dismissed EB-2 NIW Case: Healthcare Management

U.S. Citizenship 
and Immigration 
Services 
Non-Precedent Decision of the
Administrative Appeals Office 
Date: OCT. 24, 2023 In Re: 28650255 
Appeal of Nebraska Service Center Decision 
Form 1-140, Immigrant Petition for Alien Workers (National Interest Waiver) 
The Petitioner, a medical and health care manager and entrepreneur, seeks employment-based second 
preference (EB-2) immigrant classification as a member of the professions holding an advanced 
degree, as well as a national interest waiver of the job offer requirement attached to this classification. 
See Immigration and Nationality Act (the Act) section 203(b)(2), 8 U.S.C. § 1153(b)(2). U.S. 
Citizenship and Immigration Services (USCIS) may grant this discretionary waiver of the required job 
offer, and thus of a labor certification, when it is in the national interest to do so. 
The Director of the Nebraska Service Center denied the petition. The Director concluded that the 
record did not demonstrate the Petitioner 's eligibility for the requested national interest waiver. The 
matter is now before us on appeal. 8 C.F.R. § 103.3. 
The Petitioner bears the burden of proof to demonstrate eligibility by apreponderance of the evidence. 
Matter of Chawathe, 25 l&N Dec. 369, 375-76 (AAO 2010). We review the questions in this matter 
de nova. Matter a/Chri sta 's , Inc., 26 l&N Dec. 537, 537 n.2 (AAO 2015). Upon de nova review, 
we will dismiss the appeal. 
I. LAW 
To establish eligibility for a national interest waiver, a petitioner must first demonstrate qualification 
for the underlying EB-2 visa classification as either an advanced degree professional or an individual 
of exceptional ability in the sciences, arts, or business. Section 203(b)(2)(B)(i) of the Act. An 
advanced degree is any U.S. academic or professional degree or a foreign equivalent degree above 
that of abachelor's degree.1 8 C.F.R. § 204.5(k)(2). A U.S. bachelor's degree or aforeign equivalent 
degree followed by five years of progressive experience in the specialty is the equivalent of a master's 
degree. Id. 
Once a petitioner demonstrates eligibility for the underlying classification, the petitioner must then 
establish eligibility for a discretionary waiver of the job offer requirement "in the national interest." 
Section 203(b)(2)(B)(i) of the Act. While neither the statute nor the pertinent regulations define the 
1 Profession shall include, but not be limited to, architects, engineers, lawyers, physicians, surgeons, and teachers in 
elementary or secondary schools, colleges, academics, or seminaries. Section 101(a)(32) of the Act. 
term "national interest," Matter of Dhanasar, 26 l&N Dec. 884, 889 (AAO 2016), provides the 
framework for adjudicating national interest waiver petitions. Dhanasar states that USCIS may, as 
matter of discretion2, grant a national interest waiver if the petitioner demonstrates that: 
• The proposed endeavor has both substantial merit and national importance; 
• The individual is well-positioned to advance their proposed endeavor; and 
• On balance, waiving the job offer requirement would benefit the United States. 
II. ANALYSIS 
The Petitioner proposes to work in the United States as a medical and health services manager for a 
new sports medicine services clinic she proposes to establish in Florida, New Jersey, and California. 
She earned the title of doctor of medicine from Universidadel lin Brazil in 2007 and 
has worked as a doctor in Brazil. 
The Director's decision did not indicate whether the Petitioner established her eligibility for the 
underlying EB-2 immigrant classification. However, the Director stated in a request for evidence 
notice that the Petitioner qualifies for the EB-2 classification as a member of the professions holding 
an advanced degree. Upon de nova review, the record shows that the Petitioner is eligible for the 
underlying classification as an advanced degree professional.3 
The question on appeal is whether the Petitioner demonstrated a waiver of the labor certification would 
in the national interest. The Director found that while the Petitioner demonstrated the proposed 
endeavor has substantial merit, she did not establish that the proposed endeavor is of national 
importance, as required by the first Dhanasar prong. The Director further found that the Petitioner 
did not establish that she is well positioned to advance the proposed endeavor, and that, on balance, it 
would be beneficial to the United States to waive the requirements of a job offer, and thus of a labor 
certification. Upon de novo review, we agree with the Director's dete1mination that the Petitioner did 
not demonstrate that a waiver of the labor certification would be in the national interest.4 
The first prong of the Dhanasar analytical framework, substantial merit and national importance, 
focuses on the specific endeavor that a petitioner proposes to undertake. The endeavor's merit may 
be demonstrated in a range of areas, such as business, entrepreneurial ism, science, technology, culture, 
health, or education. In determining national importance, the relevant question is not the importance 
of the field, industry, or profession in which the individual will work; instead, we focus on the "the 
specific endeavor that the foreign national proposes to undertake." Matter of Dhanasar, 26 l&N Dec. 
at 889. 
The Petitioner proposes to establish a sports medicine services business for which she would be its 
medical and health services manager. The business plan states that the Petitioner will establish the 
2 See also Poursina v. USC1S, 936 F.3d 868 (9th Cir. 2019) (finding USCTS' decision to grant or deny a national interest 
waiver to be discretionary in nature). 
3 To demonstrate she is an advanced degree professional, the Petitioner submitted her diploma, her academic transcript, 
and an academic evaluation. The record demonstrates that she holds the foreign equivalent of a degree above that of a 
U.S. bachelor's degree. See 8 C.F.R. § 204.5(k)(3). 
4 While we may not discuss every document submitted, we have reviewed and considered each one. 
2 
business offices in underutilized business communities of Florida, New Jersey, and California. The 
business would focus on the sports medicine market and provide small business' with multi­
disciplinary medical appointment services, counseling services, physical therapy sessions, and 
acupuncture sessions. We agree with the Director that the Petitioner's endeavor has substantial merit. 
Even though the Petitioner's proposed endeavor has substantial merit, the Director indicated that the 
Petitioner did not provide details of her proposed endeavor showing it will have potential prospective 
impact. Therefore, the Director found the record did not establish the national importance element of 
the first prong of the Dhanasar framework. 
The Petitioner contends on appeal that the Director did not apply the proper standard of proof, instead 
imposing a stricter standard, and erred by not giving "due regard" to the evidence submitted, 
specifically the Petitioner's resume outlining her experience; her business plan and professional plan 
describing her experience and the benefits of her business; evidence relating to her work in the field; 
letters of recommendation; and industry reports and articles showing the national importance of her 
endeavor and the shortage of professionals in her field. Upon de nova review, we find the Petitioner 
did not demonstrate that her proposed endeavor satisfies the national importance element of 
Dhanasar's first prong, as discussed below. 
The standard of proof in this proceeding is a preponderance of evidence, meaning that a petitioner 
must show that what is claimed is "more likely than not" or "probably" true. Matter of Chawathe, 25 
l&N Dec. at 375-76. To determine whether a petitioner has met the burden under the preponderance 
standard, we consider not only the quantity, but also the quality (including relevance, probative value, 
and credibility) of the evidence. Id.; Matter of E-M-, 20 l&N Dec. 77, 79-80 (Comm'r 1989). Here, 
the Director properly analyzed the Petitioner's documentation and weighed the evidence to evaluate 
the Petitioner's eligibility by a preponderance of evidence. 
The Petitioner argues on appeal that the national importance of her proposed endeavor is evident 
through its proposed economic and healthcare benefits to the United States, the Petitioner's 
professional experience and achievements, and the benefits of entrepreneurs.5 The Petitioner 
emphasizes on appeal her experience and achievements asserting, "[she] will help companies and 
clients as a Medical and Health Services Manager in the field of Health Care, while as an entrepreneur, 
she has strong experience managing few health centers, directly participating in financial 
administration, contracts, hiring and training of professions." She argues, "Due to the record of her 
business achievements and expertise throughout over eight ... years of work experience, [the 
Petitioner] will successfully manage her business" helping "the [United States] stay competitive by 
bringing competitive services, helping develop the country, and producing income for the U.S. 
economy." (emphasis omitted). She argues her "direct knowledge of the medical industry wi 11 benefit 
any U.S. companies and individuals that need qualified professionals who possess expertise in medical 
areas and as a Cardiology [sic]." (emphasis omitted). On appeal, the Petitioner describes her medical 
5 We note that the Petitioner's arguments in the appeal brief include language not associated with the Petitioner's proposed 
endeavor. For instance, in arguing the national importance of her proposed endeavor, the brief states, "As shown herein, 
the Appellant will help companies and clients ... while also helping with the administrative tasks of operating a shoe 
company for disabled Americans, as well as shoes for those without disabilities." (emphasis added). The brief further 
states, "As shown, the U.S. is in high need of specialized plastic surgeons and medical professionals who have the tools 
and experience to deal with complex and diverse dental care issues, as explained above." (emphasis added). 
3 
education and her professional experience, credentials, and achievements as a physician to show "her 
expertise and credibility in the field" which will be highly beneficial to her business "and the broader 
national healthcare system in the United States." 
However, the Petitioner's reliance on her academic credentials, professional experience, and 
achievements to establish the national importance of her proposed endeavor is misplaced. Her 
academic credentials, professional experience, and achievements relate to the second prong of the 
Dhanasar framework, which "shifts the focus from the proposed endeavor to the foreign national." 
Matter of Dhanasar, 26 l&N Dec. at 890. The issue here is whether the specific endeavor that the 
Petitioner proposes to undertake has national importance under Dhanasar 's first prong. To evaluate 
whether the Petitioner's proposed endeavor satisfies the national importance requirement, we look to 
evidence documenting the "potential prospective impact" of her work. See id. at 889. 
In Dhanasar, we determined that the petitioner's teaching activities did not rise to the level of having 
national importance because they would not impact his field more broadly. Id. at 893. The record 
does not demonstrate that the Petitioner's proposed endeavor will substantially benefit the field of 
healthcare, as contemplated by Dhanasar: "[a]n undertaking may have national importance for 
example, because it has national or even global implications within a particular field, such as those 
resulting from certain improved manufacturing processes or medical advances." Id. The evidence 
does not suggest that the Petitioner's sports medicine services business would impact the healthcare 
field more broadly. 
The Petitioner argues on appeal that her business plan and professional statement show that her 
proposed endeavor has national importance based on potential economic and healthcare benefits. The 
business plan indicates that the business is expected to generate jobs for U.S. workers in underserved 
business areas; to improve the economy for U.S. citizens in Florida, New Jersey, and California; and 
to enhance healthcare services in the United States. However, the Petitioner has not provided 
corroborating evidence to support her claims that her business' activities stand to provide substantial 
economic and healthcare benefits to Florida, New Jersey, California, and the United States. The 
Petitioner's general claims that her sports medicine services business will benefit the U.S. economy 
and enhance healthcare has not been established through independent and objective evidence. The 
Petitioner's statements are not sufficient to demonstrate her endeavor has the potential to provide 
economic and healthcare benefits to Florida, New Jersey, California, and the United States. The 
Petitioner must support her assertions with relevant, probative, and credible evidence. See Matter of 
Chawathe, 25 l&N Dec. at 376. Also, without sufficient documentary evidence that her proposed job 
duties as a medical and health services manager for her sports medicine business would impact the 
healthcare industry more broadly, rather than benefiting her business and her proposed clients, the 
Petitioner has not demonstrated by a preponderance of the evidence that her proposed endeavor is of 
national importance. 
The business plan describes the Petitioner's intended ownership and financial investment in the 
business; establishment of offices in underutilized business areas of Florida, New Jersey, and 
California; the business' products and services; an analysis of the demand for specialized doctors in 
the United States; an industry and market analysis of the sports medicine practitioners; and the 
business' proposed marketing, staffing, and financial forecasts. The business plan briefly indicates 
that it proposes to establish the business in underutilized business zones, claiming this will generate 
4 
jobs for U.S. workers in these underutilized areas, will improve the wages and working conditions for 
U.S. workers, and will improve the healthcare of U.S. citizens. The business plan projects that in five 
years the business will hire 43 direct employees, pay wages of 6.84 million dollars, and generate 12.2 
million dollars in revenue for the local communities. However, the record does not sufficiently detail 
the basis for its financial and staffing projections, or adequately explain how these projections will be 
realized. 
The Petitioner has not provided corroborating evidence demonstrating that her business' future 
staffing levels and business activities stand to provide substantial economic benefits to underutilized 
areas of Florida, New Jersey, California, and the United States. While the Petitioner expresses her 
desire to contribute to the United States and its underutilized areas, she has not established with 
specific, probative evidence that her endeavor will have broader implications in the healthcare field, 
wi 11 have significant potential to employ U.S. workers, or wi II have other substantial positive economic 
effects in economically underutilized areas. The Petitioner must support her assertions with relevant, 
probative, and credible evidence. See id. Even if we were to assume everything the Petitioner claims 
will happen, the record lacks evidence showing that creating 43 direct jobs and paying wages of 6.84 
million dollars and generating 12.2 million dollars in revenue over a five-year period rises to the level 
of national importance. 
The Petitioner further claims on appeal that the national importance of her proposed endeavor is 
evidenced in industry reports and articles. She argues that the reports and articles show the need for 
medical professionals to assist with healthcare issues, such as obesity, an aging U.S. population 
increases the need for workers, the importance of specialized doctors, the expected growth of the 
healthcare industry, and the importance of immigrant entrepreneurs. The reports and articles relate to 
the economic benefits of immigrants and entrepreneurship; expected growth and labor shortages in the 
healthcare industry; healthcare and social assistance in the United States; global healthcare outlook; 
and health and wellness spas. We recognize the importance of the healthcare industry and related 
careers, and the significant contributions from immigrants who have become successful entrepreneurs; 
however, merely working in the healthcare field as a medical and health services manager or starting 
a sports medicine services business is insufficient to establish the national importance of the proposed 
endeavor. Instead, we focus on the "the specific endeavor that the foreign national proposes to 
undertake." See Matter of Dhanasar, 26 l&N Dec. at 889. 
In Dhanasar, we noted that "we look for broader implications" of the proposed endeavor and that 
"[a]n undertaking may have national importance for example, because it has national or even global 
implications within a particular field." Id. We also stated that "[a]n endeavor that has significant 
potential to employ U.S. workers or has other substantial positive economic effects, particularly in an 
economically depressed area, for instance, may well be understood to have national importance." Id. 
at 890. The industry reports and articles submitted do not discuss any projected U.S. economic impact 
or job creation specifically attributable to the Petitioner's proposed endeavor. 
We further note that the record includes an opinion froml Iassistant professor of 
clinical and administrative sciences and director of experiential education atl 
University in California. The opinion includes an analysis of the national importance of the 
Petitioner's proposed endeavor stating, "the United States would greatly benefit from the expertise 
and skills of an experienced Medical and Health Services Manager such as [the Petitioner], who has 
5 
I 
extensive knowledge and expertise in the medical field. Her work has both substantial merit and 
national importance." In support of the Petitioner's proposed endeavor having national importance, 
the opinion explains the importance of medical and healthcare professionals, the shortage of 
physicians in critical care medicine, the contribution of foreign-born doctors and medical professions 
on the U.S. healthcare system, and the availability of healthcare in Brazil. However, the opinion's 
focus on the need for medical and healthcare professionals and how the Petitioner's professional 
experience makes her well positioned to help the American healthcare industry with her professional 
skills does not demonstrate that the Petitioner's specific endeavor may have a prospective impact in 
her field. The opinion does not focus on the Petitioner's specific endeavor and it having a potential 
prospective impact on the U.S. economy, or in the field of her proposed endeavor. Simply stating that 
her background in medicine and healthcare would support an important industry and alleviate a 
shortage of workers in the healthcare industry is not sufficient to meet the "national importance" 
requirement under the Dhanasar framework. 
The Petitioner does not demonstrate that her proposed endeavor extends beyond her business and her 
future clients to impact the field or any other industries or the U.S. economy more broadly at a level 
commensurate with national importance. Beyond general assertions, she has not demonstrated that 
the work she proposes to undertake as the owner and medical and health services manager of her 
proposed sports medicine services business offers original innovations that contribute to advancements 
in her industry or otherwise has broader implications for her field. The economic and healthcare 
benefits that the Petitioner claims depend on numerous factors, and the Petitioner did not offer a 
sufficiently direct evidentiary tie between her proposed work as a medical and health services manager 
for her sports medicine services business and the claimed economic and healthcare benefits. 
Because the documentation in the record does not sufficiently establish the national importance of the 
Petitioner's proposed endeavor as required by the first prong of the Dhanasar precedent decision, she 
has not demonstrated eligibility for a national interest waiver. Since the identified basis for denial is 
dispositive of the Petitioner's appeal, we decline to reach and hereby reserve the Petitioner's appellate 
arguments regarding her eligibility under the second and third prongs. See INS v. Bagamasbad, 429 
U.S. 24, 25 (1976) ("courts and agencies are not required to make findings on issues the decision of 
which is unnecessary to the results they reach"); see also Matter of L-A-C-, 26 l&N Dec. 516, 526 n.7 
(BIA 2015) (declining to reach alternative issues on appeal where an applicant is otherwise ineligible). 
Ill. CONCLUSION 
As the Petitioner has not met the requisite first prong of the Dhanasar analytical framework, we find 
that the Petitioner has not established eligibility for a national interest waiver as a matter of discretion. 
The appeal will be dismissed for the above stated reasons. 
ORDER: The appeal is dismissed. 
6