Question 1

Does CoxHealth sponsor green cards?

Accepted Answer

Yes. CoxHealth has filed 22 PERM labor certification applications with the Department of Labor, with 21 certified. The median processing time from filing to decision has been 462 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 CoxHealth, the median processing time from filing to decision has been 462 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 CoxHealth?

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 CoxHealth's PERM approval rate?

Accepted Answer

CoxHealth has a 100% PERM approval rate across 22 total applications (21 certified, 0 denied, 1 withdrawn).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 Note that withdrawn cases are not counted in the approval rate calculation.

Year	Filings	Certified	Withdrawn	Median Processing Days
2025	2	1	1	385
2024	11	11	0	482
2023	8	8	0	440
2022	1	1	0	350

Job Title	Salary	Location	Filed	Decision	Days	Status
Medical Laboratory Scientist G-100-25153-042760	$49,608	Lamar, MO	Jun 2, 2025	Jun 22, 2026	385	Certified
Medical Laboratory Scientist G-100-25153-042435	$49,608	Lamar, MO	Jun 2, 2025	Jun 9, 2026	372	Withdrawn
Medical Technologist G-100-24297-426674	$46,696	Branson, MO	Oct 23, 2024	Mar 12, 2026	505	Certified
Medical Technologist G-100-24274-375397	$46,696	Springfield, MO	Sep 30, 2024	Feb 4, 2026	492	Certified
Medical Technologist G-100-24274-374938	$46,696	Springfield, MO	Sep 30, 2024	Feb 4, 2026	492	Certified
Medical Technologist G-100-24274-374917	$46,696	Springfield, MO	Sep 30, 2024	Feb 4, 2026	492	Certified
Medical Technologist G-100-24274-374898	$46,696	Springfield, MO	Sep 30, 2024	Feb 4, 2026	492	Certified
Medical Technologist G-100-24274-374865	$46,696	Springfield, MO	Sep 30, 2024	Feb 4, 2026	492	Certified
Neuro-Hospitalist G-100-24208-225456	$59,717	Springfield, MO	Jul 26, 2024	Nov 18, 2025	480	Certified - Expired
Pediatrician G-100-24177-145570	$62,774	Springfield, MO	Jun 25, 2024	Sep 19, 2025	451	Certified
Medical Technologist G-100-24145-035640	$46,696	Branson, MO	May 24, 2024	Aug 29, 2025	462	Certified
Medical Technologist G-100-24145-035624	$46,696	Branson, MO	May 24, 2024	Aug 29, 2025	462	Certified
Medical Technologist G-100-24145-035620	$46,696	Branson, MO	May 24, 2024	Aug 29, 2025	462	Certified
Hospitalist (multiple positions) G-100-23361-594129	$239,200	Springfield, MO	Dec 27, 2023	May 7, 2025	497	Certified
Hospitalist (multiple positions) G-100-23356-588872	$239,200	Springfield, MO	Dec 22, 2023	May 7, 2025	502	Certified
Pediatrician G-100-23262-357518	$71,365	Springfield, MO	Sep 19, 2023	Jan 14, 2025	483	Certified - Expired
Neurologist G-100-23223-258354	$208,000	Springfield, MO	Aug 11, 2023	Nov 7, 2024	454	Certified - Expired
Primary Care Physician G-100-23221-249607	$159,619	Springfield, MO	Aug 9, 2023	Nov 7, 2024	456	Certified - Expired
Endocrinologist A-23068-10891	$208,000	Springfield, MO	May 2, 2023	Jun 3, 2024	398	Certified
Pediatrician A-23068-10735	$71,365	Springfield, MO	Apr 21, 2023	Apr 29, 2024	374	Certified
Infectious Disease Physician A-23068-10820	$208,000	Springfield, MO	Apr 10, 2023	Apr 29, 2024	385	Certified
Internal Medicine Physician A-22271-29654	$107,500	Branson, MO	Nov 15, 2022	Oct 31, 2023	350	Certified-Expired

CoxHealth — Green Card PERM Data

CoxHealth PERM & Green Card Filings

PERM Filings by Quarter

PERM Processing Time by Year

All PERM Filings

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