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.
Addiction treatment facilities — medical detox, residential treatment, medication-assisted treatment clinics, and sober-living adjacencies — are underwritten on census economics inside a payer landscape that has matured: in-network contracting now defines sustainable operators, and the study treats out-of-network-dependent pro formas with the skepticism their loss history has earned. The analysis sizes demand from prevalence and treatment-gap data, documents the licensure level-of-care ladder the facility will hold, and builds census ramp from referral-source evidence rather than marketing reach.
Census modeling by level of care with length-of-stay and step-down patterns, payer-yield analysis distinguishing contracted rates from out-of-network reimbursement reality, staffing at clinical-ratio requirements, and a referral-source concentration review — the admissions pipeline is the demand study.
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. The category fits SBA and conventional structures with the management and regulatory dimensions weighted heavily; community-based facilities reach USDA programs in eligible areas.
The engagement applies the firm's residential-care underwriting with the payer-contracting scrutiny this category specifically 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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