| 1 | bayada pediatrics, winston salem, nc | €3.3B | 20,000 | 80 | A |
| 2 | asm global / wake forest university | €3.2B | 20,000 | 80 | A |
| 3 | flow companies, inc | €278.9M | 3,000 | 70 | B |
| 4 | Nationwide Marketing Group | €142.8M | 350 | 70 | B |
| 5 | MedCost | €128.6M | 350 | 70 | B |
| 6 | wake forest center for artificial intelligence research | €94.2M | 7,500 | 60 | C+ |
| 7 | Gallins Foods | €86.3M | 350 | 60 | C+ |
| 8 | Purple Crow | €86.3M | 350 | 60 | C+ |
| 9 | Allegacy Investment Group, Available through CFS | €73.6M | 350 | 60 | C+ |
| 10 | Wachovia Wealth Management, Inc. | €73.6M | 350 | 60 | C+ |
| 11 | Garner Foods | €63.5M | 125 | 60 | C+ |
| 12 | Wake Forest Women in Computer Science | €59.6M | 350 | 60 | C+ |
| 13 | The Children's Home, Inc | €58.4M | 350 | 60 | C+ |
| 14 | Salem Electric Company, Inc. | €52.9M | 350 | 60 | C+ |
| 15 | Bulldog Group, Inc. | €52.9M | 350 | 60 | C+ |
| 16 | Winston Weaver Fertilizer | €51.0M | 125 | 60 | C+ |
| 17 | HHH Equipment Resources | €51.0M | 125 | 60 | C+ |
| 18 | South Atlantic Packaging Corporation | €51.0M | 125 | 60 | C+ |
| 19 | Golding, Inc | €50.8M | 125 | 60 | C+ |
| 20 | Winston-Salem State University Motorsports Management Program | €40.1M | 350 | 60 | C+ |
| 21 | Wake Forest University Bioethics Graduate Program | €40.1M | 350 | 60 | C+ |
| 22 | Blue Fire Gear/Lantal | €34.6M | 350 | 60 | C+ |
| 23 | Winston-Salem Transit Authority | €34.3M | 125 | 60 | C+ |
| 24 | kamasutra Lucky Draw | €33.2M | 350 | 60 | C+ |
| 25 | Foothills Brewing | €30.8M | 125 | 60 | C+ |
| 26 | decorated deacs | €28.5M | 3,000 | 60 | C+ |
| 27 | vesco material handling equipment inc | €27.6M | 125 | 60 | C+ |
| 28 | Sheffield Financial, a division of Truist Bank. Member FDIC. | €26.3M | 125 | 60 | C+ |
| 29 | Mechanical Technologies & Solutions | €25.0M | 125 | 60 | C+ |
| 30 | myfrii® | €24.9M | 125 | 60 | C+ |
| 31 | eg forrest company | €24.9M | 125 | 60 | C+ |
| 32 | Bob King Automotive Group | €24.8M | 125 | 60 | C+ |
| 33 | parkway ford - lincoln | €23.8M | 125 | 60 | C+ |
| 34 | YMCA of NWNC | €23.8M | 350 | 60 | C+ |
| 35 | Bellomy | €23.1M | 125 | 60 | C+ |
| 36 | Quest Companies, Inc. | €23.1M | 125 | 60 | C+ |
| 37 | Coldwell Banker Triad, Realtors | €22.9M | 350 | 60 | C+ |
| 38 | Small Footprint, Inc. | €21.3M | 125 | 60 | C+ |
| 39 | The Enrichment Center - Affilated Chapter of The ARC | €20.9M | 125 | 60 | C+ |
| 40 | legacy consultant pharmacy | €20.9M | 125 | 60 | C+ |
| 41 | kenneth m. sadler dds & associates, p.a | €20.9M | 125 | 60 | C+ |
| 42 | wake forest student health service | €20.9M | 125 | 60 | C+ |
| 43 | Moffat US | €20.5M | 125 | 60 | C+ |
| 44 | Piedmont Steel Company, LLC | €18.9M | 125 | 60 | C+ |
| 45 | i.l. long contruction company, inc | €18.9M | 125 | 60 | C+ |
| 46 | Winston Steel LLC | €18.9M | 125 | 60 | C+ |
| 47 | sammy phillips electric inc. | €18.9M | 125 | 60 | C+ |
| 48 | New Atlantic | €18.9M | 125 | 60 | C+ |
| 49 | Mid-Atlantic Infrastructure Systems, Inc. | €18.9M | 125 | 60 | C+ |
| 50 | weaver cooke construction | €18.9M | 125 | 60 | C+ |
| 51 | Arbor Acres Retirement Community | €18.9M | 350 | 60 | C+ |
| 52 | Wake Forest Baptist Urology | €18.9M | 350 | 60 | C+ |
| 53 | PMG Research | €18.0M | 125 | 60 | C+ |
| 54 | Bellomy Market Research | €15.9M | 86 | 60 | C+ |
| 55 | The Journal of Best Pratices in Health Professions Diversity | €14.3M | 125 | 60 | C+ |
| 56 | Wake Forest Journal of Law & Policy | €14.3M | 125 | 60 | C+ |
| 57 | village produce & country store | €13.8M | -- | 60 | C+ |
| 58 | CNF Medical | €13.0M | 125 | 60 | C+ |
| 59 | North State Security Group, LLC | €12.6M | 125 | 60 | C+ |
| 60 | fox juice inc | €12.4M | 30 | 60 | C+ |
| 61 | SUNNYSIDE ICE Co | €12.4M | 30 | 60 | C+ |
| 62 | Bear Buggy | €12.2M | 30 | 60 | C+ |
| 63 | ILNA Inc. | €12.2M | 30 | 60 | C+ |
| 64 | Cargo-Express | €12.2M | 30 | 60 | C+ |
| 65 | the quiet revolution™ | €12.2M | 125 | 60 | C+ |
| 66 | dos hermanos mexican store | €12.2M | 30 | 60 | C+ |
| 67 | sutler’s spirit co | €12.2M | 30 | 60 | C+ |
| 68 | ollie’s bakery | €12.2M | 30 | 60 | C+ |
| 69 | wayward brews | €12.2M | 30 | 60 | C+ |
| 70 | national truck protection co. inc / premium 2000+ | €12.0M | 125 | 60 | C+ |
| 71 | Pine Shore Energy LLC | €11.8M | 125 | 60 | C+ |
| 72 | Talon Healthy IT Services, part of HCTec | €11.8M | 125 | 60 | C+ |
| 73 | RIA Solutions Group | €11.8M | 125 | 60 | C+ |
| 74 | A Society US | €11.8M | 125 | 60 | C+ |
| 75 | Emmsphere Plus | €11.1M | 125 | 60 | C+ |
| 76 | ProBenefits | €11.0M | 30 | 60 | C+ |
| 77 | Ntier Construction | €10.7M | 125 | 60 | C+ |
| 78 | The Resource Co | €10.7M | 125 | 60 | C+ |
| 79 | silas technologies | €8.8M | 125 | 50 | C |
| 80 | retina software pvt. ltd. | €8.8M | 125 | 50 | C |
| 81 | Destinations Cafe | €8.5M | 30 | 50 | C |
| 82 | Glass Machinery Locator | €8.5M | 125 | 50 | C |
| 83 | JF Maintenance & Cleaning | €7.8M | 125 | 50 | C |
| 84 | dogwood building supply | €7.8M | 30 | 50 | C |
| 85 | color and coffee painting parties | €7.8M | 30 | 50 | C |
| 86 | computer credit, inc | €7.5M | 125 | 50 | C |
| 87 | protection plus audit assistance | €7.5M | 125 | 50 | C |
| 88 | piedmont federal bank | €7.5M | 125 | 50 | C |
| 89 | ZorAbility® | €7.4M | 30 | 50 | C |
| 90 | Clean Juice (Winston Salem) | €7.4M | 30 | 50 | C |
| 91 | Preclinical Surgical Services | €7.3M | 30 | 50 | C |
| 92 | Cross Technology Inc. | €7.0M | 30 | 50 | C |
| 93 | SonicAire | Combustible Dust Control Solutions | €7.0M | 30 | 50 | C |
| 94 | Omni Mold & Die | €7.0M | 30 | 50 | C |
| 95 | Advanced Spindle Technology, LLC | €7.0M | 30 | 50 | C |
| 96 | Moyer Diebel Co | €7.0M | 30 | 50 | C |
| 97 | Carter G. Woodson School - Winston-Salem | €6.9M | 125 | 50 | C |
| 98 | Griswold Home Care of Winston-Salem | €6.7M | 125 | 50 | C |
| 99 | NUCARE CAROLINA AMBULANCE, INC | €6.7M | 125 | 50 | C |
| 100 | Nc Baptist Hospital | €6.7M | 125 | 50 | C |