What Trilogy MedWaste does

Trilogy MedWaste is a privately held regulated medical waste management company founded in 2017 and headquartered at 3 Riverway #1050, Houston, TX. The company provides collection, transportation, treatment, and disposal services for regulated medical waste, sharps, hazardous and non-hazardous pharmaceutical waste, chemotherapy waste, dental waste, and secure document destruction. Its customer base spans the full healthcare continuum—from single-unit clinics and dental practices to regional hospitals, acute care facilities, and large health systems, as well as individual consumers managing conditions at home (e.g., diabetes-related sharps)—served through enterprise field sales, phone-based inside sales, and a direct-to-consumer e-commerce storefront.

The company's core treatment technology is steam sterilization (autoclave) that renders infectious waste non-infectious via high temperature and high pressure in accordance with NMAC 20.9.8.13 F.(2). Trilogy MedWaste West, LLC, a wholly owned regional subsidiary, operates an autoclave processing facility in Albuquerque, NM (opened 2019) under NMED Solid Waste Facility Permit SWM 010150(SP), processing approximately 5 tons of infectious waste per day (~1,800 tons/year). Trilogy supplements its core waste services with a portfolio of adjacent offerings: USPS/UPS-approved mail-back sharps and pharmaceutical containers with prepaid return shipping; the proprietary Birdseye® formulary software for pharmaceutical tracking and compliance management; and an online compliance training platform covering OSHA, HIPAA, DOT HAZMAT, Safety Data Sheets, and Safety Plan Builder tools.

Trilogy's revenue model combines recurring service contracts for scheduled waste pickup with consumable product sales (sharps containers, red biohazard bags, chemotherapy containers ranging from 1 quart to 96 gallons), bundled managed-service mail-back programs, and subscription-style compliance training. Service pricing is quote-based (888-763-3927), while products are transparently listed (sharps containers $7.95–$636.95; mail-back programs $44.50–$227.76; dental recycling kits $177.00–$213.00). Distribution spans an e-commerce storefront with same-day shipping, inside-sales phone quotes, and field sales for large enterprise accounts. The company emphasizes regulatory compliance (OSHA, EPA, HIPAA, DOT HAZMAT, state solid waste permits) and self-reports serving thousands of healthcare businesses across multiple U.S. states, with leadership claiming "150+ years of collective management experience" in healthcare, environmental, and waste services.

Name

Trilogy MedWaste

Legal name

Trilogy MedWaste, Inc.

Website

https://trilogymedwaste.com

Company type

Private

Founded year

2017

Operating status

Operating

Headcount range

101–250 employees

Short description

Trilogy MedWaste is a Houston-based, privately held regulated medical waste management company serving thousands of U.S. healthcare customers—from single-unit clinics to large health systems—through autoclave-based treatment, mail-back programs, consumable containers, and compliance software.

Ownership category

akta.pro rank

Product category

Regulated Medical Waste Disposal Services

NAICS

Hazardous Waste Collection (562112), Waste Treatment and Disposal (56221), Waste Collection (5621), Medical Equipment and Supplies Manufacturing (3391)

SIC

Wholesale-Medical, Dental & Hospital Equipment & Supplies (5047)

akta.pro primary industry

Medical & Biohazardous Waste Management (RMW, Sharps, Pathological) (EUAIAFAE)

akta.pro secondary industries

Sharps Management (Containers, Collection, Treatment) (BPALAGAD), Chemotherapy/Cytotoxic Waste Management (BPALAGAG), Medical & Biohazardous Waste Transfer/Consolidation (EUAIABAF), Medical Waste Management & Biohazard Disposal Systems (Regulated Waste, Liners, Containers) (HLAHANAI), Medical & Biohazardous Waste Support (On-site Regulated Waste Staging) (BPABALAH), Medical & Biohazard Waste Disposal (RMW/Sharps) (IMAIAFAJ)

Keywords

• Medical waste disposal
• Sharps management services
• Hazardous pharmaceutical waste
• Regulated waste collection
• OSHA HIPAA compliance training

Headquarters

HQ city

Houston

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Operations, Personnel, Supply Chain, Marketing or Sales, Infrastructure, Technology or R&D

Revenue model

1. Waste Collection and Disposal Services: Recurring service revenue from regulated medical waste collection, transportation, treatment, and disposal for healthcare facilities. Services are provided to small, medium, and large medical waste generators across multiple states.
2. Product Sales (Containers and Supplies): One-time and recurring product sales of sharps containers, red bags, pharmaceutical waste containers, chemotherapy containers, and related supplies. Products sold in various sizes (1 quart to 96 gallon) through e-commerce store.
3. Mail-Back Programs: Bundled offering combining product (mail-back container), prepaid return shipping, and disposal services. Cost of container, return shipment and disposal services is included in the price.
4. Compliance Training Services: Online OSHA and HIPAA compliance training programs including 14 courses, Safety Data Sheet management, and Safety Plan Builder tools.

Pricing tiers

Go-to-market motion3 records

Distribution channels3 records

Marketing channels4 records

Core offering

Trilogy MedWaste is a full-service regulated medical waste management company that collects, transports, treats (via steam sterilization/autoclave), and disposes of medical, sharps, hazardous, chemotherapy, and pharmaceutical waste for healthcare facilities of all sizes. It complements this core service with mail-back container programs, secure document destruction, an e-commerce store of waste-handling supplies (sharps containers, red bags, dental recycling kits, PPE), and online OSHA/HIPAA/DOT HAZMAT compliance training, including its proprietary Birdseye Formulary Software.

Product overview

Trilogy MedWaste operates as a full-service regulated waste management company offering a platform of services and related products for the healthcare industry. The core service portfolio includes Medical Waste Management & Disposal, Sharps Management & Disposal, Secure Shredding Services, Hazardous Waste, Mailback Pharmaceutical Solutions, Compliance Training (OSHA/HIPAA), and Online DOT HAZMAT Training, complemented by proprietary Birdseye Formulary Software. The company also operates an e-commerce store selling complementary products including mail-back containers for medical waste and sharps disposal, sharps containers in various sizes and configurations (red/yellow, rotary/slide/mailbox lids), hazardous pharmaceutical waste containers, chemotherapy waste containers, non-hazardous pharmaceutical containers, red biohazard bags, dental waste recycling kits, and PPE supplies. The services and products work together to provide healthcare facilities with comprehensive compliance and waste management solutions.

Differentiator

Problem solved

Functional benefit

Brands

• Birdseye® Formulary Software: A formulary software product offered by Trilogy MedWaste for healthcare compliance and medication management.

Products and services

• Medical Waste Management & Disposal Nationwide regulated medical waste collection, transportation, treatment via steam sterilization (autoclave), and disposal services for healthcare facilities ranging from single-unit clinics to large health systems and acute care hospitals.
• Sharps Management & Disposal On-site service and mail-back solutions for sharps waste using FDA-approved sharps containers ranging from 2 to 18 gallons, designed for healthcare facilities requiring compliant sharps handling.
• Secure Shredding Services Document destruction services for sensitive healthcare paperwork, with bin and console size options to ensure security and HIPAA-aligned compliance.
• Hazardous Waste Management Management and disposal of hazardous pharmaceutical waste and other regulated hazardous materials for healthcare and related facilities, including RCRA PGII rated handling.
• Mailback Pharmaceutical Solutions Mail-back program that allows healthcare providers and individuals to return pharmaceutical waste using prepaid USPS/UPS shipping containers, with disposal services bundled into the container price.
• Birdseye Formulary Software Proprietary formulary management software for tracking pharmaceutical inventory, prescription compliance, and medication management within healthcare facilities.
• OSHA and HIPAA Compliance Training Online subscription-style training program with 14 OSHA and HIPAA courses, Safety Data Sheet management, Safety Plan Builder, Safety Audits, and ICD-10 Search and Conversion tools.
• Online DOT HAZMAT Training Online training program for Department of Transportation hazardous materials handling and shipping requirements for personnel involved in regulated medical waste transport.
• Mail-Back Medical Waste Disposal Containers USPS-approved mail-back containers for regulated medical waste in 3, 8, and 18 gallon sizes, including prepaid return shipping and disposal services bundled into the purchase.
• Sharps Containers FDA-approved puncture-resistant sharps containers in 1 quart to 30 gallon sizes, available in red and yellow with rotary, slide, mailbox, and hinged lid configurations for different waste streams.
• Hazardous Pharmaceutical Waste Containers RCRA PGII rated containers for hazardous pharmaceutical waste collection in 2, 8, and 18 gallon sizes with gasketed lids and leak-resistant features.
• Chemotherapy Waste Containers Yellow chemotherapy waste containers for trace chemotherapy waste including needles, syringes, ampules, and IVs, with secure sealing gasketed lids in 8 and 18 gallon sizes.
• Red Bags for Medical Waste Red biohazard bags for regulated medical waste in 1 to 96 gallon sizes, sold in cases of 200 to 500 bags through the e-commerce store.
• Dental Waste Recycling Kits RECYCLEPAK systems for dental waste including 2 and 5 gallon amalgam recycling pails and dental x-ray head recycling kits, with prepaid return shipping for compliant disposal.
• Non-Hazardous Pharmaceutical Waste Containers White pharmaceutical waste containers for non-hazardous medications in 3, 8, and 18 gallon sizes with hinged gasketed lids.

Quantifiable outcome

• More than 850,000 people are injured each year by 7 billion improperly disposed sharps
• +1 more outcomes

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature4 records

Scale indicators6 records

Recent moves6 records

Expansion highlights6 records

Broad incumbents

• Cintas (First Aid & Safety): Large route-based services company with first aid, sharps, and safety compliance offerings. Indirect overlap with Trilogy's sharps and compliance training services as part of a much broader facility services portfolio.
• Republic Services (Medical Waste): Major solid waste company providing regulated medical waste, sharps, and pharmaceutical waste services as part of a broader environmental services platform. Overlaps Trilogy on regulated medical waste pickup and disposal.
• Clean Harbors: Large environmental services company with a significant hazardous waste and regulated waste management segment. Competes in pharmaceutical and hazardous waste handling, though its core focus is broader industrial waste.
• Veolia Environmental Services (Healthcare Waste): Global environmental services firm with healthcare/medical waste treatment operations including autoclave processing and pharmaceutical waste management. Overlaps Trilogy's core regulated medical waste treatment services.
• Waste Management Inc. (WM Healthcare Solutions): Largest North American waste hauler with a healthcare solutions vertical offering medical waste and sharps disposal services. Larger, broader portfolio, but directly competes for hospital and clinic accounts.

Direct peers

• Stericycle: Largest North American regulated medical waste services company, providing collection, transportation, treatment, and disposal of medical waste, sharps, and pharmaceutical waste. Directly comparable service portfolio and customer base to Trilogy, with far greater scale and route density.
• BioMedical Waste Solutions: Mid-sized U.S. medical waste disposal company offering mail-back and on-site pickup services to small and mid-sized healthcare generators. Closely comparable mail-back product set and customer profile to Trilogy.
• Daniels Health: Specialist in reusable sharps and medical waste containment systems with route-based service and mail-back programs. Competes head-to-head with Trilogy in sharps management and reusable container solutions for hospitals and clinics.
• Red Bag Solutions: U.S. medical waste and pharmaceutical waste services provider focused on small to mid-sized healthcare customers with mail-back and route-based solutions. Directly comparable service offering to Trilogy's core business.
• Sharps Technology (Sharps Compliance): Provider of mail-back sharps and pharmaceutical waste disposal solutions to small-quantity generators including home healthcare and individual consumers. Closely overlaps Trilogy's mail-back and home-use offering.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/trilogymedwaste
• LinkedInlinkedin.com/company/trilogy-medwaste

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Subsidiaries1 record

Funding overview

Funding rounds1 record

Investors1 record

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Trilogy MedWaste