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# LBMC W Squared: LBMC W Squared offers outsourced accounting & finance services. As your CFO, we support accounting system software selection and strategic financial ...

## Sitemaps
[XML Sitemap](https://lbmcwsquared.com/sitemap_index.xml): Includes all crawlable and indexable pages.

## Posts
- [What to Look for When Choosing an Accounting Partner for Your Multi-Entity Healthcare Organization](https://lbmcwsquared.com/blog/accounting-partner-multi-entity-healthcare/): The LBMC W Squared team has been working with outsourced accounting for multi-location healthcare organisations for over 20 years. As Chris Morgan puts it: "We've been doing it for 20 years and nobody does it to the depth and breadth that we do it." That experience is the foundation for everything in this guide.
- [The Outsourced Accounting Questions Dental Practice Owners Are Too Busy to Ask](https://lbmcwsquared.com/blog/dental-accountant-practice-guide/): Finding the right dental accountant is one of those decisions most practice owners put off until something goes wrong. The tax return gets filed every year. The books stay more or less current. And then one day you want to know whether you can afford to hire another associate, or a buyer reaches out, or the practice just stops making as much sense financially as it used to. Suddenly the question is not whether you need better accounting support. It is how long you have been getting by without it.
- [What We See When a Medical Practice Has Outgrown Its Accounting Setup](https://lbmcwsquared.com/blog/medical-practice-outgrown-accounting/): Bookkeeping for medical practices is not a one-size-fits-all problem, and the moment it stops working is rarely obvious. What we see, over and over, is not a practice that waited until it had five locations before things went wrong. We see single-location practices that have not looked at their books in months, have no idea what their monthly burn rate is, and cannot answer a basic question: how much do we need to collect this month to be profitable?
- [Dental CPA Services: What Your Financial Team Should Cover as You Grow](https://lbmcwsquared.com/blog/dental-cpa-services/): When a dental practice owner starts asking about a dental CPA, the question behind the question is usually this: do I have the right financial team for where my practice is going? It is a fair question, and the answer is rarely about credentials. It is about scope.
- [Cash Based or Accrual Accounting in Healthcare – Which is Best?](https://lbmcwsquared.com/blog/accrual-accounting-healthcare/): Accrual accounting in healthcare is not a compliance checkbox or an accounting preference. It is the difference between knowing what your practice is actually doing financially and making decisions based on a number that has almost nothing to do with your real performance. If your books are on cash basis, your monthly financials are telling you when money moved through your bank account. They are not telling you when your practice earned it. For a healthcare business where claims are submitted, adjudicated by payers, and collected weeks or months after the service was delivered, that distinction is enormous.
- [What Healthcare Practices Get Wrong About Accounts Receivable](https://lbmcwsquared.com/blog/healthcare-accounts-receivable/): Healthcare accounts receivable is one of those things that looks manageable until someone actually looks at it. Most practice administrators and physician-owners know the AR balance is sitting somewhere in their accounting system. What they do not know is whether that number is accurate, whether it reflects what the practice will actually collect, or why the cash position never quite matches what the income statement suggests. The short answer: because most healthcare practices are recording AR incorrectly, and the problem is almost never in billing.
- [How to Outsource Your Healthcare Practice Accounting Without Disrupting Operations Mid-Year](https://lbmcwsquared.com/blog/outsource-accounting-services-healthcare/): Knowing how to outsource accounting services is one thing. Knowing how to do it mid-year, across multiple physician entities, without creating a reporting gap that sends your managing partner looking for someone to blame: that is a different question entirely. Most practice administrators already know their current setup is not working. The month-end close finishes on the 22nd. The consolidated P&L does not exist. The bookkeeper cannot explain insurance AR. None of that is news. What keeps Marcus from picking up the phone is not the problem. It is the transition.
- [How to Read Healthcare Practice Financials Yourself](https://lbmcwsquared.com/blog/how-to-read-healthcare-practice-financials/): The importance of accounting in healthcare hits hardest the moment you are sitting in front of a monthly report and cannot tell whether your business is actually healthy or just busy. Most practice owners in that position do the same thing: they call their accountant and ask for an explanation. The accountant walks them through it. And the next month, the same call happens again.
- [Your Per-Location P&L Is the Most Important Report You’re Probably Not Getting](https://lbmcwsquared.com/blog/per-location-pl-healthcare-management/): Effective financial management in healthcare starts with one question: do you know which of your locations is actually making money? Not the group in total. Not the consolidated number your accountant sends over three weeks after month-end. Each site, individually, with its own revenue, its own costs, and its own profitability picture.
- [The Real Cost of Delayed Financial Reporting in Multi-Location Healthcare Practices](https://lbmcwsquared.com/blog/medical-practice-financial-management/): Sound medical practice financial management means knowing your numbers when they matter, not three weeks after the fact. Yet for most practice administrators managing two, three, or four locations, the monthly financial close is a recurring source of frustration: numbers that arrive late, roll-ups built in spreadsheets nobody fully trusts, and physician-owners asking questions that cannot be answered cleanly.
- [Why Financial Accounting Outsourcing Gives Growing Organizations Room to Scale](https://lbmcwsquared.com/blog/financial-accounting-outsourcing/): This is why many mid-market organisations turn to financial accounting outsourcing. Rather than adding isolated resources, they gain access to an experienced accounting team capable of managing financial operations, improving reporting, and building scalable processes that grow alongside the business. Learn more about our Outsourced Accounting Services.
- [What Sets the Best Outsourced Accounting Companies Apart From the Rest](https://lbmcwsquared.com/blog/outsourced-accounting-companies/): Many organisations initially outsource accounting to gain additional capacity. However, the best outsourced accounting companies deliver far more than administrative support. They provide an experienced accounting department capable of managing financial operations with the accuracy, structure, and consistency growing businesses require.
- [Why Fractional Accounting Services Fall Short Without A Fully Outsourced Accounting Team](https://lbmcwsquared.com/blog/fractional-accounting-services/): For many mid-market healthcare organizations and growth-stage SaaS companies, the transition from basic bookkeeping to sophisticated financial management is a period of significant friction. As operational complexity increases, leadership teams often seek professional intervention to stabilize their numbers. Often, the first instinct is to search for fractional accounting services to fill a specific gap in the org chart. However, as these organizations scale, particularly those managing multi-entity structures or preparing for an audit, they quickly discover that a single part-time expert cannot replace the institutional stability of a dedicated, cohesive department.
- [What Professional Outsourced Accounting Services Look Like In Complex Healthcare Organizations](https://lbmcwsquared.com/blog/professional-outsourced-accounting-services/): The landscape of modern healthcare is shifting from independent, single-provider models toward sophisticated, multi-location practices and specialty groups. As these organizations scale, the administrative burden of managing financial operations often outpaces the capabilities of internal staff. To maintain clinical excellence while ensuring financial integrity, many leadership teams are turning to professional outsourced accounting services to bridge the gap between basic bookkeeping and high-level strategic management. This evolution is not merely about offloading tasks; it is about installing a senior, expertise-led financial engine that can handle the specific operational demands of the medical field.
- [The Outsourcing Of Accounting Services Only Works When It’s Built As A Team, Not A Patchwork](https://lbmcwsquared.com/blog/outsourcing-of-accounting-services/): You have likely reached a point where your internal financial processes feel strained, especially if you are navigating the rapid expansion of a multi-location healthcare practice or a growth-stage SaaS company. Perhaps your month-end close is dragging into the third week of the following month, or your multi-entity structure has created a tangled web of intercompany transfers that no one seems to fully own. When complexity scales, the traditional response is to plug holes with individual contractors or entry-level hires; however, the outsourcing of accounting services only delivers true operational excellence when it is approached as a cohesive, integrated team model rather than a collection of disconnected tasks. If you are managing an organization that has outgrown basic bookkeeping, you do not need another vendor; you need a strategic department that functions as a seamless extension of your leadership.
- [Why Accounting Services For Medical Practices Fail Once You Add Locations, Entities, Or Scale](https://lbmcwsquared.com/blog/accounting-services-for-medical-practices/): The reality is that traditional accounting services for medical practices often hit a functional ceiling when complexity enters the equation. When you move beyond basic cash-flow management into the world of intercompany transfers, centralized AP/AR, and multi-location consolidation, a standard bookkeeper is no longer enough. You need a senior, expertise-led team that understands how to build audit-ready financial operations. If you want to understand more about our philosophy on this, you can read more About Us and how we approach these challenges.
- [Accounting In The Healthcare Industry Breaks Down Faster Than Most Teams Expect](https://lbmcwsquared.com/blog/accounting-in-healthcare-industry/): You may have noticed that as your medical practice or specialty group expands, your financial clarity begins to dim. In the early stages, a simple spreadsheet or a part-time bookkeeper might have sufficed, but accounting in healthcare industry structures faces unique pressures that general business models simply don't encounter. When you are balancing patient care with the heavy operational demands of multi-entity management, your back office is often the first thing to fracture under the weight of complexity. If you are feeling the strain of delayed reports or messy intercompany transfers, you are witnessing the exact moment where traditional bookkeeping fails and professional, team-based financial operations must take over.
- [Accounting For The Healthcare Industry Isn’t Built For Complexity. Here’s How It Breaks.](https://lbmcwsquared.com/blog/accounting-for-healthcare-industry/): You likely started your medical group or specialty clinic with a clear mission: providing exceptional patient care while maintaining a healthy bottom line. However, as you scale from a single office to a multi-location enterprise, your back office often hits a wall. The truth is that the standard accounting for healthcare industry remains stuck in a small-business mindset that cannot support the weight of your modern operational demands. When you are managing dozens of providers across multiple tax IDs, the basic spreadsheets and entry-level bookkeeping tactics that got you here will eventually cause your entire system to fracture.
- [How Outsourcing Accounting and Finance Can Drive Growth for SMBs](https://lbmcwsquared.com/blog/how-outsourcing-accounting-can-drive-growth-for-smbs/): For small and mid-sized businesses (SMBs), growth often comes with complexity. As revenue increases, so do financial transactions, compliance requirements, and reporting obligations. Managing these demands internally can strain resources and distract leadership from strategic priorities. That’s where outsourcing finance and accounting becomes a game-changer.
- [Is Your Business Lacking Financial Support and Leadership?](https://lbmcwsquared.com/blog/is-your-business-lacking-financial-support-and-leadership/): Every successful business reaches a crossroads where growth demands more sophisticated financial oversight. If you’re noticing gaps in financial reporting, struggling with cash flow management, or finding yourself overwhelmed by accounting complexities, your company may be experiencing a critical shortage of financial leadership. The question isn’t whether you need this expertise; it’s how to acquire it most effectively.
- [Drowning in Back-Office Tasks? Here’s How to Reclaim Your Focus on Growth](https://lbmcwsquared.com/blog/back-office-tasks-outsourced-accounting/): Many business leaders underestimate the specialized skills required for these functions. What seems like a simple accounting task often requires deep expertise in financial systems, regulations, and best practices.
- [What Is FaaS or CAS? And Why Does It Have a Place in Your Business?](https://lbmcwsquared.com/blog/what-is-faas-cas/): In today’s fast-paced business environment, agility and efficiency are more important than ever. That’s why many companies, especially small to mid-sized businesses, are turning to outsourced solutions to streamline operations and focus on growth. One area seeing significant transformation is accounting, thanks to models like Finance as a Service (FaaS) and Client Accounting Services (CAS).
- [Are You Getting the Most from Your Accounting Team?](https://lbmcwsquared.com/blog/are-you-getting-the-most-from-your-accounting-team/): Running a successful business requires more than just great products or services but also financial clarity, strategic planning, and detailed record-keeping. Yet many business owners find themselves asking whether their current accounting setup is truly delivering the insights and support they need to drive growth and make informed decisions.
- [How Paystand is Revolutionizing B2B Payments for the Future](https://lbmcwsquared.com/blog/paystand-revolutionizing-b2b-payments/): Every year, trillions of dollars flow between businesses worldwide. In 2024 alone, B2B transactions are projected to exceed $83 trillion, with estimates reaching $124 trillion by 2028. Yet, despite this vast scale, many businesses still depend on slow, manual, and costly payment processing, which leads to inefficiencies and cash flow issues. Why, in an age of automation and digital transformation, are B2B payments still lagging?
- [Four Key Considerations for the Future of Healthcare Financial Management](https://lbmcwsquared.com/blog/healthcare-financial-management/): Similarly, automating manual reporting processes, across the board, are essential to enhancing visibility and performance. According to the Sage research, an overwhelming 95% of healthcare CFO’s believe that “more finance processes in (their) organization could be automated to improve efficiencies.”
- [Is it Time to Upgrade from QuickBooks?](https://lbmcwsquared.com/blog/is-it-time-to-upgrade-from-quickbooks/): While QuickBooks is a great bookkeeping solution for small, order-centric businesses, SaaS companies with various billing models and recurring revenue often experience growing pains as invoice and revenue schedules increase.
- [Financial Consolidations for Multi-Entity Healthcare Organizations](https://lbmcwsquared.com/blog/financial-healthcare-organizations/): Unfortunately, as any healthcare CFO can tell you, even with excellent communication, process, and structure, this multistage consolidation process is time-consuming and error-prone. In a study by Financial Executives Research Foundation and Robert Half, 58% of companies manually reconcile accounts. The 2017 Benchmarking the Accounting and Finance Function report revealed that only 22% of companies in the US use software to reconcile accounts.
- [5 Steps to Drive Your Company from Early to Growth Stage](https://lbmcwsquared.com/blog/saas-finance-leaders/): By implementing these five steps, you’ll be well-positioned to prove your recurring revenue model and drive your company’s growth to the next stage. Let LBMC W Squared and Sage Intacct help you achieve your goals. Contact us today at https://lbmcwsquared.com/services/outsourced-finance-and-accounting-services/.
- [Ways Outsourced Accounting Can Benefit Your Business](https://lbmcwsquared.com/blog/ways-outsourced-accounting-can-benefit-your-business/): If you’re looking to enhance your financial management, outsourcing your accounting services can be a valuable solution. According to Clutch research data, 37% of small businesses in the US outsource finance and accounting.

## Pages
- [Podcasts](https://lbmcwsquared.com/podcasts/): Podcasts
- [FAQs](https://lbmcwsquared.com/faqs/): Answers to the questions we get asked most about outsourced accounting, from what it actually involves to what it costs and how quickly you can be up and running. If your question is not here, ask us directly.
- [Terms Of Service](https://lbmcwsquared.com/terms-of-service/): At LBMC W Squared, you may receive SMS messages related to updates, reminders, and other notifications based on your interactions and opt-in preferences with us.
- [Blogs](https://lbmcwsquared.com/blogs/): Blogs Connect With Us
- [Month End Close Cost Calculator](https://lbmcwsquared.com/lm/month-end-close-cost-calculator/): A slow or inconsistent close does more than delay reporting. It impacts visibility, increases risk, and pulls time away from your team every month.
- [Case Study – Decode Health Federal](https://lbmcwsquared.com/case-studies/case-study-decode-health-federal/): Hear firsthand how LBMC W Squared helped this client navigate the complexities of federal contract reporting and compliance. Our client shares how our team’s expertise, proactive approach, and willingness to tackle new challenges made federal contract management seamless. Learn about our collaborative model that has become a blueprint for effective business-accounting partnerships.
- [Case Study – Hatch](https://lbmcwsquared.com/case-studies/hatch-case-study/): As a startup, Hatch lacked the internal finance and accounting bandwidth to effectively support their strategic planning and growth. What they needed was a finance and accounting partner that could quickly adapt to their evolving needs across areas like pricing strategy, collections, payroll, and strategic planning. Check out Hatch’s full customer story to learn more.
- [Case Study – Decode Health](https://lbmcwsquared.com/case-studies/decode-health-case-study/): Healthcare, Private Equity, Professional Services, SaaS
- [Work With Us](https://lbmcwsquared.com/work-with-us/): Are you ready to bring your accounting skills to a workplace where people matter, flexibility is real, and growth is not just a buzzword? At LBMC W Squared, we’re not just crunching numbers—we’re building relationships, solving problems, and empowering businesses to succeed. Our team is at the heart of everything we do, and we’re always looking for dynamic, driven professionals to join us. Whether you’re a seasoned accounting pro or just getting started, LBMC W Squared is the place to take your career to new heights.
- [Fufild Partner Case Study](https://lbmcwsquared.com/case-studies/fufild-partner-case-study/): Professional Services
- [Case Studies](https://lbmcwsquared.com/case-studies/): From Bookkeeping to Business Transformation: A Client Success Story We’re excited to share how LBMC W Squared helped Fufild, a Nashville-based company, scale their operations
- [Resources](https://lbmcwsquared.com/resources/): Use our Month-End Close Cost Calculator to understand how delays, manual workarounds, and unclear ownership impact your reporting cycle. In a few minutes, you will see where your accounting structure may be creating risk and what a stabilized close should look like.
- [SaaS Industry](https://lbmcwsquared.com/industries/saas-accounting-services/): W Squared delivers SaaS accounting services through a fully outsourced accounting department led by experienced SaaS accountants. You gain reliable close cycles, accurate reporting, and structured accounting for SaaS without building the team internally.
- [Healthcare Industry](https://lbmcwsquared.com/industries/healthcare/): Plenty of firms take on healthcare clients. Very few are healthcare experts.
- [Industry Parent Page](https://lbmcwsquared.com/industries/): LBMC W Squared is an outsourced accounting firm for complex healthcare and SaaS organizations nationwide. We support consistent reporting and operational clarity for businesses facing regulatory oversight, investor pressure, or multi-entity complexity.
- [Michael Smith](https://lbmcwsquared.com/why-lbmc-w-squared/michael-smith/): Michael Smith serves as Vice President of Systems and Implementations at LBMC W Squared, where he leads the firm’s accounting systems strategy and oversees client implementations. Since joining W Squared in 2006, Michael has been instrumental in helping clients successfully transition, scale, and optimize their financial operations through thoughtful system design and execution.
- [Mandy Kennedy](https://lbmcwsquared.com/why-lbmc-w-squared/mandy-kennedy/): Mandy Kennedy serves as Vice President of Operations at LBMC W Squared, where she leads the firm’s operational strategy and execution across accounting, client management, marketing, and human resources. Since joining W Squared in 2013, Mandy has played a pivotal role in shaping the organization’s people-first culture while driving operational excellence and scalable growth.
- [Chris Morgan](https://lbmcwsquared.com/why-lbmc-w-squared/chris-morgan/): Chris Morgan serves as Chief Executive Officer of LBMC W Squared, bringing nearly two decades of experience within the organization and a deep understanding of its clients, people, and operations. Since joining W Squared in 2006 as one of its first staff accountants, Chris has played an integral role in the company’s evolution and long-term success.
- [Meet The Team](https://lbmcwsquared.com/meet-the-team/): You work with a coordinated accounting department, not a single hire. A 40+ person team delivering structured, reliable financial oversight for complex organizations.
- [About Us](https://lbmcwsquared.com/why-lbmc-w-squared/): From our Brentwood headquarters in the Greater Nashville area, we deliver nationwide accounting & financial services through a fully integrated outsourced accounting department built for healthcare and growth-focused companies.
- [Discovery Call](https://lbmcwsquared.com/discovery-call/): Connect with W Squared to discuss your accounting operations, reporting challenges, and growth plans, and get clear direction from a team built to support complex organizations.
- [Contact Us](https://lbmcwsquared.com/contact/): Connect with W Squared to discuss accounting and advisory services designed for complex organizations that need reliable close, accurate reporting, and scalable financial operations.
- [Outsourced Finance and Accounting Services](https://lbmcwsquared.com/services/outsourced-finance-and-accounting-services/): We deliver outsourced finance and accounting services through one integrated team responsible for daily operations, close, reporting, and oversight. You gain the structure of a full accounting department without building it internally.
- [Full Service Accounting](https://lbmcwsquared.com/services/): As your organization expands, managing increasingly complex accounting with more entities and reporting requirements strains internal resources. Outsourcing doesn't fix structural weaknesses. W Squared provides integrated, full-service accounting for daily operations, close, reporting, and oversight through a single team.
- [Home](https://lbmcwsquared.com/): Our outsourced accounting services are built around your organization resulting in a scalable foundation that supports stability, compliance, and your long-term growth.
- [Privacy Policy](https://lbmcwsquared.com/privacy-policy/): LBMC W Squared understands that your privacy is important to you. This notice outlines how your Personal Information will be protected. By using the services of LBMC W Squared or visiting its website you agree to the terms of this Privacy Policy. If you do not agree to use your Personal Information as outlined, call us or write to https://lbmcwsquared.com/