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Who's up and who's down

Up
Overlake Hospital Medical Center, Bellevue, WA
Rating:
A1
Outlook: Not applicable
Affected debt: $75 million
Agency: Moody's Investors Service
Remarks: Long-term rating upgraded from A3 based on combined ratings of Radian Asset Assurance Inc. (A3), Key Bank National Association (A1), and the hospital itself (Baa3).

Up
Synergy Health Inc., Marshfield, WI
Rating:
AA-
Outlook: Stable
Affected debt: $70.1 million
Agency: Fitch Ratings
Remarks: Upgraded from BBB- because of the recent affiliation of Synergy's St. Joseph Hospital with Froedtert & Community Health.

Up
Baylor College of Medicine, Houston, TX
Rating:
Aa2
Outlook: Not applicable
Affected debt: $140 million
Agency: Moody's Investor's Service
Remarks: Upgraded from Baa1 in conjunction with the organization's conversion of the bonds' interest rate mode from auction-rate to daily rate and the provision of a letter of credit from Wachovia Bank.

Down
Doctors Community Hospital, Lanham, MD
Rating:
Baa3
Outlook: Negative
Affected debt: $139 million
Agency: Moody's Investors Service
Remarks: Downgraded from Baa2 and outlook revised to negative based on the organization's weakened liquidity position compared with the 2007 fiscal year.

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