Healthcare Construction Faceoff: Volumetric Modular VS Manufactured Kit-of-Parts (Northern California CoP)

Northern California Community of Practice

This presentation will give an in-depth look into how owner, architect, general contractor, and specialty contractor worked together to build a medical exam room and unisex restroom two ways - volumetric modular and manufactured kit-of-parts. This collaborative R&D initiative was launched   with a shared goal to increase speed to market for the owner while also creating a process and standardized design documents that can be leveraged on future construction.


  • Makayla Oei, Mark III Construction - Makayla has over 15 years of experience within construction. In 2015, Makayla made the move to Mark III and is currently director of preconstruction for the MEP manufacturing innovation segment of the company. She is skilled in growing contractor relationships, virtual construction, and manufacturing efforts. Makayla has a consistent track record of delivering projects on-time and within budget.
  • Dan Carlton, Mark III Construction - Dan is the visionary behind Mark III’s mission to lead the evolution of construction. As President and majority owner of Mark III Construction, he is responsible for all strategic and business aspects of the company. Dedicated to continuous improvement, innovation, and industrialized construction Dan is the strategic leader behind Mark III’s prefabrication, manufacturing, and modular efforts.
  • Paul Tate, The Boldt Company - With 20 years of construction, safety management, and project oversight, Paul has a versatile and applicable experience base which provides a high level of Built-In-Quality to projects and their teams, all while performing safely. He has a rich history of quality control and assurance which has proven to be extremely valuable on past projects. Paul has been with Boldt for over 10 years where he has worked on small healthcare work, commercial, and industrial work.
  • Romano Nickerson, Boulder Associates - A healthcare architect and principal with Boulder Associates Architects, Romano Nickerson is a passionate advocate for Lean design and project management. He created and leads BA Science, a lean consulting group within Boulder Associates with a focus on continuous improvement for healthcare organizations and design integration for capital project delivery. He has worked with numerous healthcare clients around the country, as well as select Fortune 500 companies. Romano enjoys being an evangelist for lean thinking so has presented at the Lean Construction Institute’s annual Congress, the Lean Design Forum, the Associated General Contractors of America Lean Forum, the Design Build Institute of America, the Construction Owner’s Association of America, the American Institute of Architects, the Planetree National Convention, and at local Community of Practice (CoP) meetings of LCI across the country. He has also presented internationally in Estonia, China, and Greece. Romano loves swimming and playing LEGOS with his son, working on his Atomic Ranch home with his wife, and recently completed work on a pirate ship play structure in his backyard.