| 1 | pharmaspectra | €1.4B | 20,000 | 80 | A |
| 2 | ibm redbooks | €1.4B | 20,000 | 80 | A |
| 3 | duke prime prep | €858.3M | 7,500 | 70 | B |
| 4 | duke crucible | €563.4M | 20,000 | 70 | B |
| 5 | davis ambulatory surgical center, duke health | €251.2M | 20,000 | 70 | B |
| 6 | duke medical staff recruitment | €251.2M | 20,000 | 70 | B |
| 7 | duke climate commitment | €186.6M | 20,000 | 70 | B |
| 8 | University Directories, LLC | €142.8M | 350 | 70 | B |
| 9 | duke orthopaedic surgery | €125.2M | 750 | 70 | B |
| 10 | DURHAM CITY TRANSIT COMPANY | €96.0M | 350 | 60 | C+ |
| 11 | Welburn Family McDonald's | €86.3M | 350 | 60 | C+ |
| 12 | Hobson & Motzer, Inc. | €85.6M | 350 | 60 | C+ |
| 13 | duke master in fintech | €70.0M | 7,500 | 60 | C+ |
| 14 | safarieatz | €69.6M | 350 | 60 | C+ |
| 15 | Percona | €59.6M | 350 | 60 | C+ |
| 16 | Carolina Outreach, LLC | €58.4M | 350 | 60 | C+ |
| 17 | Autism Services | €58.4M | 350 | 60 | C+ |
| 18 | duke obstetrics & gynecology | €58.4M | 350 | 60 | C+ |
| 19 | encore, a quintiles company | €58.4M | 350 | 60 | C+ |
| 20 | Sheraton Imperial Hotel | €57.5M | 350 | 60 | C+ |
| 21 | Croasdaile Village Retirement Community | €57.5M | 350 | 60 | C+ |
| 22 | WDI DURHAM MANAGEMENT COMPANY, LLC | €57.5M | 350 | 60 | C+ |
| 23 | scigrip smarter adhesive solutions | €57.2M | 350 | 60 | C+ |
| 24 | Romeo Guest, A New South Company | €52.9M | 350 | 60 | C+ |
| 25 | wood real estate investors, llc | €52.9M | 350 | 60 | C+ |
| 26 | ACR Supply Co. | €51.5M | 125 | 60 | C+ |
| 27 | Brame Specialty Company | €51.5M | 125 | 60 | C+ |
| 28 | Hudson Belk Co | €51.0M | 125 | 60 | C+ |
| 29 | LDPM Inc. | €51.0M | 125 | 60 | C+ |
| 30 | MILLENNIUM AUTOMOTIVE | €51.0M | 125 | 60 | C+ |
| 31 | Durham Exchange Club Industries, Inc. | €51.0M | 125 | 60 | C+ |
| 32 | Growler Grlz | €50.8M | 125 | 60 | C+ |
| 33 | FHI Clinical Inc. | €50.4M | 350 | 60 | C+ |
| 34 | Accord Healthcare US | €50.4M | 350 | 60 | C+ |
| 35 | FIPA Americas | €45.0M | 125 | 60 | C+ |
| 36 | AJE | €43.9M | 350 | 60 | C+ |
| 37 | Duke University Nicholas School of the Environment | €40.1M | 350 | 60 | C+ |
| 38 | Duke University Code+ Program | €40.1M | 350 | 60 | C+ |
| 39 | Hamel Scholars Program | €40.1M | 350 | 60 | C+ |
| 40 | UNH Campus Recreation | €40.1M | 350 | 60 | C+ |
| 41 | Student Professional Development (SPD) - SOB NCCU | €40.1M | 350 | 60 | C+ |
| 42 | KIPP North Carolina Public Schools | €40.1M | 350 | 60 | C+ |
| 43 | The Duke Human Vaccine Institute | €36.4M | 350 | 60 | C+ |
| 44 | Doe & Ingalls, A Thermo Fisher Scientific Brand | €36.2M | 125 | 60 | C+ |
| 45 | Triangle Laboratories Inc | €36.2M | 125 | 60 | C+ |
| 46 | FUTURES GROUP GLOBAL OUTREACH, INC. | €35.2M | 350 | 60 | C+ |
| 47 | DeHaven's Transfer and Storage | €34.3M | 125 | 60 | C+ |
| 48 | Ten10 USA | €33.1M | 350 | 60 | C+ |
| 49 | triangle motor sales, inc | €32.5M | 350 | 60 | C+ |
| 50 | Stone Center of GA, NC, NJ, SC | €32.4M | 125 | 60 | C+ |
| 51 | Durham Coca-Cola Bottling Company | €30.8M | 125 | 60 | C+ |
| 52 | Nutreo | €30.8M | 125 | 60 | C+ |
| 53 | HemoSonics | €30.6M | 125 | 60 | C+ |
| 54 | Cancer Diagnostics, Inc. (CDI) | €30.6M | 125 | 60 | C+ |
| 55 | Full House Marketing & Staffing North Carolina | €30.0M | 350 | 60 | C+ |
| 56 | TEMPS TO THE RESCUE INCORPORATED | €30.0M | 350 | 60 | C+ |
| 57 | SupplyPoint | €29.8M | 73 | 60 | C+ |
| 58 | Phononic Inc | €28.2M | 125 | 60 | C+ |
| 59 | unh hamel honors and scholars college | €28.0M | 3,000 | 60 | C+ |
| 60 | duke trinity college of arts & sciences | €28.0M | 3,000 | 60 | C+ |
| 61 | Duke Investment Club | €26.3M | 125 | 60 | C+ |
| 62 | Fetch Expense Reporting | €26.3M | 125 | 60 | C+ |
| 63 | M&F Bank NC | €26.3M | 125 | 60 | C+ |
| 64 | dgc environmental services, inc. | €26.1M | 350 | 60 | C+ |
| 65 | John Olson Advanced Manufacturing Center at UNH | €25.0M | 125 | 60 | C+ |
| 66 | Sport Durst Millennium Automotive Group | €24.8M | 125 | 60 | C+ |
| 67 | geitnaer.com | €24.8M | 125 | 60 | C+ |
| 68 | ten10 group usa | €24.7M | 350 | 60 | C+ |
| 69 | core compete | €24.7M | 350 | 60 | C+ |
| 70 | Clegg's Termite & Pest Control, LLC | €23.8M | 350 | 60 | C+ |
| 71 | D.W. EVANS ELECTRIC, INC. | €23.7M | 125 | 60 | C+ |
| 72 | Sound Pure | €23.7M | 125 | 60 | C+ |
| 73 | Diesel World Media | €23.1M | 350 | 60 | C+ |
| 74 | Duke Center for International Development | €23.0M | 30 | 60 | C+ |
| 75 | PCLogistics, LLC | €22.5M | 125 | 60 | C+ |
| 76 | Wisdom Logic | €21.3M | 125 | 60 | C+ |
| 77 | GFI USA, INC | €21.3M | 125 | 60 | C+ |
| 78 | Windsor Circle, Inc. | €21.3M | 125 | 60 | C+ |
| 79 | Bright Wolf, a Cognizant Company | €21.3M | 125 | 60 | C+ |
| 80 | Duke Applied Machine Learning Group | €21.3M | 125 | 60 | C+ |
| 81 | Applied Science International, LLC - ASI | €21.3M | 125 | 60 | C+ |
| 82 | Duke Catalyst | €21.3M | 125 | 60 | C+ |
| 83 | Readycom Inc | €21.3M | 125 | 60 | C+ |
| 84 | TeraRecon, Inc. | €21.3M | 125 | 60 | C+ |
| 85 | l c ind, inc. | €21.1M | 750 | 60 | C+ |
| 86 | alta walk retirement community | €20.9M | 125 | 60 | C+ |
| 87 | Sunrise Clinical Associates, PLLC | €20.9M | 125 | 60 | C+ |
| 88 | north carolina eye ear nose and throat | €20.9M | 125 | 60 | C+ |
| 89 | Carolina House Eating Disorder Treatment Programs | €20.9M | 125 | 60 | C+ |
| 90 | The Center for Child & Family Health | €20.9M | 125 | 60 | C+ |
| 91 | the eye center doctors of optometry, pa | €20.9M | 125 | 60 | C+ |
| 92 | Bree Health Co. | €20.9M | 125 | 60 | C+ |
| 93 | Securing Resources for Consumers, Inc. | €20.9M | 125 | 60 | C+ |
| 94 | The Novus Durham | €20.5M | 125 | 60 | C+ |
| 95 | Globe Trotter | €20.5M | 125 | 60 | C+ |
| 96 | REGIONAL SCHOOL DISTRICT 13 | €19.2M | 350 | 60 | C+ |
| 97 | FMC Grading, Inc. | €18.9M | 125 | 60 | C+ |
| 98 | SERVPRO of South Durham & Orange Cty | SERVPRO of Chapel Hill | SERVPRO of S Alamance & NW Chatham | €18.9M | 125 | 60 | C+ |
| 99 | brown brothers plumbing and heating co inc | €18.9M | 125 | 60 | C+ |
| 100 | triton sitework development, llc | €18.9M | 125 | 60 | C+ |