Elation Health vs Heard
Heard scores 7.5/10 vs 7.0/10. Best for: Solo therapists in private practice who want someone else to handle bookkeeping and taxes.
Heard scores higher overall at 7.5/10 vs 7.0/10. Buy Heard if you hate bookkeeping and want someone else to handle your practice finances and taxes. Skip if you can handle QuickBooks yourself or if you thought this was practice management software — it's not.
Elation Health 
Heard Rank
#25 of 41
Rank
#13 of 41
Features
17/18
Features
1/18
Starting at
$349/mo
Starting at
$169/mo
User reviews
4.3/5 (93)
User reviews
—
What they cost
| Elation Health | Heard | |
|---|---|---|
| Starting at | $349 /mo | $169 /mo |
| Free trial | 30 days | No |
| Number of plans | 2 | 3 |
What the pricing really means
At first glance, Heard looks cheaper at $169/month vs $349/month. But sticker price is only part of the story. Look at what is included on the base plan, how many users you get, and whether you need add-ons to get the features you actually need. The $99/month plan that requires $200 in add-ons is actually more expensive than the $250/month plan that includes everything.
Where Elation Health wins
- Clinical-first design with a single-page chart that primary care docs love
- Best-in-KLAS 2023 for telehealth, powered by Zoom
- Open API with webhook catalog for custom integrations
- 30-day free trial with no credit card needed
Where Heard wins
- Done-for-you monthly bookkeeping saves therapists the most hated admin task
- Tax prep and filing included — personal on Essential, business on Premium
- S corp election guidance that reportedly saves $5,000+/year in taxes
- Built specifically for therapy private practice finances, not generic accounting
Where Elation Health falls short
- Only 14 G2 reviews despite being a well-known platform
- Annual contracts required since September 2023 with no month-to-month option
- Starting at $349/provider/mo puts it in the expensive tier
- Built for primary care, not behavioral health or therapy workflows
Where Heard falls short
- NOT practice management software — handles finances only, not clinical work
- $169/mo is a lot when QuickBooks Self-Employed is $15/mo
- No G2 or Capterra reviews for independent comparison
- Premium at $255/mo needed if you're an S corp
Who is each product built for?
Elation Health
Target: 1-50 providers
Buy Elation if you're an independent primary care practice that wants the cleanest charting interface in the market. Skip entirely if you're a therapist — this was not built for behavioral health workflows.
Heard
Target: 1-5 providers
Buy Heard if you hate bookkeeping and want someone else to handle your practice finances and taxes. Skip if you can handle QuickBooks yourself or if you thought this was practice management software — it's not.
Feature comparison
| Feature | Elation Health | Heard |
|---|---|---|
| Compliance & Security | ||
| HIPAA compliant | ||
| Telehealth / video sessions | ||
| Secure messaging | ||
| Scheduling & Clients | ||
| Online scheduling | ||
| Client portal | ||
| Intake forms / assessments | ||
| Automated reminders | ||
| Clinical | ||
| Progress notes / documentation | ||
| Treatment plans | ||
| E-prescribing | ||
| Outcome measures / assessments | ||
| Billing & Payments | ||
| Insurance billing / claims | ||
| Payment processing | ||
| Superbill generation | ||
| Automated billing | ||
| Platform | ||
| Group practice support | ||
| Mobile app | ||
| Integrations / API | ||
Common questions
Heard scores 7.5/10 vs Elation Health's 7.0/10 in our ranking. Heard is the better pick for 1-5 providers. Elation Health is better if you need independent primary care practices that want the cleanest charting interface without the clutter of features they won't use.
Elation Health starts at $349/month. Heard starts at $169/month. Watch for add-on costs — the base price often does not include all features. Pricing last verified 2026-04-01.
Elation Health: Yes, 30-day free trial. Heard: No free trial. Always test with your actual workflow before committing to an annual plan.
Elation Health covers 17 of 18 features we track. Heard covers 1 of 18. Elation Health has broader feature coverage, but more features does not always mean better — pick the tool that covers what your business actually needs.
Yes, Elation Health has a mobile app. Heard does not.
Yes. The main effort is migrating your data (customer lists, job history, invoices). Plan for 1-2 weeks of overlap where you run both. Most healthcare practice management tools can import CSV data. Ask both vendors about migration support before you sign.
The bottom line
Pick Elation Health if...
Independent primary care practices that want the cleanest charting interface without the clutter of features they won't use
Pick Heard if...
Solo therapists in private practice who want someone else to handle bookkeeping and taxes