Question 1

Does Billings Clinic sponsor green cards?

Accepted Answer

Yes. Billings Clinic has filed 17 PERM labor certification applications with the Department of Labor, with 16 certified. The median processing time from filing to decision has been 428 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 Billings Clinic, the median processing time from filing to decision has been 428 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 Billings Clinic?

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 Billings Clinic's PERM approval rate?

Accepted Answer

Billings Clinic has a 100% PERM approval rate across 17 total applications (16 certified, 0 denied, 1 withdrawn).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 Note that withdrawn cases are not counted in the approval rate calculation.

Year	Filings	Certified	Withdrawn	Median Processing Days
2024	2	2	0	474
2023	7	7	0	454
2022	1	1	0	283
2020	1	1	0	221
2018	2	2	0	57
2017	4	3	1	146

Job Title	Salary	Location	Filed	Decision	Days	Status
Pulmonologist G-100-24220-251220	$375,000	Billings, MT	Aug 7, 2024	Dec 11, 2025	491	Certified
Interventional Cardiologist G-100-24141-015883	$650,000	Billings, MT	May 20, 2024	Aug 20, 2025	457	Certified
Hospitalist G-100-23291-440800	$316,000	Billings, MT	Oct 18, 2023	Feb 24, 2025	495	Certified - Expired
Cardiologist G-100-23235-289080	$450,000	Billings, MT	Aug 23, 2023	Oct 24, 2024	428	Certified - Expired
Cardiologist G-100-23235-289016	$450,000	Billings, MT	Aug 23, 2023	Oct 24, 2024	428	Certified - Expired
Medical Oncologist G-100-23220-246269	$400,000	Billings, MT	Aug 8, 2023	Oct 24, 2024	443	Certified - Expired
Hospitalist G-100-23219-243199	$275,000	Billings, MT	Aug 7, 2023	Oct 24, 2024	444	Certified - Expired
Pulmonologist G-100-23219-243149	$375,000	Billings, MT	Aug 7, 2023	Oct 24, 2024	444	Certified - Expired
Hospitalist G-100-23152-068604	$275,000	Billings, MT	Jun 1, 2023	Sep 11, 2024	468	Certified
Hospitalist A-22242-14110	$275,000	Billings, MT	Aug 30, 2022	Jun 9, 2023	283	Certified
Pulmonologist A-20226-88167	$350,000	Billings, MT	Aug 13, 2020	Mar 22, 2021	221	Certified-Expired
Clinical Coordinator Hospital Nursing A-18206-01123	N/A	Billings, MT	Jul 26, 2018	Sep 17, 2018	53	Certified
Geriatric Physician A-18180-92949	N/A	Billings, MT	Jun 29, 2018	Aug 28, 2018	60	Certified
Interventional Cardiologist A-17324-12563	N/A	Billings, MT	Nov 20, 2017	Apr 5, 2018	136	Certified
Rehabilitation Tech A-17317-09988	N/A	Billings, MT	Nov 13, 2017	Jul 27, 2018	256	Certified
Interventional Cardiologist A-17314-09462	N/A	Billings, MT	Nov 10, 2017	Nov 20, 2017	10	Withdrawn
Medical Oncologist A-17282-96327	N/A	Billings, MT	Oct 11, 2017	Mar 6, 2018	146	Certified-Expired

Billings Clinic — Green Card PERM Data

Billings Clinic PERM & Green Card Filings

PERM Filings by Quarter

PERM Processing Time by Year

All PERM Filings

Similar Visa Sponsors

Albany Medical Center

Piedmont Athens Regional

Mercy Clinic Fort Smith Communities

AHS Hospital Corp.

MercyOne Waterloo Medical Center

Mount Sinai Medical Center of Florida, Inc

Frequently Asked Questions

Ready to modernize your immigration program?

Ready to modernize your immigration program?