| Keystone Rural Health Center | Health Care and Social Assistance | $6,872,083 | $6,912,361 | 300 | $53.4M |  AI Deep Dive |
| Menno Haven Inc. | Health Care and Social Assistance | $5,502,838 | $5,524,849 | 300 | $51.0M | AI Deep Dive |
| Spiritrust Lutheran Home Care & Hospice | Health Care and Social Assistance | $4,639,000 | $4,690,982 | 379 | N/A | AI Deep Dive |
| Global Data Consultants, LLC | Professional, Scientific, and Technical Services | $3,490,200 | $3,534,760 | 281 | $58.1M | AI Deep Dive |
| Folium, Inc. | Health Care and Social Assistance | $2,985,000 | $3,027,362 | 313 | N/A | AI Deep Dive |
| David H. Martin Excavating, Incorporated | Construction | $2,516,148 | $2,548,578 | 195 | $73.1M | AI Deep Dive |
| Wilson College | Educational Services | $2,175,844 | $2,173,279 | 203 | N/A | AI Deep Dive |
| Lady Moon Farms, INC | Agriculture, Forestry, Fishing and Hunting | $1,742,485 | $1,757,877 | 150 | $15.3M | AI Deep Dive |
| Nitterhouse Concrete Products Inc. | Manufacturing | $1,708,465 | $1,723,116 | 217 | $215.2M | AI Deep Dive |
| Lady Moon Farms INC | Agriculture, Forestry, Fishing and Hunting | $1,702,039 | $1,712,014 | 150 | $15.3M | AI Deep Dive |
| Nitterhouse Concrete Products, Inc. | Manufacturing | $1,683,490 | $1,704,983 | 138 | $136.9M | AI Deep Dive |
| Franklin Center Opco LLC | Health Care and Social Assistance | $1,646,900 | $1,667,532 | 171 | $29.1M | AI Deep Dive |
| Delamor Enterprises, L.p. | Accommodation and Food Services | $1,351,815 | $1,366,555 | 442 | $78.5M | AI Deep Dive |
| The Shook Home | Health Care and Social Assistance | $1,086,635 | $1,096,777 | 106 | N/A | AI Deep Dive |
| Chambersburg Waste Paper Co., Inc. | Administrative and Support and Waste Management | $1,077,387 | $1,088,909 | 141 | $26.7M | AI Deep Dive |
| Stouffer Mechanical Contractor LLC | Construction | $1,062,500 | $1,132,055 | 60 | $19.0M | AI Deep Dive |
| Franklin Storage, LP | Transportation and Warehousing | $953,505 | $958,776 | 93 | $23.6M | AI Deep Dive |
| Fitzgerald Motors, Inc. | Retail Trade | $933,152 | $943,787 | 101 | $25.5M | AI Deep Dive |
| Jennings Automotive Inc. | Retail Trade | $900,030 | $904,455 | 85 | $21.4M | AI Deep Dive |
| Cumberland Valley Tree Service - Landscaping, Inc. | Administrative and Support and Waste Management | $853,400 | $859,619 | 70 | $15.2M | AI Deep Dive |
| Jennings Automotive, Inc. | Retail Trade | $847,020 | $852,620 | 65 | $16.4M | AI Deep Dive |
| Mar-Eco INC | Retail Trade | $842,418 | $845,717 | 97 | $24.4M | AI Deep Dive |
| Mar-Eco INC | Retail Trade | $832,250 | $838,654 | 97 | $24.4M | AI Deep Dive |
| Ty Construction Company Incorporated | Construction | $821,997 | $828,078 | 49 | $55.8M | AI Deep Dive |
| Scotland Road Market Inc. | Retail Trade | $813,302 | $820,034 | 125 | $31.2M | AI Deep Dive |