Take bookkeeping out of your evenings
Let us handle transaction categorization and the routine work of keeping the practice’s books current.
Business bookkeeping for solo therapists and growing counseling practices. Keep track of income, expenses and profit with an accountant you can ask for help.
See the whole picture.
Business finances only. No patient information needed.
Real accountants on your books
Migration included
Scope and price agreed up front
Let us handle transaction categorization and the routine work of keeping the practice’s books current.
Review income alongside clinician costs, rent and other expenses in straightforward financial reports.
Bring business bookkeeping questions to a real accountant who has your books. Complex work is scoped with you.
Keep ongoing bookkeeping and optional business tax filing connected, with the work and price agreed up front.
Get to know the people who would handle your books before you make a decision.
Enter your email and choose a time. On the call, tell Jacob about your business and current books.
We confirm the ongoing work, the handoff and any catch-up you need. You review the scope before agreeing.
Once you engage us, we coordinate the migration and begin the agreed work, with an accountant on the account.
Ongoing bookkeeping starts at $200/month. Your business size determines the plan. Business tax filing is optional, from $1,499/year.
Essential · $200/month. Under $250K in annual revenue.
Growth · $500/month. $250K to $1M in annual revenue.
Scale · Custom priced. Above $1M in annual revenue. Scoped with you on a call.
Financial account count does not change either flat plan. Historical cleanup and additional work are quoted separately.

I’m Jacob, Median’s co-founder. I work directly with business owners to understand what they need from their books and make sure the service fits.
We’ll talk through your current setup, what you want handled and how a handoff could work. You’ll have a chance to ask questions before deciding anything.
Jacob SheldonCo-founder, Median
Talk with JacobBoth can discuss their needs with us. We review your practice size, accounts and bookkeeping setup before recommending a scope.
No. This is business bookkeeping and optional business tax filing. Insurance claims, billing and revenue-cycle management are outside the service. Please do not share patient information.
You’ll speak with Jacob, Median’s co-founder, for 20 minutes about your business, the state of your books and what you want handled. We discuss fit and the next steps. You do not need to upload financial records or pay to book.
We review the historical work before you start. Migration is included with ongoing bookkeeping. Catch-up and cleanup work are separately quoted, so you can decide with the full scope in front of you.
Yes. A real accountant reviews the bookkeeping work and answers questions on business days. Complex questions and additional work follow an agreed scope and timeline.
Start with a free 20-minute conversation about your business.
Talk with Jacob