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H-1B Sponsor Profile

Duke University Health System — H-1B Visa Sponsorship Data

156 certified Labor Condition Applications on file with the U.S. Department of Labor, FY2021–FY2026.

Durham, NCActive FY2021–FY2026Full-Time RolesNot H-1B Dependent
● Data current through FY2026 · sourced from U.S. DOL OFLC, updated quarterly
I work at Duke University Health SystemSee what a DOL auditor would ask about your filingsConsidering a job here?Salaries, transfers and where roles are based
Sponsors H-1B?
Yes
156 certified LCAs
FY2026 filings
26
most recent disclosure year
Median H-1B salary
$71,748
typical $65,316–$80,568
H-1B dependent?
No
per the employer's LCA attestation
Transfer share
1%
change-of-employer filings
Audit readiness Check another employer

3 items a DOL auditor would ask Duke University Health System about

Since September 2025, DOL's Project Firewall opens H-1B investigations without waiting for a complaint. These checkpoints come from Duke University Health System's own public LCA filings (FY2024–FY2026) — the same records an investigator pulls first.

1 need attention2 to watch2 clear
Needs attention
43% of certified LCAs are at Wage Level I

Level I is the entry-level prevailing-wage tier and the band DOL's Project Firewall reviews first for misclassification (senior duties filed at an entry-level wage). The national share is 17%.

Auditor asksHow was Level I justified for each role — required education, experience and the actual duties performed?
In your PAFPrevailing-wage determination and wage-level worksheet for every Level I LCA.
Watch
2 certified LCAs (2 positions) end within 180 days

Next end date: 2026-11-30. Employing an H-1B worker past the LCA end date without a new certified LCA is a strict-liability violation — the replacement LCA must be certified before the I-129 extension is filed.

Auditor asksWhich workers are on each expiring LCA, and is a superseding LCA already certified?
In your PAFSuperseding LCA, updated PAF entry and new posting notice for every position that continues.
Watch
7 worksites across 1 state

Each worksite needs its own 10-business-day LCA notice and a PAF record of that posting; a move to a new area of intended employment needs a new LCA before the worker starts there.

Auditor asksWhere is the posting record for each worksite, and were short-term placements tracked against the 30/60-day limits?
In your PAFPosting notices (or electronic-notice records) per worksite; new-worksite LCAs; placement log.
Clear
3% of LCAs offer a wage within 2% of the prevailing wage

Median offered wage is 8% above the DOL prevailing wage across 95 recent certified LCAs. Paying at the floor is lawful, but it invites the question of whether the wage level itself is right.

Auditor asksShow the actual wage paid (payroll) matches or exceeds the LCA wage for every worker, including benched time.
In your PAFActual-wage memorandum and pay records per LCA; wage-level rationale where the offered wage equals the PW.
Clear
Not H-1B dependent (per LCA attestation)

No additional recruitment or non-displacement attestations apply.

Auditor asksDoes the current H-1B headcount still fall under the dependency threshold?
In your PAFHeadcount snapshot supporting the non-dependent attestation at each filing.
Are you Duke University Health System? Get the private PAF / LCA gap check.
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Public DOL disclosure data can lag actual filings by a quarter. Descriptive only — not legal advice.

For job seekers

Considering a job at Duke University Health System?

Does Duke University Health System sponsor H-1B visas?

Yes — Duke University Health System is an active H-1B sponsor, with 156 certified LCAs on file (FY2021–FY2026), including 26 in FY2026. The median certified salary is $71,748 (P25 $65,316, P75 $80,568). 100% of its certified filings meet or exceed the prevailing wage.

What to Know Before Applying to Duke University Health System

Salary range
Median $71,748, typical band $65,316–$80,568.
Transfers
1% transfer share — most sponsorship is for new or continuing roles.
Typical locations
Durham, NC, Henderson, NC, Morrisville, NC, Raleigh, NC.
Position type
100% of filings are full-time roles.
Common roles
Resident, Fellow, House Staff Resident, Clinical.
Benchmark this employer in the H-1B database →
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Frequently asked questions

Yes. Duke University Health System has 156 certified Labor Condition Applications (LCAs) on file with the U.S. Department of Labor (FY2021–FY2026).

The median sponsored salary is $71,748, with a typical P25–P75 band of $65,316–$80,568 across certified LCAs.

Transfers are 1% of its filings; most sponsorship is for new or continuing employment.

No — the employer attests it is not H-1B dependent on its LCA filings.

Duke University Health System filed 26 certified LCAs in FY2026, the most recent fiscal year of U.S. DOL disclosure data.

Top worksites include Durham, NC, Henderson, NC, Morrisville, NC, Raleigh, NC.
Sponsorship data

Duke University Health System H-1B data at a glance

Executive Summary

Duke University Health System H-1B sponsorship at a glance, from public U.S. DOL LCA disclosure data (FY2021–FY2026).

  • Median certified salary is $71,748, typically $65,316–$80,568 (P25–P75).
  • 100% of certified filings are at or above the DOL prevailing wage.
  • Change-of-employer (transfer) share is 1% — most filings are for new or continuing employment.
  • Worksite footprint spans 1 state and 7 cities.
  • Most-sponsored roles: Resident, Fellow, House Staff Resident, Clinical.
  • Filed 26 certified LCAs in FY2026, the most recent disclosure year.

Certified LCAs are a prerequisite to H-1B petitions, not visa approvals; one LCA can cover multiple workers. Descriptive only — not legal advice.

Salary Distribution

$56,484
$200,000
P25$65,316
Median$71,748
P75$80,568

The shaded band is the middle half of certified salaries (P25–P75); the bar spans the lowest to highest certified salary.

100% of certified filings at or above the DOL prevailing wage.

Wage Level Distribution

Level I
43%
Level II
40%
Level III
13%
Level IV
3%

Levels I–IV are DOL prevailing-wage experience tiers; 17% of filings are senior-level (III–IV).

Filing history

LCA filings by fiscal year

Certified LCAs per year

FY2021
19
FY2022
24
FY2023
18
FY2024
31
FY2025
38
FY2026
26
Fiscal yearCertifiedDeniedWithdrawnTotal
FY2021190019
FY2022241025
FY2023180119
FY2024312336
FY2025381342
FY2026261027

Case dispositions from the U.S. DOL OFLC disclosure files. Withdrawn are LCAs that were certified and later withdrawn by the employer; they still count toward Total.

See a single year in detail:
FY2021 ›FY2022 ›FY2023 ›FY2024 ›FY2025 ›FY2026 ›

All LCA filings

160 filings
Job titleSalaryLevelLocationFiledStatus
Provisional Faculty
I-203-26161-000288
$90,036/yr—Durham, NCJun 10, 2026Certified
Resident
I-202-26160-997996
$90,036/yr—Durham, NCJun 09, 2026Certified
Resident
I-200-26160-995464
$80,568/yr—Durham, NCJun 09, 2026Certified
Resident
I-200-26159-992999
$71,748/yr—Garner, NCJun 08, 2026Certified
Medical Laboratory Scientist
I-200-26153-971736
$63,585/yr$30/hr as filedIDurham, NCJun 02, 2026Certified
Medical Laboratory Scientist
I-200-26152-968403
$63,731/yr$30/hr as filedIDurham, NCJun 01, 2026Certified
Resident
I-200-26146-948821
$71,748/yr—Durham, NCMay 26, 2026Certified
Resident
I-200-26146-948581
$73,908/yr—Durham, NCMay 26, 2026Certified
Resident
I-200-26146-948892
$71,748/yr—Greenville, NCMay 26, 2026Certified
Resident
I-200-26138-923876
$76,788/yr—Durham, NCMay 18, 2026Certified
Fellow
I-200-26136-919566
$80,568/yr—Durham, NCMay 16, 2026Certified
Resident
I-200-26134-911820
$73,908/yr—Durham, NCMay 14, 2026Denied
Resident
I-200-26134-911627
$76,788/yr—Durham, NCMay 14, 2026Certified
Residnet
I-200-26126-877517
$71,052/yr—Durham, NCMay 06, 2026Certified
Fellow
I-200-26126-877873
$80,568/yr—Durham, NCMay 06, 2026Certified
Resident
I-200-26126-877621
$71,052/yr—Durham, NCMay 06, 2026Certified
Fellow
I-200-26113-825734
$91,584/yr—Durham, NCApr 23, 2026Certified
Fellow
I-200-26076-709976
$77,580/yr—Durham, NCMar 17, 2026Certified
Resident
I-200-26076-709828
$80,568/yr—Durham, NCMar 17, 2026Certified
Resident
I-200-26072-702559
$80,568/yr—Durham, NCMar 13, 2026Certified
Fellow
I-200-26072-702404
$77,580/yr—Durham, NCMar 13, 2026Certified
Resident
I-200-26054-658457
$77,580/yr—Durham, NCFeb 23, 2026Certified
Physician Assistant
I-200-26016-566482
$132,600/yrIMorrisville, NCJan 16, 2026Certified
Resident
I-200-26008-545574
$77,580/yr—Durham, NCJan 08, 2026Certified
Medical Laboratory Scientist
I-200-26005-533234
$66,705/yr$32/hr as filedIDurham, NCJan 05, 2026Certified

One row per LCA case (its latest version), from U.S. DOL OFLC disclosure data. Salaries are the offered wage, converted to a yearly figure. Certified LCAs are not visa approvals.

Every certified LCA needs its own Public Access File. Get the private gap check →
Sponsorship insights

How Duke University Health System sponsors H-1B talent

Petition Mix

New employment  57%Transfer (change of employer)  1%Continued employment  36%Amendments & other  5%
Majority new-employment filings — Duke University Health System primarily sponsors fresh H-1B cases.

Worker positions by LCA filing purpose, summed across FY2021–FY2026 disclosure records.

Filing Activity by Month

Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec

Most active filing months: May and Apr — useful for timing transfer conversations.

Compliance Posture

H-1B Dependent
No
Willful Violator
No
Full-Time Positions
100%
At/Above Prevailing Wage
100%

Attestations from the employer's own LCA filings (Form ETA-9035), as disclosed by the U.S. DOL.

Roles & geography

Top sponsored roles & worksites

Top job titles

Resident
80 · $68,646
Fellow
45 · $77,336
House Staff Resident, Clinical
9 · $64,188
Medical Laboratory Scientist
7 · —
Associate Professor
3 · $147,500

Top worksite locations

1 state · 7 cities

Durham, NC
157
Henderson, NC
4
Morrisville, NC
2
Raleigh, NC
2
Chapel Hill, NC
1
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Duke University Health System · audit readiness
1 need attention2 to watch2 clear
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