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
Inpatient hospice houses and palliative-care facilities are census businesses with a defined reimbursement frame: the Medicare hospice benefit dominates payment, level-of-care rules govern what inpatient days the benefit covers, and the census flows from the sponsoring agency's home-hospice population and community referral relationships. The study sizes demand from mortality and hospice-utilization data in the service area, models the inpatient census the sponsoring agency's caseload can actually support, and tests the facility's economics at the benefit's rates with the general-inpatient and respite criteria applied honestly.
How we do it
Census modeling from service-area mortality, hospice penetration, and the sponsor's caseload, payer modeling at Medicare hospice rates by level of care, staffing at the clinical ratios inpatient hospice requires, and philanthropy treated as documented support rather than assumed subsidy.
How we can help you
Nonprofit sponsors reach USDA Community Facilities and philanthropic-leveraged conventional structures; the sponsoring agency's operating history is the core credit fact. The engagement extends the firm's community-facility and senior-care record into end-of-life care's specific reimbursement architecture.
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.