BRADENTON, Fla. — Cullman ­Regional Medical Center in Alabama, has had its ratings dropped to below investment grade by Fitch Ratings and Moody’s Investors Service about a year after refinancing all its bonds.

Fitch downgraded Cullman Regional’s rating to BB-plus from BBB-minus on Wednesday. Moody’s dropped its rating to Ba1 from Baa3 on Nov. 23. Both ­agencies revised their outlooks to stable from ­negative.

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