Fiscal Year

2021

Case Number

A-20253-97639

Case Status

Certified

Received Date

2020-09-11

Decision Date

2021-04-27

Refile

N

Original File Date

2021-01-01 09:17:07

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

STORMONTVAIL HEALTHCARE

Employer Name Slug

stormontvail-healthcare

Employer Address 1

1500 S.W. 10TH AVE

Employer Address 2

Employer City

TOPEKA

Employer City Slug

topeka

Employer State

KANSAS

Employer State Slug

kansas

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

66604

Employer Phone

785-354-6000

Employer Number of Employees

5244

Employer Year Commenced Business

1884

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Kevin Dishman

Employer Contact Address 1

1500 S.W. 10th Ave

Employer Contact Address 2

Employer Contact City

Topeka

Employer Contact State/Province

KANSAS

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

66604

Employer Contact Phone

785-354-6000 5355

Employer Contact Email

mlechner@stormontvail.org

Agent Attorney Name

Donald D Berner

Agent Attorney Firm Name

Foulston Siefkin LLP

Agent Attorney Phone

3162919738

Agent Attorney Address 1

1551 N Waterfront Pkwy, Ste. 100

Agent Attorney Address 2

Suite 100

Agent Attorney City

Wichita

Agent Attorney State/Province

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

67206

Agent Attorney Email

dberner@foulston.com

PW Track Number

P10019309127777

PW SOC Code

29-1067

PW SOC Title

Surgeons

PW Skill Level

Level I

PW Wage

44034.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-03-02

PW Expiration Date

2020-06-30

Wage Offer From

330000.00

Wage Offer To

0.00

Average Salary

330000.00

Wage Unit of Pay

Year

Worksite Address 1

823 SW Mulvane

Worksite Address 2

Worksite City

Topeka

Worksite City Slug

topeka

Worksite State

KANSAS

Worksite Postal Code

66606

Job Title

General Surgeon

Job Title Slug

general-surgeon

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

Kansas medical license or eligible for Kansas medical license. Board certified or board eligible in General Surgery. Enrolled in General Surgery Residency.

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

2020-03-25

SWA Job Order End Date

2020-04-25

Sunday Edition Newspaper

Y

First Newspaper Name

Topeka Capital Journal

First Advertisement Start Date

2020-04-26

Second Newspaper Ad Name

Topeka Capital Journal

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-05-03

Employer Website From Date

2020-04-30

Employer Website To Date

2020-06-01

Professional Organization Ad From Date

2021-01-01 09:17:07

Professional Organization Advertisement To Date

2021-01-01 09:17:07

Job Search Website From Date

2020-04-25

Job Search Website To Date

2020-05-23

Employee Referral Program From Date

2021-01-01 09:17:07

Employee Referral Program To Date

2021-01-01 09:17:07

Local Ethnic Paper From Date

2021-01-01 09:17:07

Local Ethnic Paper To Date

2021-01-01 09:17:07

Radio/TV Ad From Date

2020-05-02

Radio/TV Ad To Date

2020-05-02

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

VENEZUELA

Foreign Worker Birth Country

VENEZUELA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2009

Foreign Worker Institution of Education

UNIVERSIDAD CENTROOCCIDENTAL LISANDRO ALVARADO

Foreign Worker Education Institution Address 1

22ND STREET LIBERTADORES AV

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

BARQUSIMETO

Foreign Worker Education Institution State/Province

LARA

Foreign Worker Education Institution Country

VENEZUELA

Foreign Worker Education Institution Postal Code

3001

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Donald D Berner

Preparer Title

Attorney

Preparer Email

dberner@foulston.com

Employer Information Declaration Name

Kevin Dishman, MD

Employer Information Declaration Title

Senior VP and Chief Medical Officer