In Bell County, Kentucky, benefit checks have brought in more money than paychecks since 2009

In 2024, 56 cents of every dollar of income here came from benefit checks, including Social Security, Medicare, Medicaid and veterans' benefits. That was a larger share than across the country.

County Distress Index Data through Sep 2026
4th
of 120 counties in Kentucky
43rd of 3,144 U.S. counties
98score /100

More distressed than 98% of U.S. counties.

What drives Bell County's score

In Bell County, jobs weigh most: the score for jobs is 95.3. About two in five adults aged 25 to 54 (42.3%, 2020 to 2024) aren't working, a higher share than in 98% of U.S. counties. Late payments on loans come next, at 89.1.

The County Distress Index looks at five parts of household money trouble in Bell County: jobs, late payments on loans, income and the safety net, collections and bankruptcy, and housing costs. Each part is scored from 0 to 100, and a higher score means worse off than other counties.

Bell County does better than most counties on one measure: people without health insurance (5.3%, 2020 to 2024).

A longer bar means more trouble. See how the county score works.

  • Jobs

    Biggest factor
    95.3 of 100

    Unemployment through Sep 2026; adults not working, 2020–24 Census survey

    • Unemployment rate, average over the latest year
      5.8% · Oct 2025 to Sep 2026
      91st percentile
    • Adults 25 to 54 not working
      42.3% · 2020 to 2024
      98th percentile
  • Late payments

    89.1 of 100

    Credit records, August 2025; credit scores, second quarter of 2026

    • People with a credit card behind
      9.1% · August 2025
      91st percentile
    • People with a car or retail loan behind
      8.4% · August 2025
      85th percentile
    • People with a subprime credit score
      55.6% · second quarter of 2026
      90th percentile
  • Collections and bankruptcy

    88.7 of 100

    Credit records, August 2025; bankruptcy filings, 2025

    • People with unpaid debt sent to a collector
      37.3% · August 2025
      90th percentile
    • Bankruptcy filings per 100,000 people
      265.9 · 2025
      87th percentile
  • Income and safety net

    83.3 of 100

    Poverty and income, 2024; disability and insurance, 2020–24 Census survey

    • People below the poverty line
      31.8% · 2024
      98th percentile
    • Children below the poverty line
      40.6% · 2024
      98th percentile
    • People with a disability
      25.3% · 2020 to 2024
      96th percentile
    • People without health insurance
      5.3% · 2020 to 2024
      23rd percentile
    • Median household income (lower income, longer bar)
      $39,209 · 2024
      99th percentile
  • Housing costs

    74.0 of 100

    Renters, 2020–24 Census survey; HUD's fair market rents, fiscal year 2027

    • Renters paying half their income or more in rent
      19.0% · 2020 to 2024
      55th percentile
    • Rent on a two-bedroom as a share of the median income
      27.8% · fiscal year 2027
      92nd percentile

Sources: Urban Institute, Debt in America; Equifax via the St. Louis Fed; Administrative Office of the U.S. Courts, Table F-5A; U.S. Census Bureau, American Community Survey; U.S. Department of Housing and Urban Development Fair Market Rents and Census income; U.S. Bureau of Labor Statistics, Local Area Unemployment Statistics; Census Bureau, Small Area Income and Poverty Estimates. County Distress Index by American Default Research, from data through Sep 2026.

Where the money in Bell County comes from

Benefit checks are Social Security, Medicare and Medicaid paid on people's behalf, veterans' benefits, and food and income support, so a high share usually means an older population, low pay, or both. In Bell County, 18.9% of residents are 65 or older (Census Bureau, 2024), against 17.2% nationally that year.

Cents of every dollar of income, 2024

Bell County

35 9 56

Kentucky

57 17 26

United States

61 21 18
  • Pay from work
  • Investments and rent
  • Benefit checks
Source: U.S. Bureau of Economic Analysis, Regional Economic Accounts (CAINC4), shares of all personal income received by residents, 2024. Pay from work is total income minus the other two, so the three add to 100.

In Bell County, benefit checks have brought in more than pay since 2009

In Bell County, Kentucky, benefit checks' share of income more than doubled from 1969 to 2024, reaching 56.0%; pay from work is plotted alongside. Every fifth year and 2024 are shown.

  • Benefit checks
  • Pay from work
0%35%70% 196919741979198419891994199920042009201420192024 0%35%70% 196919791989199920092024
Source: U.S. Bureau of Economic Analysis, Regional Economic Accounts (CAINC4), shares of all personal income received by residents, Bell County, Kentucky American Default Research · americandefault.org/counties/kentucky/bell-county-ky/
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The share of households in Bell County getting SNAP food aid had its largest drop, from 33.6% in 2019 to 26.0% in 2020.

The share of households in Bell County getting SNAP food aid was at its highest on the chart in 2016 and has since fallen by about a third

Low on the chart: 21.5% in 2023. Households getting SNAP, every year; each bar is a five-year survey estimate ending that year, so neighboring bars share most of their data, Bell County, Kentucky.

0%20%40% 25.3%24.5% 2009201020112012201320142015201620172018201920202021202220232024 0%20%40% 25.3%24.5% 20092011201320152017201920212024
Source: U.S. Census Bureau, American Community Survey 5-year estimates American Default Research · americandefault.org/counties/kentucky/bell-county-ky/
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How Bell County has changed

Bell County's population had its largest drop, from 27,172 in 2014 to 24,593 in 2019.

Bell County's population was at its highest on the chart in 1979 and has since fallen by about a third

High on the chart: 34,216 in 1979. Residents, yearly estimate, every fifth year and 2024, Bell County, Kentucky.

020,00040,000 31,46023,051 196919741979198419891994199920042009201420192024 020,00040,000 31,46023,051 196919791989199920092024
Source: U.S. Bureau of Economic Analysis, Regional Economic Accounts American Default Research · americandefault.org/counties/kentucky/bell-county-ky/
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The number of jobs located in Bell County had its largest drop, from 10,310 in 2000 to 9,539 in 2005.

The number of jobs located in Bell County was at its highest on the chart in 2000 and has since fallen by about a fifth

High on the chart: 10,310 in 2000. Yearly average of jobs covered by unemployment insurance, every fifth year and 2025, Bell County, Kentucky.

010,00020,000 9,4468,318 19901995200020052010201520202025 010,00020,000 9,4468,318 19901995200020052010201520202025
Source: U.S. Bureau of Labor Statistics, Quarterly Census of Employment and Wages American Default Research · americandefault.org/counties/kentucky/bell-county-ky/
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MeasureThenNowSource
Unemployment rateBLS LAUS 1990 10.0% 2025 6.2% BLS LAUS
People below the poverty lineCensus SAIPE 1989 34.8% 2024 31.8% Census SAIPE
Median household incomeCensus SAIPE 1989 $15,516 2024 $39,209 Census SAIPE

The table uses 6.2% for 2025; the score uses 5.8% for the latest year (Oct 2025 to Sep 2026), both from the U.S. Bureau of Labor Statistics.

Figures are as each agency published them, not adjusted for prices.

Dated events in Bell County's history

  1. 1950

    The county's largest recorded population was the 1950 Census count of 47,602. The 2020 Census counted 24,097, 51% of the peak. Census Bureau

  2. 1977

    Major flood in Pineville April 4, 1977 destroyed or damaged 200 houses. Wikipedia

  3. 1988

    A tornado in May 1988 did $25 million in property damage and killed one person. NOAA Storm Events Database

  4. 2011

    A flood in June 2011 did $1,000,000 in property damage. NOAA Storm Events Database

  5. 2020

    A flood in February 2020 did $4 million in property damage. NOAA Storm Events Database

  6. Since 1967

    27 federal disaster and emergency declarations have covered Bell County, 19 of them for flooding. FEMA

Bell County beside its neighbors

Of the seven counties that border Bell County, in Kentucky, Virginia and Tennessee, one scores higher. For the share of income from benefit checks, Bell County ranks 4th of the eight; Harlan County is highest, at 59.0%.

CountyDistress scoreScoreRank in its state Poverty rateBenefit checks, share of incomeBenefit checks
Knox County, KY 99 1st of 120 30.7% 49.2%
Bell County, KY 98 4th of 120 31.8% 56.0%
Clay County, KY 98 5th of 120 33.6% 56.5%
Harlan County, KY 97 6th of 120 29.4% 59.0%
Lee County, VA 96 6th of 133 26.0% 45.8%
Whitley County, KY 92 22nd of 120 25.5% 47.6%
Leslie County, KY 91 25th of 120 31.2% 58.6%
Claiborne County, TN 78 23rd of 95 16.4% 36.9%

Distress score: American Default Research, County Distress Index, data through Sep 2026; each county scored against all 3,144. Poverty rate: Census Bureau, Small Area Income and Poverty Estimates, 2024. Benefit checks: Bureau of Economic Analysis, 2024. Neighbors share a border, from Census county maps.

Is Bell County the poorest county in Kentucky?

No, Bell County's poverty rate was 31.8% in 2024, 6th highest of 120 in Kentucky (U.S. Census Bureau, Small Area Income and Poverty Estimates). By that measure the poorest county in the state is McCreary County, at 36.4%. On our distress index, which counts more than poverty, Bell County ranks 4th of 120 in the state.

If you're behind on your mortgage in Bell County

Housing counselors approved by the U.S. Department of Housing and Urban Development work at nonprofit agencies. The Consumer Financial Protection Bureau describes free foreclosure-avoidance counseling, including help with mortgage-company conversations and available options Source CFPB.

Kentucky foreclosure guide →

The score, its 14 measures and their sources, in one file. Free to use with credit to American Default Research.

Download the CSV for Bell County · Every U.S. county (CSV)

Cite this Bell County, Kentucky, scores 98 on the County Distress Index (data through Sep 2026): more distressed than 98% of U.S. counties · American Default Research · americandefault.org/counties/kentucky/bell-county-ky/

Sources and method

  • American Default Research · County Distress Index Data through Sep 2026, built from Urban Institute, Debt in America; Equifax via the St. Louis Fed; U.S. Courts, Table F-5A; Census Bureau, American Community Survey; HUD Fair Market Rents and Census income; Bureau of Labor Statistics, Local Area Unemployment Statistics; Census Bureau, Small Area Income and Poverty Estimates. The County Distress Index is American Default Research's own calculation; the Urban Institute does not produce or endorse it. Our methodology
  • Urban Institute · Debt in America Breno Braga, Signe-Mary McKernan, Samantha Atherton, and Kassandra Martinchek, "Debt in America," last updated November 20, 2025, https://datacatalog.urban.org/dataset/debt-america-2025. Licensed under ODC-By 1.0.
  • Rent on a two-bedroom and household income The rent share compares HUD fair market rent for fiscal year 2027 with Census Bureau median household income for 2024. The page calls this the typical household's income.
  • U.S. Bureau of Economic Analysis, Regional Economic Accounts (CAINC4) · income shares Where the money in Bell County comes from, 2024.
  • History The agencies named in each row and the linked records above.