| Rural Health, INC | Health Care and Social Assistance | $1,054,172 | $1,061,392 | 94 | N/A | AI Deep Dive |
| Chamness Care, Inc. | Health Care and Social Assistance | $487,300 | $491,479 | 94 | $16.0M | AI Deep Dive |
| Independent Living Services, INC | Health Care and Social Assistance | $373,500 | $375,679 | 101 | $17.2M | AI Deep Dive |
| Jr's Centre INC | Health Care and Social Assistance | $353,348 | $355,291 | 47 | $8.0M | AI Deep Dive |
| Masters Choice INC | Wholesale Trade | $348,681 | $349,572 | 17 | <$5M | AI Deep Dive |
| Jr Centre, Inc. | Health Care and Social Assistance | $341,345 | $343,945 | 60 | $10.2M | AI Deep Dive |
| Masters Choice INC | Wholesale Trade | $328,100 | $331,246 | 19 | <$5M | AI Deep Dive |
| Coad Chevrolet Anna Inc. | Retail Trade | $322,300 | $324,977 | 24 | $6.0M | AI Deep Dive |
| Anna Rehabilitation and Nursing Center, LLC | Health Care and Social Assistance | $321,605 | $326,929 | 54 | $9.2M | AI Deep Dive |
| Mulberry Manor, Inc. | Health Care and Social Assistance | $283,365 | $284,945 | 49 | $8.3M | AI Deep Dive |
| Community Integrated Living, Inc. | Health Care and Social Assistance | $265,000 | $266,612 | 55 | $9.4M | AI Deep Dive |
| R&j Country Living INC | Health Care and Social Assistance | $262,692 | $264,721 | 40 | $6.8M | AI Deep Dive |
| Tri State Motors, INC | Retail Trade | $242,856 | $244,586 | 180 | $47.0M | AI Deep Dive |
| James L James K Inc. | Accommodation and Food Services | $234,600 | $235,815 | 60 | $10.7M | AI Deep Dive |
| Meller-James & Associates PC | Professional, Scientific, and Technical Services | $207,597 | $209,350 | 26 | <$5M | AI Deep Dive |
| Reppert's Warehouse Office Furniture | Information | $188,952 | $190,280 | 36 | $6.0M | AI Deep Dive |
| Jerry Reppert | Information | $188,952 | $189,892 | 36 | $6.0M | AI Deep Dive |
| Krypton, Inc. | Health Care and Social Assistance | $185,950 | $186,948 | 47 | $8.0M | AI Deep Dive |
| Trainor Ag Products LLC | Agriculture, Forestry, Fishing and Hunting | $170,555 | $171,327 | 14 | <$5M | AI Deep Dive |
| Rusty's Home Center | Retail Trade | $156,840 | $158,033 | 39 | $8.1M | AI Deep Dive |
| El Jalapeno Inc. | Accommodation and Food Services | $152,659 | $153,838 | 30 | $5.3M | AI Deep Dive |
| Rehabilitation and Vocational Education Program, Inc. | Health Care and Social Assistance | $151,958 | $153,359 | 27 | N/A | AI Deep Dive |
| Union County Counseling Service | Health Care and Social Assistance | $147,055 | $147,884 | 10 | <$5M | AI Deep Dive |
| Trainor Ag Products, LLC | Wholesale Trade | $127,300 | $128,601 | 19 | <$5M | AI Deep Dive |
| Crain Funeral Home, P. C. | Other Services (except Public Administration) | $118,640 | $119,418 | 23 | <$5M | AI Deep Dive |