Healthiest Communities Rankings

Measuring health and wellness across the U.S. using 80 metrics

(George Rose/Getty Images)

How well and how long you live are shaped by where you live. Local health outcomes are often driven by factors like a community’s economic performance, the strength of its education system, the availability and affordability of housing and myriad other elements that affect residents’ overall quality of life.

Knowing how such factors interact to create a healthier community – or a sicker one – is an important first step toward targeting resources where they'll do the most good. And geography offers a powerful lens through which to focus reform.

The U.S. News Healthiest Communities rankings measure crucial health-related components of society with the aim of empowering citizens, health care leaders and officials to make decisions about policies and practices that can improve health outcomes for all. Guided by a pioneering framework developed by a committee appointed to advise the U.S. Department of Health and Human Services, the project scores nearly 3,000 counties on approximately 80 indicators across 10 categories that drive health outcomes. Population health and equity are the most heavily weighted categories, based on the assessments of more than a dozen leading experts on what matters most to a community’s health.

Below are the 2018 rankings of the top 500 Healthiest Communities nationwide, and how they scored across each of the 10 categories on a scale of zero to 100.

Rank

County

1Falls Church city, Virginia
2Douglas County, Colorado
3Broomfield County, Colorado
4Los Alamos County, New Mexico
5Dukes County, Massachusetts
6Fairfax city, Virginia
7Hamilton County, Indiana
8Routt County, Colorado
9Ouray County, Colorado
10Loudoun County, Virginia
11Ozaukee County, Wisconsin
12Delaware County, Ohio
13Carver County, Minnesota
14Sublette County, Wyoming
15Washington County, Minnesota
16Rockingham County, New Hampshire
17Grand County, Colorado
18Norfolk County, Massachusetts
19Teton County, Wyoming
20Howard County, Maryland
21Fairfax County, Virginia
22Winneshiek County, Iowa
23Williamson County, Tennessee
24Chaffee County, Colorado
25Morgan County, Utah
26Summit County, Colorado
27Poquoson city, Virginia
28Lincoln County, South Dakota
29Morris County, New Jersey
30Bristol County, Rhode Island
31Arlington County, Virginia
32Warren County, Ohio
33Clear Creek County, Colorado
34Hunterdon County, New Jersey
35Washington County, Rhode Island
36Boulder County, Colorado
37Scott County, Minnesota
38Pitkin County, Colorado
39Wasatch County, Utah
40Teller County, Colorado
41Chittenden County, Vermont
42Mono County, California
43Valley County, Idaho
44Tolland County, Connecticut
45Hampshire County, Massachusetts
46Middlesex County, Connecticut
47Dallas County, Iowa
48Summit County, Utah
49Teton County, Idaho
50Barnstable County, Massachusetts
51Merrimack County, New Hampshire
52Hanover County, Virginia
53Somerset County, New Jersey
54Litchfield County, Connecticut
55Putnam County, New York
56Gunnison County, Colorado
57Waukesha County, Wisconsin
58Park County, Colorado
59Saratoga County, New York
60Washington County, Wisconsin
61San Mateo County, California
62Placer County, California
63Jefferson County, Colorado
64Dakota County, Minnesota
65Nantucket County, Massachusetts
66Johnson County, Kansas
67Middlesex County, Massachusetts
68Collin County, Texas
69Sarpy County, Nebraska
70La Plata County, Colorado
71Grafton County, New Hampshire
72Elbert County, Colorado
73Sussex County, New Jersey
74Larimer County, Colorado
75St. Charles County, Missouri
76Jefferson County, Montana
77Juneau City and Borough, Alaska
78Storey County, Nevada
79Dodge County, Minnesota
80Sheridan County, Wyoming
81Chester County, Pennsylvania
82Forsyth County, Georgia
83Livingston County, Michigan
84San Miguel County, Colorado
85Montgomery County, Pennsylvania
86La Crosse County, Wisconsin
87Gallatin County, Montana
88Medina County, Ohio
89Wright County, Minnesota
90San Juan County, Washington
91Marin County, California
92Addison County, Vermont
93Montgomery County, Maryland
94Washington County, Vermont
95Powhatan County, Virginia
96Chesterfield County, Virginia
97Douglas County, Nevada
98Eagle County, Colorado
99Roanoke County, Virginia
100Cook County, Minnesota
101Hendricks County, Indiana
102Lincoln County, Wyoming
103Burleigh County, North Dakota
104Madison County, Montana
105Williamson County, Texas
106Kauai County, Hawaii
107Sioux County, Iowa
108Davis County, Utah
109Olmsted County, Minnesota
110Albemarle County, Virginia
111Park County, Wyoming
112York County, Virginia
113St. Croix County, Wisconsin
114Marion County, Iowa
115Stafford County, Virginia
116Platte County, Missouri
117Gilpin County, Colorado
118Knox County, Maine
119Rappahannock County, Virginia
120Fayette County, Georgia
121Carroll County, Maryland
122Johnson County, Iowa
123Bucks County, Pennsylvania
124Kane County, Utah
125Blaine County, Idaho
126Cedar County, Iowa
127Calumet County, Wisconsin
128Lewis and Clark County, Montana
129Fauquier County, Virginia
130Door County, Wisconsin
131Sagadahoc County, Maine
132Bremer County, Iowa
133Oldham County, Kentucky
134Burlington County, New Jersey
135Cheshire County, New Hampshire
136Botetourt County, Virginia
137Hancock County, Indiana
138Archuleta County, Colorado
139Windham County, Vermont
140Johnson County, Wyoming
141Carroll County, New Hampshire
142New Kent County, Virginia
143Fort Bend County, Texas
144Strafford County, New Hampshire
145Dane County, Wisconsin
146Oconee County, Georgia
147Cumberland County, Maine
148Hillsborough County, New Hampshire
149Boone County, Indiana
150Douglas County, Minnesota
151Alexandria city, Virginia
152Benton County, Oregon
153Bergen County, New Jersey
154Washington County, Nebraska
155Clay County, Iowa
156Kendall County, Illinois
157Cumberland County, Pennsylvania
158Green County, Wisconsin
159Monroe County, Illinois
160DuPage County, Illinois
161Santa Clara County, California
162St. Johns County, Florida
163Warren County, Iowa
164Sedgwick County, Colorado
165Goochland County, Virginia
166Kendall County, Texas
167Sullivan County, New Hampshire
168Hardin County, Iowa
169Rio Blanco County, Colorado
170Jefferson County, Washington
171Ada County, Idaho
172Wayne County, Utah
173Cheyenne County, Nebraska
174Brookings County, South Dakota
175Geauga County, Ohio
176Crook County, Wyoming
177Lamoille County, Vermont
178Cass County, North Dakota
179Nassau County, New York
180Suffolk County, New York
181Columbia County, Georgia
182Greene County, Ohio
183Kent County, Rhode Island
184Renville County, North Dakota
185Harford County, Maryland
186Iowa County, Iowa
187Story County, Iowa
188Newport County, Rhode Island
189El Dorado County, California
190Hancock County, Iowa
191King George County, Virginia
192Winnebago County, Iowa
193Outagamie County, Wisconsin
194Tazewell County, Illinois
195Linn County, Iowa
196Albany County, Wyoming
197Osceola County, Iowa
198Ontario County, New York
199Lincoln County, Maine
200Delaware County, Iowa
201Sherburne County, Minnesota
202Anoka County, Minnesota
203Seward County, Nebraska
204Dickinson County, Iowa
205Fallon County, Montana
206Wabasha County, Minnesota
207Chisago County, Minnesota
208Prince William County, Virginia
209Franklin County, Massachusetts
210Butler County, Pennsylvania
211Calvert County, Maryland
212Missoula County, Montana
213Boone County, Iowa
214Orange County, North Carolina
215Mercer County, North Dakota
216Pottawatomie County, Kansas
217Carson County, Texas
218Platte County, Wyoming
219Cavalier County, North Dakota
220Thurston County, Washington
221Wake County, North Carolina
222Mitchell County, Iowa
223Morton County, North Dakota
224Windsor County, Vermont
225Denton County, Texas
226Carbon County, Montana
227Maui County, Hawaii
228Lake County, Minnesota
229Rockwall County, Texas
230Park County, Montana
231Custer County, South Dakota
232Brown County, Minnesota
233Grand Traverse County, Michigan
234Washington County, Oregon
235Utah County, Utah
236Goshen County, Wyoming
237Salem city, Virginia
238James City County, Virginia
239Jefferson County, Wisconsin
240Belknap County, New Hampshire
241Plymouth County, Iowa
242Emmet County, Michigan
243Midland County, Michigan
244Hood River County, Oregon
245Monmouth County, New Jersey
246Pierce County, Nebraska
247Hamilton County, Nebraska
248Ottawa County, Michigan
249Goodhue County, Minnesota
250Poweshiek County, Iowa
251Cass County, Nebraska
252Rock County, Minnesota
253Stark County, North Dakota
254Frederick County, Maryland
255Lincoln County, Washington
256Warren County, New York
257Island County, Washington
258Houston County, Minnesota
259Saunders County, Nebraska
260Stillwater County, Montana
261Pierce County, Wisconsin
262Washtenaw County, Michigan
263York County, Maine
264Clinton County, Michigan
265Bennington County, Vermont
266Iowa County, Wisconsin
267Perkins County, Nebraska
268Anne Arundel County, Maryland
269Oakland County, Michigan
270Johnson County, Indiana
271Kossuth County, Iowa
272Lake County, Colorado
273Inyo County, California
274Washington County, Iowa
275Campbell County, Wyoming
276Clackamas County, Oregon
277Hancock County, Maine
278McPherson County, Kansas
279Madison County, Iowa
280Warrick County, Indiana
281Eau Claire County, Wisconsin
282Piatt County, Illinois
283Columbia County, Wisconsin
284Orange County, Vermont
285Montgomery County, Virginia
286Union County, South Dakota
287Wood County, Wisconsin
288Fond du Lac County, Wisconsin
289Nevada County, California
290Nicollet County, Minnesota
291Essex County, New York
292Woodford County, Illinois
293Cherokee County, Georgia
294Coffey County, Kansas
295Humboldt County, Iowa
296Steele County, Minnesota
297Berkshire County, Massachusetts
298McHenry County, Illinois
299San Luis Obispo County, California
300Bedford County, Virginia
301Waldo County, Maine
302Blanco County, Texas
303Clay County, Missouri
304Adair County, Iowa
305Traill County, North Dakota
306O'Brien County, Iowa
307York County, Nebraska
308Charles County, Maryland
309Rockland County, New York
310Latah County, Idaho
311Travis County, Texas
312Howard County, Iowa
313Boone County, Kentucky
314Flathead County, Montana
315Frederick County, Virginia
316Le Sueur County, Minnesota
317Winnebago County, Wisconsin
318Caribou County, Idaho
319King County, Washington
320Fluvanna County, Virginia
321Wood County, Ohio
322Isanti County, Minnesota
323Clermont County, Ohio
324Henrico County, Virginia
325Sheridan County, Montana
326Niobrara County, Wyoming
327Carroll County, Iowa
328Transylvania County, North Carolina
329Laramie County, Wyoming
330Dubois County, Indiana
331Fayette County, Iowa
332Scott County, Kansas
333Shelby County, Alabama
334Yankton County, South Dakota
335Pembina County, North Dakota
336Grundy County, Iowa
337Faribault County, Minnesota
338Hamilton County, New York
339Buffalo County, Nebraska
340Greene County, Virginia
341Deschutes County, Oregon
342Dunn County, Wisconsin
343Lancaster County, Nebraska
344Lincoln County, Minnesota
345Cobb County, Georgia
346Oneida County, Wisconsin
347Arapahoe County, Colorado
348Dubuque County, Iowa
349Wabaunsee County, Kansas
350McLeod County, Minnesota
351Fairfield County, Connecticut
352Baltimore County, Maryland
353Lawrence County, South Dakota
354Sheboygan County, Wisconsin
355El Paso County, Colorado
356Phillips County, Colorado
357Franklin County, Vermont
358Chickasaw County, Iowa
359Kearney County, Nebraska
360Grundy County, Illinois
361Putnam County, Ohio
362Granite County, Montana
363Lake County, Illinois
364Ravalli County, Montana
365Carbon County, Wyoming
366Weston County, Wyoming
367Gloucester County, New Jersey
368Jefferson County, Kansas
369Potter County, South Dakota
370Dodge County, Wisconsin
371Meade County, South Dakota
372Clayton County, Iowa
373Leelanau County, Michigan
374Whatcom County, Washington
375Nemaha County, Nebraska
376Caledonia County, Vermont
377Schuyler County, New York
378Chippewa County, Minnesota
379Genesee County, New York
380Snohomish County, Washington
381Franklin County, Maine
382Palo Alto County, Iowa
383Brown County, Wisconsin
384Benton County, Iowa
385Middlesex County, New Jersey
386Union County, Ohio
387Waupaca County, Wisconsin
388Clay County, Minnesota
389Kewaunee County, Wisconsin
390Gloucester County, Virginia
391Plymouth County, Massachusetts
392Sauk County, Wisconsin
393Winona County, Minnesota
394Sibley County, Minnesota
395Kennebec County, Maine
396Fremont County, Idaho
397Ogle County, Illinois
398Marquette County, Michigan
399Warren County, New Jersey
400Jo Daviess County, Illinois
401Ottawa County, Ohio
402Converse County, Wyoming
403Douglas County, Kansas
404White Pine County, Nevada
405Bayfield County, Wisconsin
406Kitsap County, Washington
407Cuming County, Nebraska
408Watonwan County, Minnesota
409Chippewa County, Wisconsin
410Kinney County, Texas
411New London County, Connecticut
412Gillespie County, Texas
413Augusta County, Virginia
414Hot Springs County, Wyoming
415Centre County, Pennsylvania
416Hawaii County, Hawaii
417Polk County, North Carolina
418Wright County, Iowa
419Tooele County, Utah
420Albany County, New York
421Minnehaha County, South Dakota
422Sandoval County, New Mexico
423Seminole County, Florida
424Paulding County, Georgia
425Judith Basin County, Montana
426San Francisco County, California
427Madison County, New York
428Dolores County, Colorado
429Fillmore County, Minnesota
430Hanson County, South Dakota
431Boone County, Missouri
432Juab County, Utah
433Jefferson County, Iowa
434Phelps County, Nebraska
435Tompkins County, New York
436Stanton County, Nebraska
437Pope County, Minnesota
438Trempealeau County, Wisconsin
439Henry County, Iowa
440Douglas County, South Dakota
441Jones County, Iowa
442Tioga County, New York
443Christian County, Missouri
444Clarke County, Virginia
445Polk County, Iowa
446Grant County, Minnesota
447Delaware County, Pennsylvania
448Ventura County, California
449Worcester County, Massachusetts
450Marathon County, Wisconsin
451Lyon County, Iowa
452Guthrie County, Iowa
453San Diego County, California
454Putnam County, Illinois
455Shelby County, Iowa
456Mercer County, Ohio
457Yellow Medicine County, Minnesota
458Jasper County, Iowa
459Red Willow County, Nebraska
460Hennepin County, Minnesota
461Oconto County, Wisconsin
462Lake County, Ohio
463Leavenworth County, Kansas
464Spotsylvania County, Virginia
465Emery County, Utah
466Jefferson County, West Virginia
467Davison County, South Dakota
468Sac County, Iowa
469Whitley County, Indiana
470Schuyler County, Illinois
471Kootenai County, Idaho
472Big Horn County, Wyoming
473Cerro Gordo County, Iowa
474Platte County, Nebraska
475Hamilton County, Iowa
476Union County, North Carolina
477Whitman County, Washington
478Porter County, Indiana
479Butler County, Iowa
480Stevens County, Minnesota
481Adams County, Nebraska
482Clay County, Florida
483Hancock County, Ohio
484Union County, Georgia
485Green Lake County, Wisconsin
486Garden County, Nebraska
487Jefferson County, Idaho
488Custer County, Colorado
489Clark County, Washington
490Contra Costa County, California
491Rensselaer County, New York
492Natrona County, Wyoming
493Clinton County, Illinois
494Ward County, North Dakota
495McIntosh County, North Dakota
496Sonoma County, California
497Rockingham County, Virginia
498Cache County, Utah
499Jerauld County, South Dakota
500Emmet County, Iowa

Rank

 

County

 

Population Health

 

Equity

 

Education

 

Economy

 

Housing

 

Food & Nutrition

 

Environment

 

Public Safety

 

Community Vitality

 

Infrastructure

1 Falls Church city, Virginia 89.7 59.2 100.0 96.5 44.6 70.4 61.6 97.4 71.2 86.9
2 Douglas County, Colorado 85.1 57.7 67.0 99.6 59.6 81.1 65.8 78.6 87.1 93.5
3 Broomfield County, Colorado 87.0 47.4 70.4 91.3 56.2 86.3 68.3 71.3 79.6 92.5
4 Los Alamos County, New Mexico 85.2 83.1 66.5 67.2 42.0 93.0 76.7 72.8 75.5 88.6
5 Dukes County, Massachusetts 74.3 72.5 82.4 68.0 62.9 82.4 57.2 60.2 91.7 86.5
6 Fairfax city, Virginia 81.1 44.6 90.8 88.0 40.7 83.0 64.3 91.6 71.4 78.1
7 Hamilton County, Indiana 78.1 69.1 77.0 91.2 58.5 72.7 47.8 63.8 83.2 83.2
8 Routt County, Colorado 84.2 58.9 58.6 76.6 52.8 88.1 85.2 76.0 74.8 85.5
9 Ouray County, Colorado 91.7 58.1 56.3 63.7 67.4 95.1 82.0 76.7 90.0 55.0
10 Loudoun County, Virginia 82.3 31.1 81.4 100.0 43.4 81.9 54.5 86.9 86.4 73.1
11 Ozaukee County, Wisconsin 82.3 72.6 77.3 79.8 51.0 76.5 66.1 70.2 71.3 76.4
12 Delaware County, Ohio 76.3 72.9 73.1 88.5 53.6 68.4 53.8 64.1 84.1 79.3
13 Carver County, Minnesota 87.1 49.8 77.5 92.9 40.9 73.8 56.0 76.1 78.6 80.5
14 Sublette County, Wyoming 81.0 79.2 65.6 65.6 76.3 71.5 81.9 68.2 81.4 56.1
15 Washington County, Minnesota 85.3 59.6 78.5 87.1 43.7 76.6 52.0 72.4 72.3 85.2
16 Rockingham County, New Hampshire 71.2 76.4 74.8 84.8 67.0 81.7 41.6 77.5 65.6 67.5
17 Grand County, Colorado 87.1 72.9 47.3 66.5 39.7 86.5 84.5 86.8 75.8 77.4
18 Norfolk County, Massachusetts 74.8 58.0 89.7 88.3 50.7 85.7 51.0 81.0 58.3 64.6
19 Teton County, Wyoming 85.5 43.0 64.9 80.1 29.8 85.8 87.5 74.8 71.2 96.3
20 Howard County, Maryland 85.4 40.5 81.8 93.0 49.8 82.2 48.2 68.9 65.6 85.3
21 Fairfax County, Virginia 90.7 30.2 80.7 92.8 46.9 82.0 64.9 75.0 60.6 81.9
22 Winneshiek County, Iowa 94.1 75.7 57.8 61.0 68.5 75.8 70.9 62.2 65.1 79.5
23 Williamson County, Tennessee 75.8 49.0 72.9 89.8 52.6 73.1 59.8 60.4 88.4 75.0
24 Chaffee County, Colorado 73.9 72.3 47.1 59.4 58.0 87.2 96.3 78.4 79.1 71.5
25 Morgan County, Utah 83.5 77.0 63.0 77.9 54.0 56.0 75.0 77.7 75.1 63.6

The remaining 3,000 counties are unranked. To see more information on your county, search here:

The 2018 Healthiest Communities rankings were created in collaboration with the Aetna Foundation, the independent charitable and philanthropic arm of Aetna. The University of Missouri Center for Applied Research and Engagement Systems – a research institution skilled in understanding natural resource systems, public health risks and community health assessment – performed data collection and analysis.

The overall rankings identify the top 500 Healthiest Communities in America, ranging from No. 1 Falls Church city, Virginia, to No. 500 Emmet County, Iowa.

Beyond the rankings, the Healthiest Communities platform offers data and insight on each of the nearly 3,000 communities evaluated, fostering insights and analysis that will educate and inform consumers and policymakers on what’s occurring in their communities.

14.15%

Population Health

12.23%

Equity

12.15%

Education

11.08%

Economy

9.46%

Housing

8.77%

Food & Nutrition

8.62%

Environment

8.46%

Public Safety

7.62%

Community Vitality

7.46%

Infrastructure

CATEGORIES

WEIGHT

Population Health

14.1 %

Equity

12.2 %

Education

12.2 %

Economy

11.1 %

Housing

9.5 %

Food & Nutrition

8.8 %

Environment

8.6 %

Public Safety

8.5 %

Community Vitality

7.6 %

Infrastructure

7.5 %

In addition to the overall national rankings, counties were divided into peer groups based on their urban-rural status and economic performance to allow for comparisons among similar communities. See the top 100 communities in each of the four peer groups:

An Honor Roll also highlights the top-performing communities within each of the four peer groups in each of the nine U.S. Census regional divisions: East North Central, East South Central, Middle Atlantic, Mountain, New England, Pacific, South Atlantic, West North Central and West South Central.