QuickBooks vs Nexa
The Real Comparison for Speech Therapists

QuickBooks
$55/mo ($660/yr)
VS
Nexa
$279 once — own forever
or 3 payments of $99
Break even: 5.1 months. Save $1,935 over 3 years.
"I compared QuickBooks and Nexa side by side. The math wasn't even close. $2,214 over 3 years vs $279 once. Switched and never looked back."
— Speech therapist, Nexa customer

The verdict for speech therapists: QuickBooks is solid software, but at $55/month it costs $2,214 over 3 years. Nexa does most of what QuickBooks does for $279 once. For solo speech therapists and small teams, Nexa is the better deal.

Choose Nexa if:

  • You're done paying monthly forever
  • You're a solo operator or small team (1-5)
  • You need scheduler, Connect CRM, Invoicing in one purchase in one tool
  • You're tired of price increases
  • You want to own your tools like you own your equipment

Choose QuickBooks if:

  • You have a large team (10+) needing enterprise features
  • You're deeply invested in QuickBooks's specific workflow
  • You need a feature Nexa doesn't have yet

What QuickBooks Actually Costs Speech Therapists

The 3-Year Damage

Year 1$660
Year 2 (+11.4% inflation)$735
Year 3$819
Total lost to QuickBooks$2,214

Nexa: $279. Once. You keep $1,935. And you own it — no more "we're updating our pricing" emails.

Your QuickBooks subscription has cost you $0.00 since you opened this page.

Feature-by-Feature

FeatureQuickBooksNexa
Invoicing✓✓
Scheduling✗✓
CRM✗✓
Time Tracking✗✓
Full Accounting✗✓ (SIMPL)
Task Management✗✓
Price$55/mo$279 once
or 3 × $99
3-Year Total$2,214$279
You own it?No — stop paying, lose accessYes — forever
"The feature comparison convinced me. Nexa does 90% of what QuickBooks does — for 10% of the 3-year cost. And I actually own it."
— Speech therapist

Calculate Your Full Stack

QuickBooks plus whatever else you're paying for:

Email yourself this comparison?

Switching from QuickBooks

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.
✓ 30-day money-back guarantee. Zero risk.
Speech Therapists are switching from QuickBooks every week.

The math doesn't lie.

What This Means for Speech Therapists

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.

Speech Therapists deal with unique challenges that generic software was not built for: 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. QuickBooks charges $55/month on top of these daily realities. The median speech therapist earns $55,000/year — $660/year in software subscriptions is a significant percentage of that income, paid every year, forever.

Nexa is $279 once. Invoicing, scheduling, CRM, time tracking, accounting — all connected, built for speech therapists. You own it like you own your Assessment tools and materials.

What speech therapists actually deal with

A day in the life of a speech therapist

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.

The tools a working speech therapist actually owns

Why speech therapists leave the big platforms

Where speech therapists actually talk shop

Local speech therapists on Nexa

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 →

FAQ

Is Nexa really a QuickBooks replacement?

For solo speech therapists and small teams, yes. invoicing, scheduling, CRM, time tracking, task management, and full accounting — all for $279 once. QuickBooks may be better if you have a large team (10+) or need enterprise-specific features.

What does QuickBooks do that Nexa doesn't?

QuickBooks has features like Industry standard - accountants know it and 800+ app integrations that some businesses rely on. For most solo speech therapists, these aren't dealbreakers.

How fast does Nexa pay for itself?

At $55/month, Nexa pays for itself in 5.1 months. After that: $660 saved every year.

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.

"$2,214 over 3 years to QuickBooks. Or $279 once for Nexa. I own my tools now. No more renting software."
— Speech therapist, Nexa owner

$2,214 Over 3 Years. Or $279 Once (or 3 × $99).

Own your tools. Stop renting your software.

Get Nexa — $279 Once
or 3 payments of $99
✓ 30-day money-back — save $500 or full refund

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