• Feature

    Where Do You Want to Practice?

    Every state has much to offer physical therapists and physical therapist assistants. It may be quality of life. Employment opportunities. Regulatory and business friendliness. Or any of dozens of other features. Where you decide to practice depends on which factors mean the most to you. Here is PT in Motion's annual analysis of the criteria that may make a state attractive for physical therapy professionals.

    Feature - Best States in Which to Practice

    What makes a state a desirable place to practice physical therapy?

    The answer of course depends in part on what you value. How important is salary? Quality of life? Future job prospects? Fewer regulatory restraints? Demographic characteristics (such as age and health) of the state's residents? And so on.

    Many rankings of "best states" in fields ranging from health care to retirement use some combination of these factors. PT in Motion's analysis uses dozens of data sources to build on 8 criteria:

    • Well-being and future livability
    • Literacy and health literacy
    • Employment and employment prospects
    • Business and practice friendliness
    • Technology and innovation
    • Physical therapist (PT), physical therapist assistant (PTA), and student membership in APTA
    • Compensation and cost of living

    Health and financial disparities

    To evaluate states in each category, the average ranking nationwide is assigned a score of 10. An above-average state is awarded additional points; the more it exceeds the average, the more points it receives. Other states receive fewer than 10 points, based on how much below average they scored.

    Reader response to past surveys suggests that all 8 factors are important. You, however, might personally rank one higher than another, while your colleague might do the opposite. For PT in Motion's 2017 report, therefore, we cite the states that ranked highest for each factor, allowing you to adjust the rankings to your personal preferences.

    1. Well-being and future livability.

    Quality of life—as it relates to PTs, PTAs, and the general population—and the overall health of the population are included here, as are projections on future living conditions. PT in Motion uses 4 data sources. Two—dealing specifically with well-being and future livability—are compiled by Gallup.1,2 Each, in turn, is based on multiple inputs. The third is life expectancy at birth—a measure of overall health and well-being.3 The fourth, which reduces well-being, is drug overdose death data compiled by the Centers for Disease Control and Prevention (CDC).4

    Leading states for well-being and future livability

    • Minnesota
    • Hawaii
    • Nebraska
    • South Dakota
    • Colorado

    2. Literacy and health literacy.

    Both forms of literacy reflect the ease and effectiveness with which health care providers can communicate with patients and clients. PT in Motion's measures of general and health literacy had multiple inputs: Percent of population in poverty (source: Census Bureau5), literacy—level of basic prose literacy skills (source: US Department of Education6), home access to the Internet (source: US Census Bureau7), percentage of population with graduate or professional degrees (source: US Census Bureau8), high school graduation rate (source: US Census Bureau9), and health literacy rankings compiled by the University of North Carolina.10

    Leading states for literacy and health literacy

    • New Hampshire
    • Minnesota
    • Utah
    • Vermont
    • North Dakota

    3. Employment and employment prospects.

    What's the job situation? This calculation is based on state population and projections for percentage growth in physical therapy jobs. We used Department of Labor projections for physical therapist employment from 2014 through 2024, current state population estimates, metropolitan statistical area estimates from the US Census Bureau, and a report titled "2016 Best-Performing Cities" compiled by the Milken Institute.

    Leading states for employment and employment prospects

    • Utah
    • Georgia
    • California
    • Colorado
    • Washington

    4. Business and practice friendliness.

    Many health care professionals say it's desirable to practice in a state that is friendly toward business in general as well as to PTs in particular. PT in Motion's rankings use 3 sources. The first is the 2016 Thumbtack.com Small Business Friendliness Survey.11 The second is CNBC, which ranks all states based on more than 60 measures of competitiveness, using input from business groups, economic development experts, companies, and the states themselves.12 The third source, specific to PTs and PTAs, is APTA's "Levels of Patient Access to Physical Therapist Services in the States."13

    Leading states for business and practice friendliness

    • Utah
    • Colorado
    • Oregon
    • Nebraska
    • Massachusetts

    5. Technology and innovation.

    Health information technology is increasingly important in the practices of PTs and other health care providers with whom they interact. We use 5 rankings: State Telehealth Laws and Reimbursement Policies published by the Center for Connected Health Policy,14 EHR [electronic health record] Incentive Program Measures for physicians and hospitals published by the Office of the National Coordinator for Health IT, US Department of Health and Human Services, and state technology and innovation rankings published by CNBC15 and the Milken Institute.16,17

    Leading states for technology and innovation

    • Minnesota
    • Colorado
    • Washington
    • Illinois
    • Texas

    6. PT, PTA, and student membership in APTA.

    Greater involvement in APTA suggests stronger commitment in time and money to current and future professional development, and activity in state and national regulatory and legislative issues. Rankings are based on APTA data showing the percent of PTs and PTAs within a state who are association members.18  

    Leading states for APTA membership

    • Alaska
    • District of Columbia
    • Vermont
    • North Dakota
    • South Dakota

    7. Compensation and cost of living.

    How much is a PT paid annually? How far does the compensation stretch, as measured by a state's cost of living? This rating was calculated by dividing average state salary for PTs by the state's cost of living. Data for hourly and annual rates of pay came from the Bureau of Labor Statistics.19 Cost of living data came from the Missouri Economic Research and Information Center.20

    Leading states for compensation and cost of living

    • Mississippi
    • Texas
    • Nevada
    • Tennessee
    • New Mexico

    8. Health and financial disparities.

    These data consider the amount of financial and health care variation within a state regarding income, health, and women's health. States with less variation received higher scores than did those with greater variation. Each state's disparity score comprises 5 elements. Four are health-related: obesity rates among non-Hispanic whites versus non-Hispanic blacks,21 mammogram rates within the past 2 years among non-Hispanic whites versus non-Hispanic blacks,22 prevalence of arthritis by county, and prevalence of obesity by county. The fifth is income-related: ratio of average income of the top 5% of the population within a state versus the average income of the population in the lowest quintile.23

    Leading states for lack of disparities

    • Utah
    • Connecticut
    • Hawaii
    • Minnesota
    • Maine

    References

    1. State of American Well-being 2016. Gallup-Healthways. http://www.well-beingindex.com/. Accessed August 16, 2017.
    2. Witters D. Utah Poised to Be the Best U.S. State to Live in. Gallup. August 7, 2012. http://www.gallup.com/poll/156449/utah-poised-best-state-live.aspx. Accessed August 6, 2013.
    3. Lewis K, Burd-Sharps S. The Measure of America 2013-2014. The Milken Institute.www.measureofamerica.org/measure_of_america2013-2014. Accessed August 16, 2017.
    4. Drug Overdose Death Data. Centers for Disease Control and Prevention. https://www.cdc.gov/drugoverdose/data/statedeaths.html. Accessed August 17, 2017.
    5. National Assessment of Adult Literacy (NAAL) National Center for Education Statistics, Institute of Education Sciences. http://nces.ed.gov/naal/. Accessed August 17, 2017.
    6. DeNavas-Walt C, Proctor BD. Income and Poverty in the United States: 2013. September 16, 2014. United States Census Bureau. http://www.census.gov/library/publications/2014/demo/p60-249.html. Data: http://www.census.gov/hhes/www/poverty/data/incpovhlth/2013/state.xls. Accessed August 17, 2017.
    7. File T, Ryan C. Computer and Internet Use in the United States: 2013. US Department of Commerce. United States Census Bureau. http://www.census.gov/history/pdf/2013computeruse.pdf. Accessed August 17, 2017.
    8. 2011-2015 American Community Survey 5-Year Estimates. US Census Bureau. https://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=ACS_15_5YR_S1501. Accessed July 2, 2017.
    9. 2011-2015 American Community Survey 5-Year Estimates. US Census Bureau. https://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=ACS_15_5YR_S1501. Accessed July 2, 2017.
    10. National Health Literacy Mapping to Inform Health Care Policy (2014). Health Literacy Data Map. University of North Carolina at Chapel Hill. 2014. http://healthliteracymap.unc.edu/#. Accessed August 17, 2017.
    11. Puente L. 2016 Thumbtack.com small business friendliness survey: Methodology & Analysis. 2016. https://www.thumbtack.com/survey#/2016/1/states. Accessed August 15, 2017.
    12. America's Top States for Business 2017. CNBC. https://www.cnbc.com/2017/07/11/americas-top-states-for-business-2017.html. Accessed August 22, 2017.
    13. Levels of Patient Access to Physical Therapist Services in the States. American Physical Therapy Association. May 2016. http://www.apta.org/uploadedFiles/APTAorg/Advocacy/State/Issues/Direct_Access/DirectAccessbyState.pdf. Accessed August 22, 2017.
    14. State Telehealth Laws and Reimbursement Policies. The National Telehealth Policy Resource Center, Center for Connected Health Policy. April 2017. http://cchpca.org/state-telehealth-laws-and-reimbursement-policies-report. Accessed August 22, 2017.
    15. America's Top States for Business 2017: A scorecard on state economic climate. CNBC. https://www.cnbc.com/2017/07/11/americas-top-states-for-business-2017.html. Accessed August 17, 2017.
    16. Hospitals Participating in the CMS EHR Incentive Programs. Office of the National Coordinator for Health Information Technology. Health IT Quick-Stat #45. dashboard.healthit.gov/quickstats/pages/FIG-Hospitals-EHR-Incentive-Programs.php. August 2017. Accessed August 22, 2017.
    17. DeVol R, Lee J, Ratnatunga M. State Technology and Science Index 2016. The Milken Institute. 2016. http://assets1b.milkeninstitute.org/assets/Publication/ResearchReport/PDF/State-Technology-and-Science-Index-2016.pdf. Accessed August 22, 2017.
    18. 2016 PT/PTA Market Share by State. http://www.apta.org/MembershipDevelopment/Statistics/. Accessed August 17, 2017.
    19. Occupational Employment Statistics. Occupational Employment and Wages, May 2016. SOC code 291123 Physical Therapists. Bureau of Labor Statistics. http://www.bls.gov/oes/current/oes291123.htm. Accessed August 17, 2017.
    20. Cost of Living Data Series First Quarter 2017. Missouri Economic Research and Information Center. https://www.missourieconomy.org/indicators/cost_of_living/. Accessed August 17, 2017.
    21. Health Disparities Profiles: 2014 Edition. Washington, DC:DHHS Office on Women's Health. 2014. http://www.womenshealth.gov/quickhealthdata. Accessed August 17, 2015.
    22. Women's Health and Mortality Chartbook: 2014Edition</i>. Washington, DC: DHHS Office on Women's Health. 2014. http://www.womenshealth.gov/quickhealthdata. Accessed August 17, 2015.
    23. 2010-2014 American Community Survey 5-Year Estimates. American FactFinder, US Census Bureau. http://factfinder.census.gov/faces/nav/jsf/pages/searchresults.xhtml. Accessed August 4, 2016.

    What's New in 2017?

    Although we try to maintain consistency from year to year, elements inevitably change. In some cases, old data no longer are available. In other cases, new data sources better reflect the rankings' goals. We also try always to extract the information that will be most helpful to our readers.

    Among the changes for 2017 are the following:

    • Where to start a practice. This calculation includes states with the highest projected growth in the number of PTs, and those that are most business-friendly.
    • Well-being. Previous calculations had included 3 positive measures: life expectancy, future livability, and adult participation in activities. Given current attention on the opioid epidemic, participation in activities was replaced by state opioid rates of death.
    • Influence of metropolitan areas. Last year, state rankings in the employment category were adjusted by including the influence of metropolitan areas within those states. This year, the metropolitan areas were given more weight.

    Starting a Practice?

    To provide a little more food for thought, we combined business friendliness and projected growth to look at states that may offer characteristics desirable for starting a practice.

    Consider starting a practice in…

    • Utah
    • Colorado
    • Georgia
    • Oregon
    • Tennessee

    Cumulative State Scores

    To arrive at a cumulative state score, each state's 8 scores were totaled.

    The highest-ranking states are:

    • Utah
    • Colorado
    • Washington
    • North Dakota
    • Minnesota
    • Idaho
    • Oregon
    • Iowa
    • Nebraska
    • Texas

    For more details and individual scoring of the states, read the online version of this article.

    State-by-State Scores

    Below are the individual scores in each of the 8 categories for all 50 US states.

    Alabama

    Well-being    46
    Literacy and Health Literacy    43
    Employment and Projections    17
    Business and Practice Friendliness    49
    Technology and Innovation    51
    APTA Membership    41
    Compensation and Cost of Living    8
    Lack of Health Disparities     45

    Alaska
    Well-being    11
    Literacy and Health Literacy    8
    Employment and Projections    51
    Business and Practice Friendliness    41
    Technology and Innovation    42
    APTA Membership    1
    Compensation and Cost of Living    43
    Lack of Health Disparities     48

    Arizona
    Well-being    15
    Literacy and Health Literacy    34
    Employment and Projections    23
    Business and Practice Friendliness    12
    Technology and Innovation    13
    APTA Membership    27
    Compensation and Cost of Living    22
    Lack of Health Disparities     32

    Arkansas
    Well-being    43
    Literacy and Health Literacy    39
    Employment and Projections    15
    Business and Practice Friendliness    30
    Technology and Innovation    50
    APTA Membership    51
    Compensation and Cost of Living    6
    Lack of Health Disparities     50

    California
    Well-being    7
    Literacy and Health Literacy    51
    Employment and Projections    3
    Business and Practice Friendliness    38
    Technology and Innovation    6
    APTA Membership    24
    Compensation and Cost of Living    47
    Lack of Health Disparities     44

    Colorado
    Well-being    5
    Literacy and Health Literacy    13
    Employment and Projections    4
    Business and Practice Friendliness    2
    Technology and Innovation    2
    APTA Membership    15
    Compensation and Cost of Living    37
    Lack of Health Disparities     35

    Connecticut
    Well-being    30
    Literacy and Health Literacy    12
    Employment and Projections    46
    Business and Practice Friendliness    39
    Technology and Innovation    12
    APTA Membership    49
    Compensation and Cost of Living    41
    Lack of Health Disparities     2

    Delaware
    Well-being    40
    Literacy and Health Literacy    29
    Employment and Projections    35
    Business and Practice Friendliness    45
    Technology and Innovation    21
    APTA Membership    10
    Compensation and Cost of Living    31
    Lack of Health Disparities     11

    District of Columbia
    Well-being    34
    Literacy and Health Literacy    47
    Employment and Projections    43
    Business and Practice Friendliness    29
    Technology and Innovation    32
    APTA Membership    2
    Compensation and Cost of Living    50
    Lack of Health Disparities     51

    Florida
    Well-being    24
    Literacy and Health Literacy    45
    Employment and Projections    6
    Business and Practice Friendliness    18
    Technology and Innovation    43
    APTA Membership    34
    Compensation and Cost of Living    28
    Lack of Health Disparities     37

    Georgia
    Well-being    28
    Literacy and Health Literacy    44
    Employment and Projections    2
    Business and Practice Friendliness    6
    Technology and Innovation    31
    APTA Membership    36
    Compensation and Cost of Living    5
    Lack of Health Disparities     47

    Hawaii
    Well-being    2
    Literacy and Health Literacy    38
    Employment and Projections    45
    Business and Practice Friendliness    42
    Technology and Innovation    47
    APTA Membership    9
    Compensation and Cost of Living    51
    Lack of Health Disparities     3

    Idaho
    Well-being    13
    Literacy and Health Literacy    26
    Employment and Projections    9
    Business and Practice Friendliness    10
    Technology and Innovation    33
    APTA Membership    23
    Compensation and Cost of Living    14
    Lack of Health Disparities     15

    Illinois
    Well-being    27
    Literacy and Health Literacy    30
    Employment and Projections    33
    Business and Practice Friendliness    47
    Technology and Innovation    4
    APTA Membership    45
    Compensation and Cost of Living    15
    Lack of Health Disparities     40

    Indiana
    Well-being    41
    Literacy and Health Literacy    23
    Employment and Projections    24
    Business and Practice Friendliness    17
    Technology and Innovation    24
    APTA Membership    42
    Compensation and Cost of Living    9
    Lack of Health Disparities     18

    Iowa
    Well-being    8
    Literacy and Health Literacy    14
    Employment and Projections    20
    Business and Practice Friendliness    11
    Technology and Innovation    26
    APTA Membership    16
    Compensation and Cost of Living    18
    Lack of Health Disparities     14

    Kansas
    Well-being    22
    Literacy and Health Literacy    18
    Employment and Projections    47
    Business and Practice Friendliness    23
    Technology and Innovation    22
    APTA Membership    30
    Compensation and Cost of Living    11
    Lack of Health Disparities     21

    Kentucky
    Well-being    50
    Literacy and Health Literacy    33
    Employment and Projections    13
    Business and Practice Friendliness    28
    Technology and Innovation    39
    APTA Membership    25
    Compensation and Cost of Living    16
    Lack of Health Disparities     49

    Louisiana
    Well-being    48
    Literacy and Health Literacy    46
    Employment and Projections    37
    Business and Practice Friendliness    35
    Technology and Innovation    41
    APTA Membership    33
    Compensation and Cost of Living    21
    Lack of Health Disparities     46

    Maine
    Well-being    26
    Literacy and Health Literacy    6
    Employment and Projections    49
    Business and Practice Friendliness 51
    Technology and Innovation    30
    APTA Membership    46
    Compensation and Cost of Living    40
    Lack of Health Disparities     5

    Maryland
    Well-being    29
    Literacy and Health Literacy    25
    Employment and Projections    22
    Business and Practice Friendliness 14
    Technology and Innovation    8
    APTA Membership    22
    Compensation and Cost of Living    42
    Lack of Health Disparities     39

    Massachusetts
    Well-being    20
    Literacy and Health Literacy    7
    Employment and Projections    30
    Business and Practice Friendliness  5
    Technology and Innovation    11
    APTA Membership    44
    Compensation and Cost of Living    46
    Lack of Health Disparities     20

    Michigan

    Well-being    37
    Literacy and Health Literacy    21
    Employment and Projections    19
    Business and Practice Friendliness  25
    Technology and Innovation    20
    APTA Membership    43
    Compensation and Cost of Living   4
    Lack of Health Disparities     42

    Minnesota
    Well-being    1
    Literacy and Health Literacy    2
    Employment and Projections    38
    Business and Practice Friendliness  22
    Technology and Innovation    1
    APTA Membership    18
    Compensation and Cost of Living    32
    Lack of Health Disparities     4

    Mississippi
    Well-being    45
    Literacy and Health Literacy    50
    Employment and Projections    36
    Business and Practice Friendliness  50
    Technology and Innovation    35
    APTA Membership    50
    Compensation and Cost of Living    1
    Lack of Health Disparities     34

    Missouri
    Well-being    36
    Literacy and Health Literacy    22
    Employment and Projections    25
    Business and Practice Friendliness  36
    Technology and Innovation    16
    APTA Membership    39
    Compensation and Cost of Living    12
    Lack of Health Disparities     41

    Montana
    Well-being    17
    Literacy and Health Literacy    17
    Employment and Projections    34
    Business and Practice Friendliness  26
    Technology and Innovation    40
    APTA Membership    19
    Compensation and Cost of Living    30
    Lack of Health Disparities     13

    Nebraska
    Well-being    3
    Literacy and Health Literacy    11
    Employment and Projections    39
    Business and Practice Friendliness  4
    Technology and Innovation    27
    APTA Membership    8
    Compensation and Cost of Living    25
    Lack of Health Disparities     22

    Nevada
    Well-being    38
    Literacy and Health Literacy    41
    Employment and Projections    40
    Business and Practice Friendliness  21
    Technology and Innovation    46
    APTA Membership    7
    Compensation and Cost of Living    17
    Lack of Health Disparities     12

    New Hampshire
    Well-being    33
    Literacy and Health Literacy    1
    Employment and Projections    32
    Business and Practice Friendliness  26
    Technology and Innovation    15
    APTA Membership    12
    Compensation and Cost of Living    39
    Lack of Health Disparities     16

    New Jersey
    Well-being    23
    Literacy and Health Literacy    31
    Employment and Projections    27
    Business and Practice Friendliness  37
    Technology and Innovation    25
    APTA Membership    48
    Compensation and Cost of Living    38
    Lack of Health Disparities     38

    New Mexico
    Well-being    35
    Literacy and Health Literacy    48
    Employment and Projections    28
    Business and Practice Friendliness  46
    Technology and Innovation    28
    APTA Membership    17
    Compensation and Cost of Living    13
    Lack of Health Disparities     30

    New York
    Well-being    25
    Literacy and Health Literacy    42
    Employment and Projections    16
    Business and Practice Friendliness  39
    Technology and Innovation    18
    APTA Membership    40
    Compensation and Cost of Living    49
    Lack of Health Disparities     26

    North Carolina
    Well-being    31
    Literacy and Health Literacy    37
    Employment and Projections    14
    Business and Practice Friendliness  13
    Technology and Innovation    19
    APTA Membership    31
    Compensation and Cost of Living    19
    Lack of Health Disparities     24

    North Dakota
    Well-being    6
    Literacy and Health Literacy    5
    Employment and Projections    12
    Business and Practice Friendliness  8
    Technology and Innovation    37
    APTA Membership    4
    Compensation and Cost of Living    34
    Lack of Health Disparities     17

    Ohio

    Well-being    49
    Literacy and Health Literacy    24
    Employment and Projections    21
    Business and Practice Friendliness  19
    Technology and Innovation    14
    APTA Membership    47
    Compensation and Cost of Living    10
    Lack of Health Disparities     36

    Oklahoma
    Well-being    47
    Literacy and Health Literacy    32
    Employment and Projections    41
    Business and Practice Friendliness  31
    Technology and Innovation    49
    APTA Membership    28
    Compensation and Cost of Living    7
    Lack of Health Disparities     27

    Oregon
    Well-being    19
    Literacy and Health Literacy    20
    Employment and Projections    10
    Business and Practice Friendliness  3
    Technology and Innovation    17
    APTA Membership    14
    Compensation and Cost of Living    48
    Lack of Health Disparities     8

    Pennsylvania
    Well-being    39
    Literacy and Health Literacy    28
    Employment and Projections    26
    Business and Practice Friendliness  34
    Technology and Innovation    9
    APTA Membership    26
    Compensation and Cost of Living    33
    Lack of Health Disparities     28

    Puerto Rico
    Well-being    
    Literacy and Health Literacy    
    Employment and Projections    
    Business and Practice Friendliness    
    Technology and Innovation    
    APTA Membership    
    Compensation and Cost of Living    
    Lack of Health Disparities     

    Rhode Island
    Well-being    42
    Literacy and Health Literacy    19
    Employment and Projections    42
    Business and Practice Friendliness  48
    Technology and Innovation    44
    APTA Membership    38
    Compensation and Cost of Living    44
    Lack of Health Disparities     6

    South Carolina
    Well-being    32
    Literacy and Health Literacy    40
    Employment and Projections    11
    Business and Practice Friendliness   24
    Technology and Innovation    36
    APTA Membership    35
    Compensation and Cost of Living    29
    Lack of Health Disparities     29

    South Dakota
    Well-being    4
    Literacy and Health Literacy    15
    Employment and Projections    50
    Business and Practice Friendliness  15
    Technology and Innovation    45
    APTA Membership    5
    Compensation and Cost of Living    36
    Lack of Health Disparities     19

    Tennessee
    Well-being    44
    Literacy and Health Literacy    36
    Employment and Projections    8
    Business and Practice Friendliness  7
    Technology and Innovation    34
    APTA Membership    32
    Compensation and Cost of Living    3
    Lack of Health Disparities     25

    Texas
    Well-being    16
    Literacy and Health Literacy    49
    Employment and Projections    7
    Business and Practice Friendliness  19
    Technology and Innovation    5
    APTA Membership    37
    Compensation and Cost of Living    2
    Lack of Health Disparities     43

    Utah
    Well-being    9
    Literacy and Health Literacy    3
    Employment and Projections    1
    Business and Practice Friendliness  1
    Technology and Innovation    10
    APTA Membership    11
    Compensation and Cost of Living    20
    Lack of Health Disparities     1

    Vermont
    Well-being    12
    Literacy and Health Literacy    4
    Employment and Projections    44
    Business and Practice Friendliness  31
    Technology and Innovation    23
    APTA Membership    3
    Compensation and Cost of Living    45
    Lack of Health Disparities     10

    Virginia
    Well-being    10
    Literacy and Health Literacy    27
    Employment and Projections    18
    Business and Practice Friendliness  8
    Technology and Innovation    7
    APTA Membership    20
    Compensation and Cost of Living    27
    Lack of Health Disparities     23

    Washington

    Well-being    14
    Literacy and Health Literacy    16
    Employment and Projections    5
    Business and Practice Friendliness  16
    Technology and Innovation    3
    APTA Membership    13
    Compensation and Cost of Living    35
    Lack of Health Disparities     9

    West Virginia
    Well-being    51
    Literacy and Health Literacy    35
    Employment and Projections    48
    Business and Practice Friendliness  43
    Technology and Innovation    38
    APTA Membership    29
    Compensation and Cost of Living    23
    Lack of Health Disparities     31

    Wisconsin
    Well-being    18
    Literacy and Health Literacy    9
    Employment and Projections    31
    Business and Practice Friendliness  33
    Technology and Innovation    29
    APTA Membership    21
    Compensation and Cost of Living    26
    Lack of Health Disparities     33

    Wyoming
    Well-being    21
    Literacy and Health Literacy    10
    Employment and Projections    29
    Business and Practice Friendliness  44
    Technology and Innovation    48
    APTA Membership    6
    Compensation and Cost of Living    24
    Lack of Health Disparities

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