• S&P lowers Memorial Health University Medical Center, Ga., 2001A, 2004A bond to BB+

• S&P lifts Queen Anne's County, Md., to AA- from A

• S&P lowers Lombard Public Facilities, Ill., series 2005B revenue bonds to B- from AA

• S&P raises Gateway School District, Pa., G.O. debt to AA-

• Fitch provides BBB to Lackawanna County, Pa., series 2010B G.O. bonds

• Moody's rates Lowell General Hospital, Mass., 2010C-D health care revenue bonds Baa1

• S&P assigns AA+ to Tallahassee, Fla., 2010A-B consolidated utility systems revenue bonds

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