Techniques discussed herein are directed to identifying health assessment data of a set of computing instances of a distributed computing system. The health assessment data may be collected from the computing instances and stored in a first distributed cache. When a request for health assessment data for one or more computing instances is received, the health assessment data may be retrieved from the first distributed cache, provided to the requesting entity, and stored in a second distributed cache. A subsequent request may cause new health assessment data to be retrieved from the first distributed cache and compared to the stored data of the second distributed cache. Changes in the health assessment data may be identified and data indicating those changes may be provided in response to the subsequent request. One or more remedial actions may be performed in response to the health assessment data obtained.