| LCA CASE NUMBER | I-200-21062-116273 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-03 |
| DECISION DATE | 2021-03-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Chief Medical Officer |
| SOC CODE | 11-9111.00 |
| SOC TITLE | Medical and Health Services Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-04-01 |
| END DATE | 2024-03-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Monadnock Community Hospital |
| EMPLOYER ADDRESS1 | 452 Old Street Road |
| EMPLOYER CITY | Peterborough |
| EMPLOYER STATE | NH |
| EMPLOYER POSTAL CODE | 3458 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16039244699 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Scheinblum |
| EMPLOYER POC FIRST NAME | Richard |
| EMPLOYER POC MIDDLE NAME | D |
| EMPLOYER POC JOB TITLE | Executive Vice President and CFO |
| EMPLOYER POC ADDRESS 1 | 452 Old Street Road |
| EMPLOYER POC CITY | Peterborough |
| EMPLOYER POC STATE | NH |
| EMPLOYER POC POSTAL CODE | 03458 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16039244699 |
| EMPLOYER POC EMAIL | Richard.scheinblum@mchmail.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wilson |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY MIDDLE NAME | Robert |
| AGENT ATTORNEY ADDRESS1 | PO BOX 1000 |
| AGENT ATTORNEY CITY | Manchester |
| AGENT ATTORNEY STATE | NH |
| AGENT ATTORNEY POSTAL CODE | 03105-1000 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16032281277 |
| AGENT ATTORNEY EMAIL ADDRESS | jwilson@goffwilson.com |
| LAWFIRM NAME BUSINESS NAME | GoffWilson, P.A. |
| STATE OF HIGHEST COURT | NH |
| NAME OF HIGHEST STATE COURT | NH Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 452 Old Street Road |
| LCA CASE WORKLOC1 CITY | Peterborough |
| WORKSITE COUNTY | PETERBOROUGH |
| LCA CASE WORKLOC1 STATE | NH |
| WORKSITE POSTAL CODE | 3458 |
| LCA CASE WAGE RATE FROM | 425000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 144914 |
| PW UNIT OF PAY | Year |
| 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 |
