Over 3,000 islands lie off the coast of Maine, and the 375 mile Main Island Trail is a waterway that rolls past the 180 of them, while also allowing access to sites on the mainland. More than 60 lighthouses dot the Maine Coast, including West Quoddy Point, which is the most easterly lighthouse in the United States. The Acadia National Park on Mount Desert Island was established in 1919 and offers spectacular foliage in the fall, and cross-country skiing in the winter. Maine fishermen bring in about 50 million pounds of lobster yearly, and almost nine million people visit Maine each year to gobble it up. Maine is a golfer’s delight, with over 140 courses to choose from. Maine’s cultural attractions include artist colonies, food festivals, concerts, theater productions and craft shows. For wilderness enthusiasts, a 30-mile multiuse pathway called Maine Trails and Huts features a growing network of no-frills accommodations in eco-friendly huts. The Coastal Maine Botanical Gardens is New England’s largest botanical garden, with waterfront and woodland trails, and ornamental gardens spread across 248 lush acres. In 2010, the state of Maine ranked fourth in the nation in overall healthcare quality, according to the Agency for Healthcare Research and Quality.