145 certified Labor Condition Applications on file with the U.S. Department of Labor, FY2021–FY2026.
Since September 2025, DOL's Project Firewall opens H-1B investigations without waiting for a complaint. These checkpoints come from Avera McKennan's own public LCA filings (FY2024–FY2026) — the same records an investigator pulls first.
Next end date: 2026-10-31. 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.
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.
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%.
Median offered wage is 286% above the DOL prevailing wage across 75 recent certified LCAs. Paying at the floor is lawful, but it invites the question of whether the wage level itself is right.
No additional recruitment or non-displacement attestations apply.
Public DOL disclosure data can lag actual filings by a quarter. Descriptive only — not legal advice.
Yes — Avera McKennan is an active H-1B sponsor, with 145 certified LCAs on file (FY2021–FY2026), including 27 in FY2026. The median certified salary is $300,000 (P25 $250,000, P75 $360,000). 100% of its certified filings meet or exceed the prevailing wage.
Avera McKennan H-1B sponsorship at a glance, from public U.S. DOL LCA disclosure data (FY2021–FY2026).
Certified LCAs are a prerequisite to H-1B petitions, not visa approvals; one LCA can cover multiple workers. Descriptive only — not legal advice.
The shaded band is the middle half of certified salaries (P25–P75); the bar spans the lowest to highest certified salary.
Levels I–IV are DOL prevailing-wage experience tiers; 20% of filings are senior-level (III–IV).
| Fiscal year | Certified | Denied | Withdrawn | Total |
|---|---|---|---|---|
| FY2021 | 30 | 0 | 0 | 30 |
| FY2022 | 16 | 0 | 0 | 16 |
| FY2023 | 22 | 0 | 0 | 22 |
| FY2024 | 30 | 0 | 0 | 30 |
| FY2025 | 20 | 0 | 1 | 21 |
| FY2026 | 27 | 0 | 0 | 27 |
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 Withdrawn are LCAs that were certified and later withdrawn by the employer; they still count toward Total.
| Job title | Salary | Level | Location | Filed | Status |
|---|---|---|---|---|---|
Pediatric Endocrinologist I-200-26160-994812 | $250,000/yr | II | Sioux Falls, SD | Jun 09, 2026 | Certified |
Family Medicine Physician I-200-26152-969786 | $250,000/yr | II | Pipestone, MN | Jun 01, 2026 | Certified |
Pediatric Neurologist I-200-26143-944927 | $280,000/yr | II | Sioux Falls, SD | May 23, 2026 | Certified |
Family Medicine Physician I-200-26143-944926 | $285,000/yr | II | Flandreau, SD | May 23, 2026 | Certified |
Infectious Disease Physician I-200-26143-944918 | $300,000/yr | II | Sioux Falls, SD | May 22, 2026 | Certified |
Infectious Disease Physician I-200-26143-944919 | $300,000/yr | II | Sioux Falls, SD | May 22, 2026 | Certified |
Neurohospitalist I-200-26139-929222 | $425,000/yr | II | Sioux Falls, SD | May 19, 2026 | Certified |
Neurologist I-200-26135-915679 | $375,000/yr | II | Sioux Falls, SD | May 15, 2026 | Certified |
Nephrologist/Medical Director I-200-26128-887098 | $325,000/yr | III | Sioux Falls, SD | May 08, 2026 | Certified |
Pediatric Pulmonologist I-200-26104-793363 | $281,700/yr | II | Sioux Falls, SD | Apr 14, 2026 | Certified |
Oncologist/Hematologist I-200-26102-783845 | $525,000/yr | II | Sioux Falls, SD | Apr 12, 2026 | Certified |
Family Physician/Medical Director I-200-26102-783842 | $250,000/yr | III | Estherville, IA | Apr 12, 2026 | Certified |
Family Medicine Physician I-200-26099-772963 | $286,000/yr | II | Gregory, SD | Apr 09, 2026 | Certified |
Hospitalist (Internist) I-200-26097-763184 | $331,200/yr | II | Sioux Falls, SD | Apr 07, 2026 | Certified |
Hospitalist (Internist) I-200-26097-763180 | $331,200/yr | II | Sioux Falls, SD | Apr 07, 2026 | Certified |
Hospitalist (Internist) I-200-26097-763187 | $331,200/yr | II | Sioux Falls, SD | Apr 07, 2026 | Certified |
Hospitalist (Internist) I-200-26085-732894 | $331,200/yr | — | Sioux Falls, SD | Mar 26, 2026 | Certified |
Transplant Hepatologist I-200-26085-733073 | $665,000/yr | III | Sioux Falls, SD | Mar 26, 2026 | Certified |
Dermatologist/Medical Director I-200-26085-732840 | $800,000/yr | III | Aberdeen, SD | Mar 26, 2026 | Certified |
Hospitalist (Internist) I-200-26085-732947 | $331,200/yr | — | Sioux Falls, SD | Mar 26, 2026 | Certified |
Hospitalist (Internist) I-200-26077-711612 | $331,200/yr | — | Sioux Falls, SD | Mar 18, 2026 | Certified |
Family Physician I-200-26058-668436 | $250,000/yr | III | Estherville, IA | Feb 27, 2026 | Certified |
Family Physician I-200-26055-661581 | $250,000/yr | II | Estherville, IA | Feb 24, 2026 | Certified |
Nephrologist/Medical Director I-200-26019-570234 | $325,000/yr | II | Sioux Falls, SD | Jan 19, 2026 | Certified |
Nephrologist/Medical Director I-200-26019-570232 | $325,000/yr | II | Sioux Falls, SD | Jan 19, 2026 | Certified |
Hospitalist (Internist) I-200-26002-527816 | $331,200/yr | III | Sioux Falls, SD | Jan 01, 2026 | Certified |
Hospitalist (Internist) I-200-25323-423260 | $320,000/yr | II | Sioux Falls, SD | Nov 19, 2025 | Certified |
Family Medicine Physician I-200-25232-253670 | $220,000/yr | III | Sioux Falls, SD | Aug 19, 2025 | Certified |
Hospitalist (Internist) I-200-25223-233479 | $320,000/yr | — | Sioux Falls, SD | Aug 11, 2025 | Certified |
Pediatrician I-200-25217-223457 | $280,000/yr | III | Worthington, MN | Aug 05, 2025 | Certified |
Hepatologist I-200-25195-172083 | $500,000/yr | II | Sioux Falls, SD | Jul 14, 2025 | Certified |
Pediatrician/Neonatologist I-200-25161-072311 | $360,000/yr | II | Sioux Falls, SD | Jun 10, 2025 | Certified |
Senior Diagnostic Physicist I-200-25161-074784 | $227,265/yr | II | Sioux Falls, SD | Jun 10, 2025 | Certified |
Hospitalist (Internist) I-200-25132-964093 | $320,000/yr | II | Sioux Falls, SD | May 12, 2025 | Certified |
Hospitalist (Internist) I-200-25120-923767 | $320,000/yr | II | Sioux Falls, SD | Apr 30, 2025 | Certified |
Medical Laboratory Scientist I-200-25100-849160 | $61,880/yr$29/hr as filed | II | Flandreau, SD | Apr 09, 2025 | Certified |
Medical Laboratory Scientist I-200-25099-844888 | $61,880/yr$29/hr as filed | II | Flandreau, SD | Apr 09, 2025 | Withdrawn |
Research Scientist I-200-25098-839831 | $111,876/yr | III | Sioux Falls, SD | Apr 07, 2025 | Certified |
Hospitalist (Internist) I-200-25070-766072 | $320,000/yr | II | Sioux Falls, SD | Mar 11, 2025 | Certified |
Hospitalist (Internist) I-200-25070-766076 | $320,000/yr | II | Sioux Falls, SD | Mar 11, 2025 | Certified |
Hospitalist (Internist) I-200-25065-751917 | $287,680/yr | II | Sioux Falls, SD | Mar 06, 2025 | Certified |
Hospitalist (Internist) I-200-25065-753323 | $287,680/yr | II | Sioux Falls, SD | Mar 06, 2025 | Certified |
Neurologist I-200-25065-753353 | $387,500/yr | II | Sioux Falls, SD | Mar 06, 2025 | Certified |
Hematology, Bone Marrow Transplant, and Cellular Therapy Phy I-200-25065-751775 | $550,000/yr | II | Sioux Falls, SD | Mar 06, 2025 | Certified |
Transplant Nephrologist I-200-25049-704382 | $325,000/yr | II | Sioux Falls, SD | Feb 18, 2025 | Certified |
Hematologist/Oncologist I-200-25049-701330 | $472,500/yr | — | Sioux Falls, SD | Feb 18, 2025 | Certified |
Hospitalist (Internist) I-200-25036-668526 | $282,566/yr | — | Sioux Falls, SD | Feb 05, 2025 | Certified |
Outpatient Therapist I (Behavioral Health Counselor) I-200-24275-378165 | $64,812/yr$31/hr as filed | II | Sioux Falls, SD | Oct 01, 2024 | Certified |
Endocrinologist I-200-24262-347521 | $240,000/yr | III | Sioux Falls, SD | Sep 18, 2024 | Certified |
Endocrinologist I-200-24257-336581 | $252,930/yr | III | Sioux Falls, SD | Sep 13, 2024 | Certified |
Medical Laboratory Scientist I-200-24233-278563 | $63,960/yr$30/hr as filed | II | Miller, SD | Aug 20, 2024 | Certified |
Neurohospitalist I-200-24228-270962 | $425,000/yr | II | Sioux Falls, SD | Aug 15, 2024 | Certified |
Hospitalist (Internist) I-200-24152-058542 | $287,680/yr | III | Sioux Falls, SD | May 31, 2024 | Certified |
Hospitalist (Internist) I-200-24129-969069 | $287,680/yr | III | Sioux Falls, SD | May 08, 2024 | Certified |
Bone Marrow Transplant (BMT) Physician I-200-24123-950819 | $500,000/yr | II | Sioux Falls, SD | May 02, 2024 | Certified |
Nephrologist I-200-24123-950108 | $325,000/yr | II | Sioux Falls, SD | May 02, 2024 | Certified |
Pediatrician I-200-24123-950710 | $222,747/yr | II | Sioux Falls, SD | May 02, 2024 | Certified |
Pulmonary/Critical Care Physician I-200-24123-950650 | $400,000/yr | II | Sioux Falls, SD | May 02, 2024 | Certified |
Transplant Nephrologist I-200-24123-950836 | $325,000/yr | II | Sioux Falls, SD | May 02, 2024 | Certified |
Nephrologist I-200-24123-950162 | $325,000/yr | II | Sioux Falls, SD | May 02, 2024 | Certified |
Pharmacist - Oncology I-200-24122-944634 | $130,125/yr | III | Sioux Falls, SD | May 01, 2024 | Certified |
Hospitalist (Internist) I-200-24120-937989 | $287,680/yr | II | Sioux Falls, SD | Apr 29, 2024 | Certified |
Infectious Disease Physician I-200-24080-814357 | $325,000/yr | II | Sioux Falls, SD | Mar 20, 2024 | Certified |
Infectious Disease Physician I-200-24072-790177 | $325,000/yr | II | Sioux Falls, SD | Mar 12, 2024 | Certified |
Hospitalist (Internist) I-200-24066-774406 | $287,680/yr | II | Sioux Falls, SD | Mar 06, 2024 | Certified |
Hospitalist (Internist) I-200-24054-743096 | $287,680/yr | III | Sioux Falls, SD | Feb 23, 2024 | Certified |
Endocrinologist I-200-24050-728458 | $240,000/yr | III | Sioux Falls, SD | Feb 19, 2024 | Certified |
Hepatologist I-200-24050-728487 | $475,000/yr | III | Sioux Falls, SD | Feb 19, 2024 | Certified |
Endocrinologist I-200-24050-728454 | $240,000/yr | III | Sioux Falls, SD | Feb 19, 2024 | Certified |
Hematologist/Oncologist I-200-24050-728497 | $550,000/yr | III | Sioux Falls, SD | Feb 19, 2024 | Certified |
Pediatric Critical Care Physician I-200-24050-728464 | $260,722/yr | III | Sioux Falls, SD | Feb 19, 2024 | Certified |
Hematologist/Oncologist I-200-24037-695587 | $550,000/yr | I | Sioux Falls, SD | Feb 05, 2024 | Certified |
Hospitalist (Internist) I-200-24017-646889 | $302,706/yr | I | Sioux Falls, SD | Jan 17, 2024 | Certified |
Medical Technologist I-200-23347-564587 | $58,552/yr$28/hr as filed | II | Flandreau, SD | Dec 13, 2023 | Certified |
Medical Technologist I-200-23347-564586 | $65,832/yr$31/hr as filed | II | Flandreau, SD | Dec 13, 2023 | Certified |
Transplant Nephrologist I-200-23271-392026 | $210,080/yr$101/hr as filed | II | Sioux Falls, SD | Sep 28, 2023 | Certified |
Transplant Nephrologist I-200-23254-334648 | $210,080/yr$101/hr as filed | I | Sioux Falls, SD | Sep 11, 2023 | Certified |
Hospitalist (Internist) I-200-23207-217065 | $269,955/yr | — | Sioux Falls, SD | Jul 26, 2023 | Certified |
Hospitalist (Internist) I-200-23139-037863 | $332,141/yr | — | Sioux Falls, SD | May 19, 2023 | Certified |
Transplant Nephrologist I-200-23136-024194 | $300,000/yr | — | Sioux Falls, SD | May 16, 2023 | Certified |
Hospitalist (Internist) I-200-23114-960824 | $282,566/yr | — | Sioux Falls, SD | Apr 24, 2023 | Certified |
Hospitalist (Internist) I-200-23114-960825 | $282,566/yr | — | Sioux Falls, SD | Apr 24, 2023 | Certified |
Transplant Hepatologist I-200-23090-892383 | $475,000/yr | — | Sioux Falls, SD | Mar 31, 2023 | Certified |
Hepatologist I-200-23090-892389 | $475,000/yr | — | Sioux Falls, SD | Mar 31, 2023 | Certified |
Palliative Care Physician I-200-23086-880636 | $257,250/yr | II | Sioux Falls, SD | Mar 27, 2023 | Certified |
Otolaryngologist (Head and Neck Surgeon) I-200-23073-847044 | $450,000/yr | — | Sioux Falls, SD | Mar 14, 2023 | Certified |
Transplant Hepatologist I-200-23069-838024 | $475,000/yr | — | Sioux Falls, SD | Mar 10, 2023 | Certified |
Hospitalist (Internist) I-200-23066-830211 | $297,328/yr | — | Sioux Falls, SD | Mar 07, 2023 | Certified |
Hospitalist (Internist) I-200-23066-830206 | $282,566/yr | — | Sioux Falls, SD | Mar 07, 2023 | Certified |
Neurologist I-200-23066-826974 | $375,000/yr | — | Sioux Falls, SD | Mar 07, 2023 | Certified |
Dermatologist I-200-23066-826955 | $510,000/yr | II | Aberdeen, SD | Mar 06, 2023 | Certified |
Nephrologist I-200-23066-826970 | $325,000/yr | II | Sioux Falls, SD | Mar 06, 2023 | Certified |
Pediatric Pulmonologist I-200-23062-819892 | $237,000/yr | II | Sioux Falls,, SD | Mar 02, 2023 | Certified |
Hematologist/Oncologist I-200-23062-819886 | $425,000/yr | — | Sioux Falls, SD | Mar 02, 2023 | Certified |
Hospitalist (Internist) I-200-23059-811846 | $297,328/yr | II | Sioux Falls, SD | Feb 28, 2023 | Certified |
Hospitalist (Internist) I-200-23059-811809 | $282,566/yr | II | Sioux Falls, SD | Feb 28, 2023 | Certified |
Family Physician I-200-23053-794547 | $250,000/yr | — | Estherville, IA | Feb 22, 2023 | Certified |
Registered Nurse I-200-23027-731303 | $65,395/yr$31/hr as filed | — | Sioux Falls, SD | Jan 26, 2023 | Certified |
Senior Diagnostic Physicist I-200-22200-362741 | $208,000/yr | III | Sioux Falls, SD | Jul 19, 2022 | Certified |
Clinical Bioinformatics Analyst I-200-22194-347984 | $69,825/yr | II | Sioux Falls, SD | Jul 13, 2022 | Certified |
Infectious Disease Physician I-200-22165-278421 | $325,000/yr | — | Sioux Falls, SD | Jun 14, 2022 | Certified |
Hematologist/Oncologist I-200-22125-138659 | $425,000/yr | — | Sioux Falls, SD | May 05, 2022 | Certified |
Neurointensivist I-200-22115-104456 | $380,000/yr | — | Sioux Falls, SD | Apr 25, 2022 | Certified |
Hospitalist (Internist) I-200-22115-104434 | $275,674/yr | — | Sioux Falls, SD | Apr 25, 2022 | Certified |
Infectious Disease Physician I-200-22115-104601 | $352,000/yr | — | Sioux Falls, SD | Apr 25, 2022 | Certified |
Hospitalist (Internist) I-200-22115-104428 | $275,674/yr | — | Sioux Falls, SD | Apr 25, 2022 | Certified |
Hospitalist (Internist) I-200-22115-104425 | $275,674/yr | — | Sioux Falls, SD | Apr 25, 2022 | Certified |
Infectious Disease Physician I-200-22115-104467 | $325,000/yr | — | Sioux Falls, SD | Apr 25, 2022 | Certified |
Hand Surgeon I-200-22115-104458 | $502,000/yr | — | Sioux Falls, SD | Apr 25, 2022 | Certified |
Hospitalist (Internist) I-200-22115-104422 | $275,674/yr | — | Sioux Falls, SD | Apr 25, 2022 | Certified |
Endocrinologist I-200-22115-104398 | $240,000/yr | — | Sioux Falls, SD | Apr 25, 2022 | Certified |
Research Scientist I-200-22096-044536 | $102,398/yr | II | Sioux Falls, SD | Apr 06, 2022 | Certified |
Lead Clinical Bioinformatics Analyst I-200-21326-720168 | $87,048/yr | I | Sioux Falls, SD | Nov 22, 2021 | Certified |
Endocrinologist I-200-21316-702331 | $240,000/yr | — | Sioux Falls, SD | Nov 12, 2021 | Certified |
Pharmacist - Oncology I-200-21229-526392 | $130,125/yr | II | Sioux Falls, SD | Aug 17, 2021 | Certified |
Infectious Disease Physician I-200-21155-369942 | $250,000/yr | II | Sioux Falls, SD | Jun 04, 2021 | Certified |
Hospitalist (Internist) I-200-21153-363032 | $269,955/yr | II | Sioux Falls, SD | Jun 02, 2021 | Certified |
Transplant Surgeon I-200-21135-316695 | $550,000/yr | II | Sioux Falls, SD | May 15, 2021 | Certified |
Transplant Surgeon I-200-21134-315737 | $550,014/yr | — | Sioux Falls, SD | May 14, 2021 | Certified |
Hospitalist (Internist) I-200-21123-281461 | $269,955/yr | II | Sioux Falls, SD | May 03, 2021 | Certified |
Transplant Surgeon I-200-21121-279144 | $400,000/yr | II | Sioux Falls, SD | May 01, 2021 | Certified |
Endocrinologist I-200-21121-279118 | $240,000/yr | II | Sioux Falls, SD | May 01, 2021 | Certified |
Bone Marrow Transplant (BMT) Physician I-200-21121-279122 | $450,000/yr | — | Sioux Falls, SD | May 01, 2021 | Certified |
Infectious Disease Physician I-200-21121-279117 | $250,000/yr | II | Sioux Falls, SD | May 01, 2021 | Certified |
Hospitalist (Internist) I-200-21121-279128 | $269,955/yr | II | Sioux Falls, SD | May 01, 2021 | Certified |
Hospitalist (Internist) I-200-21121-279151 | $269,955/yr | II | Sioux Falls, SD | May 01, 2021 | Certified |
Hospitalist (Internist) I-200-21121-279114 | $269,955/yr | II | Sioux Falls, SD | May 01, 2021 | Certified |
Hospitalist (Internist) I-200-21121-279120 | $269,955/yr | II | Sioux Falls, SD | May 01, 2021 | Certified |
Hospitalist (Internist) I-200-21121-279112 | $269,955/yr | II | Sioux Falls, SD | May 01, 2021 | Certified |
Hospitalist (Internist) I-200-21121-279097 | $269,995/yr | II | Sioux Falls, SD | May 01, 2021 | Certified |
Hospitalist (Internist) I-200-21121-279138 | $269,955/yr | II | Sioux Falls, SD | May 01, 2021 | Certified |
Hospitalist (Internist) I-200-21121-279142 | $269,955/yr | II | Sioux Falls, SD | May 01, 2021 | Certified |
Physical Medicine & Rehabilitation/PC Sports Med. Physician I-200-21121-279104 | $235,000/yr | II | Sioux Falls, SD | May 01, 2021 | Certified |
Endocrinologist I-200-21116-257661 | $240,000/yr | II | Sioux Falls, SD | Apr 26, 2021 | Certified |
Hospitalist (Internist) I-200-21116-257743 | $286,152/yr | — | Pierre, SD | Apr 26, 2021 | Certified |
Nephrologist I-200-21075-149942 | $375,000/yr | II | Sioux Falls, SD | Mar 16, 2021 | Certified |
Pediatric Critical Care Physician I-200-21030-044391 | $304,128/yr | II | Sioux Falls, SD | Jan 30, 2021 | Certified |
Hepatologist I-200-21020-022528 | $425,000/yr | II | Sioux Falls, SD | Jan 20, 2021 | Certified |
Hepatologist I-200-20337-933904 | $425,000/yr | — | Sioux Falls, SD | Dec 01, 2020 | Certified |
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.
Worker positions by LCA filing purpose, summed across FY2021–FY2026 disclosure records.
Most active filing months: May and Mar — useful for timing transfer conversations.
Attestations from the employer's own LCA filings (Form ETA-9035), as disclosed by the U.S. DOL.
3 states · 11 cities
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