HCA is the largest purchaser of health care services in Washington State through its administration of the PEBB, SEBB, and Medicaid Programs and has roughly 1,600 employees. HCA performs Criminal Background Check Services to screen employment candidates, interns, and volunteers on an as-needed basis. HCA requires a solution to provide results from all 50 states. HCA estimates it will require approximately 35-45 Criminal Background Check reports monthly.