| Car Connection Ohio INC | Other Services (except Public Administration) | $58,620 | $59,229 | 6 | <$5M | AI Deep Dive |
| Middletown License Agency, Inc. | Administrative and Support and Waste Management | $58,200 | $58,855 | 8 | <$5M | AI Deep Dive |
| Peter Wills | Health Care and Social Assistance | $57,800 | $58,131 | 7 | <$5M | AI Deep Dive |
| Middletown License Agency INC | Administrative and Support and Waste Management | $57,600 | $57,882 | 9 | <$5M | AI Deep Dive |
| Hill Childcare and Family Center LLC | Health Care and Social Assistance | $56,792 | $57,407 | 7 | <$5M | AI Deep Dive |
| David J Roemisch DDS LLC | Health Care and Social Assistance | $56,640 | $56,907 | 5 | <$5M | AI Deep Dive |
| Open Systems Services, INC | Professional, Scientific, and Technical Services | $56,260 | $56,952 | 5 | <$5M | AI Deep Dive |
| Abacus Tax Service INC | Professional, Scientific, and Technical Services | $56,100 | $56,309 | 11 | <$5M | AI Deep Dive |
| Tri State Coatings & Repair LLC | Construction | $55,900 | $56,350 | 7 | <$5M | AI Deep Dive |
| Abacus Accounting & Tax Service | Professional, Scientific, and Technical Services | $55,800 | $56,182 | 4 | <$5M | AI Deep Dive |
| Pax Treatment Centers LLC | Health Care and Social Assistance | $55,800 | $56,153 | 9 | <$5M | AI Deep Dive |
| West Central Ohio Psychiatric Care | Health Care and Social Assistance | $55,532 | $55,845 | 7 | <$5M | AI Deep Dive |
| Shiver Total Aviation Solutions, Inc. | Transportation and Warehousing | $55,200 | $55,772 | 4 | <$5M | AI Deep Dive |
| Great Miami Dental Associates Steven a Lang DDS INC | Health Care and Social Assistance | $55,000 | $55,345 | 6 | <$5M | AI Deep Dive |
| Blashock Plumbing | Construction | $54,900 | $55,156 | 4 | <$5M | AI Deep Dive |
| Great Miami Dental Associates Steven a Lang DDS INC | Health Care and Social Assistance | $54,800 | $55,295 | 5 | <$5M | AI Deep Dive |
| Hensley Auto Group, INC | Retail Trade | $54,800 | $55,304 | 11 | <$5M | AI Deep Dive |
| Middletown Community Foundation | Other Services (except Public Administration) | $54,700 | $54,907 | 4 | N/A | AI Deep Dive |
| Cadamstown Partners LLC | Construction | $54,300 | $54,601 | 4 | <$5M | AI Deep Dive |
| Sannadh INC | Accommodation and Food Services | $53,956 | $54,407 | 9 | <$5M | AI Deep Dive |
| Middletown Security Systems, Inc. | Administrative and Support and Waste Management | $53,800 | $54,297 | 4 | <$5M | AI Deep Dive |
| Blue Sky Construction Management, LLC | Professional, Scientific, and Technical Services | $53,500 | $53,975 | 5 | <$5M | AI Deep Dive |
| Shear Kaos LLC | Other Services (except Public Administration) | $53,445 | $53,674 | 9 | <$5M | AI Deep Dive |
| Allen Group Enterprises, LLC | Retail Trade | $53,200 | $53,630 | 10 | <$5M | AI Deep Dive |
| Blashock Plumbing INC | Construction | $53,200 | $53,435 | 4 | <$5M | AI Deep Dive |