2025 Top Health Care Carriers

2025 Essential Management and Operating Information for the 100 Largest Private Carriers in North America

Up Front

Many shippers have paused expansion or trimmed the size of their private fleets in an uncertain business landscape.

Private carriers have been adapting to unpredictable market conditions amid shifts in international trade.

Find out where the Top 100 Private Carriers are headquartered by region; hover over a region to view all companies located there.

Rankings

Current Rank Company Tractors
1
Medline Industries
1,427
2
Fresenius USA Manufacturing
156
3
Alliance Healthcare Services
140
4
McKesson Corp.
72
5
Concordance Healthcare Solutions
55

Extras

Food and beverage shippers are increasingly adopting electric trucks, electric transport refrigeration units and alternative fuels.

The $2.1 billion deal will provide CRH with a long-term supply of building materials and aid its transition to eco-friendly products. 

Uncertain business conditions and supply chain upheaval has led shippers to reassess their private fleets’ growth strategies.

If your company appears on the list, you have a few ways to announce it. Visit our logo library to get ready-made graphics.

The company expects to have about 210 delivery stations up and running before the end of 2026.

Learn more about how carriers are selected for Transport Topics' Top 100 largest private carriers list.

Private Carrier News

GovernmentBusinessSafetyLogisticsGlobal FreightPrivate

Amazon cargo jet increased thrust before runway overrun

The Amazon cargo plane that crashed in Miami on Sept. 7 increased thrust just seconds before it overran the runway and careered into two vehicles, NTSB said.

September 9, 2026
GovernmentBusinessPrivate

General Mills, Mars, McKee allege sugar price collusion

General Mills, Mars and McKee Foods joined other food manufacturers and grocers in litigation that alleges top U.S. sugar producers colluded to inflate prices.

September 8, 2026
GovernmentBusinessLogisticsPrivate

Tariff refund checks offer companies only short-term relief

American retailers and manufacturers are getting relief from President Trump’s tariffs. But for some of the hardest hit companies, the benefits pale in comparison with the losses.

September 8, 2026
GovernmentBusinessSafetyLogisticsGlobal FreightPrivate

NTSB probes Amazon cargo jet’s fiery runway crash

Federal investigators examining the crash in Miami are trying to determine whether the plane touched down too late to stop safely.

September 8, 2026
BusinessTechnologyLogisticsPrivate

Walmart $1.3B Georgia fulfillment center to create 1,000 jobs

Walmart described the project as one of its next-generation fulfillment centers, which the retailer places in strategic markets to support same-day and next-day shipping across the U.S.

September 3, 2026
BusinessPrivate

Tyson cuts profit outlook again as beef segment worsens

Tyson now sees annual adjusted operating income of $1.85 billion to $2.05 billion. That comes just one month after the company cut its outlook for the fiscal year.

September 3, 2026
GovernmentBusinessPrivateTop 100

DOJ expands beef antitrust inquiry to Amazon, Walmart, others

The DOJ expanded its antitrust inquiry of the meatpacking industry by demanding information on surging beef prices from Amazon, Costco, Walmart and others.

September 2, 2026
GovernmentBusinessTechnologyAutonomousPrivate

Uber to cut 3,300 jobs to reduce management layers

The massive restructuring is aimed at reducing management layers and reallocating spending into its ride-sharing, delivery and robotaxi businesses. 

September 2, 2026
GovernmentBusinessTechnologyLogisticsGlobal FreightPrivateTop 100

Amazon faces FTC lawsuit over sponsored ad pricing

The FTC and a group of U.S. states sued Amazon over claims the e-commerce giant systematically overcharged advertisers by more than $20 billion since 2019. 

September 1, 2026
BusinessTechnologyPrivate

QXO hires Honeywell's Ken West as COO

Brad Jacobs is looking to build the largest building products distribution business in North America. Since relaunching QXO in 2024, the company has spent about $30 billion buying companies.

August 24, 2026

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