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
Skilled nursing is census-and-acuity underwriting under the industry's heaviest regulatory and reimbursement frame: certificate-of-need posture where applicable, state Medicaid rates that set the floor for most beds, Medicare post-acute volume that carries the margin, and a staffing mandate environment that has repriced the expense base. The study sizes demand from the 75-plus population and hospital-discharge patterns, models the payer mix bed by bed, and tests the labor build against the market's actual wages and the ratio requirements in force — because in this category the expense side fails projects more often than the census does.
How we do it
Census modeling from demographic and referral data, payer-mix yield with Medicaid, Medicare, and managed-care rates stated separately, labor builds at mandated ratios and market wages with agency-staffing reality included, and survey-history review of the operator as core management diligence.
How we can help you
The category spans HUD-insured, USDA, and conventional structures; operator capability and regulatory standing weigh decisively in every program's review. The firm's senior-care record — assisted living, memory care, and CCRC analysis — extends directly into the skilled-nursing reimbursement frame.
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.