| Fort Hill Services Corp, Inc. | Construction | $79,554 | $80,363 | 8 | <$5M | AI Deep Dive |
| Louisa Eye Care Pllc | Health Care and Social Assistance | $78,275 | $78,808 | 9 | <$5M | AI Deep Dive |
| Burke Trucking LLC | Transportation and Warehousing | $68,396 | $69,301 | 8 | <$5M | AI Deep Dive |
| Case Coal Sales LLC | Transportation and Warehousing | $59,000 | $59,648 | 3 | <$5M | AI Deep Dive |
| Case Coal Sales LLC | Transportation and Warehousing | $58,000 | $58,540 | 3 | <$5M | AI Deep Dive |
| Blue Line Stream Restoration LLC | Professional, Scientific, and Technical Services | $55,800 | $56,068 | 3 | <$5M | AI Deep Dive |
| Blue Line Stream Restoration LLC | Professional, Scientific, and Technical Services | $55,800 | $56,186 | 3 | <$5M | AI Deep Dive |
| Larmar Lodging Corp. | Accommodation and Food Services | $55,380 | $55,915 | 12 | <$5M | AI Deep Dive |
| Amanda's Restaurant INC | Accommodation and Food Services | $51,500 | $51,919 | 10 | <$5M | AI Deep Dive |
| Mountain Pediatrics INC | Health Care and Social Assistance | $48,412 | $39,085 | 4 | <$5M | AI Deep Dive |
| C & J Transport LLC | Transportation and Warehousing | $48,112 | $48,343 | 3 | <$5M | AI Deep Dive |
| Young Funeral Home | Other Services (except Public Administration) | $47,840 | $48,144 | 5 | <$5M | AI Deep Dive |
| Young Funeral Home | Other Services (except Public Administration) | $45,932 | $46,226 | 5 | <$5M | AI Deep Dive |
| James D Lester D.m.d., Psc | Health Care and Social Assistance | $44,959 | $45,198 | 6 | <$5M | AI Deep Dive |
| Family Practice of Louisa | Health Care and Social Assistance | $42,515 | $42,757 | 5 | <$5M | AI Deep Dive |
| Case Dock LLC | Construction | $42,000 | $42,461 | 4 | <$5M | AI Deep Dive |
| Case Dock LLC | Construction | $42,000 | $42,391 | 4 | <$5M | AI Deep Dive |
| Big Sandy Trailer Sales,inc | Retail Trade | $41,800 | $42,233 | 3 | <$5M | AI Deep Dive |
| Big Sandy Trailer Sales INC | Transportation and Warehousing | $41,800 | $42,105 | 4 | <$5M | AI Deep Dive |
| Larmar Lodging Corporation | Accommodation and Food Services | $39,602 | $39,908 | 12 | <$5M | AI Deep Dive |
| Mountain Pediatrics Inc. | Health Care and Social Assistance | $39,307 | $39,629 | 4 | <$5M | AI Deep Dive |
| Amanda's Restaurant Inc. | Accommodation and Food Services | $38,800 | $39,127 | 12 | <$5M | AI Deep Dive |
| Louisa Prescription Center INC | Retail Trade | $38,400 | $38,784 | 7 | <$5M | AI Deep Dive |
| Louisa Lodging, LLC | Accommodation and Food Services | $37,600 | $37,845 | 8 | <$5M | AI Deep Dive |
| The Middle Creek Corp. | Retail Trade | $37,400 | $37,743 | 10 | <$5M | AI Deep Dive |