Dynamic growth marks every dimension of Vanderbilt Medical Center — the nation’s fastest rising research program, which earned the largest increase in funding among the top 10 schools of medicine funded by the National Institutes of Health; 10 major construction projects under way; completed facilities running at capacity almost as soon as they open; and double-digit growth in patient care in the last two years. Pressing against this acceleration is a charge for uncompensated care that has more than doubled in two years, reaching $240 million in fiscal year 2007. For many patients, Vanderbilt Medical Center is not just the best choice, it is the only choice.