| Vesuvius, Incorporated | Retail Trade | $2,872,500 | $2,921,013 | 401 | $134.2M |  Research |
| Lexington Retirement Community Inc. | Health Care and Social Assistance | $1,369,298 | $1,385,767 | 189 | N/A | Research |
| Rockbridge Area Free Clinic | Health Care and Social Assistance | $849,100 | $854,426 | 57 | $10.1M | Research |
| Vmi Foundation | Educational Services | $677,500 | $834,847 | 43 | $5.7M | Research |
| Rockbridge Farmers Cooperative Inc. | Retail Trade | $540,600 | $543,858 | 55 | $11.4M | Research |
| Huger Food Services, Inc. | Accommodation and Food Services | $454,920 | $457,188 | 20 | <$5M | Research |
| The Georges Inn LLC | Accommodation and Food Services | $344,918 | $347,413 | 40 | $12.5M | Research |
| Huger Food Services, Inc. | Accommodation and Food Services | $333,600 | $335,802 | 45 | $8.0M | Research |
| Rockbridge Area Hospice Inc. | Health Care and Social Assistance | $323,880 | $324,980 | 26 | <$5M | Research |
| Randy Hostetter Excavating, LLC | Construction | $277,000 | $279,885 | 28 | $8.7M | Research |
| Robinson Hall LLC | Other Services (except Public Administration) | $275,770 | $277,122 | 22 | <$5M | Research |
| W R Deacon & Sons Timber, Inc. | Manufacturing | $275,600 | $277,254 | 24 | $23.8M | Research |
| W.r. Deacon & Sons Timber Inc. | Manufacturing | $273,635 | $274,950 | 24 | $23.8M | Research |
| Jag Restaurant Inc. | Accommodation and Food Services | $263,991 | $266,030 | 30 | $5.3M | Research |
| The Georges Inn LLC | Accommodation and Food Services | $257,000 | $259,077 | 16 | $5.0M | Research |
| Holland's General Contractors Inc. | Construction | $243,200 | $244,766 | 46 | $14.0M | Research |
| Hollands General Contractors Inc. | Construction | $243,200 | $244,213 | 31 | $35.3M | Research |
| Virginia Horse Center Foundation Inc. | Arts, Entertainment, and Recreation | $242,682 | $243,147 | 34 | $8.9M | Research |
| Virginia Horse Center Foundation Inc. | Arts, Entertainment, and Recreation | $242,682 | $243,566 | 44 | $11.6M | Research |
| Spencer Home Center Inc. | Retail Trade | $236,900 | $239,360 | 24 | <$5M | Research |
| Perkins & Orrison, INC | Professional, Scientific, and Technical Services | $233,230 | $234,700 | 22 | <$5M | Research |
| Welsh Construction Incorporated | Construction | $224,500 | $225,706 | 22 | $6.7M | Research |
| Charles W. Barger and Son Construction Company, Incorporated | Mining, Quarrying, and Oil and Gas Extraction | $217,900 | $219,966 | 20 | <$5M | Research |
| Goads Body Shop INC | Other Services (except Public Administration) | $208,900 | $210,832 | 25 | <$5M | Research |
| Abe & Norma's Rx, Inc. | Wholesale Trade | $204,500 | $206,074 | 30 | $7.7M | Research |