Question 1

Does St. Alexius Medical Center sponsor green cards?

Accepted Answer

Yes. St. Alexius Medical Center has filed 5 PERM labor certification applications with the Department of Labor, with 5 certified. The median processing time from filing to decision has been 452 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 St. Alexius Medical Center, the median processing time from filing to decision has been 452 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 St. Alexius Medical Center?

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 St. Alexius Medical Center's PERM approval rate?

Accepted Answer

St. Alexius Medical Center has a 100% PERM approval rate across 5 total applications (5 certified, 0 denied, 0 withdrawn).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 Note that withdrawn cases are not counted in the approval rate calculation.

Year	Filings	Certified	Denied	Withdrawn	Median Processing Days
2024	4	4	0	0	471
2016	1	1	0	0	66

Job Title	Salary	Location	Filed	Decision	Days	Status
Nephrologist G-100-24362-574555	$250,000	Bismarck, ND	Dec 27, 2024	Apr 23, 2026	482	Certified
NEONATOLOGIST PHYSICIAN G-100-24162-091149	$300,000	Bismarck, ND	Jun 10, 2024	Sep 5, 2025	452	Certified
NEONATOLOGIST PHYSICIAN G-100-24162-091139	$300,000	Bismarck, ND	Jun 10, 2024	Sep 5, 2025	452	Certified
Medical Technologist G-100-24044-713980	$45,968	Turtle Lake, ND	Feb 13, 2024	Jun 24, 2025	497	Certified
Hospitalist A-16365-86090	$187,200	Bismarck, ND	Dec 30, 2016	Mar 6, 2017	66	Certified-Expired

St. Alexius Medical Center — Green Card PERM Data

St. Alexius Medical Center PERM & Green Card Filings

PERM Filings by Quarter

PERM Processing Time by Year

All PERM Filings

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