WASHINGTON — Fitch Ratings downgraded the Weirton Medical Center in West Virginia on Friday after Moody’s Investors Service took similar action earlier this year. But credit analysts and hospital managers said Weirton has the cash to make its debt-service payments.

The downgrade comes as the 238-bed acute-care hospital, which is located about 35 miles west of Pittsburgh, has been struggling financially due to fewer patients and inpatient services.

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