| Middletown Community Foundation | Other Services (except Public Administration) | $47,400 | $47,658 | 3 | N/A |  AI Deep Dive |
| Companions LLC | Health Care and Social Assistance | $47,142 | $47,500 | 10 | <$5M | AI Deep Dive |
| Shri Vinayak Corp | Accommodation and Food Services | $46,749 | $47,026 | 10 | <$5M | AI Deep Dive |
| The Oaks Community Church, Inc. | Other Services (except Public Administration) | $45,015 | $45,423 | 80 | $15.3M | AI Deep Dive |
| Image Source, INC | Manufacturing | $45,000 | $45,183 | 3 | <$5M | AI Deep Dive |
| Eastern Bowling Lanes INC | Arts, Entertainment, and Recreation | $45,000 | $45,148 | 18 | <$5M | AI Deep Dive |
| Dr Robert F Flagel Optometrist INC | Health Care and Social Assistance | $44,900 | $45,179 | 4 | <$5M | AI Deep Dive |
| Midwest Custom Golf Cars LLC | Retail Trade | $44,600 | $45,260 | 5 | <$5M | AI Deep Dive |
| Mi Mexico Supermarket LLC | Retail Trade | $44,600 | $45,133 | 3 | <$5M | AI Deep Dive |
| China Garden Oh INC | Accommodation and Food Services | $43,901 | $44,111 | 10 | <$5M | AI Deep Dive |
| Combs, Schaefer, Ball & Little | Unknown | $43,672 | $44,136 | 5 | N/A | AI Deep Dive |
| Future Nails & Spa LLC | Other Services (except Public Administration) | $43,352 | $0 | 6 | <$5M | AI Deep Dive |
| The Pagoda of Hair Design LLC | Other Services (except Public Administration) | $43,300 | $43,593 | 10 | <$5M | AI Deep Dive |
| Hariichha LLC | Accommodation and Food Services | $42,917 | $43,097 | 7 | <$5M | AI Deep Dive |
| Lv Grimestoppers LLC | Administrative and Support and Waste Management | $42,420 | $42,649 | 11 | <$5M | AI Deep Dive |
| Industrial Electrical Systems Analysis INC | Construction | $42,307 | $0 | 4 | <$5M | AI Deep Dive |
| Herkon, Inc. | Accommodation and Food Services | $42,300 | $42,584 | 3 | <$5M | AI Deep Dive |
| Milton's Donuts LLC | Retail Trade | $42,000 | $42,417 | 7 | <$5M | AI Deep Dive |
| Carafice and Hallquist INC | Health Care and Social Assistance | $41,677 | $41,972 | 5 | <$5M | AI Deep Dive |
| Middletown Concrete Pump Repair LLC | Construction | $41,600 | $42,011 | 17 | <$5M | AI Deep Dive |
| Neumann Veterinary Enterprises, LLC | Professional, Scientific, and Technical Services | $41,600 | $42,138 | 13 | <$5M | AI Deep Dive |
| Barry Robertson | Health Care and Social Assistance | $41,500 | $41,746 | 2 | <$5M | AI Deep Dive |
| Barry A. Robertson M.d. | Health Care and Social Assistance | $41,500 | $41,978 | 3 | <$5M | AI Deep Dive |
| Delight Health Services LLC | Health Care and Social Assistance | $41,375 | $37,560 | 6 | <$5M | AI Deep Dive |
| Java Johnny's INC | Accommodation and Food Services | $40,430 | $0 | 10 | <$5M | AI Deep Dive |