| Boys & Girls Club of the Mountain Empire | Health Care and Social Assistance | $165,480 | $131,726 | 36 | $5.8M |  AI Deep Dive |
| Ok Corral | Accommodation and Food Services | $159,200 | $129,157 | 48 | $8.5M | AI Deep Dive |
| The Williams Company Incorporated | Manufacturing | $157,300 | $159,153 | 14 | <$5M | AI Deep Dive |
| Elliott Lawson & Minor, P.c. | Professional, Scientific, and Technical Services | $155,500 | $156,416 | 9 | <$5M | AI Deep Dive |
| Blackbird Bakery LLC | Manufacturing | $151,400 | $153,044 | 42 | $14.8M | AI Deep Dive |
| Planters & Designers, INC | Administrative and Support and Waste Management | $149,200 | $150,336 | 25 | $5.4M | AI Deep Dive |
| Skeens Development Corporation | Construction | $144,100 | $145,537 | 10 | <$5M | AI Deep Dive |
| Country Boy Seed Inc. | Retail Trade | $142,500 | $144,111 | 17 | <$5M | AI Deep Dive |
| Douglas R. Weberling, O.d., P.c. | Health Care and Social Assistance | $142,000 | $142,961 | 15 | <$5M | AI Deep Dive |
| The Williams Company Inc. | Manufacturing | $141,805 | $142,853 | 13 | <$5M | AI Deep Dive |
| Johnson Management, LLC | Real Estate and Rental and Leasing | $140,500 | $141,526 | 9 | <$5M | AI Deep Dive |
| Trademark of Va, Inc. | Construction | $136,031 | $137,267 | 7 | $8.0M | AI Deep Dive |
| Timothy G. Mcgarry, Md, Pllc | Health Care and Social Assistance | $131,500 | $132,406 | 11 | <$5M | AI Deep Dive |
| Timothy G. Mcgarry MD Pllc | Health Care and Social Assistance | $131,500 | $132,494 | 11 | <$5M | AI Deep Dive |
| Bristol Humane Society | Professional, Scientific, and Technical Services | $131,000 | $132,128 | 19 | N/A | AI Deep Dive |
| Pals Drive Thru #16 | Accommodation and Food Services | $130,373 | $131,712 | 78 | $13.8M | AI Deep Dive |
| Brisol Hotels, Inc. | Accommodation and Food Services | $129,500 | $130,420 | 32 | $10.0M | AI Deep Dive |
| Bristol Humane Society | Professional, Scientific, and Technical Services | $128,019 | $129,193 | 22 | N/A | AI Deep Dive |
| Tri City Security Company INC | Administrative and Support and Waste Management | $125,000 | $125,640 | 36 | $5.3M | AI Deep Dive |
| Artemis Consulting Services LLC | Professional, Scientific, and Technical Services | $124,020 | $125,488 | 6 | <$5M | AI Deep Dive |
| Mm of Bristol LLC | Accommodation and Food Services | $123,858 | $125,073 | 28 | <$5M | AI Deep Dive |
| Dickenson County Ambulance Service | Health Care and Social Assistance | $122,000 | $122,559 | 26 | $6.0M | AI Deep Dive |
| Central Coal Company | Finance and Insurance | $121,000 | $121,894 | 6 | <$5M | AI Deep Dive |
| Living Faith Ministries | Information | $113,900 | $114,824 | 12 | <$5M | AI Deep Dive |
| Twin City Auto Machine Inc. | Retail Trade | $111,969 | $112,631 | 12 | <$5M | AI Deep Dive |