Question 1

Does Appalachian Regional Healthcare sponsor green cards?

Accepted Answer

Yes. Appalachian Regional Healthcare has filed 19 PERM labor certification applications with the Department of Labor, with 17 certified. The median processing time from filing to decision has been 377 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 Appalachian Regional Healthcare, the median processing time from filing to decision has been 377 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 Appalachian Regional Healthcare?

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 Appalachian Regional Healthcare's PERM approval rate?

Accepted Answer

Appalachian Regional Healthcare has a 89.5% PERM approval rate across 19 total applications (17 certified, 2 denied, 0 withdrawn).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 Note that withdrawn cases are not counted in the approval rate calculation.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	Median Processing Days
2023	10	10	0	415
2022	2	0	2	—
2017	6	6	0	77
2016	1	1	0	76

Job Title	Salary	Location	Filed	Decision	Days	Status
Oncologist G-100-23325-517013	$592,510	Beckley, WV	Nov 21, 2023	Mar 13, 2025	478	Certified - Expired
Medical Laboratory Scientist G-100-23286-429824	$64,480	McDowell, KY	Oct 13, 2023	Feb 11, 2025	487	Certified - Expired
Medical Laboratory Scientist G-100-23181-160532	$64,480	Hazard, KY	Jun 30, 2023	Aug 1, 2024	398	Certified
Medical Laboratory Scientist G-100-23181-160386	$64,480	Hazard, KY	Jun 30, 2023	Aug 1, 2024	398	Certified
Medical Laboratory Scientist G-100-23181-160215	$64,480	Hazard, KY	Jun 30, 2023	Aug 7, 2024	404	Certified
Interventional Cardiologist G-100-23181-159948	$790,000	Hazard, KY	Jun 30, 2023	Aug 7, 2024	404	Certified
Medical Laboratory Scientist G-100-23181-158349	$64,480	Hyden, KY	Jun 30, 2023	Aug 7, 2024	404	Certified
Medical Laboratory Scientist A-23132-41792	$64,480	Whitesburg, KY	May 12, 2023	May 23, 2024	377	Certified
Medical Laboratory Scientist A-23132-41768	$64,480	Whitesburg, KY	May 12, 2023	May 23, 2024	377	Certified
Medical Laboratory Scientist A-23132-41735	$64,480	Whitesburg, KY	May 12, 2023	May 23, 2024	377	Certified
Staff Medical Technologist A-22151-63703	$64,480	McDowell, KY	May 31, 2022	Mar 18, 2024	657	Denied
Staff Medical Technologist A-22151-63659	$64,480	Hazard, KY	May 31, 2022	Mar 18, 2024	657	Denied
Staff Medical Technologist A-17125-34836	$52,000	Whitesburg, KY	May 8, 2017	Jul 28, 2017	81	Certified
General Surgeon A-17111-28180	$325,000	Harlan, KY	Apr 21, 2017	Aug 30, 2017	131	Certified
Cardiologist A-17104-25253	$400,000	Whitesburg, KY	Apr 17, 2017	Jun 28, 2017	72	Certified
Hospitalist A-17094-20661	$220,000	Harlan, KY	Apr 11, 2017	Jun 23, 2017	73	Certified
Cardiologist A-17095-21245	$300,000	Middlesboro, KY	Apr 10, 2017	Jun 23, 2017	74	Certified
Staff Medical Technologist A-17095-21131	$48,110	Beckley, WV	Apr 5, 2017	Jun 23, 2017	79	Certified
Oncologist A-16314-69790	$350,000	Harlan, KY	Nov 9, 2016	Jan 24, 2017	76	Certified-Expired

Appalachian Regional Healthcare — Green Card PERM Data

Appalachian Regional Healthcare PERM & Green Card Filings

PERM Filings by Quarter

PERM Processing Time by Year

All PERM Filings

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