| LCA CASE NUMBER | I-200-20130-556798 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-08 |
| DECISION DATE | 2020-05-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internal Medicine Physician |
| SOC CODE | 19-1042.00 |
| SOC TITLE | Medical Scientists, Except Epidemiologists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-10 |
| END DATE | 2023-07-09 |
| 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 | Community Health Services, Inc. |
| EMPLOYER ADDRESS1 | 500 Albany Avenue |
| EMPLOYER CITY | Hartford |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6120 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18608088794 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Van Zandt |
| EMPLOYER POC FIRST NAME | Shonda |
| EMPLOYER POC JOB TITLE | Director, Human Resources |
| EMPLOYER POC ADDRESS1 | 500 Albany Avenue |
| EMPLOYER POC CITY | Hartford |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 6120 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18608088777 |
| EMPLOYER POC EMAIL | Shonda.VanZandt@chshartford.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Rheinstrom |
| AGENT ATTORNEY FIRST NAME | Julie |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 1001 Pennsylvania Avenue NW |
| AGENT ATTORNEY ADDRESS2 | Ste. 1300 South |
| AGENT ATTORNEY CITY | Washington |
| AGENT ATTORNEY STATE | DC |
| AGENT ATTORNEY POSTAL CODE | 20004 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12025522358.0 |
| AGENT ATTORNEY EMAIL ADDRESS | jrheinstrom@clarkhill.com |
| LAWFIRM NAME BUSINESS NAME | Clark Hill PLC |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court of Illinois |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 500 Albany Avenue |
| LCA CASE WORKLOC1 CITY | Hartford |
| WORKSITE COUNTY | HARTFORD CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6120 |
| LCA CASE WAGE RATE FROM | 165000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 58386.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Rheinstrom |
| PREPARER FIRST NAME | Julie |
| PREPARER MIDDLE INITIAL | M. |
| PREPARER BUSINESS NAME | Clark Hill PLC |
| PREPARER EMAIL | jrheinstrom@clarkhill.com |
