91 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 Carilion Medical Center's own public LCA filings (FY2024–FY2026) — the same records an investigator pulls first.
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%.
Next end date: 2026-10-23. 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.
Median offered wage is 288% above the DOL prevailing wage across 44 recent certified LCAs. Paying at the floor is lawful, but it invites the question of whether the wage level itself is right.
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.
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 — Carilion Medical Center sponsors H-1B workers, with 91 certified LCAs on file (FY2021–FY2026), including 8 in FY2026. The median certified salary is $250,000 (P25 $97,418, P75 $277,500). 100% of its certified filings meet or exceed the prevailing wage.
Carilion Medical Center 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; 9% of filings are senior-level (III–IV).
| Fiscal year | Certified | Denied | Withdrawn | Total |
|---|---|---|---|---|
| FY2021 | 20 | 0 | 0 | 20 |
| FY2022 | 13 | 0 | 0 | 13 |
| FY2023 | 14 | 0 | 0 | 14 |
| FY2024 | 19 | 0 | 0 | 19 |
| FY2025 | 17 | 0 | 0 | 17 |
| FY2026 | 8 | 0 | 0 | 8 |
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 Withdrawn are LCAs that were certified and later withdrawn by the employer; they still count toward Total.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 |
|---|---|---|---|---|---|
Physician I-200-26173-039023 | $570,000/yr | II | Roanoke, VA | Jun 22, 2026 | Certified |
Neurologist I-200-26169-028286 | $400,000/yr | I | Roanoke, VA | Jun 18, 2026 | Certified |
Physician I-200-26167-020408 | $245,003/yr$117/hr as filed | II | Roanoke, VA | Jun 16, 2026 | Certified |
Physician I-200-26154-975472 | $395,000/yr | II | Roanoke, VA | Jun 03, 2026 | Certified |
Neurologist I-200-26112-820350 | $310,000/yr | I | Christiansburg, VA | Apr 22, 2026 | Certified |
Physician I-200-26048-644936 | $290,000/yr | II | Roanoke, VA | Feb 17, 2026 | Certified |
Senior Research Associate I-200-26042-634040 | $79,757/yr | II | Roanoke, VA | Feb 11, 2026 | Certified |
Physician I-200-26015-562612 | $275,000/yr | I | Christiansburg, VA | Jan 15, 2026 | Certified |
Hospitalist I-200-25203-190908 | $240,000/yr | II | Roanoke, VA | Jul 22, 2025 | Certified |
Neuropsychology Fellow I-200-25198-183183 | $59,000/yr | I | Roanoke, VA | Jul 17, 2025 | Certified |
Gastroenterologist I-200-25177-132662 | $540,000/yr | I | Roanoke, VA | Jun 26, 2025 | Certified |
Research Assessment/IP Manager I-200-25177-130762 | $65,956/yr$31/hr as filed | I | Roanoke, VA | Jun 26, 2025 | Certified |
Psychiatrist I-200-25160-069524 | $301,875/yr | II | Roanoke, VA | Jun 09, 2025 | Certified |
Neurologist I-200-25155-052759 | $290,000/yr | II | Rocky Mount, VA | Jun 04, 2025 | Certified |
Gastroenterologist I-200-25155-052441 | $540,000/yr | I | Roanoke, VA | Jun 04, 2025 | Certified |
Research Assessment/IP Manager I-200-25149-030007 | $65,956/yr$31/hr as filed | I | Roanoke, VA | May 29, 2025 | Certified |
Physician I-200-25062-739002 | $305,000/yr | I | Roanoke, VA | Mar 03, 2025 | Certified |
Primary Care Physician I-200-25049-701907 | $230,000/yr | I | Roanoke, VA | Feb 18, 2025 | Certified |
Physician I-200-25049-701900 | $370,000/yr | I | Roanoke, VA | Feb 18, 2025 | Certified |
Physician I-200-25045-695159 | $280,000/yr | I | Roanoke, VA | Feb 14, 2025 | Certified |
Physician I-200-25037-671180 | $280,000/yr | I | Roanoke, VA | Feb 06, 2025 | Certified |
Clinical Staff Pharmacist II I-200-25021-632412 | $122,720/yr | I | Roanoke, VA | Jan 21, 2025 | Certified |
Psychiatrist I-200-25007-600857 | $250,000/yr | I | Roanoke, VA | Jan 07, 2025 | Certified |
Senior Research Associate I-200-24339-517785 | $66,768/yr$32/hr as filed | I | Roanoke, VA | Dec 04, 2024 | Certified |
Senior Research Associate I-200-24339-517880 | $65,956/yr$31/hr as filed | I | Roanoke, VA | Dec 04, 2024 | Certified |
Asst. Professor I-200-24218-244702 | $239,200/yr$115/hr as filed | I | Roanoke, VA | Aug 05, 2024 | Certified |
Dentist I-200-24206-218164 | $239,200/yr$115/hr as filed | I | Roanoke, VA | Jul 24, 2024 | Certified |
Psychiatrist I-200-24201-209211 | $250,000/yr | I | Roanoke, VA | Jul 19, 2024 | Certified |
Psychiatrist I-200-24201-209250 | $250,000/yr | I | Roanoke, VA | Jul 19, 2024 | Certified |
Fellow Physician I-200-24180-160071 | $78,024/yr | — | Christiansburg, VA | Jun 28, 2024 | Certified |
Physician I-200-24178-149948 | $280,000/yr | I | Roanoke, VA | Jun 26, 2024 | Certified |
Fellow Physician I-200-24157-074030 | $78,024/yr | — | Roanoke, VA | Jun 05, 2024 | Certified |
Psychiatrist I-200-24149-042503 | $271,874/yr | II | Roanoke, VA | May 28, 2024 | Certified |
Neurologist I-200-24142-018252 | $280,000/yr | I | Roanoke, VA | May 21, 2024 | Certified |
Hospitalist I-200-24128-964389 | $274,999/yr | II | Roanoke, VA | May 07, 2024 | Certified |
Neurologist I-200-24110-907322 | $280,000/yr | I | Roanoke, VA | Apr 19, 2024 | Certified |
Neurologist I-200-24052-736909 | $265,000/yr | I | Roanoke, VA | Feb 21, 2024 | Certified |
Physician I-200-24052-736907 | $271,874/yr | II | Christiansburg, VA | Feb 21, 2024 | Certified |
Senior Research Associate I-200-24050-728770 | $68,016/yr$32/hr as filed | III | Roanoke, VA | Feb 19, 2024 | Certified |
Geriatric Psychiatrist I-200-24005-621511 | $250,000/yr | I | Roanoke, VA | Jan 05, 2024 | Certified |
Physical Therapist I-200-23339-545140 | $92,664/yr$44/hr as filed | I | Roanoke, VA | Dec 05, 2023 | Certified |
Endocrinologist I-200-23314-493988 | $235,000/yr | II | Roanoke, VA | Nov 10, 2023 | Certified |
Psychiatrist I-200-23290-436023 | $250,000/yr | I | Roanoke, VA | Oct 17, 2023 | Certified |
Psychiatrist I-200-23290-436033 | $250,000/yr | I | Roanoke, VA | Oct 17, 2023 | Certified |
Radiologist I-200-23219-244753 | $499,990/yr$240/hr as filed | IV | Rocky Mount, VA | Aug 07, 2023 | Certified |
Data Analyst I I-200-23215-236925 | $79,996/yr$38/hr as filed | I | Roanoke, VA | Aug 03, 2023 | Certified |
Pharmacy Manager I-200-23157-081839 | $138,184/yr | III | Roanoke, VA | Jun 06, 2023 | Certified |
Physician I-200-23145-053661 | $220,420/yr | II | Roanoke, VA | May 25, 2023 | Certified |
Physician I-200-23145-053584 | $254,999/yr | I | Roanoke, VA | May 25, 2023 | Certified |
Physician I-200-23144-049068 | $264,999/yr | II | Roanoke, VA | May 24, 2023 | Certified |
Physician I-200-23136-026415 | $240,000/yr | I | Roanoke, VA | May 16, 2023 | Certified |
Nurse Practitioner - Specialty Practice I-200-23130-009870 | $126,672/yr$60/hr as filed | II | Roanoke, VA | May 10, 2023 | Certified |
Physician I-200-23110-950498 | $200,000/yr | I | Roanoke, VA | Apr 20, 2023 | Certified |
Physician I-200-23109-947989 | $410,000/yr | I | Roanoke, VA | Apr 19, 2023 | Certified |
Pulmonologist/Critical Care Physician I-200-23108-942011 | $295,000/yr | I | Roanoke, VA | Apr 18, 2023 | Certified |
Physician - Hospitalist I-200-23101-922222 | $255,000/yr | II | Christiansburg, VA | Apr 11, 2023 | Certified |
BI Developer II CAPS I-200-22270-495893 | $91,030/yr | II | Roanoke, VA | Sep 27, 2022 | Certified |
Psychiatrist I-200-22138-185132 | $250,000/yr | I | Roanoke, VA | May 18, 2022 | Certified |
Physician I-200-22137-181202 | $250,000/yr | I | Roanoke, VA | May 17, 2022 | Certified |
Physician I-200-22136-176941 | $250,000/yr | I | Roanoke, VA | May 16, 2022 | Certified |
Neurology Resident I-200-22133-169392 | $62,306/yr | — | Roanoke, VA | May 13, 2022 | Certified |
Psychiatrist I-200-22125-141221 | $250,000/yr | I | Roanoke, VA | May 05, 2022 | Certified |
Pediatric Critical Care Physician I-200-22123-128275 | $270,000/yr | — | Roanoke, VA | May 02, 2022 | Certified |
Physician I-200-22119-121550 | $240,000/yr | I | Rocky Mount, VA | Apr 29, 2022 | Certified |
Physical Therapist I-200-22108-079186 | $87,921/yr$42/hr as filed | II | Roanoke, VA | Apr 18, 2022 | Certified |
Physician I-200-22105-074889 | $240,000/yr | I | Rocky Mount, VA | Apr 15, 2022 | Certified |
Medical Resident I-200-22105-074887 | $64,958/yr | — | Roanoke, VA | Apr 15, 2022 | Certified |
Hospitalist Physician I-200-22045-900867 | $255,000/yr | II | Roanoke, VA | Feb 14, 2022 | Certified |
Physician (Psychiatrist) I-200-22038-883618 | $255,000/yr | II | Roanoke, VA | Feb 07, 2022 | Certified |
Psychiatrist & Director of Inpatient Psychiatry I-200-21267-604338 | $275,000/yr | IV | Christiansburg, VA | Sep 24, 2021 | Certified |
Physician (Psychiatrist) I-200-21215-498288 | $249,995/yr | II | Roanoke, VA | Aug 03, 2021 | Certified |
Physical Therapist I-200-21210-489776 | $92,310/yr$44/hr as filed | II | Roanoke, VA | Jul 28, 2021 | Certified |
Physician I-200-21193-456776 | $250,000/yr | I | Christiansburg, VA | Jul 12, 2021 | Certified |
GI Fellow I-200-21147-349905 | $63,065/yr | — | Roanoke, VA | May 27, 2021 | Certified |
Psychiatrist I-200-21138-321807 | $250,000/yr | III | Roanoke, VA | May 18, 2021 | Certified |
Psychiatrist I-200-21134-315226 | $250,000/yr | I | Roanoke, VA | May 14, 2021 | Certified |
Hospitalist I-200-21134-315287 | $229,985/yr$110/hr as filed | II | Christiansburg, VA | May 14, 2021 | Certified |
Hospitalist I-200-21133-310760 | $254,987/yr$122/hr as filed | II | Roanoke, VA | May 13, 2021 | Certified |
Hospitalist Physician I-200-21118-265281 | $255,000/yr | II | Roanoke, VA | Apr 28, 2021 | Certified |
Physical Therapist I-200-21117-261891 | $87,360/yr$42/hr as filed | II | Roanoke, VA | Apr 27, 2021 | Certified |
Pharmacy Practice Resident I-200-21104-224922 | $47,500/yr | I | Roanoke, VA | Apr 14, 2021 | Certified |
Section Chief I-200-21070-139667 | $333,500/yr | II | Roanoke, VA | Mar 11, 2021 | Certified |
Senior Process Improvement Consultant I-200-21070-138411 | $82,069/yr | II | Roanoke, VA | Mar 11, 2021 | Certified |
Physician I-200-21070-139663 | $333,500/yr | II | Roanoke, VA | Mar 11, 2021 | Certified |
Senior Process Improvement Consultant I-200-20280-860702 | $97,418/yr | III | Roanoke, VA | Oct 06, 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 Apr — useful for timing transfer conversations.
Attestations from the employer's own LCA filings (Form ETA-9035), as disclosed by the U.S. DOL.
1 state · 3 cities
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