate of SMS delivery failures in the last hour. We're continuing to monitor the incident and are in active collaboration with our telephony partner to ensure that SMS delivery failures are under the expected limits. Jun <var data-var='date'> 5</var>, <var data-var='time'>09:16</var> PDT Investigating - As of 4:00 AM PT on June 5, 2025, we began observing issues with outbound SMS delivery affecting a subset of customers. This disruption is also impacting the delivery of verification codes required for account creation and login, and may be preventing the successful sending of secure messaging invites. Our engineering team is actively investigating the root cause. We will share updates here as we learn more.

Delivery Failures for Outbound SMS, Verification Codes & Invites

Apr <var data-var='date'> 1</var>, <var data-var='time'>07:41</var> PDT Resolved - The system is operating as normal. Our telecommunications infrastructure partner has informed us that the issue with inbound SMS messages from the AT&T Network to a subset of Spruce phone numbers has been resolved. It began March 28, 2025 around 8:45 PT and was resolved March 31, 2025 around 1:00 PT. We will continue to monitor. Mar <var data-var='date'>31</var>, <var data-var='time'>14:02</var> PDT Monitoring - We are observing successful SMS delivery when sending messages from the AT&T Network. We will continue to monitor to ensure full service recovery. Mar <var data-var='date'>31</var>, <var data-var='time'>09:20</var> PDT Identified - The issue has been acknowledged by our telecommunications infrastructure partner and they are actively collaborating with AT&T on resolving this issue. Mar <var data-var='date'>28</var>, <var data-var='time'>08:45</var> PDT Investigating - Our telecommunications infrastructure partner has confirmed an issue in receiving SMS from AT&T mobile users in some cases. They are actively collaborating with AT&T to resolve this issue. This issue started on March 28, 2025 around 8:45 PT and is ongoing.

[Resolved] SMS Delivery Failures from AT&T Network to a subset of Spruce Phone Numbers

Mar <var data-var='date'>31</var>, <var data-var='time'>12:09</var> PDT Resolved - Our partner has resolved the issue. All inbound and outbound phone calls are expected to operate normally. Mar <var data-var='date'>31</var>, <var data-var='time'>10:31</var> PDT Monitoring - Our telecommunications provider has implemented a fix, and we started seeing improvements around 9:45am PT. We are continuing to monitor the situation. Mar <var data-var='date'>31</var>, <var data-var='time'>08:10</var> PDT Identified - Our telecommunications partner is experiencing issues with call routing. This has resulted in the inability to make or receive calls for some Spruce users. This issue started on March 31, 2025 around 8:10 A.M. PT and is ongoing.

Intermittent call failures

Mar <var data-var='date'>17</var>, <var data-var='time'>02:38</var> PDT Completed - We have completed the database updates for the night. Everything went fairly smoothly and the system is full operational based on our monitoring. We experienced two brief periods of outages: - 01:52:00 am PT - 02:00:00 am PT - 02:07:15 am PT - 02:16:30 am PT Users might have been unable to log in, access their inbox and contacts, experienced delivery delays for SMS and FAX messages, and inbound/outbound call disruptions during that time. We did our best to keep those windows as short as possible. During the upgrade, we enabled the Backup System to ensure organizations continued receiving notifications for inbound activity. Now that the maintenance is complete, the primary systems are fully restored, and the Backup System is no longer needed for this purpose. Thank you for your patience, and if you have any questions, please email us at support@sprucehealth.com or write into your Spruce Support thread in app. Mar <var data-var='date'>17</var>, <var data-var='time'>01:00</var> PDT In progress - Scheduled maintenance is currently in progress. We will provide updates as necessary. Mar <var data-var='date'> 6</var>, <var data-var='time'>06:21</var> PST Scheduled - We will be upgrading our family of databases on March 17 between 1AM PT and 3AM PT. We expect brief periods (likely 2-5 minutes) of outages as we upgrade the core databases during this window. We will be starting with non-critical databases, ensuring that all is good, and then moving over to the critical databases during this time. A member of our engineering team will be online and closely monitoring the system to ensure smooth functioning as we upgrade the series of databases. During this maintenance window, users may be unable to log in, see all contacts, access their inbox, and experience delivery delays for FAX and SMS messages for brief 2-5 minute periods. Inbound/outbound calls may also be impacted during this time. We will do our best to keep these windows as short as possible. We will be activating the Backup System while upgrading the critical databases to ensure that organizations are notified of inbound activity during this time. Please sign up for notifications from the Backup System under Settings > Backup System in the Spruce app, if you haven’t already. We will update this page as we are making progress on the database updates.

Mar <var data-var='date'>11</var>, <var data-var='time'>15:20</var> PDT Resolved - The Spruce application was inaccessible across desktop, web, iOS, and Android from 11:48 AM PT to 12:02 PM PT on March 11, 2025 due to an unexpected database issue. User Impact during this time: - The Spruce Inbox was unavailable to patients and providers - Outbound calls, SMS, video calls, and secure messages failed - Inbound calls failed with an error message to the caller. Most call events were delivered to the Inbox with a 10-15 minute delay, but a few were not and are being manually addressed - Inbound SMS and faxes were delayed by a 10-15 minutes We are working with our cloud infrastructure provider to determine the root cause of the database issue and exploring ways to prevent similar incidents in the future. Mar <var data-var='date'>11</var>, <var data-var='time'>12:18</var> PDT Monitoring - The platform has recovered and we are continuing to monitor. Mar <var data-var='date'>11</var>, <var data-var='time'>11:48</var> PDT Investigating - We are investigating an issue with unavailability of the Spruce platform

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Lastest published events

Call failures and delayed SMS and voicemail delivery

Scheduled Maintenance

[RESOLVED] Delayed Inbox Updates in Spruce

Spruce Health Services, Components and Regions

Recent Spruce Health events

Call failures and delayed SMS and voicemail delivery

Scheduled Maintenance

[RESOLVED] Delayed Inbox Updates in Spruce

Database Upgrade

Database Upgrade

Intermittent performance issues