| People INC | Health Care and Social Assistance | $10,000,000 | $10,050,959 | 500 | $85.1M |  AI Deep Dive |
| Nysarc INC Erie County Chapter | Health Care and Social Assistance | $6,915,339 | $1,217,346 | 500 | $85.1M | AI Deep Dive |
| Derico of East Amherst Corp. | Accommodation and Food Services | $4,513,800 | $4,565,369 | 500 | $88.8M | AI Deep Dive |
| Ap Professionals of Phoenix, LLC | Administrative and Support and Waste Management | $3,096,412 | $3,131,533 | 151 | $23.8M | AI Deep Dive |
| Medical Health Associates of Western New | Health Care and Social Assistance | $2,328,500 | $2,354,847 | 208 | $65.3M | AI Deep Dive |
| Gross Polowy LLC | Professional, Scientific, and Technical Services | $2,000,000 | $2,022,575 | 282 | $68.5M | AI Deep Dive |
| F.g. Downing Development, INC | Retail Trade | $1,903,660 | $1,938,239 | 152 | $38.3M | AI Deep Dive |
| Clark Holdings Inc. | Accommodation and Food Services | $1,811,281 | $1,826,615 | 240 | $42.6M | AI Deep Dive |
| University Pediatric Dentistry, P.c. | Health Care and Social Assistance | $1,724,217 | $1,741,317 | 195 | $45.2M | AI Deep Dive |
| Brain and Spine Medical Services Pllc | Retail Trade | $1,575,266 | $1,587,523 | 139 | $24.3M | AI Deep Dive |
| Gelia, Wells & Mohr, Inc. | Professional, Scientific, and Technical Services | $1,534,700 | $1,552,696 | 119 | $13.3M | AI Deep Dive |
| Tronconi Segarra & Associates LLP | Professional, Scientific, and Technical Services | $1,507,517 | $1,517,140 | 123 | $39.1M | AI Deep Dive |
| Brain & Spine Medical Services Pllc | Health Care and Social Assistance | $1,480,575 | $1,493,190 | 136 | $27.0M | AI Deep Dive |
| William Mattar, P.c. | Professional, Scientific, and Technical Services | $1,402,912 | $1,410,753 | 128 | $31.1M | AI Deep Dive |
| Clark Holdings Inc. | Accommodation and Food Services | $1,391,000 | $1,403,348 | 106 | $18.8M | AI Deep Dive |
| Total Wrecking & Environmental LLC | Construction | $1,265,002 | $1,281,048 | 81 | $30.3M | AI Deep Dive |
| University Pediatric Dentistry | Health Care and Social Assistance | $1,208,157 | $1,225,998 | 201 | $46.6M | AI Deep Dive |
| Salvatore Properties LLC | Accommodation and Food Services | $1,178,135 | $1,192,595 | 145 | $25.7M | AI Deep Dive |
| Lifetime Service Center, Inc. | Other Services (except Public Administration) | $1,099,530 | $1,112,062 | 128 | $25.1M | AI Deep Dive |
| Giancarlo's Walker Center LLC | Accommodation and Food Services | $1,036,721 | $1,042,458 | 71 | $12.6M | AI Deep Dive |
| Gastroenterology Associates, LLP | Health Care and Social Assistance | $993,165 | $999,478 | 63 | $19.8M | AI Deep Dive |
| Ap Professionals of Wny, LLC | Administrative and Support and Waste Management | $991,675 | $1,003,005 | 117 | $18.4M | AI Deep Dive |
| Ap Professionals of Rochester LLC | Administrative and Support and Waste Management | $972,705 | $979,101 | 87 | $13.7M | AI Deep Dive |
| Rohan & Harper, PC | Professional, Scientific, and Technical Services | $971,090 | $981,626 | 123 | $17.2M | AI Deep Dive |
| Gordon Companies Inc. | Retail Trade | $927,200 | $938,707 | 135 | $21.1M | AI Deep Dive |