Of these, 362 were approved (97%), while 11 were denied (3%).
Employers are classified under industries based on their reported operations and may be involved in multiple industries.
The H-1B visa program allows U.S. employers to temporarily hire foreign workers in specialty occupations requiring specialized knowledge and at least a bachelor’s degree or equivalent. It is designed to address skill gaps in the U.S. workforce while ensuring wage standards to protect both U.S. and H-1B workers. Employers must certify that they will pay H-1B workers wages equal to or greater than those of similarly qualified U.S. employees or the prevailing local wage.
The average approval rate for H-1B petitions across the United States in 2024 stood at 98%, higher than 2023's 97.3%. Statewide, Missouri employers across all industries submitted 4,266 petitions during the same period, achieving an approval rate of 98%.
The Professional, Scientific, and Technical Services industry led the H-1B filings in Missouri during 2024, with 1,548 petitions (36.3% of all submissions), and an approval rate of 97.1%. Meanwhile, the Finance and Insurance industry was the second largest contributor, filing 812 petitions (19% of the total), with an approval rate of 99.6%.
The Missouri employers which made the most petitions in the Health Care and Social Assistance sector during 2024 included The Childrens Mercy Hospital with 38 petitions, SSM Health Care Group D B a Slucar with 35 petitions, and Barnes-Jewish Hospital with 19 petitions.
Compared to 2023, the Health Care and Social Assistance sector in Missouri saw a 1.4% increase in the number of H-1B petitions during 2024.
The United States admits around 1 million legal immigrants annually, most of whom receive permanent residence (green cards) through family sponsorship or employment-based visas. In 2023, about 1.2 million immigrants were granted green cards, a return to pre-pandemic levels. Temporary visa programs, such as the H-1B for highly skilled workers and H-2A for seasonal agricultural workers, also play a critical role in filling workforce needs.
Public opinion on immigration varies, with 46% of Americans favoring maintaining current legal immigration levels, according to a 2024 Pew Research Center survey. Additionally, 42% believe that highly skilled workers, such as scientists, doctors, and programmers, should be prioritized for legal immigration, compared to 25% who prioritize workers filling labor shortages and 19% who emphasize family sponsorship. Despite this, family sponsorship remains the most common path to permanent residency, accounting for 63% of green cards issued in 2023.
The data in this article comes from the H-1B Employer Data Hub provided by the U.S. Citizenship and Immigration Services (USCIS). While USCIS strives for accuracy, manual data entry and errors on paper forms submitted by applicants or petitioners may result in discrepancies in employer names, tax IDs, locations, or other details.
| Rank | Industry | Total Petitions | % of All Submissions | % Approved | % Denied |
|---|---|---|---|---|---|
| 1 | Professional, Scientific, and Technical Services | 1,548 | 36.3% | 97.1% | 2.9% |
| 2 | Finance and Insurance | 812 | 19% | 99.6% | 0.4% |
| 3 | Educational Services | 751 | 17.6% | 98% | 2% |
| 4 | Health Care and Social Assistance | 373 | 8.7% | 97.1% | 3% |
| 5 | Information | 359 | 8.4% | 98.6% | 1.4% |
| 6 | Manufacturing | 210 | 4.9% | 98.1% | 1.9% |
| 7 | Construction | 59 | 1.4% | 100% | 0% |
| 8 | Wholesale Trade | 33 | 0.8% | 100% | 0% |
| 9 | Retail Trade | 28 | 0.7% | 100% | 0% |
| 10 | Administrative and Support and Waste Management and Remediation Services | 17 | 0.4% | 100% | 0% |
| 11 | Transportation and Warehousing | 14 | 0.3% | 100% | 0% |
| 12 | Other Services (except Public Administration) | 13 | 0.3% | 100% | 0% |
| 12 | Accommodation and Food Services | 13 | 0.3% | 92.3% | 7.7% |
| 14 | Utilities | 11 | 0.3% | 100% | 0% |
| 15 | Real Estate and Rental and Leasing | 10 | 0.2% | 100% | 0% |
| 16 | Management of Companies and Enterprises | 8 | 0.2% | 100% | 0% |
| 17 | Mining, Quarrying, and Oil and Gas Extraction | 3 | 0.1% | 100% | 0% |
| 17 | Public Administration | 3 | 0.1% | 100% | 0% |
| 19 | Arts, Entertainment, and Recreation | 1 | 0% | 100% | 0% |
Top Employers in Health Care and Social Assistance Industry in Missouri, 2024
| Rank | Company Name | Total Petitions | % Approved | % Denied |
|---|---|---|---|---|
| 1 | The Childrens Mercy Hospital | 38 | 100% | 0% |
| 2 | SSM Health Care Group D B a Slucar | 35 | 100% | 0% |
| 3 | Barnes-Jewish Hospital | 19 | 100% | 0% |
| 4 | Mercy Clinic East Communities | 17 | 94.1% | 5.9% |
| 4 | Lester E Cox Medical Centers | 17 | 100% | 0% |
| 6 | MHM Support Services | 15 | 100% | 0% |
| 7 | Mercy Clinic Springfield Communiti | 14 | 100% | 0% |
| 8 | St. Lukes Hospital | 12 | 100% | 0% |
| 9 | Ascension Health Is D B a Ascension Technologies, Inc. | 11 | 90.9% | 9.1% |
| 9 | Hannibal Regional Healthcare System, Inc. | 11 | 100% | 0% |
| 9 | Ascension Health-Is D B a Asce, Inc. | 11 | 90.9% | 9.1% |
| 12 | St. Louis Childrens Hospital | 10 | 100% | 0% |
| 12 | SSM Health Care St. Louis D B a SSM | 10 | 100% | 0% |
| 14 | Saint Lukes Health System | 9 | 100% | 0% |
| 15 | Truman Medical Center, Inc. | 7 | 71.4% | 28.6% |
| 16 | Compass Health D B a Compass H, Inc. | 6 | 100% | 0% |
| 16 | University Health Physicians | 6 | 100% | 0% |
| 18 | SSM Health Care Corporation | 5 | 100% | 0% |
| 18 | Mosaic Health System | 5 | 100% | 0% |
| 18 | Burrell, Inc. | 5 | 100% | 0% |
| 18 | Citizens Memorial Hospital Distric | 5 | 100% | 0% |
| 22 | Mercy Clinic Joplin, LLC | 4 | 100% | 0% |
| 22 | Nutrition and Child Services Agency, Inc. | 4 | 50% | 50% |
| 24 | Ozarks Medical Center | 3 | 100% | 0% |
| 24 | Fairview Heights Medical Group S C | 3 | 100% | 0% |
| 24 | Poplar Bluff HMA Physician Managem | 3 | 100% | 0% |
| 24 | Saint Francis Medical Partners, LLC | 3 | 100% | 0% |
| 24 | Missouri Delta Medical Center | 3 | 100% | 0% |
| 24 | Missouri Baptist Sullivan Hospital | 3 | 100% | 0% |
| 24 | Fulton State Hospital Constituent Agency of the Missouri Department of Mental Health | 3 | 100% | 0% |
| 24 | Parkland Health Center | 3 | 100% | 0% |
| 24 | Freeman Health System | 3 | 100% | 0% |
| 33 | Texas County Memorial Hospital | 2 | 100% | 0% |
| 33 | Cox Barton County Hospital | 2 | 100% | 0% |
| 33 | BJC Health System | 2 | 100% | 0% |
| 33 | Woodhaven Learning Center | 2 | 100% | 0% |
| 33 | SSM Cardinal Glennon Children S Hospital D B a SSM Health Cardinal Glennon Children S Hospital | 2 | 100% | 0% |
| 33 | Ascension Health Alliance | 2 | 100% | 0% |
| 33 | Physician Groups L C | 2 | 100% | 0% |
| 33 | Empowerme Wellness, LLC | 2 | 100% | 0% |
| 33 | Community Hospital Association | 2 | 100% | 0% |
| 33 | Cameron Regional Medical Center | 2 | 100% | 0% |
| 33 | Affinia Healthcare | 2 | 100% | 0% |
| 33 | Ray County Memorial Hospital | 2 | 100% | 0% |
| 33 | Dliflc | 2 | 100% | 0% |
| 33 | The Children S Mercy Hospital | 2 | 100% | 0% |
| 33 | Boone Physician Services, LLC | 2 | 100% | 0% |
| 33 | Samaritan Hospital | 2 | 100% | 0% |
| 33 | Mercy Clinic Springfield Communities | 2 | 100% | 0% |
| 50 | Cei Physicians PSC, LLC | 1 | 100% | 0% |
| 50 | Compass Health, Inc. | 1 | 100% | 0% |
| 50 | Big Springs Medical Association in | 1 | 100% | 0% |
| 50 | Ozark TRI County Health Consortium Access Family Care | 1 | 100% | 0% |
| 50 | Eyecare Partners, LLC | 1 | 100% | 0% |
| 50 | Cape Radiology Group, P C | 1 | 100% | 0% |
| 50 | Greator MO Imaging Association | 1 | 0% | 100% |
| 50 | St. Louis Heart & Vascular, P C | 1 | 100% | 0% |
| 50 | Betty Jean Kerr People S Health Ce | 1 | 100% | 0% |
| 50 | Riyan Dental, LLC | 1 | 100% | 0% |
| 50 | Ozark Center | 1 | 100% | 0% |
| 50 | Cape Girardeau Nephrology Associat | 1 | 100% | 0% |
| 50 | Southeast Hospital D B a Southeasthealth | 1 | 100% | 0% |
| 50 | Analytical Pathology Services, Ltd. | 1 | 100% | 0% |
| 50 | Phelps County Regional Medical Cen | 1 | 100% | 0% |
| 50 | Golden Valley Memorial Hospital District | 1 | 100% | 0% |
| 50 | Bethesda Health Group, Inc. | 1 | 100% | 0% |
| 50 | Research Medical Center | 1 | 100% | 0% |
| 50 | Mccallum Group D B a Mccallum, LLC | 1 | 100% | 0% |
| 50 | Donahue Chiropractic, LLC | 1 | 100% | 0% |
| 50 | Smoljan Endodontics, LLC | 1 | 100% | 0% |
| 50 | Midwest Geriatric Management, LLC | 1 | 100% | 0% |
| 50 | PCRMC Med Group, Inc. | 1 | 100% | 0% |
| 50 | Clarkson Eyecare, LLC | 1 | 100% | 0% |
| 50 | Samuel U Rodgers Health Center | 1 | 100% | 0% |
| 50 | Academy, Inc. | 1 | 0% | 100% |
| 50 | SSM Health Care Group | 1 | 100% | 0% |
| 50 | Ascensions Health Is D B a Ascension Technologies, Inc. | 1 | 100% | 0% |
| 50 | Progressive Oncology Hematology | 1 | 0% | 100% |
| 50 | Lake Regional Health System | 1 | 100% | 0% |
| 50 | Cross Trails Medical Center | 1 | 100% | 0% |
| 50 | Ozarks Resource Group D B a Ozarks | 1 | 100% | 0% |
| 50 | Four States Dental Care Dale Kunke | 1 | 100% | 0% |
| 50 | Christina Thaier Consulting, LLC | 1 | 0% | 100% |
| 50 | Preferred Family Healthcare, Inc. | 1 | 100% | 0% |
| 50 | Kansas City VA Medical Center | 1 | 100% | 0% |