S222--VISN 5 Regulated Medical Waste and Sharps Disposal Services All VISN 5 VAMCs & CBOCs (Includes 8 VAMCs & 29 CBOCs) AMENDMENT 0001

Where this opportunity stands

Every notice posted under solicitation 36C24526Q0099 in this department, oldest first.

Next steps for this stage

Standard steps for the notice type; not advice about this buyer.

• Decide bid or no bid before the response deadline.
• Look at the past winners for likely competitors and teaming partners.
• Follow the opportunity to hear about amendments and the award.

What the notice says

Who won similar work

60 award notices on SAM.gov in the last 24 months. Matched by: Same agency (Veterans Affairs), same product/service code (PSC) S222.

Single-winner award sizes (60): middle half $228K to $602K, median $438K; range $21K to $4.0M.

Value counts single-winner awards. "Shared" awards are multiple-award contracts that list every winner with the same total ceiling; that ceiling is not one company's win, so it is not added in. Revenue next to a ticker is the company's last annual revenue from its 10-K.

• Oct 2, 2026HAMILTON ALLIANCE INC$3.2MS222--Regulated Medical Waste Treatment/DisposalNo listed company matched (Materiality N/A)
• Oct 1, 2026ADVANT-EDGE SOLUTIONS OF MIDDLE ATLANTIC INC$1.7MS222--Regulated Medical Waste and Sharps ServicesNo listed company matched (Materiality N/A)
• Sep 18, 2026EARTH SMART ENVIRONMENTAL SOLUTIONS LLC$1.7MS222--Hazardous Waste DisposalNo listed company matched (Materiality N/A)
• Sep 6, 2026ENVIRONMENTAL COMPLIANCE CONSULTANTS, INC.$1.0MHazardous Waste Disposal Service for Boise VAMCNo listed company matched (Materiality N/A)
• Sep 6, 2026ENVIRONMENTAL COMPLIANCE CONSULTANTS, INC.$928KHazardous Waste Disposal for Portland VAHCSNo listed company matched (Materiality N/A)
• Aug 26, 2026MEDICES Ontario CA 91761 USA$549KSharps Pickup and Disposal - VA Loma Linda Health Care SystemsNo listed company matched (Materiality N/A)
• Aug 20, 2026EARTH SMART ENVIRONMENTAL SOLUTIONS LLC$220KS222--FY26 Task Order #4 Regulated Medical and Hazardous Waste Removal Services-C60329No listed company matched (Materiality N/A)
• Jun 3, 2026HAMILTON ALLIANCE INC$4.0MS222--Waste, Recycle & Compost Services Long Term (VA-26-00045787)No listed company matched (Materiality N/A)
• May 4, 2026Trilogy Medwaste, Inc.$829KRegulated Medical Waste Disposal for Puget Sound VAHCSNo listed company matched (Materiality N/A)
• Apr 24, 2026NEIE Medical Waste Services, LLC$574KS222--HAZARDOUS WASTE PICK UP AND DISPOSALNo listed company matched (Materiality N/A)

Competitive landscape

For the 8 most frequent past winners above. Lobbying is matched by the company's exact name or exact ticker; agencies are as named on the filings.

Policy around it

Bills the past winners named while lobbying this agency's issues, rules from the department, and executive orders that name the agency, last 12 months.

Market

For past winners matched exactly to a listed company. Insider trades are open-market buys and sells (Form 4) in the last 90 days, shown as facts; our own study found insiders do not reliably buy ahead of awards. A sale marked 10b5-1 was made under a trading plan set up in advance.