San Francisco Medical Center Outpatient Improvement Programs, Inc. · San Francisco, California
Case #I-200-24355-563797
In FY2025, San Francisco Medical Center Outpatient Improvement Programs, Inc. sought H-1B sponsorship for a Pediatrician / Associate Medical Director in San Francisco, California at $250k per year, which is 1% above the prevailing wage of $247k. The case was certified in 11 days during the FY FY2025 cycle. This position is for continued employment.
| Case Number | I-200-24355-563797 |
| Case Status | Certified |
| Visa Class | H-1B |
| Fiscal Year | FY 2025 |
| Employer | San Francisco Medical Center Outpatient Improvement Programs, Inc. |
| Employer Location | San Francisco, California |
| Job Title | Pediatrician / Associate Medical Director |
| SOC Code | 29-122100 – Pediatricians, General |
| Worksite | San Francisco, California |
| Annual Wage | $250k |
| Prevailing Wage | $247k |
| Wage Premium | +1.1% |
| Positions | 1 (0 new, 0 continued) |
| Job Title | Salary | Status | Date |
|---|---|---|---|
| Pediatrician | $232k | CERTIFIED | Mar 14, 2022 |
View all San Francisco Medical Center Outpatient Improvement Programs, Inc. filings →
This Labor Condition Application (LCA) was filed by San Francisco Medical Center Outpatient Improvement Programs, Inc. for the position of Pediatrician / Associate Medical Director in San Francisco, California. The offered annual salary is $250k, compared to the prevailing wage of $247k for this occupation and location. This represents a wage premium of +1.1% 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, San Francisco Medical Center Outpatient Improvement Programs, Inc. filed LCA case number I-200-24355-563797 to sponsor a Pediatrician / Associate Medical Director position at their worksite in San Francisco, California. 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 $250k compares to the DOL prevailing wage of $247k for Pediatricians, General positions in the San Francisco, California area. The positive wage premium of +1.1% 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 San Francisco Medical Center Outpatient Improvement Programs, Inc.'s attestations and determined that the LCA meets all regulatory requirements. The employer has demonstrated that the offered wage of $250k meets or exceeds the prevailing wage for Pediatrician / Associate Medical Director positions in the San Francisco, California 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 Dec 20, 2024 and a decision was rendered on Dec 31, 2024, a processing time of approximately 11 business days. The standard DOL processing time for LCA applications is 7 to 10 business days. This application took longer than the standard timeframe, which may indicate additional review was required.
The offered salary of $250k for this Pediatrician / Associate Medical Director 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 29-122100 (Pediatricians, General), 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 Pediatrician / Associate Medical Director position at San Francisco Medical Center Outpatient Improvement Programs, Inc. is $250k. The Department of Labor prevailing wage for this occupation and location is $247k. The offered wage represents a +1.1% premium over the prevailing wage.
This H-1B filing is for a position located in San Francisco, California. The employing company, San Francisco Medical Center Outpatient Improvement Programs, Inc., is headquartered in San Francisco, California.
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 San Francisco Medical Center Outpatient Improvement Programs, Inc., located in San Francisco, California. San Francisco Medical Center Outpatient Improvement Programs, Inc. filed this Labor Condition Application (case number I-200-24355-563797) for a Pediatrician / Associate Medical Director position during fiscal year FY 2025. View all San Francisco Medical Center Outpatient Improvement Programs, Inc. H-1B filings.
Certified means the U.S. Department of Labor has approved this Labor Condition Application, confirming that San Francisco Medical Center Outpatient Improvement Programs, 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.