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 Monument Health Rapid City Hospital, Inc.'s own public LCA filings (FY2024–FY2026) — the same records an investigator pulls first.
Multi-position LCAs are efficient, but every unused position must be withdrawn and every filled position needs its own PAF entry.
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.
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.
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 32% above the DOL prevailing wage across 53 recent certified LCAs. Paying at the floor is lawful, but it invites the question of whether the wage level itself is right.
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 — Monument Health Rapid City Hospital, Inc. sponsors H-1B workers, with 67 certified LCAs on file (FY2021–FY2026), including 22 in FY2026. The median certified salary is $328,000 (P25 $74,880, P75 $364,000). 100% of its certified filings meet or exceed the prevailing wage.
Monument Health Rapid City Hospital, 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; 14% of filings are senior-level (III–IV).
| Fiscal year | Certified | Denied | Withdrawn | Total |
|---|---|---|---|---|
| FY2021 | 3 | 0 | 0 | 3 |
| FY2022 | 4 | 0 | 0 | 4 |
| FY2023 | 2 | 0 | 0 | 2 |
| FY2024 | 14 | 0 | 0 | 14 |
| FY2025 | 22 | 1 | 1 | 24 |
| FY2026 | 22 | 0 | 1 | 23 |
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 |
|---|---|---|---|---|---|
General Cardiologist I-200-26142-941934 | $550,000/yr | — | Rapid City, SD | May 22, 2026 | Certified |
Cardiologist I-200-26113-826225 | $550,000/yr | — | Rapid City, SD | Apr 23, 2026 | Certified |
Gastroenterologist I-200-26105-796141 | $775,000/yr | — | Rapid City, SD | Apr 15, 2026 | Certified |
Registered Nurse Float Pool I-200-26097-765638 | $83,428/yr$40/hr as filed | II | Rapid City, SD | Apr 07, 2026 | Certified |
Registered Nurse Float Pool I-200-26097-765486 | $78,291/yr$37/hr as filed | II | Rapid City, SD | Apr 07, 2026 | Certified |
Registered Nurse Float Pool I-200-26086-736794 | $78,291/yr$37/hr as filed | III | Rapid City, SD | Mar 27, 2026 | Certified, withdrawn |
Hospitalist-Internal Medicine I-200-26075-707025 | $323,000/yr | — | Rapid City, SD | Mar 16, 2026 | Certified |
Registered Nurse Float Pool I-200-26048-644632 | $74,880/yr$36/hr as filed | II | Rapid City, SD | Feb 17, 2026 | Certified |
Hematologist and Medical Oncologist I-200-26022-580488 | $550,000/yr | — | Rapid City, SD | Jan 22, 2026 | Certified |
Electrophysiologist I-200-26022-580520 | $750,000/yr | — | Rapid City, SD | Jan 22, 2026 | Certified |
Hospitalist I-200-26022-580407 | $239,200/yr | — | Rapid City, SD | Jan 22, 2026 | Certified |
Rheumatology Physician I-200-26022-580441 | $239,200/yr | — | Rapid City, SD | Jan 22, 2026 | Certified |
Endocrinologist I-200-26022-580543 | $239,200/yr | — | Rapid City, SD | Jan 22, 2026 | Certified |
Internal Medicine Physician I-200-26015-562177 | $239,200/yr | — | Rapid City, SD | Jan 15, 2026 | Certified |
Hematology & Medical Oncology Physician I-200-26015-562163 | $239,200/yr | — | Rapid City, SD | Jan 15, 2026 | Certified |
Hospitalist I-200-26009-549450 | $239,200/yr | — | Rapid City, SD | Jan 09, 2026 | Certified |
Infectious Disease Physician I-200-25318-408552 | $328,000/yr | — | Rapid City, SD | Nov 14, 2025 | Certified |
Infectious Disease Physician I-200-25317-405868 | $328,000/yr | — | Rapid City, SD | Nov 13, 2025 | Certified |
Registered Nurse Float Pool I-200-25310-382014 | $82,118/yr$39/hr as filed | II | Rapid City, SD | Nov 06, 2025 | Certified |
Medical Laboratory Scientist I-200-25305-356063 | $82,056/yr$39/hr as filed | II | Rapid City, SD | Nov 01, 2025 | Certified |
Registered Nurse Float Pool I-200-25305-356083 | $74,880/yr$36/hr as filed | II | Rapid City, SD | Nov 01, 2025 | Certified |
Non-Invasive Cardiology Physician I-200-25272-342176 | $412,853/yr | — | Rapid City, SD | Sep 29, 2025 | Certified |
Interventional Cardiology Physician I-200-25272-342163 | $841,845/yr | — | Rapid City, SD | Sep 29, 2025 | Certified |
Registered Nurse Float Pool I-200-25217-221921 | $74,880/yr$36/hr as filed | II | Rapid City, SD | Aug 05, 2025 | Certified |
Infectious Disease Physician I-200-25161-076606 | $315,000/yr | — | Rapid City, SD | Jun 10, 2025 | Certified |
Registered Nurse Float Pool I-200-25160-068948 | $76,481/yr$36/hr as filed | II | Rapid City, SD | Jun 09, 2025 | Certified |
Critical Care Physician I-200-25150-034400 | $469,128/yr | — | Rapid City, SD | May 30, 2025 | Certified |
Medical Physicist I-200-25150-035841 | $275,000/yr | II | Rapid City, SD | May 30, 2025 | Certified |
Registered Nurse Float Pool I-200-25101-856362 | $83,470/yr$40/hr as filed | II | Rapid City, SD | Apr 11, 2025 | Certified |
Internal Medicine Physician I-200-25072-771836 | $315,000/yr | — | Rapid City, SD | Mar 13, 2025 | Certified |
Cardiothoracic and Vascular Surgery Physician I-200-25069-761845 | $1,000,000/yr | — | Rapid City, SD | Mar 10, 2025 | Certified |
Medical Laboratory Scientist I-200-25066-755549 | $66,560/yr$32/hr as filed | II | Custer, SD | Mar 07, 2025 | Certified |
Medical Laboratory Scientist I-200-25066-755575 | $69,118/yr$33/hr as filed | II | Spearfish, SD | Mar 07, 2025 | Certified |
Medical Laboratory Scientist I-200-25066-755567 | $73,964/yr$35/hr as filed | II | Spearfish, SD | Mar 07, 2025 | Certified |
Medical Laboratory Scientist I-200-25066-755564 | $64,438/yr$30/hr as filed | II | Rapid City, SD | Mar 07, 2025 | Certified |
Medical Laboratory Scientist I-200-25066-755554 | $70,720/yr$34/hr as filed | II | Sturgis, SD | Mar 07, 2025 | Certified |
Medical Laboratory Scientist I-200-25066-755557 | $68,432/yr$32/hr as filed | II | Rapid City, SD | Mar 07, 2025 | Certified |
Pulmonary and Critical Care Medicine Physician I-200-25056-723378 | $521,000/yr | — | Rapid City, SD | Feb 25, 2025 | Certified |
Endocrinology Physician I-200-25052-714526 | $292,000/yr | — | Rapid City, SD | Feb 21, 2025 | Certified |
Neurology and Sleep Medicine Physician I-200-25052-714516 | $364,000/yr | — | Rapid City, SD | Feb 21, 2025 | Certified |
Gastroenterology Physician I-200-25041-680932 | $421,768/yr | — | Rapid City, SD | Feb 10, 2025 | Certified |
Hematology and Medical Oncology Physician I-200-25041-680955 | $546,631/yr | — | Rapid City, SD | Feb 10, 2025 | Certified |
Medical Laboratory Scientist I-200-25034-661868 | $58,593/yr$28/hr as filed | II | Rapid City, SD | Feb 03, 2025 | Certified |
Registered Nurse Float Pool I-200-25027-643840 | $63,190/yr$30/hr as filed | II | Rapid City, SD | Jan 27, 2025 | Certified |
Registered Nurse Float Pool I-200-25024-640380 | $63,190/yr$30/hr as filed | II | Rapid City, SD | Jan 24, 2025 | Denied |
Non-Invasive Cardiology Physician I-200-24352-550357 | $555,000/yr | — | Rapid City, SD | Dec 17, 2024 | Certified |
Interventional Cardiology Physician I-200-24253-323482 | $750,000/yr | — | Rapid City, SD | Sep 09, 2024 | Certified |
Medical Laboratory Scientist I-200-24142-021254 | $45,177/yr$21/hr as filed | II | Rapid City, SD | May 21, 2024 | Certified |
Medical Laboratory Scientist I-200-24142-020900 | $74,880/yr$36/hr as filed | II | Rapid City, SD | May 21, 2024 | Certified |
Medical Laboratory Scientist I-200-24142-021304 | $58,593/yr$28/hr as filed | II | Rapid City, SD | May 21, 2024 | Certified |
Medical Laboratory Scientist I-200-24142-020998 | $74,152/yr$35/hr as filed | II | Custer, SD | May 21, 2024 | Certified |
Interventional Cardiology Physician I-200-24064-769428 | $750,000/yr | — | Rapid City, SD | Mar 04, 2024 | Certified |
Infectious Disease Physician I-200-24059-756577 | $313,000/yr | — | Rapid City, SD | Feb 28, 2024 | Certified |
Rheumatology Physician I-200-24054-742630 | $325,000/yr | — | Rapid City, SD | Feb 23, 2024 | Certified |
Infectious Disease Physician I-200-24044-714608 | $313,000/yr | — | Rapid City, SD | Feb 13, 2024 | Certified |
Interventional Cardiology Physician I-200-24038-700783 | $861,120/yr$414/hr as filed | — | Rapid City, SD | Feb 07, 2024 | Certified |
Registered Nurse Float Pool I-200-24005-620828 | $59,633/yr$28/hr as filed | II | Rapid City, SD | Jan 05, 2024 | Certified |
Registered Nurse Float Pool I-200-23311-484610 | $59,633/yr$28/hr as filed | II | Rapid City, SD | Nov 07, 2023 | Certified |
Infectious Disease Physician I-200-23132-016826 | $275,084/yr | — | Rapid City, SD | May 12, 2023 | Certified |
Hematology and Medical Oncology Physician I-200-23060-813112 | $337,084/yr | — | Rapid City, SD | Mar 01, 2023 | Certified |
Critical Care Physician I-200-22195-353640 | $336,043/yr | — | Rapid City, SD | Jul 14, 2022 | Certified |
Hematology and Medical Oncology Physician I-200-22111-093387 | $335,928/yr | — | Rapid City, SD | Apr 21, 2022 | Certified |
Gastroenterology Physician I-200-22111-093394 | $335,928/yr | — | Rapid City, SD | Apr 21, 2022 | Certified |
Executive Medical Director I-200-21333-728813 | $398,925/yr | — | Rapid City, SD | Nov 29, 2021 | Certified |
Nocturnist I-200-21201-472763 | $314,995/yr$151/hr as filed | — | Rapid City, SD | Jul 20, 2021 | Certified |
Interventional Cardiologist and Medical Director I-200-21145-341492 | $223,579/yr | IV | Rapid City, SD | May 25, 2021 | Certified |
Nocturnist I-200-21138-322223 | $314,995/yr$151/hr as filed | III | Rapid City, SD | May 18, 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: Mar and Jan — 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 · 4 cities
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