| LCA CASE NUMBER | I-200-16040-111177 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2/12/16 |
| DECISION DATE | 2/19/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 8/1/16 |
| EMPLOYMENT END DATE | 8/1/19 |
| LCA CASE EMPLOYER NAME | HENNEPIN HEALTHCARE SYSTEM, INC. |
| EMPLOYER ADDRESS | 701 PARK AVENUE SOUTH |
| EMPLOYER CITY | MINNEAPOLIS |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 55415 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 6123475202 |
| AGENT ATTORNEY NAME | MEDEIROS, JOHN |
| AGENT ATTORNEY CITY | MINNEAPOLIS |
| AGENT ATTORNEY STATE | MN |
| LCA CASE JOB TITLE | FAMILY MEDICINE PHYSICIAN |
| SOC CODE | 29-1062 |
| SOC NAME | FAMILY AND GENERAL PRACTITIONERS |
| NAIC CODE | 62111 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 115,211.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 190,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | MINNEAPOLIS |
| WORKSITE COUNTY | HENNEPIN COUNTY |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 55408 |
