| Daugherty Systems INC | St Louis, MO | $210M | 1,470 | 2025 |
| Lester E. Cox Medical Centers | Springfield, MO | $200M | — | 2023 |
| Capital Region Medical Center | Jefferson City, MO | $116M | 2,033 | 2024 |
| Southeast Hospital | Cape Girardeau, MO | $111M | 2,838 | 2024 |
| Southeast Hospital | Cape Girardeau, MO | $73M | 1,997 | 2024 |
| Memc, LLC | St. Peters, MO | $55M | — | 2023 |
| Lester E. Cox Medical Centers | Springfield, MO | $53M | — | 2023 |
| Ballas Anesthesia, INC. | St. Louis, MO | $43M | 78 | 2024 |
| American Metals Supply CO., INC. | Hazelwood, MO | $34M | 147 | 2025 |
| Citizens Bank & Trust | Kansas City, MO | $33M | — | 2023 |
| Perry County Memorial Hospital | Perryville, MO | $33M | — | 2023 |
| Hakim Nyazee, LLC | St. Louis, MO | $29M | 4 | 2024 |
| Gateway Dealer Network, LLC | Valley Park, MO | $26M | 503 | 2024 |
| James B Nutter & Company | Kansas City, MO | $23M | 109 | 2024 |
| Anesthesia Partners, LTD. | St Louis, MO | $23M | 49 | 2024 |
| Womens Health Associates INC | Columbia, MO | $22M | 84 | 2024 |
| Great Circle | St. James, MO | $21M | — | 2023 |
| St. Louis Heart & Vascular, P.C. | Bridgeton, MO | $21M | 126 | 2024 |
| Metro Heart Group Of St Louis, INC | O Fallon, MO | $20M | 33 | 2025 |
| Vantage Credit Union | Saint Charles, MO | $19M | 114 | 2024 |
| Associates In Dermatology & Cutaneous Surgery, LTD. | Chesterfield, MO | $14M | 27 | 2025 |
| Ssm Health Care Corporation | Saint Louis, MO | $13M | — | 2023 |
| Surdex Corporation | Chesterfield, MO | $13M | 148 | 2024 |
| Yokohama Tire Corporation | Monnett, MO | $13M | — | 2023 |
| Triad Catalog CO DBA Soft Surroundings | Saint Louis, MO | $13M | 663 | 2024 |
| Bwtp P.C. | Chesterfield, MO | $12M | 13 | 2023 |
| Magnitude 7 Metals, LLC | Marston, MO | $11M | 557 | 2024 |
| Columbia Surgical Associates, INC. | Columbia, MO | $11M | 18 | 2024 |
| Botz, Deal & Company, P.C. | St. Charles, MO | $11M | 56 | 2025 |
| Elan-polo, INC. | Saint Louis, MO | $10M | 45 | 2024 |
| Ambulatory Anesthesia Services Of St. Charles LLC | St Louis, MO | $10M | 3 | 2025 |
| 1904LABS INC. | Chesterfield, MO | $10M | 100 | 2024 |
| Ad Vivum Anesthesiology, PC | Kansas City, MO | $10M | 19 | 2024 |
| Jones Company Of Tennessee LLC | Chesterfield, MO | $9.7M | 85 | 2024 |
| Hastings & Chivetta Architects, INC. | St. Louis, MO | $8.8M | 51 | 2025 |
| Berry Foundation | Kansas City, MO | $8.3M | — | 2023 |
| Heim, Young & Associates, INC. | Springfield, MO | $8.0M | — | 2023 |
| Zak Companies INC | Saint Louis, MO | $7.8M | 67 | 2025 |
| Hesse Martone, P. C. | St. Louis, MO | $7.7M | 25 | 2024 |
| Neurosurgical Specialists Of West County, INC. | St. Louis, MO | $7.7M | 9 | 2024 |
| Gastroenterology Associates Of Southeast Missouri, P.C. | Cape Girardeau, MO | $7.7M | 30 | 2025 |
| Big River Telephone Company, LLC | Cape Girardeau, MO | $7.7M | 70 | 2023 |
| Hellman & Rosen Endocrine Associates, P.C. | North Kansas City, MO | $7.6M | 41 | 2023 |
| Michael D. Depriest, M.D. | St. Joseph, MO | $7.4M | 11 | 2025 |
| Pepsi Cola Memphis Bottling Company | Memphis, MO | $7.4M | 40 | 2026 |
| Webster Groves Animal Hospital, P.C. | Webster Groves, MO | $7.3M | 79 | 2025 |
| Perryville Family Care Clinic PC | Perryville, MO | $7.2M | 13 | 2023 |
| Ocelot Consulting LLC | Creve Coeur, MO | $7.0M | 135 | 2024 |
| Cutter & Company Brokerage, INC | Ballwin, MO | $7.0M | 20 | 2025 |
| Paulo Products Company | St. Louis, MO | $6.9M | 242 | 2024 |
| Bieg Plumbing Company, INC. | St. Louis, MO | $6.8M | 20 | 2025 |
| Kuhlmann Design Group | St. Louis, MO | $6.7M | 31 | 2023 |
| Medical Imaging, P.A. | Kansas City, MO | $6.6M | 3 | 2025 |
| Mid-missouri Anesthesiologists, INC. | Columbia, MO | $6.4M | 9 | 2024 |
| Florissant Dodge Sales, INC. | Florissant, MO | $6.2M | 38 | 2024 |
| Amitech Solutions, INC. | Creve Coeur, MO | $6.1M | 74 | 2025 |
| Dalco Industries, INC. | Bridgeton, MO | $6.1M | — | 2023 |
| Cameron Mutual Insurance Company | Cameron, MO | $6.1M | 43 | 2024 |
| Northland Womens Health Care, P.C. | Kansas City, MO | $6.0M | 23 | 2025 |
| Woods Mill Orthopedics, LTD. | Chesterfield, MO | $5.7M | 32 | 2025 |
| Michael P. Wallace, Dmd PC | St. Louis, MO | $5.7M | 12 | 2026 |
| Midwest Motorcycle Supply Distributors Corp. | Pevely, MO | $5.6M | 23 | 2025 |
| D3 Technologies | Springfield, MO | $5.5M | — | 2023 |
| The Victor L. Phillips Company | Smithville, MO | $5.3M | 90 | 2020 |
| Pal Services INC | O Fallon, MO | $5.2M | 38 | 2024 |
| Electro Savings Credit Union | St Louis, MO | $5.2M | 79 | 2025 |