| Slocum-Dickson Medical Network, LLC | Health Care and Social Assistance | $6,215,117 | $7,576,988 | 488 | $153.2M |  Research |
| Staffworks, INC | Administrative and Support and Waste Management | $4,358,800 | $4,410,150 | 500 | $78.7M | Research |
| Charles T. Sitrin Health Care Center Inc. | Health Care and Social Assistance | $2,282,167 | $2,296,173 | 404 | $68.7M | Research |
| Presbyterian Home for Central | Health Care and Social Assistance | $1,911,600 | $1,937,420 | 272 | $46.3M | Research |
| Presbyterian Home for Central New York INC | Health Care and Social Assistance | $1,838,885 | $1,866,342 | 272 | $46.3M | Research |
| Riverhawk Company L.p. | Manufacturing | $1,087,473 | $1,099,152 | 90 | $23.6M | Research |
| Gilroy Kernan & Gilroy | Finance and Insurance | $766,500 | $772,548 | 49 | $25.2M | Research |
| Hospice and Palliative Care INC | Health Care and Social Assistance | $688,394 | $695,124 | 58 | N/A | Research |
| Putrelo Building Enterprises Inc. | Construction | $638,902 | $645,799 | 5 | $5.7M | Research |
| Putrelo Building Enterprises Inc. | Construction | $634,698 | $638,246 | 31 | $35.3M | Research |
| Presbyterian Residential Community, Inc. | Health Care and Social Assistance | $523,972 | $531,031 | 109 | N/A | Research |
| Carmella's Cafe Inc. | Accommodation and Food Services | $505,568 | $511,953 | 56 | $9.9M | Research |
| Jay-K. Independent Lumber Corp | Retail Trade | $501,600 | $504,884 | 50 | $10.3M | Research |
| Genesee Orthopedic and Hand Surgery Associates, P.c. | Health Care and Social Assistance | $481,007 | $485,619 | 37 | $11.6M | Research |
| Triple T Tire INC | Other Services (except Public Administration) | $453,008 | $457,079 | 44 | $8.6M | Research |
| Murphy Excavating Corporation | Construction | $402,791 | $405,649 | 15 | <$5M | Research |
| Murphy Excavating Corporation | Construction | $393,595 | $397,660 | 27 | $10.1M | Research |
| Midlantic Environmental INC | Professional, Scientific, and Technical Services | $387,817 | $390,941 | 24 | <$5M | Research |
| Midlantic Environmental INC | Professional, Scientific, and Technical Services | $385,932 | $389,548 | 24 | <$5M | Research |
| Cogany, LLC | Professional, Scientific, and Technical Services | $364,042 | $367,234 | 23 | $6.3M | Research |
| Carmella's Cafe, Inc. | Accommodation and Food Services | $361,120 | $365,829 | 56 | $9.9M | Research |
| Trainor Associates, Inc. | Professional, Scientific, and Technical Services | $328,055 | $330,041 | 18 | <$5M | Research |
| Trainor Associates Inc. | Professional, Scientific, and Technical Services | $328,055 | $332,324 | 17 | <$5M | Research |
| One Genny LLC | Accommodation and Food Services | $280,202 | $281,952 | 52 | $9.2M | Research |
| Utica Pediatrics, P.c. | Health Care and Social Assistance | $276,571 | $278,487 | 24 | $7.5M | Research |