| David L. Jones DDS PC | Health Care and Social Assistance | $169,500 | $171,241 | 12 | <$5M |  AI Deep Dive |
| Blue Mountain Sales, Inc. | Wholesale Trade | $169,400 | $171,480 | 8 | <$5M | AI Deep Dive |
| Edwin C. Hall Associates, Inc. | Real Estate and Rental and Leasing | $169,400 | $170,750 | 22 | <$5M | AI Deep Dive |
| Podell INC | Retail Trade | $168,800 | $169,925 | 10 | <$5M | AI Deep Dive |
| Blue Ridge Hearing Group LLC | Health Care and Social Assistance | $168,600 | $170,314 | 20 | $5.4M | AI Deep Dive |
| North Roanoke Assisted Living LLC | Health Care and Social Assistance | $167,918 | $169,060 | 31 | $5.3M | AI Deep Dive |
| Interactive Design Inc. | Professional, Scientific, and Technical Services | $167,700 | $168,767 | 11 | <$5M | AI Deep Dive |
| Kbk Enterprises of Roanoke Inc. | Accommodation and Food Services | $167,692 | $168,847 | 20 | <$5M | AI Deep Dive |
| Hypergen, Inc. | Professional, Scientific, and Technical Services | $167,567 | $169,298 | 17 | <$5M | AI Deep Dive |
| Fortunato Holdings LLC | Accommodation and Food Services | $166,200 | $167,797 | 24 | <$5M | AI Deep Dive |
| Valley Wealth Group, Inc. | Finance and Insurance | $165,700 | $167,919 | 10 | $5.1M | AI Deep Dive |
| Jack St.clair Inc. | Construction | $165,294 | $165,758 | 23 | $7.1M | AI Deep Dive |
| Chapter 13 Trusteeship of Christopher Micale | Professional, Scientific, and Technical Services | $165,000 | $165,752 | 11 | <$5M | AI Deep Dive |
| Children's Trust Foundation Roanoke Valley, Inc. | Health Care and Social Assistance | $164,400 | $166,167 | 23 | N/A | AI Deep Dive |
| Community High School of the Roanoke Valley | Educational Services | $164,300 | $165,377 | 15 | N/A | AI Deep Dive |
| Virginia Green Home LLC | Construction | $164,150 | $164,712 | 15 | $5.1M | AI Deep Dive |
| Janitorial & Maintenance Solutions Inc. | Administrative and Support and Waste Management | $164,150 | $166,385 | 59 | $12.8M | AI Deep Dive |
| Om Management LLC | Accommodation and Food Services | $163,391 | $164,806 | 15 | <$5M | AI Deep Dive |
| Associates in Brief Therapy, Inc. | Health Care and Social Assistance | $163,207 | $165,259 | 40 | $6.5M | AI Deep Dive |
| 419 West Restaurant Co. LLC | Accommodation and Food Services | $163,200 | $165,331 | 55 | $9.8M | AI Deep Dive |
| Cook Out Roanoke INC | Accommodation and Food Services | $163,000 | $164,965 | 114 | $20.2M | AI Deep Dive |
| The Hollins Group, Inc. | Administrative and Support and Waste Management | $161,684 | $163,741 | 20 | <$5M | AI Deep Dive |
| Frankl Miller Webb & Moyers | Professional, Scientific, and Technical Services | $161,173 | $162,628 | 13 | <$5M | AI Deep Dive |
| Kfd Virginia, Inc. | Health Care and Social Assistance | $160,037 | $161,108 | 21 | <$5M | AI Deep Dive |
| Jefferson Center Foundation Ltd | Other Services (except Public Administration) | $159,200 | $160,964 | 45 | N/A | AI Deep Dive |