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
Hospital feasibility — general acute care, specialty surgical and cardiac hospitals, freestanding emergency facilities, and the micro-hospital format — is underwritten on service-line economics inside a defined service area: discharges, surgical cases, and emergency visits the population generates, the shares incumbent systems already hold, and the payer mix that prices every projected encounter. The study sizes demand from state discharge data and use-rate benchmarks, tests the medical-staff plan against the physicians who actually admit, and treats regulatory posture — licensure, certificate-of-need where applicable, CMS certification path — as the gating architecture it is.
How we do it
The methodology builds volume by service line from population use rates and documented market shares, prices it through a payer-mix model with commercial, Medicare, Medicaid, and self-pay yields stated separately, and stresses the census against physician-recruitment and ramp scenarios. Capital costs are benchmarked against healthcare construction data, and coverage is tested at the program minimum across census and payer-mix stress cases.
How we can help you
Smaller and rural facilities reach USDA Community Facilities and B&I structures; specialty and physician-sponsored hospitals fit conventional and bond frameworks; the regulatory and reimbursement dimensions carry decisive weight in every program. The firm's healthcare practice spans the medical-village, senior-care, and wellness-facility record, with the same payer-aware revenue discipline applied at hospital scale.
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.