67 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 Great River Health System, Inc.'s own public LCA filings (FY2024–FY2026) — the same records an investigator pulls first.
Next end date: 2026-11-14. 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.
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 44% above the DOL prevailing wage across 31 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 — Great River Health System, Inc. sponsors H-1B workers, with 67 certified LCAs on file (FY2021–FY2026), including 9 in FY2026. The median certified salary is $340,000 (P25 $68,543, P75 $353,471). 100% of its certified filings meet or exceed the prevailing wage.
Great River Health System, Inc. 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; 90% of filings are senior-level (III–IV).
| Fiscal year | Certified | Denied | Withdrawn | Total |
|---|---|---|---|---|
| FY2021 | 10 | 0 | 2 | 12 |
| FY2022 | 12 | 0 | 0 | 12 |
| FY2023 | 14 | 0 | 1 | 15 |
| FY2024 | 14 | 0 | 0 | 14 |
| FY2025 | 8 | 0 | 1 | 9 |
| FY2026 | 9 | 0 | 0 | 9 |
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 Withdrawn are LCAs that were certified and later withdrawn by the employer; they still count toward Total.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 |
|---|---|---|---|---|---|
Emergency Medicine Physician I-200-26166-016943 | $310,000/yr | — | West Burlington, IA | Jun 15, 2026 | Certified |
Hospitalist I-200-26166-013980 | $353,471/yr | — | West Burlington, IA | Jun 15, 2026 | Certified |
Rheumatologist I-200-26147-954651 | $440,000/yr | — | West Burlington, IA | May 27, 2026 | Certified |
Hematologist and Medical Oncologist I-200-26079-719620 | $650,000/yr | — | West Burlington, IA | Mar 20, 2026 | Certified |
Hospitalist I-200-26078-715623 | $353,471/yr | — | West Burlington, IA | Mar 19, 2026 | Certified |
Cardiologist I-200-26020-571255 | $625,000/yr | — | West Burlington, IA | Jan 20, 2026 | Certified |
Psychiatrist I-200-26020-571240 | $340,000/yr | IV | West Burlington, IA | Jan 20, 2026 | Certified |
Hospitalist I-200-26020-571258 | $353,471/yr | — | West Burlington, IA | Jan 20, 2026 | Certified |
Hematologist and Medical Oncologist I-200-26020-571250 | $575,000/yr | — | West Burlington, IA | Jan 20, 2026 | Certified |
Hospitalist I-200-25153-040405 | $353,471/yr | — | West Burlington, IA | Jun 02, 2025 | Certified |
Hospitalist I-200-25153-039807 | $353,471/yr | — | West Burlington, IA | Jun 02, 2025 | Withdrawn |
Hospitalist I-200-25150-034121 | $353,471/yr | — | West Burlington, IA | May 30, 2025 | Certified |
Pediatrician I-200-25150-034081 | $330,000/yr | — | West Burlington, IA | May 30, 2025 | Certified |
General Surgeon I-200-25106-872465 | $435,000/yr | III | West Burlington, IA | Apr 16, 2025 | Certified |
Hospitalist I-200-25024-641452 | $353,471/yr | — | West Burlington, IA | Jan 24, 2025 | Certified |
Medical Technologist I-200-25013-614903 | $61,526/yr$29/hr as filed | III | West Burlington, IA | Jan 13, 2025 | Certified |
Interventional Cardiologist I-200-25008-603920 | $700,000/yr | — | West Burlington, IA | Jan 08, 2025 | Certified |
Business Intelligence Analyst I-200-24354-559739 | $86,038/yr | II | West Burlington, IA | Dec 19, 2024 | Certified |
Primary Care Physician- Hospitalist I-200-24072-792200 | $345,000/yr | — | West Burlington, IA | Mar 12, 2024 | Certified |
Primary Care Physician- Hospitalist I-200-24072-792219 | $345,000/yr | — | West Burlington, IA | Mar 12, 2024 | Certified |
Rheumatologist I-200-24046-721234 | $300,000/yr | — | West Burlington, IA | Feb 15, 2024 | Certified |
Infectious Disease Physician I-200-24040-705872 | $285,000/yr | — | West Burlington, IA | Feb 08, 2024 | Certified |
Nephrologist I-200-24011-635520 | $450,000/yr | — | West Burlington, IA | Jan 11, 2024 | Certified |
Psychiatrist I-200-23354-582397 | $350,000/yr | IV | West Burlington, IA | Dec 20, 2023 | Certified |
Psychiatrist I-200-23349-570636 | $350,000/yr | IV | West Burlington, IA | Dec 15, 2023 | Certified |
Psychiatrist I-200-23349-570763 | $350,000/yr | IV | West Burlington, IA | Dec 15, 2023 | Certified |
Medical Technologist I-200-23325-515652 | $61,526/yr$29/hr as filed | III | West Burlington, IA | Nov 20, 2023 | Certified |
Coordinator - Point of Care I-200-23324-514560 | $67,622/yr | III | West Burlington, IA | Nov 20, 2023 | Certified |
Rheumatologist I-200-23300-460910 | $440,000/yr | — | West Burlington, IA | Oct 27, 2023 | Certified |
Coordinator – Point of Care I-200-23297-453766 | $67,622/yr | III | West Burlington, IA | Oct 24, 2023 | Certified |
Rheumatologist I-200-23293-445913 | $440,000/yr | — | West Burlington, IA | Oct 20, 2023 | Certified |
Medical Technologist I-200-23272-396515 | $61,526/yr$29/hr as filed | III | West Burlington, IA | Sep 29, 2023 | Certified |
Medical Technologist I-200-23222-255457 | $61,526/yr$29/hr as filed | III | West Burlington, IA | Aug 10, 2023 | Certified |
Medical Technologist I-200-23214-233489 | $61,526/yr$29/hr as filed | III | West Burlington, IA | Aug 02, 2023 | Certified |
Medical Technologist I-200-23122-985519 | $61,526/yr$29/hr as filed | IV | West Burlington, IA | May 02, 2023 | Certified |
Psychiatrist I-200-23111-957015 | $340,000/yr | IV | West Burlington, IA | Apr 21, 2023 | Certified |
Hospitalist I-200-23111-957023 | $345,000/yr | — | West Burlington, IA | Apr 21, 2023 | Certified |
Medical Technologist I-200-23109-947346 | $61,526/yr$29/hr as filed | IV | West Burlington, IA | Apr 19, 2023 | Certified, withdrawn |
Hematologist and Medical Oncologist I-200-23100-919466 | $575,000/yr | — | West Burlington, IA | Apr 10, 2023 | Certified |
Cardiologist I-200-23100-919468 | $625,000/yr | IV | West Burlington, IA | Apr 10, 2023 | Certified |
Medical Technologist I-200-23089-890572 | $61,526/yr$29/hr as filed | IV | West Burlington, IA | Mar 30, 2023 | Certified |
Internal Medicine - Outpatient Care physician I-200-23017-708091 | $300,000/yr | — | West Burlington, IA | Jan 17, 2023 | Certified |
Internal Medicine - Outpatient Care physician I-200-23016-705211 | $300,000/yr | — | West Burlington, IA | Jan 16, 2023 | Certified |
Medical Technologist I-200-22341-626989 | $55,931/yr$26/hr as filed | III | West Burlington, IA | Dec 07, 2022 | Certified |
Medical Technologist I-200-22285-524438 | $51,001/yr$24/hr as filed | III | West Burlington, IA | Oct 12, 2022 | Certified |
Medical Technologist I-200-22257-471412 | $51,001/yr$24/hr as filed | III | West Burlington, IA | Sep 14, 2022 | Certified |
Medical Technologist I-200-22250-459545 | $55,931/yr$26/hr as filed | III | Fort Madison, IA | Sep 07, 2022 | Certified |
Business Intelligence Analyst I-200-22129-151229 | $81,860/yr | III | West Burlington, IA | May 09, 2022 | Certified |
Hospitalist I-200-22111-093368 | $457,600/yr$220/hr as filed | — | West Burlington, IA | Apr 21, 2022 | Certified |
Interventional Cardiologist I-200-22105-074448 | $700,000/yr | — | West Burlington, IA | Apr 15, 2022 | Certified |
Hospitalist I-200-22060-939868 | $315,000/yr | — | West Burlington, IA | Mar 01, 2022 | Certified |
Hospitalist I-200-22054-923800 | $315,000/yr | — | West Burlington, IA | Feb 23, 2022 | Certified |
Pulmonologist I-200-22025-852089 | $400,000/yr | — | West Burlington, IA | Jan 25, 2022 | Certified |
Nephrologist I-200-22018-835264 | $300,000/yr | — | West Burlington, IA | Jan 18, 2022 | Certified |
Hospitalist I-200-22018-836731 | $315,000/yr | — | West Burlington, IA | Jan 18, 2022 | Certified |
Hospitalist I-200-22003-804401 | $315,000/yr | — | West Burlington, IA | Jan 03, 2022 | Certified |
Medical Technologist I-200-21270-608417 | $52,000/yr$25/hr as filed | III | West Burlington, IA | Sep 27, 2021 | Certified |
Psychiatrist I-200-21174-421856 | $405,600/yr$195/hr as filed | IV | West Burlington, IA | Jun 23, 2021 | Certified |
Psychiatrist I-200-21131-304183 | $405,579/yr$194/hr as filed | IV | West Burlington, IA | May 11, 2021 | Certified |
Coordinator - Project Management I-200-21035-055663 | $68,850/yr | II | West Burlington, IA | Feb 04, 2021 | Certified |
Infectious Disease Physician I-200-21032-045347 | $285,000/yr | — | West Burlington, IA | Feb 01, 2021 | Certified |
Rheumatologist I-200-21028-039563 | $300,000/yr | — | West Burlington, IA | Jan 28, 2021 | Certified |
Infectious Disease Physician I-200-21028-039562 | $300,000/yr | — | West Burlington, IA | Jan 28, 2021 | Withdrawn |
Hospitalist I-200-21004-993061 | $315,000/yr | — | West Burlington, IA | Jan 04, 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: Jan 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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