| LCA CASE NUMBER | I-200-21167-401707 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-16 |
| DECISION DATE | 2021-06-24 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-15 |
| END DATE | 2024-07-14 |
| 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 | Mercy Clinics, Inc. |
| EMPLOYER ADDRESS1 | 1111 6th Avenue |
| EMPLOYER CITY | Des Moines |
| EMPLOYER STATE | IA |
| EMPLOYER POSTAL CODE | 50314 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15152227761 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | McMahon |
| EMPLOYER POC FIRST NAME | Roger |
| EMPLOYER POC JOB TITLE | Director, Physician Employment Services |
| EMPLOYER POC ADDRESS 1 | 1111 6th Avenue |
| EMPLOYER POC CITY | Des Moines |
| EMPLOYER POC STATE | IA |
| EMPLOYER POC POSTAL CODE | 50314 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15153586923 |
| EMPLOYER POC EMAIL | RMcMahon@mercydesmoines.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Grabchuk |
| AGENT ATTORNEY FIRST NAME | Marina |
| AGENT ATTORNEY MIDDLE NAME | S. |
| AGENT ATTORNEY ADDRESS1 | 666 Walnut Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2000 |
| AGENT ATTORNEY CITY | Des Moines |
| AGENT ATTORNEY STATE | IA |
| AGENT ATTORNEY POSTAL CODE | 50309 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15152834635 |
| AGENT ATTORNEY EMAIL ADDRESS | msgrabchuk@belinmccormick.com |
| LAWFIRM NAME BUSINESS NAME | Belin McCormick, P.C. |
| STATE OF HIGHEST COURT | IA |
| NAME OF HIGHEST STATE COURT | Iowa Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1111 6TH AVE |
| LCA CASE WORKLOC1 CITY | DES MOINES |
| WORKSITE COUNTY | POLK |
| LCA CASE WORKLOC1 STATE | IA |
| WORKSITE POSTAL CODE | 50314 |
| LCA CASE WAGE RATE FROM | 192000 |
| LCA CASE WAGE RATE TO | 240000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 58261 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
