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.
Healthcare feasibility joins clinical demand to reimbursement reality. For assisted living and memory care, the study quantifies age- and income-qualified households within the realistic draw area, existing licensed bed supply and occupancy, and the private-pay versus Medicaid waiver mix that determines achievable monthly rates. For clinics, surgery centers, and outpatient facilities, the analysis evaluates provider supply, procedure volume migration to outpatient settings, payer contracting, and the certificate-of-need environment where one exists. In every case the operating model — staffing ratios, acuity creep, and labor availability — is tested as rigorously as the demand side, because healthcare projects fail on operations more often than on demand.
The analysis uses CMS provider and utilization files, state licensing and survey data, Census age-cohort projections, Genworth cost-of-care benchmarks for senior product, and BLS healthcare wage data for the staffing model. Financial projections carry rate, occupancy, and payroll sensitivity consistent with the firm's standard stress discipline, tested against the program's coverage minimums.
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. Healthcare engagements arrive through USDA B&I and Community Facilities for rural facilities, SBA programs for physician- and operator-owned projects, and conventional lending for larger senior housing; the study is structured to the evidentiary standard of the reviewing agency in each case.
Representative work includes a USDA B&I assisted living engagement in Cortez, Colorado and physician-equity ambulatory surgery analysis in Florida. 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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