About the Challenge

The Healthiest Cities & Counties Challenge is a $1.5 million prize competition. Small and mid-sized U.S. cities and counties as well as federally recognized tribes compete to develop practical, evidence-based strategies to improve measurable health outcomes and promote health and wellness, equity and social interaction.

The Challenge recently hosted an in-person Learning Institute with community leaders from across the country who are participating in the Challenge. Take a look!


Who is behind the challenge? Learn about the Challenge partners and the Advisory Council.

What can you do? Everyone can play a part in improving health.

To improve economic vitality by moving the needle on health and wellness, cities, counties and tribes must also address issues of health equity and the social determinants of health.

Our HealthyCommunity50 finalists focus on at least one health improvement area: healthy behaviors, built environment, community safety, social/economic factors, and environmental exposure (view a larger map):

map of Healthiest Cities & Counties Challenge finalists and project focus areas

Cities and counties participating in the Challenge are considering these goals:

  1. Improving health of the people in their communities as a central goal through a "health in all policies" approach focusing on prevention, well-being and achieving health equity.
  2. Developing replicable strategies which will achieve measurable results.   
  3. Assuring synergy with other efforts in their jurisdiction when developing a new program, policy or action.
  4. Leveraging Challenge prize dollars with matching dollars from local funders (public, foundation and/or corporate sector support) to implement and sustain the project.

Got questions? We have answers on our FAQ page.