While in the United States, Scott Nelson saw a printed advertisement recruiting employees for the King Faisal Specialist Hospital (Hospital) in Riyadh, Saudi Arabia. The recruitment was conducted by an independent corporation, Hospital Corporation of America (HCA), which had contracted with Saudi Arabia to recruit employees for the Hospital. Nelson submitted an application, was interviewed by Hospital officials in Saudi Arabia, returned to the United States, and signed an employment agreement in Miami, Florida. As a monitoring systems engineer, he was responsible for electronic monitoring and control systems capabilities and the modification of existing equipment and installation of new equipment.