| LCA CASE NUMBER | I-200-21029-041896 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-29 |
| DECISION DATE | 2021-02-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist Physician |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-02-24 |
| END DATE | 2024-02-23 |
| 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 | PRISMA Health Upstate |
| EMPLOYER ADDRESS1 | Baptist Easley Hospital |
| EMPLOYER ADDRESS2 | 200 Fleetwood Drive |
| EMPLOYER CITY | Easley |
| EMPLOYER STATE | SC |
| EMPLOYER POSTAL CODE | 29640 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18644428000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Owens |
| EMPLOYER POC FIRST NAME | Tina |
| EMPLOYER POC JOB TITLE | Manager, Physician Recruitment |
| EMPLOYER POC ADDRESS 1 | 7 Independence Point |
| EMPLOYER POC ADDRESS 2 | Suite #120 |
| EMPLOYER POC CITY | Greenville |
| EMPLOYER POC STATE | SC |
| EMPLOYER POC POSTAL CODE | 29615 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18647976240 |
| EMPLOYER POC EMAIL | Tina.Owens@prismahealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Steck |
| AGENT ATTORNEY FIRST NAME | Garrett |
| AGENT ATTORNEY MIDDLE NAME | David |
| AGENT ATTORNEY ADDRESS1 | ONE North Main Street |
| AGENT ATTORNEY ADDRESS2 | 2nd Floor |
| AGENT ATTORNEY CITY | Greenville |
| AGENT ATTORNEY STATE | SC |
| AGENT ATTORNEY POSTAL CODE | 29601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18642403200 |
| AGENT ATTORNEY EMAIL ADDRESS | gsteck@hsblawfirm.com |
|
| LAWFIRM NAME BUSINESS NAME | Haynsworth Sinkler Boyd PA |
| STATE OF HIGHEST COURT | SC |
| NAME OF HIGHEST STATE COURT | South Carolina Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | Baptist Easley Hospital |
| WORKSITE ADDRESS2 | 200 Fleetwood Drive |
| LCA CASE WORKLOC1 CITY | Easley |
| WORKSITE COUNTY | GREENVILLE |
| LCA CASE WORKLOC1 STATE | SC |
| WORKSITE POSTAL CODE | 29640 |
| LCA CASE WAGE RATE FROM | 215030 |
| LCA CASE WAGE RATE TO | 260000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 215030 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 9 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
| PREPARER LAST NAME | Thompson |
| PREPARER FIRST NAME | Rayvena |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Haynsworth Sinkler Boyd PA |
| PREPARER EMAIL | rthompson@hsblawfirm.com |
