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Altru Health System — H-1B Visa Sponsorship Data

61 certified Labor Condition Applications on file with the U.S. Department of Labor, FY2021–FY2026.

Grand Forks, NDActive FY2021–FY2026Full-Time RolesNot H-1B Dependent
● Data current through FY2026 · sourced from U.S. DOL OFLC, updated quarterly
Sponsors H-1B?
Yes
61 certified LCAs
FY2026 filings
11
most recent disclosure year
Median H-1B salary
$385,000
typical $100,100–$500,000
H-1B dependent?
No
per the employer's LCA attestation
Transfer share
21%
change-of-employer filings

2 items a DOL auditor would ask Altru Health System about

Since September 2025, DOL's Project Firewall opens H-1B investigations without waiting for a complaint. These checkpoints come from Altru Health System's own public LCA filings (FY2024–FY2026) — the same records an investigator pulls first.

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2 certified LCAs (2 positions) end within 180 days

Next end date: 2027-01-14. Employing an H-1B worker past the LCA end date without a new certified LCA is a strict-liability violation — the replacement LCA must be certified before the I-129 extension is filed.

Auditor asksWhich workers are on each expiring LCA, and is a superseding LCA already certified?
In your PAFSuperseding LCA, updated PAF entry and new posting notice for every position that continues.
Watch
6 worksites across 2 states

Each worksite needs its own 10-business-day LCA notice and a PAF record of that posting; a move to a new area of intended employment needs a new LCA before the worker starts there.

Auditor asksWhere is the posting record for each worksite, and were short-term placements tracked against the 30/60-day limits?
In your PAFPosting notices (or electronic-notice records) per worksite; new-worksite LCAs; placement log.
Clear
0% of certified LCAs are at Wage Level I

Level I is the entry-level prevailing-wage tier and the band DOL's Project Firewall reviews first for misclassification (senior duties filed at an entry-level wage). The national share is 17%.

Auditor asksHow was Level I justified for each role — required education, experience and the actual duties performed?
In your PAFPrevailing-wage determination and wage-level worksheet for every Level I LCA.
Clear
0% of LCAs offer a wage within 2% of the prevailing wage

Median offered wage is 28% above the DOL prevailing wage across 41 recent certified LCAs. Paying at the floor is lawful, but it invites the question of whether the wage level itself is right.

Auditor asksShow the actual wage paid (payroll) matches or exceeds the LCA wage for every worker, including benched time.
In your PAFActual-wage memorandum and pay records per LCA; wage-level rationale where the offered wage equals the PW.
Clear
Not H-1B dependent (per LCA attestation)

No additional recruitment or non-displacement attestations apply.

Auditor asksDoes the current H-1B headcount still fall under the dependency threshold?
In your PAFHeadcount snapshot supporting the non-dependent attestation at each filing.
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Public DOL disclosure data can lag actual filings by a quarter. Descriptive only — not legal advice.

For job seekers

Considering a job at Altru Health System?

Does Altru Health System sponsor H-1B visas?

Yes — Altru Health System sponsors H-1B workers, with 61 certified LCAs on file (FY2021–FY2026), including 11 in FY2026. The median certified salary is $385,000 (P25 $100,100, P75 $500,000). 100% of its certified filings meet or exceed the prevailing wage.

What to Know Before Applying to Altru Health System

Salary range
Median $385,000, typical band $100,100–$500,000.
Transfers
21% transfer share — most sponsorship is for new or continuing roles.
Typical locations
Grand Forks, ND, Devils Lake, ND, Crookston, MN, Roseau, MN.
Position type
100% of filings are full-time roles.
Common roles
Medical Laboratory Scientist, Family Medicine Physician, Pulmonary Critical Care Physician.
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Frequently asked questions

Yes. Altru Health System has 61 certified Labor Condition Applications (LCAs) on file with the U.S. Department of Labor (FY2021–FY2026).

The median sponsored salary is $385,000, with a typical P25–P75 band of $100,100–$500,000 across certified LCAs.

Yes — 21% of its LCA filings are change-of-employer (transfer) cases, indicating an active transfer pipeline.

No — the employer attests it is not H-1B dependent on its LCA filings.

Altru Health System filed 11 certified LCAs in FY2026, the most recent fiscal year of U.S. DOL disclosure data.

Top worksites include Grand Forks, ND, Devils Lake, ND, Crookston, MN, Roseau, MN.
Sponsorship data

Altru Health System H-1B data at a glance

Executive Summary

Altru Health System H-1B sponsorship at a glance, from public U.S. DOL LCA disclosure data (FY2021–FY2026).

  • Median certified salary is $385,000, typically $100,100–$500,000 (P25–P75).
  • 100% of certified filings are at or above the DOL prevailing wage.
  • Change-of-employer (transfer) share is 21% — most filings are for new or continuing employment.
  • Worksite footprint spans 2 states and 6 cities.
  • Most-sponsored roles: Medical Laboratory Scientist, Family Medicine Physician, Pulmonary Critical Care Physician.
  • Filed 11 certified LCAs in FY2026, the most recent disclosure year.

Certified LCAs are a prerequisite to H-1B petitions, not visa approvals; one LCA can cover multiple workers. Descriptive only — not legal advice.

Salary Distribution

$74,000
$704,914
P25$100,100
Median$385,000
P75$500,000

The shaded band is the middle half of certified salaries (P25–P75); the bar spans the lowest to highest certified salary.

100% of certified filings at or above the DOL prevailing wage.

Wage Level Distribution

Level I
0%
Level II
20%
Level III
29%
Level IV
51%

Levels I–IV are DOL prevailing-wage experience tiers; 80% of filings are senior-level (III–IV).

Filing history

LCA filings by fiscal year

Certified LCAs per year

FY2021
5
FY2022
8
FY2023
7
FY2024
8
FY2025
22
FY2026
11
Fiscal yearCertifiedDeniedWithdrawnTotal
FY20215005
FY20228008
FY20237007
FY20248008
FY2025220022
FY2026110112

Case dispositions from the U.S. DOL OFLC disclosure files. Withdrawn are LCAs that were certified and later withdrawn by the employer; they still count toward Total.

See a single year in detail:
FY2021 ›FY2022 ›FY2023 ›FY2024 ›FY2025 ›FY2026 ›

All LCA filings

58 filings
Job titleSalaryLevelLocationFiledStatus
Pulmonary Critical Care Physician
I-200-26164-012874
$500,000/yrIVGrand Forks, NDJun 13, 2026Certified
Acute Care Surgeon
I-200-26123-862098
$550,000/yr—Grand Forks, NDMay 03, 2026Certified
Rn Iii
I-200-26099-776192
$98,800/yr$47/hr as filedIIIGrand Forks, NDApr 09, 2026Certified
Emergency Medicine Physician
I-200-26097-767839
$704,913/yr—Grand Forks, NDApr 07, 2026Certified
Psychiatrist
I-200-26086-735699
$330,000/yr—Grand Forks, NDMar 27, 2026Certified
Family Medicine Physician
I-200-26085-732046
$265,000/yrIIICrookston, MNMar 26, 2026Certified
Psychiatrist
I-200-26084-728767
$617,602/yr—Grand Forks, NDMar 25, 2026Certified
Rn Ii
I-200-26041-630600
$73,819/yr$35/hr as filedIIGrand Forks, NDFeb 10, 2026Certified
Hospitalist
I-200-26016-566138
$385,000/yrIIIGrand Forks, NDJan 16, 2026Certified
Pulmonary Critical Care Physician
I-200-26009-548157
$500,000/yrIVGrand Forks, NDJan 09, 2026Certified
Rn Iii
I-200-25349-484228
$104,000/yr$50/hr as filedIIIGrand Forks, NDDec 15, 2025Certified
Medical Laboratory Scientist
I-200-25266-329267
$65,832/yr$31/hr as filedIIDevils Lake, NDSep 23, 2025Certified
Lab Technical Specialist
I-200-25245-281359
$78,000/yrIIIGrand Forks, NDSep 02, 2025Certified
Family Medicine Physician
I-200-25150-037155
$275,000/yr—East Grand Forks, MNMay 30, 2025Certified
Family Medicine Physician
I-200-25127-948830
$265,000/yr—Crookston, MNMay 07, 2025Certified
Medical Laboratory Scientist
I-200-25125-937706
$73,736/yr$35/hr as filedIIGrand Forks, NDMay 05, 2025Certified
Medical Laboratory Scientist
I-200-25114-902621
$67,953/yr$32/hr as filedIIGrand Forks, NDApr 24, 2025Certified
Medical Laboratory Scientist
I-200-25114-902614
$80,953/yr$38/hr as filedIIGrand Forks, NDApr 24, 2025Certified
Medical Laboratory Scientist
I-200-25114-902626
$69,388/yr$33/hr as filedIIGrand Forks, NDApr 24, 2025Certified
Pulmonary Critical Care Physician
I-200-25113-895859
$500,000/yrIVGrand Forks, NDApr 23, 2025Certified
Hospitalist
I-200-25113-895201
$385,000/yrIIIGrand Forks, NDApr 23, 2025Certified
Medical Laboratory Scientist
I-200-25092-825071
$58,240/yr$28/hr as filedIIGrand Forks, NDApr 02, 2025Certified
Lab Technical Specialist
I-200-25071-770149
$74,000/yrIIIGrand Forks, NDMar 12, 2025Certified
Podiatrist
I-200-25037-671784
$275,000/yrIVGrand Forks, NDFeb 06, 2025Certified
Podiatrist
I-200-25035-664275
$275,000/yrIVGrand Forks, NDFeb 04, 2025Certified

One row per LCA case (its latest version), from U.S. DOL OFLC disclosure data. Salaries are the offered wage, converted to a yearly figure. Certified LCAs are not visa approvals.

Every certified LCA needs its own Public Access File. Get the private gap check →
Sponsorship insights

How Altru Health System sponsors H-1B talent

Petition Mix

New employment  42%Transfer (change of employer)  21%Continued employment  30%Amendments & other  6%

Worker positions by LCA filing purpose, summed across FY2021–FY2026 disclosure records.

Filing Activity by Month

Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec

Most active filing months: Apr and May — useful for timing transfer conversations.

Compliance Posture

H-1B Dependent
No
Willful Violator
No
Full-Time Positions
100%
At/Above Prevailing Wage
100%

Attestations from the employer's own LCA filings (Form ETA-9035), as disclosed by the U.S. DOL.

Roles & geography

Top sponsored roles & worksites

Top job titles

Medical Laboratory Scientist
11 · —
Family Medicine Physician
8 · $270,625
Pulmonary Critical Care Physician
5 · $477,613
Hospitalist
4 · $376,250
Psychiatrist
4 · $401,901

Top worksite locations

2 states · 6 cities

Grand Forks, ND
43
Devils Lake, ND
7
Crookston, MN
6
Roseau, MN
4
East Grand Forks, MN
1
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Altru Health System · audit readiness
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