Question 1

Does Adair County Health System sponsor green cards?

Accepted Answer

Yes. Adair County Health System has filed 3 PERM labor certification applications with the Department of Labor, with 3 certified. The median processing time from filing to decision has been 441 days.

Question 2

What is the current PERM processing time?

Accepted Answer

The DOL processing time from PERM filing to decision typically ranges from 6 to 18 months. This does not include the prevailing wage determination (1–6 months) or the recruitment period (2–3 months) that happen before filing. For Adair County Health System, the median processing time from filing to decision has been 441 days. See the processing time chart above for year-over-year trends.

Question 3

How long does it take to get a green card through Adair County Health System?

Accepted Answer

The full employer-sponsored green card timeline depends on three stages: PERM labor certification (6–18 months), I-140 petition with USCIS (4–6 months, or 15 days with premium processing), and adjustment of status or consular processing. For applicants from countries with visa backlogs like India and China, the wait for a visa number after I-140 approval can add years. The total process from start to green card typically takes 1–5+ years.

Question 4

What triggers a PERM audit?

Accepted Answer

The DOL may audit a PERM application if certain risk factors are present: layoffs within 6 months of filing, the foreign worker having an ownership interest in the company, job requirements that exceed the norm for the occupation, foreign language requirements, or combination occupations. An audit requires additional documentation but does not mean the case will be denied.

Question 5

What is Adair County Health System's PERM approval rate?

Accepted Answer

Adair County Health System has a 100% PERM approval rate across 3 total applications (3 certified, 0 denied, 0 withdrawn). The national average PERM approval rate is approximately 85%. Note that withdrawn cases are not counted in the approval rate calculation.

Year	Filings	Certified	Denied	Withdrawn	Median Processing Days
2025	2	2	0	0	441
2018	1	1	0	0	193

Job Title	Salary	Location	Filed	Decision	Days	Status
Medical Laboratory Scientist G-100-25056-722857	$49,795	Greenfield, IA	Feb 25, 2025	May 12, 2026	441	Certified
Medical Laboratory Scientist G-100-25056-722823	$49,795	Greenfield, IA	Feb 25, 2025	May 12, 2026	441	Certified
Medical Technologist A-18159-84682	$51,418	Greenfield, IA	Jun 23, 2018	Jan 2, 2019	193	Certified-Expired

Adair County Health System — Green Card PERM Data

Adair County Health System PERM & Green Card Filings

PERM Filings by Quarter

PERM Processing Time by Year

All PERM Filings

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