12 certified Labor Condition Applications on file with the U.S. Department of Labor, FY2022–FY2026.
Since September 2025, DOL's Project Firewall opens H-1B investigations without waiting for a complaint. These checkpoints come from Cookeville Regional Medical Center's own public LCA filings (FY2024–FY2026) — the same records an investigator pulls first.
Withdrawn or denied LCAs are normal in isolation; a high share suggests workers were moved between filings and the paper trail needs checking.
Next end date: 2026-11-30. 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.
Multi-position LCAs are efficient, but every unused position must be withdrawn and every filled position needs its own PAF entry.
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 118% above the DOL prevailing wage across 5 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.
Public DOL disclosure data can lag actual filings by a quarter. Descriptive only — not legal advice.
Yes — Cookeville Regional Medical Center sponsors H-1B workers, with 12 certified LCAs on file (FY2022–FY2026), including 1 in FY2026. The median certified salary is $300,000 (P25 $232,500, P75 $450,000). 100% of its certified filings meet or exceed the prevailing wage.
Cookeville Regional Medical Center H-1B sponsorship at a glance, from public U.S. DOL LCA disclosure data (FY2022–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; 60% of filings are senior-level (III–IV).
| Fiscal year | Certified | Denied | Withdrawn | Total |
|---|---|---|---|---|
| FY2022 | 2 | 0 | 0 | 2 |
| FY2023 | 5 | 0 | 1 | 6 |
| FY2024 | 1 | 0 | 0 | 1 |
| FY2025 | 3 | 0 | 3 | 6 |
| 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 |
|---|---|---|---|---|---|
Endocrinologist Physician I-200-26072-701465 | $200,000/yr | IV | Cookeville, TN | Mar 13, 2026 | Certified |
Interventional Cardiologist Physician I-200-25251-293495 | $500,000/yr | IV | Cookeville, TN | Sep 08, 2025 | Certified |
Interventional Cardiologist Physician I-200-25204-194542 | $500,000/yr | IV | Cookeville, TN | Jul 23, 2025 | Certified |
Registered Nurse, Acute Critical Care Float I-200-25132-964552 | $69,784/yr$33/hr as filed | II | Cookeville, TN | May 12, 2025 | Certified, withdrawn |
Registered Nurse, Medical Surgical House Float I-200-25132-964546 | $69,784/yr$33/hr as filed | II | Cookeville, TN | May 12, 2025 | Certified, withdrawn |
Interventional Cardiologist Physician I-200-25079-789711 | $300,000/yr | IV | Cookville, TN | Mar 19, 2025 | Certified |
Interventional Cardiologist Physician I-200-24092-843982 | $300,000/yr | IV | Cookeville, TN | Apr 01, 2024 | Certified |
Endocrinologist Physician I-200-23229-272423 | $200,000/yr | I | Cookeville, TN | Aug 17, 2023 | Certified |
Endocrinologist Physician I-200-23226-261674 | $200,000/yr | I | Cookeville, TN | Aug 14, 2023 | Withdrawn |
Endocrinologist Physician I-200-23181-159200 | $300,000/yr | IV | Cookeville, TN | Jun 30, 2023 | Certified |
Pulmonology/Critical Care Physician I-200-23180-155749 | $450,000/yr | IV | Cookeville, TN | Jun 29, 2023 | Certified |
Neuro-Hospitalist Physician I-200-23128-001996 | $265,000/yr | IV | Cookeville, TN | May 08, 2023 | Certified |
Interventional Cardiologist I-200-23086-880405 | $300,000/yr | II | Cookeville, TN | Mar 27, 2023 | Certified |
Pulmonology/Critical Care Physician I-200-22242-445991 | $450,000/yr | II | Cookeville, TN | Aug 30, 2022 | Certified |
Pulmonology/Critical Care Physician I-200-22194-348750 | $450,000/yr | II | Cookeville, TN | Jul 13, 2022 | 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 FY2022–FY2026 disclosure records.
Most active filing months: Mar 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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