Med Spa & Healthcare Bookkeeping and Advisory
Your schedule is full. So why does it feel like you’re barely covering overhead?
Get your books off your plate, know exactly what you're making, and walk into tax season calm. You'll never have to learn QuickBooks!
Sound familiar?
You're great at what you do. The numbers are a different story.
"I get overwhelmed every time I open QuickBooks."
"I've been putting off the books for months."
"Tax season stresses me out every single year."
"I don't know what I can afford, and it gives me anxiety."
You're seeing patients all day, then trying to figure out your finances at night. Y'all deserve better than that!
What changes when I take the books off your plate
You never have to learn QuickBooks. I handle the books. You answer a few quick questions, usually about 15 minutes a week.
Tax season gets calm. Your tax pro gets clean, tax ready books, and your sales tax and 1099 deadlines are on my radar, not yours.
You feel organized. Your books are caught up every month, and you're not digging through receipts at 10pm.
Less overwhelm, more clarity. You'll know what you made, what you can spend and which services actually make you money.
Someone in your corner. A client portal for questions anytime, plus a monthly strategy call when you're ready to grow.
Three ways I can help
Growth Advisory
Monthly bookkeeping plus a strategy call every month, so you know which services make money and how to grow. Most popular for growing med spas. See Growth Advisory
Bookkeeping Cleanup
Behind on your books? I'll get you caught up and tax ready in 4 to 6 weeks, no judgment. See Cleanup
Monthly Bookkeeping
Your books reconciled and closed every month, with reports, sales tax filing and a client portal for questions. See Monthly Bookkeeping
Why owners choose me
I've worked in healthcare. I was a floor nurse and nurse practitioner, so I already speak your language: providers, patients and appointments.
I know med spa books. Boulevard and Jane deposits, retail sales tax, merchant fees and product rebates.
Plain English, no jargon. I explain what your numbers mean, not just what happened.
You work with me directly. Not a call center, not a rotating team.
Real results
What I've found and fixed in real client books.
A med spa owner: on October 1 she had no idea what she was making, spending, or if she was profitable. After her cleanup, she knows her most profitable service and exactly what she needs to make to break even.
A client who didn't know sales tax was due monthly: about $1,200 in penalties and fees. I file it on time for them now!
John, landscaping company: $9,000 in mismatched deposits fixed and a 50% gross margin he can actually see.
Cassie, service business owner: her P&L was holding up her taxes. Now she feels "relieved and way less stressed."
I’m Jessie.
Hey!
I'm the bookkeeper who explains it, so you finally understand your numbers.
Before bookkeeping, I spent years as a floor nurse and nurse practitioner, including time in oncology, the ER and two vein clinics. When a med spa or practice owner talks about providers, patients and appointments, I already speak the language!
I'm also a homeschool mom of four, and I build my business around my life, not my life around my business. Paying close attention to my own profit margins added about $9,000 in profit to my business this year. I want that same clarity for y'all.
Board Certified Nurse Practitioner · Boulevard and Jane App experience · Sales tax filing included · Fathom reporting
Who I work with
Med spas and aesthetic practices, especially nurse and NP injectors
Therapy practices
Physical, occupational and speech therapy practices
Psych and telehealth NPs
Not in healthcare? I still work with service based business owners too.
Which of your services actually makes you money?
The free Service Profit Calculator shows you the real profit on each service after your time, products and overhead.
I was lost and feeling overwhelmed. Jessica was kind, easy to work with, knowledgeable, and patient with my many questions. I would highly recommend Jessica for any of your QBO or accounting needs!
— Emily
Questions
Do I need to learn QuickBooks?
Nope! I handle the books. You'll answer a few quick questions through your client portal.
Do you work with businesses outside South Carolina?
Yes! I work with clients virtually, so location doesn't matter.
Does Boulevard connect to QuickBooks?
Not directly. I record your deposits and match your Boulevard reports to QuickBooks every month so your sales and books line up.
Do you do taxes?
No. I work alongside your tax pro and hand them clean, tax ready books so tax season is easier on everyone.
How much does it cost?
Monthly bookkeeping starts at $497/month and Growth Advisory starts at $1,697/month. Cleanups depend on how far behind you are. You'll get your exact price on our call.
Ready to feel organized and actually know your numbers?
Book your free 30 minute call. We'll pull up your QuickBooks together and you'll walk away with a clear next step and a price.
If you want 2026 clean for your tax preparer and your 1099s out by January 31, the work has to start before December closes.
R
E
A
D
M
O
R
E
Let’s Be Friends!
