Miss Nebraska Sarah Summers is crowned the new Miss USA 2018.

First runner-up was Miss North Carolina, Caelynn Miller-Keyes, 22, of Asheville: and second runner-up was Miss Nevada, Carolina Urrea, 23, of Las Vegas. 

Rounding out the top five was Miss Florida, Genesis Davila, 27, of Miami; and Miss South Dakota, Madison Nipe, 21, of Madison. 

A native of Omaha, Summers graduated cum laude from Texas Christian University in four years with two degrees while working part-time as a pilates instructor and at Lululemon Athletica.

Most recently, Summers completed her clinical rotations to become a Certified Child Life Specialist.

In addition to child advocacy, Sarah Rose is passionate about encouraging others to have a healthy relationship with food and fitness, after watching her mother lose 75 pounds and supporting multiple friends as they struggled with anorexia and orthorexia, which made learning about the eating disorder inpatient unit during her clinical rotations a personal issue.