Question 1

Does Carilion Clinic sponsor green cards?

Accepted Answer

Yes. Carilion Clinic has filed 21 PERM labor certification applications with the Department of Labor, with 21 certified. The median processing time from filing to decision has been 147 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 Carilion Clinic, the median processing time from filing to decision has been 147 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 Carilion 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 Carilion Clinic's PERM approval rate?

Accepted Answer

Carilion Clinic has a 100% PERM approval rate across 21 total applications (21 certified, 0 denied, 0 withdrawn).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 Note that withdrawn cases are not counted in the approval rate calculation.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	Median Processing Days
2025	2	2	435
2024	2	2	460
2023	2	2	426
2021	2	2	150
2020	2	2	192
2018	2	2	73
2017	5	5	82
2016	4	4	118

Job Title	Salary	Location	Filed	Decision	Days	Status
Endocrinologist G-100-25084-801557	$255,563	Roanoke, VA	Mar 25, 2025	Jun 8, 2026	440	Certified
Physician G-100-25076-780895	$265,000	Roanoke, VA	Mar 17, 2025	May 20, 2026	429	Certified
Psychiatrist G-100-24172-132522	$250,000	Roanoke, VA	Jun 20, 2024	Sep 25, 2025	462	Certified
Neurologist G-100-24135-993638	$240,000	Rocky Mount, VA	May 14, 2024	Aug 15, 2025	458	Certified
Psychiatrist G-100-23212-227724	$250,000	Roanoke, VA	Jul 31, 2023	Sep 18, 2024	415	Certified
Psychiatrist G-100-23191-177876	$250,000	Roanoke, VA	Jul 10, 2023	Sep 18, 2024	436	Certified
Rheumatologist A-21076-63470	$208,000	Roanoke, VA	Mar 30, 2021	Aug 17, 2021	140	Certified
Psychiatrist A-21019-43534	$250,000	Roanoke, VA	Jan 29, 2021	Jul 7, 2021	159	Certified
Interventional Gastroenterologist A-20253-97598	$427,500	Roanoke, VA	Sep 17, 2020	Apr 27, 2021	222	Certified
Psychiatrist A-20126-50730	$250,000	Roanoke, VA	May 7, 2020	Oct 16, 2020	162	Certified-Expired
Hospitalist A-18262-19904	$230,000	Rocky Mount, VA	Sep 25, 2018	Nov 15, 2018	51	Certified-Expired
Hospitalist A-18103-63154	N/A	Roanoke, VA	Apr 17, 2018	Jul 20, 2018	94	Certified
Hospitalist A-17285-98011	N/A	Roanoke, VA	Oct 16, 2017	Mar 12, 2018	147	Certified-Expired
Hospitalist A-17052-05365	$210,000	Roanoke, VA	Feb 24, 2017	May 8, 2017	73	Certified
Hospitalist A-17052-05291	$210,000	Roanoke, VA	Feb 24, 2017	May 8, 2017	73	Certified
Performance Improvement Consultant A-17011-90035	$65,500	Roanoke, VA	Jan 24, 2017	Mar 24, 2017	59	Certified-Expired
Hospitalist A-16337-76812	$210,000	Roanoke, VA	Jan 23, 2017	Mar 15, 2017	51	Certified-Expired
Pulmonary and Critical Care Medicine Physician A-16354-82230	$260,000	Christiansburg, VA	Dec 20, 2016	Mar 3, 2017	73	Certified-Expired
Hospitalist A-16337-76774	$210,000	Roanoke, VA	Dec 8, 2016	Mar 2, 2017	84	Certified-Expired
Hospitalist A-16337-76734	$210,000	Roanoke, VA	Dec 8, 2016	Mar 2, 2017	84	Certified-Expired
Predictive Modeling Consultant A-16193-31337	$76,960	Roanoke, VA	Jul 18, 2016	Feb 23, 2017	220	Certified-Expired

Carilion Clinic — Green Card PERM Data

Carilion Clinic PERM & Green Card Filings

PERM Filings by Quarter

PERM Processing Time by Year

All PERM Filings

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