Question 1

Does Avera McKennan sponsor green cards?

Accepted Answer

Yes. Avera McKennan has filed 12 PERM labor certification applications with the Department of Labor, with 10 certified. The median processing time from filing to decision has been 479 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 Avera McKennan, the median processing time from filing to decision has been 479 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 Avera McKennan?

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 Avera McKennan's PERM approval rate?

Accepted Answer

Avera McKennan has a 100% PERM approval rate across 12 total applications (10 certified, 0 denied, 2 withdrawn).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 Note that withdrawn cases are not counted in the approval rate calculation.

Year	Filings	Certified	Withdrawn	Median Processing Days
2026	1	0	1	—
2024	7	6	1	492
2023	4	4	0	366

Job Title	Salary	Location	Filed	Decision	Days	Status
Nephrologist G-100-26083-724010	$325,000	Sioux Falls, SD	Mar 23, 2026	Mar 23, 2026	0	Withdrawn
Pharmacist - Oncology G-100-24309-451900	$130,125	Sioux Falls, SD	Nov 4, 2024	Mar 18, 2026	499	Certified
Senior Diagnostic Physicist G-100-24295-421415	$208,000	Sioux Falls , SD	Oct 21, 2024	Feb 19, 2026	486	Certified
Neurologist G-100-24278-386737	$375,000	Sioux Falls, SD	Oct 4, 2024	Feb 13, 2026	497	Certified
Transplant Hepatologist G-100-24278-386439	$282,566	Sioux Falls, SD	Oct 4, 2024	Feb 13, 2026	497	Certified
Pediatric Pulmonologist G-100-24269-364606	$237,000	Sioux Falls, SD	Sep 25, 2024	Jan 21, 2026	483	Certified
Dermatologist G-100-24269-364525	$510,000	Aberdeen, SD	Sep 25, 2024	Jan 21, 2026	483	Certified
Hospitalist (Internist) G-100-24089-838664	$282,566	Sioux Falls, SD	Mar 29, 2024	Jul 17, 2025	475	Withdrawn
Hospitalist (Internist) A-23142-45687	$282,566	Sioux Falls, SD	May 31, 2023	May 31, 2024	366	Certified
Hospitalist (Internist) A-23142-45540	$282,566	Sioux Falls, SD	May 31, 2023	May 31, 2024	366	Certified
Hematologist/Oncologist A-23118-34758	$425,000	Sioux Falls, SD	May 7, 2023	May 22, 2024	381	Certified
Hepatologist A-23081-16938	$425,000	Sioux Falls, SD	Apr 30, 2023	Apr 22, 2024	358	Certified

Avera McKennan — Green Card PERM Data

Avera McKennan PERM & Green Card Filings

PERM Filings by Quarter

PERM Processing Time by Year

All PERM Filings

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