A hotel must offer more than just a nice spa and a fully equipped gym to be considered a top wellness destination. To wow Andrew Harper members, it must have a roster of fitness and mindfulness activities, excellent food and a spectacular natural setting.

This year’s standout winner was Canyon Ranch Tucson, a luxurious health-and-fitness resort and spa set in the foothills of the Santa Catalina Mountains. The 175 rooms are housed within one-story Southwestern structures and feature contemporary artwork and state-of-the-art baths. But what keeps devoted guests returning year after year is not just the plush accommodations. The expansive health club encompasses a comprehensive spa, several gyms, dance and yoga studios, and racquetball and squash courts. The daily activities menu details aquatic and aerobic exercise classes, weight-training sessions and wellness programs. “After going to the ranch for more than 30 years, it still doesn’t disappoint,” one regular visitor said. Another called it “the most comprehensive facility anywhere — and it’s in the desert!” Sessions with an on-staff nutritionist and wellness guide can be arranged. “Best expertise by far,” one member succinctly noted. Hiking, tennis, rock climbing and golf are also available, giving guests a chance to explore the breathtaking scenery.

According to the results of our survey, few destination spas live up to the popularity of Canyon Ranch. But several other notable properties earned accolades from members.

Amangiri, a dramatic fusion of concrete minimalism and cinematic cliffs amid 900 acres of Utah desert, delivers profound encounters with the landscape — paired with a 25,000-square-foot spa and a pool that seems carved from stone. “It’s an awe-inspiring location with the most gorgeous setting,” said one member.

In a scenic tract of pine-forested countryside at the foot of Germany’s Wetterstein Mountains, Schloss Elmau offers Alpine-view balconies and both family and adults-only sanctuaries. Its hammam complex is the finest between Bavaria and Istanbul. One member particularly noted the “outstanding spa, setting and food.”

And finally, “there is nowhere in the world like The Retreat at Blue Lagoon,” one member declared. The resort’s private geothermal waters, subterranean spa and Michelin-starred dining drew praise as “a unique experience not to be missed in one’s lifetime.”