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PERM sponsor, #1,454 of 70,985 by filings

Sanford Clinic

Sanford Clinic sponsors green cards: it filed 35 PERM cases in the last 12 months, the newest on August 18, 2026. Sanford Clinic has 19 PERM cases waiting with DOL.

Main job
General Internal Medicine Physicians · 34% of its filings
Main worksite
Sioux Falls, SD · 66% of its filings
Industry
General Medical and Surgical Hospitals · NAICS 622110

Waiting on a case with Sanford Clinic?

  • When it'll likely be decided
  • An email when DOL moves it

It's on your ETA-9089 receipt. It goes into the page's address, so you can bookmark the result.

Don't have the number? Find it among their filings.

Or follow this employer by email

Too few cases for a rate

27 decided filings: too few for an approval rate.

Why

Across every PERM case DOL decided in this window, 3.20% were denied. At that rate a file this size comes back clean most of the time whatever the sponsor did, so a percentage would be a fact about how few cases there are. Telling a clean record apart from the field takes about 117 decided cases.

Filings

29

#1,454 of 70,985

Certified

27

0 denied

Approval

Not shown

withheld: 27 decided

Median wage

$336,000

offered, per year

Median days

457

9 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.

In the queue right now 62 cases in the live tracker

Waiting on a decision

19

of 62 tracked cases. The other 43 have been decided.

The oldest one still waiting was filed January 16, 2026, 9 months ago.

Where those 19 are standing

ANALYST REVIEW
19100%

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.

From DOL's live status of 62 of this sponsor's cases: read this share against 62, never against the lifetime filings above. Live case tracker, as of October 22, 2026

Follow Sanford Clinic

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.

You confirm by email first. One click turns it off.

Its newest filings

Filed since DOL's last quarterly file, so the wage and law firm aren't published yet.

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

  1. Sanford Clinic

    median of 15 decisions in the last 90 days

    287 days

  2. Every employer

    median of 31,475 decisions in the same 90 days

    301 days

About the same as everyone: DOL works one national line in filing order. 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 79,834 cases, and would be decided around March 21, 2027 (between March 1, 2027 and April 30, 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)
29 published
19 pending
$336,000 median, n=29
Prevailing wage requests
102 published
9 pending
$65,146 median, n=100
H-1B labor condition applications
241 published
0 pending
$195,520 median, n=241

Its median H-1B wage is $195,520 across 241 LCAs, 41.8% lower than its median PERM wage of $336,000 across 29 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 Sanford Clinic, newest first. Decided ones carry the wage from DOL's quarterly files.

Wage requests

All wage requests by this employer

H-1B LCAs

All H-1B LCAs by this employer

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: 241 LCAs filed by Sanford Clinic, 227 of them certified with the worker breakdown on Form ETA-9035.

New hires and transfers

77 positions for new employment, 64 moving here from another employer.

  • New employment 7a 77 · 34%
  • Change of employer 7e 64 · 28%
  • Continuing 7b 74 · 33%
  • Change in previous employment 7c 1 · 1%
  • Concurrent employment 7d 1 · 1%
  • Amended petition 7f 10 · 4%

Shares of the 227 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 19 · 10%
  • Level II 2 · 1%
  • Level III 3 · 2%
  • Level IV 169 · 88%

Shares of the 193 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; 34 of 227 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 June 22, 2026. Declared H-1B-dependent on 0 of 225 LCAs, and a willful violator on 0 of 241. 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.

Each figure ranked only among sponsors with enough cases for it to mean something. No single score: they measure different things.

  • PERM filings in the last 12 months

    35 filed in the last 12 months

    Higher than 98% of the 14,027 sponsors that filed in the last 12 months.

  • H-1B LCAs certified in the last 24 months

    74 certified in the last 24 months

    Higher than 95% of the 27,873 sponsors with a certified LCA in the last 24 months.

  • Share of H-1B positions that were transfers

    45% of 109 certified H-1B positions, LCAs decided Jun 2024 to Jun 2026

    Higher than 94% of the 5,558 sponsors with 20 or more certified positions.

  • Share of H-1B LCAs at wage level III or IV

    96% of 109 certified LCAs with a level, LCAs decided Jun 2024 to Jun 2026

    Higher than 99% of the 5,177 sponsors with 20 or more leveled LCAs.

  • USCIS H-1B approval rate, last 3 fiscal years

    97.1% of 102 USCIS decisions

    Higher than 31% of the 5,810 sponsors with 20 or more USCIS decisions.

Position in the field 1,343 sponsors with 30+ decided

Approval rate

not shownunder 30 decided

0% 100%

Median days to decision

457 daysmiddle of 27 decided, too few to rank

5d 1152d
Each bar counts sponsors at that value. More
Each bar counts sponsors at that value. Sponsors with fewer than 30 decided cases are left out of the population rather than plotted, because a rate over a handful of cases lands wherever the handful landed. This sponsor has 27 decided cases, so its median days is marked but left unranked, and no approval rate is drawn at all.
DOL PERM disclosure files

Against the sponsors ranked nearest

The 120 sponsors ranked nearest filed between 28 and 30 filings.

Their median wait
458 days
This one
457 days

This one sits 1 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 1,454 of 70,985 by volume: 1,453 filed at least as many filings, and 69,531 filed no more.

Just above
EMD MILLIPORE CORPORATION 29 filings
Just below
Fractal Analytics, Inc. 29 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.

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 · 10 filings, 34% of everything they file

How this is counted

These are the 6 occupations with the most filings, 25 of 29 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, 62211 · 29 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

  • South Dakota 22
  • Minnesota 3
  • North Dakota 3
  • Oregon 1
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. These 4 states cover 29 of 29 filings.

Where the work is

  • Sioux Falls, SD 19
  • Aberdeen, SD 3
  • Fargo, ND 3
  • Worthington, MN 3
  • Klamath Falls, OR 1
How this is counted

The worksite city on the application, which is where the job is. These 5 cities cover 29 of 29 filings.

Newspapers it advertised in

  1. Argus Leader

    20 cases

  2. Fargo Forum

    3 cases

  3. Herald and News

    1 cases
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

  1. The employer's website

    24 cases

  2. Job search websites

    24 cases

  3. Trade or professional organizations

    24 cases
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

  1. Under 30 days

    0.0%

  2. 30 to 59 days

    0.0%

  3. 60 to 89 days

    25%

  4. 90 to 119 days

    21%

  5. 120 to 149 days

    38%

  6. 150 to 180 days

    17%

  7. Over 180 days

    0.0%
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.

Where every PERM employer recruits

History

Year by year since 2008

173 PERM decisions from FY2008 to FY2026, busiest in FY2012 with 20.

  • 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
FY2008 2 0 0
FY2009 1 0 0
FY2010 4 1 0
FY2011 12 1 1
FY2012 20 0 0
FY2013 11 0 0
FY2014 9 0 3
FY2015 10 0 3
FY2016 13 0 0
FY2017 6 0 0
FY2018 6 0 0
FY2019 9 0 0
FY2020 7 0 2
FY2021 16 0 0
FY2022 1 0 0
FY2023 6 0 0
FY2024 7 0 0
FY2025 15 0 1
FY2026 5 0 1

Decided in FY2016 to FY2023

The 25 most recent of 66. Case numbers from these years start with A-; look one up for DOL's full record.

Case Decided Outcome Job Offered wage
A-22201-91639 2023-07-17 certified Hospitalist, MN $273,000
A-22201-91514 2023-07-10 certified Endocrinologist, SD $270,000
A-22201-91453 2023-05-02 certified Infectious Disease Physician, SD $272,839
A-22200-91059 2023-05-02 certified Gastroenterologist, SD $580,000
A-22199-90228 2023-05-02 certified Hospitalist, SD $280,500
A-22196-89351 2023-04-20 certified Neurologist, SD $330,000
A-21333-78334 2022-07-12 certified Pediatric Neurologist, SD $276,949
A-20304-15038 2021-05-19 certified Internal Medicine Physician, SD $260,000
The other 17
A-20302-14053 2021-05-14 certified Internal Medicine Physician, MN $250,000
A-20246-95378 2021-05-04 certified General Surgeon, MN $425,000
A-20246-95400 2021-05-03 certified Neuro Hospitalist, SD $304,615
A-20246-95399 2021-05-03 certified Pediatrician, SD $250,000
A-19315-81796 2021-05-03 certified Pediatrician, SD $250,000
A-20246-95402 2021-04-16 certified Gastroenterologist, SD $550,000
A-20246-95395 2021-04-16 certified Gastroenterologist, SD $550,000
A-20240-92898 2021-04-16 certified Hematologist/Oncologist, SD $450,000
A-20240-92768 2021-04-16 certified Hospitalist, SD $280,500
A-20240-92885 2021-04-06 certified Endocrinologist, SD $270,000
A-20240-92851 2021-04-06 certified Endocrinologist, SD $270,000
A-20240-92733 2021-04-06 certified Hospitalist, SD $280,500
A-20118-47405 2020-12-01 certified Internal Medicine Physician, SD $260,000
A-20118-47655 2020-11-17 certified Hospitalist, SD $273,000
A-20118-47422 2020-10-16 certified Internal Medicine Physician, SD $260,000
A-20002-01706 2020-05-13 certified Rheumatologist, SD $260,000
A-19343-92491 2020-05-13 certified Pulmonary/Critical Care Physician, SD $467,000

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 19
  • Canada 6
  • Pakistan 5
  • Nepal 4
  • Lebanon 3
  • Thailand 3

Worker's education

  • Other 63
  • Master's 3

Visa held when filed

  • H-1B 64
  • F-1 2

Schools

  • CHULALONGKORN UNIVERSITY 3
  • ADDIS ABABA UNIVERSITY 2
  • AMERICAN UNIVERSITY OF INTEGRATIVE SCIENCES 2
  • B.P. KOIRALA INSTITUTE OF HEALTH SCIENCES 2
  • DAYANAND MEDICAL COLLEGE AND HOSPITAL 2
  • KASTURBA MEDICAL COLLEGE 2

Fields of study

  • MEDICINE 63
  • BIOINFORMATICS 1
  • BIOINFORMATICS AND BIOSTATISTICS 1
  • COMPUTER INFORMATION SYSTEMS 1

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 7 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 #1,454 counts this page's cases only.

119 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 General Internal Medicine Physicians, 10 of 29. 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 29 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 1,454. 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 27 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 SD. 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 22, 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.

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