| Spencer Office Cleaning, Inc. | Administrative and Support and Waste Management | $331,183 | $333,179 | 79 | $17.1M |  AI Deep Dive |
| Community Care Center of Salem INC | Health Care and Social Assistance | $330,597 | $335,106 | 54 | $9.2M | AI Deep Dive |
| Twin Oaks Presbyterian Church Corporation | Other Services (except Public Administration) | $329,153 | $332,124 | 74 | N/A | AI Deep Dive |
| Islamic Foundation of Greater St. Louis INC | Other Services (except Public Administration) | $328,216 | $330,322 | 42 | N/A | AI Deep Dive |
| Nippon Tei Corporation | Accommodation and Food Services | $325,000 | $327,564 | 35 | $6.2M | AI Deep Dive |
| Lafayette Industries North, INC | Health Care and Social Assistance | $321,600 | $323,726 | 171 | $27.7M | AI Deep Dive |
| Community Care Center of Lemay INC | Health Care and Social Assistance | $317,847 | $322,244 | 43 | $7.3M | AI Deep Dive |
| Poynter Landscape Consulting, Inc. | Professional, Scientific, and Technical Services | $315,399 | $316,994 | 34 | $6.9M | AI Deep Dive |
| St Genevieve Care Center INC | Health Care and Social Assistance | $314,874 | $319,221 | 48 | $8.2M | AI Deep Dive |
| Community Care Center of Seneca INC | Health Care and Social Assistance | $311,109 | $315,413 | 49 | $8.3M | AI Deep Dive |
| Community Care Center of Mascoutah INC | Health Care and Social Assistance | $305,520 | $309,746 | 31 | $5.3M | AI Deep Dive |
| Autism and Behavioral Spectrum LLC | Health Care and Social Assistance | $300,045 | $303,896 | 55 | $12.9M | AI Deep Dive |
| Kbi2 LLC | Accommodation and Food Services | $297,202 | $300,034 | 56 | $9.9M | AI Deep Dive |
| Community Care Center of Gainesville INC | Health Care and Social Assistance | $294,490 | $298,564 | 50 | $8.5M | AI Deep Dive |
| Poynter Landscape Consulting, Inc. | Administrative and Support and Waste Management | $288,585 | $290,437 | 27 | $5.8M | AI Deep Dive |
| Medtech Inc. | Professional, Scientific, and Technical Services | $283,952 | $286,224 | 34 | $10.8M | AI Deep Dive |
| Mattlau Enterprises | Other Services (except Public Administration) | $281,883 | $285,328 | 20 | <$5M | AI Deep Dive |
| Christ, Prince of Peace Catholic Church | Other Services (except Public Administration) | $279,233 | $281,342 | 35 | N/A | AI Deep Dive |
| Mt Vernon Place Care Center INC | Health Care and Social Assistance | $274,522 | $278,320 | 44 | $7.5M | AI Deep Dive |
| General Lawn & Equipment LLC | Manufacturing | $273,000 | $275,237 | 39 | $9.5M | AI Deep Dive |
| Tenda Group INC | Health Care and Social Assistance | $272,677 | $276,441 | 50 | $8.5M | AI Deep Dive |
| Community Care Center of Union | Health Care and Social Assistance | $272,312 | $275,655 | 40 | $6.8M | AI Deep Dive |
| Country View Nursing Facility INC | Health Care and Social Assistance | $269,532 | $273,253 | 40 | $6.8M | AI Deep Dive |
| Sherwood's Forest Nursery & Garden | Agriculture, Forestry, Fishing and Hunting | $259,400 | $261,872 | 18 | <$5M | AI Deep Dive |
| Kimberly D. Simonds DDS PC | Health Care and Social Assistance | $259,100 | $261,612 | 25 | $5.8M | AI Deep Dive |