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
Dialysis feasibility is census-driven and demographically anchored: end-stage renal disease prevalence in the service area, the nephrology referral base that directs patients, and station capacity arithmetic against treatment schedules. The study sizes the patient census from prevalence data and the local nephrology landscape, models station utilization across shifts, and prices treatments through the payer reality the category lives with — Medicare's bundled rate dominating volume while commercial patients carry the margin, a mix the pro forma must state explicitly rather than blend.
How we do it
Census modeling from ESRD prevalence and referral analysis, station-capacity mathematics — patients per station across treatment shifts — payer-mix yield with the commercial share's outsized margin contribution quantified, and staffing builds at the nurse-and-technician ratios the modality requires.
How we can help you
Independent and physician-affiliated centers fit SBA structures; the specialized buildout — water treatment, medical gas, generator — takes special-purpose treatment in collateral analysis across all programs. The firm's clinical-facility practice supplies the specialized-infrastructure costing — water systems and redundancy engineering — the modality demands.
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.