Hill County, Montana

MT · FIPS 30041 Republican

Located in Montana, Hill County has a population of 16,155 residents and a median age of 34.5 years, making it the #2,092 most populous county out of 3,222 nationwide. In terms of economic indicators, the county has a poverty rate of 20.7%. The median home value is $202,600, and the median household income is $52,798, which is 30% below the national median.

16,155
Population
#2,092 of 3,222
$52,798
Median Income
-29.7% #2,610 of 3,222
34.5 years
Median Age
-11.3% #3,000 of 3,222
20.7%
Poverty Rate
+64.2% #2,731 of 3,222

Demographics

Hill County has a population of 16,155, making it the #2,092 most populous county in the US. The median age is 34.5 years, which is 11.3% below the national median.

Population Trend

Rankings →

Year-over-Year Population Growth

Age & Sex Distribution

Race & Ethnicity

Nativity

99.0%
Native Born
1.0%
Foreign Born

Geographic Mobility (Past Year)

Economy

The median household income in Hill County is $52,798, ranking #2,610 out of 3,222 counties — 29.7% below the national median. The poverty rate is 20.7% and unemployment stands at 4.2%.

Income#2,610
$52,798
-29.7%
vs nation
19th percentile
Per Capita#2,481
$29,662
-28.1%
vs nation
23th percentile
Poverty#2,731
20.7%
+64.2%
vs nation
15th percentile
Unemployment#1,458
4.2%
-20.1%
vs nation
55th percentile

Income Distribution

Industry of Employment

Occupation

Housing

The median home value in Hill County is $202,600 (-28.1% vs national). Renters pay a median of $776/mo and the homeownership rate is 66.1%.

Home Value#1,375
$202,600
-28.1%
vs nation
57th percentile
Rent#2,298
$776
-33.3%
vs nation
29th percentile
Homeownership#2,657
66.1%
+2.6%
vs nation
18th percentile

Household Type

Education

In Hill County, 24.4% of adults age 25+ hold a bachelor's degree or higher, which is 27.6% below the national average, ranking #1,309 out of 3,222 counties.

Bachelor's Degree or Higher
24.4% −27.6% vs nation
Rank #1,309 of 3,222
59th percentile

Bachelor's Degree or Higher Trend

Rankings →

Health & Wellbeing

Life expectancy in Hill County is 72.9 years. 18.9% of adults report poor or fair health and 12.6% lack health insurance. Data from County Health Rankings (2025).

Life Expectancy#2,258
72.9
-2.9%
vs nation
26th percentile
Poor/Fair Health#1,578
18.9%
-3.4%
vs nation
50th percentile
Diabetes#831
9.5%
-14.7%
vs nation
74th percentile
Insufficient Sleep#1,188
36.0%
-3.5%
vs nation
62th percentile
Poor Mental Health Days#1,958
5.8
+3.2%
vs nation
38th percentile
Poor Physical Health Days#2,072
4.7
+5.2%
vs nation
34th percentile
Uninsured Rate#2,244
12.6%
+20.1%
vs nation
29th percentile
Physical Inactivity#1,366
25.1%
-4.9%
vs nation
57th percentile
Food Insecurity#978
12.5%
-13.2%
vs nation
69th percentile

Substance Use

20.1% of adults in Hill County smoke , 34.9% are obese , and 24.8% report excessive drinking. The drug overdose death rate is 20.6 per 100,000.

Adult Smoking#2,297
20.1%
+11.9%
vs nation
27th percentile
Adult Obesity#702
34.9%
-7.9%
vs nation
78th percentile
Excessive Drinking#3,004
24.8%
+24.7%
vs nation
5th percentile
Drug Overdose Deaths#612
20.6
-36.4%
vs nation
71th percentile

Safety

The suicide rate is 23.7 per 100,000. Motor vehicle deaths occur at a rate of 19.2 per 100,000.

Suicide Rate#1,982
23.7
+20.4%
vs nation
23th percentile
Firearm Fatalities#639
12.3
-31.3%
vs nation
74th percentile
Motor Vehicle Deaths#1,491
19.2
-5.1%
vs nation
47th percentile

Families & Children

21.8% of children in Hill County live in poverty . The teen birth rate is 36.1 per 1,000 females age 15–19.

Teen Birth Rate#2,683
36.1
+65.5%
vs nation
11th percentile
Child Poverty#2,155
21.8%
+14.8%
vs nation
31th percentile

Civic & Transportation

Voter turnout in Hill County is 61.0%. The mean commute time is 15.2 min, which is 44.8% below the national average.

Voter Turnout
61.0% NaN% vs nation
Rank #NaN of NaN
th percentile

Voter Turnout Trend

Mean Commute Time
15.2 min −44.8% vs nation
Rank #3,150 of 3,222
2th percentile

Mean Commute Time Trend

Rankings →

Elections

In the 2024 presidential election, Hill County voted Republican with a margin of 18.2%. The vote was 38.7% Dem / 56.9% Rep. Compared to 2020, the margin shifted 4.6 toward Republicans .

2024 REP +18.2%
38.7% 56.9%
Dem 6,804 votes Rep
2020 REP +13.6%
41.5% 55.1%
Dem 7,182 votes Rep
2016 REP +17.3%
37% 54.3%
Dem 6,347 votes Rep
2012 DEM +3.5%
49.9% 46.4%
Dem 6,757 votes Rep
2008 DEM +12.2%
54.3% 42.1%
Dem 6,624 votes Rep

Vote Share Over Time

About Hill County, Montana

Hill County, Montana has a total population of 16,155, making it the 2,092nd most populous county in the United States. The median age in Hill County is 34.5 years, which is 11.3% below the national median of 38.9 years.

The median household income in Hill County is $52,798, which ranks #2,610 of 3,222 counties nationwide. This is 29.7% below the national median of $75,149. The poverty rate is 20.7%, higher than the national rate of 12.6%. The unemployment rate stands at 4.2%.

The median home value in Hill County is $202,600, 28.1% below the national median. Renters in Hill County pay a median gross rent of $776 per month. The homeownership rate is 66.1%, compared to the national rate of 64.4%.

In Hill County, 24.4% of residents aged 25 and older hold a bachelor's degree or higher, 27.6% below the national average of 33.7%. Health insurance coverage stands at 91.7% of the population. The average commute time for workers is 15.2 min.

Hill County is a diverse community. The largest racial or ethnic group is White (non-Hispanic) at 67.1% of the population, followed by American Indian (non-Hispanic) (21.9%) and Two or More Races (6.3%).

All data for Hill County, Montana comes from the U.S. Census Bureau's American Community Survey (ACS) 5-Year Estimates. These figures are estimates based on survey sampling and are subject to margin of error. For the most detailed and up-to-date data, visit the Census Bureau's official data portal.