Perm4Real part of Hire4Real

The open canonical index of U.S. employer filings

Search 200,032 employers across 17 years of Department of Labor PERM and H-1B/LCA disclosures. Filing pattern scores. Wage analysis. Open methodology.

Total PERM filings per quarter

This page is an algorithmic opinion derived from public U.S. Department of Labor records. The Filing Pattern Score is a research signal, not a legal or regulatory determination about any employer.

Showing 40 of 200,032 employers
# Company vs All vs Industry Trend (17y) Employees PERM Filings LCA Filings PERM/HC % LCA/HC % Intensity % Unique Roles Filings/Role Expiry% Deny%
1 National Healthcare Corporation
Healthcare
1st 1st of Healthcare 13,163 1,079 0 8.2% 0.0% 8.2% 11 98.1 10% 64%
2 Skilled In Management Co LLC
Healthcare
1st 1st of Healthcare 610 975 0 159.8% 0.0% 159.8% 1 356.0 95% 1%
3 PruittHealth
Healthcare
1st 1st of Healthcare 13,000 526 0 4.0% 0.0% 4.0% 5 105.2 0% 3%
4 QUEST DIAGNOSTICS
Healthcare
6th 6th of Healthcare 1,388 346 405 24.9% 29.2% 54.1% 33 10.5 6% 3%
5 Cleveland Clinic Foundation
Healthcare
7th 8th of Healthcare 58,289 321 591 0.6% 1.9% 2.5% 64 4.7 7% 2%
6 United HealthCare Services, Inc.
Healthcare
9th 12th of Healthcare 760 318 420 41.8% 55.3% 97.1% 57 5.6 1% 2%
7 Health Care Facilities Staffing, LLC
Healthcare
1st 1st of Healthcare 13,064 316 0 2.4% 0.0% 2.4% 1 316.0 36% 23%
8 Sweet Virginia Care LLC
Healthcare
1st 1st of Healthcare 447 310 0 69.3% 0.0% 69.3% 4 77.5 29% 27%
9 Devoted Guardians Inc
Healthcare
1st 1st of Healthcare 500 229 0 45.8% 0.0% 45.8% 3 76.3 0% 11%
10 University of Pittsburgh Physicians
Healthcare
4th 5th of Healthcare 6,364 219 792 3.4% 12.4% 15.9% 64 3.4 6% 2%
11 Hoosier Care Inc.
Healthcare
1st 1st of Healthcare 354 213 0 60.2% 0.0% 60.2% 1 213.0 0% 4%
12 Homes for Independent Living of Wisconsin LLC
Healthcare
1st 0th of Healthcare 853 206 0 24.1% 0.0% 24.1% 1 206.0 94% 0%
13 ARUP Laboratories
Healthcare
1st 1st of Healthcare 4,182 201 644 4.8% 15.4% 20.2% 24 8.4 25% 0%
14 Presbyterian Homes and Services
Healthcare
1st 1st of Healthcare 5,426 196 4 3.6% 0.1% 3.7% 2 98.0 13% 1%
15 WESTERN DENTAL SERVICES, INC
Healthcare
1st 1st of Healthcare 4,700 194 347 4.1% 7.4% 11.5% 7 27.7 0% 13%
16 Marshfield Clinic
Healthcare
1st 2nd of Healthcare 557 175 513 31.4% 92.1% 123.5% 36 4.9 3% 2%
17 Geisinger Clinic
Healthcare
4th 5th of Healthcare 6,044 171 339 2.8% 5.6% 8.4% 33 5.2 2% 0%
18 HENRY FORD HEALTH SYSTEM
Healthcare
9th 12th of Healthcare 9,009 169 1,242 1.9% 13.8% 15.7% 94 1.8 10% 0%
19 Presbyterian Healthcare Services
Healthcare
9th 12th of Healthcare 14,000 168 620 1.2% 4.4% 5.6% 74 2.3 9% 0%
20 InterFysio, LLC
Healthcare
1st 1st of Healthcare 46 167 42 363.0% 91.3% 454.4% 3 55.7 7% 2%
21 DAVITA INC
Healthcare
16th 20th of Healthcare 77,000 162 528 0.2% 0.7% 0.9% 87 1.9 6% 4%
22 BILINGUALS INC.
Healthcare
1st 1st of Healthcare 814 147 158 18.1% 19.4% 37.5% 4 36.8 0% 7%
23 Memorial Sloan Kettering Cancer Center
Healthcare
9th 12th of Healthcare 12,622 141 2,116 1.1% 16.8% 17.9% 24 3.4 8% 4%
24 ALPHAVISTA SERVICES INC.
Healthcare
2nd 2nd of Healthcare 3,054 136 207 4.5% 6.8% 11.2% 7 19.4 0% 10%
25 Genesis Health System
Healthcare
1st 1st of Healthcare 4,584 134 122 2.9% 2.7% 5.6% 10 13.4 30% 35%
26 APPALACHIAN REGIONAL HEALTHCARE, INC
Healthcare
4th 4th of Healthcare 6,000 134 197 2.2% 3.3% 5.5% 14 9.6 5% 12%
27 CARE WITH LOVE
Healthcare
1st 1st of Healthcare 163 130 0 79.8% 0.0% 79.8% 4 32.5 0% 52%
28 Eastern Maine Medical Center
Healthcare
2nd 2nd of Healthcare 3,815 125 307 3.3% 8.1% 11.3% 30 4.2 18% 5%
29 Rochester General Hospital
Healthcare
2nd 2nd of Healthcare 6,333 123 368 1.9% 5.8% 7.8% 20 6.2 11% 1%
30 Sanford Clinic
Healthcare
4th 5th of Healthcare 2,500 118 246 4.7% 9.8% 14.6% 27 4.4 3% 2%
31 Cumberland Care and Rehab Inc.
Healthcare
1st 1st of Healthcare 65 116 0 178.5% 0.0% 178.5% 5 23.2 20% 9%
32 THE DEVEREUX FOUNDATION
Healthcare
1st 1st of Healthcare 5,666 115 1,753 2.0% 30.9% 33.0% 17 6.8 75% 2%
33 Group Health Plan, Inc.
Healthcare
14th 18th of Healthcare 7,073 114 273 1.6% 3.9% 5.5% 42 2.7 9% 0%
34 Montefiore Medical Center
Healthcare
7th 8th of Healthcare 22,000 112 999 0.5% 4.5% 5.0% 38 2.9 11% 2%
35 INTEGRATED RESOURCES, INC.
Healthcare
4th 5th of Healthcare 1,840 112 255 6.1% 13.9% 19.9% 16 7.0 0% 8%
36 Gateway Care Center, LLC
Healthcare
1st 2nd of Healthcare 156 109 0 69.9% 0.0% 69.9% 4 27.2 0% 0%
37 Cassia
Healthcare
1st 1st of Healthcare 164 109 0 66.5% 0.0% 66.5% 1 109.0 33% 11%
38 Senior Management Inc
Healthcare
4th 4th of Healthcare 241 108 0 44.8% 0.0% 44.8% 5 21.6 0% 12%
39 Hospitalist Medicine Physicians of Texas, PLLC
Healthcare
1st 2nd of Healthcare 100 106 321 106.0% 321.0% 427.0% 8 13.2 4% 5%
40 UCSF Medical Center
Healthcare
7th 9th of Healthcare 24,140 104 132 0.4% 9.9% 10.4% 21 2.8 16% 5%
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What Perm4Real does

Search 300K+ employers

Full-text search across every PERM filer in the federal database. Filter by industry, state, NAICS code, or SOC code.

17-year filing history

Quarterly time series for every employer from FY2008 to FY2026. See growth, decline, and pattern changes over time.

Filing Pattern Score

Algorithmic opinion based on filing volume, role concentration, wage levels, and approval expiry rates. Open methodology.

Wage level analysis

Distribution of Level I-IV PERM wages per employer. Cross-referenced against BLS OES benchmarks.

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