| 1 | Moxe | Madison | WI | USA | $6.2M | Healthcare | 90 | $24.3M | 206 |
| 2 | Caravel Autism Health | Green Bay | WI | USA | | Healthcare | 640 | $216M | 192 |
| 3 | averhealth | Richmond | VA | USA | | Healthcare | 169 | $49.1M | 186 |
| 4 | Ieso Digital Health | Cambridge | | UK | $77.9M | Healthcare | 326 | $111.8M | 128 |
| 5 | Iris Telehealth | Austin | TX | USA | | Healthcare | 199 | $59.1M | 127 |
| 6 | Pine River Institute | Toronto | ON | CAN | | Healthcare | 81 | $21.9M | 104 |
| 7 | Empower Behavioral Health | San Antonio | TX | USA | | Healthcare | 96 | $25.9M | 87 |
| 8 | Center for Life Management | Derry | NH | USA | | Healthcare | 169 | $50.2M | 83 |
| 9 | Oxfordshire Mind | Oxford | | UK | | Healthcare | 150 | $44.5M | 81 |
| 10 | Aware Recovery Care | North Haven | CT | USA | | Healthcare | 333 | $112.4M | 79 |
| 11 | Amen Clinics | Orange County | CA | USA | | Healthcare | 313 | $105.6M | 78 |
| 12 | Jefferson Hills | Denver | CO | USA | | Healthcare | 93 | $25.1M | 77 |
| 13 | Compass Health Center | Chicago | IL | USA | | Healthcare | 497 | $167.7M | 77 |
| 14 | Sante Group Companies | Washington DC | MD | USA | | Healthcare | 165 | $49M | 75 |
| 15 | Ohio Mentor | Columbus | OH | USA | | Healthcare | 81 | $21.9M | 73 |
| 16 | Integrated Behavioral Solutions | Atlanta | GA | USA | | Healthcare | 60 | $14.6M | 73 |
| 17 | Eating Disorder Recovery Specialists | New York City | NY | USA | | Healthcare | 83 | $22.4M | 72 |
| 18 | Georgia HOPE | Dalton | GA | USA | | Healthcare | 213 | $63.3M | 72 |
| 19 | Center for Emotional Health | Charlotte | NC | USA | | Healthcare | 146 | $43.4M | 70 |
| 20 | Meadows Mental Health Policy Institute | Dallas | TX | USA | | Healthcare | 113 | $30.5M | 69 |
| 21 | Federation of Organizations | West Babylon | NY | USA | | Healthcare | 86 | $23.2M | 68 |
| 22 | TherapyNotes | Horsham | PA | USA | | Healthcare | 109 | $29.4M | 67 |
| 23 | Kentucky Counseling Center | Louisville | KY | USA | | Healthcare | 79 | $21.3M | 66 |
| 24 | Beck Institute for Cognitive Behavior Therapy | Bala Cynwyd | PA | USA | | Healthcare | 100 | $27M | 66 |
| 25 | Key Autism Services | Boston | MA | USA | | Healthcare | 364 | $122.8M | 63 |
| 26 | Applied Behavioral Mental Health Counseling, P.C. | Valley Stream | NY | USA | | Healthcare | 238 | $70.7M | 63 |
| 27 | Hand in Hand Family Services, LTD. | New York City | NY | USA | | Healthcare | 155 | $46M | 62 |
| 28 | Family Resource Center of Northwest Ohio | Lima | OH | USA | | Healthcare | 111 | $30M | 61 |
| 29 | Banyan Treatment Center | Miami | FL | USA | | Healthcare | 349 | $117.8M | 59 |
| 30 | Counseling & Recovery Services of Oklahoma | Tulsa | OK | USA | | Healthcare | 93 | $25.1M | 57 |
| 31 | MindWise New Vision | Belfast | | UK | | Healthcare | 101 | $27.3M | 56 |
| 32 | White Sands Treatment Center | Fort Myers | FL | USA | | Healthcare | 132 | $35.6M | 55 |
| 33 | Professional Services Group | Kenosha | WI | USA | | Healthcare | 121 | $32.7M | 54 |
| 34 | Onsite Workshops | Cumberland Furnace | TN | USA | | Healthcare | 121 | $32.7M | 54 |
| 35 | Jewish Family Services | Milwaukee | WI | USA | | Healthcare | 114 | $30.8M | 53 |
| 36 | Peninsula Behavioral Health, WA | Port Angeles | WA | USA | | Healthcare | 83 | $22.4M | 50 |
| 37 | Prevail Health | Chicago | IL | USA | | Healthcare | 50 | $10.8M | 49 |
| 38 | Psychiatric Medical Care | Nashville | TN | USA | | Healthcare | 137 | $37M | 49 |
| 39 | Marra & Glick Applied Behavior Analysts | Islandia | NY | USA | | Healthcare | 87 | $23.5M | 48 |
| 40 | TRAINING AND TREATMENT INNOVATIONS, | OXFORD | MI | USA | | Healthcare | 142 | $42.2M | 48 |
| 41 | TMS Neuro Solutions | Dallas | TX | USA | | Healthcare | 94 | $25.4M | 48 |
| 42 | Project Chesapeake | Annapolis | MD | USA | | Healthcare | 52 | $12.6M | 48 |
| 43 | Alsana | Los Angeles | CA | USA | | Healthcare | 411 | $138.7M | 48 |
| 44 | Child Guidance Center | Jackonville | | Germany | | Healthcare | 65 | $15.8M | 47 |
| 45 | Sollars and Associates | Detroit | MI | USA | | Healthcare | 138 | $37.3M | 47 |
| 46 | Greenbrook TMS NeuroHealth Centers | Washington DC | VA | USA | | Healthcare | 307 | $103.6M | 46 |
| 47 | Strategic Therapy Associates | Lynchburg | VA | USA | | Healthcare | 87 | $23.5M | 46 |
| 48 | Balance Autism | Altoona | IA | USA | | Healthcare | 145 | $43.1M | 46 |
| 49 | Oak Grove Center | Murrieta | CA | USA | | Healthcare | 102 | $27.5M | 45 |
| 50 | Pearl Health Clinic | Ammon | ID | USA | | Healthcare | 79 | $21.3M | 44 |
| 51 | SOUTHERN CROSS SUPPORT SERVICES | Bundaberg Central | | Australia | | Healthcare | 173 | $51.4M | 43 |
| 52 | Richmond Fellowship Queensland | Brisbane | | Australia | | Healthcare | 138 | $37.3M | 43 |
| 53 | Child Guidance Center, Orange County | Orange County | CA | USA | | Healthcare | 62 | $15.1M | 43 |
| 54 | ABA Pathways | | | | | Healthcare | 70 | $17M | 42 |
| 55 | BryLin Behavioral Health System | Buffalo | NY | USA | | Healthcare | 143 | $42.5M | 42 |
| 56 | WES HEALTH SYSTEM | Philadelphia | PA | USA | | Healthcare | 129 | $34.8M | 42 |
| 57 | Van der Hoeven Kliniek | | | | | Healthcare | 253 | $75.1M | 42 |
| 58 | The National Board for Certified Counselors | Greensboro | NC | USA | | Healthcare | 137 | $37M | 42 |
| 59 | MPA Society | Vancouver | BC | CAN | | Healthcare | 143 | $42.5M | 41 |
| 60 | Richmond Wellbeing | Cannington | WA | USA | | Healthcare | 159 | $47.2M | 41 |
| 61 | ARAFMI | Brisbane | | Australia | | Healthcare | 90 | $24.3M | 41 |
| 62 | High Road School | Elkton | MD | USA | | Healthcare | 37 | $8M | 41 |
| 63 | Beacon Specialized Living | Kalamazoo | MI | USA | | Healthcare | 248 | $72M | 41 |
| 64 | Anna Freud National Centre for Children and Families | London | | UK | | Healthcare | 344 | $116.1M | 40 |
| 65 | Exponential Machines | Austin | TX | USA | | Healthcare | 70 | $17M | 40 |
| 66 | Back2Work | Red Hill | | Australia | | Healthcare | 127 | $34.3M | 40 |
| 67 | Care in Mind | Stockport | | UK | | Healthcare | 119 | $32.1M | 40 |
| 68 | Artius Group | Oxenford | | Australia | | Healthcare | 119 | $32.1M | 40 |
| 69 | Summit Counseling Center - Atlanta | Atlanta | GA | USA | | Healthcare | 38 | $8.2M | 40 |
| 70 | Mindfit_ggz | Deventer,Zwolle | | Netherlands | | Healthcare | 221 | $65.6M | 39 |
| 71 | THOMPSON Child & Family Focus | Matthews | NC | USA | | Healthcare | 265 | $78.7M | 39 |
| 72 | RIVER VALLEY COUNSELING CENTER, | HOLYOKE | MA | USA | | Healthcare | 140 | $41.6M | 39 |
| 73 | Services and Housing In the Province (SHIP) | Toronto | ON | CAN | | Healthcare | 186 | $55.2M | 39 |
| 74 | Cross Creek Hospital | Austin | TX | USA | | Healthcare | 76 | $20.5M | 38 |
| 75 | Skylight Mental Health | Wayville | SA | Australia | | Healthcare | 94 | $25.4M | 38 |
| 76 | Philadelphia Department of Behavioral Health and Intellectual disAbility Services | Philadelphia | PA | USA | | Healthcare | 131 | $35.4M | 38 |
| 77 | Detroit Wayne Mental Health Authority | Detroit | MI | USA | | Healthcare | 211 | $62.7M | 38 |
| 78 | South Central Behavioral Services | Hastings | NE | USA | | Healthcare | 60 | $14.6M | 38 |
| 79 | Anchorage Community Mental Health Services | Anchorage | AK | Pakistan | | Healthcare | 107 | $28.9M | 37 |
| 80 | atWork Australia | Mt Hawthon | WA | USA | | Healthcare | 583 | $196.8M | 37 |
| 81 | First Step House | Salt Lake City | UT | USA | | Healthcare | 117 | $31.6M | 37 |
| 82 | Black Dog Institute | Randwick | | Australia | | Healthcare | 292 | $86.7M | 37 |
| 83 | The Brookline Center for Community Mental Health | Boston | MA | USA | | Healthcare | 90 | $24.3M | 37 |
| 84 | Alliance Healthcare Services, Memphis, TN | Memphis | TN | USA | | Healthcare | 100 | $27M | 37 |
| 85 | HopeWay | Raleigh Durham | NC | USA | | Healthcare | 70 | $17M | 37 |
| 86 | Turning Leaf Behavioral Health Services | Lansing | MI | USA | | Healthcare | 63 | $15.3M | 37 |
| 87 | Ermha | Dandenong South | | Australia | | Healthcare | 203 | $60.3M | 37 |
| 88 | Oasis Behavioral Health Hospital | Phoenix | AZ | USA | | Healthcare | 112 | $30.2M | 37 |
| 89 | Insight Behavioral Health Centers | Chicago | IL | USA | | Healthcare | 207 | $61.5M | 36 |
| 90 | The Emily Program | Minneapolis | MN | USA | | Healthcare | 590 | $199.1M | 36 |
| 91 | Skyland Trail | Atlanta | GA | USA | | Healthcare | 179 | $53.2M | 36 |
| 92 | network180 | Grand Rapids | MI | USA | | Healthcare | 315 | $106.3M | 36 |
| 93 | Gerstein Crisis Centre | Toronto | ON | CAN | | Healthcare | 43 | $9.3M | 36 |
| 94 | Kedren Community Health Center | Los Angeles | CA | USA | | Healthcare | 140 | $41.6M | 36 |
| 95 | Center for Developmental Disabilities | Woodbury | NY | USA | | Healthcare | 124 | $33.5M | 36 |
| 96 | New York Psychotherapy and Counseling Center (NYPCC) | Jamaica | NY | USA | | Healthcare | 339 | $114.4M | 36 |
| 97 | Dominion Youth Services | Richmond | VA | USA | | Healthcare | 312 | $105.3M | 36 |
| 98 | MindBeacon | Toronto | ON | CAN | $33.7M | Healthcare | 194 | $56.3M | 36 |
| 99 | Continuum of Care | New Haven | CT | USA | | Healthcare | 293 | $87M | 36 |
| 100 | Accoras | Yeerongpilly | | Australia | | Healthcare | 68 | $16.5M | 35 |
