13 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 Lake Regional Health System'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%.
Median offered wage is 95% above the DOL prevailing wage across 9 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 — Lake Regional Health System sponsors H-1B workers, with 13 certified LCAs on file (FY2022–FY2026), including 8 in FY2026. The median certified salary is $69,499 (P25 $63,941, P75 $72,598). With a 36% transfer share, this employer actively accepts H-1B transfers. 100% of its certified filings meet or exceed the prevailing wage.
Lake Regional Health System 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; 38% of filings are senior-level (III–IV).
| Fiscal year | Certified | Denied | Withdrawn | Total |
|---|---|---|---|---|
| FY2022 | 2 | 0 | 0 | 2 |
| FY2023 | 2 | 0 | 0 | 2 |
| FY2024 | 1 | 0 | 0 | 1 |
| FY2026 | 8 | 0 | 1 | 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 Withdrawn are LCAs that were certified and later withdrawn by the employer; they still count toward Total.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 |
|---|---|---|---|---|---|
Medical Laboratory Scientist I-200-26159-993125 | $69,499/yr | I | Osage Beach, MO | Jun 08, 2026 | Certified |
Medical Laboratory Scientist I-200-26159-993131 | $63,941/yr | I | Osage Beach, MO | Jun 08, 2026 | Certified |
Medical Laboratory Scientist I-200-26159-993127 | $69,449/yr | I | Osage Beach, MO | Jun 08, 2026 | Certified |
Medical Laboratory Scientist I-200-26159-993128 | $72,598/yr | I | Osage Beach, MO | Jun 08, 2026 | Certified |
Lab - Medical Lab Tech I-200-26147-952142 | $72,598/yr | I | Osage Beach, MO | May 27, 2026 | Certified |
Lab - Medical Laboratory Scientist I-200-26147-952140 | $63,941/yr | I | Osage Beach, MO | May 27, 2026 | Certified |
Lab - Medical Lab Tech I-200-26147-952138 | $69,499/yr | I | Osage Beach, MO | May 27, 2026 | Certified |
Lab - Medical Lab Tech I-200-26147-952141 | $69,449/yr | I | Osage Beach, MO | May 27, 2026 | Certified |
Lab - Medical Lab Tech I-200-26146-950108 | $69,499/yr | I | Osage Beach, MO | May 26, 2026 | Withdrawn |
Medical Technologist I-200-24173-139696 | $71,968/yr$34/hr as filed | III | Osage Beach, MO | Jun 21, 2024 | Certified |
Medical Technologist I-200-23187-170298 | $62,545/yr$30/hr as filed | III | Osage Beach, MO | Jul 06, 2023 | Certified |
Medical Technologist I-200-23187-170304 | $62,545/yr$30/hr as filed | III | Osage Beach, MO | Jul 06, 2023 | Certified |
Physician - Internal Medicine I-200-22082-004749 | $266,868/yr | III | Eldon, MO | Mar 23, 2022 | Certified |
Physician - Internal Medicine I-200-22082-004735 | $296,011/yr | III | Laurie, MO | Mar 23, 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: May and Jun — 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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