| B.s.carrier LLC | Transportation and Warehousing | $149,900 | $152,731 | 21 | <$5M | AI Deep Dive |
| Salem Surgical Associates, PC | Health Care and Social Assistance | $149,100 | $149,966 | 13 | <$5M | AI Deep Dive |
| Carroll Construction Co. | Construction | $148,400 | $150,506 | 41 | $12.7M | AI Deep Dive |
| Wells Construction Company Inc. | Construction | $147,627 | $148,111 | 16 | <$5M | AI Deep Dive |
| Cg Plus, LLC | Manufacturing | $147,400 | $148,321 | 21 | $5.1M | AI Deep Dive |
| Salem Surgical Associates P.c. | Health Care and Social Assistance | $147,200 | $148,277 | 13 | <$5M | AI Deep Dive |
| Scmc LLC | Professional, Scientific, and Technical Services | $146,665 | $148,262 | 8 | <$5M | AI Deep Dive |
| Southwest Virginia Cardiology, PC | Health Care and Social Assistance | $146,500 | $147,875 | 11 | <$5M | AI Deep Dive |
| Business Solutions, Inc. | Finance and Insurance | $144,400 | $145,816 | 8 | <$5M | AI Deep Dive |
| Sherwood Memorial Park, Inc. | Other Services (except Public Administration) | $143,360 | $144,696 | 12 | N/A | AI Deep Dive |
| Nexus Homecare LLC | Health Care and Social Assistance | $139,723 | $141,144 | 20 | <$5M | AI Deep Dive |
| Mills & Shannon Dmd PC | Health Care and Social Assistance | $138,200 | $139,381 | 12 | <$5M | AI Deep Dive |
| Star Tag & Label Inc. | Manufacturing | $137,100 | $138,338 | 15 | $14.9M | AI Deep Dive |
| Mills & Shannon Dmd PC | Health Care and Social Assistance | $136,500 | $137,267 | 12 | <$5M | AI Deep Dive |
| Mcgrady-Lambert Electric Inc. | Construction | $136,000 | $137,468 | 20 | $6.6M | AI Deep Dive |
| Frontlne Eurosports LLC | Retail Trade | $129,925 | $130,582 | 13 | <$5M | AI Deep Dive |
| Radd Hospitality LLC | Accommodation and Food Services | $129,459 | $130,182 | 16 | $5.0M | AI Deep Dive |
| Tight Lines Holdings Group Inc. | Manufacturing | $127,257 | $128,237 | 15 | <$5M | AI Deep Dive |
| Routt and Associates Inc. | Construction | $126,800 | $127,959 | 5 | <$5M | AI Deep Dive |
| Salem Seafood Company LLC | Accommodation and Food Services | $125,737 | $126,832 | 27 | <$5M | AI Deep Dive |
| Salem Veterinary Services INC | Professional, Scientific, and Technical Services | $125,300 | $126,090 | 14 | <$5M | AI Deep Dive |
| Parkway Brewing Company LLC | Manufacturing | $124,900 | $118,383 | 36 | $12.7M | AI Deep Dive |
| Frontline Eurosports, LLC | Retail Trade | $123,566 | $125,008 | 11 | <$5M | AI Deep Dive |
| G Sprinkle III Family Dentistry PC | Health Care and Social Assistance | $123,484 | $124,256 | 10 | <$5M | AI Deep Dive |
| G Sprinkle III Family Dentistry, PC | Health Care and Social Assistance | $123,400 | $124,576 | 9 | <$5M | AI Deep Dive |