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MultiCare Health System in Tacoma, WA: 193 certified H-1B and PERM cases, FY2023 to FY2026

MultiCare Health System, Tacoma, WA, had 193 certified H-1B and PERM cases in Department of Labor disclosure data, decided from October 17, 2022 to June 30, 2026: 185 H-1B labor condition applications and 8 PERM labor certifications. Its most frequent role is ="Medical Technologist" in Tacoma, WA, at a median offered wage of $99,195 a year.

SpecStream is the live web data engine for teams and agents. It reads the Department of Labor's H-1B and PERM disclosure files and keeps each employer's filings by role, place and wage. Ask for your own cut (a role, a state, a list of companies) and new filings arrive in your sheet, CRM, Slack or agent.

  • 91-1352172Employer ID (FEIN)
  • Tacoma, WAAddress
  • 193Certified cases
  • 2,445Positions requested
  • 9Denied or withdrawn

Certified cases by fiscal year

Fiscal years run from October 1 to September 30. The latest year covers decisions through June 30, 2026.

Fiscal yearH-1BPERMPositionsMedian offered wage
FY20234311,588$99,195
FY2024523397$97,448
FY202556258$96,054
FY2026342402$120,120

Roles certified

Cases with the same job title, occupation code and worksite are grouped. Offered wage is the wage the employer filed; the range leaves out the lowest and highest 5% when a group has 20 cases or more. The prevailing wage is the one the employer filed against. A blank worksite means the file does not give one.

Job titleOccupationWorksiteCasesYearsMedian offeredOffered rangeMedian prevailingWage levelProgramLatest decisionLatest case numberSource
="Medical Technologist"Medical and Clinical Laboratory TechnologistsTacoma, WA13FY2025$91,000$81,640 to $104,229$88,566IIIH-1BFebruary 26, 2025I-200-25050-708860dol.gov
Medical Technologist29-2011 Medical and Clinical Laboratory TechnologistsSpokane, WA13FY2023 to FY2026$77,189$70,886 to $88,462$66,466IVH-1B, PERMMay 26, 2026I-200-26138-923082dol.gov
Medical Laboratory Scientist 229-2011 Medical and Clinical Laboratory TechnologistsTukwila, WA11FY2024$96,512$86,008 to $103,688$67,018IIIH-1BDecember 8, 2023I-200-23335-537315dol.gov
RN-System Resource29-1141 Registered NursesTacoma, WA11FY2023 to FY2026$107,037$99,195 to $120,120$107,037IIIH-1BApril 10, 2026I-200-26093-755267dol.gov
RN-System Resource29-1141 Registered NursesAuburn, WA9FY2023 to FY2026$105,414$99,195 to $120,120$105,414IIIH-1BApril 10, 2026I-200-26093-755270dol.gov
RN- System Resource29-1141 Registered NursesFederal Way, WA7FY2023 to FY2026$130,957$97,885 to $151,466$80,101IH-1BFebruary 17, 2026I-200-26040-629390dol.gov
Medical Technologist29-2011 Medical and Clinical Laboratory TechnologistsAuburn, WA6FY2023 to FY2025$88,556$70,970 to $99,091$73,694IIIH-1B, PERMAugust 19, 2025G-100-24129-971728dol.gov
Medical Technologist29-2011 Medical and Clinical Laboratory TechnologistsTacoma, WA6FY2025$92,258$83,886 to $96,054$92,258H-1BDecember 4, 2024I-200-24332-503177dol.gov
ASCP Medical Technologist29-2011 Medical and Clinical Laboratory TechnologistsYakima, WA5FY2024 to FY2026$81,536$71,032 to $86,798$62,338IIIH-1BMay 28, 2026I-200-26140-933808dol.gov
RN- System Resource29-1141 Registered NursesTacoma, WA5FY2023 to FY2026$130,957$97,885 to $142,480$80,101IH-1BFebruary 17, 2026I-200-26040-629381dol.gov
RN-System Resource29-1141 Registered NursesPuyallup, WA5FY2023 to FY2024$105,414$99,195 to $105,414$105,414IIIH-1BJanuary 22, 2024I-200-24012-638081dol.gov
RN-System Resource29-1141 Registered NursesOlympia, WA5FY2023 to FY2024$97,448$91,291 to $97,448$97,448IIIH-1BJanuary 22, 2024I-200-24012-638073dol.gov
="Medical Technologist"Medical and Clinical Laboratory TechnologistsAuburn, WA3FY2025$95,867$95,867 to $99,091$73,694IIIH-1BJanuary 2, 2025I-200-24359-569300dol.gov
Comprehensive Neurologist (General Neurologist)29-1217 NeurologistsTacoma, WA3FY2024 to FY2026$299,160$262,309 to $375,625$239,200N/AH-1BNovember 14, 2025I-200-25310-382575dol.gov
Medical Laboratory Scientist29-2011 Medical and Clinical Laboratory TechnologistsTukwila, WA3FY2024$85,758$82,035 to $107,037$67,018IIIH-1BNovember 27, 2023I-200-23321-510746dol.gov
Medical Laboratory Scientist 329-2011 Medical and Clinical Laboratory TechnologistsTukwila, WA3FY2024$100,027$99,070 to $102,232$73,694IIIH-1BSeptember 18, 2024I-200-24255-330268dol.gov
Medical Technologist29-2011 Medical and Clinical Laboratory TechnologistsOlympia, WA3FY2023 to FY2026$90,584$82,992 to $92,394$78,562IVH-1B, PERMApril 29, 2026I-200-26112-821825dol.gov
Mental Health Professional21-1014 Mental Health CounselorsSeattle, WA3FY2024 to FY2025$68,286$61,422 to $74,900$60,362IIIH-1BApril 9, 2025I-200-25092-823538dol.gov
Registered Nurse- Float Pool29-1141 Registered NursesTacoma, WA3FY2023$97,885$74,464 to $130,957$74,464IH-1BApril 18, 2023I-200-23101-921821dol.gov
Registered Nurse- Float Pool29-1141 Registered NursesFederal Way, WA3FY2023$97,885$74,464 to $130,957$74,464IH-1BApril 18, 2023I-200-23101-921898dol.gov
Medical Technologist29-2011 Medical and Clinical Laboratory TechnologistsYakima, WA2FY2024$74,756$70,741 to $78,770$62,338IIIH-1BDecember 13, 2023I-200-23340-548764dol.gov
Mental Health Professional Licensed21-1014 Mental Health CounselorsBurien, WA2FY2025$87,318$83,678 to $90,958$71,822IIIH-1BAugust 12, 2025I-200-25217-223369dol.gov
Occupational Therapist29-1122 Occupational TherapistsRenton, WA2FY2023 to FY2025$97,968$96,034 to $99,902$95,628IIH-1BAugust 21, 2025I-200-25226-242618dol.gov
Physician- Internal Medicine29-1216 General Internal Medicine PhysiciansAuburn, WA2FY2023 to FY2026$282,480$277,166 to $287,795$223,600N/AH-1BMay 20, 2026I-200-24061-763754dol.gov
RN- System Resource29-1141 Registered NursesPuyallup, WA2FY2023 to FY2024$135,762$120,058 to $151,466$114,816IVH-1BFebruary 27, 2024I-200-24051-733894dol.gov
Speech Pathologist29-1127 Speech-Language PathologistsTacoma, WA2FY2023 to FY2026$100,036$85,280 to $114,791$94,806IIIH-1BDecember 2, 2025I-200-25328-433101dol.gov
="Finance Manager CBU"Financial ManagersLynnwood, WA1FY2025$130,000$130,000 to $130,000$127,192IH-1BJanuary 28, 2025I-200-25021-631481dol.gov
="Manager Case Management"Medical and Health Services ManagersTacoma, WA1FY2025$167,662$167,662 to $167,662$157,498IIIH-1BJanuary 10, 2025I-200-25002-590652dol.gov
="Medical Technologist “ Microbiology"Medical and Clinical Laboratory TechnologistsTacoma, WA1FY2025$96,054$96,054 to $96,054$96,054H-1BJanuary 8, 2025I-200-24366-579238dol.gov
="Medical Technologist"Medical and Clinical Laboratory TechnologistsPuyallup, WA1FY2025$95,867$95,867 to $95,867$73,694IIIH-1BJanuary 23, 2025I-200-25015-620384dol.gov
="Nephrology/Critical Care Physician"Physicians, All OtherOlympia, WA1FY2025$411,367$411,367 to $411,367$274,518IIIH-1BFebruary 21, 2025I-200-25044-690700dol.gov
="Neuroscience - Neuro Hospitalist"NeurologistsTacoma, WA1FY2025$309,390$309,390 to $309,390$239,200N/AH-1BJanuary 28, 2025I-200-25021-631468dol.gov
="Physician “ Family Medicine"Family Medicine PhysiciansKent, WA1FY2025$287,795$287,795 to $287,795$239,200N/AH-1BJanuary 7, 2025I-200-24365-576672dol.gov
="Physician “ Internal Medicine"General Internal Medicine PhysiciansOlympia, WA1FY2025$287,795$287,795 to $287,795$239,200N/AH-1BFebruary 11, 2025I-200-25035-664850dol.gov
ARNP Indigo Core29-1171 Nurse PractitionersSammamish, WA1FY2026$164,362$164,362 to $164,362$144,706IIIH-1BApril 7, 2026I-200-26090-743172dol.gov
ARNP Peds Emergency29-1171 Nurse PractitionersTacoma, WA1FY2025$158,596$158,596 to $158,596$144,706IIIH-1BAugust 5, 2025I-200-25210-206726dol.gov
ASCP Medical Lab Technologist29-2011 Medical and Clinical Laboratory TechnologistsYakima, WA1FY2024$74,443$74,443 to $74,443$62,338IIIH-1BDecember 13, 2023I-200-23340-548712dol.gov
Biomedical Engineering Manager17-2031 Bioengineers and Biomedical EngineersTukwila, WA1FY2025$124,114$124,114 to $124,114$116,189IIIH-1BNovember 20, 2024I-200-24318-472315dol.gov
Business Process Engineer Supply Chain15-2051 Data ScientistsTacoma, WA1FY2026$103,049$103,049 to $103,049$96,117IH-1BMay 21, 2026I-200-26134-910808dol.gov
Certified Nurse Midwife29-1161 Nurse MidwivesPuyallup, WA1FY2025$170,450$170,450 to $170,450$127,192IIIH-1BApril 4, 2025I-200-25087-811522dol.gov
Clinical Engineering Laboratory Program Manager17-2031 Bioengineers and Biomedical EngineersTukwila, WA1FY2025$152,755$152,755 to $152,755$116,189IIIH-1BApril 8, 2025I-200-25091-819594dol.gov
Comprehensive Neurologist (General Neurologist)29-1217 Neurologists1FY2024$287,794$287,794 to $287,794$208,000N/APERMJune 6, 2024A-23104-27856dol.gov
Decision Support Analyst Supply Chain15-2051 Data ScientistsTacoma, WA1FY2024$89,906$89,906 to $89,906$85,821IH-1BJuly 29, 2024I-200-24204-212465dol.gov
Endocrinologist29-1216 General Internal Medicine PhysiciansSpokane, WA1FY2025$272,924$272,924 to $272,924$239,200N/AH-1BMay 29, 2025I-200-25141-004886dol.gov
Endocrinologist29-1229 Physicians, All Other1FY2024$247,275$247,275 to $247,275$208,000N/APERMJune 6, 2024A-23103-27197dol.gov
Endocrinologist29-1216 General Internal Medicine PhysiciansAuburn, WA1FY2024$282,131$282,131 to $282,131$239,200N/AH-1BApril 4, 2024I-200-24088-837269dol.gov
Faculty OB/GYN29-1218 Obstetricians and GynecologistsTacoma, WA1FY2025$451,304$451,304 to $451,304$239,200N/AH-1BApril 22, 2025I-200-25105-866217dol.gov
Family Practice Physician29-1062 Family and General PractitionersSpokane, WA1FY2023$242,000$242,000 to $242,000$230,630IIIH-1BJuly 7, 2023I-200-22175-309763dol.gov
Full Stack Engineer Sr15-1252 Software DevelopersOverland Park, KS1FY2026$144,186$144,186 to $144,186$134,950IVH-1BJune 30, 2026I-200-26174-042899dol.gov
Inpatient Therapist MA21-1022 Healthcare Social WorkersTacoma, WA1FY2024$65,104$65,104 to $65,104$64,626IIH-1BJuly 2, 2024I-200-24177-147617dol.gov
Manager Care Management11-9111 Medical and Health Services ManagersTacoma, WA1FY2025$167,662$167,662 to $167,662$157,498IIIH-1BDecember 31, 2024I-200-24355-562976dol.gov
Medical Laboratory Scientist 129-2011 Medical and Clinical Laboratory TechnologistsTukwila, WA1FY2024$82,722$82,722 to $82,722$55,349IIH-1BDecember 8, 2023I-200-23335-537215dol.gov
Medical Laboratory Scientist 2, Microbiology29-2011 Medical and Clinical Laboratory TechnologistsTukwila, WA1FY2024$100,027$100,027 to $100,027$67,018IIIH-1BDecember 19, 2023I-200-23347-562420dol.gov
Medical Technologist – Microbiology29-2011 Medical and Clinical Laboratory TechnologistsTacoma, WA1FY2025$96,054$96,054 to $96,054$96,054H-1BDecember 4, 2024I-200-24332-503162dol.gov
Mental Health Professional21-1014 Mental Health CounselorsBurien, WA1FY2026$74,880$74,880 to $74,880$71,822IIIH-1BFebruary 27, 2026I-200-26051-654564dol.gov
Mental Health Therapist21-1014 Mental Health CounselorsPuyallup, WA1FY2023$53,643$53,643 to $53,643$50,419IIH-1BJune 16, 2023I-200-23161-098050dol.gov
Pediatric Emergency Physician29-1221 Pediatricians, GeneralTacoma, WA1FY2023$291,907$291,907 to $291,907$258,731IVH-1BApril 6, 2023I-200-23089-889967dol.gov
Pediatric Pulmonologist29-1229 Physicians, All OtherTacoma, WA1FY2024$257,329$257,329 to $257,329$239,200N/AH-1BJuly 8, 2024I-200-24180-161119dol.gov
Physician - Heart Failure29-1212 CardiologistsPuyallup, WA1FY2024$478,054$478,054 to $478,054$208,000N/AH-1BJuly 2, 2024I-200-23202-207796dol.gov
Physician - Internal Medicine29-1216 General Internal Medicine PhysiciansYakima, WA1FY2026$315,400$315,400 to $315,400$239,200N/AH-1BApril 8, 2026I-200-26091-749056dol.gov
Physician - Internal Medicine29-1216 General Internal Medicine PhysiciansOlympia, WA1FY2025$263,308$263,308 to $277,166Not listedPERMMarch 7, 2025G-100-23301-462784dol.gov
Physician - Internal Medicine29-1216 General Internal Medicine PhysiciansBonney Lake, WA1FY2025$287,795$287,795 to $287,795$239,200N/AH-1BMay 21, 2025I-200-25134-975295dol.gov
Physician - Internal Medicine29-1216 General Internal Medicine PhysiciansAuburn, WA1FY2024$318,448$318,448 to $318,448$239,200N/AH-1BApril 4, 2024I-200-24088-837197dol.gov
Physician – Hematology Oncology29-1216 General Internal Medicine PhysiciansSpokane, WA1FY2026$490,000$490,000 to $490,000$239,200N/AH-1BMarch 4, 2026I-200-26057-665242dol.gov
Physician – Hematology Oncology29-1216 General Internal Medicine PhysiciansAuburn, WA1FY2026$490,000$490,000 to $490,000$239,200N/AH-1BApril 28, 2026I-200-26111-816598dol.gov
Physician – Internal Medicine29-1216 General Internal Medicine PhysiciansOlympia, WA1FY2026$287,795$287,795 to $287,795$239,200N/AH-1BJanuary 21, 2026I-200-26013-556642dol.gov
Physician – Internal Medicine29-1216 General Internal Medicine PhysiciansTacoma, WA1FY2023$276,406$276,406 to $276,406$208,000N/AH-1BJuly 6, 2023I-200-23179-150646dol.gov
Physician “ Endocrinology29-1216 General Internal Medicine PhysiciansTacoma, WA1FY2025$273,715$273,715 to $273,715$239,200N/AH-1BApril 7, 2025I-200-25091-815949dol.gov
Physician “ Internal Medicine29-1216 General Internal Medicine PhysiciansTacoma, WA1FY2025$299,487$299,487 to $299,487$239,200N/AH-1BApril 2, 2025I-200-25085-806740dol.gov
Physician- Neuro Surgery29-1249 Surgeons, All OtherSpokane, WA1FY2026$899,995$899,995 to $899,995$446,763IVH-1BMay 28, 2026I-200-26140-934719dol.gov
Physician- Pediatric Neurology29-1217 NeurologistsTacoma, WA1FY2023$256,651$256,651 to $256,651$208,000N/AH-1BMarch 3, 2023I-200-23055-803515dol.gov
Physician-Endocrinology29-1216 General Internal Medicine PhysiciansTacoma, WA1FY2026$287,557$287,557 to $287,557$239,200N/AH-1BNovember 14, 2025I-200-25307-362113dol.gov
Physician-Internal Medicine29-1216 General Internal Medicine PhysiciansOlympia, WA1FY2025$259,016$259,016 to $259,016$239,200N/AH-1BMay 30, 2025I-200-25142-009583dol.gov
Physician-Internal Medicine29-1216 General Internal Medicine Physicians1FY2024$235,789$235,789 to $235,789$208,000N/APERMApril 8, 2024A-23030-94747dol.gov
Physician-NeuroHospitalist29-1217 NeurologistsTacoma, WA1FY2025$309,390$309,390 to $309,390$239,200N/AH-1BMay 20, 2025I-200-25133-971884dol.gov
Physician-Pediatric Endocrine29-1221 Pediatricians, GeneralTacoma, WA1FY2024$172,800$172,800 to $172,800$156,603IVH-1BFebruary 13, 2024I-200-24037-697702dol.gov
Physician-Pediatric Pulmonology29-1216 General Internal Medicine PhysiciansTacoma, WA1FY2026$242,315$242,315 to $242,315$239,200N/AH-1BMay 18, 2026I-200-26131-893910dol.gov
Primary Care Physician29-1063 Internists, General1FY2023$236,392$236,392 to $236,392$104,770Level IPERMMarch 8, 2023A-21231-34028dol.gov
Pulmonary/Critical Care Physician29-1216 General Internal Medicine PhysiciansAuburn, WA1FY2023$385,014$385,014 to $600,000$208,000N/AH-1BMarch 28, 2023I-200-23080-867045dol.gov
RN-System Resource29-1141 Registered NursesYakima, WA1FY2024$89,315$89,315 to $89,315$89,315IIIH-1BJanuary 22, 2024I-200-24012-638075dol.gov
Registered Nurse29-1141 Registered NursesAuburn, WA1FY2026$128,482$128,482 to $128,482$128,482H-1BDecember 3, 2025I-200-25330-438815dol.gov
Registered Nurse - Float Pool29-1141 Registered NursesTacoma, WA1FY2023$86,819$86,819 to $86,819$86,819IIH-1BApril 7, 2023I-200-23090-894393dol.gov
Registered Nurse - Float Pool29-1141 Registered NursesOlympia, WA1FY2023$82,389$82,389 to $82,389$82,389IIH-1BApril 7, 2023I-200-23090-894409dol.gov
Registered Nurse - Float Pool29-1141 Registered NursesPuyallup, WA1FY2023$86,819$86,819 to $86,819$86,819IIH-1BApril 7, 2023I-200-23090-894394dol.gov
Registered Nurse - Float Pool29-1141 Registered NursesAuburn, WA1FY2023$86,819$86,819 to $86,819$86,819IIH-1BApril 7, 2023I-200-23090-894398dol.gov
Supervisor, Lab Technical29-2011 Medical and Clinical Laboratory TechnologistsTukwila, WA1FY2024$99,070$99,070 to $99,070$78,686IVH-1BNovember 27, 2023I-200-23321-510781dol.gov
Workforce Analytics Consultant15-2051 Data ScientistsTacoma, WA1FY2025$124,717$124,717 to $124,717$118,414IIH-1BApril 22, 2025I-200-25105-866240dol.gov

Worksite states

StateCases
Washington188
Kansas1

Also on SpecStream

Updated June 30, 2026. Read from US Department of Labor, Office of Foreign Labor Certification. Public domain (U.S. government work). A certified labor condition application (H-1B, H-1B1, E-3) or PERM labor certification is an employer filing the Department of Labor approved. It is not a count of people hired or visas issued. Wages are as the employer filed them, converted to a yearly figure at 2,080 hours; a wage whose unit is missing is left blank. The files show the first worksite of a case. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.