Since Ethereum first launched in 2015 as the first peer-to-peer smart contract platform, numerous competitors with a similar vision have emerged. When comparing these blockchains, media outlets and investors typically focus on the price and market cap of a blockchain’s native token, while other indicators of success, such as usage, development, and decentralization are often overlooked. This paper explores blockchains through the latter lens and establishes a framework for assessing blockchain health.