| Vp Supply Corp | Wholesale Trade | $4,243,900 | $4,291,290 | 399 | $122.2M |  AI Deep Dive |
| Woods Oviatt Gilman LLP | Professional, Scientific, and Technical Services | $4,243,000 | $4,292,502 | 206 | $50.1M | AI Deep Dive |
| Dibella's Old Fashioned Submarines, Inc. | Accommodation and Food Services | $4,148,000 | $4,196,753 | 500 | $88.8M | AI Deep Dive |
| Cgi Communications INC | Professional, Scientific, and Technical Services | $3,929,540 | $3,975,618 | 343 | $38.4M | AI Deep Dive |
| Association for the Blind of R | Health Care and Social Assistance | $3,899,000 | $3,943,865 | 132 | N/A | AI Deep Dive |
| Mindex Technologies, Inc. | Professional, Scientific, and Technical Services | $3,883,077 | $3,924,035 | 220 | $45.5M | AI Deep Dive |
| Anthony L. Jordan Health Corporation | Health Care and Social Assistance | $3,880,818 | $3,933,963 | 304 | N/A | AI Deep Dive |
| Villa of Hope, Inc. | Health Care and Social Assistance | $3,818,200 | $3,861,194 | 396 | $67.4M | AI Deep Dive |
| Flower City Printing Group, Inc. | Manufacturing | $3,803,000 | $3,846,946 | 250 | $248.0M | AI Deep Dive |
| Trillium Health, Inc. | Health Care and Social Assistance | $3,766,000 | $3,125,838 | 289 | N/A | AI Deep Dive |
| Epilepsy-Pralid Inc. | Health Care and Social Assistance | $3,651,421 | $3,703,555 | 300 | $48.6M | AI Deep Dive |
| Erdman, Anthony Holding Company, Inc. | Professional, Scientific, and Technical Services | $3,583,400 | $3,628,591 | 226 | $27.9M | AI Deep Dive |
| Noramtec Consultants Americas INC | Professional, Scientific, and Technical Services | $3,500,000 | $2,399,698 | 225 | $45.4M | AI Deep Dive |
| Catholic Charities of the Diocese of Rochester | Health Care and Social Assistance | $3,436,485 | $3,482,148 | 486 | $86.5M | AI Deep Dive |
| The Bell Company, LLC | Construction | $3,426,620 | $3,469,715 | 262 | $82.9M | AI Deep Dive |
| M/e Engineering, P.c. | Professional, Scientific, and Technical Services | $3,352,272 | $3,390,203 | 183 | $22.6M | AI Deep Dive |
| Admar Supply Co., Inc. | Real Estate and Rental and Leasing | $3,223,200 | $3,265,234 | 276 | $124.7M | AI Deep Dive |
| Ironwood Heavy Highway, LLC | Administrative and Support and Waste Management | $3,163,355 | $3,192,001 | 177 | $38.3M | AI Deep Dive |
| Diamond Packaging Holdings LLC | Administrative and Support and Waste Management | $3,117,800 | $3,157,812 | 232 | $43.9M | AI Deep Dive |
| Companion Care of Rochester INC | Health Care and Social Assistance | $3,107,914 | $3,143,655 | 500 | $85.6M | AI Deep Dive |
| Caldwell Manufacturing North America, LLC | Manufacturing | $2,963,015 | $2,996,704 | 287 | $80.1M | AI Deep Dive |
| Elmer W. Davis, Inc. | Construction | $2,899,492 | $2,932,379 | 103 | $34.0M | AI Deep Dive |
| Planned Parenthood of Central and Western New York, Inc. | Health Care and Social Assistance | $2,631,200 | $2,665,113 | 258 | N/A | AI Deep Dive |
| Butler/till Media Services INC | Professional, Scientific, and Technical Services | $2,629,900 | $2,658,649 | 166 | $18.6M | AI Deep Dive |
| Alliance Precision Plastics Corporation | Manufacturing | $2,622,500 | $2,646,282 | 292 | $289.6M | AI Deep Dive |