In the Sept-Oct 2015 issue of Medical Construction and Design, Ballinger Principal Louis Meilink Jr., AIA, ACHA, ACHE, discusses the future of Academic Medical Centers (AMC). AMCs account for 6 percent of care providers, but contribute 20 percent of all hospital care and 40 percent of the uncompensated charity care in the US. With a disproportionately large market share, AMCs are the first to feel the impact of regulatory and market pressures. To neutralize pressures without sacrificing mission or quality of care, AMCs must identify strategies to ensure regenerative institutional growth. Forward-thinking planning and design can contribute directly to the agility of these institutions.