Every year the United Health Foundation, a non-profit health puts out a list ranking the 50 US states from most healthy to least healthy. It’s usually Minnesota that gets named healthiest state, or at least it has been for the past four years, but this year the North Star State slips to second place, topped by Vermont.

The scoring system is based on 20 key measures of wellness such as rates of infant mortality, cancer death and high school graduation. (Although I’ve known for years now that high school graduation is an included measure, I’ve never exactly known why. I’m guessing it’s tied to the fact that people who don’t graduate high school tend to earn less money than those who do and, of course, the less money you have in general, the less money you have for healthcare.) Washington state doesn’t do too badly. We’re ranked at number 12 (tied with Wisconsin) with a score of 12.2 above the national average on the key 20 key measures of wellness. Nearby Idaho has a 10.3 percent ranking, making them the 15th healthiest state in the nation and Oregon’s at number 20 with 8.4 percent.

Rather unsurprisingly, the lowest ranked states are the usual suspects: Tennessee, Oklahoma, Arkansas, Louisiana and Mississippi, states that have always been known for having poor health care.