First we put together a list of America’s major destination spas. With the help of Melisse Gelula of Luxury SpaFinder Interactive, we looked for those that offered the healthiest food, fitness, skin care, medical, and mind-body programs, plus a strong connection to nature. Next we assembled a panel of judges to put those finalists through a rigorous analysis. Each judge rated each spa on a scale of 1 to 10 in his or her area of expertise. Then we weighted each judge’s score equally to come up with our final ranking.