28 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 Centers, 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: 2027-04-09. 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.
Median offered wage is 8% above the DOL prevailing wage across 13 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 — Truman Medical Centers, Inc. sponsors H-1B workers, with 28 certified LCAs on file (FY2021–FY2026), including 2 in FY2026. The median certified salary is $66,925 (P25 $60,320, P75 $68,216). 100% of its certified filings meet or exceed the prevailing wage.
Truman Medical Centers, 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| Fiscal year | Certified | Denied | Withdrawn | Total |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 | 7 | 0 | 0 | 7 |
| FY2022 | 8 | 0 | 0 | 8 |
| FY2025 | 11 | 0 | 1 | 12 |
| FY2026 | 2 | 0 | 0 | 2 |
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 Withdrawn are LCAs that were certified and later withdrawn by the employer; they still count toward Total.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 |
|---|---|---|---|---|---|
Critical Care Nurse RN, Surgical ICU I-200-26154-975253 | $67,000/yr | I | Kansas City, MO | Jun 03, 2026 | Certified |
Critical Care Nurse I-200-26154-975260 | $68,000/yr | I | Kansas City, MO | Jun 03, 2026 | Certified |
Clinical Data Analyst I-200-25101-854925 | $59,300/yr | I | Kansas City, MO | Apr 11, 2025 | Certified |
Clinical Nurse RN, Critical Care/Surgical ICU I-200-25085-804620 | $63,315/yr | I | Kansas City, MO | Mar 26, 2025 | Certified |
Manager Ambulatory Services I-200-25006-596137 | $112,274/yr | II | Kansas City, MO | Jan 06, 2025 | Certified |
Medical Laboratory Scientist/Technologist I-200-24366-578662 | $66,849/yr | I | Kansas City, MO | Dec 31, 2024 | Certified |
Manager Ambulatory Services I-200-24358-568271 | $112,274/yr | II | Kansas City, MO | Dec 23, 2024 | Certified |
Clinical Nurse RN, Critical Care/Surgical ICU I-200-24354-557184 | $68,216/yr | I | Kansas City, MO | Dec 19, 2024 | Certified |
Clinical Data Analyst I-200-24344-528473 | $60,486/yr | I | Kansas City, MO | Dec 09, 2024 | Certified |
Medical Laboratory Scientist/Technologist I-200-24340-522131 | $76,059/yr | I | Kansas City, MO | Dec 05, 2024 | Certified |
Medical Laboratory Scientist/Technologist I-200-24340-522138 | $70,068/yr | I | Kansas City, MO | Dec 05, 2024 | Certified |
Medical Laboratory Scientist/Technologist I-200-24340-519634 | $67,354/yr | I | Kansas City, MO | Dec 05, 2024 | Certified |
Clinical Nurse RN, Critical Care/Surgical ICU I-200-24325-488893 | $68,216/yr | I | Kansas City, MO | Nov 20, 2024 | Certified |
Clinical Nurse RN, Critical Care/Surgical ICU I-200-24316-467443 | $68,216/yr | I | Kansas City, MO | Nov 11, 2024 | Certified, withdrawn |
Critical Care Nurse RN, Medical Surgical Unit I-200-22195-351517 | $56,347/yr | I | Kansas City, MO | Jul 14, 2022 | Certified |
Critical Care Nurse RN, Telemetry I-200-22151-226091 | $56,420/yr | I | Kansas City, MO | May 31, 2022 | Certified |
Critical Care Nurse RN, Surgical ICU I-200-22151-226083 | $63,741/yr | I | Kansas City, MO | May 31, 2022 | Certified |
Critical Care RN Nurse I-200-22132-165785 | $55,500/yr | I | Kansas City, MO | May 12, 2022 | Certified |
Manager Ambulatory Services I-200-22090-025243 | $95,000/yr | II | Kansas City, MO | Mar 31, 2022 | Certified |
Clinical Nurse RN, Critical Care/Surgical ICU I-200-22082-002005 | $63,741/yr | I | Kansas City, MO | Mar 23, 2022 | Certified |
Clinical Nurse RN, Critical Care/Surgical ICU I-200-22082-002026 | $63,741/yr | I | Kansas City, MO | Mar 23, 2022 | Certified |
Senior Medical Technologist I-200-21019-020224 | $60,569/yr$29/hr as filed | IV | Kansas City, MO | Jan 19, 2021 | Certified |
Senior Medical Technologist I-200-21019-020157 | $60,569/yr$29/hr as filed | IV | Kansas City, MO | Jan 19, 2021 | Certified |
Senior Medical Technologist I-200-20352-966351 | $60,320/yr$29/hr as filed | II | Kansas City, MO | Dec 17, 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: Dec 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 · 1 city
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