| LCA CASE NUMBER | I-200-20038-307521 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-02-07 |
| DECISION DATE | 2020-02-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician Hospitalist |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-02 |
| END DATE | 2023-07-01 |
| 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 | Physicians Clinic, Inc. |
| TRADE NAME DBA | Methodist Physicians Clinic |
| EMPLOYER ADDRESS1 | 825 South 169th Street |
| EMPLOYER CITY | Omaha |
| EMPLOYER STATE | NE |
| EMPLOYER POSTAL CODE | 68118 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14023544000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Grages |
| EMPLOYER POC FIRST NAME | Todd |
| EMPLOYER POC MIDDLE NAME | D |
| EMPLOYER POC JOB TITLE | President & CEO |
| EMPLOYER POC ADDRESS1 | 825 South 169th Street |
| EMPLOYER POC CITY | Omaha |
| EMPLOYER POC STATE | NE |
| EMPLOYER POC POSTAL CODE | 68118 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14023544000 |
| EMPLOYER POC EMAIL | Todd.Grages@nmhs.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Stockdale |
| AGENT ATTORNEY FIRST NAME | Kara |
| AGENT ATTORNEY MIDDLE NAME | Elizabeth |
| AGENT ATTORNEY ADDRESS1 | 1700 Farnam Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1500 |
| AGENT ATTORNEY CITY | Omaha |
| AGENT ATTORNEY STATE | NE |
| AGENT ATTORNEY POSTAL CODE | 68102 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14023440500.0 |
| AGENT ATTORNEY EMAIL ADDRESS | kstockdale@bairdholm.com |
| LAWFIRM NAME BUSINESS NAME | Baird Holm LLP |
| STATE OF HIGHEST COURT | NE |
| NAME OF HIGHEST STATE COURT | NEBRASKA SUPREME COURT |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Methodist Jennie Edmundson Hospital |
| WORKSITE ADDRESS1 | 933 East Pierce Street |
| LCA CASE WORKLOC1 CITY | Council Bluffs |
| WORKSITE COUNTY | POTTAWATTAMIE |
| LCA CASE WORKLOC1 STATE | IA |
| WORKSITE POSTAL CODE | 51503 |
| LCA CASE WAGE RATE FROM | 280000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 139214.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Stockdale |
| PREPARER FIRST NAME | Kara |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | Baird Holm LLP |
| PREPARER EMAIL | kstockdale@bairdholm.com |
