Gusto
paid
Vendor does not publish a starting price.
Free trial
Contact the vendor for a quote. Hidden pricing is a yellow flag for smaller practices.
Accounting & Tax · Comparison
Heard
Gusto
Gusto vs Heard for therapists
Auto-generated from listing data
At a glance
The differences that matter
Side-by-side facts. Rows where the two tools differ meaningfully are highlighted.
| Feature | Gusto | |
|---|---|---|
| Pricing from | Not listed | $149 / mo |
| Pricing modelSame | paid | paid |
| HIPAASame | Not listed | Not listed |
| Free trialSame | Yes | Yes |
| Target users |
|
|
| Key features |
|
|
| Integrations |
|
|
Gusto
- Pricing from
- Not listed
- Pricing model
- paid
- HIPAA
- Not listed
- Free trial
- Yes
- Target users
- Group practices with employees
- Practices paying 1099 associates
- Solo therapists making their first hire
- Key features
- Automated payroll runs
- Federal/state/local tax filing
- Direct deposit
- Benefits administration
- Integrations
- FreshBooks
- Xero
- QuickBooks
- Heard
- Many accounting tools
Heard
- Pricing from
- $149 / mo
- Pricing model
- paid
- HIPAA
- Not listed
- Free trial
- Yes
- Target users
- Solo therapists in private practice
- Therapists considering S-Corp
- Practices wanting hands-off finances
- First-time practice owners
- Key features
- Done-for-you monthly bookkeeping
- Personal + business tax filing included
- Quarterly tax estimates
- S-Corp election support
- Integrations
- Bank accounts (secure sync)
- Healthie (partner promo)
- Gusto (payroll add-on)
Pricing
What you actually pay
Starting prices and what they include. The cheaper tool is not always the better value.
Heard
paid
$149/month
Free trial
Honest assessment
Where each tool wins and loses
Based on hands-on testing. Both tools have real weaknesses worth knowing before you commit.
Gusto
What works well
- Easy, reliable payroll and tax filing
- Handles W-2 and 1099
- Benefits and HR add-ons
- Integrates with major accounting tools
Where it falls short
- Monthly base fee plus per-person cost
- Not therapy-specific
- Overkill for a solo with no employees
- Benefits features vary by state
Heard
What works well
- Therapy-specific (knows deductions)
- Software + human team
- Saves $5,000+ in taxes per year (per vendor)
- Personal + business tax filing included
Where it falls short
- Pricier than DIY QuickBooks
- Some reviews mention customer service delays
- Heavier than needed for very simple practices
Take it for a spin
Try them
Both tools offer free trials. The fastest way to confirm a fit is to run one real session through each.
Payroll, benefits, and contractor payments for group therapy practices.
Try Gusto
Free trial
Visit GustoAbout this comparison
This comparison is auto-generated from verified vendor data. We compile pricing, features, and integrations from each vendor's own documentation. For editorial comparisons with hands-on testing, see our editorially reviewed comparisons.
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