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.
Imaging centers are scan-volume businesses with referral physics: modality demand — MRI, CT, ultrasound, mammography — flows from the referring-physician base and population utilization rates, against hospital outpatient departments and competing freestanding centers. The study sizes scans by modality from per-capita utilization and the referral catchment, prices them at freestanding rates with the payer differential to hospital settings documented — the differential is the business model — and tests equipment economics: capital cost, service contracts, and the technology-refresh cycle against the volume each magnet or scanner must carry.
Modality-level volume modeling from utilization benchmarks and referral-base analysis, reimbursement at freestanding technical-component rates by payer, equipment cost and refresh scheduling from vendor and service-contract data, and breakeven expressed in scans per modality per day.
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. Owner-operator centers fit SBA 504's equipment-and-building structure precisely; radiology-group expansions route conventional; the equipment-heavy collateral profile is modeled to each program's terms.
The category applies the firm's equipment-intensive underwriting discipline — the same throughput-per-machine logic used across its industrial record — to clinical capacity. 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.
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