| LCA CASE NUMBER | I-200-20070-393759 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-10 |
| DECISION DATE | 2020-03-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internal Medicine Physician |
| SOC CODE | 29-1063 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-06-01 |
| END DATE | 2023-05-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Stevens Community Medical Center |
| EMPLOYER ADDRESS1 | 400 E. 1st Street |
| EMPLOYER CITY | Morris |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 56267 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13205891313 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Rau |
| EMPLOYER POC FIRST NAME | John |
| EMPLOYER POC JOB TITLE | President & Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 400 E. 1st Street |
| EMPLOYER POC CITY | Morris |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 56267 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13205891313 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Hitz |
| AGENT ATTORNEY FIRST NAME | Alison |
| AGENT ATTORNEY MIDDLE NAME | P. |
| AGENT ATTORNEY ADDRESS1 | One Embarcadero Center |
| AGENT ATTORNEY ADDRESS2 | Ste. 400 |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94111 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14159848563.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Clark Hill PLC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 400 East First Street |
| LCA CASE WORKLOC1 CITY | Morris |
| WORKSITE COUNTY | STEVENS |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 56267 |
| LCA CASE WAGE RATE FROM | 260000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 4.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Hitz |
| PREPARER FIRST NAME | Alison |
| PREPARER MIDDLE INITIAL | P. |
| PREPARER BUSINESS NAME | Clark Hill PLC |
| PREPARER EMAIL | [email protected] |
