In the context of an impending federal budget gouge for the National Institutes of Health, Med City News looks at "who has the most to lose," by ranking the top 100 institutions and top states for NIH grants in 2010.

Vanderbilt University ranked 15th at $374 million. The top NIH recipient was Johns Hopkins at $686 million. Tennessee was 13th among states at $558 million. (Thanks, Vandy.)