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PERM sponsor, #638 of 70,985 by filings

Sanford Health

Main job
Medical and Clinical Laboratory Technologists · 48% of its filings
Main worksite
Fargo, ND · 32% of its filings
Industry
General Medical and Surgical Hospitals · NAICS 622110

Waiting on a case with Sanford Health?

  • 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

This rate is level with the field

Over 57 decided filings, this rate can't be told apart from the field in either direction.

Why

The 95% interval runs up to a 6.3% denial rate, which still covers the 3.20% the field as a whole records.

Filings

60

#638 of 70,985

Certified

57

0 denied

Approval

100.0%

field 96.8%

Median wage

$50,440

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.

In the queue right now 58 cases in the live tracker

Nothing for this sponsor is waiting on a decision. All 58 of their cases in the live tracker are closed.

All 58 of this sponsor's cases in DOL's live status are decided: nothing of theirs is in the queue. Live case tracker, as of October 21, 2026

Follow Sanford Health

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.

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. Every employer

    median of 30,133 decisions in the same 90 days

    302 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 80,340 cases, and would be decided around March 19, 2027 (between February 27, 2027 and April 28, 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)
60 published
0 pending
$50,440 median, n=60
Prevailing wage requests
41 published
0 pending
$46,821 median, n=41
H-1B labor condition applications
259 published
0 pending
$62,920 median, n=259

Its median H-1B wage is $62,920 across 259 LCAs, 25% higher than its median PERM wage of $50,440 across 60 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 Health, newest first. Decided ones carry the wage from DOL's quarterly files.

Wage requests

  • P-100-25212-213449 Medical Laboratory Scientist $52,790 per year 2025-07-31 · DETERMINATION ISSUED
  • P-100-25196-176265 Medical Laboratory Scientist $57,387 per year 2025-07-15 · DETERMINATION ISSUED
  • P-100-25196-176249 Medical Laboratory Scientist $57,387 per year 2025-07-15 · DETERMINATION ISSUED
  • P-100-25195-171951 Medical Laboratory Scientist $41,870 per year 2025-07-14 · DETERMINATION ISSUED
  • P-100-25167-097195 Medical Laboratory Scientist $57,387 per year 2025-06-16 · DETERMINATION ISSUED

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: 259 LCAs filed by Sanford Health, 252 of them certified with the worker breakdown on Form ETA-9035.

New hires and transfers

142 positions for new employment, 15 moving here from another employer.

  • New employment 7a 142 · 56%
  • Change of employer 7e 15 · 6%
  • Continuing 7b 68 · 27%
  • Change in previous employment 7c 8 · 3%
  • Concurrent employment 7d 0 · 0%
  • Amended petition 7f 19 · 8%

Shares of the 252 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 36 · 14%
  • Level II 185 · 73%
  • Level III 12 · 5%
  • Level IV 19 · 8%

Shares of the 252 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 252 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 December 9, 2025. Declared H-1B-dependent on 0 of 244 LCAs, and a willful violator on 0 of 259. 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 approval rate

    100.0% of 57 decided PERM cases

    Higher than 67% of the 1,343 sponsors with 30 or more decided cases.

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

    35 certified in the last 24 months

    Higher than 90% of the 27,902 sponsors with a certified LCA in the last 24 months.

  • Share of H-1B positions that were transfers

    0.0% of 51 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

    12% of 51 certified LCAs with a level, LCAs decided Jun 2024 to Jun 2026

    Higher than 29% of the 5,177 sponsors with 20 or more leveled LCAs.

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

    97.0% of 67 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

100.0%ahead of 34%, level with 891 more

0% 100%

Median days to decision

456 daysahead of 61%

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. The line marks this one.
DOL PERM disclosure files

Against the sponsors ranked nearest

The 120 sponsors ranked nearest filed between 56 and 65 filings.

Their median wait
468 days
This one
456 days

This one sits 12 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 638 of 70,985 by volume: 637 filed at least as many filings, and 70,347 filed no more.

Just above
Medidata Solutions, Inc. 60 filings
Just below
Unity Technologies SF 60 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.

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 · 29 filings, 48% of everything they file

How this is counted

These are the 5 occupations with the most filings, 36 of 60 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 · 60 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

  • North Dakota 32
  • South Dakota 18
  • Iowa 5
  • Minnesota 5
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 60 of 60 filings.

Where the work is

  • Fargo, ND 19
  • Sioux Falls, SD 12
  • Bismarck, ND 8
  • Sheldon, IA 5
  • Mayville, ND 4
  • Brandon, SD 3
How this is counted

The worksite city on the application, which is where the job is. These 6 cities cover 51 of 60 filings.

Newspapers it advertised in

  1. Fargo Forum

    23 cases

  2. Argus Leader

    16 cases

  3. Bismarck Tribune

    9 cases

  4. The N'West Iowa Review

    4 cases

  5. Marshall Independent

    2 cases

  6. Grand Forks Herald

    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. Campus placement offices

    57 cases

  2. The employer's website

    57 cases

  3. Job search websites

    57 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

    33%

  4. 90 to 119 days

    40%

  5. 120 to 149 days

    21%

  6. 150 to 180 days

    5.3%

  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 2022

72 PERM decisions from FY2022 to FY2026, busiest in FY2025 with 32.

  • 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
FY2022 5 0 1
FY2023 4 2 0
FY2024 24 0 3
FY2025 32 0 0
FY2026 1 0 0

Decided in FY2016 to FY2023

All 12. Case numbers from these years start with A-; look one up for DOL's full record.

Case Decided Outcome Job Offered wage
A-22245-16189 2023-08-02 denied Medical Laboratory Scientist, ND $54,080
A-22245-16153 2023-08-02 denied Medical Laboratory Scientist, ND $54,080
A-22249-17279 2023-07-28 certified Speech Therapist, MN $66,560
A-22244-15704 2023-07-19 certified Software Engineer, SD $64,480
A-22244-15683 2023-07-19 certified Software Engineer, SD $64,480
A-22244-15721 2023-07-14 certified Software Engineer, SD $64,480
A-22244-15793 2022-09-02 withdrawn Medical Laboratory Scientist, ND $54,080
A-21174-05906 2022-01-20 certified Software Development Manager, SD $130,978
The other 4
A-21175-07376 2021-12-06 certified Medical Laboratory Scientist, SD $48,734
A-21175-07372 2021-12-06 certified Pathology Technician, ND $45,718
A-21175-07364 2021-12-06 certified Pathology Technician, ND $45,718
A-21175-07315 2021-12-06 certified Pathology Technician, ND $45,718

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 4
  • India 2
  • Azerbaijan 1
  • China 1
  • Ghana 1
  • Nepal 1

Worker's education

  • Bachelor's 11
  • Master's 1

Visa held when filed

  • H-1B 12

Schools

  • SAN PEDRO COLLEGE 3
  • JAWAHARLAL NEHRU TECHNOLOGICAL UNIVERSITY 1
  • MGH INSTITUTE OF HEALTH PROFESSIONS 1
  • MINNESOTA STATE UNIVERSITY 1
  • MINNESOTA STATE UNIVERSITY MOORHEAD 1
  • NORTH DAKOTA STATE UNIVERSITY 1

Fields of study

  • COMPUTER SCIENCE 4
  • MEDICAL LABORATORY SCIENCE 4
  • BIOCHEMISTRY AND MOLECULAR BIOLOGY 1
  • BIOLOGY 1
  • HEALTH AND MEDICAL SCIENCES 1
  • SPEECHLANGUAGE PATHOLOGY 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 #638 counts this page's cases only.

88 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, 29 of 60. 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 60 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 638. 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 57 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 ND. 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 21, 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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