| CASE NUMBER | I-200-24214-238122 |
| CASE STATUS | Certified |
| RECEIVED DATE | 8/1/2024 |
| DECISION DATE | 8/8/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Practice Administrator/Director |
| SOC CODE | 11-9111.00 |
| SOC TITLE | Medical and Health Services Managers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 8/12/2024 |
| END DATE | 8/11/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Sisters of Charity of Leavenworth Health System Inc. |
| TRADE NAME DBA | Intermountain Health |
| EMPLOYER ADDRESS1 | 500 Eldorado Blvd |
| EMPLOYER ADDRESS2 | Suite 4300 |
| EMPLOYER CITY | Broomfield |
| EMPLOYER STATE | CO |
| EMPLOYER POSTAL CODE | 80021 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +18014422115 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Hansen |
| EMPLOYER POC FIRST NAME | Mary |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | HR Solutions Center Consultant | Immigration |
| EMPLOYER POC ADDRESS1 | 5245 S. College Drive |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Murray |
| EMPLOYER POC STATE | UT |
| EMPLOYER POC POSTAL CODE | 84123 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +18014422115 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | mary.hansen@imail.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Tsai |
| AGENT ATTORNEY FIRST NAME | Roger |
| AGENT ATTORNEY MIDDLE NAME | Y. |
| AGENT ATTORNEY ADDRESS1 | 1144 15th Street |
| AGENT ATTORNEY ADDRESS2 | Ste. 3400 |
| AGENT ATTORNEY CITY | Denver |
| AGENT ATTORNEY STATE | CO |
| AGENT ATTORNEY POSTAL CODE | 80202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +13036073554 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | roger.tsai@faegredrinker.com |
| LAWFIRM NAME BUSINESS NAME | Faegre Drinker Biddle & Reath LLP |
| STATE OF HIGHEST COURT | CO |
| NAME OF HIGHEST STATE COURT | Colorado Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1233 N 30th St |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Billings |
| WORKSITE COUNTY | YELLOWSTONE |
| WORKSITE STATE | MT |
| WORKSITE POSTAL CODE | 59101 |
| WAGE RATE OF PAY FROM | 112,320.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $94,848.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-12-08 |
