| LCA CASE NUMBER | I-200-23130-010740 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-05-10 |
| DECISION DATE | 2023-05-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Physician |
| SOC CODE | 29-1215.00 |
| SOC TITLE | Family Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-08-21 |
| END DATE | 2026-08-20 |
| 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 | Adams County Memorial Hospital |
| TRADE NAME DBA | Adams Memorial Hospital |
| EMPLOYER ADDRESS1 | 1100 Mercer Avenue |
| EMPLOYER CITY | Decatur |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46733 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12607242145 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Miller |
| EMPLOYER POC FIRST NAME | Adam |
| EMPLOYER POC MIDDLE NAME | T. |
| EMPLOYER POC JOB TITLE | Corporate Counsel and Compliance Officer |
| EMPLOYER POC ADDRESS1 | 1100 Mercer Avenue |
| EMPLOYER POC CITY | Decatur |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46733 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12607242145 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Bruner |
| AGENT ATTORNEY FIRST NAME | Brian |
| AGENT ATTORNEY MIDDLE NAME | T. |
| AGENT ATTORNEY ADDRESS1 | 350 Highway 7 |
| AGENT ATTORNEY ADDRESS2 | Suite 140 |
| AGENT ATTORNEY CITY | Excelsior |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55331 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | Minnesota |
| AGENT ATTORNEY PHONE | 16122055494 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Bruner Law Group, PLLC |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Minnesota Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1100 Mercer Avenue |
| LCA CASE WORKLOC1 CITY | Decatur |
| WORKSITE COUNTY | ADAMS |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46733 |
| LCA CASE WAGE RATE FROM | 245000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| 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 |
