PaladinDTS led BIM coordination for the additions, resolving complex clashes between new and existing systems in a fully operational hospital. The team identified major issues early in the model, including a 175-foot overflow drain intersecting OR ductwork and chilled water lines conflicting with structural members. Using 3-D scanning, model verification, and weekly coordination meetings, PaladinDTS worked with all trades to develop constructible, code-compliant routing strategies. By addressing slope, clearance, and structural challenges virtually, they eliminated costly field rework, saved over $150,000, and maintained the project schedule without disrupting hospital operations.