| Companion Home Care Inc. | Health Care and Social Assistance | $46,000 | $46,552 | 18 | <$5M | AI Deep Dive |
| Companion Home Care, Inc. | Health Care and Social Assistance | $45,400 | $45,662 | 25 | <$5M | AI Deep Dive |
| Launching Pad Trampoline Park Inc. | Arts, Entertainment, and Recreation | $45,271 | $42,069 | 15 | <$5M | AI Deep Dive |
| Star City Books LLC | Retail Trade | $44,832 | $45,208 | 6 | <$5M | AI Deep Dive |
| Transmission Clinic, Llc. | Other Services (except Public Administration) | $44,700 | $45,028 | 6 | <$5M | AI Deep Dive |
| Bmp LLC | Construction | $44,100 | $44,472 | 8 | <$5M | AI Deep Dive |
| James River Laser & Equipment | Other Services (except Public Administration) | $43,800 | $44,063 | 5 | <$5M | AI Deep Dive |
| Robyn Smith Ellis Plc | Professional, Scientific, and Technical Services | $43,754 | $44,249 | 6 | <$5M | AI Deep Dive |
| Stephanie N. Valhos DDS Pllc | Health Care and Social Assistance | $43,600 | $43,983 | 5 | <$5M | AI Deep Dive |
| Free Foundation for Rehabilitation Equip | Unknown | $43,376 | $43,785 | 3 | N/A | AI Deep Dive |
| Complete Home Care of Va | Health Care and Social Assistance | $42,917 | $43,562 | 17 | <$5M | AI Deep Dive |
| Crotts Bros Garage INC | Other Services (except Public Administration) | $42,125 | $42,540 | 7 | <$5M | AI Deep Dive |
| Launching Pad Trampoline Park INC | Arts, Entertainment, and Recreation | $42,000 | $42,282 | 25 | <$5M | AI Deep Dive |
| Hungate Warner Enterprise, Inc. | Administrative and Support and Waste Management | $41,887 | $42,387 | 13 | <$5M | AI Deep Dive |
| Kane's Communication Systems INC | Educational Services | $41,624 | $41,820 | 10 | <$5M | AI Deep Dive |
| Salem Foot and Ankle Specialists | Health Care and Social Assistance | $41,300 | $41,523 | 5 | <$5M | AI Deep Dive |
| Family Promise of Greater Roanoke Inc. | Health Care and Social Assistance | $41,300 | $41,517 | 6 | N/A | AI Deep Dive |
| Star City Research LLC | Professional, Scientific, and Technical Services | $41,058 | $41,304 | 7 | <$5M | AI Deep Dive |
| Star City Research, LLC | Professional, Scientific, and Technical Services | $41,057 | $41,409 | 17 | <$5M | AI Deep Dive |
| Special Plumbing INC | Construction | $40,700 | $41,089 | 6 | <$5M | AI Deep Dive |
| Shiva Hospitality LLC | Accommodation and Food Services | $40,600 | $40,791 | 7 | <$5M | AI Deep Dive |
| Starkey Medical P.c. | Health Care and Social Assistance | $40,600 | $40,977 | 15 | <$5M | AI Deep Dive |
| United Truck & Trailer Repair LLC | Manufacturing | $40,457 | $0 | 5 | <$5M | AI Deep Dive |
| Crotts Bros Garage, INC | Other Services (except Public Administration) | $39,900 | $40,297 | 6 | <$5M | AI Deep Dive |
| B & B Fasteners Inc. | Wholesale Trade | $39,750 | $39,982 | 4 | <$5M | AI Deep Dive |