Iowa Physicians Clinic Medical Foundation · Des Moines, Iowa
Case #I-200-23177-143095
In FY2023, Iowa Physicians Clinic Medical Foundation sought H-1B sponsorship for a Hospitalist in Des Moines, Iowa at $256k per year, which is 266% above the prevailing wage of $70k. The case was processed in 2 days during the FY FY2023 cycle. This position is for continued employment.
| Case Number | I-200-23177-143095 |
| Case Status | Withdrawn |
| Visa Class | H-1B |
| Fiscal Year | FY 2023 |
| Employer | Iowa Physicians Clinic Medical Foundation |
| Employer Location | West Des Moines, Iowa |
| Job Title | Hospitalist |
| SOC Code | 29-122902 – Hospitalists |
| Worksite | Des Moines, Iowa |
| Annual Wage | $256k |
| Prevailing Wage | $70k |
| Wage Premium | +265.6% |
| Positions | 1 (0 new, 1 continued) |
| Job Title | Salary | Status | Date |
|---|---|---|---|
| Hospitalist | $267k | CERTIFIED | Sep 22, 2025 |
| Hospitalist | $267k | CERTIFIED | Sep 22, 2025 |
| Pulmonary Critical Care Physician | $563k | CERTIFIED | Jun 24, 2025 |
| Hospitalist | $267k | CERTIFIED | May 15, 2025 |
| Cardiologist | $575k | CERTIFIED | Apr 16, 2025 |
View all Iowa Physicians Clinic Medical Foundation filings →
This Labor Condition Application (LCA) was filed by Iowa Physicians Clinic Medical Foundation for the position of Hospitalist in Des Moines, Iowa. The offered annual salary is $256k, compared to the prevailing wage of $70k for this occupation and location. This represents a wage premium of +265.6% 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Case status: Withdrawn.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, Iowa Physicians Clinic Medical Foundation filed LCA case number I-200-23177-143095 to sponsor a Hospitalist position at their worksite in Des Moines, 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 $256k compares to the DOL prevailing wage of $70k for Hospitalists positions in the Des Moines, Iowa area. The positive wage premium of +265.6% 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.
This LCA was received by the DOL on Jun 26, 2023 and a decision was rendered on Jun 28, 2023, a processing time of approximately 2 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 $256k 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 29-122902 (Hospitalists), 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 Iowa Physicians Clinic Medical Foundation is $256k. The Department of Labor prevailing wage for this occupation and location is $70k. The offered wage represents a +265.6% premium over the prevailing wage.
This H-1B filing is for a position located in Des Moines, Iowa. The employing company, Iowa Physicians Clinic Medical Foundation, is headquartered in West Des Moines, 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 Iowa Physicians Clinic Medical Foundation, located in West Des Moines, Iowa. Iowa Physicians Clinic Medical Foundation filed this Labor Condition Application (case number I-200-23177-143095) for a Hospitalist position during fiscal year FY 2023. View all Iowa Physicians Clinic Medical Foundation 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.