| Doing Better Business, Inc. | Real Estate and Rental and Leasing | $984,875 | $991,988 | 101 | $45.6M |  Research |
| Doing Better Business INC | Retail Trade | $984,875 | $994,642 | 82 | $12.8M | Research |
| Benzel Bretzel Bakery INC | Manufacturing | $937,300 | $943,566 | 86 | $30.4M | Research |
| Pyramid Walden LLC | Administrative and Support and Waste Management | $891,100 | $0 | 107 | $20.2M | Research |
| Blair Design and Construction Co INC | Construction | $864,700 | $871,333 | 75 | $85.5M | Research |
| Pechter Inc. | Wholesale Trade | $827,003 | $830,311 | 80 | $24.5M | Research |
| Blair Family Solutions | Health Care and Social Assistance | $804,587 | $812,104 | 115 | $36.1M | Research |
| Dick's Home Care INC | Administrative and Support and Waste Management | $726,500 | $738,608 | 83 | $15.7M | Research |
| Blair Design & Construction Co, INC | Construction | $706,400 | $712,071 | 75 | $85.5M | Research |
| Cardiology Assoc of Altoona, LLP | Health Care and Social Assistance | $705,187 | $712,490 | 40 | $12.6M | Research |
| Fairway Laboratories, Inc. | Health Care and Social Assistance | $688,500 | $696,064 | 104 | $24.1M | Research |
| Fgma Inc. | Accommodation and Food Services | $686,304 | $691,909 | 59 | $10.5M | Research |
| Courtesy Motor Sales INC | Retail Trade | $665,735 | $669,930 | 62 | $15.6M | Research |
| Courtesy Motor Sales INC | Retail Trade | $665,700 | $672,175 | 62 | $15.6M | Research |
| Courtesy Ford Inc. | Retail Trade | $595,140 | $600,716 | 66 | $16.6M | Research |
| Diocese of Altoona Johnstown | Other Services (except Public Administration) | $582,100 | $589,780 | 58 | N/A | Research |
| Crossroads Services INC | Health Care and Social Assistance | $574,722 | $582,548 | 71 | N/A | Research |
| Young Oakes Brown & Co P.c. | Professional, Scientific, and Technical Services | $559,100 | $562,936 | 30 | $9.5M | Research |
| Allegheny Trucks | Other Services (except Public Administration) | $547,352 | $542,806 | 45 | $8.8M | Research |
| Allegheny Trucks, INC | Retail Trade | $547,300 | $551,618 | 46 | $12.0M | Research |
| Rehab Management INC | Administrative and Support and Waste Management | $521,900 | $0 | 46 | $8.7M | Research |
| Dean Patterson Chevrolet Cadillac Inc. | Retail Trade | $516,300 | $519,808 | 45 | $11.3M | Research |
| National Staffing Solutions, Inc. | Professional, Scientific, and Technical Services | $507,427 | $510,291 | 117 | $37.2M | Research |
| National Staffing Solutions INC | Administrative and Support and Waste Management | $506,645 | $510,851 | 118 | $18.6M | Research |
| Ear Nose and Throat Associates of Central PA PC | Health Care and Social Assistance | $503,990 | $352,350 | 24 | $7.5M | Research |