| Pittman Trucking Inc. | Transportation and Warehousing | $666,900 | $670,609 | 61 | $12.3M |  Research |
| Ware, Burleson & Carpenter, INC | Administrative and Support and Waste Management | $385,517 | $388,162 | 32 | <$5M | Research |
| Houston Transportation INC | Wholesale Trade | $361,100 | $363,979 | 57 | $17.5M | Research |
| Wheels Contracting INC | Construction | $327,535 | $329,464 | 29 | $8.8M | Research |
| Jeff Benfield Nursery, INC | Agriculture, Forestry, Fishing and Hunting | $315,700 | $318,425 | 30 | <$5M | Research |
| Rencare Solutions, Inc. | Health Care and Social Assistance | $242,100 | $245,207 | 69 | $11.7M | Research |
| Wp-Newland Health Holdings LLC | Health Care and Social Assistance | $227,159 | $229,661 | 38 | $6.5M | Research |
| Banner's Cabinets Inc. | Construction | $205,698 | $207,188 | 29 | $9.1M | Research |
| Banner's Cabinets Inc. | Construction | $195,895 | $196,923 | 28 | $8.8M | Research |
| Young Men's Christian Association of Avery County | Arts, Entertainment, and Recreation | $179,265 | $179,942 | 55 | N/A | Research |
| Hcn Petroleum Equipment Sales & Service, Inc. | Wholesale Trade | $176,400 | $177,425 | 21 | $5.4M | Research |
| Challenge Design Innovations INC | Construction | $158,225 | $150,073 | 24 | $8.2M | Research |
| Blue Ridge Propane INC | Wholesale Trade | $145,100 | $145,859 | 13 | <$5M | Research |
| Triple H Services, LLC | Administrative and Support and Waste Management | $139,500 | $140,490 | 500 | $108.3M | Research |
| Triple H Services LLC | Administrative and Support and Waste Management | $139,500 | $169,632 | 29 | $6.3M | Research |
| Isley Construction Co INC | Construction | $124,962 | $126,413 | 18 | $5.5M | Research |
| Avery County Recapping Company, Inc. | Retail Trade | $122,000 | $122,919 | 15 | <$5M | Research |
| High Country Home Care, INC | Health Care and Social Assistance | $118,585 | $119,382 | 56 | $9.6M | Research |
| Compassionate Hearts Home Care Agency | Health Care and Social Assistance | $106,700 | $107,267 | 25 | <$5M | Research |
| Avery Association for Exceptional Citizens, Inc. | Educational Services | $95,900 | $96,633 | 22 | <$5M | Research |
| Carolina Shutter Company | Wholesale Trade | $93,900 | $95,073 | 15 | <$5M | Research |
| Jonathan A. Lindsey DDS PA | Health Care and Social Assistance | $90,142 | $90,630 | 8 | <$5M | Research |
| Avery County Nc Humane Society INC | Professional, Scientific, and Technical Services | $84,040 | $84,509 | 20 | N/A | Research |
| Parkway Vineyard & Winery LLC | Manufacturing | $83,200 | $83,939 | 4 | <$5M | Research |
| Carolina Barbeque Inc. | Accommodation and Food Services | $82,000 | $82,297 | 19 | <$5M | Research |