This report card provides a transparent, timely, and geographically detailed assessment of Chesapeake Bay. The overall health of Chesapeake Bay, determined using water quality and biotic indicators, declined slightly in 2011. The overall grade of D+ was a decrease for the second year in a row, down from a C- in 2010. Only two reporting regions, the Patapsco and Back Rivers, and the Lower Western Shore (MD), had improved grades in 2011. The highest-ranked region for the second year in a row was the Upper Bay, with a grade of C.