| The Budd Group | Administrative and Support and Waste Management | $10,000,000 | $10,167,222 | 500 | $108.3M |  Research |
| Brock & Scott, Pllc | Professional, Scientific, and Technical Services | $6,203,000 | $6,275,541 | 392 | $95.3M | Research |
| K & W Cafeterias INC | Accommodation and Food Services | $5,671,700 | $6,810,223 | 500 | $88.8M | Research |
| The Village Tavern, Inc. | Accommodation and Food Services | $4,071,881 | $4,118,029 | 500 | $88.8M | Research |
| Sunrise Technologies, INC | Educational Services | $3,694,400 | $3,731,344 | 161 | $19.3M | Research |
| Young Men's Christian Association of Northwest North Carolin | Other Services (except Public Administration) | $3,497,090 | $3,529,535 | 116 | $22.2M | Research |
| Pine Hall Brick Co., Inc. | Manufacturing | $3,000,700 | $3,035,393 | 272 | $269.8M | Research |
| Modern Imports LLC | Retail Trade | $3,000,000 | $3,043,167 | 246 | $62.0M | Research |
| Landmark Builders INC | Construction | $2,720,400 | $2,752,440 | 171 | $194.8M | Research |
| Frank L. Blum Construction Company | Construction | $2,636,200 | $2,669,812 | 155 | $176.6M | Research |
| 3m35, Inc. | Accommodation and Food Services | $2,617,300 | $2,647,908 | 500 | $88.8M | Research |
| Moravian Home, Incorporated | Health Care and Social Assistance | $2,513,055 | $2,541,697 | 352 | N/A | Research |
| Community Management Corporation | Real Estate and Rental and Leasing | $2,472,693 | $2,499,137 | 301 | $45.1M | Research |
| John Davenport Engineering, INC | Professional, Scientific, and Technical Services | $2,286,600 | $873,769 | 46 | $5.7M | Research |
| Baptist Retirement Homes of Nc INC | Health Care and Social Assistance | $2,273,300 | $2,298,898 | 361 | N/A | Research |
| Gc Partners, INC | Accommodation and Food Services | $2,260,600 | $2,286,179 | 490 | $87.0M | Research |
| Salem Academy and College | Educational Services | $2,251,652 | $2,279,235 | 345 | N/A | Research |
| Triad Radiology Pllc | Health Care and Social Assistance | $2,115,700 | $2,139,267 | 76 | $23.9M | Research |
| Flow Automotive Center of Winston-Salem LLC | Retail Trade | $2,114,400 | $2,143,297 | 190 | $47.9M | Research |
| Insight Human Services, INC | Health Care and Social Assistance | $2,106,100 | $2,134,951 | 246 | N/A | Research |
| Bellomy Research INC | Professional, Scientific, and Technical Services | $2,061,000 | $1,974,665 | 108 | $15.1M | Research |
| Precision Concepts Group LLC | Manufacturing | $2,004,343 | $2,026,253 | 198 | $51.8M | Research |
| Frank L Blum Construction Company | Construction | $2,000,000 | $2,019,556 | 155 | $176.6M | Research |
| Sylvester & Cockrum INC | Construction | $2,000,000 | $2,017,833 | 167 | $52.8M | Research |
| The Village Tavern Inc. | Accommodation and Food Services | $2,000,000 | $2,011,222 | 500 | $88.8M | Research |