| Southwest Health System INC | Health Care and Social Assistance | $5,038,000 | $5,100,940 | 423 | N/A |  Research |
| The Arc of Spokane | Other Services (except Public Administration) | $1,788,060 | $1,240,544 | 287 | $54.8M | Research |
| Angelic Hands Inc. | Health Care and Social Assistance | $585,600 | $590,574 | 89 | $15.2M | Research |
| Vista Grande Inn Inc. | Health Care and Social Assistance | $563,400 | $568,674 | 74 | $12.6M | Research |
| Keesee Motor Company | Retail Trade | $502,200 | $505,282 | 45 | $11.3M | Research |
| Pasco/sw, Inc. | Health Care and Social Assistance | $492,300 | $496,143 | 132 | $22.6M | Research |
| Crow Canyon Archaeological Center | Professional, Scientific, and Technical Services | $474,642 | $478,933 | 33 | N/A | Research |
| Crow Canyon Archaeological Center, Inc. | Professional, Scientific, and Technical Services | $474,642 | $477,386 | 39 | N/A | Research |
| Tucker Transportation INC | Mining, Quarrying, and Oil and Gas Extraction | $460,300 | $463,301 | 24 | <$5M | Research |
| Tru West LLC | Retail Trade | $450,915 | $453,420 | 32 | $8.1M | Research |
| Tru West LLC | Retail Trade | $441,600 | $446,826 | 33 | $8.3M | Research |
| Tur, LLC | Real Estate and Rental and Leasing | $432,395 | $434,693 | 48 | $21.7M | Research |
| The Pinon Project Family Resource Center | Health Care and Social Assistance | $359,139 | $361,372 | 47 | N/A | Research |
| Dennison Auto Group, LLC | Other Services (except Public Administration) | $353,036 | $354,487 | 41 | $8.0M | Research |
| S&s Wallwood, Inc. | Manufacturing | $335,681 | $338,937 | 49 | $48.6M | Research |
| Steve Keetch Motors, INC | Retail Trade | $270,100 | $271,906 | 25 | $6.3M | Research |
| J.r. Construction & Roustabout, Inc. | Construction | $256,125 | $257,451 | 23 | $7.1M | Research |
| J.r. Construction & Roustabout Inc. | Mining, Quarrying, and Oil and Gas Extraction | $256,125 | $257,451 | 20 | <$5M | Research |
| Dennison Auto Group, LLC | Other Services (except Public Administration) | $254,218 | $256,056 | 28 | $5.5M | Research |
| C&g Health Care Management, Inc. | Health Care and Social Assistance | $245,300 | $247,637 | 20 | <$5M | Research |
| Midnight Trucking Llc. | Transportation and Warehousing | $235,075 | $236,608 | 24 | <$5M | Research |
| Cruzan Construction Co | Construction | $229,241 | $230,550 | 23 | $26.2M | Research |
| Cortez Pueblo Partners LLC | Accommodation and Food Services | $222,453 | $224,562 | 28 | $8.8M | Research |
| Medved Global INC | Construction | $217,200 | $218,414 | 20 | $6.2M | Research |
| Medved Global INC | Construction | $204,535 | $205,958 | 17 | $5.8M | Research |