| Therapeutic, Education, and Career Services, Inc. | Health Care and Social Assistance | $65,447 | $66,263 | 9 | <$5M | AI Deep Dive |
| Kirk Enterprises, Inc. | Construction | $63,237 | $63,590 | 9 | $10.3M | AI Deep Dive |
| Little Lambs, LLC | Health Care and Social Assistance | $62,762 | $63,568 | 12 | <$5M | AI Deep Dive |
| Prowire, Inc. | Professional, Scientific, and Technical Services | $60,880 | $61,254 | 10 | <$5M | AI Deep Dive |
| Howie's On Main Inc. | Accommodation and Food Services | $57,708 | $0 | 13 | <$5M | AI Deep Dive |
| Jane Lynn Holdings, Inc. | Accommodation and Food Services | $55,013 | $55,374 | 23 | <$5M | AI Deep Dive |
| Joseph J. Solan, PC | Health Care and Social Assistance | $54,608 | $54,908 | 7 | <$5M | AI Deep Dive |
| Kaskaskia Medical Center, Ltd. | Health Care and Social Assistance | $54,395 | $45,481 | 2 | <$5M | AI Deep Dive |
| Family Ymca of Fayette County | Other Services (except Public Administration) | $51,897 | $52,100 | 7 | N/A | AI Deep Dive |
| Rusani Inc. | Accommodation and Food Services | $51,847 | $52,180 | 6 | <$5M | AI Deep Dive |
| Burnside, Johnston & Connor, P.c. | Professional, Scientific, and Technical Services | $51,400 | $52,053 | 8 | <$5M | AI Deep Dive |
| First United Methodist Church of Vandalia | Other Services (except Public Administration) | $50,868 | $51,316 | 10 | N/A | AI Deep Dive |
| B Willenborg Farms Inc. | Agriculture, Forestry, Fishing and Hunting | $50,497 | $50,999 | 18 | <$5M | AI Deep Dive |
| Stombaugh Heating & Air Conditioning, Inc. | Construction | $49,340 | $49,910 | 4 | <$5M | AI Deep Dive |
| Simpson Insurance Agency, Inc. | Finance and Insurance | $49,080 | $49,327 | 8 | <$5M | AI Deep Dive |
| Rve 4, LLC | Accommodation and Food Services | $48,606 | $49,044 | 29 | $5.1M | AI Deep Dive |
| Wehrle Lumber Co INC | Manufacturing | $48,320 | $48,739 | 14 | $13.9M | AI Deep Dive |
| Miller Funeral Home Ltd | Other Services (except Public Administration) | $47,418 | $47,892 | 5 | <$5M | AI Deep Dive |
| Eye Care of Vandalia | Health Care and Social Assistance | $47,105 | $47,449 | 6 | <$5M | AI Deep Dive |
| Kevin Childers | Health Care and Social Assistance | $47,105 | $47,457 | 6 | <$5M | AI Deep Dive |
| Bernhardt & Cain Appraisals, Inc. | Real Estate and Rental and Leasing | $45,955 | $46,202 | 4 | <$5M | AI Deep Dive |
| Rajnik INC | Accommodation and Food Services | $45,481 | $45,773 | 17 | $5.3M | AI Deep Dive |
| Pine Ridge Homes | Retail Trade | $45,365 | $45,719 | 7 | <$5M | AI Deep Dive |
| Pine Ridge Homes | Retail Trade | $44,813 | $45,143 | 5 | <$5M | AI Deep Dive |
| Ads Electric Company LLC | Construction | $43,785 | $44,083 | 6 | <$5M | AI Deep Dive |