| Neurosurgical & Spinal Surgery Associates PC | Rapid City | $560,400 | $515,955 | 39 | $12.2M |  AI Deep Dive |
| Dakota Dermatology Ltd | Sioux Falls | $558,277 | $561,703 | 40 | $12.6M | AI Deep Dive |
| Black Hills Pediatric Dentistry PC | Rapid City | $556,400 | $559,568 | 43 | $10.0M | AI Deep Dive |
| Black Hills Orthodontics, Prof. LLC | Rapid City | $556,100 | $559,648 | 62 | $14.4M | AI Deep Dive |
| Rural Health Care Inc. | Fort Pierre | $540,000 | $0 | 27 | $8.5M | AI Deep Dive |
| Dakota Dermatology Ltd | Sioux Falls | $533,677 | $536,616 | 39 | $7.1M | AI Deep Dive |
| Aberdeen Family Y of Aberdeen South Dakota | Aberdeen | $527,900 | $532,285 | 217 | N/A | AI Deep Dive |
| Geib, Elston, Frost P.a. | Rapid City | $527,108 | $530,415 | 35 | $11.0M | AI Deep Dive |
| Sunset Manor INC | Irene | $523,925 | $527,069 | 64 | N/A | AI Deep Dive |
| South Central Adjustment Train | Winner | $516,400 | $519,357 | 50 | $8.5M | AI Deep Dive |
| Dakota Milestones INC | Chamberlain | $509,956 | $513,882 | 59 | $10.0M | AI Deep Dive |
| Black Hills Pediatrics, L.l.p. | Rapid City | $506,300 | $510,125 | 48 | $15.1M | AI Deep Dive |
| Cheyenne River Soiux Tribe | Eagle Butte | $502,800 | $509,054 | 64 | $10.9M | AI Deep Dive |
| Bethesda Home | Webster | $501,100 | $504,065 | 75 | N/A | AI Deep Dive |
| Black Hills Oral and Maxilloofacial Surgery, P.c. | Rapid City | $493,193 | $495,879 | 36 | $8.3M | AI Deep Dive |
| Siouxland Anesthesiology Ltd | North Sioux City | $485,400 | $488,016 | 18 | $5.6M | AI Deep Dive |
| Black Hills Pediatric Dentistry | Rapid City | $481,407 | $483,333 | 41 | $9.5M | AI Deep Dive |
| Community Memorial Hospital, Inc. | Burke | $476,600 | $479,525 | 62 | N/A | AI Deep Dive |
| Rural Office of Community Services | Wagner | $476,415 | $214,032 | 87 | N/A | AI Deep Dive |
| Milbank Sd Skilled Nursing Facility LLC | Milbank | $471,638 | $474,377 | 74 | $12.6M | AI Deep Dive |
| Health Management Partners, LLC | Sioux Falls | $469,200 | $472,388 | 34 | $10.7M | AI Deep Dive |
| Tieszen Memorial Home INC | Marion | $467,173 | $469,490 | 88 | N/A | AI Deep Dive |
| Jrk Services INC | Rapid City | $464,300 | $468,332 | 98 | $16.8M | AI Deep Dive |
| Redfield Sd Skilled Nursing Facility LLC | Redfield | $447,858 | $450,459 | 59 | $10.0M | AI Deep Dive |
| Michael R Dana DDS PC | Spearfish | $445,373 | $447,691 | 29 | $6.7M | AI Deep Dive |