Question 1

Does Mosaic Health System sponsor green cards?

Accepted Answer

Yes. Mosaic Health System has filed 8 PERM labor certification applications with the Department of Labor, with 8 certified. The median processing time from filing to decision has been 491 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 Mosaic Health System, the median processing time from filing to decision has been 491 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 Mosaic Health System?

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 Mosaic Health System's PERM approval rate?

Accepted Answer

Mosaic Health System has a 100% PERM approval rate across 8 total applications (8 certified, 0 denied, 0 withdrawn).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 Note that withdrawn cases are not counted in the approval rate calculation.

Year	Filings	Certified	Denied	Withdrawn	Median Processing Days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	7	7	0	0	496
2022	1	1	0	0	295

Job Title	Salary	Location	Filed	Decision	Days	Status
Medical Technologist G-100-24303-439876	$60,840	Albany, MO	Oct 29, 2024	Feb 26, 2026	485	Certified
Medical Technologist G-100-24303-439866	$60,840	Albany, MO	Oct 29, 2024	Feb 26, 2026	485	Certified
Medical Technologist G-100-24303-439854	$60,840	Albany, MO	Oct 29, 2024	Feb 26, 2026	485	Certified
Nephrologist G-100-24292-418479	$300,000	St. Joseph, MO	Oct 18, 2024	Feb 26, 2026	496	Certified
Infectious Disease Physician G-100-24290-410116	$300,000	St Joseph, MO	Oct 16, 2024	Feb 26, 2026	498	Certified
Hospitalist G-100-24288-405902	$320,320	St. Joseph, MO	Oct 14, 2024	Feb 26, 2026	500	Certified
Family Medicine Physician G-100-24288-405888	$250,000	St Joseph, MO	Oct 14, 2024	Feb 26, 2026	500	Certified
Hospitalist A-22192-86090	$360,360	St. Joseph, MO	Aug 3, 2022	May 25, 2023	295	Certified

Mosaic Health System — Green Card PERM Data

Mosaic Health System PERM & Green Card Filings

PERM Filings by Quarter

PERM Processing Time by Year

All PERM Filings

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