# Multisite Director of Performance Improvement
> **LCA (H-1B / H-1B1 / E-3)** labor certification — `I-200-25343-468686` · Certified · decided 2025-12-16
## Employer
- **Name:** Prime Healthcare Services – Garden City, LLC
- **DBA:** Garden City Hospital
- **Location:** Garden City, MI, UNITED STATES OF AMERICA
- **FEIN:** 46-4719451
- **NAICS:** 622110
## Job
- **Title:** Multisite Director of Performance Improvement
- **SOC:** 11-9111.00 — Medical and Health Services Managers
- **Workers requested:** 1
- **Worksite:** Garden City, MI
- **Employment period:** 2025-12-15 → 2028-12-14
## Wage
- **Offered:** $61.25–$64.9 per hour
- **Prevailing wage:** $61.25 per Hour
- **Wage level:** Level III
## Representation
- **Attorney:** Romulo Guevara
- **Firm:** Prime Healthcare Management, Inc.
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*Source: [DOL OFLC](https://www.dol.gov/agencies/eta/foreign-labor/performance) · MORVS · CC0 1.0*