Prepared for lenders, CDCs, and federal agencies to SBA SOP 50 10 8, USDA RD Instruction 5001, and conventional underwriting standards. Fiduciary duty runs to the lender and the agency, never the borrower. More than 4,000 studies since 1998 covering $40.2 billion in evaluated project value.
Behavioral health spans inpatient psychiatric beds, residential treatment, crisis stabilization, and the partial-hospitalization and intensive-outpatient continuum — and feasibility turns on documented unmet demand, licensure pathway, and payer access. The study quantifies the bed and slot deficit from prevalence data and existing capacity, documents the licensure and accreditation path level of care by level of care, and builds the revenue case from the payer contracts the operator can actually reach, since parity law on paper and network access in practice are different facts.
Demand modeling from prevalence and capacity-gap analysis, census ramp against referral-source development, per-diem and per-session yields by payer with authorization and length-of-stay patterns stated, staffing at required clinical ratios, and the operator's licensure track record weighed as the management dimension it is.
Every Wert-Berater financial model is fully linked with no hardcoded values, so any reviewer can stress any input. Deliverables comprise a complete narrative report and the linked Excel model, with ten-year pro forma, sensitivity analysis at ±5, 10, and 15 percent, interest-rate stress from +0.5 to +3.0 percent, and ratio analysis benchmarked against RMA and IBISWorld data.
SBA engagements are prepared to SOP 50 10 8, including its debt-service-coverage minimums of 1.15x operating and 1.00x global. USDA engagements follow RD Staff Instruction 5001 across the Business & Industry, Community Facilities, REAP, and Value-Added Producer Grant programs. Conventional engagements are built to the lender's stated coverage standard, typically 1.20x. Community-serving facilities reach USDA Community Facilities in eligible areas; for-profit operators fit B&I and SBA structures; the regulatory dimension is decisive in every framework.
The firm's senior-care and residential-facility record supplies the census-and-staffing underwriting architecture the category requires. Independence is non-negotiable: determinations follow the evidence and are not revised under pressure, and studies are built to pass lender, agency, and third-party review without exception items.
Qualify a project. Tell us about the project and the program. We will tell you the truth about it — scope, timeline, and fee confirmed before work begins.
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