The Fulton County (GA) Board of Commissioners have approved a lease agreement that would shift operational control of Grady Memorial Hospital in Atlanta from the hospital's board to a new nonprofit corporation. Under the lease agreement, daily operations of the hospital system would be controlled by a nonprofit board of business and community leaders, but the Grady board would continue to have broad oversight and would own the real estate. The restructuring plan still requires the approval of the DeKalb County Board of Commissioners.