| Medina County Sheltered Industries Inc. | Health Care and Social Assistance | $380,094 | $383,343 | 107 | N/A |  Research |
| Capital Anesthesia Solutions of Pennsylvania LLC | Health Care and Social Assistance | $379,900 | $381,894 | 12 | <$5M | Research |
| Midwest Engineering & Automation, Inc. | Construction | $362,100 | $365,007 | 25 | $8.2M | Research |
| Online Enterprises INC | Wholesale Trade | $361,132 | $364,260 | 19 | $5.8M | Research |
| Low Voltage Specailsts, INC | Construction | $342,000 | $344,436 | 31 | $9.8M | Research |
| Low Voltage Specialists Inc. | Construction | $338,929 | $340,860 | 29 | $9.5M | Research |
| C & K Myers INC | Retail Trade | $331,442 | $333,349 | 157 | $34.1M | Research |
| C K Myers INC | Retail Trade | $331,400 | $334,632 | 165 | $25.8M | Research |
| Jerico Plastic Industries, INC | Manufacturing | $329,993 | $332,871 | 54 | $53.6M | Research |
| Second Wind Vitamins, Inc. | Retail Trade | $329,500 | $331,351 | 31 | $5.4M | Research |
| Marie's Pizza Restaurant Inc. | Accommodation and Food Services | $325,349 | $330,260 | 88 | $15.6M | Research |
| Wadsworth Family Dentistry, Drs Hanna, Ferguson & Dean, Inc. | Health Care and Social Assistance | $314,600 | $317,562 | 23 | $5.3M | Research |
| Midwest Interiors INC | Construction | $306,995 | $308,871 | 24 | $27.3M | Research |
| Midwest Interiors INC | Professional, Scientific, and Technical Services | $301,100 | $303,843 | 25 | $5.8M | Research |
| O'neill Insurance Agency INC | Finance and Insurance | $294,700 | $297,946 | 22 | $11.3M | Research |
| Cline Mechanical Inc. | Construction | $292,891 | $294,833 | 22 | $7.0M | Research |
| Wadsworth Family Dentistry LLC | Health Care and Social Assistance | $292,532 | $294,271 | 22 | $5.1M | Research |
| Midwest Engineering & Automation INC | Professional, Scientific, and Technical Services | $281,707 | $280,602 | 25 | <$5M | Research |
| Bellezza Avanti LLC | Other Services (except Public Administration) | $267,012 | $267,963 | 43 | $8.2M | Research |
| Big Blue Delivery Service INC | Transportation and Warehousing | $266,365 | $269,391 | 31 | $8.5M | Research |
| Plastics -R- Unique, Inc. | Manufacturing | $240,762 | $232,709 | 12 | $11.9M | Research |
| Sattler Companies Inc. | Manufacturing | $240,167 | $241,775 | 19 | <$5M | Research |
| Marie's Pizza Resturant INC | Accommodation and Food Services | $232,390 | $235,675 | 80 | $14.2M | Research |
| Desperate Enterprises Medina Group LLC | Wholesale Trade | $221,325 | $222,567 | 12 | <$5M | Research |
| Desperate Enterprises Medina Group LLC | Wholesale Trade | $221,325 | $222,272 | 12 | <$5M | Research |