S&P Global Ratings revised its outlook to negative from stable and affirmed its ?BBB-? long-term rating on Seven Hills Foundation and Affiliates (Seven Hills), Mass.' existing debt. In addition, S&P Global Ratings assigned its 'BBB-' long-term rating to the Massachusetts Development Finance Agency 's $50 million series 2025 revenue bonds issued for Seven Hills. The outlook revision reflects Seven Hills' weak days? cash on hand (DCOH) and higher-than-expected labor and wage expenses during a period of weaker census. A gross revenue pledge and a mortgage lien secure the bonds. Proceeds of the proposed issuance will refinance the series 2015A bonds ($36.3 million), refinance a portion of the line of credit ($8.3 million), refinance a TD Bank N.A. loan ($3.6 million),