| LCA CASE NUMBER | I-200-21138-322223 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-18 |
| DECISION DATE | 2021-05-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nocturnist |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-06-29 |
| END DATE | 2021-08-03 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Monument Health Rapid City Hospital, Inc. |
| TRADE NAME DBA | Monument Health Rapid City Hospital |
| EMPLOYER ADDRESS1 | 353 Fairmont Avenue |
| EMPLOYER CITY | Rapid City |
| EMPLOYER STATE | SD |
| EMPLOYER POSTAL CODE | 57701 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16057191000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Stark |
| EMPLOYER POC FIRST NAME | Carla |
| EMPLOYER POC JOB TITLE | Provider Relations Manager |
| EMPLOYER POC ADDRESS 1 | Regional Health Center, Suite 200 |
| EMPLOYER POC ADDRESS 2 | 2925 Regional Way |
| EMPLOYER POC CITY | Rapid City |
| EMPLOYER POC STATE | SD |
| EMPLOYER POC POSTAL CODE | 57701 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16057559046 |
| EMPLOYER POC EMAIL | cstark@monument.health |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Carlson |
| AGENT ATTORNEY FIRST NAME | Beth |
| AGENT ATTORNEY MIDDLE NAME | E. |
| AGENT ATTORNEY ADDRESS1 | 90 S 7th Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2200 |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16127667652 |
| AGENT ATTORNEY EMAIL ADDRESS | Beth.Carlson@faegredrinker.com |
|
| LAWFIRM NAME BUSINESS NAME | Faegre Drinker Biddle & Reath LLP |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Minnesota Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 353 Fairmont Boulevard |
| LCA CASE WORKLOC1 CITY | Rapid City |
| WORKSITE COUNTY | PENNINGTON |
| LCA CASE WORKLOC1 STATE | SD |
| WORKSITE POSTAL CODE | 57701 |
| LCA CASE WAGE RATE FROM | 151.44 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 89.36 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
