Fiscal Year

2021

Case Number

A-21015-42478

Case Status

Certified

Received Date

2021-02-18

Decision Date

2021-07-26

Refile

N

Original File Date

2021-01-01 09:53:21

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Hendricks County Hospital dba Hendricks Regional H

Employer Name Slug

hendricks-county-hospital-dba-hendricks-regional-h

Employer Address 1

1000 E Main Street

Employer Address 2

Employer City

Danville

Employer City Slug

danville

Employer State

INDIANA

Employer State Slug

indiana

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

46122

Employer Phone

3177453440

Employer Number of Employees

2020

Employer Year Commenced Business

1962

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Nancy Foster

Employer Contact Address 1

1000 E Main Street

Employer Contact Address 2

Employer Contact City

Danville

Employer Contact State/Province

INDIANA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

46122

Employer Contact Phone

3177453440

Employer Contact Email

nancy.foster@hendricks.org

Agent Attorney Name

Michael L Kim

Agent Attorney Firm Name

Hall Render Killian Heath and Lyman, P.C.

Agent Attorney Phone

(317) 977-1418

Agent Attorney Address 1

500 North Meridian Street, Suite 400

Agent Attorney Address 2

Agent Attorney City

Indianapolis

Agent Attorney State/Province

INDIANA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

46204

Agent Attorney Email

mkim@hallrender.com

PW Track Number

P10020178682805

PW SOC Code

29-1069

PW SOC Title

Physicians and Surgeons, All Other

PW Skill Level

N/A

PW Wage

208000.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2020-10-29

PW Expiration Date

2021-06-30

Wage Offer From

244400.00

Wage Offer To

0.00

Average Salary

244400.00

Wage Unit of Pay

Year

Worksite Address 1

1100 Southfield Drive

Worksite Address 2

Suite 1300

Worksite City

Plainfield

Worksite City Slug

plainfield

Worksite State

INDIANA

Worksite Postal Code

46168

Job Title

Physician (Rheumatology)

Job Title Slug

physician-rheumatology

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

1.Doctor of Medicine degree M.D. or Doctor of Osteopathic Medicine degree D.O. or foreign equivalent; 2. Completion of a medical fellowship in Rheumatology; 3. Board Eligibility or Board Certification in Rheumatology; 4. Indiana Physician License; andbr 5. Unrestricted federal DEA permit.

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

2020-12-09

SWA Job Order End Date

2021-01-08

Sunday Edition Newspaper

Y

First Newspaper Name

The Indianapolis Star

First Advertisement Start Date

2020-12-06

Second Newspaper Ad Name

The Indianapolis Star

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-12-13

Employer Website From Date

2021-01-01 09:53:21

Employer Website To Date

2021-01-01 09:53:21

Professional Organization Ad From Date

2020-12-31

Professional Organization Advertisement To Date

2020-12-31

Job Search Website From Date

2020-12-04

Job Search Website To Date

2020-12-23

Employee Referral Program From Date

2021-01-01 09:53:21

Employee Referral Program To Date

2021-01-01 09:53:21

Local Ethnic Paper From Date

2021-01-01 09:53:21

Local Ethnic Paper To Date

2021-01-01 09:53:21

Radio/TV Ad From Date

2020-11-25

Radio/TV Ad To Date

2020-11-27

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 AND SURGERY

Foreign Worker Years of Education Completed

2006

Foreign Worker Institution of Education

NTR UNIVERSITY OF HEALTH SCIENCES

Foreign Worker Education Institution Address 1

GUNTUR MEDICAL COLLEGE

Foreign Worker Education Institution Address 2

KANNAVARITHOTA

Foreign Worker Education Institution City

GUNTUR

Foreign Worker Education Institution State/Province

ANDHRA PRADESH

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

522004

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

Michael L Kim

Preparer Title

Attorney

Preparer Email

mkim@hallrender.com

Employer Information Declaration Name

Michael Kirschner

Employer Information Declaration Title

Vice President of Physician Practice