PERM Tracker
Live DOL data · Automatic deadlines
Skip to main content

Updated

PERM sponsor, #249 of 70,985 by filings

West Tennessee Healthcare

West Tennessee Healthcare sponsors green cards: it filed 41 PERM cases in the last 12 months, the newest on August 29, 2026. West Tennessee Healthcare has 41 PERM cases waiting with DOL.

Main job
Nursing Assistant · 45% of its filings
Main worksite
Jackson, TN · 100% of its filings
Industry
General Medical and Surgical Hospitals · NAICS 622110

Waiting on a case with West Tennessee Healthcare?

  • 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

Filings

154

#249 of 70,985

Certified

99

48 denied

Approval

67.3%

field 96.8%

Median wage

$31,200

offered, per year

Median days

398

68 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 177 cases in the live tracker

Waiting on a decision

41

of 177 tracked cases. The other 136 have been decided.

The oldest one still waiting was filed March 23, 2026, 7 months ago.

Where those 41 are standing

ANALYST REVIEW
41100%

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 177 of this sponsor's cases: read this share against 177, never against the lifetime filings above. Live case tracker, as of October 24, 2026

Follow West Tennessee Healthcare

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. Every employer

    median of 32,341 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 79,663 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)
154 published
41 pending
$31,200 median, n=154
Prevailing wage requests
18 published
0 pending
$37,794 median, n=18
H-1B labor condition applications
19 published
0 pending
$432,640 median, n=19

Its median H-1B wage is $432,640 across 19 LCAs, 1287% higher than its median PERM wage of $31,200 across 154 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, read under the 2 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 West Tennessee Healthcare, 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: 19 LCAs filed by West Tennessee Healthcare, 19 of them certified with the worker breakdown on Form ETA-9035.

New hires and transfers

17 positions for new employment, 1 moving here from another employer.

  • New employment 7a 17 · 71%
  • Change of employer 7e 1 · 4%
  • Continuing 7b 5 · 21%
  • Change in previous employment 7c 0 · 0%
  • Concurrent employment 7d 0 · 0%
  • Amended petition 7f 1 · 4%

Shares of the 24 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 1 · 17%
  • Level II 4 · 67%
  • Level III 1 · 17%
  • Level IV 0 · 0%

Shares of the 6 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; 13 of 19 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 February 20, 2025. Declared H-1B-dependent on 0 of 16 LCAs, and a willful violator on 0 of 19. 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

    67.3% of 147 decided PERM cases

    Higher than 2% of the 1,343 sponsors with 30 or more decided cases.

  • PERM filings in the last 12 months

    41 filed in the last 12 months

    Higher than 98% of the 14,051 sponsors that filed in the last 12 months.

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

    1 certified in the last 24 months

    Higher than 13% of the 27,861 sponsors with a certified LCA in the last 24 months.

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

Approval rate

67.3%ahead of 2%

0% 100%

Median days to decision

398 daysahead of 90%

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 119 and 202 filings.

Their median wait
470 days
This one
398 days

This one sits 72 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 249 of 70,985 by volume: 248 filed at least as many filings, and 70,736 filed no more.

Just above
Roblox Corporation 154 filings
Just below
Okta, Inc. 154 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 Nursing Assistant, 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

Nursing Assistant

SOC 31-1131.00 · 69 filings, 45% of everything they file · 30.4% approved

How this is counted

These are the 2 occupations with the most filings, 76 of 154 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 · 153 filings

  • Offices of Physicians 621111
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

  • Tennessee 154
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 154 of 154 filings.

Where the work is

  • Jackson, TN 154
How this is counted

The worksite city on the application, which is where the job is. This city covers 154 of 154 filings.

Who files for them

  1. WorldWide HealthStaff Solutions, LTD. 153 filings · 67.1% approved
  2. Siskind Susser PC 1 filings
How this is counted

The law firm named on the application. 154 of 154 filings, 100% of the total.

Newspapers it advertised in

  1. Jackson Sun

    136 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. Job search websites

    1 cases

  2. Private employment firms

    1 cases

  3. Trade or professional organizations

    1 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

    3.7%

  4. 90 to 119 days

    66%

  5. 120 to 149 days

    30%

  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 2023

173 PERM decisions from FY2023 to FY2026, busiest in FY2024 with 96.

  • 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
FY2023 0 0 19
FY2024 96 0 0
FY2025 0 0 1
FY2026 3 48 6

Decided in FY2016 to FY2023

All 19. Case numbers from these years start with A-; look one up for DOL's full record.

Case Decided Outcome Job Offered wage
A-23031-95181 2023-06-09 withdrawn Patient Care Technician, TN $31,200
A-23031-95180 2023-06-09 withdrawn NURSING ASSISTANT, TN $31,200
A-23031-95177 2023-06-09 withdrawn Nursing Assistant, TN $31,200
A-23027-94341 2023-06-09 withdrawn NURSING ASSISTANT, TN $31,200
A-23027-94328 2023-06-09 withdrawn NURSING ASSISTANT, TN $31,200
A-23027-94327 2023-06-09 withdrawn NURSING ASSISTANT, TN $31,200
A-23027-94326 2023-06-09 withdrawn NURSING ASSISTANT, TN $31,200
A-23027-94325 2023-06-09 withdrawn NURSING ASSISTANT, TN $31,200
The other 11
A-23027-94324 2023-06-09 withdrawn NURSING ASSISTANT, TN $31,200
A-22332-63878 2023-06-09 withdrawn Patient Care Technician, TN $31,200
A-22332-63847 2023-06-09 withdrawn Patient Care Technician, TN $31,200
A-22332-63843 2023-06-09 withdrawn Patient Care Technician, TN $31,200
A-22332-63838 2023-06-09 withdrawn Patient Care Technician, TN $31,200
A-22332-63835 2023-06-09 withdrawn Patient Care Technician, TN $31,200
A-22332-63829 2023-06-09 withdrawn Patient Care Technician, TN $31,200
A-22332-63825 2023-06-09 withdrawn Patient Care Technician, TN $31,200
A-22332-63823 2023-06-09 withdrawn Patient Care Technician, TN $31,200
A-22332-63820 2023-06-09 withdrawn Patient Care Technician, TN $31,200
A-22332-63797 2023-06-09 withdrawn Patient Care Technician, TN $31,200

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

  • Ghana 8
  • Nigeria 3
  • Pakistan 3
  • Gambia 2
  • Rwanda 2
  • Malawi 1

Worker's education

  • Bachelor's 18
  • Master's 1

Schools

  • UNIVERSITY OF CAPE COAST 3
  • CENTRAL UNIVERSITY COLLEGE 2
  • AMERICAN INTERNATIONAL UNIVERSITY WEST AFRICA 1
  • DAEYANG INTERNATIONAL UNIVERSITY COLLEGE OF NURSING 1
  • DOW UNIVERSITY OF HEALTH SCIENCE 1
  • ISTANBUL SABAHATTIN ZAIM UNIVERSITY 1

Fields of study

  • NURSING 19

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 Nursing Assistant, 69 of 154. 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 154 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 249. 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 147 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 TN. 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 24, 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.

Cite this page