| Elkins Metal Recycling, LLC | Manufacturing | $144,104 | $145,095 | 17 | <$5M |  Research |
| Western Steer of Elkins, Wv, Inc. | Accommodation and Food Services | $142,500 | $143,519 | 32 | $5.7M | Research |
| Busch, Zurbuch & Thompson Pllc | Professional, Scientific, and Technical Services | $139,400 | $140,263 | 15 | <$5M | Research |
| Kessler Trucking, Inc. | Transportation and Warehousing | $129,413 | $130,806 | 18 | <$5M | Research |
| J. C. Lumber Company | Manufacturing | $128,000 | $129,199 | 20 | $19.8M | Research |
| Channels Construction INC | Construction | $127,700 | $128,032 | 12 | $13.7M | Research |
| Cunningham Collision LLC | Other Services (except Public Administration) | $125,000 | $125,757 | 10 | <$5M | Research |
| Cunningham Collision LLC | Other Services (except Public Administration) | $122,807 | $123,228 | 10 | <$5M | Research |
| Family Dental Practice Inc. | Health Care and Social Assistance | $122,258 | $122,964 | 15 | <$5M | Research |
| Masterpiece Inc. | Accommodation and Food Services | $121,100 | $121,853 | 27 | $5.0M | Research |
| Red Barchetta LLC | Accommodation and Food Services | $120,626 | $121,588 | 26 | $8.1M | Research |
| Frank E. Wilson Lumber Co. Inc. | Wholesale Trade | $119,400 | $120,470 | 20 | $6.1M | Research |
| Scotties of Elkins LLC | Accommodation and Food Services | $117,754 | $118,609 | 23 | <$5M | Research |
| Orthopedic Physical Therapy Associates, Inc. | Health Care and Social Assistance | $114,570 | $115,537 | 11 | <$5M | Research |
| Frank Mams | Health Care and Social Assistance | $108,880 | $110,002 | 11 | <$5M | Research |
| Frank L Mams DDS Pllc | Health Care and Social Assistance | $108,800 | $109,599 | 10 | <$5M | Research |
| Floors & More 4 Less, INC | Retail Trade | $108,000 | $109,394 | 14 | <$5M | Research |
| David Davis Heating, A/c & Electric Inc. | Construction | $106,304 | $107,015 | 16 | $5.3M | Research |
| Smoke On the Water LLC | Accommodation and Food Services | $105,388 | $106,237 | 33 | $5.9M | Research |
| Master Service Corporation | Construction | $103,312 | $103,884 | 10 | <$5M | Research |
| Tomblyn Funeral Home INC | Other Services (except Public Administration) | $100,885 | $101,479 | 6 | <$5M | Research |
| Cuptane LP Gas Co | Wholesale Trade | $100,182 | $100,964 | 17 | $5.2M | Research |
| Elkins Truck Service, Inc. | Other Services (except Public Administration) | $99,610 | $100,202 | 14 | <$5M | Research |
| Clean Metal, LLC | Manufacturing | $97,896 | $98,569 | 13 | <$5M | Research |
| Maa Elkins Hospitality LLC | Accommodation and Food Services | $97,162 | $92,964 | 16 | $5.0M | Research |