| LCA CASE NUMBER | I-200-17063-830289 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/4/2017 |
| DECISION DATE | 3/9/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 8/1/2017 |
| EMPLOYMENT END DATE | 7/31/2020 |
| LCA CASE EMPLOYER NAME | T.J. SAMSON COMMUNITY HOSPITAL |
| EMPLOYER ADDRESS | 1301 N. RACE STREET |
| EMPLOYER CITY | GLASGOW |
| EMPLOYER STATE | KY |
| EMPLOYER POSTAL CODE | 42141 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 2706514444 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | MENON, PIA |
| AGENT ATTORNEY CITY | CHICAGO |
| AGENT ATTORNEY STATE | IL |
| LCA CASE JOB TITLE | PULMONARY / CRITICAL CARE PHYSICIAN |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAICS CODE | 62211 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 253,941.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | N/A |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | MEDICAL GROUP MANAGEMENT ASSOCIATION: PHYSICIAN PLACEMENT STARTING SALARY SURV |
| LCA CASE WAGE RATE FROM | 400,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | GLASGOW |
| WORKSITE COUNTY | BARREN |
| LCA CASE WORKLOC1 STATE | KY |
| WORKSITE POSTAL CODE | 42141 |
