Therapists on QuickBooks pay $38/month — $456/year. Over three years, that's $1,368. Nexa is $279 once. Break-even runs about 7.3 months. The median therapist earns $52,000/year, so QuickBooks's annual cost is roughly 0.9% of typical revenue — every year, forever.
That's $1,368 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.
Therapists face unique challenges: SimplePractice costs $69-99/month for EHR plus practice management. Insurance billing and superbill generation eating admin hours. Managing a mix of insurance and private-pay clients. No-shows and late cancellations on $150+ sessions. On top of all that, QuickBooks charges $38/month ($456/year) — money that comes directly from your revenue. The median therapist earns $52,000/year. Software at $456/year is a meaningful percentage of that income, every year, forever. And you do not own anything.
Your Private office or teletherapy setup 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 | ✗ | ✓ |
| Works offline | — | ✓ |
| Price | $38/mo forever | $279 once or 3 × $99 |
| 3-Year Cost | $1,368 | $279 |
| Stop paying? | Lose everything | Keep everything forever |
Most therapists are fully switched before the weekend.
Go to Reports → export to CSV. Download clients, invoices, expenses.
15-minute setup. Import your clients and expenses by CSV; re-enter your main services.
Run both for 1-2 weeks. Verify everything transferred.
Cancel subscription. Download final backup. You're done.
I see six to eight clients a day, fifty minutes each, with ten minutes between to write notes while the session is fresh. The notes aren't optional; every session needs documentation that's clinically sound and meets insurance requirements, and a lot of evenings go to catching up on them. Each client has a treatment plan I revisit regularly: what we're working on, what's improved, and whether my approach still fits. Some sessions are routine check-ins, others are a crisis where I'm assessing risk and making a safety plan. Between clients I'm returning calls from prospective clients, screening whether I'm the right fit or should refer them on. Billing is its own job: verifying insurance benefits, submitting claims, handling denials, and collecting co-pays, or running private-pay clients on a sliding scale. Late cancellations and no-shows are a real hit, so my policy is in writing from the first session. Confidentiality shapes everything: how I store records, which platform I use for telehealth, what I say on the phone. I keep up licensing, continuing education and my own supervision or consultation group.
Real therapists near you who run their business on Nexa — book directly, no platform fee. Are you a therapist? Post your business and get found in your area — $2.99 one-time. Or browse every 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 $38/month — that's $1,368 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 $2,280/year on software — and therapist face their own version of that math. IL state licensing requirements apply.
Numbers reflect typical solo operators in the Elgin metro. Your situation will vary.
Specific gaps 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 therapists are running their tools, here's where the conversation happens.
$1,368 over 3 years. Or $279 once (or 3 × $99). Own your tools.
Get Nexa — $279 Once