When Atlanta-based Grady Memorial Hospital announced that it was laying off 140 employees, CEO Michael Young said the hospital needed to save money. But a drop in government funding and an increase in uninsured patients were just two reasons for the layoffs. The layoffs were Young’s first major move in remaking the so-called "Grady culture," which critics say tolerates inefficiency and hampers patient care. "It's an old and unsuccessful way to run a hospital," Young told the Atlanta Journal-Constitution.