You're Switching from QuickBooks. Here's Why Therapists Choose Nexa.
QuickBooks
$55/mo
$660/year — every year, forever
Nexa
$279
Once. Own it forever.
or 3 payments of $99
Break even in 5.1 months. Then it's free forever.
"Switched from QuickBooks after the last price increase. Nexa does everything I needed for $279. Wish I'd done it sooner."
— Verified therapist, former QuickBooks customer
The Bottom Line
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 therapist earns $52,000/year, so QuickBooks's annual cost is roughly 1.3% of typical revenue — every year, forever.
Key Numbers
$52,000
Median therapist income
3.5%
Typical SaaS spend as % of revenue
5.1 mo
Break-even vs QuickBooks
$1,935
3-year savings switching to Nexa
What QuickBooks Is Costing You
The Damage
QuickBooks monthly$55/mo
Annual drain$660/yr
Year 2 (11.4% SaaS inflation)$735
Year 3$819
3-year total$2,214
That's $2,214 gone. And you don't own anything. Stop paying, lose access.
Your QuickBooks subscription has cost you $0.00 since you opened this page.
Why Therapists Leave QuickBooks
✗Annual price increases of 10-15%
✗User caps force expensive tier jumps
✗Complex interface overwhelms small operators
✗Desktop version being sunset - forced to Online
✗Payment processing fees add up fast
✗No offline capability
✗QB controls 85% of this market. It's technically a monopoly. The FTC has a long issue with Intuit over pricing.
✗400% increase since 2023. We used to update every 2 years for $250. Now subscription is $689.
✗An almost 70% price increase for your most used product and all you guys are adding is a bunch of AI slop.
You see 6 clients today — four insurance-based and two private-pay. Between sessions you need to write notes, generate superbills, and file insurance claims. Your 3pm cancelled 30 minutes before the session — that's a $150 gap in your day. A new client needs intake paperwork before their first session tomorrow. SimplePractice charges $69/month for the 'Essential' plan or $99/month for 'Professional' — and you still need QuickBooks for practice accounting.
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 $55/month ($660/year) — money that comes directly from your revenue. The median therapist earns $52,000/year. Software at $660/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.
Your Full Stack Cost
QuickBooks is just one piece. What else are you losing money on?
Want this breakdown emailed to you?
Your exact QuickBooks cost, full stack total, and what switching saves. 10 seconds.
"I was paying QuickBooks $55/month and didn't question it until I did the math. $2,214 over 3 years for tools I don't even own. Nexa was $279. Once. Done."
— Therapist business owner
What You Get Instead
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
Switching Takes 1-2 Days
Most therapists are fully switched before the weekend.
1
Export your data
Go to Reports → export to CSV. Download clients, invoices, expenses.
2
Set up Nexa
15-minute setup. Import your clients and expense categories.
3
Parallel run
Run both for 1-2 weeks. Verify everything transferred.
4
Cancel QuickBooks
Cancel subscription. Download final backup. You're done.
✓ Run both in parallel. Cancel QuickBooks when you're confident. Zero risk.
What therapists actually deal with
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
A day in the life of a therapist
You see 6 clients today — four insurance-based and two private-pay. Between sessions you need to write notes, generate superbills, and file insurance claims. Your 3pm cancelled 30 minutes before the session — that's a $150 gap in your day. A new client needs intake paperwork before their first session tomorrow. SimplePractice charges $69/month for the 'Essential' plan or $99/month for 'Professional' — and you still need QuickBooks for practice accounting.
The tools a working therapist actually owns
Private office or teletherapy setup
HIPAA-compliant video platform
Assessment and intake form tools
Professional liability insurance
Why therapists leave the big platforms
simplepractice: $69-99/month and it's become the industry default. That's $828-1,188/year. Good software but expensive for solo practitioners.
theranest: $39-68/month. Cheaper than SimplePractice but the interface is dated and teletherapy integration is clunky.
acuity: Scheduling only. No notes, no superbills, no insurance billing. You need a full EHR on top of it.
Where therapists actually talk shop
r/therapists (Reddit)
r/psychotherapy (Reddit)
r/TalkTherapy (Reddit)
r/privatepractice (Reddit)
Psychology Today Community (Forum)
Private Practice Skills (YouTube)
Brighter Vision (YouTube)
TherapyDen (YouTube)
Local therapists on Nexa
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 →
FAQ
Is Nexa really a QuickBooks replacement for therapists?
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.
$279 seems like a lot.
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.
Can I pay in installments?
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.
What if I don't like it?
30-day money-back guarantee. Full refund. If Nexa doesn't save you $500 in year one, you get every penny back.
Can I import my QuickBooks data?
Export your data from QuickBooks as CSV, import into Nexa in about 5 minutes.
Therapists in Elgin
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.
If You Need These — Nexa Has Them
Specific gaps Therapists run into with QuickBooks, and what Nexa does instead.
✗
QuickBooks gapNo project management for services
✓
NexaJob and project management in the same $279 — no upgrade needed.
✗
QuickBooks gapNo scheduling/booking
✓
NexaBuilt-in scheduling and booking — no separate tier.
✗
QuickBooks gapNo CRM functionality
✓
NexaFull CRM module included in $279.
What QuickBooks Users Are Saying Lately
Recent threads from Reddit and Hacker News mentioning QuickBooks. Sentiment scored automatically — click through to read the full thread.
"I refused to pay $50/mo for a CSV to quickbooks converter, so I built it"
Private Practice Skills, Brighter Vision, TherapyDen
Podcasts
Practice of the Practice Podcast, The Private Practice Startup, Selling the Couch
"QuickBooks raised prices again and I was done. Found Nexa — $279 once. I own it. No more 'we're updating our pricing' emails. Best business decision this year."
— Therapist, switched from QuickBooks
Stop Losing $660/Year to QuickBooks
$2,214 over 3 years. Or $279 once (or 3 × $99). Own your tools.