46 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 Pikeville Medical Center, Inc.'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%.
Frequent amendments usually mean worksite or role changes; each one must be covered by a new LCA before the change takes effect.
Median offered wage is 121% above the DOL prevailing wage across 15 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 — Pikeville Medical Center, Inc. sponsors H-1B workers, with 46 certified LCAs on file (FY2021–FY2026), including 6 in FY2026. The median certified salary is $350,000 (P25 $283,750, P75 $675,000). 100% of its certified filings meet or exceed the prevailing wage.
Pikeville Medical Center, 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; 20% of filings are senior-level (III–IV).
| Fiscal year | Certified | Denied | Withdrawn | Total |
|---|---|---|---|---|
| FY2021 | 16 | 0 | 0 | 16 |
| FY2022 | 5 | 0 | 0 | 5 |
| FY2023 | 6 | 0 | 5 | 11 |
| FY2024 | 6 | 0 | 0 | 6 |
| FY2025 | 7 | 0 | 0 | 7 |
| FY2026 | 6 | 0 | 0 | 6 |
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 Withdrawn are LCAs that were certified and later withdrawn by the employer; they still count toward Total.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 |
|---|---|---|---|---|---|
Hospitalist I-200-26153-970859 | $335,000/yr | I | Pikeville, KY | Jun 02, 2026 | Certified |
Cardiologist/Electrophysiologist/Dir. of Cardiac Research I-200-26110-812050 | $900,000/yr | III | Pikeville, KY | Apr 20, 2026 | Certified |
Cardiologist (Cardiac Imaging Specialist) I-200-26044-639692 | $725,000/yr | II | Pikeville, KY | Feb 13, 2026 | Certified |
Cardiologist (Imaging Specialist)/Med. Director Card Imaging I-200-26015-563257 | $680,000/yr | II | Pikeville, KY | Jan 15, 2026 | Certified |
General (Non-invasive) Cardiologist I-200-26008-543903 | $675,000/yr | I | Pikeville, KY | Jan 08, 2026 | Certified |
Infectious Disease Physician I-203-25308-368960 | $350,000/yr | III | Pikeville, KY | Nov 04, 2025 | Certified |
Hospitalist I-200-25189-158400 | $335,000/yr | I | Pikeville, KY | Jul 08, 2025 | Certified |
Rheumatologist (F/.T). As needed Hospitalist I-200-25104-861466 | $450,000/yr | — | Pikeville, KY | Apr 14, 2025 | Certified |
Non-Invasive Cardiologist I-200-25090-813741 | $650,000/yr | I | Pikeville, KY | Mar 31, 2025 | Certified |
Pulmonologist/Critical Care Physician I-200-25087-811624 | $500,000/yr | — | Pikeville, KY | Mar 28, 2025 | Certified |
Urologist I-200-25069-761251 | $810,000/yr | — | Pikeville, KY | Mar 10, 2025 | Certified |
Pediatric Hospitalist I-200-25058-730425 | $225,000/yr | — | Pikeville, KY | Feb 27, 2025 | Certified |
Hospitalist I-200-25055-718858 | $335,000/yr | — | Pikeville, KY | Feb 24, 2025 | Certified |
Urologist I-200-24184-168922 | $810,000/yr | — | Pikeville, KY | Jul 02, 2024 | Certified |
Interventional Cardiologist I-200-24123-949276 | $650,000/yr | — | Pikeville, KY | May 02, 2024 | Certified |
Pediatric Hospitalist I-200-24046-721473 | $225,000/yr | — | Pikeville, KY | Feb 15, 2024 | Certified |
Rheumatologist I-200-24022-656605 | $450,000/yr | — | Pikeville, KY | Jan 22, 2024 | Certified |
Hematologist/Oncologist I-200-24017-646493 | $700,000/yr | — | Pikeville, KY | Jan 17, 2024 | Certified |
Cardiologist/Electrophysiologist I-200-23213-228985 | $750,000/yr | — | Pikeville, KY | Aug 01, 2023 | Certified |
Hospitalist I-200-22094-035090 | $275,000/yr | — | Pikeville, KY | Apr 04, 2022 | Certified |
Trauma Surgeon/Trauma Critical Care Director I-200-22068-964466 | $675,000/yr | — | Pikeville, KY | Mar 09, 2022 | Certified |
Hospitalist I-200-22012-824207 | $275,000/yr | — | Pikeville, KY | Jan 12, 2022 | Certified |
Hospitalist I-200-22011-822776 | $275,000/yr | — | Pikeville, KY | Jan 11, 2022 | Certified |
Hematologist/Oncologist I-200-21109-235747 | $613,000/yr | — | Pikeville, KY | Apr 19, 2021 | Certified |
Nephrologist I-200-21067-127361 | $335,000/yr | — | Pikeville, KY | Mar 08, 2021 | Certified |
Family Practice Physician I-200-21015-015889 | $200,000/yr | I | Pikeville, KY | Jan 15, 2021 | Certified |
Hospitalist I-200-20323-917181 | $275,000/yr | — | Pikeville, KY | Nov 18, 2020 | 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 Feb — 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 · 1 city
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