diff --git a/src/health-monitor.js b/src/health-monitor.js
new file mode 100644
index 0000000..865d61e
--- /dev/null
+++ b/src/health-monitor.js
@@ -0,0 +1,106 @@
+'use strict';
+
+/**
+ * Module dependencies.
+ */
+
+const log = require('debugnyan')('process-manager:health-monitor');
+
+/**
+ * `HealthMonitor`.
+ */
+
+class HealthMonitor {
+  /**
+   * Constructor.
+   */
+
+  constructor() {
+    this.checks = [];
+    this.globalState = HealthMonitor.states.UNKNOWN;
+    this.states = {};
+  }
+
+  /**
+   * Add health check.
+   */
+
+  addCheck({ handler, id, interval = 5000 }) {
+    if (this.states[id]) {
+      throw new Error('Cannot add handler since it would overwrite an existing one');
+    }
+
+    this.states[id] = HealthMonitor.states.UNKNOWN;
+
+    const check = setInterval(async () => {
+      let state;
+
+      try {
+        state = await handler() ? HealthMonitor.states.HEALTHY : HealthMonitor.states.UNHEALTHY;
+      } catch (e) {
+        state = HealthMonitor.states.UNHEALTHY;
+      }
+
+      this.updateState({ id, state });
+    }, interval);
+
+    this.checks.push(check);
+  }
+
+  /**
+   * Cleanup health monitor by clearing all timers and resetting the internal state.
+   */
+
+  cleanup() {
+    this.checks.forEach(clearInterval);
+
+    this.checks = [];
+    this.globalState = HealthMonitor.states.UNKNOWN;
+    this.states = {};
+  }
+
+  /**
+   * Handles state changes.
+   */
+
+  updateState({ id, state }) {
+    if (this.states[id] === state) {
+      return;
+    }
+
+    log.info({ id, newState: state, oldState: this.states[id] }, 'Component health status has changed');
+
+    this.states[id] = state;
+
+    // The sorted states array makes it so that the state at the end of the array is the relevant one.
+    // The global state is:
+    // - UNKNOWN if one exists.
+    // - UNHEALTHY if one exists and there are no UNKNOWN states.
+    // - HEALTHY if there are no UNKNOWN and UNHEALTHY states.
+    const globalState = Object.values(this.states).sort().at(-1);
+
+    if (this.globalState === globalState) {
+      return;
+    }
+
+    log.info({ newState: globalState, oldState: this.globalState }, 'Global health status has changed');
+
+    this.globalState = globalState;
+  }
+}
+
+/**
+ * Health states.
+ */
+
+HealthMonitor.states = {
+  HEALTHY: 'healthy',
+  UNHEALTHY: 'unhealthy',
+  UNKNOWN: 'unknown'
+};
+
+/**
+ * Export `HealthMonitor` class.
+ */
+
+module.exports = HealthMonitor;
diff --git a/src/index.js b/src/index.js
index e66dd23..6d6412a 100644
--- a/src/index.js
+++ b/src/index.js
@@ -4,6 +4,7 @@
  * Module dependencies.
  */
 
+const HealthMonitor = require('./health-monitor');
 const log = require('debugnyan')('process-manager');
 const utils = require('./utils');
 
@@ -26,6 +27,7 @@ class ProcessManager {
   constructor() {
     this.errors = [];
     this.forceShutdown = utils.deferred();
+    this.healthMonitor = new HealthMonitor();
     this.hooks = [];
     this.running = [];
     this.terminating = false;
@@ -183,6 +185,7 @@ class ProcessManager {
       .then(() => log.info('All running instances have stopped'))
       .then(() => this.hook('drain'))
       .then(() => log.info(`${this.hooks.filter(hook => hook.type === 'drain').length} server(s) drained`))
+      .then(() => this.healthMonitor.cleanup())
       .then(() => this.hook('disconnect'))
       .then(() => log.info(`${this.hooks.filter(hook => hook.type === 'disconnect').length} service(s) disconnected`))
       .then(() => this.hook('exit', this.errors));
diff --git a/test/src/health-monitor.test.js b/test/src/health-monitor.test.js
new file mode 100644
index 0000000..af61183
--- /dev/null
+++ b/test/src/health-monitor.test.js
@@ -0,0 +1,231 @@
+'use strict';
+
+/**
+ * Module Dependencies.
+ */
+
+const HealthMonitor = require('../../src/health-monitor');
+const log = require('debugnyan')('process-manager:health-monitor');
+
+/**
+ * Instances.
+ */
+
+const healthMonitor = new HealthMonitor();
+
+/**
+ * Test `HealthMonitor`.
+ */
+
+describe('HealthMonitor', () => {
+  afterEach(() => {
+    healthMonitor.cleanup();
+  });
+
+  describe('constructor()', () => {
+    it('should set up the default values', () => {
+      const healthMonitor = new HealthMonitor();
+
+      expect(healthMonitor.checks).toEqual([]);
+      expect(healthMonitor.globalState).toBe(HealthMonitor.states.UNKNOWN);
+      expect(healthMonitor.states).toEqual({});
+    });
+  });
+
+  describe('addCheck()', () => {
+    it('should throw an error if the `id` is already in use', () => {
+      healthMonitor.addCheck({ handler: () => {}, id: 'foo' });
+
+      try {
+        healthMonitor.addCheck({ handler: () => {}, id: 'foo' });
+
+        fail();
+      } catch (e) {
+        expect(e).toBeInstanceOf(Error);
+        expect(e.message).toBe('Cannot add handler since it would overwrite an existing one');
+      }
+    });
+
+    it('should add the check and setup the state', () => {
+      healthMonitor.addCheck({ handler: () => {}, id: 'foo' });
+
+      expect(healthMonitor.checks).toHaveLength(1);
+      expect(healthMonitor.states.foo).toBe(HealthMonitor.states.UNKNOWN);
+    });
+
+    describe('when running the check', () => {
+      it('should call `healthMonitor.updateState()` with `UNHEALTHY` status if the check throws an error', done => {
+        const handler = jest.fn(() => {
+          throw new Error();
+        });
+
+        jest.spyOn(healthMonitor, 'updateState').mockImplementation(({ id, state }) => {
+          expect(handler).toHaveBeenCalledTimes(1);
+          expect(id).toBe('foo');
+          expect(state).toBe(HealthMonitor.states.UNHEALTHY);
+          done();
+        });
+
+        healthMonitor.addCheck({ handler, id: 'foo', interval: 0 });
+      });
+
+      it('should call `healthMonitor.updateState()` with `UNHEALTHY` status if the check returns a falsy value', done => {
+        const handler = jest.fn(() => {});
+
+        jest.spyOn(healthMonitor, 'updateState').mockImplementation(({ id, state }) => {
+          expect(handler).toHaveBeenCalledTimes(1);
+          expect(id).toBe('foo');
+          expect(state).toBe(HealthMonitor.states.UNHEALTHY);
+          done();
+        });
+
+        healthMonitor.addCheck({ handler, id: 'foo', interval: 0 });
+      });
+
+      it('should call `healthMonitor.updateState()` with `HEALTHY` status if the check returns a truthy value', done => {
+        const handler = jest.fn(() => true);
+
+        jest.spyOn(healthMonitor, 'updateState').mockImplementation(({ id, state }) => {
+          expect(handler).toHaveBeenCalledTimes(1);
+          expect(id).toBe('foo');
+          expect(state).toBe(HealthMonitor.states.HEALTHY);
+          done();
+        });
+
+        healthMonitor.addCheck({ handler, id: 'foo', interval: 0 });
+      });
+
+      it('should call handle asynchronous checks', done => {
+        const handler = jest.fn(() => Promise.resolve(true));
+
+        jest.spyOn(healthMonitor, 'updateState').mockImplementation(({ id, state }) => {
+          expect(handler).toHaveBeenCalledTimes(1);
+          expect(id).toBe('foo');
+          expect(state).toBe(HealthMonitor.states.HEALTHY);
+          done();
+        });
+
+        healthMonitor.addCheck({ handler, id: 'foo', interval: 0 });
+      });
+    });
+  });
+
+  describe('cleanup()', () => {
+    it('should clear all checks and states currently running', async () => {
+      healthMonitor.checks.push(setInterval(() => {}, 5000));
+      healthMonitor.states.foo = HealthMonitor.states.HEALTHY;
+      healthMonitor.globalState = HealthMonitor.states.HEALTHY;
+
+      healthMonitor.cleanup();
+
+      expect(healthMonitor.checks).toHaveLength(0);
+      expect(healthMonitor.states).toEqual({});
+      expect(healthMonitor.globalState).toBe(HealthMonitor.states.UNKNOWN);
+    });
+  });
+
+  describe('updateState()', () => {
+    it('should not update the component state if it has not changed', () => {
+      healthMonitor.states.foo = HealthMonitor.states.HEALTHY;
+
+      jest.spyOn(log, 'info');
+
+      healthMonitor.updateState({ id: 'foo', state: HealthMonitor.states.HEALTHY });
+
+      expect(log.info).not.toHaveBeenCalled();
+
+      expect(healthMonitor.states.foo).toBe(HealthMonitor.states.HEALTHY);
+    });
+
+    it('should update the component state if it has changed', () => {
+      healthMonitor.states.foo = HealthMonitor.states.HEALTHY;
+      healthMonitor.globalState = HealthMonitor.states.UNHEALTHY;
+
+      jest.spyOn(log, 'info');
+
+      healthMonitor.updateState({ id: 'foo', state: HealthMonitor.states.UNHEALTHY });
+
+      expect(log.info).toHaveBeenCalledTimes(1);
+      expect(log.info).toHaveBeenCalledWith({
+        id: 'foo',
+        newState: HealthMonitor.states.UNHEALTHY,
+        oldState: HealthMonitor.states.HEALTHY
+      }, 'Component health status has changed');
+
+      expect(healthMonitor.states.foo).toBe(HealthMonitor.states.UNHEALTHY);
+    });
+
+    it('should not update the global state if it has not changed', () => {
+      healthMonitor.states.foo = HealthMonitor.states.UNHEALTHY;
+      healthMonitor.globalState = HealthMonitor.states.HEALTHY;
+
+      jest.spyOn(log, 'info');
+
+      healthMonitor.updateState({ id: 'foo', state: HealthMonitor.states.HEALTHY });
+
+      expect(log.info).toHaveBeenCalledTimes(1);
+
+      expect(healthMonitor.states.foo).toBe(HealthMonitor.states.HEALTHY);
+      expect(healthMonitor.globalState).toBe(HealthMonitor.states.HEALTHY);
+    });
+
+    it('should update the global state if it has changed', () => {
+      healthMonitor.states.foo = HealthMonitor.states.HEALTHY;
+      healthMonitor.globalState = HealthMonitor.states.HEALTHY;
+
+      jest.spyOn(log, 'info');
+
+      healthMonitor.updateState({ id: 'foo', state: HealthMonitor.states.UNHEALTHY });
+
+      expect(log.info).toHaveBeenCalledTimes(2);
+      expect(log.info).toHaveBeenLastCalledWith({
+        newState: HealthMonitor.states.UNHEALTHY,
+        oldState: HealthMonitor.states.HEALTHY
+      }, 'Global health status has changed');
+
+      expect(healthMonitor.states.foo).toBe(HealthMonitor.states.UNHEALTHY);
+      expect(healthMonitor.globalState).toBe(HealthMonitor.states.UNHEALTHY);
+    });
+
+    describe('global state', () => {
+      it('should be UNKNOWN if at least one of the components is in the UNKNOWN state', () => {
+        healthMonitor.updateState({ id: 'foo', state: HealthMonitor.states.HEALTHY });
+        healthMonitor.updateState({ id: 'bar', state: HealthMonitor.states.UNHEALTHY });
+        healthMonitor.updateState({ id: 'biz', state: HealthMonitor.states.UNKNOWN });
+
+        expect(healthMonitor.globalState).toBe(HealthMonitor.states.UNKNOWN);
+        expect(healthMonitor.states).toEqual({
+          bar: HealthMonitor.states.UNHEALTHY,
+          biz: HealthMonitor.states.UNKNOWN,
+          foo: HealthMonitor.states.HEALTHY
+        });
+      });
+
+      it('should be UNHEALTHY if no component is in the UNKNOWN state and at least one of the components is in the UNHEALTHY state', () => {
+        healthMonitor.updateState({ id: 'foo', state: HealthMonitor.states.HEALTHY });
+        healthMonitor.updateState({ id: 'bar', state: HealthMonitor.states.UNHEALTHY });
+        healthMonitor.updateState({ id: 'biz', state: HealthMonitor.states.HEALTHY });
+
+        expect(healthMonitor.globalState).toBe(HealthMonitor.states.UNHEALTHY);
+        expect(healthMonitor.states).toEqual({
+          bar: HealthMonitor.states.UNHEALTHY,
+          biz: HealthMonitor.states.HEALTHY,
+          foo: HealthMonitor.states.HEALTHY
+        });
+      });
+
+      it('should be HEALTHY if all components are in the HEALTHY state', () => {
+        healthMonitor.updateState({ id: 'foo', state: HealthMonitor.states.HEALTHY });
+        healthMonitor.updateState({ id: 'bar', state: HealthMonitor.states.HEALTHY });
+        healthMonitor.updateState({ id: 'biz', state: HealthMonitor.states.HEALTHY });
+
+        expect(healthMonitor.globalState).toBe(HealthMonitor.states.HEALTHY);
+        expect(healthMonitor.states).toEqual({
+          bar: HealthMonitor.states.HEALTHY,
+          biz: HealthMonitor.states.HEALTHY,
+          foo: HealthMonitor.states.HEALTHY
+        });
+      });
+    });
+  });
+});
diff --git a/test/index.test.js b/test/src/index.test.js
similarity index 99%
rename from test/index.test.js
rename to test/src/index.test.js
index 2c11c68..9ed38c7 100644
--- a/test/index.test.js
+++ b/test/src/index.test.js
@@ -13,7 +13,7 @@ describe('ProcessManager', () => {
     jest.spyOn(process, 'on').mockImplementation(() => {});
     jest.spyOn(console, 'error').mockImplementation(() => {});
 
-    processManager = require('../src');
+    processManager = require('../../src');
   });
 
   describe('constructor()', () => {