This study aimed to characterize the major milk components (fat, protein, and lactose) and quantify the effects of selected biological and environmental factors on milk composition of HF cows raised in the North Central region of Vietnam. A total of 220,118 test-day milk records from 19,192 cows collected through the monthly milk recording program on three farms over three years (2023-2025) were analyzed using descriptive statistics and linear mixed models. Effects of month in milk, parity, birth origin of cows (imported US-born cows vs. Vietnam-born offspring of imported HF parents), calving year, calving season, month of the year, and farm were evaluated. The average contents of milk fat, protein, and lactose were 3.75%, 3.21%, and 4.99%, respectively. Milk fat and protein contents declined during early lactation, and increased from mid-lactation onward, whereas lactose showed a slight decline as lactation progressed. First-parity cows produced milk with the highest fat and lactose contents, while second-parity cows had the highest protein content. Imported HF cows exhibited slightly lower fat content, but higher lactose content than HF cows born in Vietnam, while protein content did not differ significantly between the two groups. Calving year, calving season, and time of year all affected milk quality, though the level of influence varied across different parameters. Even though the farms belonged to the same management system, differences among them were still recorded. These findings may contribute to improving milk quality through appropriate herd management, nutritional strategies, and heat stress mitigation under tropical conditions.