Thomas Jefferson University Hospital · Philadelphia, Pennsylvania
Case #I-203-22161-265442
Thomas Jefferson University Hospital filed an E-3 AUSTRALIAN petition for a Foot and Ankle Fellow position in Philadelphia, Pennsylvania at $77k per year — 2% above the prevailing wage of $75k. The case was certified in 7 days during the FY FY2022 cycle. This position is for new employment.
| Case Number | I-203-22161-265442 |
| Case Status | Certified |
| Visa Class | E-3 AUSTRALIAN |
| Fiscal Year | FY 2022 |
| Employer | Thomas Jefferson University Hospital |
| Employer Location | Philadlephia, Pennsylvania |
| Job Title | Foot and Ankle Fellow |
| SOC Code | 29-909900 – Healthcare Practitioners and Technical Workers, All Other |
| Worksite | Philadelphia, Pennsylvania |
| Annual Wage | $77k |
| Prevailing Wage | $75k |
| Wage Premium | +2.5% |
| Positions | 1 (1 new, 0 continued) |
| Job Title | Salary | Status | Date |
|---|---|---|---|
| Medical Laboratory Technologist | $94k | CERTIFIED | Sep 9, 2025 |
| Fellow | $88k | CERTIFIED | Jul 28, 2025 |
| Fellow (Cardiac Surgery) | $88k | CERTIFIED | Jul 7, 2025 |
| Fellow (Rhinology and Endoscopic Skull Base Surgery) | $88k | CERTIFIED | Jun 24, 2025 |
| Fellow (Rhinology and Endoscopic Skull Base Surgery | $88k | WITHDRAWN | Jun 24, 2025 |
This Labor Condition Application (LCA) was filed by Thomas Jefferson University Hospital for the position of Foot and Ankle Fellow in Philadelphia, Pennsylvania. The offered annual salary is $77k, compared to the prevailing wage of $75k for this occupation and location. This represents a wage premium of +2.5% 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, Thomas Jefferson University Hospital filed LCA case number I-203-22161-265442 to sponsor a Foot and Ankle Fellow position at their worksite in Philadelphia, Pennsylvania. 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 $77k compares to the DOL prevailing wage of $75k for Healthcare Practitioners and Technical Workers, All Other positions in the Philadelphia, Pennsylvania area. The positive wage premium of +2.5% 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 Thomas Jefferson University Hospital's attestations and determined that the LCA meets all regulatory requirements. The employer has demonstrated that the offered wage of $77k meets or exceeds the prevailing wage for Foot and Ankle Fellow positions in the Philadelphia, Pennsylvania 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 Jun 9, 2022 and a decision was rendered on Jun 16, 2022, a processing time of approximately 7 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 $77k for this Foot and Ankle Fellow position provides a data point for evaluating compensation trends in E-3 AUSTRALIAN 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 29-909900 (Healthcare Practitioners and Technical Workers, 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 Foot and Ankle Fellow position at Thomas Jefferson University Hospital is $77k. The Department of Labor prevailing wage for this occupation and location is $75k. The offered wage represents a +2.5% premium over the prevailing wage.
This E-3 AUSTRALIAN filing is for a position located in Philadelphia, Pennsylvania. The employing company, Thomas Jefferson University Hospital, is headquartered in Philadlephia, Pennsylvania.
This Labor Condition Application is filed under the E-3 AUSTRALIAN visa classification. This visa classification allows employers to hire foreign workers for specialty occupation positions in the United States.
The employer for this filing is Thomas Jefferson University Hospital, located in Philadlephia, Pennsylvania. Thomas Jefferson University Hospital filed this Labor Condition Application (case number I-203-22161-265442) for a Foot and Ankle Fellow position during fiscal year FY 2022. View all Thomas Jefferson University Hospital H-1B filings.
Certified means the U.S. Department of Labor has approved this Labor Condition Application, confirming that Thomas Jefferson University Hospital 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.