Select your facility type and geography — a county, multiple counties, a state, or a multi-state market. Wert-Berater prepares a customized market report using hospital financial, operational, facility, ownership, demographic, and development data, delivered within 3–5 business days.
Before a health system, developer, physician group, lender, or investor commits to a new facility, an expansion, or an acquisition, one question comes first: what does this market actually look like? These reports answer it — facility by facility, county by county — with the same independent, source-cited discipline behind every Wert-Berater feasibility study.
Every report covers the facility types you select — general acute-care, critical access, rural, children’s, psychiatric, rehabilitation, and long-term acute-care hospitals, plus ambulatory surgery centers — and analyzes facility inventory, ownership and health-system affiliation, beds and operating-room capacity, financial and operational performance, openings, closures and expansions, demographic demand, competitive concentration, and market gaps.
See the depth of analysis a Wert-Berater market study delivers: 41 identified facilities, hospital financial performance, service gaps, and the most supportable opportunities for new centers, expansions, acquisitions, and physician-aligned joint ventures.
Read the Sample Analysis →A statewide hospital study in action: capacity and utilization, ownership structure, margin signals, the active construction pipeline, facility comps — and the ten Texas corridors where new hospital construction scores best.
Read the Texas Analysis →A county rehabilitation-hospital study in action: four freestanding facilities benchmarked on beds, occupancy, operating margins, case mix, and payment per case — plus the Medicare Advantage shift, patient-origin territories, and where expansions and new facilities look most supportable.
Read the Dallas Analysis →A designation-focused county study in action: 21 urban hospitals — Cedars-Sinai, Ronald Reagan UCLA, five Kaiser medical centers — holding a Medicare payment status created for rural hospitals, benchmarked on beds, utilization, operating margins, net income, 340B eligibility, and what the reclassification strategy means for developers and lenders.
Read the Los Angeles Analysis →A three-system county study in action: 14 Medicare-reporting acute care hospitals — Cleveland Clinic, University Hospitals, MetroHealth — benchmarked on beds, discharges, occupancy, operating margins, and net income, with the market’s $2.4 billion aggregate operating loss decoded and the “rural”-classified urban hospitals, 340B participation, and safety-net economics explained for developers and lenders.
Read the Cleveland Analysis →Seven fixed-fee packages, from a single-county screening to a multi-state strategic study. Every package can be extended in the report builder below with additional counties, states, facility types, and analysis modules.
Extend any report with project-level modeling, secure online delivery, or ongoing monitoring. Each can be added in the report builder below.
Configure your report below. The estimate updates live; no payment is collected online. Wert-Berater confirms the scope and final fee, issues an invoice, and begins work after payment and receipt of the completed project questionnaire.
The market report is the entry point. When the market supports a project, the same firm carries the analysis all the way to a lender-reliance feasibility study — and your report fee works like a deposit: 50% of it, up to $5,000, credits toward a feasibility study commissioned within 60 days.
| Service | Purpose | Starting Fee |
|---|---|---|
| County Market Snapshot | Initial market screening | $1,950 |
| Full Market Report | Financial, operational & competitive intelligence | $3,950–$14,950 |
| Feasibility Readiness Assessment | Preliminary go-or-no-go analysis | $9,500–$15,000 |
| Independent Feasibility Study | Lender, investor, or agency reliance | $18,500–$75,000+ |
Feasibility studies start at: ambulatory surgery center $18,500 · rehabilitation hospital $25,000 · psychiatric hospital $25,000 · long-term acute-care hospital $30,000 · critical access or rural hospital $30,000 · children’s hospital $40,000 · general acute-care hospital $40,000 · multi-facility or multi-state engagement $50,000+.
A custom hospital and ASC market report is built around the specific service lines, payer mix, and competitive geography of the subject facility—not around a generic healthcare template. The engagement begins with a defined catchment area, which may be a single county, a multi-county region, a state, or a multi-state corridor, depending on where the facility realistically draws patients. Every deliverable is calibrated to that geography and to the reimbursement environment the facility actually operates in.
The bound narrative and the fully linked Excel workbook are delivered together so that a credit officer can read the logic and then stress any single input without breaking the model.
Demand for surgical and inpatient services is not derived from a single database. It is triangulated across several independent source types so that no single data set drives the conclusion.
Population and age-cohort data from federal census products establish the residential base. Age-adjusted procedure rates from Medicare claims data and state all-payer claims databases—where the relevant state publishes them—translate that population into expected annual utilization by service line. State health department licensure registries and certificate-of-need filings, where applicable, identify every licensed facility operating or approved within the catchment area. Hospital cost reports filed with CMS provide a public-record view of competitor volume, staffing ratios, and payer mix that is independent of any marketing claim a competitor might make.
Physician supply is assessed through state medical board licensure data and specialty-society workforce reports, because ASC volume is a direct function of the active surgical caseload of the physicians who hold or will hold privileges at the facility. Drive-time and road-network analysis defines realistic patient shed boundaries more precisely than radius rings, particularly in markets where a highway interchange or a mountain range distorts straight-line distance. Where a facility is in development, certificate-of-need application records and state health planning documents are reviewed to identify approved but not-yet-operational competitors that would affect future market share.
Coverage ratios for hospital and ASC projects are sensitive to a small number of inputs that interact with each other. Identifying those inputs, stating them explicitly, and testing them systematically is the analytical work that separates a credible study from a projection dressed as analysis.
SBA 7(a) and 504 lenders reviewing a hospital or ASC engagement apply SOP 50 10 8, which requires demonstrated operating coverage of at least 1.15x and global coverage of at least 1.00x. For this asset class, the SBA reviewer will look closely at whether revenue projections are supported by executed payer contracts or by a documented relationship to published fee schedules, and whether physician commitment is evidenced by signed letters of intent or privilege agreements rather than informal assurances. A study prepared to SOP 50 10 8 addresses those questions directly in the narrative.
USDA Business & Industry and Community Facilities programs are relevant for rural critical-access hospitals and rural ASCs. Under RD Staff Instruction 5001, the study must demonstrate that the community has a genuine need for the service—a standard that requires the utilization and competitive-supply analysis to be geographically specific, not imported from a national average. The community-benefit and access-to-care dimensions of the project are documented alongside the financial projections.
Conventional lenders typically require 1.20x coverage and place particular weight on the stability of the payer mix and the term of physician employment or professional-services agreements. For hospital projects, lenders also examine the relationship between the subject facility and any affiliated health system, because management fees, shared-service allocations, and intercompany transfers can materially affect the standalone coverage ratio that secures the loan.
The fixed fee for a custom hospital and ASC market report is quoted within one business day of receiving the project description and the defined geographic scope. The fee does not change based on the finding, and no portion of it is contingent on a favorable determination. Packages begin at $1,950, with pricing reflecting the number of counties or states in the defined market area, the number of service lines analyzed, and whether the engagement is a new-development study or a refinance of an operating facility.
The engagement opens when the client submits a complete data room. For an operating facility, that means three years of historical financial statements, the current fee schedule and executed payer contracts, an OR utilization log by procedure category, and the current medical staff roster with specialty designations. For a development project, it means the pro forma assumptions, the executed or draft physician agreements, and the certificate-of-need approval or exemption documentation where applicable. Missing items in the data room are identified within one business day so the timeline does not drift.
Standard delivery is ten to fifteen business days from a complete data room. Rush delivery is available. Upon delivery, the fully linked Excel workbook is published to a secure client portal where it remains live: a reviewer can change any input—volume, reimbursement rate, staffing cost—and the coverage ratios recalculate instantly. The portal also holds the bound narrative, the sensitivity tables, and the explicit statement of conditions.