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Case study: Camino Medical Group, Mountain View, BIM with lean

A medical office building for Sutter Health's Camino Medical Group, where trades modelled and coordinated their systems early, combined with lean methods, to shorten the time to build.
1 min readUpdated 13 November 2026

The Camino Medical Group building in Mountain View, California, was a three-storey medical office building of about 250,000 square feet with a parking structure, built for an affiliate of Sutter Health in the mid-2000s. It is one of the best-documented early projects in which design-assist trades modelled their own systems and coordinated them in 3D before fabrication, alongside lean construction methods. The owner's main goal was a shorter overall schedule.

At a glance

ProjectCamino Medical Group medical office building, Mountain View, California, USA
OwnerSutter Health (Camino Medical Group affiliate)
SizeAbout 250,000 sq ft, three storeys, plus parking
CostReported at roughly US$97–98 million
ApproachBIM-based coordination with design-assist trades, lean methods, open-book cost
Documented inAn ITcon research paper on MEP coordination; an AISC Modern Steel Construction article (2007)

What was done

  • Trades in early: mechanical, electrical, plumbing and fire protection subcontractors joined during design and modelled their systems.
  • Coordination in the model: the trade models were coordinated together, in regular sessions, before fabrication, so conflicts were solved on screen.
  • Fabrication from the models: coordinated trade models were used for prefabrication.
  • Lean methods: the team used lean planning and production methods to keep work flowing.

What it shows

Camino is often used to show what changes when the people who build also model: coordination becomes design work done together, and the fabrication model is the coordinated model. It is an early example of the habits later formalised in IPD.

Often misquoted

  • "It was an IPD contract." Accounts describe a design-assist, BIM-integrated project with lean methods; several later Sutter Health projects were run as full IPD.
  • Exact savings. Figures vary between sources; read the original papers before quoting numbers.

Where to read more

The ITcon paper on the project's MEP coordination (Khanzode, Fischer and Reed, 2008); the AISC Modern Steel Construction article "Virtual success" (November 2007).

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