| Village Tavern Holdings LLC | Accommodation and Food Services | $1,403,360 | $1,412,170 | 500 | $88.8M |  Research |
| Dewey's Bakery, INC | Manufacturing | $1,390,045 | $1,403,752 | 116 | $40.9M | Research |
| Piedmont Triad Anesthesia PA | Health Care and Social Assistance | $1,353,542 | $1,361,137 | 69 | $21.7M | Research |
| Salem One INC | Manufacturing | $1,335,600 | $1,546,586 | 129 | $127.9M | Research |
| Nrg Services, LLC | Administrative and Support and Waste Management | $1,314,405 | $1,327,107 | 94 | $14.8M | Research |
| Maranz, Inc. | Manufacturing | $1,312,800 | $1,275,730 | 129 | $127.9M | Research |
| North Point Chrysler Jeep, Inc. | Retail Trade | $1,269,538 | $1,279,412 | 132 | $33.3M | Research |
| Physician's Eldercare, PA | Health Care and Social Assistance | $1,268,900 | $1,279,580 | 63 | $19.8M | Research |
| Traffic Control Safety Services Inc. | Construction | $1,258,500 | $1,268,361 | 111 | $34.4M | Research |
| Traffic Control Safety Services, Inc. | Construction | $1,258,500 | $1,272,292 | 111 | $34.4M | Research |
| Mcneely Pest Control, INC | Administrative and Support and Waste Management | $1,255,300 | $1,262,126 | 171 | $37.0M | Research |
| The Citadel at Winston Salem LLC | Health Care and Social Assistance | $1,248,368 | $0 | 135 | $23.0M | Research |
| Modern Automotive Network LLC | Retail Trade | $1,245,500 | $1,265,566 | 92 | $23.2M | Research |
| Deb Foods Inc. DBA Mcdonald's | Accommodation and Food Services | $1,218,300 | $1,230,149 | 385 | $68.4M | Research |
| Mid-Atlantic Infrastructure Systems Inc. | Construction | $1,194,171 | $1,205,482 | 103 | $31.9M | Research |
| Mid-Atlantic Infrastructure Systems Inc. | Construction | $1,194,170 | $1,201,567 | 98 | $30.4M | Research |
| Tva 2, Lll | Professional, Scientific, and Technical Services | $1,182,700 | $1,194,264 | 77 | $8.6M | Research |
| Hairston Home Care LLC | Health Care and Social Assistance | $1,178,325 | $81,056 | 30 | $5.1M | Research |
| North State Environmental, Inc. | Construction | $1,151,780 | $1,167,242 | 70 | $21.7M | Research |
| Bell, Davis & Pitt | Professional, Scientific, and Technical Services | $1,131,700 | $1,300,603 | 73 | $17.7M | Research |
| Southern Fasteners & Supply Inc. | Wholesale Trade | $1,128,205 | $1,134,410 | 107 | $32.8M | Research |
| Spectrum Medical Group P.a. | Health Care and Social Assistance | $1,117,600 | $1,124,181 | 72 | $22.6M | Research |
| Lutheran Home - Winston-Salem INC | Health Care and Social Assistance | $1,117,300 | $1,127,432 | 172 | $29.3M | Research |
| Flow Companies LLC | Retail Trade | $1,105,700 | $1,118,108 | 94 | $23.7M | Research |
| Family Services, Inc. | Health Care and Social Assistance | $1,087,400 | $1,101,959 | 160 | $25.9M | Research |