Question 1

Does Cookeville Regional Medical Center sponsor green cards?

Accepted Answer

Yes. Cookeville Regional Medical Center has filed 4 PERM labor certification applications with the Department of Labor, with 4 certified. The median processing time from filing to decision has been 180 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 Cookeville Regional Medical Center, the median processing time from filing to decision has been 180 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 Cookeville Regional 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 Cookeville Regional Medical Center's PERM approval rate?

Accepted Answer

Cookeville Regional Medical Center has a 100% PERM approval rate across 4 total applications (4 certified, 0 denied, 0 withdrawn).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 Note that withdrawn cases are not counted in the approval rate calculation.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
2024	1	1	482
2020	2	2	180
2019	1	1	47

Job Title	Salary	Location	Filed	Decision	Days	Status
Interventional Cardiologist Physician G-100-24045-717302	$550,000	Cookeville, TN	Feb 14, 2024	Jun 10, 2025	482	Certified
Pulmonologist Physician (Critical Care) A-20157-62520	$450,000	Cookeville, TN	Jun 5, 2020	Dec 2, 2020	180	Certified-Expired
Pulmonologist Physician A-20157-62504	$450,000	Cookeville, TN	Jun 5, 2020	Dec 2, 2020	180	Certified-Expired
Physician - Invasive Cardiologist A-19157-15097	$208,000	Cookeville, TN	Jun 14, 2019	Jul 31, 2019	47	Certified

Cookeville Regional Medical Center — Green Card PERM Data

Cookeville Regional Medical Center PERM & Green Card Filings

PERM Filings by Quarter

PERM Processing Time by Year

All PERM Filings

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