| LCA CASE NUMBER | I-200-21174-421966 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-06-23 |
| DECISION DATE | 2021-12-08 |
| ORIGINAL CERT DATE | 2021-06-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist |
| SOC CODE | 19-1042.00 |
| SOC TITLE | Medical Scientists, Except Epidemiologists |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2022-01-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Deaconess Hospital, Inc. |
| TRADE NAME DBA | Deaconess Hospital |
| EMPLOYER ADDRESS1 | 600 Mary Street |
| EMPLOYER CITY | Evansville |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 47747 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18124507263 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Dexter |
| EMPLOYER POC FIRST NAME | Michelle |
| EMPLOYER POC JOB TITLE | Physician Recruiter |
| EMPLOYER POC ADDRESS1 | 600 Mary Street |
| EMPLOYER POC CITY | Evansville |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 47747 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18124507263 |
| EMPLOYER POC EMAIL | michelle.dexter@deaconess.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Minear |
| AGENT ATTORNEY FIRST NAME | Jennifer |
| AGENT ATTORNEY MIDDLE NAME | A. |
| AGENT ATTORNEY ADDRESS1 | 1111 E. Main Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2100 |
| AGENT ATTORNEY CITY | Richmond |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 23219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18047753822 |
| AGENT ATTORNEY EMAIL ADDRESS | jminear@lawmh.com |
|
| LAWFIRM NAME BUSINESS NAME | McCandlish Holton, PC |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | Deaconess Midtown Hospital |
| WORKSITE ADDRESS2 | 600 Mary Street |
| LCA CASE WORKLOC1 CITY | Evansville |
| WORKSITE COUNTY | VANDERBURGH |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 47710 |
| LCA CASE WAGE RATE FROM | 150 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 37.08 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| 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 |
| PREPARER LAST NAME | Guzman |
| PREPARER FIRST NAME | Brian |
| PREPARER MIDDLE INITIAL | A. |
| PREPARER BUSINESS NAME | McCandlish Holton, PC |
| PREPARER EMAIL | bguzman@lawmh.com |
