Heard
paid
$149/month
Free trial
At a glance
The differences that matter
Side-by-side facts. Rows where the two tools differ meaningfully are highlighted.
| Feature |  | Xero |
|---|---|---|
| Pricing from | $149 / mo | Not listed |
| Pricing modelSame | paid | paid |
| HIPAASame | Not listed | Not listed |
| Free trialSame | Yes | Yes |
| Target users |
|
|
| Key features |
|
|
| Integrations |
|
|
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)
Xero
- Pricing from
- Not listed
- Pricing model
- paid
- HIPAA
- Not listed
- Free trial
- Yes
- Target users
- Group practices and growing teams
- International or multi-currency therapists
- Therapists whose CPA prefers Xero
- Key features
- Full double-entry accounting
- Strong bank reconciliation
- Robust financial reporting
- Multi-currency support
- Integrations
- Gusto (payroll)
- Stripe
- Square
- Hundreds of apps
- Bank feeds
Pricing
What you actually pay
Starting prices and what they include. The cheaper tool is not always the better value.
Xero
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.
Honest assessment
Where each tool wins and loses
Based on hands-on testing. Both tools have real weaknesses worth knowing before you commit.
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
Xero
What works well
- Strong reconciliation and reporting
- Excellent CPA/accountant access
- Multi-currency for international practices
- Large integration ecosystem
Where it falls short
- Not therapy-specific
- Bookkeeping only (no tax filing)
- More than a simple solo practice needs
- Payroll via paid add-on
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.
Modern double-entry bookkeeping with strong reconciliation and CPA access.
Try Xero
Free trial
Visit XeroAbout 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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Some listings on Mytherapist Tools are paid placements, clearly labeled. Paid placement does not buy editorial recommendation. Our top picks are chosen on merit.