| LCA CASE NUMBER | I-200-23083-877565 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-03-24 |
| DECISION DATE | 2023-03-31 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-03-31 |
| END DATE | 2026-03-30 |
| 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 | Foundation Health LLC |
| EMPLOYER ADDRESS1 | 1650 Cowles Street |
| EMPLOYER CITY | Fairbanks |
| EMPLOYER STATE | AK |
| EMPLOYER POSTAL CODE | 99701 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19074585570 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Wighs |
| EMPLOYER POC FIRST NAME | Kelly |
| EMPLOYER POC JOB TITLE | HR SR Manager |
| EMPLOYER POC ADDRESS1 | 1650 Cowles Street |
| EMPLOYER POC CITY | Fairbanks |
| EMPLOYER POC STATE | AK |
| EMPLOYER POC POSTAL CODE | 99701 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19074585672 |
| EMPLOYER POC EMAIL | kelly.wighs@foundationhealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Martinez |
| AGENT ATTORNEY FIRST NAME | Matthew |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 2929 N Central Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 1700 |
| AGENT ATTORNEY CITY | Phoenix |
| AGENT ATTORNEY STATE | AZ |
| AGENT ATTORNEY POSTAL CODE | 85012 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16023851034 |
| AGENT ATTORNEY EMAIL ADDRESS | matthew.martinez@lewisbrisbois.com |
| LAWFIRM NAME BUSINESS NAME | Lewis Brisbois |
| STATE OF HIGHEST COURT | AZ |
| NAME OF HIGHEST STATE COURT | Arizona Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1650 Cowels Street |
| LCA CASE WORKLOC1 CITY | Fairbanks |
| WORKSITE COUNTY | FAIRBANKS NORTH STAR |
| LCA CASE WORKLOC1 STATE | AK |
| WORKSITE POSTAL CODE | 99701 |
| LCA CASE WAGE RATE FROM | 386428 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 321069 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Miller |
| PREPARER FIRST NAME | Christine |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Lewis Brisbois |
| PREPARER EMAIL | Christine.Miller@lewisbrisbois.com |
