Appalachian Regional Healthcare, Inc. · Beckley, West Virginia
Case #I-200-25258-309737
A General Surgeon position at Appalachian Regional Healthcare, Inc. in Beckley, West Virginia was filed at $550k per year, offering 130% above the prevailing wage of $239k. The case was certified in 7 days during the FY FY2025 cycle. This position is for new employment.
| Case Number | I-200-25258-309737 |
| Case Status | Certified |
| Visa Class | H-1B |
| Fiscal Year | FY 2025 |
| Employer | Appalachian Regional Healthcare, Inc. |
| Employer Location | Hazard, Kentucky |
| Job Title | General Surgeon |
| SOC Code | 29-124900 – Surgeons, All Other |
| Worksite | Beckley, West Virginia |
| Annual Wage | $550k |
| Prevailing Wage | $239k |
| Wage Premium | +129.9% |
| Positions | 1 (1 new, 0 continued) |
| Job Title | Salary | Status | Date |
|---|---|---|---|
| Medical Laboratory Scientist | $64k | CERTIFIED | Sep 15, 2025 |
| Psychiatric Medical Director | $312k | CERTIFIED | Sep 15, 2025 |
| Staff Physical Therapist | $75k | CERTIFIED | Jul 29, 2025 |
| Medical Laboratory Scientist | $64k | CERTIFIED | Jul 29, 2025 |
| Resident Physician | $62k | CERTIFIED | May 22, 2025 |
This Labor Condition Application (LCA) was filed by Appalachian Regional Healthcare, Inc. for the position of General Surgeon in Beckley, West Virginia. The offered annual salary is $550k, compared to the prevailing wage of $239k for this occupation and location. This represents a wage premium of +129.9% above the prevailing wage.
The LCA is the first step in the H-1B visa process. Employers must file an LCA with the Department of Labor certifying that they will pay the foreign worker at least the prevailing wage for the occupation in the area of intended employment. A certified LCA is required before the employer can file an H-1B petition with USCIS.
Case status: Certified. This means the Department of Labor has certified that the employer meets the wage and working condition requirements.
A Labor Condition Application (LCA) is a mandatory document that U.S. employers must file with the U.S. Department of Labor (DOL) before they can petition for a foreign worker under the H-1B, H-1B1, or E-3 visa categories. The LCA process was established under the Immigration and Nationality Act (INA) to protect both foreign and domestic workers by ensuring fair wages and working conditions.
When a U.S. company identifies a foreign national to fill a specialty occupation position, they must first obtain DOL certification through the LCA process before filing the H-1B petition (Form I-129) with U.S. Citizenship and Immigration Services (USCIS). In this case, Appalachian Regional Healthcare, Inc. filed LCA case number I-200-25258-309737 to sponsor a General Surgeon position at their worksite in Beckley, West Virginia. By filing this LCA, the employer attests to four key conditions: (1) paying the higher of the actual wage or prevailing wage, (2) providing working conditions that will not adversely affect other similarly employed workers, (3) no strike or lockout at the worksite, and (4) providing notice of the filing to the bargaining representative or posting notice at the worksite.
The DOL establishes four wage levels for each occupation and geographic area, representing the progression from entry-level to fully competent workers:
For this filing, the offered wage of $550k compares to the DOL prevailing wage of $239k for Surgeons, All Other positions in the Beckley, West Virginia area. The positive wage premium of +129.9% indicates the employer is offering above the DOL-determined average for this occupation and location.
The prevailing wage is the average wage paid to similarly employed workers in a specific occupation in the area of intended employment. The DOL determines prevailing wages using data from the Occupational Employment and Wage Statistics (OEWS) survey conducted by the Bureau of Labor Statistics (BLS). Employers must pay H-1B workers the higher of the prevailing wage or the actual wage paid to other employees in similar positions at the company. This requirement is designed to prevent employers from using H-1B workers to undercut domestic wages.
A "Certified" status means the DOL has reviewed Appalachian Regional Healthcare, Inc.'s attestations and determined that the LCA meets all regulatory requirements. The employer has demonstrated that the offered wage of $550k meets or exceeds the prevailing wage for General Surgeon positions in the Beckley, West Virginia area. It is important to understand that LCA certification does not guarantee H-1B visa approval. The next step is for the employer to file Form I-129 with USCIS, which evaluates whether the position qualifies as a specialty occupation and whether the beneficiary has the required qualifications.
This LCA was received by the DOL on Sep 15, 2025 and a decision was rendered on Sep 22, 2025, a processing time of approximately 7 business days. The standard DOL processing time for LCA applications is 7 to 10 business days. This application was processed within the standard timeframe.
The offered salary of $550k for this General Surgeon position provides a data point for evaluating compensation trends in H-1B visa sponsorship. When reviewing H-1B salary data, consider that wages vary significantly based on geographic location, employer size, industry sector, and the worker's experience level. This position falls under SOC code 29-124900 (Surgeons, All Other), which standardizes how the Bureau of Labor Statistics classifies occupations across industries. Metropolitan areas like New York, San Francisco, and Seattle typically command higher salaries due to higher costs of living, while positions in smaller markets may offer lower nominal wages but comparable purchasing power.
The offered annual salary for this General Surgeon position at Appalachian Regional Healthcare, Inc. is $550k. The Department of Labor prevailing wage for this occupation and location is $239k. The offered wage represents a +129.9% premium over the prevailing wage.
This H-1B filing is for a position located in Beckley, West Virginia. The employing company, Appalachian Regional Healthcare, Inc., is headquartered in Hazard, Kentucky.
This Labor Condition Application is filed under the H-1B visa classification. The H-1B visa is designed for specialty occupation workers who possess at least a bachelor's degree or equivalent in a specific field related to the job.
The employer for this filing is Appalachian Regional Healthcare, Inc., located in Hazard, Kentucky. Appalachian Regional Healthcare, Inc. filed this Labor Condition Application (case number I-200-25258-309737) for a General Surgeon position during fiscal year FY 2025. View all Appalachian Regional Healthcare, Inc. H-1B filings.
Certified means the U.S. Department of Labor has approved this Labor Condition Application, confirming that Appalachian Regional Healthcare, Inc. has attested to meeting all wage and working condition requirements. A certified LCA does not guarantee H-1B visa approval — the employer must still file a separate petition (Form I-129) with USCIS.