| H & G Nursing Homes, Inc. | Health Care and Social Assistance | $898,201 | $903,813 | 150 | $25.5M |  Research |
| Southern Ohio Equipment Services INC | Other Services (except Public Administration) | $639,860 | $644,588 | 60 | $12.9M | Research |
| Everyday Homecare LLC | Health Care and Social Assistance | $489,782 | $491,891 | 147 | $23.8M | Research |
| Vicky Cierley | Health Care and Social Assistance | $471,272 | $474,165 | 162 | $27.7M | Research |
| F.w. Kibler Milling Co., Inc. | Retail Trade | $407,400 | $409,697 | 54 | $11.1M | Research |
| Mt. Orab Ford, Inc. | Retail Trade | $402,500 | $405,206 | 31 | $7.8M | Research |
| H&g Home Health Agency LLC | Health Care and Social Assistance | $393,723 | $397,092 | 42 | $7.1M | Research |
| H & G Home Health Agency LLC | Health Care and Social Assistance | $393,723 | $396,184 | 42 | $7.2M | Research |
| Butterbees Neighborhood Grille LLC | Accommodation and Food Services | $375,032 | $377,053 | 50 | $8.9M | Research |
| Premier Pain Treatment Institute, LLC | Health Care and Social Assistance | $362,910 | $367,474 | 66 | $20.7M | Research |
| Paul Hall and Associates INC | Finance and Insurance | $302,350 | $304,316 | 33 | $17.0M | Research |
| Ohio Valley Adult Day Services LLC | Health Care and Social Assistance | $302,000 | $302,990 | 52 | $8.4M | Research |
| Mt Orab Investment Corp | Finance and Insurance | $279,857 | $282,571 | 104 | $53.4M | Research |
| Butterbees Neighborhood Grille LLC | Accommodation and Food Services | $267,880 | $270,217 | 59 | $10.5M | Research |
| N.a.l. Company, Inc. | Manufacturing | $258,300 | $260,790 | 28 | $27.8M | Research |
| The Phoenix Center INC | Health Care and Social Assistance | $257,714 | $259,430 | 49 | $8.7M | Research |
| Ohio Valley Adult Day Services LLC | Health Care and Social Assistance | $245,000 | $246,348 | 58 | $9.4M | Research |
| David Restaurant Group LLC | Accommodation and Food Services | $236,570 | $238,995 | 18 | <$5M | Research |
| Redkey Express, LLC | Transportation and Warehousing | $204,900 | $96,160 | 25 | <$5M | Research |
| Cincinnati Dowel & Wood Products Co | Manufacturing | $197,200 | $198,252 | 35 | $34.7M | Research |
| Country Inn Restaurant Inc. | Accommodation and Food Services | $188,157 | $189,207 | 25 | <$5M | Research |
| X-Mil, Inc. | Manufacturing | $178,700 | $179,716 | 18 | <$5M | Research |
| Precision Welding and Mfg INC | Manufacturing | $156,503 | $157,072 | 14 | <$5M | Research |
| Precision Welding & Manufacturing, INC | Manufacturing | $156,500 | $158,174 | 14 | <$5M | Research |
| X-Mil Inc. | Manufacturing | $150,000 | $151,246 | 16 | <$5M | Research |