| LCA CASE NUMBER | I-200-24333-506128 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-11-27 |
| DECISION DATE | 2024-12-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1216.00 |
| SOC TITLE | General Internal Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2025-01-06 |
| END DATE | 2028-01-05 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | St. Luke's Health System, Ltd. |
| EMPLOYER ADDRESS1 | 190 E. Bannock Street |
| EMPLOYER CITY | Boise |
| EMPLOYER STATE | ID |
| EMPLOYER POSTAL CODE | 83712 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12084930499 |
| EMPLOYER FEIN | 56-2570681 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Neuhoff |
| EMPLOYER POC FIRST NAME | Christine |
| EMPLOYER POC JOB TITLE | Senior Vice President, Chief Legal Officer |
| EMPLOYER POC ADDRESS1 | 190 E. Bannock Street |
| EMPLOYER POC CITY | Boise |
| EMPLOYER POC STATE | ID |
| EMPLOYER POC POSTAL CODE | 83712 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12084930499 |
| EMPLOYER POC EMAIL | Neuhoffc@slhs.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | REILLY |
| AGENT ATTORNEY FIRST NAME | Brent |
| AGENT ATTORNEY MIDDLE NAME | P. |
| AGENT ATTORNEY ADDRESS1 | 1400 Broadway |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10018 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12126888555 |
| AGENT ATTORNEY EMAIL ADDRESS | esmirnova@fragomen.com |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 190 E. Bannock Street |
| LCA CASE WORKLOC1 CITY | Boise |
| WORKSITE COUNTY | ADA |
| LCA CASE WORKLOC1 STATE | ID |
| WORKSITE POSTAL CODE | 83712 |
| LCA CASE WAGE RATE FROM | 273709.2 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 178818 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Smirnova |
| PREPARER FIRST NAME | Elizaveta |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | esmirnova@fragomen.com |