| Addiction Recovery Care, LLC | Health Care and Social Assistance | $2,854,745 | $2,909,699 | 493 | $83.9M | Research |
| Brown Foodservice Inc. | Wholesale Trade | $1,717,600 | $1,730,211 | 151 | $38.9M | Research |
| Mckenzie Healthcare LLC | Health Care and Social Assistance | $642,400 | $650,144 | 87 | $14.8M | Research |
| Mckenzie Healthcare, LLC | Health Care and Social Assistance | $600,800 | $604,767 | 102 | $17.4M | Research |
| Sun Ventures, INC | Real Estate and Rental and Leasing | $524,700 | $529,616 | 123 | $18.4M | Research |
| Thoroughbred Aviation Maintenance Inc. | Transportation and Warehousing | $399,900 | $405,060 | 38 | <$5M | Research |
| Thoroughbred Aviation Maintenance, Inc. | Transportation and Warehousing | $399,900 | $405,652 | 44 | <$5M | Research |
| P & a Engineers and Consultants INC | Professional, Scientific, and Technical Services | $380,800 | $407,023 | 27 | <$5M | Research |
| Todd Case Trucking INC | Transportation and Warehousing | $380,000 | $384,904 | 27 | $6.2M | Research |
| Todd Case Trucking, Inc. | Transportation and Warehousing | $380,000 | $385,226 | 30 | $6.8M | Research |
| Odyseey INC | Health Care and Social Assistance | $372,370 | $375,266 | 87 | N/A | Research |
| Odyssey Inc. | Health Care and Social Assistance | $354,849 | $356,258 | 86 | N/A | Research |
| Sun Culinary LLC | Accommodation and Food Services | $308,100 | $310,945 | 65 | $11.5M | Research |
| Tri Span Construction LLC | Construction | $297,000 | $300,361 | 36 | $11.2M | Research |
| Tri-Span Construction LLC | Construction | $297,000 | $300,230 | 36 | $11.2M | Research |
| Louisa Construction Company | Construction | $235,500 | $237,003 | 13 | $14.8M | Research |
| Louisa Drug Store | Retail Trade | $155,618 | $157,980 | 15 | <$5M | Research |
| Louisa Construction Company | Construction | $145,450 | $147,199 | 5 | <$5M | Research |
| Rite Value Pharmacy, LLC | Retail Trade | $99,000 | $99,922 | 8 | <$5M | Research |
| Wheeler and Clevenger Oil Company | Retail Trade | $97,900 | $98,761 | 8 | <$5M | Research |
| Kelly Brothers Furniture INC | Retail Trade | $96,456 | $97,252 | 11 | <$5M | Research |
| Wheeler Clevenger Oil Company | Wholesale Trade | $95,800 | $96,530 | 8 | <$5M | Research |
| Wilson Funeral Home Inc. | Other Services (except Public Administration) | $87,832 | $88,320 | 12 | <$5M | Research |
| Louisa Eye Care Pllc | Health Care and Social Assistance | $80,380 | $80,954 | 9 | <$5M | Research |
| Wilson Funeral Home, Inc. | Other Services (except Public Administration) | $79,751 | $80,267 | 12 | <$5M | Research |