Healthiest States 2025

Overall Health Index

Mortality Index

Disease Prevalence Index

Citizen Health Index

Healthcare Quality Index

Environmental Health Impact Index

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Overall Health Index 2023

1	Hawaii	82.2
2	Massachusetts	78.0
3	Utah	77.9
4	Colorado	77.7
5	Connecticut	76.9
6	Minnesota	76.7
7	New Hampshire	75.5
8	Vermont	74.9
9	Washington	74.1
10	Rhode Island	74.0
11	New Jersey	73.3
12	Idaho	73.1
13	Montana	72.6
14	North Dakota	72.5
15	Nebraska	72.4
16	Wyoming	72.2
17	California	72.1
18	New York	71.8
18	Oregon	71.8
20	Iowa	71.1
21	Wisconsin	70.2
22	South Dakota	69.0
23	Maryland	68.9
24	Arizona	68.6
25	Maine	68.3
26	Illinois	67.4
27	Alaska	67.0
28	Virginia	66.1
29	New Mexico	66.0
30	Kansas	65.9
31	Pennsylvania	65.8
31	Florida	65.8
33	Delaware	65.6
34	Nevada	62.0
35	Michigan	61.7
36	Texas	61.4
37	North Carolina	61.1
38	Missouri	58.7
39	South Carolina	58.6
40	Georgia	57.7
41	Indiana	57.5
41	Ohio	57.5
43	Tennessee	51.8
44	Oklahoma	51.5
45	Arkansas	50.6
46	Louisiana	50.4
47	Kentucky	48.0
48	Alabama	47.7
49	West Virginia	43.8
50	Mississippi	42.6

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Introduction
Methodology

Introduction

While America is a frontrunner in healthcare spending, the complex mosaic of health outcomes across the 50 states paints an intriguing picture. Beginning with a detailed analysis of the United States' health standards, this article sets forth to rank states based on a comprehensive 'Health Index Score'. This score is a quantifiable representation of health in various states on the back of key determinants such as disease prevalence, quality of healthcare, lifestyle factors, and access to health services amongst others.

The healthiest states are predominantly located in the Northeast, and West of the United States.
The Southern states showed a concerning trend with poorer health outcomes when compared to the rest of the United States.
States with higher obesity rates typically had lower health index scores, magnifying the impact of obesity on overall health. West Virginia, Mississippi, Alabama, and Louisiana with high obesity rates also had lower health index scores.
Despite being a financial powerhouse, states like New York (71.8) and California (72.1) fell outside of the top ten states for health indexes.
States with a greater emphasis on outdoor activities such as Colorado (77.7) and Utah (77.9) boasted high health index scores. This suggests the potential positive influence of active lifestyles and healthier behaviors on health outcomes.

Region ↕	Overall Health Index 2023↕	Mortality Index↕	Disease Prevalence Index↕	Citizen Health Index↕	Healthcare Quality Index↕	Environmental Health Impact Index↕
Hawaii	82.2	26.3	19.5	19.2	8.7	8.6
Massachusetts	78.0	26.6	17.4	18.4	8.4	7.2
Utah	77.9	24.3	19.1	19.5	7.0	8.0
Colorado	77.7	25.5	17.1	20.3	7.2	7.6
Connecticut	76.9	26.5	17.6	18.1	7.8	6.9
Minnesota	76.7	25.1	17.9	18.9	7.5	7.5
New Hampshire	75.5	24.7	18.3	17.7	8.0	7.0
Vermont	74.9	22.3	17.5	19.2	8.2	7.7
Washington	74.1	23.6	16.4	18.5	7.5	8.1
Rhode Island	74.0	24.7	16.5	17.4	8.2	7.0
New Jersey	73.3	25.4	17.7	17.3	6.1	6.7
Idaho	73.1	23.0	17.7	18.2	6.9	7.4
Montana	72.6	22.7	16.6	18.5	6.5	8.2
North Dakota	72.5	23.8	16.9	17.1	7.0	7.7
Nebraska	72.4	21.6	18.4	17.2	7.1	8.0
Wyoming	72.2	20.8	20.0	18.7	5.6	7.0
California	72.1	23.7	17.3	18.0	6.6	6.5
New York	71.8	26.1	16.3	15.8	7.0	6.6
Oregon	71.8	22.5	15.8	18.0	7.3	8.2
Iowa	71.1	22.2	16.8	17.4	7.3	7.3
Wisconsin	70.2	23.1	16.1	17.0	7.2	6.9
South Dakota	69.0	20.0	17.6	16.6	7.0	7.7
Maryland	68.9	23.2	15.8	15.4	7.1	7.4
Arizona	68.6	21.9	16.0	17.1	5.9	7.7
Maine	68.3	21.4	16.0	15.5	7.7	7.7
Illinois	67.4	21.7	17.3	15.6	6.1	6.7
Alaska	67.0	20.6	16.6	16.2	6.3	7.3
Virginia	66.1	21.8	15.5	15.6	6.7	6.5
New Mexico	66.0	20.4	17.0	15.0	6.2	7.4
Kansas	65.9	20.7	15.6	15.8	6.3	7.6
Pennsylvania	65.8	21.7	15.9	14.7	7.3	6.1
Florida	65.8	22.6	15.0	17.6	4.1	6.4
Delaware	65.6	20.9	14.9	15.4	6.7	7.6
Nevada	62.0	20.6	14.2	15.9	4.6	6.6
Michigan	61.7	18.7	14.6	14.2	6.9	7.3
Texas	61.4	20.4	16.5	15.1	3.3	6.1
North Carolina	61.1	19.1	14.6	14.7	6.0	6.7
Missouri	58.7	18.2	14.6	13.3	5.6	7.0
South Carolina	58.6	17.8	14.6	13.4	5.7	7.1
Georgia	57.7	17.8	14.8	14.3	4.1	6.7
Indiana	57.5	17.2	14.5	13.5	5.7	6.6
Ohio	57.5	17.6	13.4	13.3	6.2	7.1
Tennessee	51.8	15.3	12.6	12.1	5.1	6.7
Oklahoma	51.5	14.5	13.8	12.4	4.3	6.5
Arkansas	50.6	12.7	14.1	12.3	4.8	6.8
Louisiana	50.4	14.7	11.4	12.3	4.8	7.2
Kentucky	48.0	14.7	11.2	9.6	5.6	6.9
Alabama	47.7	13.4	11.5	10.9	4.9	6.8
West Virginia	43.8	12.0	11.0	9.5	5.2	6.2
Mississippi	42.6	8.8	12.9	10.2	3.9	6.7

Methodology

To determine the healthiest states the 50 states were compared across five key categories:

Mortality Rates
Disease Prevalence
Citizen Health
Healthcare Quality
Physical Environment Each of these was defined via individual metrics that were representation of the category. There was a total of 53 metrics which are listed below. Each metric was graded on a 100-point scale, with a score of 100 being the max. Each metric had states scores distributed from 0 to 100. Finally, each state’s weighted average was determined across all metrics to calculate category scores. These were then summed to generate the final rank order of the states.