| Old Dominion Management Group, Inc. | Accommodation and Food Services | $168,750 | $173,685 | 61 | $10.8M |  AI Deep Dive |
| Mediterranean Corporation | Manufacturing | $167,300 | $168,657 | 24 | $23.8M | AI Deep Dive |
| Senior Home Share, LLC | Health Care and Social Assistance | $167,000 | $167,971 | 42 | $7.2M | AI Deep Dive |
| Elkin Furniture Company | Manufacturing | $152,873 | $153,740 | 18 | <$5M | AI Deep Dive |
| Blue Ridge Veterinary Services, Inc. | Professional, Scientific, and Technical Services | $148,900 | $150,740 | 31 | <$5M | AI Deep Dive |
| Creek Bottom Brewing LLC | Accommodation and Food Services | $147,885 | $150,065 | 24 | <$5M | AI Deep Dive |
| Blue Ridge Crest, LLC | Manufacturing | $145,100 | $146,332 | 34 | $12.0M | AI Deep Dive |
| Virginia Kares Home Care Services LLC | Health Care and Social Assistance | $135,600 | $136,978 | 36 | $6.2M | AI Deep Dive |
| Guynn Furniture Company, Inc. | Retail Trade | $133,900 | $134,747 | 15 | <$5M | AI Deep Dive |
| Blueridge Tek Systems LLC | Construction | $127,000 | $128,681 | 14 | <$5M | AI Deep Dive |
| Southwest Virginia Home Health Care Inc. | Health Care and Social Assistance | $126,042 | $310,981 | 50 | $8.6M | AI Deep Dive |
| Vaughan-Guynn Funeral Home, Inc. | Other Services (except Public Administration) | $119,300 | $119,947 | 12 | <$5M | AI Deep Dive |
| Southwest Farm Supply, INC | Wholesale Trade | $118,700 | $120,171 | 15 | <$5M | AI Deep Dive |
| Blue Ridge Physicians for Women Inc. | Health Care and Social Assistance | $114,600 | $115,916 | 14 | <$5M | AI Deep Dive |
| Blue Ridge Radio, INC | Information | $111,522 | $112,436 | 12 | <$5M | AI Deep Dive |
| Blue Ridge Physicians for Women Inc. | Health Care and Social Assistance | $110,900 | $112,100 | 9 | <$5M | AI Deep Dive |
| Creek Bottom Brewing LLC | Manufacturing | $108,300 | $108,953 | 19 | $6.7M | AI Deep Dive |
| Trans Pro Pak, INC | Manufacturing | $107,465 | $108,802 | 24 | $23.8M | AI Deep Dive |
| Mcmillion | Accommodation and Food Services | $98,070 | $99,168 | 21 | <$5M | AI Deep Dive |
| Hill Brothers Restaurants, INC | Accommodation and Food Services | $96,500 | $0 | 30 | $5.3M | AI Deep Dive |
| Professional Networks INC | Professional, Scientific, and Technical Services | $94,100 | $94,665 | 8 | <$5M | AI Deep Dive |
| Thomas W. Littrell D.d.s. P.c. | Health Care and Social Assistance | $93,750 | $94,698 | 17 | <$5M | AI Deep Dive |
| Meadow Creek Dairy LLC | Agriculture, Forestry, Fishing and Hunting | $93,009 | $93,516 | 8 | <$5M | AI Deep Dive |
| Avila Residential Services, Inc. | Health Care and Social Assistance | $88,297 | $89,364 | 21 | <$5M | AI Deep Dive |
| V & M Regional Recycling LLC | Administrative and Support and Waste Management | $88,000 | $89,066 | 32 | $6.1M | AI Deep Dive |