| Catholic Charities of the Diocese of Rochester | Health Care and Social Assistance | $1,761,020 | $1,782,876 | 392 | N/A | AI Deep Dive |
| Legal Assistance of Western New York, Inc. | Professional, Scientific, and Technical Services | $1,755,700 | $1,779,938 | 146 | N/A | AI Deep Dive |
| Finger Lakes United Cerebal Palsy | Health Care and Social Assistance | $1,614,771 | $1,634,281 | 278 | N/A | AI Deep Dive |
| Lakeview Health Services INC | Health Care and Social Assistance | $1,373,192 | $1,385,946 | 176 | N/A | AI Deep Dive |
| Massa Construction Inc. | Construction | $1,347,605 | $1,358,903 | 81 | $92.3M | AI Deep Dive |
| Vance Metal Fabricators Inc. | Manufacturing | $1,339,710 | $1,346,684 | 60 | $14.7M | AI Deep Dive |
| Vance Metal Fabricators, Inc. | Manufacturing | $1,339,710 | $1,349,473 | 71 | $17.4M | AI Deep Dive |
| Parker's Grille Inc. | Accommodation and Food Services | $1,127,927 | $1,139,824 | 149 | $26.5M | AI Deep Dive |
| Massa Construction, Inc. | Construction | $1,100,000 | $1,105,847 | 76 | $86.6M | AI Deep Dive |
| Finger Lakes Railway Corp | Transportation and Warehousing | $825,100 | $829,730 | 57 | $14.5M | AI Deep Dive |
| Hudson Data LLC | Professional, Scientific, and Technical Services | $772,600 | $781,511 | 39 | $8.1M | AI Deep Dive |
| Parkers Grille Inc. | Accommodation and Food Services | $764,900 | $772,235 | 159 | $28.2M | AI Deep Dive |
| Geneva Club Beverage Co., Inc. | Wholesale Trade | $675,952 | $680,823 | 56 | $14.4M | AI Deep Dive |
| Ccn International Inc. | Manufacturing | $655,298 | $657,757 | 56 | $14.7M | AI Deep Dive |
| Friendly Ford, Inc. | Retail Trade | $641,100 | $646,514 | 86 | $21.7M | AI Deep Dive |
| Ccn International, Inc. | Manufacturing | $639,700 | $643,065 | 87 | $22.8M | AI Deep Dive |
| 1052 Lochland Road Inc. | Accommodation and Food Services | $636,277 | $638,770 | 232 | $41.2M | AI Deep Dive |
| Nardozzi Paving and Construction LLC | Construction | $562,358 | $564,857 | 23 | $7.8M | AI Deep Dive |
| Geneva Hotels LLC | Accommodation and Food Services | $545,708 | $550,418 | 51 | $15.9M | AI Deep Dive |
| Field Trips 101, Inc. | Transportation and Warehousing | $536,000 | $540,720 | 30 | $11.5M | AI Deep Dive |
| Three Brothers Winery & Estate | Manufacturing | $507,500 | $513,242 | 50 | $17.6M | AI Deep Dive |
| Flint Creek Transport LLC | Transportation and Warehousing | $507,000 | $509,806 | 53 | $8.0M | AI Deep Dive |
| Lochland School, Inc. | Health Care and Social Assistance | $502,400 | $508,582 | 63 | N/A | AI Deep Dive |
| Nardozzi Constructing and Paving LLC | Construction | $501,430 | $504,411 | 22 | $7.5M | AI Deep Dive |
| Sensenig's Landscape Supply LLC | Professional, Scientific, and Technical Services | $469,680 | $472,189 | 32 | <$5M | AI Deep Dive |