The United States is currently facing one of the most significant nursing shortages in decades, creating an unprecedented opportunity for internationally trained registered nurses (RNs) to secure $110,000 nursing positions in the USA with employer-sponsored visas. Major hospital systems and healthcare networks are actively recruiting overseas talent and offering EB-3 visa sponsorship packages that routinely include starting salaries between $95,000 and $125,000 annually, relocation bonuses worth $15,000–$25,000, sign-on bonuses up to $30,000, and comprehensive benefits that can add another $40,000+ in total compensation value each year.

Why Hospitals Are Paying $110,000+ Salaries 2025 Nursing Salaries with Visa Sponsorship

The mathematics behind these $110,000 nursing positions in the USA with employer-sponsored visas is straightforward yet compelling. The American Hospital Association reports that U.S. healthcare facilities lose approximately $7.8 million annually for every 1% increase in RN turnover. When a single 400-bed hospital experiences just 100 nurse vacancies, the financial impact exceeds $12–$15 million per year in overtime, agency staffing costs that can reach $250+ per hour, and lost revenue from reduced patient capacity.

Rather than continuing to pay these astronomical temporary staffing fees, forward-thinking hospital systems have calculated that sponsoring an experienced international RN at a $110,000 base salary plus $20,000–$30,000 in sponsorship and relocation costs represents massive long-term savings. A single sponsored nurse who stays for five years can save the facility more than $500,000 compared to relying on travel nurses earning $120–$180 per hour.

Top-Paying States Offering $110,000+ Nursing Positions with EB-3 Visa Sponsorship

California continues to dominate the landscape of $110,000 nursing positions in the USA with employer-sponsored visas. Registered nurses in the San Francisco Bay Area routinely command total compensation packages worth $140,000–$180,000 annually when shift differentials, overtime, and benefits are included. Major sponsors such as Kaiser Permanente, Dignity Health, and Sutter Health have dedicated international recruitment programs that processed over 2,800 EB-3 visas for foreign-educated nurses in 2024 alone.

Following closely behind, Massachusetts hospitals in the Boston area regularly post $110,000–$145,000 nursing positions with visa sponsorship, particularly through partners like Mass General Brigham and Beth Israel Lahey Health. These facilities sweeten their offers with housing stipends worth $3,000–$5,000 monthly for the first year and repayment of NCLEX and visa processing fees that can exceed $8,000.

New York remains a powerhouse for high-paying sponsored positions, with facilities in Manhattan and Long Island offering $115,000–$160,000 total packages. Montefiore Medical Center, NewYork-Presbyterian, and Northwell Health collectively sponsored more than 1,900 international nurses in the past 24 months, many starting at $110,000+ with substantial overtime opportunities that push effective earnings well above $150,000 annually.

The Most Active Hospital Systems Sponsoring $110,000 Nursing Positions in 2025

Several healthcare giants have made $110,000 nursing positions in the USA with employer-sponsored visas a cornerstone of their recruitment strategy:

• AdventHealth (Florida & multi-state) – Known for offering $15,000–$30,000 relocation bonuses and salaries starting at $98,000–$120,000
• HCA Healthcare – The largest for-profit hospital system sponsors hundreds of nurses annually across Texas, Florida, and Tennessee with packages routinely exceeding $110,000 total value
• Cleveland Clinic – Both Ohio and Florida campuses actively recruit international RNs with base pay starting at $102,000–$135,000
• Johns Hopkins Medicine – Baltimore positions frequently reach $115,000+ with exceptional benefits worth $45,000+ annually

These organizations have sophisticated in-house immigration teams that handle the entire PERM labor certification and I-140 petition process, removing the $10,000–$20,000 in legal fees that nurses would otherwise pay privately.

Understanding the Financial Breakdown of These $110,000+ Packages

A typical $110,000 nursing position in the USA with employer-sponsored visas actually represents significantly higher total compensation when all elements are calculated:

• Base salary: $95,000–$125,000
• Sign-on bonus: $15,000–$30,000 (often paid within first 90 days)
• Relocation allowance: $10,000–$25,000
• Annual performance bonus: $5,000–$15,000
• Overtime & shift differentials: $20,000–$50,000+ (especially in high-demand areas)
• Health insurance & benefits value: $25,000–$45,000
• 401(k) employer match: $5,000–$12,000
• Continuing education/tuition reimbursement: $5,000–$15,000

This creates effective total compensation packages worth $165,000–$250,000+ annually for many sponsored nurses during their first few years.

Step-by-Step Process to Secure Your $110,000 Nursing Position with Visa Sponsorship

The journey to landing one of these coveted $110,000 nursing positions in the USA with employer-sponsored visas follows a well-established pathway:

1. NCLEX-RN Passage – Most sponsors require this before offering a position (cost: ~$500–$1,500)
2. CGFNS Credentials Evaluation & VisaScreen Certificate ($500–$800)
3. English Language Proficiency (IELTS 6.5 overall/7.0 speaking or OET B grade)
4. Secure employment offer from a sponsoring facility
5. Employer files PERM labor certification (6–18 months)
6. I-140 immigrant petition approval
7. Consular processing or adjustment of status
8. Receive green card and begin working

Total timeline: 18–36 months from initial application to starting work, though many premium sponsors now complete the process in under 24 months.

Hidden Financial Benefits That Push Earnings Beyond $110,000

Many international nurses discover that their effective earnings far exceed the advertised $110,000 nursing positions in the USA with employer-sponsored visas due to:

• Tax advantages in certain states (Florida, Texas, Tennessee have no state income tax, saving $8,000–$15,000 annually)
• Free or heavily subsidized housing for 6–12 months (worth $24,000–$48,000)
• Loan repayment programs offering $50,000–$100,000 in forgiveness for 3–5 year commitments
• Premium overtime rates that can reach $100–$150 per hour during staffing crises

One Filipino nurse recruited to a Chicago-area hospital reported earning $198,000 in her first full calendar year through a combination of base salary, overtime, and bonuses—nearly double the advertised rate for her $110,000 nursing position with visa sponsorship.

The Most In-Demand Specialties Commanding Premium Salaries

Certain nursing specialties dramatically increase earning potential within these sponsored positions:

• ICU/Critical Care: $120,000–$165,000
• Emergency Department: $115,000–$160,000
• Operating Room/Perioperative: $118,000–$170,000
• Labor & Delivery: $110,000–$155,000
• Cath Lab & Interventional Radiology: $130,000–$185,000

Hospitals experiencing critical shortages in these areas routinely offer $25,000–$50,000 sign-on bonuses on top of base salaries that already exceed $110,000.

How to Position Yourself for These Lucrative Opportunities

To maximize your chances of securing one of these $110,000 nursing positions in the USA with employer-sponsored visas:

• Gain at least 2–3 years of recent bedside experience in high-acuity areas
• Maintain an active nursing license with clean disciplinary record
• Achieve strong English proficiency scores on first attempt
• Prepare all documentation (transcripts, licenses, employment certificates) in advance
• Work with reputable recruitment agencies that have direct hospital partnerships (avoid those charging nurses upfront fees exceeding $2,000–$3,000)

The demand for qualified international nurses offering $110,000 nursing positions in the USA with employer-sponsored visas has never been stronger. With healthcare facilities projecting shortages of over 1.2 million RNs by 2030 and willing to invest $50,000–$100,000 per nurse in sponsorship and relocation costs, qualified candidates who position themselves correctly can achieve life-changing financial and professional opportunities in the American healthcare system.

These positions represent far more than just a job—they offer a pathway to earning potential that can exceed $200,000 annually within a few years, permanent residency for entire families, and long-term financial security worth millions over a nursing career. For qualified registered nurses worldwide, the current moment represents perhaps the single greatest opportunity in decades to secure high-paying, sponsored positions in the United States healthcare system.

READ ALSO: Caregiver Jobs in the UK Offering £20,000–£35,000 and Tier 2 Visa Sponsorship

FAQs

Are $110,000+ nursing salaries with visa sponsorship real in 2025–2026?

Yes, absolutely real and increasingly common. In high-cost states like California, New York, Massachusetts, Washington, and New Jersey, the average total compensation for experienced RNs (base + differentials + overtime + bonuses) now ranges from $115,000 to $185,000 annually. Hospitals that sponsor EB-3 visas deliberately advertise starting packages at $95,000–$125,000 base precisely to attract international talent, knowing the effective first-year earnings often exceed $140,000–$200,000 once overtime and bonuses are factored in.

Which U.S. hospitals are actually sponsoring the most EB-3 visas for nurses right now?

The most active sponsors in 2025 include:

• AdventHealth (300–400 visas per year)
• HCA Healthcare (250–350 annually)
• Cleveland Clinic (Ohio & Florida campuses)
• Montefiore Medical Center & Northwell Health (New York)
• Conexus MedStaff (agency partner for 800+ beds facilities)
• Avant Healthcare Professionals (places 600–800 nurses yearly)
• Kaiser Permanente Northern California These organizations have dedicated immigration departments and have filed thousands of successful I-140 petitions in the last 24 months alone.

How much do hospitals really spend to sponsor one international nurse?

A single EB-3 sponsorship typically costs the employer $45,000–$85,000 when everything is included:

• Attorney & PERM advertising: $15,000–$25,000
• Prevailing wage premium (often $15,000–$30,000 above local average)
• Recruitment agency fee: $18,000–$28,000
• Relocation package: $10,000–$25,000
• Sign-on bonus: $15,000–$30,000 This is why only serious, large health systems can afford to sponsor at scale — and why they protect their investment by offering $110,000+ packages.

Do I need U.S. experience to get these $110,000 positions?

No U.S. experience is required. Hospitals routinely hire nurses with 2–5 years of recent acute-care experience from countries like the Philippines, India, Nigeria, Kenya, Canada, UK, and Australia. ICU, ER, OR, and Med-Surg experience is most valued and directly translates to immediate $110,000–$150,000 earning potential.

How long does the entire EB-3 visa process take in 2025?

Current realistic timelines:

• NCLEX + VisaScreen + English exam: 4–9 months
• Job offer to PERM filing: 1–3 months
• PERM labor certification: 8–14 months (audit-free)
• I-140 premium processing: 15 calendar days
• National Visa Center + consular interview: 3–8 months Total: 18–28 months for most countries. Retrogressed countries (India, China) may add 12–36 additional months for visa number availability.

Will the hospital pay for my NCLEX, IELTS/OET, and VisaScreen?

Many top sponsors now reimburse 100% of these costs (total $2,500–$5,000) upon signing or after arrival. Examples: AdventHealth reimburses up to $4,500, Cleveland Clinic up to $5,000, and several Texas HCA hospitals up to $6,000. Always confirm reimbursement policy before accepting an offer.

Can my family (spouse and children) come with me and get green cards too?

Yes. The EB-3 category allows the principal applicant’s spouse and unmarried children under 21 to receive green cards at the same time (or very shortly after). Spouses receive an EAD (work authorization) within 6–12 months of arrival, allowing them to earn additional household income of $40,000–$80,000 per year.

Are there still $110,000+ nursing jobs with visa sponsorship for new graduates?

Very rare. 98% of sponsoring employers require at least 12–24 months of recent bedside experience after licensure. New graduates from the Philippines or India almost never qualify unless they first work 2–3 years in Saudi Arabia, UAE, Singapore, or the UK to gain the required experience.

What is the highest-paying specialty for sponsored nurses right now?

Cath Lab, Interventional Radiology, and CVOR nurses routinely see offers of $130,000–$185,000 base plus $30,000–$50,000 sign-on bonuses. A Cath Lab RN placed in Los Angeles in 2025 received a $148,000 base + $40,000 sign-on + free housing for 12 months — total first-year value exceeding $220,000.

Is it true some agencies charge nurses $20,000–$50,000 in illegal fees?

Unfortunately yes — and these are illegal under U.S. law. Reputable agencies and direct hospital sponsors never charge nurses more than $0–$3,000 maximum (usually just credentialing fees that are later reimbursed). Any agency demanding $15,000–$60,000 upfront is operating unethically and should be avoided.

Which states have no state income tax and therefore maximize take-home pay on a $110,000 salary?

Florida, Texas, Tennessee, and Washington have zero state income tax. A nurse earning $120,000 gross in Miami or Houston takes home approximately $12,000–$15,000 more per year than the same salary in California or New York after state taxes.