Question 1

Does Great Plains Health sponsor green cards?

Accepted Answer

Yes. Great Plains Health has filed 8 PERM labor certification applications with the Department of Labor, with 6 certified. The median processing time from filing to decision has been 443 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 Great Plains Health, the median processing time from filing to decision has been 443 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 Great Plains Health?

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 Great Plains Health's PERM approval rate?

Accepted Answer

Great Plains Health has a 85.7% PERM approval rate across 8 total applications (6 certified, 1 denied, 1 withdrawn).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 Note that withdrawn cases are not counted in the approval rate calculation.

Year	Filings	Certified	Denied	Withdrawn	Median Processing Days
2023	6	5	0	1	433
2022	2	1	1	0	584

Job Title	Salary	Location	Filed	Decision	Days	Status
Orthopedic Surgeon G-100-23248-319489	$619,050	North Platte, NE	Sep 5, 2023	Jan 16, 2025	499	Certified - Expired
Hospitalist G-100-23221-251246	$305,000	North Platte, NE	Aug 9, 2023	Nov 20, 2024	469	Certified - Expired
Hospitalist G-100-23216-239964	$305,000	North Platte, NE	Aug 4, 2023	Oct 25, 2023	82	Withdrawn
Hospitalist G-100-23209-223489	$305,000	North Platte, NE	Jul 28, 2023	Sep 17, 2024	417	Certified
Cardiologist - Interventional A-23136-43019	$668,500	North Platte, NE	May 23, 2023	Jun 6, 2024	380	Certified
Cardiologist - Non-invasive A-23136-42894	$530,000	North Platte, NE	May 23, 2023	Jun 6, 2024	380	Certified
Hospitalist A-22075-26150	$305,000	North Platte, NE	Mar 18, 2022	Oct 23, 2023	584	Certified-Expired
Hospitalist A-22075-26185	$305,000	North Platte, NE	Mar 17, 2022	Jan 8, 2024	662	Denied

Great Plains Health — Green Card PERM Data

Great Plains Health PERM & Green Card Filings

PERM Filings by Quarter

PERM Processing Time by Year

All PERM Filings

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