Fiscal Year

2024

Case Number

A-23139-45152

Case Status

Certified

Received Date

2023-05-31

Decision Date

2024-06-11

Refile

N

Original File Date

2024-01-01 01:38:00

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

St Joseph Hospital

Employer Name Slug

st-joseph-hospital

Employer Address 1

360 Broadway

Employer Address 2

Employer City

Bangor

Employer City Slug

bangor

Employer State

MAINE

Employer State Slug

maine

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

4401

Employer Phone

2079071000

Employer Number of Employees

1095

Employer Year Commenced Business

1947

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

David J Koffman

Employer Contact Address 1

360 Broadway

Employer Contact Address 2

Employer Contact City

Bangor

Employer Contact State/Province

MAINE

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

4401

Employer Contact Phone

2079071300

Employer Contact Email

david.koffman@sjhhealth.com

Agent Attorney Name

Matthew S Raynes

Agent Attorney Firm Name

Eaton Peabody

Agent Attorney Phone

2079470111

Agent Attorney Address 1

PO Box 1210

Agent Attorney Address 2

Agent Attorney City

Bangor

Agent Attorney State/Province

MAINE

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

44021210

Agent Attorney Email

mraynes@eatonpeabody.com

PW Track Number

P10022231427711

PW SOC Code

29-1216.00

PW SOC Title

General Internal Medicine Physicians

PW Skill Level

Level I

PW Wage

162635.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2023-03-10

PW Expiration Date

2023-06-30

Wage Offer From

219200.00

Wage Offer To

0.00

Average Salary

219200.00

Wage Unit of Pay

Year

Worksite Address 1

900 Broadway

Worksite Address 2

Worksite City

Bangor

Worksite City Slug

bangor

Worksite State

MAINE

Worksite Postal Code

4401

Job Title

Physician (Internal Medicine)

Job Title Slug

physician-internal-medicine

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

Requires M.D., D.O. or foreign equivalent, with minimum of 36 months Internal Medicine residency, Maine Physicians license or immediate eligibility for same and Board certifiedBoard eligible by the American Board of Internal Medicine.

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

2023-03-29

SWA Job Order End Date

2023-04-28

Sunday Edition Newspaper

Y

First Newspaper Name

Maine Sunday Telegram

First Advertisement Start Date

2023-03-26

Second Newspaper Ad Name

Maine Sunday Telegram

Second Advertisement Type

Newspaper

Second Ad Start Date

2023-04-02

Employer Website From Date

2023-03-27

Employer Website To Date

2023-04-28

Professional Organization Ad From Date

2023-03-28

Professional Organization Advertisement To Date

2023-04-26

Job Search Website From Date

2023-03-22

Job Search Website To Date

2023-04-28

Employee Referral Program From Date

2024-01-01 01:38:00

Employee Referral Program To Date

2024-01-01 01:38:00

Local Ethnic Paper From Date

2024-01-01 01:38:00

Local Ethnic Paper To Date

2024-01-01 01:38:00

Radio/TV Ad From Date

2024-01-01 01:38:00

Radio/TV Ad To Date

2024-01-01 01:38:00

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

MALAYSIA

Foreign Worker Birth Country

MALAYSIA

Class of Admission

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2015

Foreign Worker Institution of Education

PERDANA UNIVERSITY

Foreign Worker Education Institution Address 1

SUITE 5.3 5TH FLOOR, WISMA CHASE PERDANA, CHANGKAT SEMANTAN, DAMANSARA HEIGHTS

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

KUALA LUMPUR

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

MALAYSIA

Foreign Worker Education Institution Postal Code

50490

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

Matthew S Raynes

Preparer Title

Attorney

Preparer Email

mraynes@eatonpeabody.com

Employer Information Declaration Name

David J Koffman, MD

Employer Information Declaration Title

Vice President of Medical Affairs