Ease vs QuickBooks | Built for Doctors, Not General Business
Ease vs QuickBooks
QuickBooks is bookkeeping software. Ease is a back office.
A great ledger. Not a finance team.
QuickBooks is the most widely used bookkeeping software in the United States. Every CPA knows it. Every bank integrates with it. If you have a bookkeeper and a CPA you already work with, and you want a ledger to give them, QuickBooks is the standard.
QuickBooks does not run your practice. It is a ledger. You still need a bookkeeper, a payroll provider, a payment processor, a registered agent, a lawyer, and a CPA on top of it.
Ease replaces the entire stack with one product and one agent.
Feature Comparison
| Feature | Ease | QuickBooks |
|---|---|---|
| Built for doctors and clinicians | Yes. | No. General small business. |
| AI agent does the work | Yes. Ease Agent. | Limited. AI suggestions and rules. |
| Bookkeeping | Included. | Yes. Core product. |
| Payroll | Included. | Add-on. QuickBooks Payroll, $50 to $130/mo plus per-employee fee. |
| Bill pay and vendor management | Included. | Available. Some plans. |
| Patient payments | Included. Ease Pay. | Available through QuickBooks Payments. |
| Entity formation and registered agent | Included. | Not offered. |
| Legal, contracts, and compliance | Included as a paid skill. | Not offered. |
| HR and team management | Included. | Add-on through QuickBooks Payroll Premium and Elite. |
| Tax filing | $1,000 to $2,500. Included in Full Service. | Through Intuit TurboTax. Separate product. |
| Starting price | $299/mo. $99/mo for first 3 months. | $35 to $235/mo depending on plan. |
| Human support included | Yes on $499 and above. | Phone and chat support. Bookkeeping is QuickBooks Live, separate fee. |
Who Should Pick What
Pick QuickBooks if...
You have an existing CPA and want to keep them.
Pick QuickBooks if you have an existing bookkeeper or CPA you trust who already works in QuickBooks, you want to keep your relationship with them, and you do not need a back office. QuickBooks is a strong general ledger with deep integrations and decades of accountant adoption. Nothing else matches it on those dimensions.
Pick Ease if…
You want the whole finance team, not just the ledger.
Pick Ease if you do not want to assemble a finance team around a ledger. The QuickBooks model assumes you will hire a bookkeeper, a CPA, a payroll provider, and a registered agent to sit around it. Ease is the finance team. One agent doing the work. No stack to manage. Clinical context built in.
Pricing Compared
What you actually pay
QuickBooks
$35 – $235/mo base
Free to use with no monthly fee. Transactions are 2.75% per charge across all major cards, including HSA and FSA. No setup, no contract.
Ease
$299/mo
Full platform and agent. $99/mo for the first 3 months for the first 250 verified clinicians. Ease Pay processing rates match Ivy's rates. Practices processing $10k+/mo see rates competitive with or below Ivy Pay's 2.75% flat.
Switching from QuickBooks in Three Simple Steps
Import your data.
Ease accepts QuickBooks Online and QuickBooks Desktop exports. Your chart of accounts, transactions, and historical books migrate in one step.Tell us what you stopped paying for.
Cancel QuickBooks Live, your payroll provider, and your bill pay tool. Ease replaces all of them.Onboard your CPA if you are keeping them.
If you want to keep your existing CPA for tax filing, Ease exports clean books in the formats they already use.
Frequently Asked Questions
Can my CPA still work with my books if I use Ease?
Yes. Ease exports to the formats CPAs already use, including QuickBooks Online files, P&L statements, and balance sheets.
Is Ease more expensive than QuickBooks?
Comparing apples to apples (QuickBooks plus payroll plus a bookkeeper plus a CPA), Ease is typically cheaper. Comparing QuickBooks Simple Start alone to Ease, QuickBooks is cheaper because it does less.
Will I lose features by leaving QuickBooks?
Not for clinical practices. Every feature most practices use (bank reconciliation, P&L, invoicing, expense categorization, reports for a CPA) is in Ease. Edge cases like inventory management and class tracking for non-clinical lines of business are limited.
Does Ease integrate with my bank?
Yes. Ease integrates with every major U.S. bank.