| LCA CASE NUMBER | I-200-21146-344968 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-26 |
| DECISION DATE | 2021-06-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-06-10 |
| END DATE | 2022-09-07 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Hospital Development Co. |
| TRADE NAME DBA | d/b/a Roane General Hospital |
| EMPLOYER ADDRESS1 | 200 Hospital Drive |
| EMPLOYER CITY | Spencer |
| EMPLOYER STATE | WV |
| EMPLOYER POSTAL CODE | 25276 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13049274444 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Bentz |
| EMPLOYER POC FIRST NAME | Douglas |
| EMPLOYER POC MIDDLE NAME | E. |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS 1 | 200 Hospital Drive |
| EMPLOYER POC CITY | Spencer |
| EMPLOYER POC STATE | WV |
| EMPLOYER POC POSTAL CODE | 25276 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13049276200 |
| EMPLOYER POC EMAIL | debentz@rghwv.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wadhwani |
| AGENT ATTORNEY FIRST NAME | Catherine |
| AGENT ATTORNEY MIDDLE NAME | V. |
| AGENT ATTORNEY ADDRESS1 | BNY Mellon Center, 500 Grant Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2500 |
| AGENT ATTORNEY CITY | Pittsburgh |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 15219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14123945540 |
| AGENT ATTORNEY EMAIL ADDRESS | cwadhwani@foxrothschild.com |
| LAWFIRM NAME BUSINESS NAME | Fox Rothschild LLP |
| STATE OF HIGHEST COURT | WV |
| NAME OF HIGHEST STATE COURT | Supreme Court of West Virginia |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 200 Hospital Drive |
| LCA CASE WORKLOC1 CITY | Spencer |
| WORKSITE COUNTY | ROANE |
| LCA CASE WORKLOC1 STATE | WV |
| WORKSITE POSTAL CODE | 25276 |
| LCA CASE WAGE RATE FROM | 200 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100 |
| PW UNIT OF PAY | Hour |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2020 |
| PW SURVEY PUBLISHER | U.S. Bureau of Labor Statistics |
| PW SURVEY NAME | OEWS - http://www.bls.gov/oes |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
