What the Top 1% of Small Business Owners do to Achieve Sustained Growth explores sustained growth as a method for small-business owners to overcome the challenges of surviving the first five years of business and beyond. Its purpose is to communicate the benefits of sustained business growth so that more small-business owners can understand and mirror the methods utilized by the top 1% of small business owners. The research presented in this paper depicts notable commonalities among the practices and philosophies of top business owners that ultimately position their ventures for sustained growth and lead to increased regional economic success, job creation and social equity.