| Emily C Szczech Do Pllc | Health Care and Social Assistance | $134,165 | $135,121 | 15 | <$5M | AI Deep Dive |
| Willgro INC | Accommodation and Food Services | $132,556 | $133,844 | 18 | <$5M | AI Deep Dive |
| Saranac Lake Volunteer Rescue Squad, Inc. | Health Care and Social Assistance | $124,700 | $125,968 | 19 | N/A | AI Deep Dive |
| Blue Line Brewery LLC | Accommodation and Food Services | $120,351 | $121,665 | 15 | <$5M | AI Deep Dive |
| St. Bernard's Church | Other Services (except Public Administration) | $116,822 | $117,270 | 45 | $8.6M | AI Deep Dive |
| Cold River Coffee Co INC | Accommodation and Food Services | $113,703 | $114,472 | 15 | <$5M | AI Deep Dive |
| Lakeside House, Inc. | Health Care and Social Assistance | $104,167 | $105,169 | 16 | N/A | AI Deep Dive |
| Hari Krushna INC | Accommodation and Food Services | $102,249 | $103,173 | 21 | $6.6M | AI Deep Dive |
| Wesley Moody, Inc. | Administrative and Support and Waste Management | $99,238 | $100,113 | 15 | <$5M | AI Deep Dive |
| St. Bernard's Church | Other Services (except Public Administration) | $98,082 | $98,652 | 45 | $8.6M | AI Deep Dive |
| Evergreen Auto Center INC | Other Services (except Public Administration) | $96,975 | $97,761 | 9 | <$5M | AI Deep Dive |
| Tri-Lakes Center for Dentistry | Health Care and Social Assistance | $94,502 | $95,318 | 8 | <$5M | AI Deep Dive |
| Roger W Neill Dmd | Health Care and Social Assistance | $94,502 | $95,237 | 8 | <$5M | AI Deep Dive |
| Getting the Word Out Inc. | Information | $92,215 | $92,943 | 9 | N/A | AI Deep Dive |
| Go Aviation, Inc. | Transportation and Warehousing | $89,741 | $90,500 | 8 | <$5M | AI Deep Dive |
| Go Aviation, Inc. | Transportation and Warehousing | $88,345 | $89,023 | 7 | <$5M | AI Deep Dive |
| Willgro, Inc. | Accommodation and Food Services | $88,200 | $89,261 | 18 | <$5M | AI Deep Dive |
| Prop & Rudder LLC | Accommodation and Food Services | $86,933 | $87,540 | 20 | <$5M | AI Deep Dive |
| Wesley Moody Inc. | Administrative and Support and Waste Management | $86,413 | $87,043 | 15 | <$5M | AI Deep Dive |
| Grizle T's LLC | Accommodation and Food Services | $85,565 | $86,697 | 12 | <$5M | AI Deep Dive |
| Downhill Grill, Inc. | Accommodation and Food Services | $82,805 | $83,858 | 19 | <$5M | AI Deep Dive |
| Cold River Coffee Company, Inc. | Accommodation and Food Services | $81,215 | $81,960 | 8 | <$5M | AI Deep Dive |
| Seven 21 Incorporated | Unknown | $78,254 | $79,007 | 3 | N/A | AI Deep Dive |
| Northern NY Rural Behavioral Health Institute | Health Care and Social Assistance | $77,366 | $77,711 | 4 | N/A | AI Deep Dive |
| Madden Enterprises LLC | Construction | $75,000 | $17,261 | 7 | <$5M | AI Deep Dive |