Who we are
Wert-Berater, Inc. has prepared independent feasibility studies for lenders, certified development companies, and federal agencies since 1998 — more than four thousand engagements representing $40.2 billion in evaluated project value across all fifty states and international assignments. Our fiduciary duty runs to the lender and the agency, never to the sponsor’s optimism: fees are fixed, quoted up front, never contingent on findings, and a determination is never changed under pressure.
What we do
ASC feasibility is case-volume arithmetic with a regulatory frame: the surgeons who will bring cases, the case mix they perform, the payer rates each case commands, and the licensure, certification, and (where applicable) certificate-of-need posture that gates the door. The study documents committed surgeon utilization — an ASC without signed surgeon commitments is an operating room searching for a reason — models case volume by specialty against credentialed capacity, and prices the case mix through Medicare ASC rates and commercial contracts rather than hospital benchmarks that do not transfer.
How we do it
Case modeling from surgeon-by-surgeon commitments and historical volumes, room-utilization mathematics — cases per operating room per day against staffed hours — payer-mix yield with the migration trend toward higher-acuity outpatient procedures documented, and a physician-ownership structure review against program eligibility rules.
How we can help you
Physician-owned centers fit SBA structures subject to ownership rules; joint-venture and system-affiliated centers route conventional; equipment-heavy buildouts suit 504 debenture economics. The firm's procedural-facility work connects to its broader clinical real-estate record, with surgeon-commitment evidence treated as the demand study it is.
How to engage us
Standard delivery is 10 to 15 business days from complete project data. Rush delivery for deals already in underwriting is accepted case by case for an additional fixed fee, quoted up front and committed in writing. Engagements are typically initiated by the borrower, with lender or CDC confirmation obtained before work begins — institutions differ, so confirm the procedure with your lending contact.