| LCA CASE NUMBER | I-200-19309-128083 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-11-05 |
| DECISION DATE | 2019-11-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Manager of Business Operations |
| SOC CODE | 11-9111.00 |
| SOC TITLE | Medical and Health Services Managers |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-11-11 |
| END DATE | 2022-11-10 |
| 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 | MedCentral Health System |
| TRADE NAME DBA | OhioHealth Mansfield Hospital |
| EMPLOYER ADDRESS1 | 335 Glessner Avenue |
| EMPLOYER CITY | Mansfield |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 44903 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | OH |
| EMPLOYER PHONE | +14195628417 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Baumgardner |
| EMPLOYER POC FIRST NAME | Gavin |
| EMPLOYER POC JOB TITLE | Vice President, Medical Affairs |
| EMPLOYER POC ADDRESS1 | 335 Glessner Avenue |
| EMPLOYER POC CITY | Mansfield |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 44903 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +14195268057 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Hoyt |
| AGENT ATTORNEY FIRST NAME | Matthew |
| AGENT ATTORNEY MIDDLE NAME | Wayne |
| AGENT ATTORNEY ADDRESS1 | 200 Civic Center Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 1200 |
| AGENT ATTORNEY CITY | Columbus |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 43215 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16144622650.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Baker & Hostetler LLP |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 335 Glessner Avenue |
| LCA CASE WORKLOC1 CITY | Mansfield |
| WORKSITE COUNTY | RICHLAND |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 44903 |
| LCA CASE WAGE RATE FROM | 69642.0 |
| LCA CASE WAGE RATE TO | 132320.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 60861.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Hoyt |
| PREPARER FIRST NAME | Matthew |
| PREPARER MIDDLE INITIAL | W |
| PREPARER BUSINESS NAME | BakerHostetler LLP |
| PREPARER EMAIL | [email protected] |
