| Rochester Senior Care LLC | Health Care and Social Assistance | $543,800 | $547,256 | 89 | $15.1M | AI Deep Dive |
| Pittsburgh Blue Rochester | Accommodation and Food Services | $534,556 | $538,261 | 30 | $5.3M | AI Deep Dive |
| Apollo Dental Center | Health Care and Social Assistance | $525,500 | $378,306 | 31 | $7.2M | AI Deep Dive |
| Schmidt-Goodman Office Products INC | Retail Trade | $520,840 | $524,536 | 46 | $7.2M | AI Deep Dive |
| Schmidt-Goodman Office Products INC | Retail Trade | $520,800 | $526,878 | 50 | $9.1M | AI Deep Dive |
| Pescara LLC | Accommodation and Food Services | $519,500 | $523,400 | 57 | $10.1M | AI Deep Dive |
| Buick Gmc of Rochester, Inc. | Retail Trade | $510,800 | $515,738 | 43 | $10.8M | AI Deep Dive |
| S.l. Contracting Inc. | Construction | $503,012 | $506,733 | 50 | $15.5M | AI Deep Dive |
| Sl Contracting INC | Construction | $503,000 | $506,926 | 65 | $20.1M | AI Deep Dive |
| Terza LLC | Accommodation and Food Services | $496,600 | $500,437 | 68 | $12.1M | AI Deep Dive |
| Kuehn Motor Company, Inc. | Retail Trade | $487,717 | $491,899 | 77 | $19.4M | AI Deep Dive |
| Chosen Valley Testing INC | Professional, Scientific, and Technical Services | $485,400 | $490,015 | 45 | $9.1M | AI Deep Dive |
| Hiller Stores INC | Retail Trade | $474,636 | $477,879 | 30 | $5.4M | AI Deep Dive |
| Korsmo, Inc. | Retail Trade | $470,568 | $476,005 | 43 | $6.7M | AI Deep Dive |
| Piepho Moving & Storage, Inc. | Transportation and Warehousing | $465,600 | $470,398 | 49 | $12.2M | AI Deep Dive |
| Virgils LLC | Transportation and Warehousing | $465,100 | $839,716 | 64 | <$5M | AI Deep Dive |
| Family Dentist Tree | Health Care and Social Assistance | $451,000 | $455,034 | 25 | $5.8M | AI Deep Dive |
| Family Dentist Tree P.a. | Health Care and Social Assistance | $451,000 | $453,606 | 26 | $6.0M | AI Deep Dive |
| Whistle Binkies On the Lake | Accommodation and Food Services | $450,700 | $454,281 | 24 | <$5M | AI Deep Dive |
| Echelon Wealth Partners | Finance and Insurance | $450,000 | $454,340 | 24 | $12.3M | AI Deep Dive |
| Leitzen Concrete Products, Inc. | Manufacturing | $445,210 | $448,660 | 35 | $34.7M | AI Deep Dive |
| Ab Systems, Inc. | Construction | $436,868 | $441,595 | 28 | $31.9M | AI Deep Dive |
| Ab Systems Inc. | Wholesale Trade | $436,868 | $442,984 | 28 | $8.6M | AI Deep Dive |
| Ryan Windows & Siding INC | Retail Trade | $428,400 | $431,136 | 41 | $8.5M | AI Deep Dive |
| Ryan Windows & Siding INC | Construction | $428,020 | $429,863 | 36 | $12.3M | AI Deep Dive |