| LCA CASE NUMBER | I-200-24261-344004 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-09-17 |
| DECISION DATE | 2024-09-24 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Hospitalist) |
| SOC CODE | 29-1229.02 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2025-01-06 |
| END DATE | 2028-01-05 |
| 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 | Dean Health Systems, Inc. |
| TRADE NAME DBA | SSM Health Dean Medical Group |
| EMPLOYER ADDRESS1 | 1808 W. Beltline Highway |
| EMPLOYER CITY | Madison |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53713 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16088285066 |
| EMPLOYER FEIN | 39-1128616 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Haldiman |
| EMPLOYER POC FIRST NAME | Gina |
| EMPLOYER POC JOB TITLE | Provider Talent Partner |
| EMPLOYER POC ADDRESS1 | 1808 W. Beltline Highway |
| EMPLOYER POC CITY | Madison |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53713 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16082501156 |
| EMPLOYER POC EMAIL | gina.haldiman@ssmhealth.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Ramsey |
| AGENT ATTORNEY FIRST NAME | Lindsay |
| AGENT ATTORNEY MIDDLE NAME | Carlberg |
| AGENT ATTORNEY ADDRESS1 | 500 N. Meridian Street |
| AGENT ATTORNEY ADDRESS2 | Suite 400 |
| AGENT ATTORNEY CITY | Indianapolis |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 46204 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13174293637 |
| AGENT ATTORNEY EMAIL ADDRESS | lramsey@hallrender.com |
| LAWFIRM NAME BUSINESS NAME | Hall, Render, Killian, Heath & Lyman, P.C. |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | SSM Health St. Mary’s Hospital – Madison |
| WORKSITE ADDRESS1 | 700 South Brooks Street |
| LCA CASE WORKLOC1 CITY | Madison |
| WORKSITE COUNTY | DANE |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53715 |
| LCA CASE WAGE RATE FROM | 183.94 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 115 |
| PW UNIT OF PAY | Hour |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |