| Amherst Madison INC | Transportation and Warehousing | $5,480,400 | $5,558,071 | 330 | $83.7M | AI Deep Dive |
| The University of Charleston, INC | Educational Services | $4,590,000 | $4,668,413 | 476 | N/A | AI Deep Dive |
| Flaherty Sensabaugh & Bonasso Pllc | Professional, Scientific, and Technical Services | $4,170,700 | $1,871,945 | 128 | $31.1M | AI Deep Dive |
| Bowles Rice LLP | Professional, Scientific, and Technical Services | $3,834,700 | $3,879,012 | 167 | $40.6M | AI Deep Dive |
| Spilman, Thomas, | Professional, Scientific, and Technical Services | $3,747,700 | $3,791,319 | 255 | $62.0M | AI Deep Dive |
| West Virginia University Medical Corporation Charleston Divi | Health Care and Social Assistance | $3,686,500 | $3,733,912 | 267 | N/A | AI Deep Dive |
| Arnett Carbis Toothman LLP | Professional, Scientific, and Technical Services | $3,204,460 | $3,241,400 | 243 | $77.3M | AI Deep Dive |
| E. L. Robinson Engineering Co. | Professional, Scientific, and Technical Services | $3,144,600 | $3,180,698 | 182 | $22.4M | AI Deep Dive |
| Kanawha Hospice Care, Inc. | Health Care and Social Assistance | $2,915,000 | $2,948,603 | 195 | $33.2M | AI Deep Dive |
| Jackson Kelly Pllc | Professional, Scientific, and Technical Services | $2,880,600 | $5,126,619 | 225 | $54.7M | AI Deep Dive |
| Kanawha Stone Company, Inc. | Construction | $2,560,000 | $2,589,227 | 220 | $82.4M | AI Deep Dive |
| Cabin Creek Health Systems, Inc. | Health Care and Social Assistance | $2,458,000 | $2,489,583 | 200 | N/A | AI Deep Dive |
| Ivs Hydro, Inc. | Construction | $2,294,400 | $2,320,722 | 170 | $63.7M | AI Deep Dive |
| American Medical Facilities Management, LLC | Professional, Scientific, and Technical Services | $2,150,600 | $0 | 95 | $9.8M | AI Deep Dive |
| Bailey & Glasser, LLP | Professional, Scientific, and Technical Services | $2,079,500 | $2,104,050 | 102 | $24.8M | AI Deep Dive |
| Healthnet Aeromedical Services INC | Health Care and Social Assistance | $1,890,700 | $1,905,090 | 119 | N/A | AI Deep Dive |
| United Talent LLC | Administrative and Support and Waste Management | $1,887,300 | $1,908,581 | 108 | $17.0M | AI Deep Dive |
| Legal Aid of West Virginia Inc. | Professional, Scientific, and Technical Services | $1,716,200 | $1,726,736 | 138 | $37.7M | AI Deep Dive |
| Lifetree Therapy Company, LLC | Health Care and Social Assistance | $1,601,800 | $0 | 73 | $12.4M | AI Deep Dive |
| Healthteam Critical Care Transport LLC | Health Care and Social Assistance | $1,524,100 | $1,535,827 | 194 | $45.0M | AI Deep Dive |
| The Eye and Ear Clinic of Charleston DBA Charleston Surgica | Health Care and Social Assistance | $1,520,007 | $1,538,255 | 104 | $32.6M | AI Deep Dive |
| A.l.l. Construction INC | Construction | $1,505,600 | $1,519,025 | 283 | $87.7M | AI Deep Dive |
| The Childrens Home Society of West Virgi Nia | Unknown | $1,448,000 | $1,462,072 | 479 | N/A | AI Deep Dive |
| Moses Ford, Inc. | Retail Trade | $1,418,000 | $1,433,401 | 98 | $24.7M | AI Deep Dive |
| Providence Enterprises LLC | Retail Trade | $1,408,000 | $1,424,348 | 145 | $26.3M | AI Deep Dive |