| LCA CASE NUMBER | I-200-20120-527311 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-29 |
| DECISION DATE | 2020-05-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2023-06-30 |
| 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 | Benefis Health System Inc |
| EMPLOYER ADDRESS1 | 1101 26th Street South |
| EMPLOYER CITY | Great Falls |
| EMPLOYER STATE | MT |
| EMPLOYER POSTAL CODE | 59405 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14067318882 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Martin |
| EMPLOYER POC FIRST NAME | Erica |
| EMPLOYER POC JOB TITLE | Provider Recruitment |
| EMPLOYER POC ADDRESS1 | 1101 26th Street South |
| EMPLOYER POC CITY | Great Falls |
| EMPLOYER POC STATE | MT |
| EMPLOYER POC POSTAL CODE | 59405 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14067318882 |
| EMPLOYER POC EMAIL | ericamartin@benefis.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Mojica |
| AGENT ATTORNEY FIRST NAME | Jenny |
| AGENT ATTORNEY MIDDLE NAME | Bouta |
| AGENT ATTORNEY ADDRESS1 | 200 South Sixth Street |
| AGENT ATTORNEY ADDRESS2 | Suite 4000 |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16124927100.0 |
| AGENT ATTORNEY EMAIL ADDRESS | jmojica@fredlaw.com |
| LAWFIRM NAME BUSINESS NAME | Fredrikson & Byron PA |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1101 26th South Street |
| LCA CASE WORKLOC1 CITY | Great Falls |
| WORKSITE COUNTY | CASCADE |
| LCA CASE WORKLOC1 STATE | MT |
| WORKSITE POSTAL CODE | 59405 |
| LCA CASE WAGE RATE FROM | 263900.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 126069.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
