| B & M Construction, Inc. | Construction | $113,583 | $114,463 | 16 | <$5M |  AI Deep Dive |
| Buchanan County Hospice | Health Care and Social Assistance | $99,717 | $100,883 | 15 | <$5M | AI Deep Dive |
| Carl F Hackney, Dmd, Pllc | Health Care and Social Assistance | $95,870 | $46,269 | 5 | <$5M | AI Deep Dive |
| Rescue 33 Ambulance Service, Inc. | Health Care and Social Assistance | $91,276 | $92,376 | 12 | <$5M | AI Deep Dive |
| Smart Hospitality LLC | Accommodation and Food Services | $79,800 | $80,270 | 16 | $5.0M | AI Deep Dive |
| Childress Enterprise, Corp. | Transportation and Warehousing | $75,700 | $76,245 | 7 | <$5M | AI Deep Dive |
| Igo Technology, Inc. | Information | $71,594 | $72,358 | 8 | <$5M | AI Deep Dive |
| Merritt Physical Therapy & Rehabilitation Inc. P.c. | Health Care and Social Assistance | $66,808 | $67,220 | 9 | <$5M | AI Deep Dive |
| Merritt Physical Therapy & Rehabilitation INC PC | Health Care and Social Assistance | $66,800 | $67,312 | 9 | <$5M | AI Deep Dive |
| Virginia Eyecare Clinic, LLC | Health Care and Social Assistance | $66,300 | $66,985 | 7 | <$5M | AI Deep Dive |
| Virginia Eyecare Clinic LLC | Health Care and Social Assistance | $65,997 | $66,761 | 6 | <$5M | AI Deep Dive |
| El Sombrero Mexican Grill, Inc. | Accommodation and Food Services | $64,612 | $65,089 | 13 | <$5M | AI Deep Dive |
| Subway East INC | Accommodation and Food Services | $64,100 | $45,881 | 14 | <$5M | AI Deep Dive |
| Mountaineer Publishing Company Inc. | Information | $63,921 | $64,383 | 8 | <$5M | AI Deep Dive |
| Subway East Inc. | Accommodation and Food Services | $63,479 | $63,975 | 14 | <$5M | AI Deep Dive |
| Mountaineer Publishing Company, INC | Information | $63,100 | $63,562 | 8 | <$5M | AI Deep Dive |
| Vansant Lumber Co. INC | Retail Trade | $60,594 | $61,240 | 10 | <$5M | AI Deep Dive |
| Childress Enterprise Corp. | Transportation and Warehousing | $60,289 | $60,796 | 10 | <$5M | AI Deep Dive |
| Ultra Managment and Consulting LLC | Professional, Scientific, and Technical Services | $58,269 | $58,683 | 2 | <$5M | AI Deep Dive |
| Dust Busters Cleaning Service | Administrative and Support and Waste Management | $58,075 | $58,525 | 16 | <$5M | AI Deep Dive |
| Smart Hospitality, LLC | Accommodation and Food Services | $57,000 | $57,643 | 17 | $5.3M | AI Deep Dive |
| Appalachian Animal Health Center | Professional, Scientific, and Technical Services | $56,153 | $56,862 | 10 | <$5M | AI Deep Dive |
| Grundy Funeral Home of Southwest Virginia, Inc. | Other Services (except Public Administration) | $56,130 | $56,669 | 6 | <$5M | AI Deep Dive |
| Riverside Medical Clinic, Inc. | Health Care and Social Assistance | $55,200 | $55,572 | 6 | <$5M | AI Deep Dive |
| Stephen W Gooch PC | Professional, Scientific, and Technical Services | $53,694 | $54,276 | 7 | <$5M | AI Deep Dive |