Fitch Ratings said it has downgraded to BBB-plus from A-minus the $126.7 million Illinois Health Facilities Authority revenue refunding bonds, series 2002D; $120.3 million Illinois Finance Authority revenue bonds, series 2008A; and $250 million Illinois Finance Authority variable-rate demand revenue bonds, series 2008B-E issued on behalf of Elmhurst Memorial Healthcare.

The series 2008B bonds are supported by a letter of credit (LOC) from JPMorgan Chase; the series 2008C bonds are supported by an LOC from RBS; the series 2008D bonds are supported by a LOC from the Northern Trust; and the series 2008E are supported by an LOC from Fifth Third Bank, N.A.

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