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.

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.

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.

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.

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.

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.

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
BetaOffer services at multiple locations.
Roles & Permissions
v0.0.9Granular permissions to control who accesses what.
Rich Analytics
v0.1.5circleOS integrates with Metabase to enable you to build custom reports on top of your data.
Webhooks
BetacircleOS 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.
InSuiteLaunchedInvoice sync, status refresh, and checkout handoff for billing.
FrontLaunchedCreate patients from conversations and open the linked profile in context.
Filloutv0.1.2Build forms via Fillout & have them show up in circleOS.
Metabasev0.0.1Configure dashboards via Metabase & view them in circleOS.
Slackv0.0.1Notifications for key events in Slack.
Knockv0.0.1Powerful notification infrastructure.
Typesensev0.0.9Typo-tolerant global search engine.
Medusav0.1.2Commerce & inventory features.
Langdockv0.0.1Powers Circle Intelligence & other AI features.
Stripev0.0.9Use Stripe as a payment provider for online checkout.
Mixpanelv0.0.1Server-side, event-driven analytics.
Supabasev0.0.1Database 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.
Explore the rest of circleOS

Patient Portal
v0.1.9Extend beyond your walls & opening hours.
Onboarding
v0.1.2Meet your patients, before you see them.
Scheduling
v0.1.9Schedule. Reschedule. Repeat.
Live Mode
v0.1.0The important stuff, front and centre.
Circle Intelligence
v0.0.9Your contextually-aware clinical assistant.
Notes
v0.1.2Living, breathing, context aware.