circleOS vs. Eterno Cloud

circleOS vs. Eterno Cloud — the honest comparison.

Eterno is the closest direct comparison to circleOS in Germany — both are AI-native, all-in-one cloud platforms. The differences that matter for your clinic: stack-honest integrations, Plansas a first-class object, pre-visit briefings, and a Patient Portal that's your brand — not a polyclinic group's.

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circleOS dashboard — appointments this week, latest bookings, latest comments

Built for any clinic. Not one group's polyclinics.

Eterno Cloud is the spinout of the ETERNO Group's own polyclinic operations — a software product extracted from one clinic group's playbook. The defaults reflect that playbook. circleOS was designed ground-up to fit whichever clinic group adopts it: your specialties, your locations, your roster, no inherited assumptions about how a day should run.

circleOS dashboard tailored to your clinic operations

Stack honesty over a vertical bundle.

Stripe handles money. InSuite handles clinical billing. Fillout handles forms. circleOS is the layer that ties them to a patient. Each capability is best-of-breed — and replaceable when something better comes along. Eterno bundles its own version of every layer: one vendor, one set of trade-offs, no exit.

Best-of-breed integrations tied together by circleOS

Plans, not packages.

The dental clinic that sells a six-visit aligner plan. The physio practice that sells a twelve-session rehab arc. The longevity clinic that sells a year of quarterly check-ins. Plans price those journeys up front and Charge reconciles each visit against the whole. Eterno tracks visits; circleOS tracks the thing the patient actually bought.

Plans creator — multi-session care journey, auto-priced

Pre-visit briefings, not just one-click documentation.

Eterno's AI runs insidethe visit — one-click documentation while the clinician consults. Useful, but it's only half the day. Circle Intelligence runs around it too: every patient on tomorrow's calendar gets a briefing before they walk in — last visit, plan progress, outstanding items, relevant context. The clinician arrives prepared.

Pre-visit AI briefings on every patient before they walk in

Your name on the App Store icon.

The Patient Portalis your clinic's product — your domain, your brand, your patients managing their own bookings, plans, invoices and documents. Not a touchpoint inside another clinic group's experience. The patient's phone shows yourname, not a platform's.

Branded Patient Portal on the clinic's own domain

Honest, side-by-side

How circleOS compares to Eterno Cloud.

Eterno is the closest direct comparison to circleOS in Germany. The honest difference: stack-honesty (Stripe/Fillout/InSuite vs vertical), Plans as a first-class object, and a Patient Portal that's a real app — not a checkout for one clinic group.

Capability
circleOSOperating system
Eterno CloudAll-in-one cloud + GenAI
Doc-CirrusLegacy KBV-cert PMS
NellyIntake + AI docs + payments
Tandem HealthAI scribe + EMR connectors
Heidi HealthAI ambient scribe
Online patient bookingPatient-facing self-scheduling.
Supported
Supported
Supported
Not supportedActivates after booking elsewhere
Not supported
Not supported
Multi-disciplinary schedulingRosters across providers, rooms and locations.
Supported
Supported
SupportedResource planning
Not supported
Not supported
Not supported
Recurring care plansMulti-session care priced & tracked as one object.
Supported
Not supported
Not supported
PartialAI Treatment Plan Agent
Not supported
Not supported
AI-assisted clinical notesAmbient/voice → structured documentation.
Supported
Supported
Via integrationviaVia Tandem partnership
Supported
SupportedTheir core product
SupportedTheir core product
AI pre-visit briefingsPer-patient context generated before the consult.
Supported
Not supported
Not supported
Not supported
Not supported
Not supported
Digital intake formsPatient-completed anamnesis, multi-language.
Supported
Supported
Via integrationviaVia Nelly Connect
Supported50+ languages — their core
Not supported
PartialForm-fill, not patient-facing
Invoicing & paymentsVisit → invoice → paid.
Supported
Supported
SupportedEBM/GOÄ/HzV
SupportedPlus patient financing
PartialSuggests codes only
Not supported
Real patient appPatients manage bookings, plans, invoices, documents.
Supported
PartialPatient files / portal
PartialWeb portal
PartialWeb portal, intake-led
Not supported
Not supported
Multi-location & rolesSites, teams, role-based permissions.
Supported
Supported
Supported
Supported700+ Colosseum Dental sites
Partial
Partial
AI-native architectureBuilt around AI from day one, not retrofitted.
Supported
Partial
Not supportedAI bolted onto 2012 platform
Partial
Supported
Supported
GDPR + DE/EU residencyPatient data resident in the EU.
Supported
SupportedCertified DE cloud
SupportedDE, ISO 27001
SupportedAWS Frankfurt, TÜV
SupportedEU data centres
PartialAU HQ, global hosting
Webhooks & public APIBuild on top of the platform.
Supported
Not supportedNot publicly documented
Not supportedPartner integrations only
PartialPMS Connector
Partial100+ EHR integrations
SupportedPublic roadmap

Comparison reflects publicly documented capabilities as of May 2026. Competitor products evolve fast — corrections welcome at peter@circle.health.

Built for clinics that have grown

Multi-location, multi-role, multi-everything.

Sites in three cities, a finance team that needs a real reporting layer, a developer team that wants webhooks. circleOS scales with you.

  • Multiple Locations

    Beta

    Offer services at multiple locations.

  • Roles & Permissions

    v0.0.9

    Granular permissions to control who accesses what.

  • Rich Analytics

    v0.1.5

    circleOS integrates with Metabase to enable you to build custom reports on top of your data.

  • Webhooks

    Beta

    circleOS emits events such as `booking.created` → use them.

We didn't reinvent these

Powered by industry-leading tech.

Stripe handles money. InSuite handles clinical billing. Fillout handles forms. circleOS is the layer that ties them to a patient.

  • InSuite logo
    InSuiteLaunched

    Invoice sync, status refresh, and checkout handoff for billing.

  • Front logo
    FrontLaunched

    Create patients from conversations and open the linked profile in context.

  • Fillout logo
    Filloutv0.1.2

    Build forms via Fillout & have them show up in circleOS.

  • Metabase logo
    Metabasev0.0.1

    Configure dashboards via Metabase & view them in circleOS.

  • Slack logo
    Slackv0.0.1

    Notifications for key events in Slack.

  • Knock logo
    Knockv0.0.1

    Powerful notification infrastructure.

  • Typesense logo
    Typesensev0.0.9

    Typo-tolerant global search engine.

  • Medusa logo
    Medusav0.1.2

    Commerce & inventory features.

  • Langdock logo
    Langdockv0.0.1

    Powers Circle Intelligence & other AI features.

  • Stripe logo
    Stripev0.0.9

    Use Stripe as a payment provider for online checkout.

  • Mixpanel logo
    Mixpanelv0.0.1

    Server-side, event-driven analytics.

  • Supabase logo
    Supabasev0.0.1

    Database and authentication.

Thinking about a switch?

Peter (CEO) will walk you through how circleOS would fit your clinic and what a migration would actually look like. Thirty minutes, no slides.

Read the docs