| LCA CASE NUMBER | I-200-21090-187916 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-31 |
| DECISION DATE | 2021-04-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-14 |
| END DATE | 2024-07-13 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Freeman Health System |
| EMPLOYER ADDRESS1 | 1102 W. 32nd Street |
| EMPLOYER CITY | Joplin |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 64804 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14173476619 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Frerer |
| EMPLOYER POC FIRST NAME | Mary |
| EMPLOYER POC JOB TITLE | Chief Human Resource Officer |
| EMPLOYER POC ADDRESS 1 | 1102 W. 32nd Street |
| EMPLOYER POC CITY | Joplin |
| EMPLOYER POC STATE | MO |
| EMPLOYER POC POSTAL CODE | 64804 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14173474815 |
| EMPLOYER POC EMAIL | mafrerer@freemanhealth.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Peck |
| AGENT ATTORNEY FIRST NAME | Amy |
| AGENT ATTORNEY MIDDLE NAME | L |
| AGENT ATTORNEY ADDRESS1 | 10050 Regency Circle |
| AGENT ATTORNEY ADDRESS2 | Suite 400 |
| AGENT ATTORNEY CITY | Omaha |
| AGENT ATTORNEY STATE | NE |
| AGENT ATTORNEY POSTAL CODE | 68114 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14023911991 |
| AGENT ATTORNEY EMAIL ADDRESS | ann.hoffman@jacksonlewis.com |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis PC |
| STATE OF HIGHEST COURT | NE |
| NAME OF HIGHEST STATE COURT | Supreme Court of Nebraska |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1102 W. 32nd Street |
| LCA CASE WORKLOC1 CITY | Joplin |
| WORKSITE COUNTY | NEWTON |
| LCA CASE WORKLOC1 STATE | MO |
| WORKSITE POSTAL CODE | 64804 |
| LCA CASE WAGE RATE FROM | 289500 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 210600 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Hoffman |
| PREPARER FIRST NAME | Ann |
| PREPARER BUSINESS NAME | Jackson Lewis PC |
| PREPARER EMAIL | ann.hoffman@jacksonlewis.com |
