| LCA CASE NUMBER | I-200-20164-649927 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-12 |
| DECISION DATE | 2020-06-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician, Internal Medicine |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-01 |
| END DATE | 2023-09-01 |
| 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 | Health Professionals of Holmes County, Inc. |
| EMPLOYER ADDRESS1 | 1261 Wooster Rd. |
| EMPLOYER CITY | Millersburg |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 44654 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13306741584 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Justus |
| EMPLOYER POC FIRST NAME | Jason |
| EMPLOYER POC JOB TITLE | Vice President and Chief Financial Officer |
| EMPLOYER POC ADDRESS1 | 1261 Wooster Rd. |
| EMPLOYER POC CITY | Millersburg |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 44654-1570 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13306741584 |
| EMPLOYER POC PHONE EXT | 1753.0 |
| EMPLOYER POC EMAIL | Jasonj@Pomerenehospital.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Tschugunov |
| AGENT ATTORNEY FIRST NAME | Eleanor |
| AGENT ATTORNEY MIDDLE NAME | Jane |
| AGENT ATTORNEY ADDRESS1 | 75 E. Market St. |
| AGENT ATTORNEY CITY | Akron |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 44308 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13303746882.0 |
| AGENT ATTORNEY EMAIL ADDRESS | ejtschugunov@bmdllc.com |
| LAWFIRM NAME BUSINESS NAME | Brennan, Manna & Diamond, LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | The Ohio Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | Pomerene Hospital |
| WORKSITE ADDRESS2 | 981 Wooster Rd. |
| LCA CASE WORKLOC1 CITY | Millersburg |
| WORKSITE COUNTY | HOLMES |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 44654 |
| LCA CASE WAGE RATE FROM | 244000.0 |
| 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 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |