SAN FRANCISCO--(BUSINESS WIRE)--Fitch Ratings affirms the 'AA-/F1+' rating on City of Hope, California's outstanding debt: --$350,000,000 City of Hope direct obligation notes series 2013 (taxable) at 'AA-'; --$234,635,000 California Health Facilities Financing Authority, revenue bonds (City of Hope) series 2012A at 'AA-'; --$65,000,000 California Health Facilities Financing Authority, variable-rate revenue bonds (City of Hope) series 2012B and 2012C at 'AA-/F1+'. The Rating Outlook is Stable. S