| National Equipment Dealers, LLC | Wholesale Trade | $3,851,800 | $3,894,063 | 263 | $80.6M |  Research |
| Bradley Personnel INC | Administrative and Support and Waste Management | $3,346,800 | $3,386,032 | 481 | $75.7M | Research |
| Davidson Water, Inc. | Administrative and Support and Waste Management | $1,117,200 | $1,131,103 | 77 | $14.6M | Research |
| Golden Age of Lexington INC | Health Care and Social Assistance | $1,020,485 | $1,030,917 | 112 | $19.1M | Research |
| Hospice of Davidson County, North Carolina, Inc. | Health Care and Social Assistance | $890,815 | $895,403 | 106 | N/A | Research |
| J H Management of Nc LLC | Retail Trade | $872,500 | $877,711 | 73 | $18.4M | Research |
| Rives & Associates, LLP | Professional, Scientific, and Technical Services | $848,543 | $779,864 | 40 | $12.7M | Research |
| National Wholesale Company Incorporated | Wholesale Trade | $800,000 | $803,682 | 97 | $25.0M | Research |
| National Wholesale Company, Incorporated | Wholesale Trade | $800,000 | $808,789 | 97 | $25.0M | Research |
| Trinity Transport Inc. | Transportation and Warehousing | $788,100 | $794,945 | 71 | $14.3M | Research |
| Trinity Transport, Inc. | Transportation and Warehousing | $788,100 | $797,298 | 84 | $16.9M | Research |
| Accordius Health at Lexington LLC | Health Care and Social Assistance | $784,804 | $799,017 | 80 | $13.6M | Research |
| Southeastern Installation Inc. | Manufacturing | $765,700 | $773,231 | 55 | $54.6M | Research |
| Southeastern Installation Inc. | Manufacturing | $765,700 | $771,993 | 55 | $54.6M | Research |
| Rpac Racing LLC | Arts, Entertainment, and Recreation | $747,079 | $754,571 | 43 | $7.1M | Research |
| Rh Cpas Pllc | Professional, Scientific, and Technical Services | $736,602 | $747,896 | 48 | $15.3M | Research |
| Lexington Automotive LLC | Retail Trade | $718,100 | $725,520 | 77 | $19.4M | Research |
| Tubular Textile Machinery Inc. | Manufacturing | $705,100 | $713,659 | 37 | $9.7M | Research |
| Tubular Textile Machinery INC | Manufacturing | $705,100 | $709,879 | 37 | $9.7M | Research |
| Frenzelit INC | Wholesale Trade | $669,100 | $631,749 | 49 | $15.0M | Research |
| Piedmont Candy Company INC | Manufacturing | $631,329 | $636,993 | 67 | $23.6M | Research |
| Piedmont Candy Company, Inc. | Manufacturing | $617,029 | $621,520 | 86 | $30.4M | Research |
| Germain Racing LLC | Other Services (except Public Administration) | $613,400 | $618,173 | 41 | $7.8M | Research |
| Pallet Resource of N.c., Inc. | Manufacturing | $595,600 | $599,306 | 85 | $84.3M | Research |
| Fletcher Machine Industries INC | Manufacturing | $589,006 | $591,018 | 58 | $15.2M | Research |