| Grafton City Hospital | Health Care and Social Assistance | $1,419,100 | $1,431,044 | 95 | $18.9M |  Research |
| Preston-Taylor Community Health Centers, Inc. | Health Care and Social Assistance | $730,200 | $738,902 | 71 | N/A | Research |
| Toothman Ford Sales INC | Retail Trade | $684,300 | $663,767 | 40 | $10.1M | Research |
| Mountain Leverage LLC | Professional, Scientific, and Technical Services | $506,300 | $508,508 | 28 | <$5M | Research |
| Mountain Leverage LLC | Professional, Scientific, and Technical Services | $436,900 | $439,970 | 28 | <$5M | Research |
| Dan's Marine Service, Inc. | Construction | $187,200 | $188,882 | 24 | $27.3M | Research |
| Little Feet Daycare & Preschool LLC | Health Care and Social Assistance | $134,392 | $135,441 | 34 | $5.5M | Research |
| Little Feet Daycare | Health Care and Social Assistance | $132,200 | $133,280 | 30 | <$5M | Research |
| S. W. Group LLC | Construction | $126,315 | $127,294 | 7 | <$5M | Research |
| Jerry's Restaurant Inc. | Accommodation and Food Services | $98,500 | $99,725 | 18 | <$5M | Research |
| Jerry's Restaurant INC | Accommodation and Food Services | $81,900 | $83,013 | 49 | $8.7M | Research |
| Christa J Garcia DDS Pllc | Health Care and Social Assistance | $78,295 | $78,823 | 9 | <$5M | Research |
| Larews Used Cars LLC | Retail Trade | $72,700 | $73,433 | 8 | <$5M | Research |
| H&s Controls and Instrumentation, LLC | Other Services (except Public Administration) | $71,945 | $73,029 | 8 | <$5M | Research |
| H&s Controls and Instrumentation LLC | Other Services (except Public Administration) | $68,625 | $69,048 | 8 | <$5M | Research |
| Auto Junction 50/250 LLC | Retail Trade | $64,213 | $64,542 | 5 | <$5M | Research |
| Quality Home Comfort Heating & Cooling, Inc. | Construction | $60,200 | $60,790 | 4 | <$5M | Research |
| Eastern Pet Supply | Retail Trade | $60,100 | $60,644 | 12 | <$5M | Research |
| Christa J Garcia DDS Pllc | Health Care and Social Assistance | $58,500 | $59,191 | 6 | <$5M | Research |
| Focal Energy LLC | Transportation and Warehousing | $53,640 | $54,201 | 1 | <$5M | Research |
| Mountain State Plumbing INC | Construction | $50,327 | $50,821 | 4 | <$5M | Research |
| The Gourmet Express L.l.c. | Accommodation and Food Services | $44,927 | $45,520 | 10 | <$5M | Research |
| Auto Junction 50 250 LLC | Retail Trade | $38,907 | $39,408 | 6 | <$5M | Research |
| Tygart Lake Marina LLC | Arts, Entertainment, and Recreation | $38,100 | $38,413 | 17 | <$5M | Research |
| Black Bear Customs, LLC | Other Services (except Public Administration) | $34,400 | $34,822 | 5 | <$5M | Research |