| Employment Screening Services, INC | Administrative and Support and Waste Management | $476,148 | $479,091 | 32 | $5.0M |  AI Deep Dive |
| Apex Physical Therapy Pllc | Health Care and Social Assistance | $470,700 | $473,395 | 38 | $10.3M | AI Deep Dive |
| Hip of Spokane County | Other Services (except Public Administration) | $469,400 | $476,910 | 55 | $10.5M | AI Deep Dive |
| Ruby On the River LLC | Accommodation and Food Services | $469,000 | $471,840 | 62 | $19.4M | AI Deep Dive |
| Spokane Regional Chamber of Commerce and Economic Developmen | Other Services (except Public Administration) | $466,700 | $469,117 | 27 | $5.2M | AI Deep Dive |
| S & J Engines INC | Other Services (except Public Administration) | $465,100 | $468,630 | 47 | $9.2M | AI Deep Dive |
| Capstone Construction Company | Construction | $464,300 | $466,793 | 48 | $14.6M | AI Deep Dive |
| Mcvay Brothers Contracting | Construction | $463,300 | $467,781 | 198 | $45.8M | AI Deep Dive |
| 14four, Inc. | Professional, Scientific, and Technical Services | $461,860 | $464,745 | 30 | $6.2M | AI Deep Dive |
| 14four INC | Professional, Scientific, and Technical Services | $461,860 | $465,112 | 25 | $5.2M | AI Deep Dive |
| Spokane House of Hose | Wholesale Trade | $460,428 | $464,993 | 43 | $11.1M | AI Deep Dive |
| Ob-Gyn Associates of Spokane Ps | Health Care and Social Assistance | $457,400 | $460,896 | 35 | $11.0M | AI Deep Dive |
| Fairwood Northridge, LLC | Health Care and Social Assistance | $456,485 | $461,275 | 65 | $11.1M | AI Deep Dive |
| Walla Walla Hospitality LLC | Accommodation and Food Services | $455,150 | $458,159 | 41 | $12.8M | AI Deep Dive |
| De Leon Foods, Inc. | Unknown | $452,262 | $456,810 | 78 | N/A | AI Deep Dive |
| Brubakken and Reinbold INC | Wholesale Trade | $450,000 | $454,007 | 33 | $8.5M | AI Deep Dive |
| Twigs Kennewick LLC | Accommodation and Food Services | $449,673 | $452,593 | 20 | <$5M | AI Deep Dive |
| Spokane Family Restaurants Inc. | Accommodation and Food Services | $449,320 | $452,053 | 110 | $19.5M | AI Deep Dive |
| Crown West Realty, L.l.c. | Real Estate and Rental and Leasing | $448,800 | $0 | 25 | <$5M | AI Deep Dive |
| Summit Rehabilitation Associates, Pllc | Health Care and Social Assistance | $448,490 | $451,550 | 44 | $11.9M | AI Deep Dive |
| School Data Solutions, Inc. | Information | $447,938 | $450,601 | 36 | $6.0M | AI Deep Dive |
| Ramey Construction Co INC | Construction | $447,500 | $403,136 | 34 | $38.7M | AI Deep Dive |
| Visit Spokane | Administrative and Support and Waste Management | $446,900 | $376,933 | 30 | $9.5M | AI Deep Dive |
| Cochrane Agency of Ca INC | Finance and Insurance | $446,200 | $450,234 | 28 | $14.4M | AI Deep Dive |
| American Tradition Homes Ltd | Construction | $445,800 | $451,027 | 11 | <$5M | AI Deep Dive |