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Case Number: A-22143-59571

Fiscal year: 2023

Fiscal Year

2023

Case Number

A-22143-59571

Case Status

Certified

Received Date

2022-06-13

Decision Date

2023-03-07

Refile

N

Original File Date

2023-01-01 08:02:45

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

MercyOne Centerville Medical Center

Employer Name Slug

mercyone-centerville-medical-center

Employer Address 1

1 St. Joseph Drive

Employer Address 2

Employer City

Centerville

Employer City Slug

centerville

Employer State

IOWA

Employer State Slug

iowa

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

52544

Employer Phone

6414374111

Employer Number of Employees

1056

Employer Year Commenced Business

1902

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Debra P Booth

Employer Contact Address 1

405 SW 5th Street

Employer Contact Address 2

Suite F

Employer Contact City

Des Moines

Employer Contact State/Province

IOWA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

50309

Employer Contact Phone

5153586932

Employer Contact Email

debra.booth@commonspirit.org

Agent Attorney Name

Jeffrey S Bell

Agent Attorney Firm Name

Polsinelli PC

Agent Attorney Phone

8163604264

Agent Attorney Address 1

900 West 48th Place

Agent Attorney Address 2

Suite 900

Agent Attorney City

Kansas City

Agent Attorney State/Province

MISSOURI

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

64112

Agent Attorney Email

JBell@polsinelli.com

PW Track Number

P10021305678914

PW SOC Code

29-1063

PW SOC Title

INTERNISTS, GENERAL

PW Skill Level

N/A

PW Wage

100.00

PW Unit of Pay

Hour

PW Wage Source

OES

PW Determination Date

2022-05-05

PW Expiration Date

2022-08-03

Wage Offer From

225000.00

Wage Offer To

275000.00

Average Salary

250000.00

Wage Unit of Pay

Year

Worksite Address 1

522 N. HANCOCK ST.

Worksite Address 2

Worksite City

OTTUMWA

Worksite City Slug

ottumwa

Worksite State

IOWA

Worksite Postal Code

52501

Job Title

INTERNAL MEDICINE PHYSICIAN

Job Title Slug

internal-medicine-physician

Minimum Education

Other

Major Field of Study

MEDICINE

Required Training

N

Required Experience

N

Required Experience Months

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

N

Accept Alternative Combination Education

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

IOWA MEDICAL LICENSE, COMPLETION OF INTERNAL MEDICINE RESIDENCY PROGRAM.

Combination Occupation

N

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

N

Foreign Worker Live in Domestic Service

N

Foreign Worker Live in Domestic Service Count

Professional Occupation

Y

Application for College/University Teacher

N

SWA Job Order Start Date

2022-02-08

SWA Job Order End Date

2022-03-10

Sunday Edition Newspaper

Y

First Newspaper Name

DES MOINES REGISTER

First Advertisement Start Date

2022-03-20

Second Newspaper Ad Name

DES MOINES REGISTER

Second Advertisement Type

Newspaper

Second Ad Start Date

2022-03-27

Employer Website From Date

2022-02-22

Employer Website To Date

2022-05-12

Professional Organization Ad From Date

2023-01-01 08:02:45

Professional Organization Advertisement To Date

2023-01-01 08:02:45

Job Search Website From Date

2022-03-11

Job Search Website To Date

2022-03-24

Employee Referral Program From Date

2023-01-01 08:02:45

Employee Referral Program To Date

2023-01-01 08:02:45

Local Ethnic Paper From Date

2022-03-23

Local Ethnic Paper To Date

2022-03-23

Radio/TV Ad From Date

2023-01-01 08:02:45

Radio/TV Ad To Date

2023-01-01 08:02:45

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

DOMINICAN REPUBLIC

Foreign Worker Birth Country

DOMINICAN REPUBLIC

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2014

Foreign Worker Institution of Education

PONTIFICIA UNIVERSIDAD CATOLICA MADRE Y MAESTRA PUCMM

Foreign Worker Education Institution Address 1

AUTOPISTA DUARTE KM 1 12

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

SANTIAGO

Foreign Worker Education Institution State/Province

SANTIAGO

Foreign Worker Education Institution Country

DOMINICAN REPUBLIC

Foreign Worker Education Institution Postal Code

51000

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

JEFFREY S BELL

Preparer Title

SHAREHOLDER

Preparer Email

JBELL@POLSINELLI.COM

Employer Information Declaration Name

ROGER MCMAHON

Employer Information Declaration Title

DIRECTOR, PHYSICIAN EMPLOYMENT SERVICES