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Case Number: A-23006-83818

Fiscal year: 2024

Fiscal Year

2024

Case Number

A-23006-83818

Case Status

Certified

Received Date

2023-02-09

Decision Date

2024-03-11

Refile

N

Original File Date

2024-01-01 00:54:42

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

COVENANT MEDICAL CENTER, INC.

Employer Name Slug

covenant-medical-center-inc

Employer Address 1

3421 WEST 9TH STREET

Employer Address 2

DBA MERCYONE WATERLOO MEDICAL CENTER

Employer City

WATERLOO

Employer City Slug

waterloo

Employer State

IOWA

Employer State Slug

iowa

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

50702

Employer Phone

319-272-8000

Employer Number of Employees

2273

Employer Year Commenced Business

1986

NAICS Code

62111

FW Ownership Interest

N

Employer Contact Name

Lori Landsgard

Employer Contact Address 1

3421 West 9th Street

Employer Contact Address 2

Employer Contact City

Waterloo

Employer Contact State/Province

IOWA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

50702

Employer Contact Phone

319-272-7325

Employer Contact Email

lori.landsgard@mercyhealth.com

Agent Attorney Name

Kelly M Fortier

Agent Attorney Firm Name

Michael Best and Friedrich LLP

Agent Attorney Phone

414-271-6560

Agent Attorney Address 1

790 N. Water Street

Agent Attorney Address 2

Suite 2500

Agent Attorney City

Milwaukee

Agent Attorney State/Province

WISCONSIN

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

53202

Agent Attorney Email

kmfortier@michaelbest.com

PW Track Number

P10022005811134

PW SOC Code

29-1215.00

PW SOC Title

Family Medicine Physicians

PW Skill Level

N/A

PW Wage

100.00

PW Unit of Pay

Hour

PW Wage Source

OES

PW Determination Date

2022-09-15

PW Expiration Date

2023-06-30

Wage Offer From

253076.00

Wage Offer To

0.00

Average Salary

253076.00

Wage Unit of Pay

Year

Worksite Address 1

226 Bluebell Road

Worksite Address 2

MercyOne Bluebell Family Medicine

Worksite City

Cedar Falls

Worksite City Slug

cedar-falls

Worksite State

IOWA

Worksite Postal Code

50613

Job Title

Family Medicine Physican

Job Title Slug

family-medicine-physican

Minimum Education

Other

Major Field of Study

Doctor of Medicine (MD) or Doctor of Osteopathy (DO)

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

Minimum requirements Doctor of Medicine or Doctor of Osteopathy degree, completion of certified ACGME or AOA approved threeyear Family Medicine residency program, and a valid Iowa medical license.

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

2022-11-02

SWA Job Order End Date

2022-12-02

Sunday Edition Newspaper

Y

First Newspaper Name

WaterlooCedar Falls Courier

First Advertisement Start Date

2022-11-06

Second Newspaper Ad Name

WaterlooCedar Falls Courier

Second Advertisement Type

Newspaper

Second Ad Start Date

2022-11-13

Employer Website From Date

2022-11-04

Employer Website To Date

2022-11-18

Professional Organization Ad From Date

2024-01-01 00:54:42

Professional Organization Advertisement To Date

2024-01-01 00:54:42

Job Search Website From Date

2022-12-27

Job Search Website To Date

2023-01-10

Employee Referral Program From Date

2024-01-01 00:54:42

Employee Referral Program To Date

2024-01-01 00:54:42

Local Ethnic Paper From Date

2024-01-01 00:54:42

Local Ethnic Paper To Date

2024-01-01 00:54:42

Radio/TV Ad From Date

2022-11-15

Radio/TV Ad To Date

2022-11-15

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

CANADA

Foreign Worker Birth Country

CANADA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2017

Foreign Worker Institution of Education

ROSS UNIVERSITY SCHOOL OF MEDICINE

Foreign Worker Education Institution Address 1

TWO MILE HILL

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

ST. MICHAEL

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

BARBADOS

Foreign Worker Education Institution Postal Code

BB11093

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

Kelly M Fortier

Preparer Title

Attorney

Preparer Email

kmfortier@michaelbest.com

Employer Information Declaration Name

Lori Landsgard

Employer Information Declaration Title

Physician Placement Coordinator