Various procurement methods have been proposed as being more appropriate for implementing BIM. Simultaneously, BIM implementation affects the project coordination. Whereas many approaches to BIM implementation have considered integrated procurement, not all are applicable to various local markets. Particularly in the Netherlands, BIM implementation is characterized by ‘ground-up’ and self-regulated initiatives. This paper aims to explore and identify the relationship between design-build procurement and the emerging coordination structures from BIM. Exploratory case study research has been undertaken. The findings included two main coordination structures: centralized and decentralized. These two structures subsequently carry implications for various construction firms and their respective business models, as well as BIM implementation in general.