| Ki USA Corp. | Manufacturing | $1,380,000 | $1,389,150 | 126 | $30.8M |  Research |
| Middletown Industrial INC | Retail Trade | $829,800 | $837,499 | 90 | $18.6M | Research |
| Middletown Industrial, Inc. | Retail Trade | $829,800 | $837,821 | 108 | $22.3M | Research |
| Federation of Appalachian Housing Enterprises, Inc. | Finance and Insurance | $775,500 | $780,821 | 60 | N/A | Research |
| Hospice Care Plus INC | Health Care and Social Assistance | $767,900 | $775,558 | 99 | $17.0M | Research |
| Mountain Association for Community Econ. Dev. | Other Services (except Public Administration) | $490,408 | $494,481 | 31 | $5.9M | Research |
| Lexington Urgent Care Pllc | Health Care and Social Assistance | $379,758 | $382,680 | 111 | $19.8M | Research |
| Romperroom Childcare Center LLC | Health Care and Social Assistance | $193,100 | $195,899 | 48 | $7.8M | Research |
| Romper Room Child Care Center LLC | Health Care and Social Assistance | $193,100 | $195,883 | 50 | $8.1M | Research |
| Berea Urgent Care LLC | Health Care and Social Assistance | $191,622 | $193,096 | 39 | $6.9M | Research |
| Georgetown Urgent Care Pllc | Health Care and Social Assistance | $158,937 | $160,160 | 59 | $10.5M | Research |
| Industrial Service Solutions, LLC | Other Services (except Public Administration) | $155,300 | $156,361 | 19 | <$5M | Research |
| Linville Insurance Agency | Finance and Insurance | $145,737 | $146,620 | 12 | $6.2M | Research |
| Industrial Service Solutions LLC | Construction | $142,667 | $143,384 | 12 | $13.7M | Research |
| Devere Construction, INC | Construction | $142,080 | $142,909 | 22 | $6.8M | Research |
| Jayhawk, Inc. | Accommodation and Food Services | $139,977 | $140,860 | 39 | $6.9M | Research |
| Community Farm Alliance, Inc. | Agriculture, Forestry, Fishing and Hunting | $137,700 | $138,568 | 16 | N/A | Research |
| Ps Business Enterprises Inc. | Transportation and Warehousing | $129,877 | $130,447 | 9 | $8.7M | Research |
| Dr. Gary E. King Optometrist Psc | Health Care and Social Assistance | $123,958 | $124,698 | 17 | <$5M | Research |
| Rural Health, Pllc | Health Care and Social Assistance | $123,700 | $124,754 | 15 | <$5M | Research |
| Alexander Quality Construction LLC | Construction | $123,122 | $123,816 | 8 | $9.1M | Research |
| Realty World Adams & Associates | Real Estate and Rental and Leasing | $122,972 | $124,024 | 20 | <$5M | Research |
| Parsons Counseling, LLC | Health Care and Social Assistance | $119,200 | $120,418 | 21 | $5.7M | Research |
| Parsons Counseling LLC | Health Care and Social Assistance | $119,000 | $119,949 | 21 | <$5M | Research |
| Ps Business Enterprises, Inc. | Transportation and Warehousing | $115,000 | $115,687 | 18 | $17.5M | Research |