| Mountain Plus Services | Health Care and Social Assistance | $8,662,500 | $8,309,144 | 500 | N/A |  AI Deep Dive |
| Worldwide Equipment, INC | Wholesale Trade | $4,238,740 | $4,298,511 | 385 | $117.9M | AI Deep Dive |
| Western Construction, Inc. | Construction | $3,118,700 | $3,154,586 | 247 | $76.6M | AI Deep Dive |
| Big Sandy Health Care INC | Health Care and Social Assistance | $3,053,300 | $3,087,848 | 216 | $67.8M | AI Deep Dive |
| Mountain Comprehensive Care Center Inc. | Health Care and Social Assistance | $2,971,800 | $1,888,750 | 139 | N/A | AI Deep Dive |
| Western Construction INC | Construction | $2,000,000 | $2,023,068 | 134 | $41.5M | AI Deep Dive |
| Bush & Burchett INC | Construction | $1,172,135 | $1,181,154 | 63 | $19.5M | AI Deep Dive |
| Bush & Burchett, Inc. | Construction | $1,172,100 | $1,180,826 | 69 | $21.4M | AI Deep Dive |
| Pop's Chevrolet, Buick and Cadillac, Inc. | Retail Trade | $577,300 | $582,393 | 51 | $12.9M | AI Deep Dive |
| Lafferty Enterprises INC | Health Care and Social Assistance | $549,200 | $39,818 | 6 | <$5M | AI Deep Dive |
| Kinzer Drilling Company LLC | Mining, Quarrying, and Oil and Gas Extraction | $496,600 | $501,376 | 35 | <$5M | AI Deep Dive |
| Big Sandy Foods LLC | Accommodation and Food Services | $460,300 | $464,443 | 179 | $31.8M | AI Deep Dive |
| Ridgeline Coal LLC | Mining, Quarrying, and Oil and Gas Extraction | $425,000 | $428,470 | 29 | <$5M | AI Deep Dive |
| Discount Auto Brokers, Inc. | Retail Trade | $407,900 | $411,431 | 33 | $8.3M | AI Deep Dive |
| Associates in Rehab-Pikeville LLC | Health Care and Social Assistance | $326,500 | $328,835 | 31 | $8.4M | AI Deep Dive |
| Mann Auto Sales of Prestonsburg, LLC | Retail Trade | $297,600 | $300,853 | 39 | $9.8M | AI Deep Dive |
| Brc Trucking LLC | Transportation and Warehousing | $291,804 | $294,268 | 17 | <$5M | AI Deep Dive |
| Brc Trucking LLC | Transportation and Warehousing | $281,100 | $283,731 | 22 | $5.9M | AI Deep Dive |
| Eastern Kentucky Tender Care Pediatrics, LLC | Health Care and Social Assistance | $254,217 | $256,096 | 28 | $8.8M | AI Deep Dive |
| Eastern Kentucky Pipeline INC | Construction | $212,832 | $215,534 | 10 | <$5M | AI Deep Dive |
| Taylor Metal Roofing & Siding, Inc. | Wholesale Trade | $204,500 | $207,514 | 16 | <$5M | AI Deep Dive |
| The Elk Horn Coal Company LLC | Real Estate and Rental and Leasing | $202,500 | $204,114 | 9 | <$5M | AI Deep Dive |
| Eastern Kentucky Pipeline Incorporated | Construction | $190,270 | $191,496 | 20 | $6.2M | AI Deep Dive |
| The Extra Mile, LLC | Retail Trade | $189,900 | $191,383 | 39 | $13.1M | AI Deep Dive |
| Kentucky Frontier Gas LLC | Utilities | $170,300 | $171,756 | 18 | N/A | AI Deep Dive |