| Landmark of Elkhorn City Rehabilitation and Nursing Center, | Health Care and Social Assistance | $682,862 | $689,880 | 93 | $15.8M |  AI Deep Dive |
| Elkhorn Drug, Inc. | Retail Trade | $162,700 | $164,862 | 17 | <$5M | AI Deep Dive |
| Elkhorn Dental Psc | Health Care and Social Assistance | $76,800 | $77,414 | 12 | <$5M | AI Deep Dive |
| Agrade Construction, Inc. | Construction | $74,500 | $75,100 | 7 | <$5M | AI Deep Dive |
| Elkhorn Pharmacist Group LLC | Retail Trade | $64,900 | $65,830 | 7 | <$5M | AI Deep Dive |
| Elkhorn Dental Psc | Health Care and Social Assistance | $59,400 | $59,987 | 11 | <$5M | AI Deep Dive |
| Agrade Construction INC | Construction | $50,420 | $50,954 | 4 | <$5M | AI Deep Dive |
| Victory Roofing, LLC | Construction | $38,300 | $38,620 | 4 | <$5M | AI Deep Dive |
| Ms Concrete, LLC | Construction | $34,000 | $34,430 | 5 | <$5M | AI Deep Dive |
| Andersons Landscaping | Professional, Scientific, and Technical Services | $33,400 | $33,681 | 7 | <$5M | AI Deep Dive |
| Marrowbone Family Pharmacy, LLC | Retail Trade | $33,300 | $45,582 | 3 | <$5M | AI Deep Dive |
| S & S Hydraulics, Inc. | Other Services (except Public Administration) | $32,200 | $32,448 | 3 | <$5M | AI Deep Dive |
| Ronnie Mullins & Sons INC | Construction | $31,900 | $32,270 | 3 | <$5M | AI Deep Dive |
| S&s Hydraulics INC | Other Services (except Public Administration) | $26,300 | $26,515 | 3 | <$5M | AI Deep Dive |
| Ramsey's Supply Inc. | Wholesale Trade | $25,800 | $25,969 | 6 | <$5M | AI Deep Dive |
| Ramey Family Practice, Pllc | Health Care and Social Assistance | $25,100 | $25,378 | 3 | <$5M | AI Deep Dive |
| Larry W. Lynn, Dmd | Health Care and Social Assistance | $20,800 | $20,956 | 2 | <$5M | AI Deep Dive |
| Melissa Heard | Wholesale Trade | $20,052 | $0 | 1 | <$5M | AI Deep Dive |
| Ebb & Flow Consulting LLC | Professional, Scientific, and Technical Services | $19,200 | $19,241 | 1 | <$5M | AI Deep Dive |
| A&s Auto Parts INC | Retail Trade | $19,200 | $19,460 | 3 | <$5M | AI Deep Dive |
| Kermit Gibson Do | Health Care and Social Assistance | $18,200 | $18,444 | 2 | <$5M | AI Deep Dive |
| Lookout Gas & Go Company | Retail Trade | $17,800 | $18,031 | 6 | <$5M | AI Deep Dive |
| Elkhorn Outfitters, Inc. | Retail Trade | $13,800 | $13,976 | 4 | <$5M | AI Deep Dive |
| Elkhorn City Baptist Church | Other Services (except Public Administration) | $12,802 | $12,921 | 2 | N/A | AI Deep Dive |
| Elkhorn City Baptist Church | Other Services (except Public Administration) | $12,802 | $12,865 | 2 | N/A | AI Deep Dive |