Case Study: How Texas Medical Waste Transitioned from Medical Waste Transporting to Full-Service Processing


August 18, 2025
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By investing in the OMW-400 from Clean Waste Systems, Texas Medical Waste gained more control over operations, cut third-party processing costs, and made sustainability a competitive differentiator.

As a Transporter, TMW Struggled to Rise Above the Competition and Maintain Profitability


Before adopting Clean Waste Systems’ ozone technology, inefficiencies and operational limitations threatened both profitability and competitiveness. TMW relied on third-party processors to handle medical waste, which increased costs, reduced control over processing timelines, and limited its ability to differentiate in the market.


Core Issues:


  • Profitability: Paying high transportation and processing fees to competitors reduced margins and limited opportunities for cost savings.
  • Competitive Differentiation: Dependence on external processors prevented Texas Medical Waste from offering faster, more reliable, or more environmentally sustainable solutions than competitors.
  • Sustainability: Outsourcing waste processing made it difficult to minimize landfill impact or demonstrate environmental responsibility to clients.
  • Operational Control: Relying on third-party processing meant handing over control of reliability, cost, emissions management, and overall waste management safety.

“We were having to transport our medical waste to other processing facilities throughout the state of Texas. Basically, going to our competitors. We were not able to be competitive within this industry.” 


Kirk Flippin

Co-Founder

Texas Medical Waste

A Step-by-Step Approach to Sustainability & Operational Excellence


With the help of Clean Waste Systems, Texas Medical Waste implemented a structured, multi-phase strategy to bring medical waste processing in-house.


The Process


Step 1: Feasibility Study

TMW assessed the market demand, regulatory landscape, community acceptance, and financial implications of transitioning into waste processing.


Step 2: Equipment Evaluation

When evaluating alternatives to incineration and autoclaves, Clean Waste Systems’ ozone sterilization technology stood out as an emission-free, safe, and effective method for treating infectious waste.


Step 3: Regulatory Approval

After meeting with state and local regulatory authorities, TMW completed a detailed application, site inspection, and ongoing compliance recording training.


Step 4: Environmental Considerations

Working with state and local environmental agencies, TMW assessed the impact of using ozone technology for processing operations.


Step 5: Financial Needs

TMW worked with a CWS accountant to gather the required financial information for securing a small business loan.


Step 6: Infrastructure Development

TMW installed the OMW-400 and other safety equipment in their existing building, effectively turning it into an eco-friendly waste processing facility.


Step 7: Employee Training

TMW developed standard operating procedures and training sessions on how to process medical waste safely and efficiently using the OMW-400. CWS provided 5 days of on-site maintenance and operation training to assist.


Step 8: Marketing Plan

Marketing efforts emphasized how the OMW-400 increased safety, reduced environmental impact, and lowered GHG emissions.


Step 9:
Launch & Evaluate

After obtaining regulatory approval and completing all necessary preparations, TMW officially launched its ozone technology waste treatment process.


As a Full-Service Processor, TMW Now Offers What Competitors Cannot:


✓ Over 80% reduction in waste volume

✓ Significantly lower processing costs

✓ Zero odor, chemical, or heat emission

✓ Safer, cleaner environment for workers and community members

“The greatest benefit of owning the Clean Waste System is the environmental impact and sustainability that we can offer our customers. We’re able to process waste at a lower cost. I’m going to the local landfill less. There's no heat from the boilers. There's no smell. Most of the neighborhood doesn't even know that we process medical waste. It's been very, very nice.”


Kirk Flippin

Co-Founder

Texas Medical Waste

See What the Transition from Transporter to Processor Can Do For Your Business

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