| LCA CASE NUMBER | I-200-20224-762921 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-11 |
| DECISION DATE | 2020-08-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-14 |
| END DATE | 2023-09-13 |
| 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 | HealthSource of Ohio, Inc. |
| EMPLOYER ADDRESS1 | 424 Wards Corner Road |
| EMPLOYER ADDRESS2 | Suite 200 |
| EMPLOYER CITY | Loveland |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 45140 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15135767700 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Martinez |
| EMPLOYER POC FIRST NAME | Amado |
| EMPLOYER POC JOB TITLE | Director, Human Resources/Clinician Recruitment |
| EMPLOYER POC ADDRESS1 | 424 Wards Corner Road |
| EMPLOYER POC ADDRESS2 | Suite 200 |
| EMPLOYER POC CITY | Loveland |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 45140 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15137074014 |
| EMPLOYER POC EMAIL | amartinez@hsohio.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Jenkins |
| AGENT ATTORNEY FIRST NAME | Staci |
| AGENT ATTORNEY MIDDLE NAME | Marie |
| AGENT ATTORNEY ADDRESS1 | 312 Walnut Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1400 |
| AGENT ATTORNEY CITY | Cincinnati |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15133526734.0 |
| AGENT ATTORNEY EMAIL ADDRESS | staci.jenkins@thompsonhine.com |
| LAWFIRM NAME BUSINESS NAME | Thompson Hine LLP |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court of Ohio |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1108 Northview Drive |
| WORKSITE ADDRESS2 | Suite #1 |
| LCA CASE WORKLOC1 CITY | Hillsboro |
| WORKSITE COUNTY | HIGHLAND |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 45133 |
| LCA CASE WAGE RATE FROM | 140000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 139984.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Perichon |
| PREPARER FIRST NAME | Rosemary |
| PREPARER BUSINESS NAME | Thompson Hine LLP |
| PREPARER EMAIL | rosemary.perichon@thompsonhine.com |
