Updated
PERM sponsor, #1,032 of 70,985 by filings
Mercy Clinic Springfield Communities
Mercy Clinic Springfield Communities sponsors green cards: it filed 5 PERM cases in the last 12 months, the newest on May 4, 2026. Mercy Clinic Springfield Communities has 4 PERM cases waiting with DOL.
- Main job
- General Internal Medicine Physicians · 38% of its filings
- Main worksite
- Springfield, MO · 87% of its filings
- Industry
- General Medical and Surgical Hospitals · NAICS 622110
Waiting on a case with Mercy Clinic Springfield Communities?
- When it'll likely be decided
- An email when DOL moves it
This rate is level with the field
Over 38 decided filings, this rate can't be told apart from the field in either direction.
Why
The 95% interval runs up to a 9.2% denial rate, which still covers the 3.20% the field as a whole records.
Filings
39
#1,032 of 70,985
Certified
38
0 denied
Approval
100.0%
field 96.8%
Median wage
$300,000
offered, per year
Median days
439
27 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.
Waiting on a decision
4
of 36 tracked cases. The other 32 have been decided.
The oldest one still waiting was filed March 3, 2026, 7 months ago.
Where those 4 are standing
- ANALYST REVIEW
- 4100%
A Department of Labor analyst has the application. This is the main queue, and it is where most pending PERM cases sit.
None of this changes one case's wait: DOL works one national line. Where DOL is working now is the figure that does.
Follow Mercy Clinic Springfield Communities
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-100-26124-863247 Hospitalist filed 2026-05-04 · ANALYST REVIEW
- G-100-26104-790536 Family Medicine Physician filed 2026-04-14 · ANALYST REVIEW
- G-100-26104-790399 Psychiatrist filed 2026-04-14 · ANALYST REVIEW
- G-100-26062-676795 Critical Care/Intensivist Pediatrician filed 2026-03-03 · ANALYST REVIEW
- G-100-25328-432623 Hospitalist-Nocturnist filed 2025-11-24 · CERTIFIED
- G-100-25182-144440 Family Medicine Physician filed 2025-06-30 · CERTIFIED
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 28,615 decisions in the same 90 days
Only 1 of their cases was 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 81,062 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)
- 39 published
- 4 pending
- $300,000 median, n=39
- Prevailing wage requests
- 28 published
- 3 pending
- $172,910 median, n=28
- H-1B labor condition applications
- 172 published
- 0 pending
- $208,000 median, n=172
Its median H-1B wage is $208,000 across 172 LCAs, 30.7% lower than its median PERM wage of $300,000 across 39 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 Mercy Clinic Springfield Communities, newest first. Decided ones carry the wage from DOL's quarterly files.
Wage requests
- P-100-26286-297594 Internal Medicine Physician 2026-10-13 · IN PROCESS
- P-100-26282-290514 Hospitalist 2026-10-09 · IN PROCESS
- P-100-26282-290509 Family Medicine Physician 2026-10-09 · IN PROCESS
- P-100-25245-279896 Family Medicine Physician $79,477 per year 2025-09-02 · DETERMINATION ISSUED
- P-100-25245-279890 Family Medicine Physician $239,200 per year 2025-09-02 · DETERMINATION ISSUED
H-1B LCAs
- I-200-26141-938127 Internal Medicine Physician $259,834 per year 2026-05-21 · CERTIFIED
- I-200-26141-936883 Hospitalist $239,200 per year 2026-05-21 · CERTIFIED
- I-200-26127-882304 Internal Medicine Physician- Primary Care $239,200 per year 2026-05-07 · CERTIFIED
- I-200-26092-751646 Neurologist Epileptologist $239,200 per year 2026-04-02 · CERTIFIED
- I-200-26092-751610 Family Medicine Physician $239,200 per year 2026-04-02 · 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: 172 LCAs filed by Mercy Clinic Springfield Communities, 157 of them certified with the worker breakdown on Form ETA-9035.
New hires and transfers
53 positions for new employment, 15 moving here from another employer.
- New employment 7a 53 · 34%
- Change of employer 7e 15 · 10%
- Continuing 7b 66 · 42%
- Change in previous employment 7c 3 · 2%
- Concurrent employment 7d 2 · 1%
- Amended petition 7f 19 · 12%
Shares of the 157 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 2 · 4%
- Level II 37 · 69%
- Level III 15 · 28%
- Level IV 0 · 0%
Shares of the 54 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; 103 of 157 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
- No
- Found a willful violator
- No
As answered on its newest LCA, filed May 21, 2026. Declared H-1B-dependent on 0 of 167 LCAs, and a willful violator on 0 of 172. 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
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
100.0% of 38 decided PERM cases
Higher than 67% of the 1,343 sponsors with 30 or more decided cases.
PERM filings in the last 12 months
5 filed in the last 12 months
Higher than 80% of the 13,946 sponsors that filed in the last 12 months.
H-1B LCAs certified in the last 24 months
36 certified in the last 24 months
Higher than 90% of the 27,903 sponsors with a certified LCA in the last 24 months.
Share of H-1B positions that were transfers
2.6% of 38 certified H-1B positions, LCAs decided Jun 2024 to Jun 2026
Higher than 11% of the 5,558 sponsors with 20 or more certified positions.
USCIS H-1B approval rate, last 3 fiscal years
100.0% of 43 USCIS decisions
Higher than 80% of the 5,810 sponsors with 20 or more USCIS decisions.
Approval rate
100.0%ahead of 34%, level with 891 more
Median days to decision
439 daysahead of 74%
Each bar counts sponsors at that value. More
Against the sponsors ranked nearest
The 120 sponsors ranked nearest filed between 38 and 41 filings.
- Their median wait
- 464 days
- This one
- 439 days
This one sits 25 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 1,032 of 70,985 by volume: 1,031 filed at least as many filings, and 69,953 filed no more.
- Just above
- COPART, INC 39 filings
- Just below
- 10x Genomics, Inc. 39 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 General Internal Medicine Physicians, the occupation this sponsor files for most.
- #764 South Sound Inpatient Physicians, PLLC 52 filings · none denied
- #930 Northeast Medical Group, Inc. 43 filings · none denied
- #853 Geisinger Clinic 46 filings · none denied
- #1,265 Hospitalist Medicine Physicians of Texas, PLLC 33 filings · none denied
- #1,176 MedStar Medical Group II, LLC 35 filings · none denied
- #1,006 Hartford HealthCare Medical Group, Inc. 40 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
General Internal Medicine Physicians
SOC 29-1216.00 · 15 filings, 38% of everything they file
- Family Medicine Physicians 29-1215.008
- Physicians, All Other 29-1229.005
- Pediatricians, General 29-1221.002
- Cardiologists 29-1212.001
- Emergency Medicine Physicians 29-1214.001
How this is counted
These are the 6 occupations with the most filings, 32 of 39 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
General Medical and Surgical Hospitals
NAICS 622110 · 31 filings
- Offices of Physicians 621117
- Offices of Physicians (except Mental Health Specialists) 6211111
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
- Missouri 39
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 39 of 39 filings.
Where the work is
- Springfield, MO 34
- Lebanon, MO 2
- Rolla, MO 2
- Nixa, MO 1
How this is counted
The worksite city on the application, which is where the job is. These 4 cities cover 39 of 39 filings.
Who files for them
- Miller Mayer, LLP 31 filings · 100.0% approved
- Siskind Susser PC 8 filings
How this is counted
The law firm named on the application. 39 of 39 filings, 100% of the total.
Newspapers it advertised in
- 28 cases
Springfield News-Leader
- 1 cases
St. Louis Post-Dispatch
- 1 cases
Sunday News-Leader/SL Post-Dispatch
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
- 30 cases
Job search websites
- 29 cases
Trade or professional organizations
- 23 cases
Job fairs
- 7 cases
Private employment firms
- 1 cases
Local or ethnic newspapers
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
- 10%
60 to 89 days
- 43%
90 to 119 days
- 13%
120 to 149 days
- 33%
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 2012
132 PERM decisions from FY2012 to FY2026, busiest in FY2026 with 14.
- 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 |
|---|---|---|---|
| FY2012 | 2 | 0 | 0 |
| FY2013 | 13 | 0 | 0 |
| FY2014 | 11 | 0 | 0 |
| FY2015 | 7 | 0 | 0 |
| FY2016 | 12 | 0 | 1 |
| FY2017 | 8 | 0 | 0 |
| FY2018 | 10 | 0 | 0 |
| FY2019 | 13 | 0 | 0 |
| FY2020 | 10 | 0 | 0 |
| FY2021 | 1 | 0 | 0 |
| FY2022 | 2 | 0 | 1 |
| FY2023 | 2 | 0 | 0 |
| FY2024 | 11 | 0 | 1 |
| FY2025 | 13 | 0 | 0 |
| FY2026 | 14 | 0 | 0 |
Decided in FY2016 to FY2023
The 25 most recent of 60. Case numbers from these years start with A-; look one up for DOL's full record.
| Case | Decided | Outcome | Job | Offered wage |
|---|---|---|---|---|
| A-22216-99886 | 2023-05-25 | certified | Hospitalist Physician, MO | $312,799 |
| A-22069-22874 | 2022-11-25 | certified | Pediatric Critical Care Physician, MO | $295,920 |
| A-22151-63547 | 2022-08-09 | withdrawn | Hospitalist Physician, MO | $312,799 |
| A-21189-14335 | 2022-04-05 | certified | Pediatrician, MO | $137,405 |
| A-21137-87376 | 2021-11-17 | certified | Hospitalist Physician, MO | $356,354 |
| A-20210-81955 | 2021-03-19 | certified | Pediatrician, MO | $240,000 |
| A-20091-37220 | 2020-09-23 | certified | Hospitalist Physician, MO | $360,617 |
| A-20091-37195 | 2020-09-23 | certified | Hospitalist Physician, MO | $360,617 |
The other 17
| A-20091-37172 | 2020-09-23 | certified | Hospitalist Physician, MO | $360,617 |
| A-20091-37302 | 2020-09-14 | certified | Nocturnist, MO | $356,354 |
| A-20091-37239 | 2020-09-14 | certified | Nocturnist, MO | $356,354 |
| A-19225-43502 | 2020-06-18 | certified | Internal Medicine Physician, MO | $130,645 |
| A-19225-43771 | 2020-05-21 | certified | Neurologist, MO | $208,000 |
| A-19225-43499 | 2020-05-18 | certified | Internal Medicine/Hospitalist, MO | $135,928 |
| A-19226-44372 | 2020-05-05 | certified | Plastic and Reconstructive Surgeon, MO | $208,000 |
| A-19224-43224 | 2020-05-05 | certified | Critical Care/Intensivist, MO | $208,000 |
| A-19135-05461 | 2019-07-31 | certified | Family Medicine Physician, MO | $220,000 |
| A-18290-30193 | 2019-05-02 | certified | Nocturnist/Hospitalist Physician, MO | $208,000 |
| A-18290-30176 | 2019-03-29 | certified | Critical Care / Intensivist, MO | $208,000 |
| A-18312-39121 | 2019-03-26 | certified | Critical Care Physician, MO | $208,000 |
| A-18311-38734 | 2019-03-22 | certified | Hospitalist, MO | $114,982 |
| A-18310-38231 | 2019-03-22 | certified | Hospitalist, MO | $114,982 |
| A-18311-38506 | 2019-03-21 | certified | Vascular Surgeon, MO | $208,000 |
| A-18311-38484 | 2019-03-21 | certified | Interventional Cardiologist, MO | $208,000 |
| A-18310-38302 | 2019-03-21 | certified | Hospitalist, MO | $114,982 |
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
- India 33
- Nigeria 6
- Canada 3
- Burma (myanmar) 2
- Egypt 2
- Ghana 2
Worker's education
- Other 60
Visa held when filed
- H-1B 53
- J-1 6
- TPS 1
Schools
- ANDHRA MEDICAL COLLEGE 2
- BARODA MEDICAL COLLEGE AND SSG HOSPITAL 2
- COLLEGE OF MEDICINE, UNIVERSITY OF IBADAN 2
- DR. VAISHAMPAYAN MEMORIAL GOVERNMENT MEDICAL COLLEGE 2
- GOVERNMENT MEDICAL COLLEGE 2
- NEPALGUNJ MEDICAL COLLEGE 2
Fields of study
- MEDICINE 59
- OSTEOPATHIC MEDICINE 1
Notes on these numbers
What these numbers don't say
5 notes
- The wage is the job, not the payer
- Their filings are led by General Internal Medicine Physicians, 15 of 39. 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 39 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 1,032. 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 38 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 MO. 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 19, 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.