Hospital Campus CAM Reconciliation Guide for Landlords
Typical CAM pools, billing errors, gross-up mechanics, and BOMA standards for hospital campus properties.
Benchmark CAM per SF
$6.00 – $14.00 / SF
Source: Revista / BOMA Medical Office 2024
Gross-Up Applicability
Complex — hospital campuses have a mix of fully-occupied hospital buildings and variably-occupied MOBs and retail spaces. Each building type may require separate gross-up treatment within a unified campus CAM framework.
Typical CAM Pools
- Landscaping (campus-wide)
- Security (24/7)
- Parking (surface and structured)
- Utilities (campus infrastructure)
- Roads and pedestrian paths
- Wayfinding/signage
- Insurance
- Property taxes
- Management fees
Standard Exclusions
- Clinical equipment
- Patient care costs
- Individual building capital
- Hospital-specific regulatory compliance
- Research facility costs
Common Lease Structures
Common Billing Errors
- Allocating campus security costs equally despite 24/7 hospital vs. daytime-only MOB usage
- Including hospital-specific infrastructure (helipad, emergency power) in shared campus CAM
- Misallocating structured parking between hospital visitors and MOB patients
Relevant BOMA Standards
- ANSI/BOMA Z65.1-2024 (Office Buildings)
- Campus measurement and allocation methods
Hospital Campus CAM Context
Hospital campus CAM is among the most complex property types because the campus serves multiple constituencies (hospital, outpatient clinics, MOBs, retail, research) with fundamentally different operating patterns and cost profiles.
Related Resources
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