| Physical Therapy Services | Health Care and Social Assistance | $46,250 | $46,457 | 5 | <$5M |  Research |
| Danny Hamilton II | Health Care and Social Assistance | $46,200 | $46,553 | 5 | <$5M | Research |
| Bayes Family Practice LLC | Health Care and Social Assistance | $45,440 | $46,057 | 6 | <$5M | Research |
| Eastern Kentucky Family Medicine Pllc | Health Care and Social Assistance | $45,200 | $45,539 | 7 | <$5M | Research |
| Osborne & O'bryan Pllc | Professional, Scientific, and Technical Services | $44,400 | $44,764 | 5 | <$5M | Research |
| Mays Carpet | Retail Trade | $44,300 | $44,596 | 4 | <$5M | Research |
| May's Carpet LLC | Retail Trade | $43,300 | $43,703 | 4 | <$5M | Research |
| Kpl Restaurant, INC | Accommodation and Food Services | $42,600 | $42,944 | 15 | <$5M | Research |
| One East Kentucky Corporation | Public Administration | $37,618 | $37,914 | 2 | N/A | Research |
| Mountain Apothecary Inc. | Retail Trade | $37,182 | $37,360 | 5 | <$5M | Research |
| Ward Signs & More LLC | Professional, Scientific, and Technical Services | $35,200 | $35,327 | 4 | <$5M | Research |
| Paintsville Dq Corporation | Accommodation and Food Services | $34,800 | $35,094 | 21 | <$5M | Research |
| Kpk Restaurant | Accommodation and Food Services | $33,700 | $33,972 | 11 | <$5M | Research |
| Paintsville Hospitality LLC | Accommodation and Food Services | $33,500 | $33,630 | 7 | <$5M | Research |
| Richard Connelley | Health Care and Social Assistance | $32,810 | $32,951 | 5 | <$5M | Research |
| Paul L Pelphrey State Farm Insurance | Finance and Insurance | $32,000 | $32,280 | 5 | <$5M | Research |
| Mi Hacienda V INC | Accommodation and Food Services | $31,336 | $31,526 | 12 | <$5M | Research |
| Adams Carpet Cleaning | Administrative and Support and Waste Management | $31,250 | $31,523 | 7 | <$5M | Research |
| Phelps-Son Funeral Home, Inc. | Other Services (except Public Administration) | $30,000 | $30,327 | 3 | <$5M | Research |
| Tim Branham Kentucky Electrical Contractor, INC | Construction | $30,000 | $30,236 | 5 | <$5M | Research |
| J&h Feed & Tack, Inc. | Retail Trade | $28,900 | $29,271 | 4 | <$5M | Research |
| Kinner and Patton Law Office | Professional, Scientific, and Technical Services | $28,800 | $28,938 | 3 | <$5M | Research |
| Tim Branham Kentucky Electrical Contractor Inc. | Construction | $27,530 | $27,763 | 5 | <$5M | Research |
| Daniels Law Office Psc | Professional, Scientific, and Technical Services | $27,291 | $27,443 | 3 | <$5M | Research |
| Johnson County Senior Citizens Center | Health Care and Social Assistance | $26,500 | $26,753 | 6 | N/A | Research |