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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

BusinessPrivate

Thyssenkrupp Explores Selling 30% Stake in Bearings Unit

Thyssenkrupp is in the midst of a broader streamlining program aimed at shedding legacy units and giving it more space to focus on higher-margin engineering and technology businesses. 

January 23, 2026
BusinessLogisticsPrivateGlobal FreightTop 100Top 50

Amazon Prepares to Cut Thousands More Corporate Employees

Amazon is gearing up to ax thousands more corporate employees, ratcheting up efforts to streamline bureaucracy. The company plans to start rolling out the terminations as early as next week.

January 23, 2026
BusinessPrivate

Walmart Names New US Chief Ahead of CEO Change

David Guggina, who has been the chief e-commerce officer of Walmart U.S., has been promoted to CEO of the division — the company’s biggest and most important business.

January 16, 2026
BusinessEquipmentLogisticsFor-HirePrivate

ATA Begins Surveying for 2026 Driver Compensation Study

The last ATA Driver Compensation Study found truckload drivers earned median annual pay of $76,420 in 2023, a 10% increase compared with the level reported in 2021’s study.

January 15, 2026
BusinessTechnologyEquipmentPrivateTop 100

EquipmentShare, Motive to Weigh Marketing IPOs Next Week

EquipmentShare.com Inc. and Motive Technologies are set to begin formal marketing for their initial public offerings as soon as next week, according to people familiar with the matter.

January 9, 2026
BusinessLogisticsPrivateGlobal FreightTop 100Top 50

Amazon Plans Walmart-Style Big Box Store Near Chicago

Amazon is planning a 229,000-square-foot store selling groceries and general merchandise in the Chicago area, a fresh attempt at physical retail that borrows from stores like Walmart and Target.

January 9, 2026
BusinessPrivate

AB InBev to Buy Back US Can Plants From Apollo for $3B

“AB InBev is securing the quality of key packaging assets in the U.S. likely as a result of aluminum tariffs,” according to Duncan Fox, a Bloomberg Intelligence senior industry analyst. 

January 6, 2026
BusinessFuelPrivateTop 100

Love’s Travel Stops Acquires 3 Factoring Companies

Truck stop operator Love’s expanded its financial services arm with the acquisition of three factoring companies. The deals follow earlier factoring acquisitions in July 2020 and July 2024.

December 30, 2025
BusinessTechnologyLogisticsPrivateTop 100

Walmart’s E-Commerce Platform Sees Temporary Outage

More than 6,000 customers reported they were unable to use the app or website the morning of Dec. 30, according to data collected by the website Downdetector.

December 30, 2025
BusinessTechnologyPrivate

Ocado Ends Exclusivity Terms After Setbacks to Kroger Deal

The move means Ocado can sell more of its technology to other retailers around the world, according to a statement Dec. 30.

December 30, 2025