| LCA CASE NUMBER | I-200-16109-858960 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 4/18/16 |
| DECISION DATE | 4/22/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/1/16 |
| EMPLOYMENT END DATE | 8/31/16 |
| 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 | 6128733134 |
| AGENT ATTORNEY NAME | MEDEIROS, JOHN |
| AGENT ATTORNEY CITY | MINNEAPOLIS |
| AGENT ATTORNEY STATE | MN |
| LCA CASE JOB TITLE | FAMILY MEDICINE RESIDENT |
| SOC CODE | 29-1062 |
| SOC NAME | FAMILY AND GENERAL PRACTITIONERS |
| NAIC CODE | 62111 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 47,896.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | Other |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | HOSPITAL AND HEALTHCARE COMPENSATION SERVICE: PHYSICIAN SALARY SURVEY |
| LCA CASE WAGE RATE FROM | 55,289.00 |
| 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 |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 55415 |
