13 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 Citizens Memorial Hospital District'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%.
Withdrawn or denied LCAs are normal in isolation; a high share suggests workers were moved between filings and the paper trail needs checking.
Median offered wage is 46% above the DOL prevailing wage across 7 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 — Citizens Memorial Hospital District sponsors H-1B workers, with 13 certified LCAs on file (FY2021–FY2026), including 1 in FY2026. The median certified salary is $240,000 (P25 $224,800, P75 $282,500). 100% of its certified filings meet or exceed the prevailing wage.
Citizens Memorial Hospital District 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; 0% of filings are senior-level (III–IV).
| Fiscal year | Certified | Denied | Withdrawn | Total |
|---|---|---|---|---|
| FY2021 | 3 | 0 | 0 | 3 |
| FY2023 | 3 | 0 | 0 | 3 |
| FY2024 | 5 | 0 | 3 | 8 |
| FY2025 | 1 | 0 | 0 | 1 |
| FY2026 | 1 | 0 | 0 | 1 |
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 Withdrawn are LCAs that were certified and later withdrawn by the employer; they still count toward Total.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-200-26169-031091 | $285,000/yr | — | Bolivar, MO | Jun 18, 2026 | Certified |
Physician I-200-25141-002727 | $240,000/yr | I | Bolivar, MO | May 21, 2025 | Certified |
Physician I-200-24136-000456 | $240,000/yr | — | Bolivar, MO | May 15, 2024 | Certified |
Physician I-200-24110-906201 | $240,000/yr | — | Bolivar, MO | Apr 19, 2024 | Certified, withdrawn |
Interventional Cardiologist I-200-24065-773500 | $350,000/yr | — | Bolivar, MO | Mar 05, 2024 | Certified |
Physician I-200-24064-767157 | $239,200/yr | I | Willard, MO | Mar 04, 2024 | Certified |
Physician I-200-24059-754887 | $239,200/yr | — | Willard, MO | Feb 28, 2024 | Withdrawn |
Psychiatrist I-200-24044-715015 | $245,000/yr | — | Bolivar, MO | Feb 13, 2024 | Certified |
Psychiatrist I-200-24040-707168 | $245,000/yr | — | Bolivar, MO | Feb 09, 2024 | Withdrawn |
Interventional Cardiologist I-200-24019-652528 | $600,000/yr | — | Bolivar, MO | Jan 19, 2024 | Certified |
Physician I-200-23145-053599 | $445,000/yr | — | Bolivar, MO | May 25, 2023 | Certified |
Physician I-200-23129-006836 | $275,000/yr | — | Bolivar, MO | May 09, 2023 | Certified |
Athletic Trainer I-200-23055-803293 | $37,000/yr | I | Bolivar, MO | Feb 24, 2023 | Certified |
Interventional Cardiologist I-200-21085-177052 | $208,000/yr | — | Bolivar, MO | Mar 26, 2021 | Certified |
Psychiatrist I-200-21034-053191 | $220,000/yr | — | Bolivar, MO | Feb 03, 2021 | 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: Feb and May — 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 · 2 cities
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