Question 1

Does GUAM Regional Medical CITY sponsor green cards?

Accepted Answer

Yes. GUAM Regional Medical CITY 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 393 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 GUAM Regional Medical CITY, the median processing time from filing to decision has been 393 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 GUAM Regional Medical CITY?

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 GUAM Regional Medical CITY's PERM approval rate?

Accepted Answer

GUAM Regional Medical CITY has a 100% PERM approval rate across 4 total applications (4 certified, 0 denied, 0 withdrawn).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 Note that withdrawn cases are not counted in the approval rate calculation.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
2025	1	1	391
2023	2	2	435
2016	1	1	73

Job Title	Salary	Location	Filed	Decision	Days	Status
Hospital Staff Physician-Emergency Medicine Physician G-100-25136-983410	$436,800	Dededo, GU	May 15, 2025	Jun 10, 2026	391	Certified
Staff Physician/Hospitalist G-100-23188-172355	$316,512	Dededo, GU	Jul 7, 2023	Oct 24, 2024	475	Certified - Expired
Director of Patient Financial Services A-22256-20242	$105,000	Dededo, GU	Jan 23, 2023	Feb 21, 2024	394	Certified-Expired
Staff Physician/Pediatric Hematology-Oncology A-16320-71722	$300,000	Dededo, GU	Dec 13, 2016	Feb 24, 2017	73	Certified-Expired

GUAM Regional Medical CITY — Green Card PERM Data

GUAM Regional Medical CITY PERM & Green Card Filings

PERM Filings by Quarter

PERM Processing Time by Year

All PERM Filings

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