Vault Health
Vault Health, operating as Vault Workforce Screening, is a US-based third-party administrator providing background checks, drug and alcohol testing, occupational health screening, and recovery monitoring services to enterprise employers across transportation, healthcare, aviation, and 12+ other regulated industries.
- Company typePrivate
- Founded1989
- HeadquartersNew York, United States
- Headcount101–250
- GTM typeB2B
- OfferingServices
What Vault Health does
Vault Health, operating primarily as Vault Workforce Screening, is a US-based third-party administrator (TPA) of employment screening programs. Founded in 1989 as First Hospital Laboratories (originally FirstLab) and headquartered in Willow Grove, Pennsylvania, the company provides background checks, drug and alcohol testing, occupational health screening, and recovery monitoring services to enterprise employers. Its primary verticals are transportation (DOT-regulated), healthcare, and aviation, with additional coverage across construction, education, energy & utilities, government, manufacturing, retail, nonprofit, and other sectors (12 verticals listed on the current website). Vault is described as one of the largest privately held TPAs of drug and alcohol testing in the US and the largest administrator of professional health monitoring services in North America.
The company's core technology platform is FirstRequest™, a proprietary SaaS system that enables electronic ordering, tracking, ETA-based result visibility, and reporting for all screening services, integrated with 30+ Applicant Tracking Systems (ATS) and Human Resources Information Systems (HRIS). Vault Recovery Monitoring Software (RMS) is a configurable platform for managing random testing, case management, and participant accountability for professional licensing boards, drug courts, and employer discipline programs. The company's physical infrastructure includes a network of 17,000+ nationwide collection sites and SAMHSA-certified laboratories, supported by in-house, nationally certified Medical Review Officers led by Senior MRO Dr. Suzanne Steele. Vault operates as a PBSA-accredited Consumer Reporting Agency, ensuring FCRA-compliant background check processes across all jurisdictions.
Vault generates revenue through per-test and per-screen transaction fees, recurring service contracts for program administration, and managed services for recovery monitoring. Go-to-market is sales-led, with dedicated account representative teams handling enterprise clients and inside sales supporting mid-market accounts. The company emphasizes a "no-risk pilot" approach, reporting near-100% conversion from pilot programs to full contracts, and offers free 30-minute compliance audits and bundled screening packages to prospects. On January 2, 2024, Vault was acquired by Sterling Check Corporation, and Sterling was subsequently acquired by First Advantage in a $2.2 billion transaction completed in Q1 2025; Vault now operates as part of one of the largest global employment screening platforms, as reflected by First Advantage branding now appearing on the Vault website.
Vault Health firmographics
Firmographics- Name
- Vault Health
- Legal name
- First Hospital Laboratories, LLC
- Website
- https://vaulthealth.com
- Company type
- Private
- Founded year
- 1989
- Operating status
- Acquired
- Headcount range
- 101–250 employees
- Short description
- Vault Health, operating as Vault Workforce Screening, is a US-based third-party administrator providing background checks, drug and alcohol testing, occupational health screening, and recovery monitoring services to enterprise employers across transportation, healthcare, aviation, and 12+ other regulated industries.
- Ownership category
- akta.pro rank
Vault Health industry classification
Industry- Product category
- Workforce Screening Services
- NAICS
- Investigation and Personal Background Check Services (561611), Employment Placement Agencies (561311)
- SIC
- Services-Employment Agencies (7361), Services-Consumer Credit Reporting, Collection Agencies (7320)
- akta.pro primary industry
- Pre-Employment Background Checks & Screening (BPAKAEAA)
- akta.pro secondary industries
- Continuous Monitoring & Post-Hire Screening (BPACALAJ), Pre-Employment Screening & Aptitude Testing (BPACAMAA), Occupational Health & Pre-Employment Diagnostic Testing Centers (HLAFAKAM)
Keywords
Where Vault Health is headquartered
LocationHeadquarters
- HQ city
- New York
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
Vault Health business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Others
Revenue model
- Third-Party Administrator (TPA) Services: Vault operates as one of the largest privately held third-party administrators (TPA) of drug and alcohol testing programs in the country. Revenue is generated through service fees for managing drug testing programs, MRO services, and occupational health screening on behalf of employer clients.
- Background Screening / Consumer Reporting Agency (CRA): Vault acts as a PBSA-accredited Consumer Reporting Agency providing background checks compliant with FCRA. Revenue generated through per-screen or package-based fees for criminal record searches, identity verification, education/employment verification, and other background screening services.
- Recovery Monitoring Services: Proprietary recovery monitoring services for licensed professionals, including random drug testing management and case management for professional licensing boards, drug courts, and alternative discipline programs. Billed per test, panel, and service configuration.
- Clinical and Occupational Health Services: Occupational health screening, clinical testing, tuberculosis testing, flu vaccination clinics, and chest x-rays. Revenue generated through per-service and per-test fees, including mobile clinic services for employers.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Hybrid | Pay-as-you-go | Pilot/Trial Program |
| Other | Annual | Custom Employer Contracts |
Go-to-market motion2 records
Distribution channels3 records
Marketing channels7 records
Vault Health product offering
Product offeringCore offering
Vault Workforce Screening operates as a third-party administrator and PBSA-accredited Consumer Reporting Agency providing background checks, drug and alcohol testing, occupational health screening, and recovery monitoring services to employer clients. Services are delivered through the proprietary FirstRequest™ ordering platform integrated with 30+ ATS/HRIS systems, backed by a nationwide network of 17,000+ collection sites and an in-house certified Medical Review Officer team.
Product overview
Vault Workforce Screening is a unified platform offering integrated workforce screening solutions, combining background checks, drug and alcohol testing, and occupational health services into a single provider. The core platform is FirstRequest™, a proprietary technology system that enables electronic ordering, tracking, and management of screening services. The company operates as a third-party administrator (TPA) for drug and alcohol testing programs and as a Consumer Reporting Agency (CRA) for background screening, serving industries including transportation, healthcare, aviation, construction, and manufacturing. Additional services include Recovery Monitoring Services for licensed professionals in recovery, and Medical Review Officer (MRO) services for reviewing drug test results.
Differentiator
Problem solved
Functional benefit
Products and services
- FirstRequest™ Ordering Platform Vault's proprietary ordering and tracking platform for drug, alcohol, and occupational health screening, offering ETA-driven lab results, electronic clinic selection, configurable order management, and paperless integration with 30+ ATS and HRIS systems for employer clients.
- Background Checks Fast background screening services including criminal record searches (county, statewide, FACIS), identity verification, education and employment verification, and FCRA-compliant reporting for employer hiring decisions. Delivered as a PBSA-accredited Consumer Reporting Agency (CRA).
- Drug Screening Drug and alcohol testing services delivered through a nationwide network of collection sites and SAMHSA-certified laboratories, with urine, oral fluid, and hair testing options, TPA program management, and in-house Medical Review Officer review for non-negative results.
- Health Screening Occupational and clinical health screening services tailored to industry and role, including tuberculosis testing, flu vaccinations, chest x-rays, and other physicals required to verify that employees are medically qualified for their jobs.
- Recovery Monitoring Services Recovery monitoring technology and services for licensed professionals in substance use disorder recovery, including configurable random drug and alcohol testing, case management, automated alerts, mobile-optimized participant platform, and reporting for licensing boards, drug courts, and alternative discipline programs.
- Medical Review Officer (MRO) Services In-house Medical Review Officer services that review non-negative drug test results, contact donors directly, and provide clinical determinations and reporting with a 24-hour response time.
Quantifiable outcome
- Nearly 100% of pilot program participants convert to full client status
- +3 more outcomes
Companies that use Vault Health
Customer profileNamed customers6 records
Segments5 records
Ideal customer profiles5 records
Vault Health technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
AI capability2 records
Feature3 records
Vault Health partnerships and signals
Strategic signalPartnerships
Two partnerships are on record, tiered minor.
- SleepMedRXminorVault is partnered with SleepMedRX to deliver comprehensive sleep apnea solutions for the transportation industry. SleepMedRX provides sleep medicine expertise while Vault provides screening and occupational health services for commercial drivers.
- American Substance Abuse Professionals (ASAPA)minorVault's preferred partner for post-positive test guidance and 'what's next' resources for employees who test positive. ASAPA provides substance abuse professional services and referrals to treatment programs.
Scale indicators7 records
Recent moves6 records
Expansion highlights6 records
Vault Health competitors and assessment
Company assessmentDirect peers
- Sterling Check (now part of First Advantage): Sterling acquired Vault in January 2024 and was subsequently acquired by First Advantage in a $2.2B deal. Sterling is a direct competitor in background screening and identity services and now Vault's parent — directly comparable customer base, FCRA-regulated CRA model, and enterprise screening workflows.
- HireRight: Direct competitor in employment background screening and drug testing for regulated industries (transportation in particular). HireRight is publicly listed and competes head-to-head with Vault for DOT-regulated employer accounts — Vault's Director of Sales for regulated transportation joined from HireRight after 12 years.
- Checkr: Technology-forward background screening provider competing in enterprise and gig-economy segments. While Checkr focuses on API-first delivery and tech-enabled CRA services, it competes with Vault for employer background check spend, particularly among digital-native employers.
- Accurate Background: Direct competitor in background screening with comparable enterprise sales motion and focus on regulated verticals. Operates as a CRA serving similar employer segments including transportation and healthcare.
- Certiphi Screening: Background screening provider specializing in healthcare and regulated industries, directly overlapping Vault's primary verticals (healthcare staffing, transportation). Comparable CRA model and enterprise client base.
- Universal Background Screening: Background screening company serving employers across regulated industries with comparable FCRA-compliant CRA services. Smaller scale than Vault but directly comparable service offering and customer profile.
Broad incumbents
- First Advantage: First Advantage is one of the world's largest background screening providers and is now Vault's ultimate parent post-Sterling acquisition. Overlapping CRA, drug screening, and identity services across global enterprise clients; broader portfolio and global footprint than Vault.
- Quest Diagnostics: One of the largest clinical laboratory networks in the US and a major provider of employer drug testing services. Vault's Director of Sales previously spent 27 years at Quest Diagnostics in various sales roles, illustrating the close labor market and overlap in drug testing services.
- Labcorp Drug Development (formerly LabCorp): National clinical laboratory providing employer drug testing and occupational health screening services. Competes with Vault's drug screening and occupational health TPA service line for employer specimen-collection and testing volume.
Regional players
- DriverCheck: Canadian-based DOT drug and alcohol testing and occupational health provider. Comparable service model to Vault's transportation vertical offering; operates primarily in Canada but offers relevant comparability for the regulated transportation screening workflow Vault dominates in the US.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
Vault Health social profiles
Digital presenceVault Health compliance and trust
Trust signalCompliance4 records
Vault Health financial estimates
Financial estimateRevenue estimate
Valuation estimate
Vault Health leadership team
Management profileNumber of profiles
Profiles7 records
Vault Health funding detail
Funding detailFunding overview
Funding rounds1 record
Investors4 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Vault Health M&A and investment
M&A and investmentM&A1 record
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Vault Health
What does Vault Health do?
Vault Workforce Screening operates as a third-party administrator and PBSA-accredited Consumer Reporting Agency providing background checks, drug and alcohol testing, occupational health screening, and recovery monitoring services to employer clients. Services are delivered through the proprietary FirstRequest™ ordering platform integrated with 30+ ATS/HRIS systems, backed by a nationwide network of 17,000+ collection sites and an in-house certified Medical Review Officer team.
Is Vault Health a public or private company?
Vault Health is a private company. It is classified as corporate owned and is currently acquired.
When was Vault Health founded?
Vault Health was founded in 1989. It employs 101 to 250 people.
Where is Vault Health based?
Vault Health is headquartered in New York, United States, in the North America region.
How does Vault Health make money?
Four revenue lines are on record. Third-Party Administrator (TPA) Services are the primary driver. The others are background Screening / Consumer Reporting Agency (CRA), recovery Monitoring Services and clinical and Occupational Health Services.
Who are Vault Health's main competitors?
Direct peers on record are Sterling Check (now part of First Advantage), HireRight, Checkr, Accurate Background, Certiphi Screening and Universal Background Screening. Broad incumbents are First Advantage, Quest Diagnostics and Labcorp Drug Development (formerly LabCorp). DriverCheck is listed as a regional player.
Does Vault Health have an API?
No public API is recorded for Vault Health.
What industry is Vault Health in?
Vault Health's product category is Workforce Screening Services. Its primary akta.pro industry code is BPAKAEAA, Pre-Employment Background Checks & Screening, with a secondary code of BPACALAJ, Continuous Monitoring & Post-Hire Screening. Its NAICS code is 561611 and its SIC code is 7361.