| Middletown Anglers & Hunters Association | Agriculture, Forestry, Fishing and Hunting | $29,700 | $29,900 | 10 | N/A |  AI Deep Dive |
| Youth Sports Photo INC | Professional, Scientific, and Technical Services | $29,408 | $29,527 | 15 | <$5M | AI Deep Dive |
| Middletown Auto X-Change INC | Retail Trade | $28,622 | $28,987 | 3 | <$5M | AI Deep Dive |
| Hursh & Hursh, P.c. | Professional, Scientific, and Technical Services | $28,200 | $28,484 | 3 | <$5M | AI Deep Dive |
| Jubilee Dairy LLC | Agriculture, Forestry, Fishing and Hunting | $28,155 | $28,445 | 2 | <$5M | AI Deep Dive |
| 9 East Main Operating Associates LLC | Accommodation and Food Services | $27,090 | $27,192 | 6 | <$5M | AI Deep Dive |
| Jds Junction INC | Accommodation and Food Services | $27,000 | $27,162 | 3 | <$5M | AI Deep Dive |
| Perfectly Pennsylvania LLC | Retail Trade | $26,298 | $26,583 | 10 | <$5M | AI Deep Dive |
| Ferster Insurance Agency | Finance and Insurance | $26,145 | $26,462 | 3 | <$5M | AI Deep Dive |
| Ferster Insurance Agency INC | Finance and Insurance | $26,145 | $26,353 | 3 | <$5M | AI Deep Dive |
| St Peters Evangelical Lutheran Church | Other Services (except Public Administration) | $25,800 | $25,970 | 7 | N/A | AI Deep Dive |
| Royal Food & Gas INC | Administrative and Support and Waste Management | $25,600 | $25,853 | 5 | <$5M | AI Deep Dive |
| Dayspring Ministries | Other Services (except Public Administration) | $25,365 | $25,675 | 2 | <$5M | AI Deep Dive |
| Coble Mechanical | Construction | $24,400 | $24,548 | 2 | <$5M | AI Deep Dive |
| Tom Coble | Construction | $24,400 | $24,569 | 1 | <$5M | AI Deep Dive |
| Middletown Hummelstown Railroad Company | Transportation and Warehousing | $24,085 | $24,308 | 2 | <$5M | AI Deep Dive |
| Love's Liquidation | Professional, Scientific, and Technical Services | $23,443 | $23,555 | 4 | <$5M | AI Deep Dive |
| Midstate Appraisers, Inc. | Real Estate and Rental and Leasing | $23,200 | $21,425 | 2 | <$5M | AI Deep Dive |
| Vastine's Auto Service Inc. | Other Services (except Public Administration) | $22,942 | $23,082 | 4 | <$5M | AI Deep Dive |
| Royal Food & Gas Inc. | Retail Trade | $22,476 | $22,572 | 7 | <$5M | AI Deep Dive |
| Middletown Public Library | Information | $21,989 | $22,296 | 8 | N/A | AI Deep Dive |
| All American Auto and Truck Repair, LLC | Other Services (except Public Administration) | $21,690 | $14,575 | 4 | <$5M | AI Deep Dive |
| US Transit Authority LLC | Transportation and Warehousing | $21,109 | $21,336 | 9 | <$5M | AI Deep Dive |
| Peiffer Plumbing and Heating INC | Construction | $21,040 | $21,143 | 5 | <$5M | AI Deep Dive |
| Peiffer Plumbing and Heating Inc. | Construction | $21,040 | $21,187 | 3 | <$5M | AI Deep Dive |