| Seaway Orthopedics, P.c. | Health Care and Social Assistance | $72,735 | $73,241 | 6 | <$5M | AI Deep Dive |
| Associated Reporters International, Inc. | Administrative and Support and Waste Management | $71,686 | $72,169 | 9 | <$5M | AI Deep Dive |
| Associated Reporters International Inc. | Administrative and Support and Waste Management | $71,546 | $71,999 | 10 | <$5M | AI Deep Dive |
| North Coast Occupational Physical and Speech Therapy Pllc | Health Care and Social Assistance | $69,500 | $69,829 | 25 | $6.8M | AI Deep Dive |
| St. Lawrence Hotel Corp. | Accommodation and Food Services | $66,600 | $67,394 | 15 | <$5M | AI Deep Dive |
| Valerie Levalley | Accommodation and Food Services | $65,520 | $66,163 | 17 | <$5M | AI Deep Dive |
| John Burnett | Health Care and Social Assistance | $64,800 | $65,199 | 5 | <$5M | AI Deep Dive |
| St Lawrence Center Group LP | Real Estate and Rental and Leasing | $64,732 | $65,602 | 16 | <$5M | AI Deep Dive |
| Lavack's Custom Builders Inc. | Construction | $64,511 | $65,006 | 4 | <$5M | AI Deep Dive |
| Jonathan Zysik | Health Care and Social Assistance | $64,171 | $64,533 | 10 | <$5M | AI Deep Dive |
| Lavack's Custom Builders, Inc. | Construction | $64,000 | $64,501 | 9 | $10.3M | AI Deep Dive |
| Amtech Yarns, Inc. | Manufacturing | $63,430 | $64,283 | 15 | $5.3M | AI Deep Dive |
| Vino Vici Vici LLC | Accommodation and Food Services | $62,917 | $63,636 | 13 | <$5M | AI Deep Dive |
| Tri Hawk International Corp | Wholesale Trade | $62,895 | $19,803 | 6 | <$5M | AI Deep Dive |
| Alwich, Inc. | Accommodation and Food Services | $62,812 | $63,378 | 15 | <$5M | AI Deep Dive |
| St. Peter's Parish | Other Services (except Public Administration) | $58,025 | $58,416 | 17 | N/A | AI Deep Dive |
| Phillips Memorial Home, Inc. | Other Services (except Public Administration) | $57,920 | $58,188 | 5 | <$5M | AI Deep Dive |
| Alwich INC | Accommodation and Food Services | $57,750 | $58,133 | 19 | <$5M | AI Deep Dive |
| Big Racquette Incorporated | Administrative and Support and Waste Management | $57,600 | $58,058 | 31 | $6.7M | AI Deep Dive |
| Jonathan R. Zysik, D.d.s. | Health Care and Social Assistance | $56,314 | $56,685 | 7 | <$5M | AI Deep Dive |
| North End Management Inc. | Retail Trade | $56,244 | $56,783 | 15 | <$5M | AI Deep Dive |
| Tew Testament Church of Massena, Inc. | Other Services (except Public Administration) | $54,941 | $55,460 | 9 | N/A | AI Deep Dive |
| North Country Adult Medicine, Pllc | Health Care and Social Assistance | $49,989 | $50,423 | 5 | <$5M | AI Deep Dive |
| Bruce Green | Other Services (except Public Administration) | $49,905 | $50,633 | 8 | <$5M | AI Deep Dive |
| Laborers' Local 1822 | Other Services (except Public Administration) | $49,172 | $49,307 | 9 | N/A | AI Deep Dive |