QuickBooks vs. Heard | Financial Management for Therapists
QuickBooks Online vs. Heard
QuickBooks Online
vs
Heard
Done-for-you accounting built for private practice therapists

Heard handles bookkeeping, tax filing, payroll, and more for your therapy practice. In-house experts track your finances and maximize your deductions so you have more time to focus on your clients.

Book a Demo
+$20,000*
Average revenue, Heard members vs. non-members*
+8 clients*
Average Heard members vs. non-members
10 hrs / month*
Saved by average Heard members
Trustpilot review — Meg Wright
QuickBooks Online
Heard
QBO is for any business

You get a one-size-fits-all solution with no professional support. Multi-state taxes, therapy-specific deductions, and insurance claim workflows—it's up to you to sort them out.

Heard is just for therapists

Heard is a complete financial platform designed specifically for therapists. We know what it's like to run a private practice, and we know how to make the job easier.

Trustpilot review — GMS Counseling
QuickBooks Online
Heard
Your accountant is a bot

QBO's AI features are designed to automate financial admin, but it's up to you to guarantee that everything is accurate.

Accounting done by humans, for humans

Real bookkeepers do your bookkeeping. Real tax experts file your taxes. And your team is always available to answer questions.

Pay extra to file your taxes

QBO is built for businesses that already have their own tax prep covered. If you want a professional to file your taxes, be prepared to pay more.

Taxes are part of the package

Heard prepares and files your taxes whether you're a sole proprietor, S corp, or LLC, and maximizes deductions. It's a standard feature, not an add-on.

Good for the simple stuff

QBO can track the financial info you need to file your taxes. But quarterly estimates, state taxes, and S corp elections are left up to you.

Support wherever your practice takes you

Heard is here to help you grow. Whether it's electing S corp status for tax savings or filing in multiple states, your expert team tackles it.

Great if you love tax software

QBO comes with a learning curve. Book time in your schedule to read documentation and follow tutorials.

Designed to reduce your screen time

Heard's visual dashboard makes tracking your finances easy. No manuals, no tutorials. Just expert support and the info you need to run your practice.

Trustpilot review — Craig
Heard is for therapists, not accountants

You specialize in helping people, not filling in spreadsheets. The team at Heard handles every part of your financial backoffice. That gives you more time and energy to focus on making a difference in your clients' lives.

1. Bookkeeping

Professionals help you categorize your revenue and expenses, creating complete financial records for your practice.

2. Reporting

You get comprehensive financial reports that are always up to date—giving you 24/7 insight into your practice's performance.

3. Filing

Heard's team calculates your quarterly estimated taxes for you, and files your federal and state taxes at the end of the year.

Trustpilot review — Sarah Meng, LPC
QuickBooks Online Heard
Double-entry bookkeeping
Expense categorization
Financial reports
Dedicated financial team
Form 1040 filing
Form 1120S filing
Quarterly tax estimates
State tax filing
PayrollAdd-onAdd-on
Profit allocation guide
S corp election guidance
S corp compliance
Accountable plan setup
Accountable plan compliance
Group onboarding
Unlimited live support
app.joinheard.com/dashboard
April overview YTD
Net income
$8,420
↑ +$640 vs March
Expenses
$2,190
↓ −$120
Recent transactions
Client session payment
Stripe · Apr 18
Revenue +$180
SimplePractice
Software · Apr 15
Software −$99
Office rent
Apr 01
Office −$1,450
Whole Foods
Needs review · Apr 12
Review −$86
Dashboard & bookkeepingAuto-categorized transactions, reviewed monthly
app.joinheard.com/taxes
2026 estimated taxes
Q1 2026 · Paid ✓ Apr 15, 2026
$1,840.00
Q2 2026 · Set aside Due Jun 15
$2,140.00
Q3 2026 · Estimated Sep 15
~$2,080.00
🔔 We'll send payment links on Jun 9, a week before Q2 is due.
Federal + state covered
Quarterly tax estimatesCalculated from your real numbers, every quarter
app.joinheard.com/reports
Profit & loss · YTD
Gross revenue$58,200
Office expenses−$8,700
Software & subscriptions−$1,190
Insurance−$2,640
Professional development−$2,360
Net income $43,310
💡
You may be ready for an S corp
At your current income, electing S corp status could save ~$4,800 in self-employment taxes this year.
Deductions tracked automatically
Reports & S corp guidanceP&L, balance sheet, and expert guidance in one place
*2026 Financial State of Private Practice Report

Heard is the only financial management software built for therapists and wellness practitioners that enables you to manage your bookkeeping, taxes, and payroll-all in one place.