For this fourth assessment cycle, Penn State Health formed a collective workgroup that included Penn State Health Milton S. Hershey Medical Center, Penn State Health Holy Spirit Medical Center, Penn State Health St. Joseph Medical Center, Penn State Health Hampden Medical Center, Pennsylvania Psychiatric Institute, Penn State Health Rehabilitation Hospital and key community stakeholders to identify and address the needs of residents living in Berks, Cumberland,多芬，兰开斯特，黎巴嫩和佩里县。由于宾夕法尼亚州立卫生兰开斯特医疗中心正在进行评估期间正在建设中，因此还包括了该社区。宾夕法尼亚州立医学院的公共卫生科学系协调了CHNA努力。通过采用全系统的数据收集和社区健康计划，宾夕法尼亚州健康将利用整个服务领域的系统资产来满足优先的健康需求。