| Quintasian | Accommodation and Food Services | $244,801 | $246,860 | 41 | $12.8M |  AI Deep Dive |
| Middletown Familycare Associates LLC | Health Care and Social Assistance | $244,012 | $245,849 | 22 | $6.9M | AI Deep Dive |
| Delcarm | Agriculture, Forestry, Fishing and Hunting | $243,120 | $245,497 | 15 | <$5M | AI Deep Dive |
| Ten Sails LLC | Other Services (except Public Administration) | $238,505 | $239,969 | 34 | $6.5M | AI Deep Dive |
| Middletown Familycare Associates LLC | Health Care and Social Assistance | $234,877 | $237,748 | 20 | $6.3M | AI Deep Dive |
| Turtle Time De 1, LLC | Accommodation and Food Services | $232,978 | $235,659 | 68 | $12.1M | AI Deep Dive |
| Middletown Family Dentistry | Health Care and Social Assistance | $230,463 | $231,746 | 18 | <$5M | AI Deep Dive |
| Golf Back Creek LLC | Arts, Entertainment, and Recreation | $229,827 | $231,615 | 108 | $15.1M | AI Deep Dive |
| Tobola Health Care Services INC | Health Care and Social Assistance | $222,732 | $224,453 | 57 | $9.8M | AI Deep Dive |
| Middletown 2sp LLC | Accommodation and Food Services | $220,657 | $223,009 | 30 | $5.3M | AI Deep Dive |
| First State Fleet Service INC | Other Services (except Public Administration) | $215,000 | $216,887 | 17 | <$5M | AI Deep Dive |
| Quinton V. Inc. | Health Care and Social Assistance | $214,400 | $217,267 | 41 | $6.6M | AI Deep Dive |
| Biddle Associates, Inc. | Accommodation and Food Services | $213,411 | $215,474 | 33 | $5.9M | AI Deep Dive |
| Try-Fecta, LLC | Accommodation and Food Services | $212,977 | $214,920 | 50 | $8.9M | AI Deep Dive |
| Sunwise Dermatology & Surgery, LLC | Health Care and Social Assistance | $211,051 | $213,590 | 21 | $6.6M | AI Deep Dive |
| Ecocentric Salon & Spa, LLC | Other Services (except Public Administration) | $205,937 | $207,748 | 30 | $5.7M | AI Deep Dive |
| Ten Sails LLC | Other Services (except Public Administration) | $205,900 | $207,310 | 45 | $8.6M | AI Deep Dive |
| Golf Back Creek LLC | Arts, Entertainment, and Recreation | $200,785 | $0 | 59 | $8.3M | AI Deep Dive |
| Brilliant Little Minds Learning Academy, INC | Health Care and Social Assistance | $200,000 | $202,428 | 14 | <$5M | AI Deep Dive |
| Volunteer Hose Company of Middletown | Professional, Scientific, and Technical Services | $198,420 | $200,007 | 14 | <$5M | AI Deep Dive |
| Saudades Group LLC | Accommodation and Food Services | $192,100 | $193,093 | 30 | $5.3M | AI Deep Dive |
| Lam Enterprises LLC | Accommodation and Food Services | $187,500 | $190,266 | 66 | $11.7M | AI Deep Dive |
| Gee Bowls INC | Accommodation and Food Services | $185,800 | $188,138 | 108 | $19.2M | AI Deep Dive |
| Patt's Pizzeria of Middletown INC | Accommodation and Food Services | $184,175 | $185,966 | 13 | <$5M | AI Deep Dive |
| Mike Miklus III Inc. | Construction | $183,702 | $184,779 | 13 | $14.8M | AI Deep Dive |