Fiscal Year

2022

Case Number

A-21287-58855

Case Status

Certified

Received Date

2022-01-03

Decision Date

2022-08-25

Refile

N

Original File Date

2022-01-01 06:32:56

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

AVERA MCKENNAN HOSPITAL UNIVERSITY HEALTH CENTER

Employer Name Slug

avera-mckennan-hospital-university-health-center

Employer Address 1

1325 S. CLIFF AVENUE

Employer Address 2

PO BOX 5045

Employer City

SIOUX FALLS

Employer City Slug

sioux-falls

Employer State

SOUTH DAKOTA

Employer State Slug

south-dakota

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

57105

Employer Phone

605-322-8000

Employer Number of Employees

6000

Employer Year Commenced Business

1911

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

David W Flicek

Employer Contact Address 1

1325 S. Cliff Avenue

Employer Contact Address 2

PO Box 5045

Employer Contact City

Sioux Falls

Employer Contact State/Province

SOUTH DAKOTA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

57105

Employer Contact Phone

605-322-8000

Employer Contact Email

David.Flicek@avera.org

Agent Attorney Name

Brian T Bruner

Agent Attorney Firm Name

Bruner Law Group, PLLC

Agent Attorney Phone

612-205-5494

Agent Attorney Address 1

350 Highway 7

Agent Attorney Address 2

Suite 140

Agent Attorney City

Excelsior

Agent Attorney State/Province

MINNESOTA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

55331

Agent Attorney Email

bbruner@brunerlawgroup.com

PW Track Number

P10021050088224

PW SOC Code

29-1069

PW SOC Title

Physicians and Surgeons, All Other

PW Skill Level

Level II

PW Wage

78478.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-07-13

PW Expiration Date

2022-06-30

Wage Offer From

245000.00

Wage Offer To

0.00

Average Salary

245000.00

Wage Unit of Pay

Year

Worksite Address 1

1325 S. Cliff Avenue

Worksite Address 2

Worksite City

Sioux Falls

Worksite City Slug

sioux-falls

Worksite State

SOUTH DAKOTA

Worksite Postal Code

57105

Job Title

Palliative Care Physician

Job Title Slug

palliative-care-physician

Minimum Education

Other

Major Field of Study

Medicine

Required Training

Y

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

MD or Foreign Equivalent; Completion of Internal Medicine Residency Program; BC in Internal Medicine; Completion of Hospice and Palliative Medicine Fellowship Program; BE or BC in Hospice and Palliative Medicine; and Possess or be Eligible for a South Dakota 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

2021-07-15

SWA Job Order End Date

2021-08-15

Sunday Edition Newspaper

Y

First Newspaper Name

Argus Leader

First Advertisement Start Date

2021-09-12

Second Newspaper Ad Name

Argus Leader

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-09-19

Employer Website From Date

2022-01-01 06:32:56

Employer Website To Date

2022-01-01 06:32:56

Professional Organization Ad From Date

2021-08-10

Professional Organization Advertisement To Date

2021-08-10

Job Search Website From Date

2021-08-06

Job Search Website To Date

2021-08-13

Employee Referral Program From Date

2022-01-01 06:32:56

Employee Referral Program To Date

2022-01-01 06:32:56

Local Ethnic Paper From Date

2022-01-01 06:32:56

Local Ethnic Paper To Date

2022-01-01 06:32:56

Radio/TV Ad From Date

2022-01-01 06:32:56

Radio/TV Ad To Date

2022-01-01 06:32:56

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

INDONESIA

Foreign Worker Birth Country

INDONESIA

Class of Admission

J-1

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2009

Foreign Worker Institution of Education

UNIVERSITAS INDONESIA FAKULTAS KEDOKTERAN

Foreign Worker Education Institution Address 1

JL. SALEMBA RAYA NO. 6, RW 5, KENARI, KECAMATAN BEJI

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

JAKARTA PUSAT

Foreign Worker Education Institution State/Province

DKI JAKARTA

Foreign Worker Education Institution Country

INDONESIA

Foreign Worker Education Institution Postal Code

10430

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

Brian T Bruner

Preparer Title

PartnerLead Engagement Attorney

Preparer Email

bbruner@brunerlawgroup.com

Employer Information Declaration Name

David Flicek

Employer Information Declaration Title

President and Chief Executive Officer