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.
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.
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.
Accurate transaction processing, reconciliations, and ongoing oversight handled consistently across your organization.
Reliable, on-time close with accrual-based accounting and structured general ledgers.
Clear visibility into payables, receivables, and cash flow across entities and locations.
Clean financial statements, consolidation support, and documentation built for audits, lenders, and investors.
30min call. Tell us where you need support.
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.
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.
You are not managing vendors or selecting add-ons. Everything is delivered through one integrated accounting team.
Our processes, documentation, and reporting are built to stand up to audits, lenders, and investors.
Controller and CFO-level support is embedded into your engagement as your organization needs it.
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.
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.
We focus on aligning the right people, structured processes, and the systems that support accurate, reliable accounting.
People | Processes | Systems
We learn how your organization is structured, what industry pressures you face, and where accounting is breaking down.
Systems are connected, entities are mapped, and responsibilities are clearly defined.
Month-end close, reporting, and daily workflows are standardized and fully owned by your team.
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.
Tell us about your organization and where accounting support is falling short.
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
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.
We primarily support healthcare organizations with complex structures, as well as select growth-stage SaaS and multi-entity businesses.
Yes. Our engagements are ongoing and designed to fully own your accounting operations.
In many cases, yes. We function as your accounting department or work alongside internal staff where appropriate.
No. We do not provide tax or audit services, but we support tax and audit preparation through accurate, audit-ready financials.
Book a discovery call. We will review your needs and outline next steps clearly.
Medical practice accounting at a single location is manageable. One entity, one bank account, one payroll run, one P&L. Most practices handle it with a part-time bookkeeper and a tax firm that checks in at year end. That setup can work, until you want to scale. The moment a second
Multi entity accounting is one of those things that looks manageable on a spreadsheet until the month you realise it isn’t, and by then the close is already three weeks late. We see this constantly across growing healthcare groups. A practice that started with one location builds a perfectly reasonable
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
