| Crouse Health Hospital INC | Health Care and Social Assistance | $10,000,000 | $0 | 500 | N/A |  AI Deep Dive |
| Helio Health Inc. | Health Care and Social Assistance | $7,151,755 | $7,239,144 | 500 | $89.0M | AI Deep Dive |
| C&s Engineers, Inc. | Professional, Scientific, and Technical Services | $7,009,697 | $7,116,091 | 378 | $46.6M | AI Deep Dive |
| Rapid Response Monitoring Services Inc. | Administrative and Support and Waste Management | $6,731,855 | $6,850,410 | 500 | $73.2M | AI Deep Dive |
| Barclay Damon LLP | Professional, Scientific, and Technical Services | $6,585,700 | $6,660,759 | 391 | $95.0M | AI Deep Dive |
| Dept of Medicine Service Group at Suny Health Science Center | Health Care and Social Assistance | $6,239,095 | $6,320,460 | 308 | $96.7M | AI Deep Dive |
| Bond, Schoeneck, King, Pllc | Professional, Scientific, and Technical Services | $5,931,380 | $5,999,632 | 295 | $71.7M | AI Deep Dive |
| Familycare Medical Group, PC | Health Care and Social Assistance | $5,692,580 | $5,755,276 | 479 | $150.3M | AI Deep Dive |
| Accesscny, Inc. | Other Services (except Public Administration) | $5,602,700 | $5,697,479 | 500 | N/A | AI Deep Dive |
| Liberty Resources Inc. | Health Care and Social Assistance | $5,552,300 | $5,611,474 | 500 | $89.0M | AI Deep Dive |
| Feldmeier Equipment, Inc. | Manufacturing | $5,511,690 | $5,572,092 | 404 | $105.8M | AI Deep Dive |
| Frayser Quality, LLC | Accommodation and Food Services | $5,200,000 | $0 | 20 | <$5M | AI Deep Dive |
| Dinosaur Restaurants, LLC | Accommodation and Food Services | $5,170,805 | $5,230,269 | 500 | $88.8M | AI Deep Dive |
| Visiting Nurse Association of Central New York, Inc. | Health Care and Social Assistance | $5,065,100 | $5,122,273 | 429 | N/A | AI Deep Dive |
| Pyramid Management Group, LLC | Real Estate and Rental and Leasing | $4,913,475 | $4,968,264 | 302 | $35.2M | AI Deep Dive |
| St. Camillus Residential Health Care Facility | Health Care and Social Assistance | $4,342,700 | $4,096,162 | 490 | N/A | AI Deep Dive |
| Elmcrest Children's Center, Inc. | Health Care and Social Assistance | $4,304,077 | $4,361,032 | 498 | N/A | AI Deep Dive |
| River Valley Holdings, Inc. | Wholesale Trade | $4,204,939 | $4,259,776 | 378 | $97.3M | AI Deep Dive |
| Riccelli Holdings, Inc. | Transportation and Warehousing | $3,936,500 | $3,981,689 | 304 | $69.3M | AI Deep Dive |
| Kelley Brothers, LLC | Wholesale Trade | $3,436,932 | $3,476,480 | 255 | $78.1M | AI Deep Dive |
| Haylor, Freyer & Coon, Inc. | Finance and Insurance | $3,246,982 | $3,287,191 | 185 | $95.0M | AI Deep Dive |
| Henderson-Johnson Co., Inc. | Construction | $3,187,655 | $3,223,898 | 148 | $168.6M | AI Deep Dive |
| Arise Child and Family Service, Inc. | Public Administration | $3,144,545 | $3,186,415 | 500 | N/A | AI Deep Dive |
| Burns Bros. Contractors LLC | Construction | $3,114,434 | $3,149,589 | 134 | $152.7M | AI Deep Dive |
| Medical Answering Services LLC | Transportation and Warehousing | $3,065,947 | $3,101,887 | 370 | $25.6M | AI Deep Dive |