Medical Waste Transport Inc.

Medical Waste Transport Inc., a small business based in Sioux Falls, South Dakota, provides medical waste collection, transportation, and disposal services to federal healthcare facilities as a prime contractor operating exclusively under small-business set-asides and full-and-open competition, with 100% of its recent federal work as a prime (no subcontract activity).

The vendor's footprint is heavily concentrated with the Indian Health Service, which accounts for 81% of awards (66 of 93 total awards over the source period) and 86% of combined potential value ($1.9 million of $2.2 million). The Department of Veterans Affairs contributed four awards totaling $45 thousand, with remaining volume scattered across the Air Force and the Bureau of Prisons. Medical Waste Transport holds a single-award indefinite delivery contract with IHS for medical waste disposal at Rosebud IHS Hospital (ceiling $123,900, small-business set-aside, running through February 28, 2027), which serves as the anchor vehicle for recurring task orders. Representative prime work includes a $25,550 task order issued February 26, 2026 for medical waste disposal at Rosebud IHS Hospital (March 2026 through February 2027, small-business set-aside); a $204,600 purchase order awarded September 23, 2025 for medical waste services at Pine Ridge Service Unit, Pine Ridge, South Dakota (small-business set-aside); and a $91,000 purchase order awarded February 27, 2025 for medical waste pickup and disposal at Fort Thompson Health Center with four one-year option periods extending through March 31, 2030 (full-and-open competition). The vendor also held a contract with Veterans Integrated Service Network 23 in 2022 valued at $45,241.88 for medical waste removal services in Sioux Falls.

Medical Waste Transport operates under primary NAICS categories of hazardous waste treatment and disposal (60 awards) and hazardous waste collection (10 awards), with corresponding PSC codes for housekeeping, waste treatment and storage, and environmental remediation. Recent activity has declined: four awards in 2022, four in 2023, one in 2024, three in 2025, and one in 2026. Two awards totaling $230 thousand face completion within the next twenty-four months, representing potential recompete exposure. The vendor's service geography concentrates on IHS facilities across South Dakota, including Rosebud, Pine Ridge, and Fort Thompson locations, supporting federal healthcare delivery to American Indian and Alaska Native communities.