Factoring everything from affordability to accessibility and quality of life, a new ranking is grading the nation’s cities on how desirable they are to people with disabilities.

For the fourth year in a row, Overland Park, Kans. is topping the annual listing. It is followed by Grand Rapids, Mich., Denver, Salt Lake City and Aurora, Colo.

The annual ranking evaluating the country’s 150 most populated cities is produced by the personal finance website WalletHub. The analysis is based on 28 criteria relevant to people with disabilities including the availability of health care providers, park accessibility, the employment rate for those in this population and the cost of living.

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WalletHub ranked each city in three broad categories — economy, quality of life and health care — which collectively were used to assess what it called the “most livable places for people with disabilities.”

Extra weight was given to some factors including the earnings and employment rate for people with disabilities, the share of poverty for those in this demographic and the effectiveness of state Medicaid programs, WalletHub said.

Coming in dead last was San Bernardino, Calif. Greensboro, N.C., Providence, R.I., Winston-Salem, N.C. and Brownsville, Texas rounded out the bottom five.