| LCA CASE NUMBER | I-200-20094-456342 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-03 |
| DECISION DATE | 2020-04-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-14 |
| END DATE | 2023-09-13 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Sarah Bush Lincoln Health Center |
| EMPLOYER ADDRESS1 | 1000 Health Center Dr. |
| EMPLOYER CITY | Mattoon |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 61938 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12172582525 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Hildebrandt |
| EMPLOYER POC FIRST NAME | James |
| EMPLOYER POC MIDDLE NAME | R. |
| EMPLOYER POC JOB TITLE | Vice President of Medical Affairs |
| EMPLOYER POC ADDRESS1 | 1000 Health Center Dr. |
| EMPLOYER POC CITY | Mattoon |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 61938 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12172588577 |
| EMPLOYER POC EMAIL | jhildebrandt@sblhs.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Fraser |
| AGENT ATTORNEY FIRST NAME | Hilary |
| AGENT ATTORNEY MIDDLE NAME | T. |
| AGENT ATTORNEY ADDRESS1 | P.O. Box 6435 |
| AGENT ATTORNEY CITY | Ithaca |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14851-6435 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16072734200.0 |
| AGENT ATTORNEY EMAIL ADDRESS | htf@millermayer.com |
| LAWFIRM NAME BUSINESS NAME | Miller Mayer, LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NY Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1000 Health Center Dr. |
| LCA CASE WORKLOC1 CITY | Mattoon |
| WORKSITE COUNTY | COLES |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 61938 |
| LCA CASE WAGE RATE FROM | 270000.0 |
| 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 | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
