Updated
PERM sponsor, #27 of 70,985 by filings
Conexus MedStaff LLC
- Main job
- Medical and Clinical Laboratory Technologists · 61% of its filings
- Main worksite
- Houston, TX · 32% of its filings
- Industry
- Temporary Help Services · NAICS 561320
Waiting on a case with Conexus MedStaff LLC?
- When it'll likely be decided
- An email when DOL moves it
Filings
1,091
#27 of 70,985
Certified
1,009
3 denied
Approval
99.7%
field 96.8%
Median wage
$54,080
offered, per year
Median days
456
10 faster than the field
Right now
DOL's live record of its cases, read every day, and what it has done to them as a group.
Nothing for this sponsor is waiting on a decision. All 756 of their cases in the live tracker are closed.
Follow Conexus MedStaff LLC
An email when DOL moves its cases as a group: five or more on or off hold in a day, or a batch decided well above its usual pace.
What DOL has done to its cases as a group
Nothing employer-wide since this site's record began on August 27, 2026.
Its newest filings
Filed since DOL's last quarterly file, so the wage and law firm aren't published yet.
- G-100-25190-160883 Medical Technologist filed 2025-07-09 · CERTIFIED
- G-100-25190-160878 Medical Technologist filed 2025-07-09 · CERTIFIED
- G-100-25189-160667 Medical Technologist filed 2025-07-08 · CERTIFIED
- G-100-23261-356286 Medical Technologist filed 2023-09-18 · WITHDRAWN
- G-100-23205-209771 Medical Technologist filed 2023-07-24 · WITHDRAWN
- G-100-23195-191366 Medical Technologist filed 2023-07-14 · WITHDRAWN
- G-100-23195-191304 Medical Technologist filed 2023-07-14 · WITHDRAWN
- G-100-23195-191235 Medical Technologist filed 2023-07-14 · WITHDRAWN
The 8 newest. Every filing by this employer is in the case search, live and published together.
Source: DOL's own case-status service, flag.dol.gov, where any of these numbers can be looked up. A filing shows there soon after it's made, months before DOL's quarterly files.
How long it takes
How long their cases are taking
- 302 days
Every employer
median of 29,586 decisions in the same 90 days
None of their cases were decided in the last 90 days, too few for a median of their own. Filing to decision, over decisions we watched DOL make; withdrawals left out.
Filed today: a new case joins the same line as anyone's, behind 80,522 cases, and would be decided around March 16, 2027 (between February 24, 2027 and April 25, 2027). Estimate another date
Every program
Across DOL's programs
The wage request, the PERM and the H-1B labor condition application, one line each.
- PERM (green card)
- 1,091 published
- 0 pending
- $54,080 median, n=1,091
- Prevailing wage requests
- 858 published
- 0 pending
- $60,819 median, n=858
- H-1B labor condition applications
- 405 published
- 2 pending
- $58,240 median, n=405
Its median H-1B wage is $58,240 across 405 LCAs, 7.7% higher than its median PERM wage of $54,080 across 1,091 cases. Different forms, different years and different jobs sit behind the two medians, so this is a gap in what was filed, not a finding.
Every case across these programs is in the search.
How these are counted
Medians are of the published rows with a usable wage, annualised from whatever unit the filing quoted, and withheld under 10 wages. DOL publishes no employer number, so filings are matched by the employer's legal name; another employer with the same legal name would be counted here too. The PERM is the green-card step; the wage request comes months before it, and the LCA is the separate form for an H-1B. DOL publishes each in its own file, and its live record shows what is still open.
Its newest wage requests and LCAs
Filed by Conexus MedStaff LLC, newest first. Decided ones carry the wage from DOL's quarterly files.
Wage requests
- P-100-26132-901401 Speech-Language Pathologist 2026-05-12 · DETERMINATION ISSUED
- P-100-26132-901400 Occupational Therapist 2026-05-12 · DETERMINATION ISSUED
- P-100-26132-901391 Nursing Assistant 2026-05-12 · DETERMINATION ISSUED
- P-100-26132-901390 Physical Therapist 2026-05-12 · DETERMINATION ISSUED
- P-100-26132-901389 Registered Nurse 2026-05-12 · DETERMINATION ISSUED
H-1B LCAs
- I-203-26292-309727 Registered Nurse (Behavioral Health) 2026-10-19 · IN PROCESS
- I-203-26292-309243 Registered Nurse (Behavioral Health) 2026-10-19 · IN PROCESS
- I-200-26238-195722 Medical Technologist 2026-08-26 · CERTIFIED
- I-203-26223-160445 Registered Nurse (ED) 2026-08-11 · CERTIFIED
- I-203-26222-158542 Registered Nurse (Med/Surg) 2026-08-10 · CERTIFIED
Source: DOL's own case-status service, flag.dol.gov, where any of these numbers can be looked up. A filing shows there soon after it's made, months before DOL's quarterly files.
What its H-1B LCAs were for
From DOL's quarterly LCA files: 405 LCAs filed by Conexus MedStaff LLC, 334 of them certified with the worker breakdown on Form ETA-9035.
New hires and transfers
442 positions for new employment, 0 moving here from another employer.
- New employment 7a 442 · 83%
- Change of employer 7e 0 · 0%
- Continuing 7b 79 · 15%
- Change in previous employment 7c 1 · 1%
- Concurrent employment 7d 0 · 0%
- Amended petition 7f 10 · 2%
Shares of the 532 worker positions requested. These are positions on certified LCAs, not people hired: DOL certifies an LCA before any petition, and many are never used.
What each box on the form means
- New employment (7a). Starting with a new employer.
- Change of employer (7e). Moving here from another employer, keeping the visa classification already held.
- Continuing (7b). Staying with the same employer.
- Change in previous employment (7c). Same employer, no material change to the job duties.
- Concurrent employment (7d). Adding this employer while keeping another.
- Amended petition (7f). Same employer, with a material change to the job duties.
Form ETA-9035, Section B, Item 7, in DOL's words from its LCA record layout. One LCA can tick several boxes.
Wage level it chose
- Level I 0 · 0%
- Level II 334 · 100%
- Level III 0 · 0%
- Level IV 0 · 0%
Shares of the 334 certified LCAs that named an OES level. The form asks for the level only when the employer set the wage from the OES survey itself; 0 of 334 used another source, such as a DOL wage determination or another survey. Level I is entry, Level IV fully competent.
What it declared on Section H
- H-1B-dependent
- Yes
- Found a willful violator
- No
As answered on its newest LCA, filed June 16, 2026. Declared H-1B-dependent on 276 of 401 LCAs, and a willful violator on 0 of 401. Both are the employer's own answers.
What the two answers mean
H-1B-dependent (20 CFR 655.736(a)): 25 or fewer full-time-equivalent employees in the US and more than 7 H-1B workers; 26 to 50 and more than 12; or 51 or more, with H-1B workers equal to at least 15% of them.
Willful violator (655.736(f)): DOL or the Justice Department found a willful failure or a misrepresentation of a material fact in the five years before the LCA was filed.
Either one adds two promises to the employer's LCAs: not to displace US workers, and to recruit US workers before hiring H-1B workers (655.738, 655.739). They don't apply to an LCA used only for exempt workers, paid at least $60,000 a year or holding a related master's degree (655.737). The rule on eCFR
Visas these LCAs support: H-1B 401 · E-3 (Australia) 3 · H-1B1 (Chile) 1. E-3 and H-1B1 use the same LCA as the H-1B.
Against other sponsors
Where it sits among 70,985 sponsors. The full ranking sorts every column.
How it compares with other sponsors
Each figure ranked only among sponsors with enough cases for it to mean something. No single score: they measure different things.
PERM approval rate
99.7% of 1,012 decided PERM cases
Higher than 31% of the 1,343 sponsors with 30 or more decided cases.
H-1B LCAs certified in the last 24 months
159 certified in the last 24 months
Higher than 98% of the 27,903 sponsors with a certified LCA in the last 24 months.
Share of H-1B positions that were transfers
0.0% of 187 certified H-1B positions, LCAs decided Jun 2024 to Jun 2026
Higher than 4% of the 5,558 sponsors with 20 or more certified positions.
Share of H-1B LCAs at wage level III or IV
0.0% of 179 certified LCAs with a level, LCAs decided Jun 2024 to Jun 2026
Higher than 4% of the 5,177 sponsors with 20 or more leveled LCAs.
USCIS H-1B approval rate, last 3 fiscal years
94.4% of 126 USCIS decisions
Higher than 11% of the 5,810 sponsors with 20 or more USCIS decisions.
Also on its record
- Its newest LCA that answered declared it H-1B dependent (decided 2026-06-24).
Approval rate
99.7%ahead of 31%
Median days to decision
456 daysahead of 61%
Each bar counts sponsors at that value. More
Against the sponsors ranked nearest
The 86 sponsors ranked nearest filed between 412 and 6,875 filings.
- Their median wait
- 461 days
- This one
- 456 days
This one sits 5 days ahead of them.
Why no approval rate
A band is a slice of the volume ranking rather than a population picked for having enough decided cases, so a band rate would be solid at the top of the list and noise at the bottom, under one heading.
Where this sits in the ranking
Ranked 27 of 70,985 by volume: 26 filed at least as many filings, and 70,958 filed no more.
- Just above
- Tesla, Inc. 1,108 filings
- Just below
- MERIT LOGISTICS 1,076 filings
Sponsors filing at the same rate
Ranked either side of this one: they file about as many PERM cases.
Sponsors hiring for the same work
The employers filing the most PERM cases for Medical and Clinical Laboratory Technologists, the occupation this sponsor files for most.
- #3 Management Health Systems, LLC 2,849 filings · none denied
- #60 Health Carousel, LLC 552 filings · none denied
- #228 Comtrix Solutions, Inc. 172 filings · none denied
- #158 ARUP Laboratories 236 filings · none denied
- #291 Cosmic Healthcare, LLC 127 filings · none denied
- #33 Management Health Systems, LLC DBA MedPro 869 filings · none denied
What they file, and where
A rank says how much. It says nothing about what the work is, which is the part a job offer from this sponsor turns on.
What the jobs are
Medical and Clinical Laboratory Technologists
SOC 29-2011.00 · 669 filings, 61% of everything they file · 99.8% approved
How this is counted
These are the 2 occupations with the most filings, 1,015 of 1,091 cases between them. The occupation on a PERM is the SOC code on the form, which is the job as DOL classifies it rather than the job title on the offer. DOL still accepts two SOC vintages, so one job can appear twice under two codes; the code is printed for exactly that reason.
The industry they declared
Temporary Help Services
NAICS 561320 · 1,091 filings
How this is counted
The NAICS code the employer entered on the form, with the Census Bureau's title for it. DOL publishes the code alone, and an employer can file under more than one.
Where the jobs are
- Texas 352
How this is counted
The worksite state on the application, which is where the job is and not where the company is headquartered. Volume by state across everyone is on the state map. This state covers 352 of 1,091 filings.
Where the work is
- Houston, TX 352
How this is counted
The worksite city on the application, which is where the job is. This city covers 352 of 1,091 filings.
Who files for them
- Musillo Unkenholt, LLC 439 filings · 100.0% approved
How this is counted
The law firm named on the application. 439 of 1,091 filings, 40% of the total.
Newspapers it advertised in
- 745 cases
Houston Chronicle
- 1 cases
Houston Chroncile
- 1 cases
Houston Chronicel
How this is counted
The newspaper or professional journal named for each case's two print ads, one count per paper per case, however the filer spelled it.
Additional steps it used
- 745 cases
Employee referral programs
- 745 cases
The employer's website
- 744 cases
Job search websites
- 1 cases
Campus placement offices
- 1 cases
Job fairs
How this is counted
The steps a professional job needs beyond the job order and the ads, by the number of cases that name each.
How long before filing it began
- 0.0%
Under 30 days
- 0.0%
30 to 59 days
- 22%
60 to 89 days
- 28%
90 to 119 days
- 30%
120 to 149 days
- 20%
150 to 180 days
- 0.0%
Over 180 days
How this is counted
Days from the first recruitment step to the filing. 20 C.F.R. § 656.17(e) puts the job order and ads 30 to 180 days before filing.
History
Year by year since 2019
1,440 PERM decisions from FY2019 to FY2026, busiest in FY2025 with 483.
- certified
- denied
- withdrawn
Fiscal years, October to September. A year filed under another name is missing, not zero. FY2026 is partial: DOL's newest file runs through June 2026.
Every year as a table
| Fiscal year | Certified | Denied | Withdrawn |
|---|---|---|---|
| FY2019 | 1 | 0 | 0 |
| FY2020 | 0 | 0 | 0 |
| FY2021 | 0 | 0 | 0 |
| FY2022 | 0 | 0 | 0 |
| FY2023 | 53 | 0 | 295 |
| FY2024 | 385 | 2 | 35 |
| FY2025 | 438 | 1 | 44 |
| FY2026 | 186 | 0 | 0 |
Decided in FY2016 to FY2023
The 25 most recent of 349. Case numbers from these years start with A-; look one up for DOL's full record.
| Case | Decided | Outcome | Job | Offered wage |
|---|---|---|---|---|
| A-23109-29808 | 2023-08-31 | withdrawn | Medical Technologist, TX | $54,080 |
| A-23144-47364 | 2023-07-05 | withdrawn | Medical Technologists, TX | $54,080 |
| A-23100-25239 | 2023-05-01 | withdrawn | Medical Technologists, TX | $54,080 |
| A-23100-25193 | 2023-05-01 | withdrawn | Medical Technologists, TX | $54,080 |
| A-23090-20937 | 2023-05-01 | withdrawn | Medical Technologists, TX | $54,080 |
| A-23111-30870 | 2023-04-28 | withdrawn | MEDICAL TECHNOLOGIST, TX | $54,080 |
| A-23111-31095 | 2023-04-21 | withdrawn | MEDICAL TECHNOLOGIST, TX | $54,080 |
| A-23111-30948 | 2023-04-21 | withdrawn | MEDICAL TECHNOLOGIST, TX | $54,080 |
The other 17
| A-23111-30937 | 2023-04-21 | withdrawn | MEDICAL TECHNOLOGIST, TX | $54,080 |
| A-23110-30686 | 2023-04-21 | withdrawn | MEDICAL TECHNOLOGIST, TX | $54,080 |
| A-23110-30685 | 2023-04-21 | withdrawn | MEDICAL TECHNOLOGIST, TX | $54,080 |
| A-23110-30683 | 2023-04-21 | withdrawn | MEDICAL TECHNOLOGIST, TX | $54,080 |
| A-23110-30602 | 2023-04-21 | withdrawn | MEDICAL TECHNOLOGIST, TX | $54,080 |
| A-23107-28588 | 2023-04-19 | withdrawn | Medical Technologist, TX | $54,080 |
| A-23105-27953 | 2023-04-19 | withdrawn | Medical Technologists, TX | $54,080 |
| A-23104-27637 | 2023-04-19 | withdrawn | Medical Technologists, TX | $54,080 |
| A-23104-27629 | 2023-04-19 | withdrawn | Medical Technologists, TX | $54,080 |
| A-23104-27603 | 2023-04-19 | withdrawn | Medical Technologists, TX | $54,080 |
| A-23104-27560 | 2023-04-19 | withdrawn | Medical Technologists, TX | $54,080 |
| A-23104-27519 | 2023-04-19 | withdrawn | Medical Technologists, TX | $54,080 |
| A-23104-27372 | 2023-04-19 | withdrawn | Medical Technologists, TX | $54,080 |
| A-23104-27371 | 2023-04-19 | withdrawn | Medical Technologists, TX | $54,080 |
| A-23104-27346 | 2023-04-19 | withdrawn | Medical Technologists, TX | $54,080 |
| A-23101-25748 | 2023-04-19 | withdrawn | Medical Technologists, TX | $54,080 |
| A-23101-25649 | 2023-04-19 | withdrawn | Medical Technologists, TX | $54,080 |
Who they sponsored, FY2016 to FY2023
From DOL's old form; the form in use since mid-2023 doesn't carry them. Top six of each.
Country of citizenship
- Philippines 267
- Jamaica 14
- Sudan 12
- Pakistan 11
- Nigeria 10
- Ghana 8
Worker's education
- Bachelor's 344
- Master's 5
Visa held when filed
- NOT IN USA 341
- H-1B 8
Schools
- OUR LADY OF FATIMA UNIVERSITY 21
- SAINT LOUIS UNIVERSITY 18
- UNIVERSITY OF BAGUIO 13
- CENTRO ESCOLAR UNIVERSITY 11
- FAR EASTERN UNIVERSITY 9
- NORTHERN CARIBBEAN UNIVERSITY 9
Fields of study
- MEDICAL TECHNOLOGY 162
- MEDICAL LABORATORY SCIENCE 126
- MEDICAL LABORATORY SCIENCES 14
- BACHELOR OF SCIENCE IN MEDICAL TECHNOLOGY 13
- BACHELOR OF SCIENCE IN MEDICAL LABORATORY SCIENCE 7
- MEDICAL LABORATORY TECHNOLOGY 5
Notes on these numbers
What this rank counts, and what it doesn't
DOL prints the name that went on the form, so one sponsor can appear under several. The 2 entries below start the same way and were not merged, because the difference between them is more than a mistyped letter. Some may be the same sponsor; some are a different one. Rank #27 counts this page's cases only.
3 filings sit on those pages rather than this one. The methodology has the rule that decides which spellings merge.
What these numbers don't say
5 notes
- The wage is the job, not the payer
- Their filings are led by Medical and Clinical Laboratory Technologists, 669 of 1,091. The median offered wage moves almost entirely with what roles they file. A software developer and a poultry cutter are different numbers wherever they are filed, so this figure is not plotted against the field and no percentile is given for it: that comparison would rank occupation mix and call it pay. Wages by occupation are on the wages page.
- Volume doesn’t change the wait
- DOL works a single national queue, oldest first, whoever filed the case, so these 1,091 filings bought no priority: a company with four thousand waits exactly as long as one with three.
- The name is a legal entity
- DOL prints whatever went on the form, and here that name ranks 27. A group that files through several subsidiaries appears as several rows, and one that files everything through a parent appears once, so a rank is a rank among printed names rather than among companies.
- A median over 1,012 decided cases
- The queue is national and first in, first out, so this figure follows when the cases were filed as much as it follows the sponsor.
- Two sources, and they do not add up
- The filing counts come from DOL's disclosure files, where every row already carries a decision date, so nothing pending is in them. The queue figures come from a live per-case tracker with its own coverage and its own as-of date. Subtracting one from the other gives a number that means nothing. The worksite on most of these is TX. Where the queue stands overall is on the processing times page.
The window these figures cover: DOL's PERM disclosure files for fiscal years 2024 to 2026, through the third quarter of 2026, 373,939 decided cases. Nothing pending is counted here. How each figure is built
Case data: DOL quarterly disclosure files (flag.dol.gov) · data through Jun 30, 2026 · quarterly
Employers and firms: Derived from DOL's disclosure files · data through Jun 30, 2026 · rebuilt with each quarterly load
Per-case statuses: flag.dol.gov/recaptcha/caseStatus (DOL, direct) · data through Oct 20, 2026 · daily
What each source includes
Case data: Decided PERM cases only. A case still waiting isn't in here, so counts and durations describe finished cases.
Employers and firms: Employers, law firms and occupations ranked from decided cases only.
Per-case statuses: Every PERM case DOL indexes, pending included. No wage, law firm or worksite: DOL reveals those only when a case is published.