TrashSmart audits your waste hauler bills — from general trash and recycling to regulated medical waste streams. We specialize in healthcare, assisted living, and nursing home waste billing, and we recover real savings across every industry. No upfront cost. No new vendors. No risk.
Waste haulers are among the least transparent vendors in your P&L. Contracts are dense, fees multiply quietly, and billing errors rarely get corrected unless someone pushes. In healthcare and long-term care settings, this problem is compounded by complex regulated medical waste streams that haulers routinely misclassify — billing you at hazardous rates you have no reason to pay. That's exactly what we fix.
We work best with businesses that have multiple locations, high-volume waste, regulated medical waste streams, or complex hauler agreements. Healthcare and long-term care is a core specialty.
High-volume waste, multiple dumpsters, complex recycling streams — and haulers that know it.
Multi-location operators face compounding overcharges across dozens of hauler contracts.
ALFs and memory care communities generate regulated medical waste that haulers routinely overbill. We know exactly where to look.
SNFs face the highest complexity in waste billing — sharps, biohazard, pharmaceutical, and general waste streams billed at inflated rates.
Portfolio-level audits that recover savings across every property — simultaneously.
Roll-off containers, compactors, and mixed waste — all ripe for billing review.
Fixed-budget organizations benefit most from eliminating quiet, ongoing overcharges.
Medical waste billing is the most complex — and most abused — category in the waste hauler industry. Assisted living facilities, nursing homes, and skilled nursing facilities are consistently overbilled because haulers know operators don't have the expertise to push back.
We audit every red bag, sharps container, and biohazardous waste line item on your invoices. Haulers routinely bill RMW at hazardous waste rates — a premium you're almost certainly not required to pay.
Sharps disposal (needles, syringes, lancets) and pharmaceutical waste (including controlled substance returns) carry specialized billing that is frequently inflated. We benchmark your rates against compliant, competitive alternatives.
Standard clinical waste is routinely — and incorrectly — classified as RCRA-listed hazardous material by haulers. This drives costs 3–5x higher than necessary. Identifying and correcting misclassification is one of our highest-ROI findings in long-term care settings.
We ensure your waste program aligns with Florida Department of Health and EPA requirements for ALFs and SNFs — so you're compliant without overpaying. Proper classification protects you legally and financially.
We work with regional and national ALF and SNF operators to conduct simultaneous audits across all locations — recovering savings at scale and standardizing contracts across your entire portfolio.
"We were billing regulated medical waste correctly on our end — but our hauler had been classifying it as hazardous for over three years. TrashSmart caught it, secured a substantial refund, and corrected our contract. We had no idea we were even paying the wrong rate."
Most clients see initial findings within 30 days and savings hitting their bottom line within 90.
Send us 3 months of recent waste invoices — including all regulated medical waste, sharps, and biohazard bills — and a signed Letter of Authorization. We take it from there.
Our analysts review every line item across all waste streams, cross-check your contracts, and benchmark rates — including specialized healthcare and medical waste billing.
You receive a clear, line-by-line report of overcharges, billing errors, and misclassified waste streams. No jargon — just dollars.
With your approval, we negotiate with your haulers, recover refunds, correct waste classifications, and monitor all invoices monthly to keep costs down.
From front-load dumpsters to regulated medical waste to sharps disposal contracts — we leave nothing unreviewed.
Red bag waste, biohazardous materials, and pathological waste — audited for correct classification, compliant handling, and fair billing rates.
Sharps container pickups, needle disposal, and pharmaceutical waste returns — frequently overbilled. We benchmark and correct.
Every fee, surcharge, fuel adjustment, and "other" charge — compared against contract terms and market benchmarks.
Escalation clauses, auto-renewal language, cancellation notice periods, and price cap provisions.
Are your containers right-sized? We identify opportunities to reduce pickups or right-size bins without disrupting operations.
Verifying that pickup schedules match what you're being charged — and what you actually need.
Ensuring you aren't billed at hazardous or specialized rates when standard or regulated classification applies — a chronic problem in healthcare settings.
Your rates checked against real hauler pricing data across comparable businesses and markets in Florida.
We look back for past overcharges and billing errors — and pursue refunds and credits on your behalf.
Savings erode without oversight. We review new invoices every month to catch vendor "creep" before it stacks up.
Haulers are counting on the fact that no one — especially in busy healthcare environments — is watching closely enough.
Haulers routinely classify regulated medical waste (RMW) as hazardous waste, triggering rates 3–5x higher than warranted. Assisted living and nursing home operators are the most frequently affected — and the least likely to catch it.
Sharps disposal and pharmaceutical waste contracts carry specialized pricing that is almost never benchmarked. Healthcare facilities are typically paying above-market rates for years without knowing it.
Fuel adjustments, recycling offsets, contamination fees, and "open lid" charges appear and quietly compound each month with no justification.
Haulers charge maintenance fees on containers and compactors they still own — sometimes on equipment that's never been serviced.
Charges for pickups that never happened, or exchange fees stacked with removal and re-delivery charges on the same visit.
Contracts silently renew with built-in rate escalations — locking you into above-market pricing for years at a time.
Material incorrectly flagged as hazardous, liquid, or specialized waste — billed at a premium rate you have no reason to pay.
Without benchmarks, you have no idea if your base rate is fair. Most of our clients are paying 30–50% more than they should be.
Our incentives are completely aligned with yours — we only make money when you save money.
No retainer, no hourly billing, no invoice until savings are hitting your bottom line.
We need very little from your team: a brief intake call, invoices, and a findings review. We handle everything else.
We optimize your costs with your current hauler in 90% of cases. No operational headaches, no new relationships to manage.
We share in verified savings for a defined term. After that, you keep 100% of the savings — forever.
These aren't projections — they're verified results from actual clients.
"Our hauler had been billing our regulated medical waste at hazardous material rates for over two years — without our knowledge. TrashSmart identified the misclassification, negotiated a significant refund, and corrected our contract. The savings were immediate and the process required almost no time from our staff."
"We were skeptical at first — we thought we had a handle on our waste costs. TrashSmart found billing errors we'd been paying for years and got us a substantial refund. Highly recommend for any multi-location operation."
"They cut our monthly waste spend by over 40% and we didn't have to change a single vendor. As a nursing home administrator, I'm juggling a hundred priorities — I appreciated that TrashSmart handled everything and only came to me for approvals."
Yes — and it's one of our core specialties. We audit regulated medical waste (RMW), sharps disposal, pharmaceutical waste, and biohazardous waste billing for assisted living facilities (ALFs), skilled nursing facilities (SNFs), memory care communities, and other healthcare organizations. Medical waste billing is notoriously complex and almost universally overpriced. We have deep experience identifying misclassification errors, above-market rates, and phantom charges specific to the healthcare waste stream.
Yes. We work within the framework of Florida Department of Health (FDOH) rules and EPA guidelines for regulated medical waste management in ALF and SNF settings. Our goal is to ensure your waste program is fully compliant while eliminating the overbilling that commonly occurs when haulers apply hazardous waste rates to regulated medical waste that doesn't warrant it. Correct classification protects you both legally and financially.
Nothing upfront — ever. We work on a contingency basis. If we don't find you savings that hit your bottom line, our services are completely free. If we do save you money, we share in those verified savings for a set term (typically 12–36 months). After that period, you keep 100% of the savings for the lifetime of your business.
In the vast majority of cases, no. We work with your existing hauler to correct billing errors, renegotiate rates, fix waste classifications, and improve contract terms. Changing vendors is always an option, but it's rarely necessary — and we understand that operational continuity matters, especially in healthcare settings.
Just three things: your three most recent waste invoices (including any regulated medical waste, sharps, or pharmaceutical waste bills), a signed Letter of Authorization, and a list of your service locations. In many cases, we can pull invoice data directly from your hauler's online portal — making it even easier on your team.
We deliver initial findings within 30 days and implement verified savings within 90 days. Your team's involvement is minimal — typically a brief intake call, invoice sharing, and a findings review. We do all the heavy lifting.
Yes — and this is one of the most common misconceptions we encounter. Most billing errors and overcharges can be corrected regardless of whether you're under contract. And many auto-renewal and escalation clauses can be renegotiated. We have yet to encounter a client where an existing agreement prevented us from finding savings.
Yes. We review waste hauler invoices and contracts only — we do not access bank accounts, payroll data, patient records, or any protected health information (PHI). All documents you share are treated with strict confidentiality and used solely for the purpose of the audit. We are fully aware of HIPAA requirements and conduct our work accordingly.
That's the most common thing we hear — and we find overcharges at over 90% of the businesses we review, including those with dedicated ops or finance staff. In healthcare settings specifically, waste billing involves multiple regulated streams that require specialized knowledge to audit. Unless your team has years of hauler contract experience and access to real benchmark pricing data, there are almost certainly dollars left on the table. The risk-free nature of our engagement means there's no downside to finding out.
Our clients — including assisted living operators, nursing homes, restaurant groups, and property managers — routinely save 30–50% on monthly waste costs and recover tens of thousands in billing refunds. Find out what your number is.
Get My Risk-Free Savings ReviewFill out the form and we'll follow up within one business day to schedule your free, no-obligation waste audit. Healthcare and long-term care organizations welcome. Based in Orlando, FL — serving businesses and facilities across Florida and beyond.
📍 Orlando, FL | Serving businesses statewide
No upfront cost. No obligation. We'll follow up within 1 business day.