Outpatient urgent care and walk-in medical clinics operating in high-visibility retail and medical office locations. Modified Gross or NNN structures with specialized utility, plumbing, and ADA compliance requirements create multiple CAM exposure points. Annual CAM exposure for this tenant type ranges up to $20,000–$60,000. CamAudit runs 12 forensic detection rules specific to your lease structure in under five minutes.
Typical Lease Structure
Modified Gross or NNN
Avg. Locations
5–50
Annual CAM Exposure
$20,000–$60,000
Modified Gross or NNN, tenant pays base rent plus utilities, insurance, and CAM escalations. Medical waste disposal and specialized cleaning are often negotiated as direct tenant expenses but sometimes appear in CAM.
Building-wide ADA compliance upgrades required by the medical use are amortized into the operating CAM pool and allocated to all tenants. Specialized janitorial and medical waste disposal costs appear on the CAM statement despite being directly attributable to the clinic. After-hours HVAC is billed at marked-up rates without lease-specified justification.
Watch For This Trigger
Landlord amortizes a building ADA elevator upgrade costing $150,000 into the CAM pool, allocating a significant annual share to the urgent care clinic.
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Start Free AuditUniversity of Louisville precedent established that ADA compliance upgrades required by medical tenants are landlord obligations under the base building warranty, not tenant CAM pass-throughs, allowing urgent care operators to contest these charges successfully.
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Scan My Lease NowThis page provides general educational information. It is not legal advice and may not reflect the most current law in your state. Consult a licensed attorney for advice specific to your situation.