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2021 Top Health Care Carriers

2021 Essential Management and Operating Information for the 100 Largest Private Carriers in North America

Up Front

Pandemic disruptions and their impact on the economy have upended the advantage private fleets used to enjoy.
See the headquarters locations for each of the Top 100 private carriers in North America.
The 2021 edition of the Transport Topics Top 100 Private Carriers list reflects last year’s volatile business conditions.

Rankings

Current Rank Company Tractors
1
Medline Inc.
973
2
Alliance Healthcare Services
171
3
McKesson Corp.
72

Extras

If your company appears on the 2021 list, you have a few ways to announce it. Visit our logo library to get web- and print-ready graphics.
While industry sectors have unique demands, all have been dealing with various forms of disruption during the past year.
Learn more about Transport Topics’ Top 100 Private Carriers publication.

Private Carrier News

BusinessLogisticsPrivateTop 100

PepsiCo Plans Layoffs as It Looks to Finish Elliott Talks

PepsiCo plans to review its North American supply chain as it wraps up negotiations with Elliott, according to sources. The company also warned workers of incoming “structural changes.”

December 8, 2025
BusinessTechnologyPrivate

Ocado Gets $350 Million From Kroger for Warehouse Closures

Ocado Group will receive a one-time cash payment of $350 million from Kroger, more than previously announced, after the U.S. grocer decided to close three automated warehouses.

December 5, 2025
BusinessPrivateTop 100

PepsiCo Nears Deal With Activist Investor Elliott

PepsiCo has worked to overhaul its portfolio of brands since Elliott announced a roughly $4 billion stake in September and called on the company to review and streamline its snack offerings

December 4, 2025
BusinessPrivate

Dollar General Boosts Outlook as Value Pitch Draws Shoppers

The company’s core consumer is shopping more frequently while purchasing fewer items per visit — an indication that they’re financially pressured, CEO Todd Vasos said on a call with analysts. 

December 4, 2025
BusinessPrivate

Kroger Cuts Guidance as Shoppers Get Choosy About Spending

Kroger’s results add to mixed signals about the health of the U.S. economy as consumers navigate persistent woes about inflation and the cooling labor market.

December 4, 2025
BusinessPrivateTop 100

Performance Food Group, US Foods Call Off Merger Talks

The combined entity would have leapfrogged Sysco at the top of the food service carrier table — serving restaurants, corporate offices, convenience stores, gas stations and truck stops.

November 24, 2025
BusinessPrivateTop 100

Tyson to Cease Operations at Nebraska Beef Plant

Tyson Foods is ending operations at a beef plant in Nebraska and cutting a shift at a Texas facility as the meat producer loses millions amid the smallest American cattle herd in decades.

November 21, 2025
BusinessLogisticsFor-HirePrivateGlobal FreightTop 100

Layoffs Piling Up Across Many Industries

Amid wider economic uncertainty, sizable layoffs have continued to pile up for companies across many industries, including transportation — raising worker anxieties.

November 21, 2025
BusinessLogisticsFor-HirePrivateGlobal Freight

Walmart Raises Profit Expectations as Americans Hunt Deals

Walmart posted strong sales and profits that blew past Wall Street expectations as it sets itself up for a strong holiday shopping season.

November 20, 2025
BusinessPrivate

Kroger Closes 3 Automated Fulfillment Centers

Kroger said it will close facilities in Pleasant Prairie, Wis.; Frederick, Md.; and Groveland, Fla., in January, and will monitor the performance of its five remaining facilities.

November 18, 2025