Vault Health
Vault Workforce Screening (First Hospital Laboratories, LLC) is a US-based TPA and CRA founded in 1989 that delivers background checks, drug and alcohol testing, occupational health screening, and recovery monitoring to mid-to-large employers in regulated industries via its FirstRequest™ platform.
- Company typePrivate
- Founded1989
- HeadquartersCoral Gables, United States
- Headcount—
- GTM typeB2B
- OfferingServices
What Vault Health does
Vault Workforce Screening, operating under the legal entity First Hospital Laboratories, LLC, is a US-based provider of employment screening and occupational health services founded in 1989. The company functions as both a third-party administrator (TPA) for drug and alcohol testing and a Consumer Reporting Agency (CRA) for background screening, serving clients across transportation, healthcare staffing, aviation, energy, manufacturing, and other regulated industries. Service lines include background checks, drug and alcohol screening (urine, hair, oral fluid, and breath alcohol), occupational health screening (TB testing, flu vaccinations, mobile clinics), recovery monitoring programs for licensed professionals, E-Verify employment eligibility verification, and MRO (Medical Review Officer) services.
The company's operational backbone is its proprietary FirstRequest™ platform, which handles ordering, tracking, and result delivery and integrates with more than 30 ATS and HRIS systems. Service delivery is supported by a nationwide network of 17,000+ collection sites and mobile clinic capabilities. Vault operates under FCRA, DOT/FMCSA, FAA, and PBSA-accredited standards, with in-house nationally certified MROs and Advanced FCRA-certified managers. The revenue model is transaction-based: per-test, per-panel, and per-service fees with volume-based pricing and multi-year contracts, primarily directed at mid-to-large enterprise HR and compliance buyers. Following its January 2024 acquisition by Sterling, the company now operates within Sterling's broader portfolio (subsequently acquired by First Advantage in a $2.2B transaction).
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
- Operating
- Short description
- Vault Workforce Screening (First Hospital Laboratories, LLC) is a US-based TPA and CRA founded in 1989 that delivers background checks, drug and alcohol testing, occupational health screening, and recovery monitoring to mid-to-large employers in regulated industries via its FirstRequest™ platform.
- Ownership category
- akta.pro rank
Vault Health industry classification
Industry- Product category
- Workforce Screening Services
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Investigation and Personal Background Check Services (561611), Testing Laboratories and Services (54138)
- SIC
- Services-Testing Laboratories (8734)
- akta.pro primary industry
- Workers’ Compensation & Occupational Health TPA (HLAEALAL)
- akta.pro secondary industry
- Compliance, Reporting & Regulatory Administration (ERISA/ACA/No Surprises) (HLAEALAJ)
Keywords
Where Vault Health is headquartered
LocationHeadquarters
- HQ city
- Coral Gables
- HQ country
- United States
- HQ region
- North America
Offices1 record
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, Infrastructure
Revenue model
- Drug & Alcohol Testing TPA Services: Vault operates as one of the largest privately held third-party administrators (TPAs) of drug and alcohol testing programs. Revenue is generated through per-test transaction fees, panel customization fees, and ongoing monitoring fees. Services are priced per test, per panel, and per service type (urine, oral fluid, hair, etc.), with volume-based pricing for larger programs.
- Background Screening Services: Vault acts as a Consumer Reporting Agency (CRA) providing background checks including criminal searches, employment verification, education verification, and other checks. Revenue is generated per search type with bundled package pricing. All services comply with FCRA.
- Occupational Health & Clinical Screening: Occupational health services including physicals, tuberculosis testing, flu vaccinations, and other clinical screening. Charged per service with mobile/on-site clinic options priced by location, volume, and service type.
- Recovery Monitoring Services: Recovery monitoring programs for licensed professionals with configurable software, random testing management, and participant billing. Services include direct billing of participants and program management fees. Vault is the largest administrator of professional health monitoring services in North America.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Other | Multi-year contract | No publicly disclosed pricing tiers. Vault offers free pilot programs and free 30-minute screening program reviews as entry points. |
Go-to-market motion2 records
Distribution channels3 records
Marketing channels7 records
Vault Health product offering
Product offeringCore offering
Vault operates as a third-party administrator (TPA) of drug and alcohol testing programs and a Consumer Reporting Agency (CRA) providing background screening, occupational health screening, and recovery monitoring services to employers across regulated industries. Services include background checks, urine/oral fluid/hair drug testing, physicals, tuberculosis testing, flu vaccinations, mobile clinics, and recovery monitoring for licensed professionals, all managed through the proprietary FirstRequest™ ordering and tracking platform backed by an in-house nationally certified MRO team.
Product overview
Vault Workforce Screening provides a comprehensive workforce screening platform consisting of core screening products (Background Checks, Drug Screening, Health Screening, and Recovery Monitoring) supported by the FirstRequest™ technology platform. The company operates as a third-party administrator (TPA) for drug and alcohol testing and as a Consumer Reporting Agency (CRA) for background screening. Key supporting services include in-house MRO services, E-Verify integration, occupational health solutions, flu vaccination programs, mobile clinics, and TB testing options. The FirstRequest™ platform serves as the central ordering and management system with over 30 integrations to ATS and HRIS systems. Recovery monitoring is delivered through a dedicated software platform. The company was acquired by Sterling in January 2024.
Differentiator
Problem solved
Functional benefit
Brands
- FirstRequest™: Custom-built ordering platform for drug, alcohol and occupational health screening providing decision-making capabilities based on time, cost, and geographic proximity.
- Recovery Monitoring Services (RMS)
Products and services
- Background Checks Fast, reliable, accurate background check results including criminal searches, employment verification, education verification, and other checks delivered as a Consumer Reporting Agency (CRA) in compliance with FCRA; designed to protect organizations, employees, and candidates while offering a modern digital experience for HR and staffing teams.
- Drug Screening Third-party administration of drug testing programs through a nationwide network of collection sites, with customizable panels, urine/oral fluid/hair testing options, electronic chain of custody, and integration with FirstRequest™ ordering; supports DOT-compliant and non-DOT testing for employers across industries.
- Health Screening Industry and role-specific physicals and additional health screenings including tuberculosis testing, occupational health exams, and clinical screening programs that verify employees are medically qualified for safety-sensitive and regulated roles.
- Recovery Monitoring Recovery monitoring technology services for licensed professionals (e.g., nurses, doctors, pharmacists) including configurable software solutions, random drug and alcohol testing, automated alerts for case managers and participants, and mobile access; supports licensing board and professional health program compliance for substance use disorder recovery.
- FirstRequest™ Platform Custom-built proprietary ordering platform for drug, alcohol, and occupational health screening that provides clients decision-making capabilities based on time, cost, and geographic proximity priorities; includes electronic ordering, ETA-based clinic selection using 90 days of clinic data, order expiration management, sample tracking from collection to result, and 30+ integrations with ATS and HRIS systems.
- Medical Review Officer (MRO) Services In-house nationally certified MRO services where US-based MROs evaluate drug test results, make donor contact directly, and provide consultation to employers on DOT and non-DOT testing programs; guarantees 24-hour MRO response on non-negative results.
- Flu Vaccinations (including Mobile Flu Clinics) Seasonal flu vaccination services delivered through 16,000+ nationwide clinic partners, including on-site and mobile vaccination clinics that bring flu shots directly to workplaces for industries with non-traditional hours or distributed workforces such as trucking, manufacturing, and transit.
- Tuberculosis Testing Multiple TB testing options including TB Gold (QuantiFERON), PPD skin testing, and T-SPOT blood testing, plus chest x-rays, for healthcare and other industries requiring time-sensitive TB screening of employees and placed professionals.
Quantifiable outcome
- Reduced hiring and onboarding time
- +3 more outcomes
Companies that use Vault Health
Customer profileNamed customers7 records
Segments13 records
Ideal customer profiles4 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 capability1 record
Feature5 records
Vault Health partnerships and signals
Strategic signalPartnerships
Two partnerships are on record, tiered core and minor.
- SterlingcoreAs of January 2, 2024, Vault Workforce Screening was acquired by Sterling (one of the world's largest providers of background and identity services). Vault's proprietary service model including MRO services and emergency/after-hours scheduling extends Sterling's drug and health testing capabilities. Josh Peirez, CEO of Sterling, stated the acquisition builds scale within healthcare and industrials verticals. Vault continues to operate under its own brand within the Sterling portfolio.
- SleepMedRXminorVault is partnered with SleepMedRX to deliver comprehensive sleep apnea solutions for transportation industry clients. The partnership provides complete sleep programs including sleep apnea testing and management, helping employers in transportation save on healthcare costs and mitigate risk. SleepMedRX expertise complements Vault's existing occupational health and screening services.
Scale indicators7 records
Recent moves7 records
Expansion highlights6 records
Vault Health competitors and assessment
Company assessmentBroad incumbents
- Quest Diagnostics: Major clinical laboratory network providing employer drug testing, wellness, and occupational health lab services. Competes with Vault at the laboratory analysis layer, particularly for SAMHSA-certified drug testing volumes.
- First Advantage: Ultimate parent company after acquiring Sterling; a leading global provider of background screening, identity, and verification services with significantly broader product portfolio and international scale.
- Concentra: Large occupational health and urgent care provider offering drug testing, physicals, and workplace health services through owned clinics. Competes with Vault's occupational health screening and physicals service line.
- Sterling: Now Vault's direct parent, Sterling is one of the world's largest background and identity services providers with a broader global footprint. It competes in the same screening category as Vault at much greater scale and is the integrating acquirer of Vault's capabilities.
Direct peers
- Checkr: Technology-led background screening platform serving enterprises and staffing agencies with API-native integrations. Competes head-to-head with Vault for high-volume, multi-vertical screening accounts and emphasizes faster, lower-cost delivery.
- DISA Global Solutions: Provider of employee screening, drug and alcohol testing, and occupational health services primarily to safety-sensitive industries including transportation, energy, and manufacturing. Direct competitor for DOT-regulated workforce screening.
- HireRight: One of the largest global employment screening providers offering background checks, drug and health screening, and integrated ATS workflows. Direct overlap with Vault's background and drug testing services across transportation and healthcare verticals.
- Accurate Background: Background screening provider with strong presence in staffing, healthcare, and gig-economy verticals. Direct competitor in employment background checks with similar mid-market enterprise GTM motion.
- Certiphi Screening: Background screening provider with deep healthcare vertical focus serving staffing agencies, health systems, and licensed professionals. Overlaps with Vault's healthcare staffing and professional licensee screening segments.
Emerging players
- WorkCare: Occupational health and workforce screening provider offering drug testing, physicals, and clinical services for employers. Adjacent competitor in occupational health with overlap in regulated industries.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
Vault Health social profiles
Digital presenceVault Health compliance and trust
Trust signalCompliance7 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 rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Vault Health M&A and investment
M&A and investmentM&A
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 operates as a third-party administrator (TPA) of drug and alcohol testing programs and a Consumer Reporting Agency (CRA) providing background screening, occupational health screening, and recovery monitoring services to employers across regulated industries. Services include background checks, urine/oral fluid/hair drug testing, physicals, tuberculosis testing, flu vaccinations, mobile clinics, and recovery monitoring for licensed professionals, all managed through the proprietary FirstRequest™ ordering and tracking platform backed by an in-house nationally certified MRO team.
Is Vault Health a public or private company?
Vault Health is a private company. It is classified as corporate owned and is currently operating.
When was Vault Health founded?
Vault Health was founded in 1989.
Where is Vault Health based?
Vault Health is headquartered in Coral Gables, United States, in the North America region.
How does Vault Health make money?
Four revenue lines are on record. Drug & Alcohol Testing TPA Services are the primary driver. The others are background Screening Services, occupational Health & Clinical Screening and recovery Monitoring Services.
Who are Vault Health's main competitors?
Broad incumbents on record are Quest Diagnostics, First Advantage, Concentra and Sterling. Direct peers are Checkr, DISA Global Solutions, HireRight, Accurate Background and Certiphi Screening. WorkCare is listed as an emerging 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 HLAEALAL, Workers’ Compensation & Occupational Health TPA, with a secondary code of HLAEALAJ, Compliance, Reporting & Regulatory Administration (ERISA/ACA/No Surprises). Its NAICS code is 524292 and its SIC code is 8734.