Rank

324of 3,144

Grafton, New Hampshire

Score 7.14 / 10· population 93,146

From the Connecticut River, its border with Vermont, Grafton County runs east into the White Mountains, and Lebanon has Dartmouth Hitchcock Medical Center, the state's only Level 1 trauma center. Its 2020 to 2022 life expectancy of 80.1 years topped the state's 78.9, and in 2024 its largest industry, health care and social assistance, employed 10,131 residents. Trump drew 39.2 percent of the county's 2024 presidential vote, his lowest share in any of New Hampshire's ten counties.

Sources
  • Grafton County stretches across west-central New Hampshire from the Connecticut River to the White Mountains; it borders Vermont to the west, with the Connecticut River as the boundary, and the White Mountains cover the eastern part. uscountymaps.com
  • Dartmouth Hitchcock Medical Center is in Lebanon, NH, and is New Hampshire's only Level 1 trauma center (article dated August 25, 2026). dartmouth-health.org
  • Grafton County life expectancy 80.10 years; New Hampshire 78.94 years (County Health Rankings 2025 release). countyhealthrankings.org
  • In the 2025 County Health Rankings release, Life Expectancy uses 2020-2022 data. countyhealthrankings.org
  • ACS 2024 1-year estimate (table C24030, civilian employed population 16 and over): 10,131 of 49,454 employed Grafton County residents worked in health care and social assistance (2,224 men, 7,907 women), the largest of the detailed industry categories; educational services was next at 7,978. api.censusreporter.org
  • Official 2024 general election results for President, summary by counties: Grafton County cast 32,993 votes for Harris, 21,909 for Trump, 348 for Chase Oliver, 342 for Jill Stein and 303 write-ins, so Trump drew 39.2% of 55,895 presidential votes. His share in the other nine counties ranged from 43.2% (Strafford) to 56.2% (Coos). sos.nh.gov

v4 — beta, 30 October 2026, sourced values

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Eleven factors

Government behavior

  1. Fraser Institute state ranking (state)8.3
  2. 2A (state)10.0
  3. GOP + LP vote for President4.0
  4. Sales tax10.0
  5. Property tax2.4

Environment

  1. Air quality6.4
  2. Floods / hurricanes1.0

Private behavior

  1. Homicide rate9.3
  2. Life expectancy10.0
  3. Government employees8.0
  4. Single-parent households6.3

Neighbors