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PERM sponsor, #8,435 of 70,985 by filings

Spectrum Health Primary Care Partners

Main job
Physicians, All Other · 40% of its filings
Main worksite
Grand Rapids, MI · 80% of its filings
Industry
Offices of Physicians · NAICS 62111

Waiting on a case with Spectrum Health Primary Care Partners?

  • 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

4 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

5

#8,435 of 70,985

Certified

4

0 denied

Approval

Not shown

withheld: 4 decided

Median wage

$347,257

offered, per year

Median days

481

middle of 4 decided

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 9 cases in the live tracker

Nothing for this sponsor is waiting on a decision. All 9 of their cases in the live tracker are closed.

All 9 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 25, 2026

Follow Spectrum Health Primary Care Partners

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 32,343 decisions in the same 90 days

    301 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 79,966 cases, and would be decided around March 23, 2027 (between March 3, 2027 and May 2, 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)
5 published
0 pending
5 wages, under the floor
Prevailing wage requests
4 published
0 pending
4 wages, under the floor
H-1B labor condition applications
149 published
0 pending
$179,192 median, n=149

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, read under the 3 spellings DOL's files use for it; 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 Spectrum Health Primary Care Partners, newest first. Decided ones carry the wage from DOL's quarterly files.

Wage requests

  • P-100-24305-444964 Physician - Vascular Neurology $162,968 per year 2024-10-31 · DETERMINATION ISSUED
  • P-100-24304-443742 Physician - Neurocritical Care $162,968 per year 2024-10-30 · DETERMINATION ISSUED
  • P-100-24278-386764 Physician - Hospitalist $80,642 per year 2024-10-04 · DETERMINATION ISSUED
  • P-100-23265-370891 Physician - Hospitalist $142,106 per year 2023-09-22 · DETERMINATION ISSUED
  • P-100-22293-542179 Pulmonary/Critical Care Physician 2022-10-20 · 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: 149 LCAs filed by Spectrum Health Primary Care Partners, 134 of them certified with the worker breakdown on Form ETA-9035.

New hires and transfers

56 positions for new employment, 9 moving here from another employer.

  • New employment 7a 56 · 42%
  • Change of employer 7e 9 · 7%
  • Continuing 7b 62 · 46%
  • Change in previous employment 7c 1 · 1%
  • Concurrent employment 7d 1 · 1%
  • Amended petition 7f 10 · 7%

Shares of the 134 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 6 · 6%
  • Level II 54 · 52%
  • Level III 32 · 31%
  • Level IV 11 · 11%

Shares of the 103 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; 31 of 134 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 April 7, 2026. Declared H-1B-dependent on 0 of 138 LCAs, and a willful violator on 0 of 149. 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.

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

    21 certified in the last 24 months

    Higher than 84% of the 27,833 sponsors with a certified LCA in the last 24 months.

  • Share of H-1B positions that were transfers

    21% of 24 certified H-1B positions, LCAs decided Jun 2024 to Jun 2026

    Higher than 67% of the 5,558 sponsors with 20 or more certified positions.

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

    29% of 24 certified LCAs with a level, LCAs decided Jun 2024 to Jun 2026

    Higher than 47% of the 5,177 sponsors with 20 or more leveled LCAs.

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

Approval rate

not shownunder 30 decided

0% 100%

Median days to decision

481 daysmiddle of 4 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 4 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 5 filings each.

Their median wait
487 days
This one
481 days

This one sits 6 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 8,435 of 70,985 by volume: 8,434 filed at least as many filings, and 62,550 filed no more.

Just above
Liebherr-America, Inc. 5 filings
Just below
SUVODA LLC 5 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 Physicians, All Other, 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

Physicians, All Other

SOC 29-1229.00 · 2 filings, 40% of everything they file

How this is counted

These are the 3 occupations with the most filings, 4 of 5 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

Offices of Physicians

NAICS 62111, 6211 · 3 filings

  • Offices of Physicians (except Mental Health Specialists) 6211112
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

  • Michigan 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. This state covers 5 of 5 filings.

Where the work is

  • Grand Rapids, MI 4
  • Big Rapids, MI 1
How this is counted

The worksite city on the application, which is where the job is. These 2 cities cover 5 of 5 filings.

Newspapers it advertised in

  1. The Grand Rapids Press

    5 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

    5 cases

  2. Job search websites

    5 cases

  3. Local or ethnic newspapers

    5 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

    40%

  4. 90 to 119 days

    20%

  5. 120 to 149 days

    40%

  6. 150 to 180 days

    0.0%

  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 2015

30 PERM decisions from FY2015 to FY2026, busiest in FY2018 with 8.

  • 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
FY2015 1 0 0
FY2016 0 0 0
FY2017 0 0 0
FY2018 8 0 0
FY2019 3 0 1
FY2020 1 0 0
FY2021 7 0 0
FY2022 3 0 0
FY2023 1 0 0
FY2024 1 0 0
FY2025 2 0 1
FY2026 1 0 0

Decided in FY2016 to FY2023

All 24. Case numbers from these years start with A-; look one up for DOL's full record.

Case Decided Outcome Job Offered wage
A-21299-63440 2023-05-18 certified Certified Orthoptist, MI $77,443
A-21273-52400 2022-05-13 certified Physician, Orthopedic Health, MI $102,211
A-21190-14980 2022-02-28 certified Physician, Family Practice, MI $141,336
A-21190-14755 2022-02-25 certified Physician, Family Practice, MI $141,336
A-20269-04004 2021-06-10 certified Neurohospitalist, MI $304,138
A-20274-05895 2021-06-07 certified Physician, Infectious Disease, MI $250,286
A-20274-05990 2021-05-10 certified Clinical Neurosciences – Neurovascular Physician, MI $305,011
A-20167-65634 2021-02-03 certified Physician, Primary Care, MI $130,603
The other 16
A-20134-53853 2021-02-02 certified Pediatric Endocrinologist, MI $187,574
A-20157-62219 2020-12-22 certified Physician, Primary Care, MI $130,603
A-20134-54184 2020-11-18 certified Physician, Pulmonary Critical Care, MI $249,600
A-20084-34309 2020-09-15 certified Acute Care Hospitalist, MI $311,002
A-19080-83788 2019-05-23 certified Physician, Primary Care- Internal Medicine, MI $217,006
A-18320-42344 2019-03-01 certified Physician, Diabetes/Endocrine, MI $250,016
A-18292-30948 2019-02-27 certified Physician, Pediatric Cardiologist, MI $270,670
A-18305-36326 2018-11-16 withdrawn Physician, Diabetes/Endocrine, MI $250,016
A-18018-32558 2018-05-30 certified Physician, Cardiovascular Services - Cardiothoracic Surgery, MI $544,107
A-17362-26007 2018-05-18 certified Physician, Neurosciences-Neurovascular Stroke, MI $305,000
A-17350-22458 2018-05-16 certified Head and Neck Oncology and Microvascular Surgeon, MI $403,000
A-18003-26981 2018-05-16 certified Physician - Rheumatology, MI $250,000
A-17312-08363 2018-04-18 certified Physician, Acute Care Health - Critical Care Services, MI $238,500
A-17298-02823 2018-04-16 certified Hospitalist, MI $252,221
A-17326-13393 2018-04-16 certified Physician, Acute Care Health-Critical Care Services, MI $265,000
A-17248-83593 2018-02-08 certified Physician, Clinical Neuroscience - Neurocritical Care, MI $360,797

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

  • Canada 7
  • Syria 5
  • India 4
  • Czech Republic 1
  • Dominican Republic 1
  • Israel 1

Worker's education

  • Other 23
  • Bachelor's 1

Visa held when filed

  • H-1B 18
  • TPS 3
  • J-1 2
  • O-1 1

Schools

  • ALEPPO UNIVERSITY 2
  • MCGILL UNIVERSITY 2
  • 3RD FACULTY OF MEDICINE, CHARLES UNIVERSITY IN PRAGUE 1
  • BHASKAR MEDICAL COLLEGE 1
  • DAMASCUS UNIVERSITY 1
  • DR. NTR UNIVERSITY OF HEALTH SCIENCE 1

Fields of study

  • MEDICINE 19
  • OSTEOPATHIC MEDICINE 2
  • GENERAL MEDICINE 1
  • MEDICAL DOCTOR 1
  • VISION SCIENCE 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 11 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 #8,435 counts this page's cases only.

13 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 Physicians, All Other, 2 of 5. 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 5 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 8,435. 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 4 decided cases
That’s a middle of a handful, and it moves entirely with which months those few cases were filed in.
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 MI. 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 25, 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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