AREA PROFILE -- BIG WESTERN                                 
                                                                                                
                                                                                                
        DEMOGRAPHIC DATA                                                                        
                                                                                                
                                U.S. CENSUS ESTIMATES, 2004                                     
                                                                                                
                 BIG WESTERN -   194,074                NEBRASKA - 1,747,214                    
                                                                                                
                                                                                                
                                 POPULATION BY AGE AND RACE/ETHNICITY                           
                        BIG WESTERN                                NEBRASKA                     
 AGE         PERCENT        NATIVE                                         NATIVE               
GROUP   TOTAL       BLACK AMERICAN ASIAN HISPANIC  TOTAL  PERCENT  BLACK AMERICAN ASIAN HISPANIC
  0-4  12,181  6.3     65    287      65   2,291  122,049   7.0     6,566  1,726   2,087  15,560
 5-14  25,500 13.1    212    609     141   4,300  236,970  13.6    14,021  3,332   3,652  24,538
15-24  28,903 14.9    238    587     160   3,673  266,314  15.2    13,893  3,368   4,811  21,847
25-44  43,945 22.6    277    818     264   5,731  473,637  27.1    22,127  4,736  11,084  40,755
45-64  50,480 26.0    111    482     210   3,020  416,441  23.8    13,444  2,631   5,077  13,752
65-74  15,590  8.0     12     88      55     555  111,352   6.4     2,767    471     821   2,126
75-84  12,167  6.3     11     44      68     336   84,541   4.8     1,454    213     325   1,044
 85+    5,308  2.7      7     22      21      96   35,910   2.1       549     93      76     359
 <18   48,954 25.2    354  1,120     267   7,970  446,083  25.5    24,698  6,261   7,104  47,141
 65+   33,065 17.0     30    154     144     987  231,803  13.3     4,770    777   1,222   3,529
                                                                                                
                                                                                                
                               POPULATION BY GENDER AND RACE/ETHNICITY                          
                        BIG WESTERN                                NEBRASKA                     
             PERCENT        NATIVE                                         NATIVE               
GENDER  TOTAL       BLACK AMERICAN ASIAN HISPANIC  TOTAL  PERCENT  BLACK AMERICAN ASIAN HISPANIC
Men    95,281 49.1    541  1,442     475  10,367  863,628  49.4    37,128   8,068  13,719 65,048
Women  98,793 50.9    392  1,495     509   9,635  883,586  50.6    37,693   8,502  14,214 54,933
 15-17  5,504          31    110      31     684   42,285           1,986    590     663   3,127
                                                                                                
                                                                                                
                                    POPULATION BY RACE/ETHNICITY                                
                                                                                                
                             BIG WESTERN                         NEBRASKA                       
         RACE/ETHNICITY     NUMBER   PERCENT                     NUMBER   PERCENT               
         White             187,950     96.8                   1,609,056     92.1                
         Black                 933      0.5                      74,821      4.3                
         Native American     2,937      1.5                      16,570      0.9                
         Asian                 984      0.5                      27,933      1.6                
                                                                                                
         Hispanic           20,002     10.3                     119,981      6.9                
                                                                                                
         Minority *         25,147     13.0                     250,577     14.3                
                                                                                                
    * Minority Population = Total Population - White, Not Hispanic Population                   
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                  HOUSEHOLDS BY TYPE, 2000 CENSUS                               
                                                                                                
                                      BIG WESTERN               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                     32.3      24.8              28.6      25.6               
   Male householders                    1.0       2.2               1.3       2.0               
   Female householders                  2.0       5.8               2.6       6.5               
   Male householder nonfamilies        14.2       0.3              15.2       0.3               
   Female householder nonfamilies      17.4       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                   68.1  67.7  56.4  76.0     66.6  66.2  65.0  74.3               
      Married Couples           57.1  57.4  33.5  37.4     54.2  55.4  28.8  35.4               
        W/Children < 18         24.8  24.1  20.1  26.1     25.6  25.4  16.7  24.0               
      Single Parent Families    11.0   7.3  17.5  34.0     12.4   7.2  28.7  32.6               
        Male householder         3.2   3.0  12.1   7.6      3.3   3.0   5.4   8.8               
          W/Children < 18        2.2   2.0  10.1   6.2      2.0   1.8   3.6   6.7               
        Female Householder       7.8   7.3  10.8  31.0      9.1   7.8  30.8  30.1               
          W/Children < 18        5.8   5.3   7.4  27.8      6.5   5.4  25.1  25.9               
     Nonfamily households       32.0  32.4  43.6  23.9     33.4  33.7  34.9  25.7               
                                                                                                
                                                                                                
                                  % OF HOUSEHOLDS             % OF HOUSEHOLDS                   
                                  Asian  Hispanic Minority *  Asian  Hispanic Minority *        
     Families                      66.5     79.6     76.7      66.9     77.3     70.2           
      Married Couples              50.4     56.4     52.7      53.7     54.0     42.1           
        W/Children < 18            19.8     39.9     35.7      33.0     40.7     28.3           
      Single Parent Families        9.3     18.9     19.7       8.3     17.9     21.8           
        Male householder            6.1      8.1      7.7       4.5      9.6      7.1           
          W/Children < 18           2.5      6.0      5.7       2.2      6.3      4.6           
        Female Householder         10.0     15.1     16.3       8.7     13.7     21.0           
          W/Children < 18           6.8     12.9     14.0       6.1     11.6     17.2           
     Nonfamily households          33.5     20.5     23.2      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 WESTERN                NEBRASKA                        
                                                  Native                     Native             
                                Total White Black American Total White Black American           
                                                                                                
     Less than 9th grade         7.1   5.8  11.7  10.2      5.4   4.5   5.3   9.0               
     9th to 11th grade           9.3   8.7  14.6  19.9      8.0   7.3  16.0  15.1               
     High school diploma        34.1  34.7  23.8  36.8     31.3  31.8  31.2  33.7               
     Some college, no degree    25.5  26.1  28.8  22.7     24.3  24.5  27.4  26.1               
     Associate degree            7.3   7.5   7.5   3.4      7.3   7.5   5.9   7.4               
     Baccalaureate degree       12.1  12.5  10.7   5.1     16.5  17.0  10.5   6.2               
     Graduate or professional    4.5   4.7   2.8   1.8      7.3   7.4   3.6   2.6               
     degree                                                                                     
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                Percent of persons 25 years and older                           
                                                                                                
                                     BIG WESTERN                NEBRASKA                        
                                                                                                
                                                                                                
                                  Asian  Hispanic Minority *  Asian  Hispanic Minority *        
                                                                                                
     Less than 9th grade            3.9     36.3     29.9      10.8     34.2     17.9           
     9th to 11th grade              9.6     20.3     18.9      11.9     19.2     16.3           
     High school diploma           35.3     23.5     25.7      17.1     21.3     25.5           
     Some college, no degree       17.5     13.1     15.6      13.3     13.9     20.1           
     Associate degree               4.4      3.0      3.5       5.4      2.9      4.8           
     Baccalaureate degree          17.3      3.2      4.8      21.8      5.9     10.0           
     Graduate or professional      11.8      0.7      1.7      19.8      2.7      5.5           
     degree                                                                                     
                                                                                                
    * Minority Population = Total Population - White, Not Hispanic Population                   
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        SOCIAL INDICATORS                                                                       
                                  PER CAPITA INCOME, 2000 CENSUS                                
                                                                                                
                                 BIG WESTERN           NEBRASKA                                 
                                $17,087                $19,613                                  
                                                                                                
                         MEDIAN HOUSEHOLD INCOME, 2002 CENSUS ESTIMATES                         
                                                                                                
                                 BIG WESTERN           NEBRASKA                                 
                                $34,026                $41,978                                  
                                                                                                
                        PERCENT BELOW 100% POVERTY, 2002 CENSUS ESTIMATES                       
                                                                                                
                                 BIG WESTERN           NEBRASKA                                 
     5-17 Years of Age               14.7                    10.8                               
     Total Population                12.5                    10.0                               
                                                                                                
                 PERCENT BELOW 100% POVERTY BY RACE/ETHNICITY, 2000 CENSUS *                    
                                                                                                
                                 BIG WESTERN           NEBRASKA                                 
     White                           10.6                     8.2                               
     Black                           36.0                    27.4                               
     Native American                 47.3                    33.0                               
     Asian                           10.9                    12.8                               
     Hispanic                        23.2                    20.4                               
 * A '.' indicates the population estimate of the racial/ethnic group is zero.                  
                                                                                                
                     PERCENT OF WORKERS UNEMPLOYED, DEPT. OF LABOR, MAY, 2004                   
                                                                                                
                            BIG WESTERN                NEBRASKA                                 
                    # UNEMPLOYED   % OF WORKERS   # UNEMPLOYED % OF WORKERS                     
                         3,844         3.6          39,368       4.0                            
                                                                                                
                                  HIGH SCHOOL DROPOUT RATE, 2003-2004                           
                                                                                                
                                 BIG WESTERN              NEBRASKA                              
     % of 7-12th Grade Member-                                                                  
     ship Who Drop Out of School      1.4                       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 WESTERN              NEBRASKA                              
                      # BIRTHS    % OF 1ST BIRTHS*  # BIRTHS  % OF 1ST BIRTHS*                  
     Total               519           10.9          4,398          9.0                         
     White               455           10.1          3,351          7.7                         
     Black                 2           11.8            653         24.4                         
     Native American      42           42.0            232         36.9                         
     Asian                 1            2.4             39          2.9                         
     Hispanic            162           21.5          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 WESTERN                NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Total Arrests                       11174   57.6          94,648   54.2                    
     Arrests for violent crimes *          150    0.8           1,596    0.9                    
     Reported forcible rape offenses        23    0.1             195    0.1                    
     Arrests for DUI                     1,518    7.8          14,163    8.1                    
     Drug law violation arrests          1,222    6.3          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 WESTERN                NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Total Arrests                      2,215    45.2         14,867    33.3                    
     Arrests for violent crimes *          18     0.4            224     0.5                    
     Arrests for DUI                       58     1.2            348     0.8                    
     Drug law violation arrests           129     2.6          1,150     2.6                    
    *Violent crimes include: murder, forcible rape, robbery and aggravated assault.             
                                                                                                
                           CHILD PROTECTION AND SAFETY, CY 2004                                 
                                                                                                
                                       BIG WESTERN                NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
                                                                                                
     Average number of children                                                                 
     in out-of-home care *               842    16.9          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 WESTERN          NEBRASKA                       
     Rate per 1,000 Children < Age 19            7.9                 8.6                        
                                                                                                
                   DOMESTIC VIOLENCE, JULY 1, 1999 - JUNE 30, 2000                              
                                       BIG WESTERN                NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Number of Crisis Calls                                                                     
     Received by Multi-County Agency    8,456     42.7       108,312     63.3                   
     Total New Contacts for                                                                     
     Multi-County Agency                3,045     15.4        24,249     14.2                   
     BIG WESTERN MULTI-COUNTY AREA ALSO INCLUDES:                                               
               Big Western                                                                      
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        HEALTH STATUS                                                                           
                                                                                                
                                                                                                
                                LEADING CAUSES OF DEATH, 2000-2004                              
                             Age-Adjusted Death Rates per 100,000 Population                    
                                                                                                
                                                                            NEBRASKA            
                                                        NEBRASKA           NATIVE               
                        BIG WESTERN       NEBRASKA      YEAR 2010   BLACK AMERICAN HISPANIC     
CAUSE OF DEATH             DEATHS  RATE  DEATHS  RATE   OBJECTIVE   RATE    RATE    RATE        
Heart Disease (#1)          2,921 207.3  20,262 205.1      --       245.6   276.0  110.6        
Cancer -- All Sites (#2)    2,284 177.4  16,798 182.0    147.0      255.2   201.9  117.8        
  Lung/Bronchus/Trachea       560  44.4   4,444  49.1     39.0       81.5    60.1   24.6        
  Breast (Female)             170  25.2   1,224  23.8     20.7       41.3    32.8    9.7        
  Prostate                    160  29.4     943  25.7     25.9       48.8    18.5    9.3        
Cerebrovascular (#3)          785  54.6   5,385  54.0     47.4       87.0    55.2   28.8        
Unintentional Injuries (#4)   554  50.5   3,457  37.6     19.4       25.2    92.6   34.9        
  Motor Vehicle               255  25.8   1,469  16.6     12.0        9.7    43.8   17.4        
Chronic Lung Disease (#5)     619  45.0   3,746  39.4      --        39.2    54.7   12.4        
                                                                                                
Suicide                       147  15.2     922  10.7      8.2        4.6     9.1    4.2        
Homicide                       26   2.8     259   3.0      2.0       20.3    11.9    6.6        
                                                                                                
Diabetes Related            1,022  75.2   6,933  72.6     25.0      162.8   260.9  109.3        
Tobacco Related             1,889 142.4  12,886 137.2      --       184.1   192.6   75.5        
Alcohol Related               488  42.6   3,255  35.5      --        41.9   137.3   41.2        
Work Related Accidents         41   4.0     209   2.4      --         0.4     0.9    2.5        
                                                                                                
All Causes                 10,998 822.0  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 WESTERN                              NEBRASKA                           
                                                                      Native                    
                     Total    Total           Total    Total   Black American Hispanic          
Cancer Type         # Cases   Rate           # Cases   Rate    Rate    Rate     Rate            
All Sites             5,510   453.6           42,194   474.2   474.5   393.6   292.3            
                                                                                                
Lung & Bronchus         681    54.7            5,572    62.7    93.3    62.7    39.3            
Breast (Female)         784   124.9            6,278   131.8   102.2    56.9    57.2            
Prostate                932   167.7            6,470   165.9   197.9   146.3    57.0            
Colorectal              666    52.3            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 WESTERN            NEBRASKA         PERCENT            
    CONDITION/INJURY              # DISCHARGES  RATE # DISCHARGES  RATE     DIFFERENCE          
                                                                                                
     All Conditions/Injuries          40,599  9,364.00  359,031  9,837.00      -4.8             
     Pregnancy/Childbirth              8,237  2,321.00   89,507  2,465.00      -5.8             
     All Injuries                      5,694  1,221.00   55,504  1,509.00     -19.1             
     Diabetes Related Diseases         5,684  1,178.00   46,921  1,277.00      -7.8             
     Heart Disease                     4,491    886.00   37,934  1,014.00     -12.6             
     Digestive Diseases                4,219    932.0    29,464    808.0       15.3             
     Musculoskeletal Diseases          2,171    457.0    23,783    659.0      -30.7             
     Psychosis/Mental Health           1,419    379.0    17,125    492.0      -23.0             
     Pneumonia                         2,298    475.0    14,664    386.0       23.1             
     Genitourinary Diseases            2,001    482.0    14,656    411.0       17.3             
     Cancer                            1,354    279.0    11,800    322.0      -13.4             
     Fractures                         1,198    233.0     9,998    261.0      -10.7             
     Other Respiratory Diseases        1,120    255.0     9,145    246.0        3.7             
     Tobacco Related Diseases          1,276    257.0     9,566    257.0        0.0             
     Surgical/Medical Complications      846    188.0     8,506    236.0      -20.3             
     Cerebrovascular Disease             942    176.0     8,131    214.0      -17.8             
     COPD                              1,046    224.0     7,578    208.0        7.7             
     Alcohol Related Diseases            318     72.0     2,405     67.0        7.5             
                                                                                                
    Leading Causes of Injury                                                                    
     Falls                             1,366    251.0    11,318    291.0      -13.7             
     MV Accidents                        199     49.0     2,218     62.0      -21.0             
     Self-Inflicted                      183     51.0     1,754     50.0        2.0             
     Other Unintentional                 130     28.0     1,215     33.0      -15.2             
     Poisoning                            79     19.0       592     16.0       18.8             
     Struck/Pierced by Object             79     19.0       609     17.0       11.8             
     Overexertion                         63     14.0       480     13.0        7.7             
     Environmental                        82     19.0       513     14.0       35.7             
     Assault                              44     12.0       442     12.0        0.0             
                                                                                                
                                LEADING PAYER TYPE FOR HOSPITALIZATION, 2003-2004               
                                                                                                
                                     BIG WESTERN            NEBRASKA         PERCENT            
    PAYER TYPE                      DISCHARGES    %   DISCHARGES     %      DIFFERENCE          
     Commercial                       12,372     30.5   168,501     46.9      -35.0             
     Medicare                         19,714     48.6   131,141     36.5       33.2             
     Medicaid                          7,335     18.1    50,769     14.1       28.4             
     Self-Pay                            217      0.5     3,460      1.0      -50.0             
     Other State/Federal                 961      2.4     5,160      1.4       71.4             
                                                                                                
    NOTE: Age adjusted rates are based on the 2000 U.S. census standard.                        
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                     INCIDENCE OF AIDS, 2000-2004                               
                                                                                                
                                   BIG WESTERN                       NEBRASKA                   
                                       *Rate                            Rate                    
                                        1.3                              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 WESTERN                       NEBRASKA                   
                                       Rate                             Rate                    
      West Nile Virus (WNV)             258                              112                    
      Chronic Hepatitis C              37.8                             64.2                    
      TB                                1.5                              1.6                    
                                                                                                
       Note: Rates are per 100,000 Population.                                                  
                                                                                                
               INCIDENCE RATES OF SEXUALLY TRANSMITTED DISEASES BY RACE/ETHNICITY               
                                                                                                
                          BIG WESTERN                                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  196.4   87.1  922.7  488.5   20.2  337.7   424.4  193.7 2847.6  903.3  166.6  518.3  
 < 18       58.1   25.1  575.1  136.5    0.0  117.4   226.2   83.9 1616.4  383.6   67.7  125.0  
 > 17      162.1   66.3  967.1  637.1   26.4  403.2   455.9  207.6 3181.6 1086.7  163.3  667.2  
STD TYPE                                                                                        
Gonorrhea    8.2    4.2   99.8   55.8    0.0    9.9    65.8   19.1 1025.7  127.1   19.6   62.9  
Chlamydia  150.9   80.7  798.0  425.7   20.2  312.3   301.3  146.5 1695.1  722.6  131.0  413.7  
  Female   219.9  123.1  529.4  716.3   39.2  495.5   433.6  223.1 2278.7 1163.2  198.0  666.3  
Herpes      32.7    1.1   24.9    0.0    0.0    2.2    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 WESTERN                       NEBRASKA                        
                Rate *        # of Persons **                   # of Persons **                 
    Age 65-74    10%              1,559                            11,135                       
    Age 75-84    20%              2,433                            16,908                       
    Age 85+      47%              2,495                            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 WESTERN           NEBRASKA                                        
                           INFANT             INFANT          NEBRASKA YEAR 2010                
    RACE/ETHNICITY         DEATHS  RATE       DEATHS  RATE         OBJECTIVE                    
    White                     78   6.4          670   5.9             4.5                       
    Black                      1  23.8          121  16.9             4.5                       
    Native American            5  14.3           31  14.4             4.5                       
    Asian                      0   0.0           10   3.5             4.5                       
    Total                     84   6.5          838   6.6             4.5                       
    Hispanic                  19   8.1          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 WESTERN           NEBRASKA           OBJECTIVE                    
    WEIGHT                 NUMBER  RATE       NUMBER  RATE          RATE                        
    Very Low - All Births    134  10.4        1,611  12.7             9.0                       
    Low - All Births         890  68.8        8,821  69.4            50.0                       
          White              813  66.8        7,431  65.8            50.0                       
          Black                3  71.4          897 125.1            50.0                       
          Native American     35  99.7          145  67.2            50.0                       
          Asian                8 100.0          221  77.7            50.0                       
          Hispanic           175  74.3          976  62.0            50.0                       
                                                                                                
       Note: Rates are per 1,000 live births.                                                   
                                                                                                
                     NUMBER OF INFANTS BORN WITH BIRTH DEFECTS, 1999-2003                       
                                                                                                
                               BIG WESTERN           NEBRASKA                                   
                           # of      % of          # of      % of                               
                          Infants Total Births    Infants Total Births                          
    Infants with birth                                                                          
     defects                  374      2.9         4,534        3.6                             
                                                                                                
                          TEEN AGE BIRTHS BY AGE AND RACE/ETHNICITY, 2000-2004                  
                   BIG WESTERN                       NEBRASKA                                   
    Age of Mother  10-17        15-17            10-17        15-17                             
                NUMBER   %   NUMBER   %       NUMBER   %   NUMBER   %                           
    All Births    454   3.5    434   3.4      3,715   2.9  3,583   2.8                          
    White         418   3.4    400   3.3      2,792   2.5  2,718   2.4                          
    Black           0   0.0      0   0.0        631   8.8    586   8.2                          
    Native Amer    25   7.1     24   6.8        184   8.5    179   8.3                          
    Asian           0   0.0      0   0.0         36   1.3     35   1.2                          
    Hispanic      169   7.2    159   6.8        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 WESTERN          NEBRASKA         OBJECTIVE                    
    1-10                         12.7              10.4                 --                      
    11-20                         3.4               2.8                 --                      
    21+                           0.4               0.6                 --                      
    Unknown                       0.4               0.3                 --                      
                                                                                                
    TOTAL                        16.9              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 WESTERN          NEBRASKA         OBJECTIVE                    
    White                        83.0              84.7                90.0                     
    Black                        57.1              70.5                90.0                     
    Native American              58.5              68.3                90.0                     
    Asian                        78.5              82.2                90.0                     
                                                                                                
    Total                        81.8              83.2                90.0                     
                                                                                                
    Hispanic                     70.9              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 WESTERN        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 WESTERN         NEBRASKA         NEBRASKA               
                                          * % WITH          % WITH      YEAR 2010               
    RISK FACTOR                     (N)   BEHAVIOR   (N)   BEHAVIOR     OBJECTIVE               
    Obese (body mass                                                                            
       index 30 or higher)        4,636     22.0   23,583    22.4          15%                  
    No leisure-time                                                                             
     physical activity            4,885     26.4   24,965    25.0          15%                  
    Currently smoke                                                                             
     cigarettes                   4,879     21.6   24,932    21.1          12%                  
    Chronic drinking                                                                            
     60+/Mo Men - 30+/Mo Women    4,432      3.0   21,579     4.8          --                   
    No health insurance           4,877     15.0   24,932    11.9           0%                  
    Could not see physician in                                                                  
     past 12 months due to cost   3,814      9.7   16,873     8.4           4%                  
                                                                                                
    Mammogram                                                                                   
     in past two                                                                                
     years (Ages 40+)             1,657     68.4    6,913    75.5          75%                  
    Immunization rates (65+)                                                                    
     Flu shot past 12 months      1,429     68.3    6,210    71.5          90%                  
     Pneumonia immunization       1,415     59.5    6,123    63.2          90%                  
                                                                                                
    General health good to                                                                      
     excellent (self-reported)    4,872     83.9   24,924    87.4          --                   
    Ten or more days in past 30                                                                 
     days health not good                                                                       
      Physical health             4,220     11.2   20,236     9.7          --                   
      Mental health               4,225     10.2   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 WESTERN              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                   
      357       0.1     3.4       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 WESTERN                            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                 
                                                                                                
      105       26     75.8      26.3          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 WESTERN               NEBRASKA                                                
                                                                                                
                 # w/High     %          # w/High      %    NEBRASKA YEAR 2010                  
     LEAD LEVEL Blood Lead Tested       Blood Lead  Tested      OBJECTIVE                       
                                                                                                
     >9ug/dL        44        1.5          1846       3.3      0% (>9ug/dL)                     
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        AVAILABILITY OF SERVICES                                                                
                                                                                                
                           HEALTH PROFESSIONALS IN PRACTICE, 2003                               
                                                                                                
                                     BIG WESTERN                 NEBRASKA                       
                                            # Persons                  # Persons                
                                  # of      Served per       # of      Served per               
    PROFESSION              Practitioners Practitioner Practitioners Practitioner               
                                                                                                
General/Family Practice           86           2274          677          2569                  
Internal Medicine                 17          11502          227          7662                  
Pediatrics                         5          39105          162         10736                  
OB/Gynecology                      9          21725          143         12163                  
Psychiatry                         7          27932          140         12424                  
Physician Assistant               57           3430          445          3909                  
Nurse Practitioner                22           8888          329          5287                  
Licensed Practical Nurse        1037            189         6337           274                  
Dentist                           98           1995         1084          1605                  
Registered Nurse                1566            125        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                         1161             93            15729           1023              
 Black                            1              0              166             15              
 Native American                  5              2               54              5              
 Asian                            3              4              117             43              
 Hispanic                        22              2              183             25              
 Other Race/Ethnicity/Unknown     6              0               85              4              
                                                                                                
                       FEDERAL SHORTAGE AREA DESIGNATIONS, 2003                                 
                                                                                                
                                     BIG WESTERN                 NEBRASKA                       
        HPSA                           Part                        Part                         
        MUA/MUP                        Part                        Part                         
                                                                                                
                            EMERGENCY SERVICES, 2003                                            
                                                                                                
        SERVICE                           BIG WESTERN            NEBRASKA                       
    Ambulance services                          77                 394                          
                                                                                                
                          AVAILABILITY OF TRANSPORATION, 1998                                   
                                                                                                
                 PUBLIC TRANSPORTATION AVAILABLE IN BIG WESTERN ?  YES .                        
                                                                                                
            COMMUNITIES SERVED BY PUBLIC TRANSPORTATION IN BIG WESTERN :                        
                                                                                                
                    Old Western SA & Old Southwest SA Cities                                    
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        SERVICE UTILIZATION DATA                                                                
                                                                                                
                                                                                                
                     MEDICAID ELIGIBILITY AND EXPENDITURES, FY 2003                             
                                                                                                
                           BIG WESTERN                    NEBRASKA                              
                        TOTAL PERSONS    % OF        TOTAL PERSONS    % OF                      
                        ELIGIBLE(#)   ELIGIBLES      ELIGIBLE(#)   ELIGIBLES                    
                                                                                                
    Medicaid               27,935        100.0         205,498        100.0                     
       Aged                 2,883         10.3          18,449          9.0                     
       Blind & Disabled     3,446         12.3          26,534         12.9                     
       ADC Children        18,515         66.3         134,743         65.6                     
       ADC Adults           3,091         11.1          25,772         12.5                     
                                                                                                
                                                                                                
                                                                                                
                             BIG WESTERN                   NEBRASKA                             
                              TOTAL    % OF TOTAL      TOTAL    % OF TOTAL                      
                             DOLLARS    MEDICAID      DOLLARS    MEDICAID                       
                              ($000)    DOLLARS        ($000)    DOLLARS                        
                                                                                                
    Medicaid                $146,038     100.0     $1,280,005     100.0                         
       Aged                   45,415      33.2        353,582      29.4                         
       Blind & Disabled       41,594      30.4        432,011      36.0                         
       ADC Children           37,118      27.1        319,452      26.6                         
       ADC Adults             12,643       9.2         95,724       8.0                         
                                                                                                
               MEDICAID EXPENDITURES BY TYPE OF SERVICE PROVIDED, FY 2003                       
                                                                                                
                             BIG WESTERN                   NEBRASKA                             
                              TOTAL    % OF TOTAL      TOTAL    % OF TOTAL                      
                             DOLLARS    MEDICAID      DOLLARS    MEDICAID                       
                              ($000)    DOLLARS        ($000)    DOLLARS                        
                                                                                                
    All Medicaid            $146,038     100.0     $1,280,005     100.0                         
                                                                                                
    Medicaid Fee-for-Service 116,600      79.8        970,707      75.8                         
       Hospital--Inpatient    26,395      18.1        257,282      20.1                         
       Hospital--Outpatient   15,670      10.7         75,892       5.9                         
       ICF Mentally Retarded   1,772       1.2         50,253       3.9                         
       Nursing Facility       30,509      20.9        271,975      21.2                         
       Physician              13,784       9.4        100,083       7.8                         
       Dental                  4,659       3.2         33,337       2.6                         
       Prescribed Drugs       23,812      16.3        181,885      14.2                         
                                                                                                
    Other Medicaid (Includes                                                                    
       Capitated Payments)    29,439      20.2        309,298      24.2                         
                                                                                                
                                                                                                
                   UTILIZATION OF SERVICES BY PROGRAM, FY 2004                                  
                                                                                                
                             BIG WESTERN                   NEBRASKA                             
                             AVERAGE    AVERAGE       AVERAGE    AVERAGE                        
                             MONTHLY    PAYMENT       MONTHLY    PAYMENT                        
                          PARTICIPANTS    ($)      PARTICIPANTS    ($)                          
                                                                                                
    Aid to Dependent           1,141   $360.73*        12,237   $353.16*                        
       Children (ADC)                                                                           
    Food Stamp Program        14,536    $72.19**      111,435    $79.42**                       
                                                                                                
     *  Average payment per family.                                                             
     ** Average payment per person.                                                             
                                                                                                
                NUMBER OF PERSONS SERVED BY PUBLIC HEALTH PROGRAMS                              
                                                                                                
    SERVICE PROVIDED                 BIG WESTERN                   NEBRASKA                     
                                                                                                
    WIC, UNDUPLICATED PERSONS SERVED, 2004                                                      
       Pregnant women seen                         595            4,527                         
       Breastfeeding clients seen                  712            5,609                         
       Postpartum women seen                     1,637           10,951                         
       Infants seen                              1,233            9,521                         
       Children seen                             5,725           39,835                         
                                        Native                             Native               
       Total WIC clients     Total  Black Am  Asian Hispanic    Total  Black Am  Asian Hispanic 
       seen in 2004         9,904   110   433    61  3,284     70,449 7,664 1,316 1,296 20,674  
                                                                                                
    Reproductive health, 2004                    4,943           42,421                         
                                                                                                
              NURSING HOME AND HOSPITAL LONG-TERM CARE OCCUPANCY, 2004                          
                                                                                                
                                            BIG WESTERN           NEBRASKA                      
    Nursing Home and Hospital                                                                   
    Long-Term Care Facilities                                                                   
         Number of licensed beds                 2,320           17,130                         
         Occupancy rate                           83.2             82.7                         
                                                                                                
    Persons Aged 65 and Older                                                                   
    Living in Nursing Homes or                                                                  
    Hospital Long-Term Care                                                                     
    Facilities                                                                                  
         Number                                  1,818           12,710                         
         Percent of population                     5.4              5.5                         
           aged 65 and older                                                                    

Statistical Profiles