29 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 Truman 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%.
Next end date: 2026-10-22. 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.
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 18% 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.
Public DOL disclosure data can lag actual filings by a quarter. Descriptive only — not legal advice.
Yes — Truman Medical Center, Inc. sponsors H-1B workers, with 29 certified LCAs on file (FY2021–FY2026), including 6 in FY2026. The median certified salary is $63,658 (P25 $59,904, P75 $67,485). 100% of its certified filings meet or exceed the prevailing wage.
Truman 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; 0% of filings are senior-level (III–IV).
| Fiscal year | Certified | Denied | Withdrawn | Total |
|---|---|---|---|---|
| FY2021 | 3 | 0 | 0 | 3 |
| FY2022 | 6 | 0 | 0 | 6 |
| FY2023 | 5 | 0 | 0 | 5 |
| FY2024 | 7 | 0 | 0 | 7 |
| FY2025 | 2 | 0 | 0 | 2 |
| FY2026 | 6 | 0 | 1 | 7 |
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 Withdrawn are LCAs that were certified and later withdrawn by the employer; they still count toward Total.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 |
|---|---|---|---|---|---|
Manager Ambulatory Services I-200-26162-006946 | $117,145/yr | II | Kansas City, MO | Jun 11, 2026 | Withdrawn |
Manager Ambulatory Services I-200-26162-007083 | $117,145/yr | II | Kansas City, MO | Jun 11, 2026 | Certified |
Medical Laboratory Scientist/Technologist I-200-26162-006941 | $65,000/yr | I | Kansas City, MO | Jun 11, 2026 | Certified |
Clinical Data Analyst I-200-26162-006901 | $60,997/yr | I | Kansas City, MO | Jun 11, 2026 | Certified |
Clinical Data Analyst I-200-26162-006878 | $60,212/yr | I | Kansas City, MO | Jun 11, 2026 | Certified |
Medical Laboratory Scientist/Technologist I-200-26154-975263 | $65,000/yr | I | Kansas City, MO | Jun 03, 2026 | Certified |
Medical Laboratory Scientist/Technologist I-200-25307-360406 | $62,206/yr | I | Kansas City, MO | Nov 03, 2025 | Certified |
Clinical Nurse RN, Critical Care/Surgical ICU I-200-24312-459636 | $68,216/yr | I | Kansas City, MO | Nov 07, 2024 | Certified |
Critical Care Nurse, PCU I-200-24291-413708 | $63,315/yr | I | Kansas City, MO | Oct 17, 2024 | Certified |
Neonatal Critical Care Nurse I-200-24169-120788 | $65,576/yr | I | Kansas City, MO | Jun 17, 2024 | Certified |
Critical Care Nurse RN, Cardiac Catheterization Lab I-200-24117-930937 | $79,684/yr | II | Kansas City, MO | Apr 26, 2024 | Certified |
Critical Care Nurse RN, Surgical ICU I-200-24081-820099 | $59,000/yr | I | Kansas City, MO | Mar 21, 2024 | Certified |
Medical Laboratory Scientist/Technologist I-200-24044-715660 | $71,660/yr | I | Kansas City, MO | Feb 13, 2024 | Certified |
Medical Laboratory Scientist/Technologist I-200-24044-715669 | $65,239/yr | I | Kansas City, MO | Feb 13, 2024 | Certified |
Medical Laboratory Scientist/Technologist I-200-24043-710577 | $67,485/yr | I | Kansas City, MO | Feb 12, 2024 | Certified |
Critical Care Nurse RN, Operating Room Nurse I-200-24015-640591 | $74,900/yr | I | Kansas City, MO | Jan 15, 2024 | Certified |
Critical Care Nurse RN, Cardiac Catheterization Lab I-200-23258-351388 | $79,684/yr | II | Kansas City, MO | Sep 15, 2023 | Certified |
Medical Laboratory Scientist/Technologist I-200-23075-853287 | $59,904/yr | I | Kansas City, MO | Mar 16, 2023 | Certified |
Critical Care Nurse RN, Emergency Department I-200-23048-784788 | $58,893/yr | I | Kansas City, MO | Feb 17, 2023 | Certified |
Critical Care Nurse RN, Telemetry I-200-22287-530683 | $56,420/yr | I | Kansas City, MO | Oct 14, 2022 | Certified |
Critical Care Nurse RN, Medical Surgical Unit I-200-22202-367787 | $56,347/yr | I | Kansas City, MO | Jul 21, 2022 | Certified |
Medical Laboratory Scientist/Technologist I-200-22186-331352 | $51,611/yr | I | Kansas City, MO | Jul 05, 2022 | Certified |
Medical Laboratory Scientist/Technologist I-200-22129-149533 | $62,244/yr | I | Kansas City, MO | May 09, 2022 | Certified |
Medical Laboratory Scientist/Technologist I-200-22129-149512 | $61,832/yr | I | Kansas City, MO | May 09, 2022 | Certified |
Medical Laboratory Scientist/Technologist I-200-22129-149483 | $56,160/yr | I | Kansas City, MO | May 09, 2022 | Certified |
Medical Laboratory Scientist/Technologist I-200-22129-149449 | $72,165/yr | I | Kansas City, MO | May 09, 2022 | Certified |
Medical Laboratory Scientist/Technologist I-200-21236-540839 | $60,000/yr | I | Kansas City, MO | Aug 24, 2021 | Certified |
Medical Laboratory Scientist/Technologist I-200-21221-510930 | $64,000/yr | I | Kansas City, MO | Aug 09, 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: Jun 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 · 2 cities
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