Fiscal Year

2022

Case Number

A-21036-49499

Case Status

Certified

Received Date

2021-12-15

Decision Date

2022-07-22

Refile

N

Original File Date

2022-01-01 11:46:07

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

CITIZENS MEMORIAL HOSPITAL

Employer Name Slug

citizens-memorial-hospital

Employer Address 1

1500 N OAKLAND AVENUE

Employer Address 2

Employer City

BOLIVAR

Employer City Slug

bolivar

Employer State

MISSOURI MO

Employer State Slug

missouri-mo

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

65613

Employer Phone

4173266000

Employer Number of Employees

800

Employer Year Commenced Business

1978

NAICS Code

62111

FW Ownership Interest

N

Employer Contact Name

Donna Shelby

Employer Contact Address 1

1500 N Oakland Ave Ue

Employer Contact Address 2

Employer Contact City

Bolivar

Employer Contact State/Province

MISSOURI MO

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

65613

Employer Contact Phone

4173286273

Employer Contact Email

donna.shelby@citizensmemorial.com

Agent Attorney Name

Bradley A Sandler

Agent Attorney Firm Name

Stinson LLP

Agent Attorney Phone

3147193006

Agent Attorney Address 1

7700 Forsyth Boulevard Suite 1100

Agent Attorney Address 2

Agent Attorney City

St. Louis

Agent Attorney State/Province

MISSOURI

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

63105

Agent Attorney Email

brad.sandler@stinson.com

PW Track Number

P10021195460680

PW SOC Code

29-1061

PW SOC Title

Anesthesiologists

PW Skill Level

N/A

PW Wage

208000.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-12-14

PW Expiration Date

2022-06-30

Wage Offer From

400000.00

Wage Offer To

500000.00

Average Salary

450000.00

Wage Unit of Pay

Year

Worksite Address 1

1155 W. Parkview St.

Worksite Address 2

Worksite City

Bolivar

Worksite City Slug

bolivar

Worksite State

MISSOURI

Worksite Postal Code

65613

Job Title

Physician

Job Title Slug

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

Eligibility for Missouri Medical license; Completion of 48 month ACGME Anesthesiology Residency and completion of 12 month ACGME Pain Medicine Fellowship

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

2021-08-24

SWA Job Order End Date

2021-09-28

Sunday Edition Newspaper

Y

First Newspaper Name

Springfield News Leader

First Advertisement Start Date

2021-08-22

Second Newspaper Ad Name

Springfield News Leader

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-08-29

Employer Website From Date

2021-08-17

Employer Website To Date

2021-09-28

Professional Organization Ad From Date

2022-01-01 11:46:07

Professional Organization Advertisement To Date

2022-01-01 11:46:07

Job Search Website From Date

2021-09-08

Job Search Website To Date

2021-09-22

Employee Referral Program From Date

2022-01-01 11:46:07

Employee Referral Program To Date

2022-01-01 11:46:07

Local Ethnic Paper From Date

2021-09-04

Local Ethnic Paper To Date

2021-09-04

Radio/TV Ad From Date

2022-01-01 11:46:07

Radio/TV Ad To Date

2022-01-01 11:46:07

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

SOUTH KOREA

Foreign Worker Birth Country

SOUTH KOREA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2012

Foreign Worker Institution of Education

KYUNG HEE UNIVERSITY

Foreign Worker Education Institution Address 1

26 KYUNGHEEDAERO, DONGDAEMUNGU

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

SEOUL

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

SOUTH KOREA

Foreign Worker Education Institution Postal Code

130-701

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Bradley Sandler

Preparer Title

Attorney

Preparer Email

brad.sandler@stinson.com

Employer Information Declaration Name

Alan Stevens

Employer Information Declaration Title

Chief Executive Officer