NEW YORK--(BUSINESS WIRE)--Fitch Ratings has affirmed the 'A-' rating on $43,285,000 of series 2009 development revenue bonds issued by the Redevelopment Authority of the City of Monroe, Wisconsin on behalf of The Monroe Clinic (the Clinic). The Clinic also has $32.1 million in series 2012A and 2012B private placements outstanding, which Fitch does not rate but are incorporated into the overall analysis. SECURITY The bonds are secured by a gross revenue pledge and a debt service reserve fund. K