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North Dakota sees 54 H-1B petitions from employers classified under the Health Care and Social Assistance industry during 2024

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Tammy Meckley, Associate Director, Immigration Records and Identity Services Directorate for USCIS | https://www.dhswatchlist.com/

Tammy Meckley, Associate Director, Immigration Records and Identity Services Directorate for USCIS | https://www.dhswatchlist.com/

Employers classified under the Health Care and Social Assistance industry based in North Dakota submitted 54 H-1B petitions during 2024, according to data provided by the U.S. Citizenship and Immigration Services via the H-1B Employer Data Hub.

Of these, 53 were approved (98.1%), while one was denied (1.9%).

Employers are classified under industries based on their reported operations and may be involved in multiple industries.

The H-1B visa program allows U.S. employers to temporarily hire foreign workers in specialty occupations requiring specialized knowledge and at least a bachelor’s degree or equivalent. It is designed to address skill gaps in the U.S. workforce while ensuring wage standards to protect both U.S. and H-1B workers. Employers must certify that they will pay H-1B workers wages equal to or greater than those of similarly qualified U.S. employees or the prevailing local wage.

The average approval rate for H-1B petitions across the United States in 2024 stood at 98%, higher than 2023's 97.3%. Statewide, North Dakota employers across all industries submitted 260 petitions during the same period, achieving an approval rate of 95.4%.

The Educational Services industry led the H-1B filings in North Dakota during 2024, with 119 petitions (45.8% of all submissions), and an approval rate of 98.3%. Meanwhile, the Health Care and Social Assistance industry was the second largest contributor, filing 54 petitions (20.8% of the total), with an approval rate of 98.2%.

The North Dakota employers which made the most petitions in the Health Care and Social Assistance sector during 2024 included Trinity Health with 10 petitions, Altru Health System with seven petitions, and Cavalier County Memorial Hospital with four petitions.

Compared to 2023, the Health Care and Social Assistance sector in North Dakota saw a 12.9% decrease in the number of H-1B petitions during 2024.

The United States admits around 1 million legal immigrants annually, most of whom receive permanent residence (green cards) through family sponsorship or employment-based visas. In 2023, about 1.2 million immigrants were granted green cards, a return to pre-pandemic levels. Temporary visa programs, such as the H-1B for highly skilled workers and H-2A for seasonal agricultural workers, also play a critical role in filling workforce needs.

Public opinion on immigration varies, with 46% of Americans favoring maintaining current legal immigration levels, according to a 2024 Pew Research Center survey. Additionally, 42% believe that highly skilled workers, such as scientists, doctors, and programmers, should be prioritized for legal immigration, compared to 25% who prioritize workers filling labor shortages and 19% who emphasize family sponsorship. Despite this, family sponsorship remains the most common path to permanent residency, accounting for 63% of green cards issued in 2023.

The data in this article comes from the H-1B Employer Data Hub provided by the U.S. Citizenship and Immigration Services (USCIS). While USCIS strives for accuracy, manual data entry and errors on paper forms submitted by applicants or petitioners may result in discrepancies in employer names, tax IDs, locations, or other details.

H-1B Petitions by Industry in North Dakota, 2024
RankIndustryTotal Petitions% of All Submissions% Approved% Denied
1Educational Services11945.8%98.3%1.7%
2Health Care and Social Assistance5420.8%98.2%1.9%
3Professional, Scientific, and Technical Services4818.5%89.6%10.4%
4Finance and Insurance114.2%81.8%18.2%
5Manufacturing83.1%100%0%
6Wholesale Trade51.9%100%0%
7Information31.2%100%0%
7Administrative and Support and Waste Management and Remediation Services31.2%100%0%
9Utilities20.8%100%0%
9Construction20.8%100%0%
11Real Estate and Rental and Leasing10.4%100%0%
11Arts, Entertainment, and Recreation10.4%0%100%
11Agriculture, Forestry, Fishing and Hunting10.4%0%100%
11Other Services (except Public Administration)10.4%100%0%
11Accommodation and Food Services10.4%100%0%

Top Employers in Health Care and Social Assistance Industry in North Dakota, 2024

RankCompany NameTotal Petitions% Approved% Denied
1Trinity Health10100%0%
2Altru Health System7100%0%
3Cavalier County Memorial Hospital4100%0%
4Mercy Hospital of Devils Lake3100%0%
4Innovis Health, LLC3100%0%
4Mercy Medical Center D B a CHI St.3100%0%
7CHI St. Josephs Health D B a CHI St.2100%0%
7Lisbon Area Health Services2100%0%
7CHI St. Alexius Health - St. Alexius2100%0%
7Jacobson Memorial Hospital Care Ce2100%0%
7Northwood Deaconess Health Center2100%0%
7CHI Oakes Hospital250%50%
13Spectra Health1100%0%
13Wishek Hospital Clinic Association1100%0%
13P R Health Corporation1100%0%
13West River Health Services1100%0%
13Nelson County Health System1100%0%
13Towner County Medical Center1100%0%
13Good Samaritan Hospital Associatio1100%0%
13Mountrail Bethel Home1100%0%
13Tioga Medical Center1100%0%
13Cooperstown Medical Center1100%0%
13St. Luke S Hospital1100%0%
13Christian Unity Hospital, Corp.1100%0%

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