Fiscal Year

2023

Case Number

A-22094-35207

Case Status

Certified

Received Date

2022-04-21

Decision Date

2023-01-03

Refile

N

Original File Date

2023-01-01 08:18:13

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

MONADNOCK COMMUNITY HOSPITAL

Employer Name Slug

monadnock-community-hospital

Employer Address 1

452 OLD STREET ROAD

Employer Address 2

Employer City

PETERBOROUGH

Employer City Slug

peterborough

Employer State

NEW HAMPSHIRE

Employer State Slug

new-hampshire

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

3458

Employer Phone

603-924-4699

Employer Number of Employees

538

Employer Year Commenced Business

1923

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Peggy Bedore

Employer Contact Address 1

452 Old Street Rd

Employer Contact Address 2

Employer Contact City

Peterborough

Employer Contact State/Province

NEW HAMPSHIRE

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

3458

Employer Contact Phone

603-924-4699 1273

Employer Contact Email

peggy.bedore@mchmail.org

Agent Attorney Name

John R Wilson

Agent Attorney Firm Name

Goff Wilson, P.A.

Agent Attorney Phone

603-228-1277

Agent Attorney Address 1

PO Box 1000

Agent Attorney Address 2

Agent Attorney City

Manchester

Agent Attorney State/Province

NEW HAMPSHIRE

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

3105

Agent Attorney Email

jwilson@goffwilson.com

PW Track Number

P10021179429852

PW SOC Code

11-9111

PW SOC Title

Medical and Health Services Managers

PW Skill Level

Level II

PW Wage

101213.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-12-01

PW Expiration Date

2022-06-30

Wage Offer From

425000.00

Wage Offer To

0.00

Average Salary

425000.00

Wage Unit of Pay

Year

Worksite Address 1

452 Old Street Rd

Worksite Address 2

Worksite City

Peterborough

Worksite City Slug

peterborough

Worksite State

NEW HAMPSHIRE

Worksite Postal Code

3458

Job Title

Chief Medical Officer

Job Title Slug

chief-medical-officer

Minimum Education

Other

Major Field of Study

Medicine/Osteopathic Medicine

Required Training

Y

Required Experience

Y

Required Experience Months

36

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

Y

Accept Alternative Combination Education

Other

Accept Alternative Combination Education Years

3

Accept Foreign Education

Y

Accept Alternative Occupation

Y

Accept Alternative Occupation Months

36

Accept Alternative Job Title

Any related occupation

Job Opportunity Requirements Normal

N

Foreign Language Required

N

Specific Skills

Requires M.D.D.O. degree, Residency in Internal medicine, BCBE in Internal Medicine, NH MD license or eligibility. Three 3 years of clinical experience in hospital medicine, internal medicine, or family practice. In addition, the position requires two 2 years of leadership experience in a hospital setting. In lieu of the 2 years of leadership experience in a hospital setting, employer will accept an MBA and 6 months of leadership experience in a hospital setting.

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

2021-12-08

SWA Job Order End Date

2022-01-12

Sunday Edition Newspaper

Y

First Newspaper Name

Union LeaderNH Sunday News

First Advertisement Start Date

2021-12-26

Second Newspaper Ad Name

Union LeaderNH Sunday News

Second Advertisement Type

Newspaper

Second Ad Start Date

2022-03-20

Employer Website From Date

2021-12-08

Employer Website To Date

2021-12-29

Professional Organization Ad From Date

2023-01-01 08:18:13

Professional Organization Advertisement To Date

2023-01-01 08:18:13

Job Search Website From Date

2021-12-08

Job Search Website To Date

2021-12-29

Employee Referral Program From Date

2021-12-08

Employee Referral Program To Date

2021-12-29

Local Ethnic Paper From Date

2023-01-01 08:18:13

Local Ethnic Paper To Date

2023-01-01 08:18:13

Radio/TV Ad From Date

2023-01-01 08:18:13

Radio/TV Ad To Date

2023-01-01 08:18:13

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

INDIA

Foreign Worker Birth Country

INDIA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2006

Foreign Worker Institution of Education

THE TAMIL NADU DR. M.G.R. MEDICAL UNIVERSITY

Foreign Worker Education Institution Address 1

69 ANNA SALAI RD, GUINDY

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

CHENNAI

Foreign Worker Education Institution State/Province

TAMIL NADU

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

600032

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

John R Wilson

Preparer Title

Attorney

Preparer Email

jwilson@goffwilson.com

Employer Information Declaration Name

Richard D Scheinblum

Employer Information Declaration Title

Executive Vice President and CFO