| Semtner & Semtner Dds, INC | Health Care and Social Assistance | $145,300 | $147,099 | 15 | <$5M | AI Deep Dive |
| Episcopal Diocese of Soutwestern Virginia | Other Services (except Public Administration) | $145,157 | $146,476 | 8 | N/A | AI Deep Dive |
| Alejandros Hollins LLC | Accommodation and Food Services | $144,900 | $145,633 | 18 | <$5M | AI Deep Dive |
| William A. Deyerle DDS Ltd. | Health Care and Social Assistance | $144,800 | $145,835 | 14 | <$5M | AI Deep Dive |
| Strelka Law Office PC | Professional, Scientific, and Technical Services | $144,665 | $145,172 | 12 | <$5M | AI Deep Dive |
| Universal Rx LLC | Retail Trade | $144,635 | $145,390 | 9 | <$5M | AI Deep Dive |
| J Moore & Company PC | Professional, Scientific, and Technical Services | $144,600 | $145,508 | 15 | <$5M | AI Deep Dive |
| Columbia Il Operations, LLC | Health Care and Social Assistance | $144,308 | $145,948 | 39 | $6.6M | AI Deep Dive |
| Fat Boy's Wrecker Service Inc. | Transportation and Warehousing | $144,100 | $145,987 | 7 | <$5M | AI Deep Dive |
| Abal Material Handling, INC | Wholesale Trade | $144,100 | $145,397 | 10 | <$5M | AI Deep Dive |
| Cabo Fish Taco Roanoke LLC | Accommodation and Food Services | $143,689 | $144,437 | 12 | <$5M | AI Deep Dive |
| One Meal, Inc. | Professional, Scientific, and Technical Services | $143,507 | $145,339 | 8 | <$5M | AI Deep Dive |
| Sassard Construction Co INC | Transportation and Warehousing | $143,400 | $145,105 | 14 | <$5M | AI Deep Dive |
| William a Deyerle DDS Ltd | Health Care and Social Assistance | $143,100 | $144,445 | 14 | <$5M | AI Deep Dive |
| Softsolutions, Inc. | Wholesale Trade | $143,072 | $144,741 | 9 | <$5M | AI Deep Dive |
| Eden Custom Processing LLC | Manufacturing | $142,900 | $143,742 | 20 | $19.8M | AI Deep Dive |
| Capstone Project Services, Plc | Professional, Scientific, and Technical Services | $142,475 | $144,036 | 7 | <$5M | AI Deep Dive |
| Blue Ridge Color of Carolina, Inc. | Manufacturing | $142,100 | $142,929 | 14 | $13.9M | AI Deep Dive |
| Hill Studio PC | Professional, Scientific, and Technical Services | $142,000 | $143,369 | 13 | <$5M | AI Deep Dive |
| Blanco, Inc. | Administrative and Support and Waste Management | $141,018 | $142,613 | 16 | <$5M | AI Deep Dive |
| Automated Mailing Systems | Professional, Scientific, and Technical Services | $140,285 | $141,780 | 29 | <$5M | AI Deep Dive |
| Blue Stone Block Supermarket INC | Manufacturing | $140,200 | $141,333 | 16 | $15.9M | AI Deep Dive |
| Blue Ridge Optical INC | Retail Trade | $139,900 | $140,685 | 16 | <$5M | AI Deep Dive |
| Acquisition Title and Settlement Agency, Inc. | Professional, Scientific, and Technical Services | $139,665 | $140,962 | 17 | <$5M | AI Deep Dive |
| Spine and Orthopedic Rehab of Va, Inc. | Health Care and Social Assistance | $139,200 | $140,039 | 18 | <$5M | AI Deep Dive |