| Daugherty Systems Inc | St Louis, MO | $210M | 1,470 | 2025 |
| 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 |
| Hannibal Clinic Operations, LLC | Hannibal, MO | $58M | 376 | 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 | 286 | 2023 |
| Perry County Memorial Hospital | Perryville, MO | $33M | 533 | 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 |
| Core & Main LP | St Louis, MO | $21M | 66 | 2025 |
| Great Circle | St. James, MO | $21M | 857 | 2023 |
| St. Louis Heart & Vascular, P.C. | Bridgeton, MO | $21M | 126 | 2024 |
| St. Lukes East Anesthesia Services, PC | Lees Summit, MO | $20M | 33 | 2026 |
| Metro Heart Group of St Louis, Inc | O Fallon, MO | $20M | 33 | 2025 |
| Vantage Credit Union | Saint Charles, MO | $19M | 114 | 2024 |
| M1 Bancshares, Inc. | Clayton, MO | $19M | 51 | 2026 |
| Associates In Dermatology & Cutaneous Surgery, Ltd. | Chesterfield, MO | $14M | 27 | 2025 |
| Foland Wickens Roper Hofer & Crawford, PC | Kansas City, MO | $14M | 67 | 2023 |
| Ssm Health Care Corporation | Saint Louis, MO | $13M | 329 | 2023 |
| Surdex Corporation | Chesterfield, MO | $13M | 148 | 2024 |
| Cape Girardeau Surgical Clinic, Inc. | Cape Girardeau, MO | $13M | 37 | 2025 |
| Yokohama Tire Corporation | Monnett, MO | $13M | 289 | 2023 |
| Triad Catalog Co DBA Soft Surroundings | Saint Louis, MO | $13M | 663 | 2024 |
| Taylor Leasing Company | St. Louis, MO | $12M | 7 | 2023 |
| Bwtp P.C. | Chesterfield, MO | $12M | 13 | 2023 |
| Suburban Surgical Associates, Inc. | St. Louis, MO | $12M | 14 | 2023 |
| Magnitude 7 Metals, LLC | Marston, MO | $11M | 557 | 2024 |
| St. Louis Surgical Consultants, P.C. | Chesterfield, MO | $11M | 19 | 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 |
| 4 Q Farms, Inc. | Chillicothe, MO | $10M | 2 | 2023 |
| Abengoa North America, LLC | Affton, MO | $9.9M | 109 | 2025 |
| 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 | 130 | 2023 |
| Heim, Young & Associates, Inc. | Springfield, MO | $8.0M | 11 | 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 |
| 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 |
| Compi Distributors, Inc. | Saint Louis, MO | $6.3M | 109 | 2023 |
| 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 | 66 | 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 |
| Casey Communications Inc | St Louis, MO | $5.7M | 2 | 2024 |
| 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 | 137 | 2023 |
| Pal Services Inc | O Fallon, MO | $5.2M | 38 | 2024 |
| Electro Savings Credit Union | St Louis, MO | $5.2M | 79 | 2025 |