132 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 Southern Illinois Medical Services's own public LCA filings (FY2024–FY2026) — the same records an investigator pulls first.
Next end date: 2026-10-29. 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 88% above the DOL prevailing wage across 42 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 — Southern Illinois Medical Services is an active H-1B sponsor, with 132 certified LCAs on file (FY2021–FY2026), including 11 in FY2026. The median certified salary is $300,000 (P25 $250,000, P75 $400,000). 100% of its certified filings meet or exceed the prevailing wage.
Southern Illinois Medical Services 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; 7% of filings are senior-level (III–IV).
| Fiscal year | Certified | Denied | Withdrawn | Total |
|---|---|---|---|---|
| FY2021 | 56 | 0 | 9 | 65 |
| FY2022 | 21 | 0 | 3 | 24 |
| FY2023 | 13 | 0 | 11 | 24 |
| FY2024 | 19 | 0 | 1 | 20 |
| FY2025 | 12 | 0 | 2 | 14 |
| FY2026 | 11 | 0 | 1 | 12 |
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 Withdrawn are LCAs that were certified and later withdrawn by the employer; they still count toward Total.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 |
|---|---|---|---|---|---|
Vascular Surgeon I-200-26173-037147 | $500,000/yr | — | Carbondale, IL | Jun 22, 2026 | Certified |
Pulmonary and Critical Care Physician I-200-26162-007469 | $500,000/yr | — | Carbondale, IL | Jun 11, 2026 | Certified |
Geriatrician I-200-26162-007577 | $240,000/yr | — | Carbondale, IL | Jun 11, 2026 | Certified |
Emergency Medicine Physician I-200-26155-983194 | $425,000/yr | I | Carbondale, IL | Jun 04, 2026 | Certified |
Pathologist I-200-26082-721703 | $280,000/yr | II | Carbondale, IL | Mar 23, 2026 | Certified |
Surgeon I-200-26051-654261 | $400,000/yr | — | Herrin, IL | Feb 20, 2026 | Certified |
Pathologist I-200-26027-595373 | $280,000/yr | II | Carbondale, IL | Jan 27, 2026 | Certified |
Endocrinologist I-200-26027-595355 | $260,000/yr | — | Carbondale, IL | Jan 27, 2026 | Certified |
Psychiatrist I-200-25329-436646 | $144,352/yr$69/hr as filed | II | Rogers, AR | Nov 25, 2025 | Certified |
Psychiatrist I-200-25308-371730 | $144,352/yr$69/hr as filed | II | Rogers, AR | Nov 04, 2025 | Withdrawn |
Psychiatrist I-200-25308-372856 | $144,352/yr$69/hr as filed | II | Rogers, AR | Nov 04, 2025 | Certified |
Pain Management Physician I-200-25273-349553 | $416,000/yr$200/hr as filed | — | Carbondale, IL | Sep 30, 2025 | Certified |
Pulmonary and Critical Care Physician I-200-25142-009805 | $500,000/yr | — | Carbondale, IL | May 22, 2025 | Certified |
Pulmonologist I-200-25142-008519 | $500,000/yr | — | Carbondale, IL | May 22, 2025 | Certified |
Family Medicine Physician I-200-25101-857654 | $250,000/yr | I | Carbondale, IL | Apr 11, 2025 | Certified |
Pulmonologist I-200-25101-858093 | $500,000/yr | — | Carbondale, IL | Apr 11, 2025 | Certified |
Pulmonologist I-200-25101-858002 | $500,000/yr | — | Carbondale, IL | Apr 11, 2025 | Certified |
Trauma Surgeon I-200-25101-857574 | $500,000/yr | — | Herrin, IL | Apr 11, 2025 | Certified |
Pulmonologist I-200-25101-857906 | $500,000/yr | — | Carbondale, IL | Apr 11, 2025 | Certified |
Pulmonologist I-200-25101-857788 | $500,000/yr | — | Carbondale, IL | Apr 11, 2025 | Certified |
Family Medicine Physician I-200-25101-857410 | $250,000/yr | I | Carbondale, IL | Apr 11, 2025 | Withdrawn |
Physician, Hospice & Palliative Care I-200-25079-792574 | $215,000/yr | II | Carbondale, IL | Mar 20, 2025 | Certified |
Endocrinologist I-200-25079-792677 | $240,000/yr | — | Carbondale, IL | Mar 20, 2025 | Certified |
Physician I-200-25079-792639 | $240,000/yr | — | Carbondale, IL | Mar 20, 2025 | Certified |
Hematologist/Medical Oncologist I-200-25079-792622 | $500,000/yr | — | Carterville, IL | Mar 20, 2025 | Certified |
Trauma Surgeon I-200-24263-351694 | $475,000/yr | — | Carbondale, IL | Sep 19, 2024 | Certified |
Trauma Surgeon I-200-24199-203741 | $475,000/yr | — | Carbondale, IL | Jul 17, 2024 | Certified |
Pulmonologist I-200-24199-203657 | $500,000/yr | — | Carbondale, IL | Jul 17, 2024 | Certified |
Trauma Surgeon I-200-24198-198977 | $450,000/yr | — | Carbondale, IL | Jul 16, 2024 | Certified |
Pulmonary and Critical Care Physician I-200-24150-046767 | $400,000/yr | — | Carbondale, IL | May 29, 2024 | Certified |
Surgeon I-200-24131-983328 | $450,000/yr | — | Carbondale, IL | May 10, 2024 | Certified |
Surgeon I-200-24131-983359 | $450,000/yr | — | Carbondale, IL | May 10, 2024 | Certified |
Cardiothoracic Surgeon I-200-24124-955685 | $600,000/yr | — | Carbondale, IL | May 03, 2024 | Certified |
Infectious Disease Physician I-200-24124-955757 | $300,000/yr | — | Carbondale, IL | May 03, 2024 | Certified |
Neurologist I-200-24094-851349 | $400,000/yr | II | Carbondale, IL | Apr 03, 2024 | Certified |
Physician I-200-24087-834352 | $450,000/yr | — | Carbondale, IL | Mar 27, 2024 | Certified, withdrawn |
Physician I-200-24079-811975 | $375,000/yr | — | Carbondale, IL | Mar 19, 2024 | Certified |
Physician I-200-24072-793164 | $275,000/yr | — | Carbondale, IL | Mar 12, 2024 | Certified |
Physician I-200-24072-793358 | $250,000/yr | — | Carbondale, IL | Mar 12, 2024 | Certified |
Hematologist/Medical Oncologist I-200-24072-792113 | $550,000/yr | — | Carbondale, IL | Mar 12, 2024 | Certified |
Psychiatrist I-200-24072-792762 | $240,000/yr | II | Herrin, IL | Mar 12, 2024 | Certified |
Physician I-200-24068-783898 | $375,000/yr | — | Carbondale, IL | Mar 08, 2024 | Certified |
Neurologist I-200-24026-669174 | $375,000/yr | II | Carbondale, IL | Jan 26, 2024 | Certified |
Physician I-200-24017-646374 | $275,000/yr | — | Carbondale, IL | Jan 17, 2024 | Certified |
Surgeon I-200-23334-534937 | $375,000/yr | — | Carbondale, IL | Nov 30, 2023 | Certified |
Pathologist I-200-23229-273344 | $250,000/yr | — | Carbondale, IL | Aug 17, 2023 | Certified |
Anesthesiologist I-200-23202-207161 | $450,000/yr | II | Carbondale, IL | Jul 21, 2023 | Certified |
Physician I-200-23202-207285 | $450,000/yr | II | Carbondale, IL | Jul 21, 2023 | Certified |
Primary Care Physician I-200-23074-851629 | $300,000/yr | — | Carbondale, IL | Mar 15, 2023 | Certified |
Endocrinologist I-200-23065-825710 | $215,000/yr | — | Carbondale, IL | Mar 06, 2023 | Certified |
Pathologist I-200-23065-825814 | $325,000/yr | — | Carbondale, IL | Mar 06, 2023 | Certified |
Surgeon I-200-23065-825881 | $400,000/yr | — | Herrin, IL | Mar 06, 2023 | Certified |
Surgeon I-200-23065-825762 | $450,000/yr | — | Carbondale, IL | Mar 06, 2023 | Certified |
Pulmonary and Critical Care Physician I-200-23040-763999 | $400,000/yr | — | Carbondale, IL | Feb 09, 2023 | Certified |
Urologist I-200-23040-763919 | $475,000/yr | — | Carbondale, IL | Feb 09, 2023 | Certified |
Neurologist I-200-23040-763977 | $325,000/yr | — | Carbondale, IL | Feb 09, 2023 | Certified |
Hospitalist I-200-23026-728204 | $325,000/yr | — | Carbondale, IL | Jan 25, 2023 | Certified |
Psychiatrist I-200-23012-699502 | $62,400/yr$30/hr as filed | I | Rogers, AR | Jan 12, 2023 | Certified |
Surgeon I-200-22187-335660 | $375,000/yr | — | Carbondale, IL | Jul 06, 2022 | Certified |
Neonatologist I-200-22182-328777 | $280,000/yr | — | Carbondale, IL | Jul 01, 2022 | Certified |
Neonatologist I-200-22182-329036 | $280,000/yr | — | Carbondale, IL | Jul 01, 2022 | Certified |
Physician- Hospice & Palliative Care I-200-22175-311927 | $215,000/yr | — | Carbondale, IL | Jun 24, 2022 | Certified |
Psychiatrists I-200-22173-305713 | $250,000/yr | — | Carbondale, IL | Jun 22, 2022 | Certified |
Physician I-200-22161-269293 | $208,000/yr | — | Carbondale, IL | Jun 10, 2022 | Certified |
Hospitalist I-200-22140-196562 | $250,000/yr | — | Carbondale, IL | May 20, 2022 | Certified |
Urologist I-200-22108-079871 | $250,000/yr | — | Carbondale, IL | Apr 18, 2022 | Certified |
Anesthesiologist I-200-22103-067878 | $350,000/yr | — | Carbondale, IL | Apr 13, 2022 | Certified |
Anesthesiologist I-200-22089-022414 | $350,000/yr | — | Carbondale, IL | Mar 30, 2022 | Certified |
Anesthesiologist I-200-22075-984272 | $350,000/yr | — | Carbondale, IL | Mar 16, 2022 | Certified |
Anesthesiologist I-200-22075-984460 | $350,000/yr | — | Carbondale, IL | Mar 16, 2022 | Certified |
Hematologist/Medical Oncologist I-200-22059-937549 | $500,000/yr | — | Carterville, IL | Feb 28, 2022 | Certified |
Endocrinologist I-200-22055-929392 | $208,000/yr | — | Carbondale, IL | Feb 24, 2022 | Certified |
Physician I-200-22053-922241 | $416,000/yr$200/hr as filed | — | Carbondale, IL | Feb 22, 2022 | Certified |
Infectious Disease Physician I-200-22039-886443 | $210,000/yr | — | Herrin, IL | Feb 08, 2022 | Certified |
Physician I-200-22031-866890 | $425,000/yr | — | Carbondale, IL | Jan 31, 2022 | Certified |
Endocrinologist I-200-22027-858574 | $208,000/yr | — | Carbondale, IL | Jan 27, 2022 | Certified |
Physician I-200-22024-849155 | $425,000/yr | — | Carbondale, IL | Jan 24, 2022 | Certified |
Physician-Pain Management I-200-22013-829406 | $400,000/yr | — | Carbondale, IL | Jan 13, 2022 | Certified, withdrawn |
Hospitalist I-200-21314-698021 | $280,000/yr | — | Carbondale, IL | Nov 10, 2021 | Certified |
Psychiatrist I-200-21298-665769 | $250,000/yr | — | Carbondale, IL | Oct 25, 2021 | Certified |
Hospitalist I-200-21266-603570 | $270,000/yr | — | Carbondale, IL | Sep 23, 2021 | Certified |
Wound Care Physician I-200-21189-450794 | $208,000/yr$100/hr as filed | — | Carbondale, IL | Jul 08, 2021 | Certified |
Anesthesiologist I-200-21181-437778 | $340,000/yr | — | Carbondale, IL | Jun 30, 2021 | Certified |
Trauma Surgeon I-200-21138-321614 | $280,000/yr | — | Carbondale, IL | May 18, 2021 | Certified |
Physician I-200-21133-312342 | $200,000/yr | II | Carbondale, IL | May 13, 2021 | Certified |
Trauma Surgeon I-200-21085-178291 | $275,000/yr | — | Carbondale, IL | Mar 26, 2021 | Certified |
Hospitalist I-200-21077-156612 | $250,000/yr | II | Carbondale, IL | Mar 18, 2021 | Certified |
Plastic and Reconstructive Surgeon I-200-21077-157942 | $416,000/yr | — | Carbondale, IL | Mar 18, 2021 | Certified |
Neurologist I-200-21076-155285 | $280,000/yr | III | Carbondale, IL | Mar 17, 2021 | Certified |
Bariatric Surgeon I-200-21063-121995 | $330,000/yr | — | Herrin, IL | Mar 04, 2021 | Certified |
Hospitalist I-200-21062-115662 | $250,000/yr | II | Carbondale, IL | Mar 03, 2021 | Certified |
Colorectal Surgeon I-200-21061-114703 | $350,000/yr | — | Carterville, IL | Mar 02, 2021 | Certified |
Psychiatrist I-200-21060-108700 | $210,000/yr | — | Herrin, IL | Mar 01, 2021 | Certified |
Physician I-200-21057-104700 | $320,000/yr | II | Carbondale, IL | Feb 26, 2021 | Certified |
Physician I-200-21043-075917 | $280,000/yr | II | Carbondale, IL | Feb 12, 2021 | Certified |
Hospitalist I-200-21036-060367 | $280,000/yr | II | Carbondale, IL | Feb 05, 2021 | Certified |
Physician I-200-21034-050516 | $240,000/yr | II | Carbondale, IL | Feb 02, 2021 | Certified |
Hematologist/Medical Oncologist I-200-21030-044483 | $400,000/yr | III | Carterville, IL | Jan 30, 2021 | Certified |
Anesthesiologist I-200-21030-044490 | $340,000/yr | — | Carbondale, IL | Jan 30, 2021 | Certified |
Infectious Disease Physician I-200-21028-039210 | $200,000/yr | II | Herrin, IL | Jan 28, 2021 | Certified |
Hematology/Oncologist I-200-21028-039377 | $450,000/yr | II | Carbondale, IL | Jan 28, 2021 | Certified |
Hospitalist I-200-21028-039161 | $280,000/yr | II | Carbondale, IL | Jan 28, 2021 | Certified |
Hospitalist I-200-21028-039226 | $280,000/yr | II | Carbondale, IL | Jan 28, 2021 | Certified |
Hematology/Oncologist I-200-21026-034152 | $450,000/yr | II | Carbondale, IL | Jan 26, 2021 | Certified, withdrawn |
Hospitalist I-200-21020-023250 | $280,000/yr | II | Carbondale, IL | Jan 20, 2021 | Certified |
Infectious Disease Physician I-200-21020-023383 | $200,000/yr | II | Herrin, IL | Jan 20, 2021 | Certified |
Hospitalist I-200-21020-023230 | $280,000/yr | II | Carbondale, IL | Jan 20, 2021 | Certified |
Hematologist/Medical Oncologist I-200-21007-999666 | $480,000/yr | II | Carterville, IL | Jan 07, 2021 | Certified |
Pulmonary and Critical Care Physician I-200-21005-994295 | $320,000/yr | II | Herrin, IL | Jan 04, 2021 | Certified |
Surgeon I-200-20350-960989 | $350,000/yr | — | Carbondale, IL | Dec 15, 2020 | Certified |
Physician I-200-20301-889671 | $208,000/yr | — | Carbondale, IL | Oct 27, 2020 | Certified |
Urologist I-200-20177-680176 | $208,000/yr | — | Harrisburg, IL | Jun 25, 2020 | Certified, withdrawn |
Urologist I-200-20175-675792 | $208,000/yr | — | Harrisburg, IL | Jun 23, 2020 | Certified, withdrawn |
Trauma Surgeon I-200-20175-674744 | $245,000/yr | — | Carbondale, IL | Jun 23, 2020 | Certified, withdrawn |
Hospitalist I-200-20037-304277 | $262,500/yr | II | Carbondale, IL | Feb 06, 2020 | Certified, withdrawn |
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.
2 states · 5 cities
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