“Without Them, We Wouldn't Have Grown This Fast”

When accounting is fragmented, risk builds quietly. W Squared delivers structure, clarity, and reliability to organizations that cannot afford financial uncertainty.

For over 20 years, our teams have been the complete outsourced accounting department behind 1,000+ growing organizations.

5 +

Years

20 +

Person Team

900 +

Organizations

Healthcare Accounting Experts

Audit-Ready Financials

You Won’t Find Anyone Better At This

Trusted by healthcare organizations, SaaS companies, and PE-backed businesses managing single or multiple locations and entities – we deliver best practice accounting systems, financial clarity and reliability, every time.

      EXCELLENT  
   Based on 10 reviews 
    
 
 
 
   
 
 
       Posted on Google  
   
   andy smith 
 
 
 
 Trustindex verifies that the original source of the review is Google. W Squared has been a wonderful partner. I have been impressed with the entire W Squared team, including their professionalism, can-do-spirit and responsiveness. Recommend W Squared highly.
  
 
      Posted on Google  
   
   Rick Jacques 
 
 
 
 Trustindex verifies that the original source of the review is Google. We've worked with W2 for five years now, and they have been great. Very responsive, available, quickly familiar with our company, all in all great folks. Couldn't recommend them highly enough.
  
 
      Posted on Google  
   
   KJ Harden 
 
 
 
 Trustindex verifies that the original source of the review is Google. Very professional and experts in their field. I am glad our company chose LBMC W Squared as our accounting partner!
  
 
      Posted on Google  
   
   David Manning 
 
 
 
 Trustindex verifies that the original source of the review is Google. We have worked with LBMC W Squared for 3.5 years and have had a great experience with the entire team.  The professionalism and ability to help our organization as we have scaled has been immensely important to our success.  Without LBMC W Squared's support we wouldn't been able to achieve our goals nor grow as quickly as we have.  They have been able to troubleshoot and customize their process to meet our needs and the uniqueness of our industry.  Could not recommend them more.
  
 
      Posted on Google  
   
   Michael Farrell 
 
 
 
 Trustindex verifies that the original source of the review is Google. I have engaged the W Squared team to provide outsourced accounting support for three separate companies.  I have found the team to be highly qualified, responsive and cost effective and wouldn't hesitate to recommend the LBMC team for outsourced accounting support.
  
 
      Posted on Google  
   
   Adam Salvador 
 
 
 
 Trustindex verifies that the original source of the review is Google. Professional, reliable, and knowledgeable. LBMC W Squared provided exceptional service, addressing all our financial needs with precision and clarity. Highly recommend!
  
 
      Posted on Google  
   
   Conrad Pendergast 
 
 
 
 Trustindex verifies that the original source of the review is Google. The LBMC/W2 team has helped our business improve our accounting and payables processes, setting us up with a foundation to grow. Jonathan, Sam, and Ashley have all been a pleasure to work with.
  
 
      Posted on Google  
   
   Irena Snider 
 
 
 
 Trustindex verifies that the original source of the review is Google. LBMC W Squared has been an incredible partner to work with as the company's outsourced accounting function.  LBMC implemented best in class processes and procedures, and implemented new systems and technology that have significantly improved timeliness and accuracy. They have customized the reporting based on the needs of the business and have been flexible to adapt when needs have changed.  The team is very knowledgeable and true professionals in every aspect, I highly recommend working with LBMC W Squared.
  
 
      Posted on Google  
   
   Paige Tabor 
 
 
 
 Trustindex verifies that the original source of the review is Google. LBMC W Squared is the team I trust for business accounting!  After a change in jobs, I actively sought out the opportunity to work with LBMC W Squared again.  They understand my business, they help me learn key elements of business management, and they are there for me when I need them most.  I'm so glad to be working with LBMC W Squared again!
  
 
      Posted on Google  
   
   Melissa Smithson 
 
 
 
 Trustindex verifies that the original source of the review is Google. W Squared has been a great partner with our distributor business in helping us with Microsoft CRM customization, reports, and help desk support, as well implementation of the Inventory component of Microsoft Great Plains!  Very customer focused and seem to be experts in each of these fields.  I would recommend W Squared to any business!

Your One Outsourced Accounting Department. Everything Included.

We integrate a dedicated team into your business to manage the full accounting function, end to end.

Our outsourced accounting services are built around your organization resulting in a scalable foundation that supports stability, compliance, and your long-term growth.

Your Complexity Isn't The Problem.
Your Accounting Setup Is.

30min call. Tell us where you need support.

Who We Work With

Clients consistently choose us for the same reason: fragmented accounting breaks under scale.

W Squared brings over 20 years of deep industry knowledge across healthcare accounting, SaaS, and other complex operating models, into your business.

Designed for Multi-Entity Complexity

Many business owners work hard each month but still wonder why profits seem low. We help you track costs, uncover opportunities, and set your business on a clear path to better profitability.

One Team. One Engagement.

You are not managing vendors or selecting add-ons. Everything is delivered through one integrated accounting team.

Audit-Ready by Design

Our processes, documentation, and reporting are built to stand up to audits, lenders, and investors.

Experienced Oversight

Controller and CFO-level support is embedded into your engagement as your organization needs it.

You Get Best-In-Class Expertize

W Squared is led by senior accounting professionals with deep experience supporting healthcare organizations, growth-stage companies, and multi-entity businesses operating under audit, investor, or compliance pressure.

Our leadership sets the standards for accuracy, structure, and accountability across every engagement, ensuring your accounting operations hold up as complexity increases.

What Is Your Month-End Close Really Costing You?

See how much time, internal effort, and risk your current month end close is creating inside your organization.

This framework applies to any multi-entity business struggling with slow or unreliable closes.

How We Work With Your Organization

We focus on aligning the right people, structured processes, and the systems that support accurate, reliable accounting.

People | Processes | Systems

Discovery Call

We learn how your organization is structured, what industry pressures you face, and where accounting is breaking down.

Structured Onboarding

Systems are connected, entities are mapped, and responsibilities are clearly defined.

Stabilized Operations

Month-end close, reporting, and daily workflows are standardized and fully owned by your team.

Ongoing Reporting & Support

You receive consistent financials, clear insights, and proactive support as your organization evolves.

We work within modern accounting and spend management platforms to give you accurate, real-time visibility across your organization.

Get The Support You Need To Grow

Tell us about your organization and where accounting support is falling short.

Serving Organizations Nationwide From Tennessee

W Squared is headquartered in Brentwood, Tennessee and serves organizations across the Greater Nashville area and nationwide.

LBMC W Squared Office Location:
3 Maryland Farms, Suite 150
Brentwood, TN 37027

Office Hours: 8 a.m. – 5 p.m. Monday-Friday

Industries We Support

Our outsourced accounting services support organizations with complex structures, regulatory pressure, and growing reporting demands. While healthcare is our primary focus, we also work with other businesses facing similar operational challenges.

Healthcare

SaaS

Private Equity Portfolio Companies

Multi-Entity & Multi-Location Businesses

Get Control Of Your Accounting Operations

FAQ's

What types of organizations do you work with?

We primarily support healthcare organizations with complex structures, as well as select growth-stage SaaS and multi-entity businesses.

Do you offer outsourced accounting services on an ongoing basis?

Yes. Our engagements are ongoing and designed to fully own your accounting operations.

Is this a replacement for an internal accounting team?

In many cases, yes. We function as your accounting department or work alongside internal staff where appropriate.

Do you provide tax or audit services?

No. We do not provide tax or audit services, but we support tax and audit preparation through accurate, audit-ready financials.

How do we get started?

Book a discovery call. We will review your needs and outline next steps clearly.

Blogs

$fractional-accounting-team-healthcare-practice-structure$

What Healthcare Financial Management Means at the Practice Level

October 14, 2026

Healthcare financial management, at the practice group level, refers to the full accounting function that keeps a multi-location or multi-entity practice running with accurate, timely, and actionable financial information. It covers everything from day-to-day transaction recording and month-end close to consolidated reporting across entities, per-location profitability, internal controls, and the

What a High Number of Days in AR Tells You About Your Medical Practice

October 12, 2026

One of the key metrics that you should be tracking in medical practice accounts receivable is your ‘Days in A/R number.’ But what is it and what does it tell you about your financial health? Your Days in AR number might be 48 days. Maybe its 72. Someone says it

nashville-healthcare-practice-accounting-gap

What Should Your Books Record When it Comes to Medical Revenue Cycle Accounting?

October 9, 2026

Most practice administrators and physician-owners think of medical revenue cycle management purely as a billing problem, but it’s not – it’s also an accounting issue. Your billing team is focused on submitting claims and collecting payments. Your accounting function has a separate, equally important job: recording what that billing cycle

“Without Them, We Wouldn't Have Grown This Fast”

You Won’t Find Anyone Better At This

Your One Outsourced Accounting Department. Everything Included.

Day-to-Day Accounting Operations

Month-End Close & General Ledger Management

AP, AR, and Cash Management

Financial Reporting & Audit-Ready Financials

Your Complexity Isn't The Problem.
Your Accounting Setup Is.

Who We Work With

You Get Best-In-Class Expertize

What Is Your Month-End Close Really Costing You?