Penn State Health Milton S Hershey Medical Center is the only Level 1 adult and pediatric trauma center in the state. We have an active ground and air EMS program. We have a dedicated Pediatric Emergency Department incorporated into the main ED. We are the only academic tertiary referral center in all of south central Pennsylvania. Our annual patient volume is 80,000 visits, with interesting pathology and high acuity, and 20% peds. We have several new Penn State Community affiliated hospitals.