| LCA CASE NUMBER | I-200-20233-779554 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-20 |
| DECISION DATE | 2020-08-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physical Therapist |
| SOC CODE | 29-1123.00 |
| SOC TITLE | Physical Therapists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-12-08 |
| END DATE | 2023-12-07 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Ascension Borgess Hospital |
| EMPLOYER ADDRESS1 | 1521 Gull Road |
| EMPLOYER CITY | Kalamazoo |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 49048 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12692268283 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Werner |
| EMPLOYER POC FIRST NAME | David |
| EMPLOYER POC JOB TITLE | HR Business Advisor |
| EMPLOYER POC ADDRESS1 | 1535 Gull Road |
| EMPLOYER POC CITY | Kalamazoo |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 49048 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12692268283 |
| EMPLOYER POC EMAIL | david.werner@ascension.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | KIM |
| AGENT ATTORNEY FIRST NAME | MICHAEL |
| AGENT ATTORNEY MIDDLE NAME | LEE |
| AGENT ATTORNEY ADDRESS1 | 500 North 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 | 13179771418.0 |
| AGENT ATTORNEY EMAIL ADDRESS | mkim@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 | N |
| WORKSITE ADDRESS1 | 3025 Gull Road, Kalamazoo |
| LCA CASE WORKLOC1 CITY | Kalamazoo |
| WORKSITE COUNTY | KALAMAZOO |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49048 |
| LCA CASE WAGE RATE FROM | 86465.6 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 71053.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
