| LCA CASE NUMBER | I-200-19338-179200 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-12-04 |
| DECISION DATE | 2019-12-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (General Surgery) |
| SOC CODE | 29-1067.00 |
| SOC TITLE | Surgeons |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-12-16 |
| END DATE | 2022-12-15 |
| 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 | Physician Services Corporation of Southern Illinois, Inc. |
| TRADE NAME DBA | SSM Health Medical Group |
| EMPLOYER ADDRESS1 | 1 Good Samaritan Way |
| EMPLOYER CITY | Mt. Vernon |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 62864 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +16188993636 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Hall |
| EMPLOYER POC FIRST NAME | Jessica |
| EMPLOYER POC JOB TITLE | Leader - Physician and Provider Recruitment |
| EMPLOYER POC ADDRESS1 | 1 Good Samaritan Way |
| EMPLOYER POC CITY | Mt. Vernon |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 62864 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +16188993636 |
| EMPLOYER POC EMAIL | jessica.hall@ssmhealth.com |
| 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 | cfillenwarth@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 | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 2 Good Samaritan Way |
| LCA CASE WORKLOC1 CITY | Mt. Vernon |
| WORKSITE COUNTY | JEFFERSON |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 62864 |
| LCA CASE WAGE RATE FROM | 390000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
