| LCA CASE NUMBER | I-200-18239-512480 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 8/28/18 |
| DECISION DATE | 9/4/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/4/18 |
| EMPLOYMENT END DATE | 9/3/21 |
| LCA CASE EMPLOYER NAME | ADAMS COUNTY MEMORIAL HOSPITAL |
| EMPLOYER BUSINESS DBA | ADAMS MEMORIAL |
| EMPLOYER ADDRESS | 1100 MERCER AVE. |
| EMPLOYER CITY | DECATUR |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46733 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 2607242145 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | CARLSON, BETH |
| AGENT ATTORNEY CITY | MINNEAPOLIS |
| AGENT ATTORNEY STATE | MN |
| LCA CASE JOB TITLE | HOSPITALIST |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 238,389.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level III |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2018 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 250,000.00 |
| LCA CASE WAGE RATE TO | 303,000.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | DECATUR |
| WORKSITE COUNTY | ADAMS |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46733 |
