AREA PROFILE -- BIG EASTERN                                 
                                                                                                
                                                                                                
        DEMOGRAPHIC DATA                                                                        
                                                                                                
                                U.S. CENSUS ESTIMATES, 2004                                     
                                                                                                
                 BIG EASTERN - 1,067,355                NEBRASKA - 1,747,214                    
                                                                                                
                                                                                                
                                 POPULATION BY AGE AND RACE/ETHNICITY                           
                        BIG EASTERN                                NEBRASKA                     
 AGE         PERCENT        NATIVE                                         NATIVE               
GROUP   TOTAL       BLACK AMERICAN ASIAN HISPANIC  TOTAL  PERCENT  BLACK AMERICAN ASIAN HISPANIC
  0-4  78,480  7.4  6,301    499   1,774   8,148  122,049   7.0     6,566  1,726   2,087  15,560
 5-14 145,227 13.6 13,125  1,174   2,955  12,279  236,970  13.6    14,021  3,332   3,652  24,538
15-24 161,826 15.2 12,927  1,276   3,896  11,756  266,314  15.2    13,893  3,368   4,811  21,847
25-44 313,264 29.3 20,779  2,129   9,608  22,433  473,637  27.1    22,127  4,736  11,084  40,755
45-64 247,518 23.2 13,003  1,096   4,070   7,123  416,441  23.8    13,444  2,631   5,077  13,752
65-74  60,145  5.6  2,726    171     655   1,088  111,352   6.4     2,767    471     821   2,126
75-84  43,388  4.1  1,424     78     215     517   84,541   4.8     1,454    213     325   1,044
 85+   17,507  1.6    523     37      45     178   35,910   2.1       549     93      76     359
 <18  271,849 25.5 23,239  2,047   5,792  23,910  446,083  25.5    24,698  6,261   7,104  47,141
 65+  121,040 11.3  4,673    286     915   1,783  231,803  13.3     4,770    777   1,222   3,529
                                                                                                
                                                                                                
                               POPULATION BY GENDER AND RACE/ETHNICITY                          
                        BIG EASTERN                                NEBRASKA                     
             PERCENT        NATIVE                                         NATIVE               
GENDER  TOTAL       BLACK AMERICAN ASIAN HISPANIC  TOTAL  PERCENT  BLACK AMERICAN ASIAN HISPANIC
Men   527,892 49.5 34,813  3,154  11,436  34,657  863,628  49.4    37,128   8,068  13,719 65,048
Women 539,463 50.5 35,995  3,306  11,782  28,865  883,586  50.6    37,693   8,502  14,214 54,933
 15-17 23,443       1,863    191     515   1,495   42,285           1,986    590     663   3,127
                                                                                                
                                                                                                
                                    POPULATION BY RACE/ETHNICITY                                
                                                                                                
                             BIG EASTERN                         NEBRASKA                       
         RACE/ETHNICITY     NUMBER   PERCENT                     NUMBER   PERCENT               
         White             951,916     89.2                   1,609,056     92.1                
         Black              70,808      6.6                      74,821      4.3                
         Native American     6,460      0.6                      16,570      0.9                
         Asian              23,218      2.2                      27,933      1.6                
                                                                                                
         Hispanic           63,522      6.0                     119,981      6.9                
                                                                                                
         Minority *        174,284     16.3                     250,577     14.3                
                                                                                                
    * Minority Population = Total Population - White, Not Hispanic Population                   
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                  HOUSEHOLDS BY TYPE, 2000 CENSUS                               
                                                                                                
                                      BIG EASTERN               NEBRASKA                        
                                                                                                
                                      % OF      % OF              % OF      % OF                
                                      HOUSE-    HOUSE-            HOUSE-    HOUSE-              
                                      HOLDS     HOLDS             HOLDS     HOLDS               
                                     WITH NO   WITH AT           WITH NO   WITH AT              
                                    CHILDREN   LEAST 1          CHILDREN   LEAST 1              
      FAMILY TYPE                      <18    CHILD<18             <18    CHILD<18              
   Married couples                     26.6      25.1              28.6      25.6               
   Male householders                    1.4       2.0               1.3       2.0               
   Female householders                  2.9       7.1               2.6       6.5               
   Male householder nonfamilies        16.1       0.3              15.2       0.3               
   Female householder nonfamilies      18.3       0.1              17.8       0.1               
                                                                                                
                        HOUSEHOLDS BY TYPE AND RACE/ETHNICITY, 2000 CENSUS                      
                                                                                                
                                % OF HOUSEHOLDS               % OF HOUSEHOLDS                   
                                                  Native                     Native             
                                Total White Black American Total White Black American           
     Families                   65.1  65.1  65.2  67.9     66.6  66.2  65.0  74.3               
      Married Couples           51.7  53.5  28.6  35.7     54.2  55.4  28.8  35.4               
        W/Children < 18         25.1  25.3  16.5  21.9     25.6  25.4  16.7  24.0               
      Single Parent Families    13.4   7.5  29.0  26.0     12.4   7.2  28.7  32.6               
        Male householder         3.4   3.1   5.3   6.6      3.3   3.0   5.4   8.8               
          W/Children < 18        2.0   1.8   3.5   4.7      2.0   1.8   3.6   6.7               
        Female Householder      10.0   8.5  31.3  25.6      9.1   7.8  30.8  30.1               
          W/Children < 18        7.1   5.7  25.5  21.3      6.5   5.4  25.1  25.9               
     Nonfamily households       34.8  35.0  34.8  32.1     33.4  33.7  34.9  25.7               
                                                                                                
                                                                                                
                                  % OF HOUSEHOLDS             % OF HOUSEHOLDS                   
                                  Asian  Hispanic Minority *  Asian  Hispanic Minority *        
     Families                      65.6     74.7     67.4      66.9     77.3     70.2           
      Married Couples              53.0     51.8     38.5      53.7     54.0     42.1           
        W/Children < 18            32.7     37.8     24.7      33.0     40.7     28.3           
      Single Parent Families        7.8     16.9     22.2       8.3     17.9     21.8           
        Male householder            4.2      9.7      6.4       4.5      9.6      7.1           
          W/Children < 18           2.0      6.2      4.0       2.2      6.3      4.6           
        Female Householder          8.4     13.2     22.5       8.7     13.7     21.0           
          W/Children < 18           5.8     10.7     18.2       6.1     11.6     17.2           
     Nonfamily households          34.4     25.4     32.6      33.1     22.6     29.9           
                                                                                                
    * Minority Population = Total Population - White, Not Hispanic Population                   
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                        EDUCATIONAL ATTAINMENT BY RACE/ETHNICITY, 2000 CENSUS                   
                                Percent of persons 25 years and older                           
                                                                                                
                                     BIG EASTERN                NEBRASKA                        
                                                  Native                     Native             
                                Total White Black American Total White Black American           
                                                                                                
     Less than 9th grade         4.1   3.3   5.3   8.2      5.4   4.5   5.3   9.0               
     9th to 11th grade           7.6   6.7  16.1  13.2      8.0   7.3  16.0  15.1               
     High school diploma        28.2  28.4  31.3  33.2     31.3  31.8  31.2  33.7               
     Some college, no degree    24.4  24.6  27.5  27.6     24.3  24.5  27.4  26.1               
     Associate degree            7.4   7.6   5.9   7.0      7.3   7.5   5.9   7.4               
     Baccalaureate degree       19.5  20.3  10.3   8.1     16.5  17.0  10.5   6.2               
     Graduate or professional    8.9   9.1   3.6   2.8      7.3   7.4   3.6   2.6               
     degree                                                                                     
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                Percent of persons 25 years and older                           
                                                                                                
                                     BIG EASTERN                NEBRASKA                        
                                                                                                
                                                                                                
                                  Asian  Hispanic Minority *  Asian  Hispanic Minority *        
                                                                                                
     Less than 9th grade            9.6     29.0     12.8      10.8     34.2     17.9           
     9th to 11th grade             11.5     16.6     14.9      11.9     19.2     16.3           
     High school diploma           15.2     21.3     25.9      17.1     21.3     25.5           
     Some college, no degree       13.4     16.7     22.3      13.3     13.9     20.1           
     Associate degree               5.3      3.7      5.3       5.4      2.9      4.8           
     Baccalaureate degree          23.5      8.5     11.9      21.8      5.9     10.0           
     Graduate or professional      21.6      4.2      6.7      19.8      2.7      5.5           
     degree                                                                                     
                                                                                                
    * Minority Population = Total Population - White, Not Hispanic Population                   
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        SOCIAL INDICATORS                                                                       
                                  PER CAPITA INCOME, 2000 CENSUS                                
                                                                                                
                                 BIG EASTERN           NEBRASKA                                 
                                $21,446                $19,613                                  
                                                                                                
                         MEDIAN HOUSEHOLD INCOME, 2002 CENSUS ESTIMATES                         
                                                                                                
                                 BIG EASTERN           NEBRASKA                                 
                                $45,744                $41,978                                  
                                                                                                
                        PERCENT BELOW 100% POVERTY, 2002 CENSUS ESTIMATES                       
                                                                                                
                                 BIG EASTERN           NEBRASKA                                 
     5-17 Years of Age                9.6                    10.8                               
     Total Population                 9.1                    10.0                               
                                                                                                
                 PERCENT BELOW 100% POVERTY BY RACE/ETHNICITY, 2000 CENSUS *                    
                                                                                                
                                 BIG EASTERN           NEBRASKA                                 
     White                            6.8                     8.2                               
     Black                           27.3                    27.4                               
     Native American                 25.7                    33.0                               
     Asian                           13.6                    12.8                               
     Hispanic                        18.0                    20.4                               
 * A '.' indicates the population estimate of the racial/ethnic group is zero.                  
                                                                                                
                     PERCENT OF WORKERS UNEMPLOYED, DEPT. OF LABOR, MAY, 2004                   
                                                                                                
                            BIG EASTERN                NEBRASKA                                 
                    # UNEMPLOYED   % OF WORKERS   # UNEMPLOYED % OF WORKERS                     
                        25,108         4.2          39,368       4.0                            
                                                                                                
                                  HIGH SCHOOL DROPOUT RATE, 2003-2004                           
                                                                                                
                                 BIG EASTERN              NEBRASKA                              
     % of 7-12th Grade Member-                                                                  
     ship Who Drop Out of School      2.3                       1.9                             
                                                                                                
                             NEW FAMILIES AT RISK BY RACE/ETHNICITY, 2000-2004                  
        First Births to Unmarried Women Under Age 20 with Less Than H.S. Education              
                                                                                                
                                 BIG EASTERN              NEBRASKA                              
                      # BIRTHS    % OF 1ST BIRTHS*  # BIRTHS  % OF 1ST BIRTHS*                  
     Total             2,662            8.2          4,398          9.0                         
     White             1,879            6.7          3,351          7.7                         
     Black               637           24.5            653         24.4                         
     Native American      70           29.4            232         36.9                         
     Asian                29            2.5             39          2.9                         
     Hispanic            512           17.5          1,034         19.3                         
          * Percentage based on at least 6 first births.                                        
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
         REPORTS AND/OR ARRESTS FOR VIOLENT CRIME, DUI AND OTHER DRUG CHARGES, 2004             
                                                                                                
                                       BIG EASTERN                NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Total Arrests                       61750   57.9          94,648   54.2                    
     Arrests for violent crimes *        1,118    1.0           1,596    0.9                    
     Reported forcible rape offenses       123    0.1             195    0.1                    
     Arrests for DUI                     8,901    8.3          14,163    8.1                    
     Drug law violation arrests          7,158    6.7          10,898    6.2                    
    *Violent crimes include: murder, forcible rape, robbery and aggravated assault.             
                                                                                                
        JUVENILE ARRESTS(<18) FOR VIOLENT CRIMES, DUI AND DRUG LAW VIOLATIONS, 2004             
                                                                                                
                                       BIG EASTERN                NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Total Arrests                      9,183    33.8         14,867    33.3                    
     Arrests for violent crimes *         171     0.6            224     0.5                    
     Arrests for DUI                      186     0.7            348     0.8                    
     Drug law violation arrests           795     2.9          1,150     2.6                    
    *Violent crimes include: murder, forcible rape, robbery and aggravated assault.             
                                                                                                
                           CHILD PROTECTION AND SAFETY, CY 2004                                 
                                                                                                
                                       BIG EASTERN                NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
                                                                                                
     Average number of children                                                                 
     in out-of-home care *              4777    17.5          7,160    15.9                     
    *Children in temporary or permanent out-of home care (foster care, group homes or           
     other residential care facilities).                                                        
                                                                                                
           CHILDREN INVOLVED IN SUBSTANTIATED CASES OF ABUSE/NEGLECT, CY 2003                   
                                                                                                
                                            BIG EASTERN          NEBRASKA                       
     Rate per 1,000 Children < Age 19            9.2                 8.6                        
                                                                                                
                   DOMESTIC VIOLENCE, JULY 1, 1999 - JUNE 30, 2000                              
                                       BIG EASTERN                NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Number of Crisis Calls                                                                     
     Received by Multi-County Agency   75,714     76.2       108,312     63.3                   
     Total New Contacts for                                                                     
     Multi-County Agency               13,911     14.0        24,249     14.2                   
     BIG EASTERN MULTI-COUNTY AREA ALSO INCLUDES:                                               
               Big Eastern                                                                      
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        HEALTH STATUS                                                                           
                                                                                                
                                                                                                
                                LEADING CAUSES OF DEATH, 2000-2004                              
                             Age-Adjusted Death Rates per 100,000 Population                    
                                                                                                
                                                                            NEBRASKA            
                                                        NEBRASKA           NATIVE               
                        BIG EASTERN       NEBRASKA      YEAR 2010   BLACK AMERICAN HISPANIC     
CAUSE OF DEATH             DEATHS  RATE  DEATHS  RATE   OBJECTIVE   RATE    RATE    RATE        
Heart Disease (#1)         10,098 200.7  20,262 205.1      --       245.6   276.0  110.6        
Cancer -- All Sites (#2)    9,267 189.4  16,798 182.0    147.0      255.2   201.9  117.8        
  Lung/Bronchus/Trachea     2,583  53.4   4,444  49.1     39.0       81.5    60.1   24.6        
  Breast (Female)             677  24.1   1,224  23.8     20.7       41.3    32.8    9.7        
  Prostate                    474  25.8     943  25.7     25.9       48.8    18.5    9.3        
Cerebrovascular (#3)        2,658  52.8   5,385  54.0     47.4       87.0    55.2   28.8        
Unintentional Injuries (#4) 1,753  33.8   3,457  37.6     19.4       25.2    92.6   34.9        
  Motor Vehicle               669  12.7   1,469  16.6     12.0        9.7    43.8   17.4        
Chronic Lung Disease (#5)   2,061  42.3   3,746  39.4      --        39.2    54.7   12.4        
                                                                                                
Suicide                       557  10.7     922  10.7      8.2        4.6     9.1    4.2        
Homicide                      190   3.5     259   3.0      2.0       20.3    11.9    6.6        
                                                                                                
Diabetes Related            3,636  73.9   6,933  72.6     25.0      162.8   260.9  109.3        
Tobacco Related             6,945 141.2  12,886 137.2      --       184.1   192.6   75.5        
Alcohol Related             1,733  34.2   3,255  35.5      --        41.9   137.3   41.2        
Work Related Accidents         77   1.5     209   2.4      --         0.4     0.9    2.5        
                                                                                                
All Causes                 40,109 800.3  75,953 789.1      --     1,110.5 1,269.2  559.0        
                                                                                                
    NOTE: Age adjusted rates are based on the 2000 U.S. census standard.                        
                                                                                                
                                                                                                
                                                                                                
                                  CANCER INCIDENCE, 1999-2003                                   
                      Age-Adjusted Incidence Rates per 100,000 Population                       
                                                                                                
                    BIG EASTERN                              NEBRASKA                           
                                                                      Native                    
                     Total    Total           Total    Total   Black American Hispanic          
Cancer Type         # Cases   Rate           # Cases   Rate    Rate    Rate     Rate            
All Sites            23,333   483.2           42,194   474.2   474.5   393.6   292.3            
                                                                                                
Lung & Bronchus       3,267    68.7            5,572    62.7    93.3    62.7    39.3            
Breast (Female)       3,610   136.8            6,278   131.8   102.2    56.9    57.2            
Prostate              3,229   155.6            6,470   165.9   197.9   146.3    57.0            
Colorectal            2,872    59.6            5,366    59.1    61.9    47.7    44.5            
                                                                                                
    NOTE: Age adjusted rates are based on the 2000 U.S. census standard.                        
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        LEADING REASONS FOR HOSPITALIZATION (NEBRASKA OCCURRANCE ONLY), 2003-2004               
                     Age-Adjusted Hospital Discharge Rates per 100,000 Population               
                                     BIG EASTERN            NEBRASKA         PERCENT            
    CONDITION/INJURY              # DISCHARGES  RATE # DISCHARGES  RATE     DIFFERENCE          
                                                                                                
     All Conditions/Injuries         212,405  9,909.00  359,031  9,837.00       0.7             
     Pregnancy/Childbirth             59,059  2,504.00   89,507  2,465.00       1.6             
     All Injuries                     33,639  1,624.00   55,504  1,509.00       7.6             
     Diabetes Related Diseases        26,644  1,313.00   46,921  1,277.00       2.8             
     Heart Disease                    20,121    991.00   37,934  1,014.00      -2.3             
     Digestive Diseases               16,100    775.0    29,464    808.0       -4.1             
     Musculoskeletal Diseases         14,491    714.0    23,783    659.0        8.3             
     Psychosis/Mental Health          11,991    561.0    17,125    492.0       14.0             
     Pneumonia                         6,748    327.0    14,664    386.0      -15.3             
     Genitourinary Diseases            7,911    380.0    14,656    411.0       -7.5             
     Cancer                            6,831    335.0    11,800    322.0        4.0             
     Fractures                         5,657    271.0     9,998    261.0        3.8             
     Other Respiratory Diseases        5,017    235.0     9,145    246.0       -4.5             
     Tobacco Related Diseases          5,179    253.0     9,566    257.0       -1.6             
     Surgical/Medical Complications    5,131    249.0     8,506    236.0        5.5             
     Cerebrovascular Disease           4,589    226.0     8,131    214.0        5.6             
     COPD                              4,117    201.0     7,578    208.0       -3.4             
     Alcohol Related Diseases          1,394     67.0     2,405     67.0        0.0             
                                                                                                
    Leading Causes of Injury                                                                    
     Falls                             6,202    300.0    11,318    291.0        3.1             
     MV Accidents                      1,417     66.0     2,218     62.0        6.5             
     Self-Inflicted                    1,216     55.0     1,754     50.0       10.0             
     Other Unintentional                 786     38.0     1,215     33.0       15.2             
     Poisoning                           390     18.0       592     16.0       12.5             
     Struck/Pierced by Object            346     16.0       609     17.0       -5.9             
     Overexertion                        266     12.0       480     13.0       -7.7             
     Environmental                       276     13.0       513     14.0       -7.1             
     Assault                             325     14.0       442     12.0       16.7             
                                                                                                
                                LEADING PAYER TYPE FOR HOSPITALIZATION, 2003-2004               
                                                                                                
                                     BIG EASTERN            NEBRASKA         PERCENT            
    PAYER TYPE                      DISCHARGES    %   DISCHARGES     %      DIFFERENCE          
     Commercial                      116,733     55.0   168,501     46.9       17.3             
     Medicare                         62,418     29.4   131,141     36.5      -19.5             
     Medicaid                         28,436     13.4    50,769     14.1       -5.0             
     Self-Pay                          2,247      1.1     3,460      1.0       10.0             
     Other State/Federal               2,571      1.2     5,160      1.4      -14.3             
                                                                                                
    NOTE: Age adjusted rates are based on the 2000 U.S. census standard.                        
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                     INCIDENCE OF AIDS, 2000-2004                               
                                                                                                
                                   BIG EASTERN                       NEBRASKA                   
                                       *Rate                            Rate                    
                                        2.4                              3.8                    
                                                                                                
       * County or HD rates are not available.  The above rates are the rate per                
         100,000 population of the Service Area containing the county or HD.                    
                                                                                                
                 INCIDENCE OF RESOURCE INTENSIVE COMMUNICABLE DISEASES, 2003                    
                                                                                                
                                   BIG EASTERN                       NEBRASKA                   
                                       Rate                             Rate                    
      West Nile Virus (WNV)            39.4                              112                    
      Chronic Hepatitis C              84.9                             64.2                    
      TB                                1.8                              1.6                    
                                                                                                
       Note: Rates are per 100,000 Population.                                                  
                                                                                                
               INCIDENCE RATES OF SEXUALLY TRANSMITTED DISEASES BY RACE/ETHNICITY               
                                                                                                
                          BIG EASTERN                                NEBRASKA                   
                                   2000-2004                                2000-2004           
          2004   2004          Native        His-    2004   2004          Native        His-    
AGE GROUP Total  White  Black American Asian panic   Total  White  Black American Asian panic   
 All Ages  568.5  247.8 2935.1  884.0  150.9  616.5   424.4  193.7 2847.6  903.3  166.6  518.3  
 < 18      332.8  121.4 1687.8  278.4   59.6  138.1   226.2   83.9 1616.4  383.6   67.7  125.0  
 > 17      637.4  283.8 3284.9 1065.5  150.1  784.8   455.9  207.6 3181.6 1086.7  163.3  667.2  
STD TYPE                                                                                        
Gonorrhea  101.6   28.3 1065.6  231.4   22.8  101.7    65.8   19.1 1025.7  127.1   19.6   62.9  
Chlamydia  391.1  176.7 1739.4  601.1  109.7  458.5   301.3  146.5 1695.1  722.6  131.0  413.7  
  Female   555.1  264.3 2335.4  935.2  166.9  718.9   433.6  223.1 2278.7 1163.2  198.0  666.3  
Herpes      52.9   27.7   85.7   19.3    8.8   32.5    42.0   18.6   82.7   18.7    7.3   23.5  
                                                                                                
       Note: Rates are per 100,000 Population.                                                  
                                                                                                
                             ESTIMATED PREVALENCE OF DEMENTIA, 2004                             
                                                                                                
                              BIG EASTERN                       NEBRASKA                        
                Rate *        # of Persons **                   # of Persons **                 
    Age 65-74    10%              6,014                            11,135                       
    Age 75-84    20%              8,678                            16,908                       
    Age 85+      47%              8,228                            16,878                       
                                                                                                
 * Source: Prevalence estimates - Alzheimer's Association.                                      
** Number of persons is the Alzheimer prevalence times the 2004 U.S. Census estimate.           
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        MATERNAL AND CHILD HEALTH AND WELL-BEING                                                
                                                                                                
                           INFANT MORTALITY BY RACE/ETHNICITY, 2000-2004                        
                                                                                                
                          BIG EASTERN           NEBRASKA                                        
                           INFANT             INFANT          NEBRASKA YEAR 2010                
    RACE/ETHNICITY         DEATHS  RATE       DEATHS  RATE         OBJECTIVE                    
    White                    392   5.6          670   5.9             4.5                       
    Black                    115  16.6          121  16.9             4.5                       
    Native American           14  19.3           31  14.4             4.5                       
    Asian                      7   2.9           10   3.5             4.5                       
    Total                    531   6.5          838   6.6             4.5                       
    Hispanic                  58   7.2          109   6.9             4.5                       
                                                                                                
       Note: Rates are per 1,000 live births.                                                   
                                                                                                
    VERY LOW (<1500 GR) AND LOW (<2500 GR) BIRTH WEIGHT BY RACE/ETHNICITY, 2000-2004            
                                                                                                
                                                              NEBRASKA YEAR 2010                
                          BIG EASTERN           NEBRASKA           OBJECTIVE                    
    WEIGHT                 NUMBER  RATE       NUMBER  RATE          RATE                        
    Very Low - All Births  1,084  13.3        1,611  12.7             9.0                       
    Low - All Births       5,937  73.1        8,821  69.4            50.0                       
          White            4,775  67.9        7,431  65.8            50.0                       
          Black              874 126.1          897 125.1            50.0                       
          Native American     59  81.2          145  67.2            50.0                       
          Asian              182  74.4          221  77.7            50.0                       
          Hispanic           501  61.7          976  62.0            50.0                       
                                                                                                
       Note: Rates are per 1,000 live births.                                                   
                                                                                                
                     NUMBER OF INFANTS BORN WITH BIRTH DEFECTS, 1999-2003                       
                                                                                                
                               BIG EASTERN           NEBRASKA                                   
                           # of      % of          # of      % of                               
                          Infants Total Births    Infants Total Births                          
    Infants with birth                                                                          
     defects                3,187      4.0         4,534        3.6                             
                                                                                                
                          TEEN AGE BIRTHS BY AGE AND RACE/ETHNICITY, 2000-2004                  
                   BIG EASTERN                       NEBRASKA                                   
    Age of Mother  10-17        15-17            10-17        15-17                             
                NUMBER   %   NUMBER   %       NUMBER   %   NUMBER   %                           
    All Births  2,272   2.8  2,189   2.7      3,715   2.9  3,583   2.8                          
    White       1,536   2.2  1,502   2.1      2,792   2.5  2,718   2.4                          
    Black         616   8.9    572   8.3        631   8.8    586   8.2                          
    Native Amer    66   9.1     64   8.8        184   8.5    179   8.3                          
    Asian          29   1.2     29   1.2         36   1.3     35   1.2                          
    Hispanic      415   5.1    403   5.0        881   5.6    846   5.4                          
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
               PERCENTAGE OF PREGNANT WOMEN WHO SMOKE DURING PREGNANCY, 2000-2004               
                                                                                                
    NUMBER OF CIGARETTES                                      NEBRASKA YEAR 2010                
    SMOKED PER DAY           BIG EASTERN          NEBRASKA         OBJECTIVE                    
    1-10                          9.8              10.4                 --                      
    11-20                         2.7               2.8                 --                      
    21+                           0.6               0.6                 --                      
    Unknown                       0.2               0.3                 --                      
                                                                                                
    TOTAL                        13.3              14.1                 2.0                     
                                                                                                
    Note: These figures are based on pregnant women who have a live birth.                      
                                                                                                
                PERCENT BEGINNING PRENATAL CARE IN THE FIRST TRIMESTER, 2000-2004               
                                                                                                
                                                              NEBRASKA YEAR 2010                
    RACE                     BIG EASTERN          NEBRASKA         OBJECTIVE                    
    White                        85.7              84.7                90.0                     
    Black                        70.9              70.5                90.0                     
    Native American              65.9              68.3                90.0                     
    Asian                        82.8              82.2                90.0                     
                                                                                                
    Total                        84.0              83.2                90.0                     
                                                                                                
    Hispanic                     70.0              69.3                90.0                     
                                                                                                
    Note: These figures are based on pregnant women who have a live birth.                      
                                                                                                
                                                                                                
                                                                                                
                                                                                                
       CHILDREN AGED 19-35 MONTHS UP-TO-DATE ON IMMUNIZATIONS, July 2003 - June 2004            
                                                                                                
                                                                          NEBRASKA              
                                   BIG EASTERN        NEBRASKA             CURRENT              
                                                                          OBJECTIVE             
    % of children receiving      County-level data                                              
    4 DTP/3 Polio/1 Measles-       not avaliable        82.4%                90%                
    Containing Vaccine/3 Hib/                                                                   
    3 Hepatitis B                                                                               
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        RISK FACTOR PREVALENCE                                                                  
                                                                                                
       BRFSS RISK FACTOR PREVALENCE ESTIMATES (ADULTS AGE 18 OR OLDER), 2000-2004               
                                                                                                
                                    BIG EASTERN         NEBRASKA         NEBRASKA               
                                          * % WITH          % WITH      YEAR 2010               
    RISK FACTOR                     (N)   BEHAVIOR   (N)   BEHAVIOR     OBJECTIVE               
    Obese (body mass                                                                            
       index 30 or higher)       11,472     21.9   23,583    22.4          15%                  
    No leisure-time                                                                             
     physical activity           12,136     23.6   24,965    25.0          15%                  
    Currently smoke                                                                             
     cigarettes                  12,118     21.5   24,932    21.1          12%                  
    Chronic drinking                                                                            
     60+/Mo Men - 30+/Mo Women   10,221      5.5   21,579     4.8          --                   
    No health insurance          12,130     10.4   24,932    11.9           0%                  
    Could not see physician in                                                                  
     past 12 months due to cost   7,556      7.5   16,873     8.4           4%                  
                                                                                                
    Mammogram                                                                                   
     in past two                                                                                
     years (Ages 40+)             2,817     79.0    6,913    75.5          75%                  
    Immunization rates (65+)                                                                    
     Flu shot past 12 months      2,541     73.2    6,210    71.5          90%                  
     Pneumonia immunization       2,512     64.7    6,123    63.2          90%                  
                                                                                                
    General health good to                                                                      
     excellent (self-reported)   12,127     88.8   24,924    87.4          --                   
    Ten or more days in past 30                                                                 
     days health not good                                                                       
      Physical health             9,544      9.4   20,236     9.7          --                   
      Mental health               9,553      9.8   20,276     9.5          --                   
                                                                                                
    * Note: With the exception of Sarpy, county percentages are the                             
      Health District percentage containing the county.  Douglas and                            
      Lancaster counties are their own Health District                                          
                                                                                                
                           YOUTH RISK BEHAVIORS, GRADES 9-12, 2003                              
                                                                 NEBRASKA YEAR 2010             
                                          NEBRASKA       U.S.           OBJECTIVE               
    Smoking at least once in                                                                    
     past 30 days                           24%          35%               15%                  
                                                                                                
    Drank alcohol on at least                                                                   
     1 of past 30 days                      47%          50%               --                   
                                                                                                
    Binge drinking (5+ drinks                                                                   
     on an occasion) in past                                                                    
     30 days                                32%          32%               25%                  
                                                                                                
    Drinking and driving                                                                        
     in past 30 days                        21%          13%               10%                  
                                                                                                
    Riding in a motor vehicle with                                                              
     someone who has been drinking                                                              
     alcohol (past 30 days)                 39%          33%               30%                  
                                                                                                
    Ever used marijuana in lifetime         35%          49%               --                   
                                                                                                
    Used marijuana in past 30 days          18%          27%               5%                   
                                                                                                
    Ever used cocaine (any form) in                                                             
        lifetime                             7%          10%               --                   
                                                                                                
    Ever used inhalants (sniffed glue,                                                          
     breathed contents of aerosol spray                                                         
     cans, inhaled paints/sprays to get                                                         
     high) in lifetime                      12%          15%               --                   
                                                                                                
                                                                                                
            RACIAL/ETHNIC RISK FACTOR PREVALENCE ESTIMATES, AGES 18 & OLDER, 2000-2004          
                                                                                                
                                              State-Level Data Only                             
                                                                                                
                                                                                                
                                      African   Native   Asian   Hispanic                       
     Risk Factor                      American American American American  White                
                                                                                                
     Obese (BMI 30 or higher)           34       39       11       24       23                  
                                                                                                
     No leisure-time physical activity  34       29       25       44       25                  
                                                                                                
     Currently smoke cigarettes         27       44       20       18       23                  
                                                                                                
     General health good to excellent   77       76       89       73       86                  
                                                                                                
     No health insurance                20       27       14       45       11                  
                                                                                                
     Could not afford to see physician  17       21       13       17        9                  
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        ENVIRONMENTAL DATA                                                                      
                                                                                                
       NITRATE LEVELS IN COMMUNITY WATER SYSTEMS, 2000-2004                                     
                                                                                                
               BIG EASTERN              NEBRASKA                                                
                                                                                                
               % OF                       % OF                                                  
      # OF   COMM POP AVERAGE    # OF   COMM POP AVERAGE                                        
     COMMNTY DRINKING NITRATE   COMMNTY DRINKING NITRATE    NEBRASKA YEAR 2010                  
     SYSTEMS  >10 PPM  LEVEL*   SYSTEMS  >10 PPM  LEVEL*        OBJECTIVE                       
                                                               < 1% who drink                   
      418       0.9     2.8       1351     1.0     3.0         water >10 ppm                    
                                                                                                
                                                                                                
     * Weighted average.  Weight is the number served by the water system.                      
                                                                                                
                                                                                                
                                                                                                
                                                                                                
           FLUORIDE LEVELS IN COMMUNITY WATER SYSTEMS, 2004                                     
                                                                                                
                BIG EASTERN                            NEBRASKA                                 
                                                                                                
                                 % OF                                    % OF                   
              SYSTEMS          COMM POP               SYSTEMS          COMM POP                 
      # OF     WITH   COMMTY % DRINKING       # OF     WITH   COMMTY % DRINKING                 
     COMMNTY FLUORIDE OF 2000  FLUORIDE      COMMNTY FLUORIDE OF 2000  FLUORIDE                 
     SYSTEMS .75-1 PPM CENSUS .75-1 PPM      SYSTEMS .75-1 PPM CENSUS .75-1 PPM                 
                                                                                                
      225       26     85.0      85.3          607       97    81.1       67.5                  
                                                                                                
                                                                                                
    Nebraska Year 2010 Objective: at least 80% of people served by community                    
                                  water systems receive optimal levels of                       
                                  fluoride (.75-1 ppm).                                         
                                                                                                
                                                                                                
                                                                                                
               HIGH BLOOD LEAD LEVELS IN CHILDREN UNDER AGE 6, 2002-2004                        
                                                                                                
              BIG EASTERN               NEBRASKA                                                
                                                                                                
                 # w/High     %          # w/High      %    NEBRASKA YEAR 2010                  
     LEAD LEVEL Blood Lead Tested       Blood Lead  Tested      OBJECTIVE                       
                                                                                                
     >9ug/dL      1350        3.4          1846       3.3      0% (>9ug/dL)                     
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        AVAILABILITY OF SERVICES                                                                
                                                                                                
                           HEALTH PROFESSIONALS IN PRACTICE, 2003                               
                                                                                                
                                     BIG EASTERN                 NEBRASKA                       
                                            # Persons                  # Persons                
                                  # of      Served per       # of      Served per               
    PROFESSION              Practitioners Practitioner Practitioners Practitioner               
                                                                                                
General/Family Practice          389           2719          677          2569                  
Internal Medicine                162           6528          227          7662                  
Pediatrics                       130           8135          162         10736                  
OB/Gynecology                    109           9702          143         12163                  
Psychiatry                       114           9277          140         12424                  
Physician Assistant              280           3777          445          3909                  
Nurse Practitioner               239           4425          329          5287                  
Licensed Practical Nurse        2925            362         6337           274                  
Dentist                          749           1412         1084          1605                  
Registered Nurse               12122             87        18257            95                  
Note: Persons served was calculated using 2003 census estimates.                                
                                                                                                
 RN's (2002) & Primary Care Physicians (2004) by Race/Ethnicity                                 
                             # RN's # Primary Care Physicians # RN's # Primary Care Physicians  
 White                         9153            665            15729           1023              
 Black                          128             13              166             15              
 Native American                 25              3               54              5              
 Asian                           77             29              117             43              
 Hispanic                       109             20              183             25              
 Other Race/Ethnicity/Unknown    49              2               85              4              
                                                                                                
                       FEDERAL SHORTAGE AREA DESIGNATIONS, 2003                                 
                                                                                                
                                     BIG EASTERN                 NEBRASKA                       
        HPSA                           Part                        Part                         
        MUA/MUP                        Part                        Part                         
                                                                                                
                            EMERGENCY SERVICES, 2003                                            
                                                                                                
        SERVICE                           BIG EASTERN            NEBRASKA                       
    Ambulance services                         130                 394                          
                                                                                                
                          AVAILABILITY OF TRANSPORATION, 1998                                   
                                                                                                
                 PUBLIC TRANSPORTATION AVAILABLE IN BIG EASTERN ?  YES .                        
                                                                                                
            COMMUNITIES SERVED BY PUBLIC TRANSPORTATION IN BIG EASTERN :                        
                                                                                                
                    Old Southeast SA & Old Eastern SA Cities                                    
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        SERVICE UTILIZATION DATA                                                                
                                                                                                
                                                                                                
                     MEDICAID ELIGIBILITY AND EXPENDITURES, FY 2003                             
                                                                                                
                           BIG EASTERN                    NEBRASKA                              
                        TOTAL PERSONS    % OF        TOTAL PERSONS    % OF                      
                        ELIGIBLE(#)   ELIGIBLES      ELIGIBLE(#)   ELIGIBLES                    
                                                                                                
    Medicaid              116,123        100.0         205,498        100.0                     
       Aged                 8,836          7.6          18,449          9.0                     
       Blind & Disabled    16,022         13.8          26,534         12.9                     
       ADC Children        74,733         64.4         134,743         65.6                     
       ADC Adults          16,532         14.2          25,772         12.5                     
                                                                                                
                                                                                                
                                                                                                
                             BIG EASTERN                   NEBRASKA                             
                              TOTAL    % OF TOTAL      TOTAL    % OF TOTAL                      
                             DOLLARS    MEDICAID      DOLLARS    MEDICAID                       
                              ($000)    DOLLARS        ($000)    DOLLARS                        
                                                                                                
    Medicaid                $764,275     100.0     $1,280,005     100.0                         
       Aged                  183,579      25.6        353,582      29.4                         
       Blind & Disabled      283,781      39.5        432,011      36.0                         
       ADC Children          191,279      26.6        319,452      26.6                         
       ADC Adults             59,184       8.2         95,724       8.0                         
                                                                                                
               MEDICAID EXPENDITURES BY TYPE OF SERVICE PROVIDED, FY 2003                       
                                                                                                
                             BIG EASTERN                   NEBRASKA                             
                              TOTAL    % OF TOTAL      TOTAL    % OF TOTAL                      
                             DOLLARS    MEDICAID      DOLLARS    MEDICAID                       
                              ($000)    DOLLARS        ($000)    DOLLARS                        
                                                                                                
    All Medicaid            $764,275     100.0     $1,280,005     100.0                         
                                                                                                
    Medicaid Fee-for-Service 559,290      73.2        970,707      75.8                         
       Hospital--Inpatient   157,988      20.7        257,282      20.1                         
       Hospital--Outpatient   37,894       5.0         75,892       5.9                         
       ICF Mentally Retarded  39,909       5.2         50,253       3.9                         
       Nursing Facility      149,572      19.6        271,975      21.2                         
       Physician              52,126       6.8        100,083       7.8                         
       Dental                 18,470       2.4         33,337       2.6                         
       Prescribed Drugs      103,332      13.5        181,885      14.2                         
                                                                                                
    Other Medicaid (Includes                                                                    
       Capitated Payments)   204,985      26.8        309,298      24.2                         
                                                                                                
                                                                                                
                   UTILIZATION OF SERVICES BY PROGRAM, FY 2004                                  
                                                                                                
                             BIG EASTERN                   NEBRASKA                             
                             AVERAGE    AVERAGE       AVERAGE    AVERAGE                        
                             MONTHLY    PAYMENT       MONTHLY    PAYMENT                        
                          PARTICIPANTS    ($)      PARTICIPANTS    ($)                          
                                                                                                
    Aid to Dependent           8,531   $354.22*        12,237   $353.16*                        
       Children (ADC)                                                                           
    Food Stamp Program        68,837    $82.33**      111,435    $79.42**                       
                                                                                                
     *  Average payment per family.                                                             
     ** Average payment per person.                                                             
                                                                                                
                NUMBER OF PERSONS SERVED BY PUBLIC HEALTH PROGRAMS                              
                                                                                                
    SERVICE PROVIDED                 BIG EASTERN                   NEBRASKA                     
                                                                                                
    WIC, UNDUPLICATED PERSONS SERVED, 2004                                                      
       Pregnant women seen                       2,878            4,527                         
       Breastfeeding clients seen                3,407            5,609                         
       Postpartum women seen                     5,656           10,951                         
       Infants seen                              5,490            9,521                         
       Children seen                            21,623           39,835                         
                                        Native                             Native               
       Total WIC clients     Total  Black Am  Asian Hispanic    Total  Black Am  Asian Hispanic 
       seen in 2004        39,057 7,123   555 1,068 10,203     70,449 7,664 1,316 1,296 20,674  
                                                                                                
    Reproductive health, 2004                   26,864           42,421                         
                                                                                                
              NURSING HOME AND HOSPITAL LONG-TERM CARE OCCUPANCY, 2004                          
                                                                                                
                                            BIG EASTERN           NEBRASKA                      
    Nursing Home and Hospital                                                                   
    Long-Term Care Facilities                                                                   
         Number of licensed beds                 7,929           17,130                         
         Occupancy rate                           83.2             82.7                         
                                                                                                
    Persons Aged 65 and Older                                                                   
    Living in Nursing Homes or                                                                  
    Hospital Long-Term Care                                                                     
    Facilities                                                                                  
         Number                                  5,777           12,710                         
         Percent of population                     4.8              5.5                         
           aged 65 and older                                                                    

Statistical Profiles