| Consolidated Shoe Company | Wholesale Trade | $697,880 | $704,297 | 41 | $10.6M |  AI Deep Dive |
| The Madeline Centre INC | Health Care and Social Assistance | $685,255 | $692,971 | 45 | $8.0M | AI Deep Dive |
| The Madeline Centre, Incorporated | Health Care and Social Assistance | $685,200 | $690,738 | 86 | $20.1M | AI Deep Dive |
| Witco INC | Retail Trade | $681,800 | $688,031 | 137 | $45.8M | AI Deep Dive |
| K & J Enterprises INC | Retail Trade | $669,000 | $674,278 | 172 | $19.1M | AI Deep Dive |
| Craft Collision Center Inc. | Other Services (except Public Administration) | $668,900 | $634,071 | 54 | $10.6M | AI Deep Dive |
| Pathology Consultants of Central Virginia Inc. | Health Care and Social Assistance | $665,800 | $673,297 | 36 | $11.3M | AI Deep Dive |
| Shakers Restaurant Corporation | Accommodation and Food Services | $660,400 | $665,448 | 115 | $20.4M | AI Deep Dive |
| Bwf Automotive-1 LLC | Retail Trade | $657,500 | $665,810 | 74 | $18.6M | AI Deep Dive |
| Davis-Frost Inc. | Manufacturing | $652,500 | $660,384 | 92 | $91.3M | AI Deep Dive |
| Bluffwalk Center L.p. | Accommodation and Food Services | $651,021 | $657,477 | 75 | $23.5M | AI Deep Dive |
| Bms Direct, INC | Administrative and Support and Waste Management | $650,100 | $653,766 | 95 | $18.0M | AI Deep Dive |
| Intravene LLC | Health Care and Social Assistance | $647,700 | $655,976 | 42 | $13.2M | AI Deep Dive |
| Patrick Henry Family Services INC | Health Care and Social Assistance | $643,500 | $647,915 | 66 | N/A | AI Deep Dive |
| Radiology Consultants of Lynchburg, INC | Health Care and Social Assistance | $640,200 | $647,776 | 45 | $14.1M | AI Deep Dive |
| Maddox Air & Electrical, Inc. | Construction | $635,600 | $639,802 | 82 | $25.9M | AI Deep Dive |
| Lynchburg Ready Mix Concrete Co. | Manufacturing | $635,400 | $639,989 | 49 | $48.6M | AI Deep Dive |
| Hawkins-Graves, Inc. | Real Estate and Rental and Leasing | $628,455 | $634,443 | 53 | $23.9M | AI Deep Dive |
| Davis-Frost Inc. | Manufacturing | $617,200 | $623,930 | 70 | $69.4M | AI Deep Dive |
| Hci-Ebs Holdins INC | Professional, Scientific, and Technical Services | $604,600 | $612,544 | 37 | $11.8M | AI Deep Dive |
| Lynchburg Healthcare | Health Care and Social Assistance | $602,365 | $608,092 | 104 | $17.7M | AI Deep Dive |
| David C. Moore | Accommodation and Food Services | $601,018 | $604,377 | 84 | $14.9M | AI Deep Dive |
| Rempfer Construction, Inc. | Construction | $590,900 | $352,267 | 12 | <$5M | AI Deep Dive |
| W.d. Campbell & Son, INC | Finance and Insurance | $585,300 | $589,999 | 39 | $20.0M | AI Deep Dive |
| Capps Shoe Company | Manufacturing | $576,300 | $579,422 | 142 | $50.1M | AI Deep Dive |