| Valley Group, Inc. | Construction | $1,555,315 | $1,527,574 | 93 | $29.7M |  Research |
| Blue Ridge Lumber Co., LLC | Manufacturing | $1,455,000 | $1,463,752 | 164 | $162.7M | Research |
| Eyeone P.l.c. | Health Care and Social Assistance | $1,139,000 | $1,146,245 | 107 | $33.6M | Research |
| Anesthesia Associates of Augusta, Plc | Health Care and Social Assistance | $470,600 | $430,811 | 13 | <$5M | Research |
| Industrial Fabricators of Va, Inc. | Manufacturing | $448,100 | $450,813 | 59 | $14.4M | Research |
| Augusta Health Care for Women Plc | Health Care and Social Assistance | $401,600 | $403,898 | 40 | $12.6M | Research |
| Augusta Health Care for Women Plc | Health Care and Social Assistance | $397,400 | $400,296 | 40 | $12.6M | Research |
| Orthopedic Associates Ltd | Health Care and Social Assistance | $355,700 | $358,358 | 261 | $81.9M | Research |
| Virginia Frame Builders & Supply Inc. | Wholesale Trade | $301,350 | $304,071 | 33 | $10.1M | Research |
| Level 8 Technology, LLC | Construction | $287,666 | $291,150 | 21 | $6.9M | Research |
| Irish Hospitality INC | Accommodation and Food Services | $274,763 | $276,712 | 68 | $12.1M | Research |
| Virginia Frame Builders & Supply, Inc. | Wholesale Trade | $267,500 | $269,737 | 33 | $10.1M | Research |
| Blue Ridge Pathologist PC | Health Care and Social Assistance | $266,000 | $268,534 | 14 | <$5M | Research |
| Long Meadow Al LLC | Health Care and Social Assistance | $255,763 | $259,550 | 37 | $6.3M | Research |
| Cdr Investments, LLC | Retail Trade | $243,400 | $212,981 | 25 | <$5M | Research |
| Augusta Psychological Associates | Health Care and Social Assistance | $240,950 | $242,824 | 18 | <$5M | Research |
| Vailes Brothers, Inc. | Construction | $230,600 | $232,887 | 18 | $5.5M | Research |
| Augusta Regional Clinic, INC | Health Care and Social Assistance | $214,100 | $215,373 | 18 | $5.6M | Research |
| Blue Ridge Oral Surgery, INC | Health Care and Social Assistance | $211,700 | $212,876 | 16 | <$5M | Research |
| Blue Ridge Oral Surgery Inc. | Health Care and Social Assistance | $202,600 | $203,927 | 19 | <$5M | Research |
| Blue Ridge Urological PC | Health Care and Social Assistance | $194,800 | $196,164 | 16 | $5.0M | Research |
| Augusta Regional Clinic | Health Care and Social Assistance | $169,539 | $170,645 | 25 | $7.8M | Research |
| Ale Holdings, Inc. | Management of Companies and Enterprises | $163,527 | $155,632 | 18 | <$5M | Research |
| Valley Restuarant Repair | Other Services (except Public Administration) | $157,284 | $158,883 | 11 | <$5M | Research |
| Valley Restaurant Repair INC | Other Services (except Public Administration) | $148,117 | $148,787 | 9 | <$5M | Research |