CHICAGO -- The not-for-profit health care sector has reached a tipping point, warned Standard & Poor’s, which this week revised its outlook to negative from stable on the sector.

“Over the last three or four years we’ve had a stable outlook, and it’s been reflective of all the actions that providers have taken to maintain, and in many cases improve, their financing profiles,” Standard & Poor’s health care analyst Martin Arrick said Wednesday during a webcast presentation on the 2014 industry outlook. “Now we are at a tipping point because we believe the negative pressures are accelerating and the ability of providers to counteract those pressures is getting harder and harder.”

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