Heard is a financial management software platform and professional service created specifically for private practice owners in the health and wellness sector. Founded in 2019 by an accountant and a software engineer, the company combines digital accounting software with access to human bookkeeping and tax professionals. The service aims to streamline administrative tasks for practice owners who lack formal accounting training, replacing manual spreadsheets and DIY software. By consolidating daily transaction tracking, monthly account reconciliations, quarterly tax estimation, annual tax return filing, and payroll processing into a single platform, it allows practitioners to focus on client care while maintaining financial compliance.
Core bookkeeping functions within the platform rely on automated transaction synchronization paired with monthly human oversight. Practice owners connect their business bank accounts to the platform, enabling incoming income and outgoing practice expenses to be automatically classified into industry-tailored accounting categories. On a monthly basis, a dedicated bookkeeping specialist reviews transaction logs, reconciles connected accounts, processes external practice expenditures, and closes the monthly books. The bookkeeping team delivers finalized financial ledgers alongside an owner allocation guide, which clarifies amounts practice owners should set aside for upcoming tax liabilities, operational reserves, and personal owner draws.
Tax services within Heard cover ongoing planning, quarterly estimated payments, and annual return filings. Rather than applying standard percentage estimates, the software calculates quarterly tax obligations using real-time bookkeeping numbers to determine exact amounts owed to federal and state tax bodies. For practitioners licensed or operating in multiple jurisdictions, the platform manages multi-state tax distribution requirements. Furthermore, Heard evaluates whether a practice's net earnings justify transitioning from a sole proprietorship or LLC to an S corporation structure. When converting to an S corporation provides tax savings, the platform manages the election process, computes reasonable compensation guidelines, and handles ongoing corporate compliance.
Heard includes business banking capabilities alongside built-in payroll management. Practice owners can open business checking and savings accounts and utilize platform-issued debit cards under a single software login. Because native banking transactions integrate directly into the bookkeeping ledger, users eliminate the need for third-party exports or external banking software. The integrated payroll system enables practice owners to issue compensation to themselves, W2 employees, and 1099 independent contractors via direct deposit. The platform computes, withholds, and submits required payroll taxes to government bodies with every pay run while generating year-end W2 and 1099 forms.
To support ongoing business management, the platform provides financial statements on demand, non-technical educational materials, and human advisory channels. Practice owners can view profit and loss reports, balance sheets, and cash flow summaries formatted in plain language without standard accounting vocabulary. These reports can be downloaded and shared with external advisors. Users communicate directly with dedicated tax and accounting specialists through messaging and phone support, receiving responses within one to two business days. Additional resources include onboarding webinars, help center documentation, downloadable tax deduction cheatsheets, state practice guides, and an online community platform featuring peer networking and members-only virtual events.
Automated Monthly Bookkeeping and Account Reconciliation
Practice owners use Heard to replace manual financial spreadsheets with automated bookkeeping software backed by human accountants. Connected bank accounts automatically import and categorize revenue and expenses into therapy-specific financial ledgers. Each month, a dedicated bookkeeper reconciles accounts, flags items needing user input, accounts for outside expenditures, and closes the monthly books. Practice owners receive finalized monthly records and an owner allocation guide indicating how much money to reserve for quarterly taxes, operational savings, and personal compensation.
Quarterly Estimated Tax Calculation and Multi-State Compliance
Practitioners rely on Heard to compute and submit quarterly estimated tax payments accurately throughout the tax year. Instead of applying general rules of thumb, the platform evaluates live bookkeeping data to calculate exact federal and state tax liabilities. The service provides specific step-by-step payment instructions for the IRS and state tax agencies. For therapists licensed or providing care across multiple state lines, Heard manages multi-state tax calculations to keep the practice fully compliant with local authorities.
Annual Tax Return Filing and Deduction Maximization
Health and wellness professionals utilize Heard to prepare and file complete federal and state tax returns without year-end tax stress. Dedicated tax specialists review full-year bookkeeping ledgers to identify industry-specific write-offs—such as home office costs, continuing education, physical office rent, health insurance, and clinical mileage. The tax team collects necessary documentation, prepares Schedule C or Form 1120-S filings based on entity structure, and submits annual returns directly to relevant tax authorities.
S Corporation Evaluation and Tax Structure Transition
Practice owners evaluate whether converting their business structure to an S corporation will lower overall self-employment tax liabilities. Heard analyzes real financial figures from the practice's books to evaluate potential tax savings. If converting to an S corporation is financially beneficial, the team handles the formal S corp election paperwork with government authorities, calculates a compliant reasonable salary for the owner, establishes corporate payroll settings, and maintains ongoing corporate tax compliance.
Owner and Staff Payroll Processing
Practices implement Heard Payroll to manage direct deposit payments for practice owners, W2 employees, and 1099 independent contractors within their accounting platform. The software automates payroll runs, calculating, withholding, and remitting required payroll taxes to state and federal agencies every pay period. At the end of the tax year, the platform automatically generates and files W2 forms for internal staff and 1099 tax forms for contracted personnel.
Unified Business Banking and Cash Flow Management
Practitioners open native Heard business checking and savings accounts and issue platform debit cards to isolate practice funds from personal finances. Because native banking transactions automatically sync directly with internal bookkeeping ledgers, owners avoid manual data entry or third-party bank imports. Practice owners monitor cash flow, generate plain-language profit and loss statements on demand, and track earnings against custom practice goals within a centralized dashboard.
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What is Heard and how does it assist private practice owners?
Heard is a financial management platform designed exclusively for private practices in the health and wellness fields. It combines specialized software with dedicated human bookkeeping and tax professionals to handle daily accounting, account reconciliations, quarterly estimated tax payments, annual tax filings, and payroll. Practice owners connect their bank accounts or use native Heard Business Banking, allowing the system and bookkeeping team to organize transactions and maintain tax-compliant financial records.
Which practice types and business structures does Heard support?
Heard works exclusively with U.S.-based health and wellness practices, including psychologists, counselors, social workers, therapists, dietitians, chiropractors, life coaches, and physical therapists. It supports sole proprietorships, single-member and multi-member LLCs, PLLCs, and S corporations, including practitioners with secondary revenue from coaching or consulting. Heard does not support non-health businesses, practices based outside the United States, multi-owner practices, or businesses taxed as C corporations.
How does the monthly bookkeeping process work?
Upon joining Heard, the bookkeeping team completes catch-up bookkeeping for any un-reconciled months in the current tax year. Moving forward, the team categorizes incoming transactions and reconciles connected financial accounts every month. They adjust ledgers for outside expenditures and flag unassigned items that require owner clarification. Once completed, the team closes monthly books and issues an owner allocation guide outlining reserves for taxes, savings, and owner draw.
How are quarterly estimated taxes and annual returns handled?
Heard calculates quarterly estimated federal and state tax payments using real-time bookkeeping records rather than generic percentage estimations. The platform displays exact tax obligations owed to the IRS and state tax bodies, providing payment instructions and supporting multi-state tax licenses. At year-end, Heard tax specialists analyze full-year bookkeeping ledgers for therapist deductions, prepare federal and state tax returns, and submit filings directly to authorities.
Does Heard help practices convert to an S corporation?
Yes. Heard evaluates a practice's live financial data to determine if electing S corporation status will produce net tax savings. If converting is beneficial, the team handles the complete transition process. This includes submitting formal tax election filings to government agencies, calculating compliant reasonable salary guidelines for the owner, setting up payroll infrastructure, and providing ongoing S corporation tax support throughout the year.
What capabilities are included with Heard Payroll?
Heard Payroll enables practice owners to issue direct deposit payments to themselves, W2 staff, and 1099 independent contractors. During each payroll run, the platform automatically computes, withholds, and remits required payroll taxes to federal and state government bodies. At the end of the calendar year, the system generates W2 forms for employees and 1099 forms for contractors to ensure practice payroll compliance.
How does Heard Business Banking work?
Heard offers native business banking features, providing checking accounts, savings accounts, and physical debit cards managed under a single platform login. Transactions conducted using Heard banking cards automatically sync and categorize into internal accounting ledgers. This eliminates the need for manual statement uploads, file exports, third-party banking integrations, or separate banking software fees.
How is Heard pricing structured?
Heard uses subscription pricing billed on a monthly or annual basis, with a percentage discount applied to annual billing. Two plan options are available for Solo Practices based on tax structure, along with one plan option for Group Practices. Payroll functionality covers one user for S corporations and Group Practices, with an added fee for each additional employee. Historical catch-up bookkeeping incurs a separate required fee for each past month reconciled. Third-party filing fees, city business licenses, and Gusto add-ons are excluded. All subscription payments and one-time fees are non-refundable.
What support options and resources are available to users?
Practice owners can contact Heard's tax and accounting specialists via direct messaging or phone, receiving answers within one to two business days. The onboarding team provides instructional videos, live webinars, and direct follow-ups. Users also access a help center, downloadable tax deduction cheatsheets, state practice setup guides, financial calculators, and the Heard Community platform for peer discussion and members-only virtual events.
What is the main difference between Heard and a local CPA?
A local CPA typically provides a traditional, face-to-face experience with regular in-person financial review meetings, often charging higher recurring rates. In contrast, Heard offers a specialized software dashboard combined with a remote team of bookkeeping and tax professionals. Heard provides continuous automated transaction sync, integrated business banking, payroll, quarterly estimates, annual tax filings, and messaging support with business-day response turnarounds.
Who uses Heard?
Heard is built specifically for independent health and wellness private practices operating within the United States. The platform serves solo practice owners and group practices structured as sole proprietorships, single-member or multi-member LLCs, PLLCs, or S corporations. It supports professionals who earn secondary income through related activities such as consulting or life coaching alongside their primary clinical work. Heard does not support non-health businesses, international practices, multi-owner entities, or businesses taxed as C corporations.
Psychologists
Psychiatrists
Social workers
Mental health counselors
Professional counselors
Marriage and family therapists
Psychiatric nurse practitioners
Physical therapists
Speech and language pathologists
Audiologists
Occupational therapists
Dietitians and nutritionists
Massage therapists
Chiropractors
Life coaches
Solo practice owners
Group practice owners
Heard pros and cons
Until real users review Heard, this tab shows what the vendor highlights and the points worth checking — never invented opinions.
What Heard highlights
Specialized financial software and human services built exclusively for health and wellness private practices.
Automatic bank transaction syncing with industry-tailored categorization for therapy expenses.
Dedicated monthly bookkeeping reviews and account reconciliation conducted by human professionals.
Real-time quarterly tax estimates calculated from live bookkeeping ledgers, including multi-state coverage.
Full annual state and federal tax return filing completed by private practice tax specialists.
Native business banking accounts with integrated checking, savings, and debit cards.
S corporation assessment, formal tax election setup, and reasonable compensation calculations.
Integrated payroll processing with automated payroll tax filing and year-end W2 and 1099 generation.
Points to check before choosing
Heard does not support non-health practices, international businesses, multi-owner entities, or C corporations.
Catch-up bookkeeping for past un-reconciled months requires an additional required one-time charge for each past month.
Third-party government filing fees, city business licenses, and Gusto add-on subscription fees are excluded from base plans.
Subscription fees and one-time catch-up fees are non-refundable upon cancellation.
Practice owners may periodically need to manually clarify unassigned transactions or upload bank statements.
The website does not specify direct software integrations with external electronic health record (EHR) platforms beyond standard bank connections and Gusto.
Heard features
Automated Transaction Categorization
The platform automatically syncs with connected business bank accounts to pull incoming revenues and practice expenses. Transactions are automatically assigned to specialized accounting categories designed specifically for health, therapy, and wellness practices. This automated classification process reduces daily manual record-keeping labor and ensures all deductible practice expenditures are captured accurately for monthly reviews.
Dedicated Monthly Bookkeeping
Human bookkeeping specialists reconcile connected bank accounts and review practice ledgers every month. The bookkeeping team accounts for outside expenditures, flags unassigned entries requiring owner input, makes necessary accounting adjustments, and closes monthly financial records. This monthly review maintains tax compliance and ensures clean financial ledgers without requiring practice owners to manage manual spreadsheets.
Real-Time Quarterly Tax Estimates
Heard calculates quarterly estimated tax payments using live, real-time bookkeeping records rather than standard percentage estimations. The platform displays exact tax amounts owed to state authorities and the IRS, along with step-by-step instructions on how to submit payments. It also accommodates multi-state tax calculations for practitioners licensed or operating in multiple states.
Annual Federal and State Tax Preparation
Dedicated tax professionals handle year-end tax preparation and submission for both state and federal jurisdictions. The tax team collects required business data, identifies therapist-specific deductions across full-year ledgers, prepares Schedule C or Form 1120-S filings depending on entity structure, and files annual tax returns directly on behalf of the private practice.
Heard Business Banking
The platform provides native business banking accounts, including checking, savings, and physical debit cards accessible under a single software login. Debit card purchases and banking transactions automatically sync and categorize within the practice's internal bookkeeping ledger, eliminating manual file exports, extra subscription costs, or third-party banking integrations.
S Corp Assessment and Election Service
Heard evaluates practice financial data to determine if converting to an S corporation structure offers net tax savings. If recommended, the team handles the complete transition process by filing formal tax elections, establishing required payroll infrastructure, calculating a compliant reasonable salary for the practice owner, and providing ongoing corporate compliance support.
Heard Payroll
Integrated payroll software allows practice owners to pay themselves and staff members via direct deposit. The system calculates, withholds, and submits required payroll taxes to government tax agencies during each payroll run. It also generates annual W2 forms for employees and 1099 tax documents for independent contractors at year-end.
Owner Allocation Guide
Delivered alongside closed monthly books, the owner allocation guide converts complex accounting figures into plain-language financial recommendations. It calculates exact amounts that practice owners should allocate across specific business categories, including upcoming quarterly tax payments, emergency operational savings reserves, and personal owner draw compensation.
On-Demand Financial Statements
Practice owners can generate profit and loss statements, balance sheets, and cash flow reports directly from their software dashboard at any time. Financial reports use clear terminology free of complex accounting jargon and can be exported to share with external CPAs, business advisors, or financial institutions.
Catch-Up Bookkeeping Service
For practice owners with incomplete historical records, Heard offers catch-up bookkeeping for past months of the current tax year. The dedicated bookkeeping team reviews historical bank statements, categorizes past transactions, and reconciles backlogged ledgers to bring practice accounting into full compliance.
Expert Messaging and Support
Practice owners can message Heard's dedicated tax and accounting team directly through the platform. Specialists trained exclusively in private practice finances answer inquiries regarding transaction categorizations, lifecycle changes, S corp election viability, and tax compliance within one to two business days without charging per-question advisory fees.
Heard Community Hub
An online networking space where member practitioners connect with colleagues, ask operational questions, and participate in members-only virtual events. The community hub provides access to peer support alongside official guidance from Heard's community team to help practitioners manage private practice growth.
Heard pricing
We don't publish prices: they change often and differ by country. Check current plans on Heard's own pricing page.
Pricing is organized into subscription tiers billed either monthly or annually, with annual options featuring a percentage discount. Two plan tiers are available for Solo Practices based on tax structure, along with one plan tier for Group Practices. For S corporations and Group Practices, payroll functionality is included for a single user, while additional employees incur an added fee per worker. Practices that require historical bookkeeping reconciliation pay a required one-time charge for each past month processed. Subscriptions do not include third-party government filing charges, city business license fees, or optional add-ons like Gusto. All subscription payments and one-time fees are non-refundable upon cancellation. The vendor's website does not state whether a free trial is offered.
Heard integrates directly with compatible business bank accounts to automatically pull income and expense transactions into accounting records. For payroll processing, Gusto is available as an integrated add-on service. The platform also allows practice owners to export completed financial reports and statements to share with third-party local accountants or external advisors.
Gusto
Heard support
Heard offers structured customer support delivered by specialized onboarding, community, and support teams. The onboarding team provides initial guidance through instructional videos, live webinars, and personalized follow-ups. Ongoing technical and financial assistance is available through direct messaging and phone support, connecting practice owners with real tax and accounting specialists who respond within one to two business days. Additional support resources include a help center, downloadable tax deduction cheatsheets, state-by-state practice startup guides, interactive financial calculators, and access to the Heard Community hub for peer interaction and virtual events.
Messaging support
Phone support
Help center
Onboarding webinars and videos
Online resource hub and calculators
Downloadable tax deduction cheatsheets
State practice guides
Heard Community hub and virtual events
Heard reviews
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How this page was made
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This page was written with AI from 7 pages of joinheard.com's own website (read on Sep 16, 2026) and checked automatically: no copied wording, no prices, and no figure that isn't on the vendor's site. Nobody on our team has tested Heard.
