Question 1

Does Christus Trinity Clinic Texas sponsor green cards?

Accepted Answer

Yes. Christus Trinity Clinic Texas has filed 10 PERM labor certification applications with the Department of Labor, with 7 certified. The median processing time from filing to decision has been 349 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 Christus Trinity Clinic Texas, the median processing time from filing to decision has been 349 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 Christus Trinity Clinic Texas?

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 Christus Trinity Clinic Texas's PERM approval rate?

Accepted Answer

Christus Trinity Clinic Texas has a 87.5% PERM approval rate across 10 total applications (7 certified, 1 denied, 2 withdrawn).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 Note that withdrawn cases are not counted in the approval rate calculation.

Year	Filings	Certified	Denied	Withdrawn	Median Processing Days
2026	1	0	0	1	—
2023	2	2	0	0	389
2022	7	5	1	1	340

Job Title	Salary	Location	Filed	Decision	Days	Status
Physician - Internal Medicine G-100-26153-973734	$275,000	Bossier City, LA	Jun 2, 2026	Jun 3, 2026	1	Withdrawn
Internal Medicine Physician G-100-23194-187590	$240,000	Longview, TX	Jul 13, 2023	Sep 6, 2024	421	Certified
Physician - Hospitalist A-23011-85988	$265,000	Tyler, TX	Apr 28, 2023	Apr 19, 2024	357	Certified
Physician - Hospitalist A-22343-71248	$251,410	Tyler, TX	Dec 9, 2022	Jan 24, 2024	411	Certified-Expired
Physician - Endocrinologist A-22319-57936	$262,000	Longview, TX	Dec 9, 2022	Feb 9, 2024	427	Denied
Physician-Hospitalist A-22319-57725	$251,410	Longview, TX	Dec 9, 2022	Jan 25, 2024	412	Certified-Expired
Physician - Hospitalist A-22319-57650	$251,410	Tyler, TX	Dec 2, 2022	Nov 7, 2023	340	Certified-Expired
Physician - Hospitalist A-22318-57299	$251,410	Tyler, TX	Dec 2, 2022	Dec 2, 2022	0	Withdrawn
Physician/Hospitalist A-22269-28369	$265,000	Longview, TX	Oct 20, 2022	Sep 5, 2023	320	Certified
Physician/Hospitalist A-22230-08390	$265,000	Longview, TX	Oct 20, 2022	Sep 5, 2023	320	Certified

Christus Trinity Clinic Texas — Green Card PERM Data

Christus Trinity Clinic Texas PERM & Green Card Filings

PERM Filings by Quarter

PERM Processing Time by Year

All PERM Filings

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