| LCA CASE NUMBER | I-200-16027-613000 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 1/28/16 |
| DECISION DATE | 2/3/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/1/16 |
| EMPLOYMENT END DATE | 6/30/19 |
| LCA CASE EMPLOYER NAME | GOOD SAMARITAN REGIONAL HEALTH CENTER |
| EMPLOYER ADDRESS | 1 GOOD SAMARITAN WAY |
| EMPLOYER CITY | MT. VERNON |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 62864 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 6182424600 |
| AGENT ATTORNEY NAME | SANDLER, BRADLEY |
| AGENT ATTORNEY CITY | ST. LOUIS |
| AGENT ATTORNEY STATE | MO |
| LCA CASE JOB TITLE | HOSPITALIST |
| SOC CODE | 29-1063 |
| SOC NAME | INTERNISTS, GENERAL |
| NAIC CODE | 621111 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 103,334.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | Other |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 225,000.00 |
| LCA CASE WAGE RATE TO | 300,000.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | MT. VERNON |
| WORKSITE COUNTY | JEFFERSON |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 62864 |
