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2018 Top Health Care Carriers

2018 Essential Management and Operating Information for the 100 Largest Private Carriers in North America

Up Front

Here’s how shippers are coping with an increasingly constrained freight market.
Find out which North American regions host the largest private carriers.
How shippers are making better use of their limited hauling capacity.

Rankings

Current Rank Company Tractors
1
Med Trans LLC
462
2
Alliance Healthcare Services
159
3
McKesson Corp.
2

Extras

Learn more about Transport Topics' Top 100 Private Carriers
102

On the Bubble

Columbia Distributing (424 tractors), delivers alcoholic and non-alcoholic beverages throughout Oregon, Washington and Northern California.
If your company appears in the 2018 list, you have a few ways to announce it! Visit our logo library to get web- and print-ready graphics.

Private Carrier News

GovernmentBusinessLogisticsFor-HirePrivateGlobal Freight

De Minimis Tariff Exemption Ends, Roiling E-Commerce

Now small parcels that used to let inexpensive items flow easily from across the rest of the globe will get hit with a tariff and customs forms, too.

August 29, 2025
GovernmentBusinessLogisticsFor-HirePrivateGlobal Freight

Consumers to Feel Tariff Pain as Small Parcel Exemption Ends

President Donald Trump’s decision to scrap the policy means that surprise bills will increasingly accompany deliveries that have become a staple of modern life for many consumers.

August 28, 2025
BusinessLogisticsPrivate

Flexport, BlackRock Team Up on $250M in Logistics Financing

The $250 million from BlackRock-managed funds and accounts will double Flexport’s lending capacity.

August 27, 2025
BusinessLogisticsPrivateGlobal Freight

Walmart Adds Next-Day Shipping in Key Cities

Walmart's fulfillment service, which stores and ships products for third-party marketplace sellers, will provide next-day delivery in New York, Los Angeles, Chicago, Houston and Atlanta.

August 26, 2025
GovernmentBusinessEquipmentPrivateTop 100

Top 100 Private Carriers Tap Brakes on Growth

The largest private carriers in North America have navigated volatile markets and shifting freight patterns this year as tariffs and trade deals shake up international supply chains.

August 25, 2025
BusinessEquipmentPrivateTop 100

Private Fleets Keep Supply Chains Humming Across Industries

From building material suppliers to the oil and gas sector, large companies across many industries rely on their private fleets to keep their supply chains moving.

August 25, 2025
GovernmentBusinessEquipmentLogisticsPrivateTop 100

Private Fleets Adapt to Tariff-Driven Volatility

Private trucking fleets serving many economic sectors have been operating in a highly uncertain business environment this year as trade negotiations and tariffs roil supply chains.

August 25, 2025
PrivateTop 100

About Us: Transport Topics' Top 100 Private Carriers for 2025

Learn more about Transport Topics’ Top 100 Private Carriers publication.

August 25, 2025
BusinessPrivate

Walmart Reports Solid Sales and Profit

Shoppers seek low prices for groceries and other essentials to offset worries that new U.S. tariffs may make a variety of goods more expensive.

August 21, 2025
BusinessPrivate

Lowe’s to Buy Foundation Building Materials for $8.8 Billion

Lowe's and rival 91ÊÓÆµ Depot have intensified their focus on professional builders.

August 20, 2025