| LCA CASE NUMBER | I-200-22195-353021 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-07-14 |
| DECISION DATE | 2022-07-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Pediatric Medicine) |
| SOC CODE | 29-1221.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-08-22 |
| END DATE | 2025-08-21 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Little Company of Mary Hospital of Indiana, Inc. |
| TRADE NAME DBA | Memorial Hospital and Health Care Center |
| EMPLOYER ADDRESS1 | 800 West 9th Street |
| EMPLOYER CITY | Jasper |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 47546 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18129962345 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Nealy |
| EMPLOYER POC FIRST NAME | Wayne |
| EMPLOYER POC JOB TITLE | Physician Recruitment Manager |
| EMPLOYER POC ADDRESS1 | 800 West 9th Street |
| EMPLOYER POC CITY | Jasper |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 47546 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18129968579 |
| EMPLOYER POC EMAIL | wnealy@mhhcc.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Fillenwarth |
| AGENT ATTORNEY FIRST NAME | Charlotte |
| AGENT ATTORNEY MIDDLE NAME | Marie |
| AGENT ATTORNEY ADDRESS1 | 500 North Meridian Street |
| AGENT ATTORNEY ADDRESS2 | Suite 400 |
| AGENT ATTORNEY CITY | Indianapolis |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 46204 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13179771476 |
| AGENT ATTORNEY EMAIL ADDRESS | CFillenwarth@hallrender.com |
| LAWFIRM NAME BUSINESS NAME | Hall, Render, Killian, Heath & Lyman, P.C. |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Memorial Health Washington |
| WORKSITE ADDRESS1 | 600 S. State Road 57 |
| LCA CASE WORKLOC1 CITY | Washington |
| WORKSITE COUNTY | DAVIESS |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 47501 |
| LCA CASE WAGE RATE FROM | 150000 |
| LCA CASE WAGE RATE TO | 250000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 127733 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |