| LCA CASE NUMBER | I-200-20132-560525 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-11 |
| DECISION DATE | 2020-05-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Chief Medical Staff Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-14 |
| END DATE | 2023-07-13 |
| 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 | Foothills Community Health Care, Inc. |
| EMPLOYER ADDRESS1 | 403 Hillcrest Drive |
| EMPLOYER ADDRESS2 | Suite D |
| EMPLOYER CITY | Easley |
| EMPLOYER STATE | SC |
| EMPLOYER POSTAL CODE | 29640 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18647220283 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Rajkowski |
| EMPLOYER POC FIRST NAME | Mark |
| EMPLOYER POC MIDDLE NAME | J. |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 403 Hillcrest Drive |
| EMPLOYER POC ADDRESS2 | Suite D |
| EMPLOYER POC CITY | Easley |
| EMPLOYER POC STATE | SC |
| EMPLOYER POC POSTAL CODE | 29640 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18647220283 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Burwell |
| AGENT ATTORNEY FIRST NAME | Henry |
| AGENT ATTORNEY MIDDLE NAME | McAden |
| AGENT ATTORNEY ADDRESS1 | 2 W. Washington Street |
| AGENT ATTORNEY ADDRESS2 | Suite 400 |
| AGENT ATTORNEY CITY | Greenville |
| AGENT ATTORNEY STATE | SC |
| AGENT ATTORNEY POSTAL CODE | 29601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18643732300.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Nelson Mullins Riley & Scarborough |
| STATE OF HIGHEST COURT | SC |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 110 Liberty Drive |
| LCA CASE WORKLOC1 CITY | Clemson |
| WORKSITE COUNTY | PICKENS |
| LCA CASE WORKLOC1 STATE | SC |
| WORKSITE POSTAL CODE | 29631 |
| LCA CASE WAGE RATE FROM | 173366.0 |
| LCA CASE WAGE RATE TO | 175000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 173366.0 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2019.0 |
| PW SURVEY PUBLISHER | Medical Group Management Association |
| PW SURVEY NAME | Provider Placement Starting Salary |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Burwell |
| PREPARER FIRST NAME | Henry |
| PREPARER MIDDLE INITIAL | M. |
| PREPARER BUSINESS NAME | Nelson Mullins Riley & Scarborough |
| PREPARER EMAIL | [email protected] |
