| Sterling Health Solutions, INC | Public Administration | $1,273,200 | $1,281,865 | 119 | N/A |  Research |
| Regency Care of Mount Sterling, LLC | Health Care and Social Assistance | $1,019,700 | $1,032,191 | 178 | $30.3M | Research |
| M&m Services Co INC | Construction | $814,200 | $821,182 | 53 | $16.4M | Research |
| M&m Services Co INC | Construction | $707,300 | $713,637 | 53 | $16.4M | Research |
| C&c Industrial LLC | Manufacturing | $564,700 | $498,383 | 52 | $12.7M | Research |
| Bmc Contracting, LLC | Construction | $459,700 | $506,583 | 39 | $13.3M | Research |
| Vogelsang Corp | Manufacturing | $446,600 | $450,508 | 55 | $14.4M | Research |
| W Principles LLC | Construction | $348,200 | $352,073 | 30 | $34.2M | Research |
| Concrete Plus LLC | Construction | $335,000 | $338,570 | 31 | $7.2M | Research |
| Dutch Ishmael Chevrolet INC | Retail Trade | $327,500 | $331,726 | 39 | $9.8M | Research |
| Mt Sterling Pediatrics Psc | Health Care and Social Assistance | $322,600 | $325,526 | 23 | $7.2M | Research |
| Gateway Manufacturing, Inc. & Geg LLC | Manufacturing | $322,500 | $325,151 | 32 | $8.4M | Research |
| Mann Chrysler Dodge Jeep INC | Retail Trade | $279,000 | $282,050 | 32 | $8.1M | Research |
| Dutch Ishmael Ford LLC | Retail Trade | $246,400 | $249,580 | 26 | $6.6M | Research |
| Tech Com | Information | $229,001 | $191,454 | 8 | <$5M | Research |
| Montgomery Tractor Sales, INC | Wholesale Trade | $226,700 | $227,953 | 26 | $8.0M | Research |
| Faulkner, King & Wenz, Psc | Professional, Scientific, and Technical Services | $206,800 | $208,041 | 11 | <$5M | Research |
| Mt Sterling Pediatrics, Psc | Health Care and Social Assistance | $205,600 | $207,431 | 21 | $6.6M | Research |
| Tech Com | Professional, Scientific, and Technical Services | $204,161 | $183,154 | 29 | $6.0M | Research |
| Pro-Mark Inc. | Construction | $200,741 | $202,938 | 16 | <$5M | Research |
| Home Cab Co INC | Transportation and Warehousing | $199,600 | $201,503 | 37 | $7.5M | Research |
| Gateway Juvenile Diversion Project INC | Health Care and Social Assistance | $192,400 | $194,277 | 40 | N/A | Research |
| Means Adults Primary Care Clinic of Kentucky, Pllc | Health Care and Social Assistance | $189,200 | $190,657 | 17 | $5.3M | Research |
| Pro-Mark, Inc. | Construction | $187,500 | $189,175 | 16 | $5.5M | Research |
| Hall's Communications INC | Other Services (except Public Administration) | $186,500 | $188,150 | 22 | <$5M | Research |