Great River Health System, Inc. · West Burlington, Iowa
Case #I-200-25153-039807
A Hospitalist position at Great River Health System, Inc. in West Burlington, Iowa was filed at $353k per year, offering 48% above the prevailing wage of $239k. The case was processed in 0 days during the FY FY2025 cycle. This position is for new employment.
| Case Number | I-200-25153-039807 |
| Case Status | Withdrawn |
| Visa Class | H-1B |
| Fiscal Year | FY 2025 |
| Employer | Great River Health System, Inc. |
| Employer Location | West Burlington, Iowa |
| Job Title | Hospitalist |
| SOC Code | 29-122900 – Physicians, All Other |
| Worksite | West Burlington, Iowa |
| Annual Wage | $353k |
| Prevailing Wage | $239k |
| Wage Premium | +47.8% |
| Positions | 1 (1 new, 0 continued) |
| Job Title | Salary | Status | Date |
|---|---|---|---|
| Hospitalist | $353k | CERTIFIED | Jun 2, 2025 |
| Hospitalist | $353k | CERTIFIED | May 30, 2025 |
| Pediatrician | $330k | CERTIFIED | May 30, 2025 |
| General Surgeon | $435k | CERTIFIED | Apr 16, 2025 |
| Hospitalist | $353k | CERTIFIED | Jan 24, 2025 |
This Labor Condition Application (LCA) was filed by Great River Health System, Inc. for the position of Hospitalist in West Burlington, Iowa. The offered annual salary is $353k, compared to the prevailing wage of $239k for this occupation and location. This represents a wage premium of +47.8% 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Case status: Withdrawn. This means the employer or their representative withdrew the application.
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, Great River Health System, Inc. filed LCA case number I-200-25153-039807 to sponsor a Hospitalist position at their worksite in West Burlington, Iowa. 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 $353k compares to the DOL prevailing wage of $239k for Physicians, All Other positions in the West Burlington, Iowa area. The positive wage premium of +47.8% 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-Withdrawn" status means this LCA was initially certified by the DOL but was later withdrawn by the employer. This can happen for various reasons: the foreign worker may have declined the position, found employment elsewhere, the employer may have decided to refile with updated information, or business conditions may have changed. A withdrawal does not negatively affect the employer's ability to file future LCAs.
The offered salary of $353k for this Hospitalist 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 29-122900 (Physicians, 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 Hospitalist position at Great River Health System, Inc. is $353k. The Department of Labor prevailing wage for this occupation and location is $239k. The offered wage represents a +47.8% premium over the prevailing wage.
This H-1B filing is for a position located in West Burlington, Iowa. The employing company, Great River Health System, Inc., is headquartered in West Burlington, Iowa.
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 Great River Health System, Inc., located in West Burlington, Iowa. Great River Health System, Inc. filed this Labor Condition Application (case number I-200-25153-039807) for a Hospitalist position during fiscal year FY 2025. View all Great River Health System, Inc. H-1B filings.
Certified-Withdrawn means this LCA was initially certified by the DOL but was subsequently withdrawn by the employer or their authorized representative.