| LCA CASE NUMBER | I-200-21036-059363 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-05 |
| DECISION DATE | 2021-02-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nephrologist |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-25 |
| END DATE | 2024-07-24 |
| 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 | Bryan Physician Network |
| EMPLOYER ADDRESS1 | 2222 South 16th Street |
| EMPLOYER ADDRESS2 | Suite #400A |
| EMPLOYER CITY | Lincoln |
| EMPLOYER STATE | NE |
| EMPLOYER POSTAL CODE | 68502 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14024815603 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Mooss |
| EMPLOYER POC FIRST NAME | Eric |
| EMPLOYER POC MIDDLE NAME | n/m/n |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS 1 | 2222 South 16th Street |
| EMPLOYER POC ADDRESS 2 | Suite #400A |
| EMPLOYER POC CITY | Lincoln |
| EMPLOYER POC STATE | NE |
| EMPLOYER POC POSTAL CODE | 68502 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14024815603 |
| EMPLOYER POC EMAIL | eric.mooss@bryanhealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Stockdale |
| AGENT ATTORNEY FIRST NAME | Kara |
| AGENT ATTORNEY MIDDLE NAME | Elizabeth |
| AGENT ATTORNEY ADDRESS1 | 1700 Farnam Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1500 |
| AGENT ATTORNEY CITY | Omaha |
| AGENT ATTORNEY STATE | NE |
| AGENT ATTORNEY POSTAL CODE | 68102 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14023440500 |
|
| AGENT ATTORNEY EMAIL ADDRESS | kstockdale@bairdholm.com |
| LAWFIRM NAME BUSINESS NAME | Baird Holm LLP |
| STATE OF HIGHEST COURT | NE |
| NAME OF HIGHEST STATE COURT | NEBRASKA SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | Prairie Center Internal Medicine and Nephrology |
| WORKSITE ADDRESS2 | 800 N. Alpha Street |
| LCA CASE WORKLOC1 CITY | Grand Island |
| WORKSITE COUNTY | HALL |
| LCA CASE WORKLOC1 STATE | NE |
| WORKSITE POSTAL CODE | 68803 |
| LCA CASE WAGE RATE FROM | 300000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 5 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Stockdale |
| PREPARER FIRST NAME | Kara |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | Baird Holm LLP |
| PREPARER EMAIL | kstockdale@bairdholm.com |
