The Healthiest City of 2023 is San Francisco, CA according to the 2023 Wellness Index. The city jumped up 5 spots from last year and ranks highly across many dimensions of wellness. San Franciscans spend the 3rd-highest amount on fitness, beauty, and wellness in the US, with an average of $331 each month. More than half of residents exercise 90 minutes or more per week, with yoga being the most popular workout. The city also has a high percentage of residents who get 7-8 hours of sleep every night and the highest number of non-smokers in the US.