Speech Therapists on QuickBooks pay $55/month — $660/year. Over three years, that's $2,214. Nexa is $279 once. Break-even runs about 5.1 months. The median speech therapist earns $55,000/year, so QuickBooks's annual cost is roughly 1.2% of typical revenue — every year, forever.
That's $2,214 gone. And you don't own anything. Stop paying, lose access.
See the full history of QuickBooks price changes in the SaaS Graveyard →
You're not the only one who's had enough.
Speech Therapists face unique challenges: Insurance billing vs. private pay clients have completely different workflows. Session notes and documentation eat 30-60 min per client per week. Cancellations and no-shows on standing weekly appointments. Managing IEP meetings and school contracts alongside private practice. On top of all that, QuickBooks charges $55/month ($660/year) — money that comes directly from your revenue. The median speech therapist earns $55,000/year. Software at $660/year is a meaningful percentage of that income, every year, forever. And you do not own anything.
Your Assessment tools and materials is yours. You bought it once. Nexa works the same way — $279 once for invoicing, scheduling, CRM, time tracking, and full accounting. All connected. All offline-capable. You own it like you own your tools.
QuickBooks is just one piece. What else are you losing money on?
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Your exact QuickBooks cost, full stack total, and what switching saves. 10 seconds.
| Feature | QuickBooks | Nexa |
|---|---|---|
| Invoicing | ✓ | ✓ |
| Scheduling | ✗ | ✓ |
| CRM | ✗ | ✓ |
| Time Tracking | ✗ | ✓ |
| Full Accounting | ✗ | ✓ (SIMPL) |
| Task Management | ✗ | ✓ |
| Price | $55/mo forever | $279 once or 3 × $99 |
| 3-Year Cost | $2,214 | $279 |
| Stop paying? | Lose everything | Keep everything forever |
Most speech therapists are fully switched before the weekend.
Go to Reports → export to CSV. Download clients, invoices, expenses.
15-minute setup. Import your clients and expense categories.
Run both for 1-2 weeks. Verify everything transferred.
Cancel subscription. Download final backup. You're done.
You see 6 clients today: 4 private pay kids ($125/session), 1 insurance client ($95 reimbursement, 2-month lag), and 1 teletherapy session ($110). Between sessions you write SOAP notes. A parent wants to add a second weekly session. Your insurance client's claim from October was denied and needs an appeal. Your scheduling is Acuity ($16/month), billing is separate, and notes are in yet another system.
Real speech therapists near you who run their business on Nexa — book directly, no platform fee. Are you a speech therapist? Post your business and get found in your area — $2.99 one-time. Or browse every speech therapist on Nexa →
For solo operators and small teams (1-5), yes. Nexa includes invoicing, scheduling, CRM, time tracking, task management, and full accounting. QuickBooks may be better if you have a large team (10+) or need enterprise-specific features.
It's $7.75/month over 3 years. QuickBooks is $55/month — that's $2,214 over 3 years. Which is more? And if you'd rather split it, Nexa is also available as 3 payments of $99.
Yes. Nexa is $279 as a one-time payment, or 3 payments of $99 ($297 total). Either way it's a one-time purchase — no subscription, no recurring fees ever.
30-day money-back guarantee. Full refund. If Nexa doesn't save you $500 in year one, you get every penny back.
Export your data from QuickBooks as CSV, import into Nexa in about 5 minutes.
The average solo operator there spends about $2,520/year on software — and speech therapist face their own version of that math. MN state licensing requirements apply.
Numbers reflect typical solo operators in the Bloomington metro. Your situation will vary.
Specific gaps Speech Therapists run into with QuickBooks, and what Nexa does instead.
Recent threads from Reddit and Hacker News mentioning QuickBooks. Sentiment scored automatically — click through to read the full thread.
If you want to compare notes or see how other speech therapists are running their tools, here's where the conversation happens.
$2,214 over 3 years. Or $279 once (or 3 × $99). Own your tools.
Get Nexa — $279 Once