Premises Description
Identify suite number, rentable square footage, boundaries, and permitted clinical uses; accurate measurement affects rent, CAM allocation, and code compliance.
A purpose-built lease protects clinical operations by clarifying permitted uses, equipment installation rules, and compliance obligations such as HIPAA. Clear terms reduce operational interruptions and disputes, and help lenders, insurers, and regulators assess risk.
Parties and advisors commonly involved include landlords, physician tenants or practice groups, brokers, and outside counsel; each has distinct information and signature needs.
Work with legal counsel experienced in healthcare real estate to confirm tenant improvements, certificate of occupancy, and regulatory conditions specific to medical use.
Identify suite number, rentable square footage, boundaries, and permitted clinical uses; accurate measurement affects rent, CAM allocation, and code compliance.
Specify lease commencement, fixed term, renewal options, and holdover terms; effective dates determine rent commencement and statute of limitations calculations.
Detail base rent, CAM or NNN charges, payment schedule, late fees, escalation clauses, and who pays utilities and property taxes.
Set build-out allowances, approval process, permit responsibility, ownership of improvements, and restoration requirements at lease end.
Require tenant to maintain medical licenses, comply with HIPAA and OSHA, obtain necessary permits, and follow infection-control policies.
Define liability limits, professional liability requirements, certificates of insurance, additional insured endorsements, and indemnification scope.
| Field | Configuration |
|---|---|
| Signer Roles | Assign landlord, tenant, guarantor roles; set signing order |
| Authentication | Use email + SMS code or stronger KBA for high-assurance signers |
| Attachments | Require upload of insurance COIs and licenses before signing |
| Audit Trail | Enable full timestamp, IP, and action log retention |
Ensure the signing platform supports HIPAA controls, audit trails, and the integrations your workflow requires.
Confirm the provider can supply a Business Associate Agreement (BAA) for HIPAA, supports conditional fields for approvals, and offers a robust audit trail for dispute resolution and regulatory compliance.
Date when lease obligations and rent commence
Date tenant must begin paying base rent
Date deposit must be delivered at signing
Deadline to supply COI and endorsements
Deadline for tenant improvements to be finished and inspected
Startup physician group leases an empty shell near a hospital
Established practice expands into adjacent suite for imaging equipment
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | 7-day free trial | Varies | Varies | Varies | Varies |
| Bulk Send | Yes | Yes | Yes | Yes | No |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes | Yes | Yes | No | No |
| Envelope Cap | No cap | 100 envelopes/user/yr | Varies | Varies | Varies |