CHICAGO — After a slow 2010, capital spending by nonprofit health care borrowers will likely remain low through 2015 amid a still-weak economy and the uncertain impact of the new federal health care law, according to Fitch Ratings.

Analysts also said they expect mergers and acquisitions to persist across the sector, and that they are monitoring whether other states will follow in the footsteps of Illinois, which recently stripped three hospitals of their property-tax exemptions due to insufficient charity care.

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