| Tank Tech INC | Construction | $312,000 | $313,898 | 28 | $8.7M |  AI Deep Dive |
| Heartland Wood Products INC | Manufacturing | $311,200 | $312,989 | 41 | $40.7M | AI Deep Dive |
| Westfield Nursing Center INC | Health Care and Social Assistance | $294,280 | $296,266 | 51 | $8.7M | AI Deep Dive |
| Caruthersville No. 1, Inc. | Health Care and Social Assistance | $293,700 | $297,023 | 63 | $10.7M | AI Deep Dive |
| Blanton Nickell Collins Douglas & Hanschen, LLC | Professional, Scientific, and Technical Services | $279,600 | $280,462 | 16 | <$5M | AI Deep Dive |
| Mountain Grove #2, INC | Health Care and Social Assistance | $269,500 | $272,549 | 54 | $9.2M | AI Deep Dive |
| Kenny Rogers Childrens Center | Educational Services | $261,800 | $263,407 | 23 | N/A | AI Deep Dive |
| American Property Maintenance Co., INC | Administrative and Support and Waste Management | $261,600 | $158,720 | 23 | <$5M | AI Deep Dive |
| Independence #1, INC | Health Care and Social Assistance | $261,000 | $264,052 | 48 | $8.2M | AI Deep Dive |
| Integrity Communications, Inc. | Construction | $254,739 | $256,198 | 15 | $5.1M | AI Deep Dive |
| Sikeston Ford Lincoln LLC | Retail Trade | $251,119 | $253,909 | 35 | $8.8M | AI Deep Dive |
| Sikeston Ford Lincoln, LLC | Retail Trade | $251,100 | $252,739 | 30 | $7.6M | AI Deep Dive |
| Irrigation Central INC | Utilities | $250,100 | $252,129 | 19 | N/A | AI Deep Dive |
| Warrensburg #1, Inc. | Health Care and Social Assistance | $248,700 | $251,514 | 49 | $8.3M | AI Deep Dive |
| Integrity Communications Inc. | Construction | $248,679 | $250,158 | 17 | $5.8M | AI Deep Dive |
| Irrigation Central Inc. | Utilities | $247,890 | $250,493 | 24 | N/A | AI Deep Dive |
| Steele #1, Inc. | Health Care and Social Assistance | $244,750 | $247,612 | 58 | $9.9M | AI Deep Dive |
| Boonville #1, Inc. | Health Care and Social Assistance | $243,500 | $246,255 | 43 | $7.3M | AI Deep Dive |
| Kenny Rogers Children's Center | Health Care and Social Assistance | $241,700 | $243,056 | 10 | N/A | AI Deep Dive |
| Sonnys Solid Waste Services INC | Administrative and Support and Waste Management | $240,645 | $242,102 | 30 | $5.7M | AI Deep Dive |
| Electronic Billing Service INC | Administrative and Support and Waste Management | $240,000 | $242,328 | 48 | $9.1M | AI Deep Dive |
| Hamilton #1, Inc. | Health Care and Social Assistance | $239,700 | $242,412 | 46 | $7.8M | AI Deep Dive |
| Mokane #1 INC | Health Care and Social Assistance | $236,750 | $0 | 31 | $5.3M | AI Deep Dive |
| Mokane #1, Inc. | Health Care and Social Assistance | $235,000 | $237,691 | 39 | $6.6M | AI Deep Dive |
| Confluent Technology Group, INC | Wholesale Trade | $233,000 | $234,711 | 25 | $7.7M | AI Deep Dive |