| The Center for Rural Health Innovation | Health Care and Social Assistance | $47,200 | $47,536 | 2 | <$5M |  AI Deep Dive |
| Sweet Creek Construction Inc. | Construction | $45,900 | $46,229 | 8 | <$5M | AI Deep Dive |
| Sweet Creek Construction, Inc. | Administrative and Support and Waste Management | $45,900 | $46,240 | 8 | <$5M | AI Deep Dive |
| Dr. Katherine A. Grigg DDS PA | Health Care and Social Assistance | $45,325 | $45,734 | 6 | <$5M | AI Deep Dive |
| Katherine A. Grigg DDS P.a. | Health Care and Social Assistance | $45,325 | $45,593 | 6 | <$5M | AI Deep Dive |
| Tri-County Builders Supply INC | Retail Trade | $43,787 | $44,134 | 4 | <$5M | AI Deep Dive |
| Altapass Support INC | Unknown | $41,185 | $41,751 | 3 | N/A | AI Deep Dive |
| Brunch Box 2.0 LLC | Accommodation and Food Services | $39,400 | $39,595 | 15 | <$5M | AI Deep Dive |
| Recreation Associates INC | Arts, Entertainment, and Recreation | $38,600 | $38,803 | 5 | <$5M | AI Deep Dive |
| Bear Den Mountain Resort, Inc. | Accommodation and Food Services | $37,983 | $38,215 | 11 | <$5M | AI Deep Dive |
| All Pro Tree & Crane, Inc. | Agriculture, Forestry, Fishing and Hunting | $36,900 | $37,123 | 13 | <$5M | AI Deep Dive |
| Miller Contracting and Construction, INC | Construction | $34,500 | $34,668 | 9 | <$5M | AI Deep Dive |
| Mitchell Veterinary Hospital, Pllc | Professional, Scientific, and Technical Services | $34,200 | $34,451 | 4 | <$5M | AI Deep Dive |
| First Baptist Church of Spruce Pine | Other Services (except Public Administration) | $33,200 | $33,366 | 12 | N/A | AI Deep Dive |
| Melvin Huskins | Construction | $33,200 | $33,372 | 5 | <$5M | AI Deep Dive |
| Appalachain Protective Services INC | Construction | $33,000 | $33,169 | 5 | <$5M | AI Deep Dive |
| Wild South | Other Services (except Public Administration) | $31,735 | $31,898 | 4 | N/A | AI Deep Dive |
| Mitchell County Animal Rescue, Inc. | Other Services (except Public Administration) | $31,397 | $31,626 | 8 | N/A | AI Deep Dive |
| Mitchell County Animal Rescue Inc. | Other Services (except Public Administration) | $31,397 | $31,509 | 8 | N/A | AI Deep Dive |
| Pittman Signs and Design, Inc. | Manufacturing | $31,283 | $31,678 | 4 | <$5M | AI Deep Dive |
| Yummi America Burnsville Cafe LLC | Accommodation and Food Services | $29,548 | $29,701 | 8 | <$5M | AI Deep Dive |
| My County Metal, INC | Wholesale Trade | $29,500 | $29,685 | 8 | <$5M | AI Deep Dive |
| Los Garcia INC | Accommodation and Food Services | $28,865 | $29,159 | 6 | <$5M | AI Deep Dive |
| Mitchell County Safeplace INC | Health Care and Social Assistance | $28,700 | $28,851 | 10 | <$5M | AI Deep Dive |
| Brunch Box 2.0 LLC | Accommodation and Food Services | $28,200 | $28,378 | 15 | <$5M | AI Deep Dive |