| Hospital Development Co. | Health Care and Social Assistance | $3,548,500 | $3,589,308 | 283 | N/A | Research |
| Complete Energy Services LLC | Transportation and Warehousing | $971,035 | $982,364 | 63 | $16.8M | Research |
| Complete Energy Services LLC | Mining, Quarrying, and Oil and Gas Extraction | $900,075 | $907,776 | 49 | <$5M | Research |
| Contractor Services, Inc. of West Virginia | Mining, Quarrying, and Oil and Gas Extraction | $707,457 | $712,031 | 55 | <$5M | Research |
| Hardman Supply Company | Retail Trade | $612,700 | $616,563 | 64 | $13.2M | Research |
| Roane County Family Health Care, Inc. | Health Care and Social Assistance | $610,700 | $614,585 | 58 | N/A | Research |
| Jack Garrett Ford, Inc. | Retail Trade | $305,800 | $308,195 | 33 | $8.3M | Research |
| Jack Garrett Ford INC | Retail Trade | $279,400 | $281,232 | 36 | $9.1M | Research |
| Roane County Patch Inc. | Educational Services | $176,300 | $177,833 | 27 | <$5M | Research |
| Kanawha Valley Drilling, Inc. | Mining, Quarrying, and Oil and Gas Extraction | $162,675 | $163,727 | 20 | <$5M | Research |
| Ground Resources, LLC | Mining, Quarrying, and Oil and Gas Extraction | $161,600 | $163,669 | 10 | <$5M | Research |
| Harris Oil Company | Wholesale Trade | $161,500 | $162,680 | 12 | <$5M | Research |
| Roane County Emergency Squad, Inc. | Health Care and Social Assistance | $161,100 | $161,897 | 22 | <$5M | Research |
| Cox Well Service LLC | Mining, Quarrying, and Oil and Gas Extraction | $159,900 | $161,828 | 12 | <$5M | Research |
| Cox Well Service, LLC | Mining, Quarrying, and Oil and Gas Extraction | $159,900 | $161,512 | 10 | <$5M | Research |
| Ground Resources, LLC | Mining, Quarrying, and Oil and Gas Extraction | $154,432 | $155,848 | 10 | <$5M | Research |
| 2-2-0 Corporation | Wholesale Trade | $145,600 | $146,623 | 20 | $5.1M | Research |
| Shreve Construction, Inc. | Construction | $131,855 | $132,668 | 13 | $14.8M | Research |
| Jl&ml Investments LLC | Accommodation and Food Services | $108,600 | $109,128 | 7 | <$5M | Research |
| Harris Oil Company INC | Wholesale Trade | $108,100 | $123,674 | 9 | <$5M | Research |
| Cox & Son Excavation INC | Construction | $103,500 | $104,371 | 10 | <$5M | Research |
| Staats Pharmacy & Health Care, INC | Retail Trade | $102,760 | $104,176 | 10 | <$5M | Research |
| Brannon Dental Associates Pllc | Health Care and Social Assistance | $102,700 | $103,610 | 11 | <$5M | Research |
| Brannon Dental Associates Pllc | Health Care and Social Assistance | $102,700 | $103,091 | 11 | <$5M | Research |
| Cox & Son Excavation INC | Construction | $100,800 | $101,312 | 10 | <$5M | Research |