AREA PROFILE -- CD 3                                        
                                                                                                
                                                                                                
        DEMOGRAPHIC DATA                                                                        
                                                                                                
                                U.S. CENSUS ESTIMATES, 2004                                     
                                                                                                
                 CD 3 -   565,033                       NEBRASKA - 1,747,214                    
                                                                                                
                                                                                                
                                 POPULATION BY AGE AND RACE/ETHNICITY                           
                        CD 3                                       NEBRASKA                     
 AGE         PERCENT        NATIVE                                         NATIVE               
GROUP   TOTAL       BLACK AMERICAN ASIAN HISPANIC  TOTAL  PERCENT  BLACK AMERICAN ASIAN HISPANIC
  0-4  34,848  6.2    193    514     245   5,152  122,049   7.0     6,566  1,726   2,087  15,560
 5-14  75,108 13.3    620  1,035     541   8,961  236,970  13.6    14,021  3,332   3,652  24,538
15-24  85,321 15.1    669  1,041     696   7,478  266,314  15.2    13,893  3,368   4,811  21,847
25-44 130,850 23.2    925  1,462   1,057  13,206  473,637  27.1    22,127  4,736  11,084  40,755
45-64 142,954 25.3    304    837     784   5,259  416,441  23.8    13,444  2,631   5,077  13,752
65-74  44,014  7.8     28    152     138     897  111,352   6.4     2,767    471     821   2,126
75-84  35,827  6.3     24     75      99     487   84,541   4.8     1,454    213     325   1,044
 85+   16,111  2.9     23     41      27     163   35,910   2.1       549     93      76     359
 <18  142,769 25.3  1,026  1,959   1,014  16,778  446,083  25.5    24,698  6,261   7,104  47,141
 65+   95,952 17.0     75    268     264   1,547  231,803  13.3     4,770    777   1,222   3,529
                                                                                                
                                                                                                
                               POPULATION BY GENDER AND RACE/ETHNICITY                          
                        CD 3                                       NEBRASKA                     
             PERCENT        NATIVE                                         NATIVE               
GENDER  TOTAL       BLACK AMERICAN ASIAN HISPANIC  TOTAL  PERCENT  BLACK AMERICAN ASIAN HISPANIC
Men   278,494 49.3  1,603  2,492   1,752  22,163  863,628  49.4    37,128   8,068  13,719 65,048
Women 286,539 50.7  1,183  2,665   1,835  19,440  883,586  50.6    37,693   8,502  14,214 54,933
 15-17 15,930          90    212     118   1,260   42,285           1,986    590     663   3,127
                                                                                                
                                                                                                
                                    POPULATION BY RACE/ETHNICITY                                
                                                                                                
                             CD 3                                NEBRASKA                       
         RACE/ETHNICITY     NUMBER   PERCENT                     NUMBER   PERCENT               
         White             550,467     97.4                   1,609,056     92.1                
         Black               2,786      0.5                      74,821      4.3                
         Native American     5,157      0.9                      16,570      0.9                
         Asian               3,587      0.6                      27,933      1.6                
                                                                                                
         Hispanic           41,603      7.4                     119,981      6.9                
                                                                                                
         Minority *         54,109      9.6                     250,577     14.3                
                                                                                                
    * Minority Population = Total Population - White, Not Hispanic Population                   
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                  HOUSEHOLDS BY TYPE, 2000 CENSUS                               
                                                                                                
                                      CD 3                      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                     32.1      25.9              28.6      25.6               
   Male householders                    1.1       2.0               1.3       2.0               
   Female householders                  1.9       5.2               2.6       6.5               
   Male householder nonfamilies        14.1       0.3              15.2       0.3               
   Female householder nonfamilies      17.3       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                   68.2  67.9  56.4  74.2     66.6  66.2  65.0  74.3               
      Married Couples           58.0  58.3  35.7  36.9     54.2  55.4  28.8  35.4               
        W/Children < 18         25.9  25.4  24.9  25.2     25.6  25.4  16.7  24.0               
      Single Parent Families    10.2   6.7  16.5  32.3     12.4   7.2  28.7  32.6               
        Male householder         3.1   2.8   9.4   8.8      3.3   3.0   5.4   8.8               
          W/Children < 18        2.0   1.8   8.0   7.0      2.0   1.8   3.6   6.7               
        Female Householder       7.1   6.8  11.3  28.5      9.1   7.8  30.8  30.1               
          W/Children < 18        5.2   4.9   8.5  25.3      6.5   5.4  25.1  25.9               
     Nonfamily households       31.8  32.0  43.5  25.9     33.4  33.7  34.9  25.7               
                                                                                                
                                                                                                
                                  % OF HOUSEHOLDS             % OF HOUSEHOLDS                   
                                  Asian  Hispanic Minority *  Asian  Hispanic Minority *        
     Families                      72.8     78.9     76.0      66.9     77.3     70.2           
      Married Couples              56.2     55.6     52.4      53.7     54.0     42.1           
        W/Children < 18            31.9     41.5     37.1      33.0     40.7     28.3           
      Single Parent Families       11.5     18.7     19.0       8.3     17.9     21.8           
        Male householder            6.5      8.9      8.4       4.5      9.6      7.1           
          W/Children < 18           3.6      6.2      5.9       2.2      6.3      4.6           
        Female Householder         10.1     14.4     15.2       8.7     13.7     21.0           
          W/Children < 18           7.9     12.5     13.1       6.1     11.6     17.2           
     Nonfamily households          27.2     21.2     24.1      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                           
                                                                                                
                                     CD 3                       NEBRASKA                        
                                                  Native                     Native             
                                Total White Black American Total White Black American           
                                                                                                
     Less than 9th grade         6.8   5.9   7.3  10.1      5.4   4.5   5.3   9.0               
     9th to 11th grade           8.5   8.1  14.4  16.5      8.0   7.3  16.0  15.1               
     High school diploma        35.7  36.2  28.6  37.4     31.3  31.8  31.2  33.7               
     Some college, no degree    24.3  24.7  27.8  21.6     24.3  24.5  27.4  26.1               
     Associate degree            7.5   7.7   5.7   7.0      7.3   7.5   5.9   7.4               
     Baccalaureate degree       12.2  12.5  12.7   6.1     16.5  17.0  10.5   6.2               
     Graduate or professional    4.9   5.0   3.6   1.2      7.3   7.4   3.6   2.6               
     degree                                                                                     
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                Percent of persons 25 years and older                           
                                                                                                
                                     CD 3                       NEBRASKA                        
                                                                                                
                                                                                                
                                  Asian  Hispanic Minority *  Asian  Hispanic Minority *        
                                                                                                
     Less than 9th grade           14.6     37.6     29.9      10.8     34.2     17.9           
     9th to 11th grade             11.7     20.4     18.3      11.9     19.2     16.3           
     High school diploma           30.0     23.2     26.0      17.1     21.3     25.5           
     Some college, no degree       11.7     12.4     14.8      13.3     13.9     20.1           
     Associate degree               4.7      2.2      3.3       5.4      2.9      4.8           
     Baccalaureate degree          15.5      3.2      5.4      21.8      5.9     10.0           
     Graduate or professional      12.0      1.0      2.3      19.8      2.7      5.5           
     degree                                                                                     
                                                                                                
    * Minority Population = Total Population - White, Not Hispanic Population                   
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        SOCIAL INDICATORS                                                                       
                                  PER CAPITA INCOME, 2000 CENSUS                                
                                                                                                
                                 CD 3                  NEBRASKA                                 
                                $16,955                $19,613                                  
                                                                                                
                         MEDIAN HOUSEHOLD INCOME, 2002 CENSUS ESTIMATES                         
                                                                                                
                                 CD 3                  NEBRASKA                                 
                                $35,340                $41,978                                  
                                                                                                
                        PERCENT BELOW 100% POVERTY, 2002 CENSUS ESTIMATES                       
                                                                                                
                                 CD 3                  NEBRASKA                                 
     5-17 Years of Age               12.7                    10.8                               
     Total Population                11.4                    10.0                               
                                                                                                
                 PERCENT BELOW 100% POVERTY BY RACE/ETHNICITY, 2000 CENSUS *                    
                                                                                                
                                 CD 3                  NEBRASKA                                 
     White                           10.3                     8.2                               
     Black                           28.7                    27.4                               
     Native American                 39.3                    33.0                               
     Asian                           10.8                    12.8                               
     Hispanic                        23.8                    20.4                               
 * A '.' indicates the population estimate of the racial/ethnic group is zero.                  
                                                                                                
                     PERCENT OF WORKERS UNEMPLOYED, DEPT. OF LABOR, MAY, 2004                   
                                                                                                
                            CD 3                       NEBRASKA                                 
                    # UNEMPLOYED   % OF WORKERS   # UNEMPLOYED % OF WORKERS                     
                        11,269         3.6          39,368       4.0                            
                                                                                                
                                  HIGH SCHOOL DROPOUT RATE, 2003-2004                           
                                                                                                
                                 CD 3                     NEBRASKA                              
     % of 7-12th Grade Member-                                                                  
     ship Who Drop Out of School      1.3                       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              
                                                                                                
                                 CD 3                     NEBRASKA                              
                      # BIRTHS    % OF 1ST BIRTHS*  # BIRTHS  % OF 1ST BIRTHS*                  
     Total             1,326           10.1          4,398          9.0                         
     White             1,170            9.4          3,351          7.7                         
     Black                11           20.0            653         24.4                         
     Native American      74           36.8            232         36.9                         
     Asian                10            7.4             39          2.9                         
     Hispanic            386           23.6          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             
                                                                                                
                                       CD 3                       NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Total Arrests                       26074   46.1          94,648   54.2                    
     Arrests for violent crimes *          423    0.7           1,596    0.9                    
     Reported forcible rape offenses        69    0.1             195    0.1                    
     Arrests for DUI                     4,089    7.2          14,163    8.1                    
     Drug law violation arrests          2,996    5.3          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             
                                                                                                
                                       CD 3                       NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Total Arrests                      4,390    30.7         14,867    33.3                    
     Arrests for violent crimes *          45     0.3            224     0.5                    
     Arrests for DUI                      119     0.8            348     0.8                    
     Drug law violation arrests           270     1.9          1,150     2.6                    
    *Violent crimes include: murder, forcible rape, robbery and aggravated assault.             
                                                                                                
                           CHILD PROTECTION AND SAFETY, CY 2004                                 
                                                                                                
                                       CD 3                       NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
                                                                                                
     Average number of children                                                                 
     in out-of-home care *              1971    13.6          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                   
                                                                                                
                                            CD 3                 NEBRASKA                       
     Rate per 1,000 Children < Age 19            7.6                 8.6                        
                                                                                                
                   DOMESTIC VIOLENCE, JULY 1, 1999 - JUNE 30, 2000                              
                                       CD 3                       NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Number of Crisis Calls                                                                     
     Received by Multi-County Agency   20,452     49.2       108,312     63.3                   
     Total New Contacts for                                                                     
     Multi-County Agency                6,789     16.3        24,249     14.2                   
     CD 3 MULTI-COUNTY AREA ALSO INCLUDES:                                                      
               CD 3                                                                             
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        HEALTH STATUS                                                                           
                                                                                                
                                                                                                
                                LEADING CAUSES OF DEATH, 2000-2004                              
                             Age-Adjusted Death Rates per 100,000 Population                    
                                                                                                
                                                                            NEBRASKA            
                                                        NEBRASKA           NATIVE               
                        CD 3              NEBRASKA      YEAR 2010   BLACK AMERICAN HISPANIC     
CAUSE OF DEATH             DEATHS  RATE  DEATHS  RATE   OBJECTIVE   RATE    RATE    RATE        
Heart Disease (#1)          8,970 211.9  20,262 205.1      --       245.6   276.0  110.6        
Cancer -- All Sites (#2)    6,467 172.4  16,798 182.0    147.0      255.2   201.9  117.8        
  Lung/Bronchus/Trachea     1,528  41.8   4,444  49.1     39.0       81.5    60.1   24.6        
  Breast (Female)             461  23.4   1,224  23.8     20.7       41.3    32.8    9.7        
  Prostate                    433  26.9     943  25.7     25.9       48.8    18.5    9.3        
Cerebrovascular (#3)        2,308  53.3   5,385  54.0     47.4       87.0    55.2   28.8        
Unintentional Injuries (#4) 1,497  46.2   3,457  37.6     19.4       25.2    92.6   34.9        
  Motor Vehicle               700  24.1   1,469  16.6     12.0        9.7    43.8   17.4        
Chronic Lung Disease (#5)   1,479  36.4   3,746  39.4      --        39.2    54.7   12.4        
                                                                                                
Suicide                       315  11.1     922  10.7      8.2        4.6     9.1    4.2        
Homicide                       51   1.9     259   3.0      2.0       20.3    11.9    6.6        
                                                                                                
Diabetes Related            2,806  69.3   6,933  72.6     25.0      162.8   260.9  109.3        
Tobacco Related             5,112 131.0  12,886 137.2      --       184.1   192.6   75.5        
Alcohol Related             1,295  38.0   3,255  35.5      --        41.9   137.3   41.2        
Work Related Accidents        112   3.7     209   2.4      --         0.4     0.9    2.5        
                                                                                                
All Causes                 30,932 774.2  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                       
                                                                                                
                    CD 3                                     NEBRASKA                           
                                                                      Native                    
                     Total    Total           Total    Total   Black American Hispanic          
Cancer Type         # Cases   Rate           # Cases   Rate    Rate    Rate     Rate            
All Sites            16,080   458.4           42,194   474.2   474.5   393.6   292.3            
                                                                                                
Lung & Bronchus       1,910    53.5            5,572    62.7    93.3    62.7    39.3            
Breast (Female)       2,276   124.2            6,278   131.8   102.2    56.9    57.2            
Prostate              2,748   172.6            6,470   165.9   197.9   146.3    57.0            
Colorectal            2,117    57.7            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               
                                     CD 3                   NEBRASKA         PERCENT            
    CONDITION/INJURY              # DISCHARGES  RATE # DISCHARGES  RATE     DIFFERENCE          
                                                                                                
     All Conditions/Injuries         127,530 10,090.00  359,031  9,837.00       2.6             
     Pregnancy/Childbirth             25,494  2,497.00   89,507  2,465.00       1.3             
     All Injuries                     18,818  1,377.00   55,504  1,509.00      -8.7             
     Diabetes Related Diseases        17,943  1,269.00   46,921  1,277.00      -0.6             
     Heart Disease                    15,595  1,055.00   37,934  1,014.00       4.0             
     Digestive Diseases               11,631    876.0    29,464    808.0        8.4             
     Musculoskeletal Diseases          8,302    614.0    23,783    659.0       -6.8             
     Psychosis/Mental Health           4,470    408.0    17,125    492.0      -17.1             
     Pneumonia                         7,068    488.0    14,664    386.0       26.4             
     Genitourinary Diseases            5,971    485.0    14,656    411.0       18.0             
     Cancer                            4,341    313.0    11,800    322.0       -2.8             
     Fractures                         3,875    260.0     9,998    261.0       -0.4             
     Other Respiratory Diseases        3,448    267.0     9,145    246.0        8.5             
     Tobacco Related Diseases          3,887    268.0     9,566    257.0        4.3             
     Surgical/Medical Complications    2,932    224.0     8,506    236.0       -5.1             
     Cerebrovascular Disease           3,169    204.0     8,131    214.0       -4.7             
     COPD                              2,994    219.0     7,578    208.0        5.3             
     Alcohol Related Diseases            900     68.0     2,405     67.0        1.5             
                                                                                                
    Leading Causes of Injury                                                                    
     Falls                             4,516    285.0    11,318    291.0       -2.1             
     MV Accidents                        746     64.0     2,218     62.0        3.2             
     Self-Inflicted                      436     40.0     1,754     50.0      -20.0             
     Other Unintentional                 387     28.0     1,215     33.0      -15.2             
     Poisoning                           164     13.0       592     16.0      -18.8             
     Struck/Pierced by Object            225     18.0       609     17.0        5.9             
     Overexertion                        176     13.0       480     13.0        0.0             
     Environmental                       215     18.0       513     14.0       28.6             
     Assault                              90      8.0       442     12.0      -33.3             
                                                                                                
                                LEADING PAYER TYPE FOR HOSPITALIZATION, 2003-2004               
                                                                                                
                                     CD 3                   NEBRASKA         PERCENT            
    PAYER TYPE                      DISCHARGES    %   DISCHARGES     %      DIFFERENCE          
     Commercial                       43,143     33.8   168,501     46.9      -27.9             
     Medicare                         62,140     48.7   131,141     36.5       33.4             
     Medicaid                         18,760     14.7    50,769     14.1        4.3             
     Self-Pay                          1,101      0.9     3,460      1.0      -10.0             
     Other State/Federal               2,386      1.9     5,160      1.4       35.7             
                                                                                                
    NOTE: Age adjusted rates are based on the 2000 U.S. census standard.                        
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                     INCIDENCE OF AIDS, 2000-2004                               
                                                                                                
                                   CD 3                              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                    
                                                                                                
                                   CD 3                              NEBRASKA                   
                                       Rate                             Rate                    
      West Nile Virus (WNV)             277                              112                    
      Chronic Hepatitis C              31.9                             64.2                    
      TB                                1.8                              1.6                    
                                                                                                
       Note: Rates are per 100,000 Population.                                                  
                                                                                                
               INCIDENCE RATES OF SEXUALLY TRANSMITTED DISEASES BY RACE/ETHNICITY               
                                                                                                
                          CD 3                                       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  183.1  107.0  893.8  436.7  164.0  417.7   424.4  193.7 2847.6  903.3  166.6  518.3  
 < 18       52.3   30.7  528.5  146.3   58.5  120.0   226.2   83.9 1616.4  383.6   67.7  125.0  
 > 17      155.4   83.2  900.2  553.4  151.1  516.4   455.9  207.6 3181.6 1086.7  163.3  667.2  
STD TYPE                                                                                        
Gonorrhea   10.4    7.1  194.7   48.1    5.7   19.3    65.8   19.1 1025.7  127.1   19.6   62.9  
Chlamydia  146.3   97.6  663.7  372.6  152.7  376.8   301.3  146.5 1695.1  722.6  131.0  413.7  
  Female   221.6  154.9  665.3  599.1  220.9  626.3   433.6  223.1 2278.7 1163.2  198.0  666.3  
Herpes      23.5    1.3    8.8    4.0    0.0    8.8    42.0   18.6   82.7   18.7    7.3   23.5  
                                                                                                
       Note: Rates are per 100,000 Population.                                                  
                                                                                                
                             ESTIMATED PREVALENCE OF DEMENTIA, 2004                             
                                                                                                
                              CD 3                              NEBRASKA                        
                Rate *        # of Persons **                   # of Persons **                 
    Age 65-74    10%              4,401                            11,135                       
    Age 75-84    20%              7,165                            16,908                       
    Age 85+      47%              7,572                            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                        
                                                                                                
                          CD 3                  NEBRASKA                                        
                           INFANT             INFANT          NEBRASKA YEAR 2010                
    RACE/ETHNICITY         DEATHS  RATE       DEATHS  RATE         OBJECTIVE                    
    White                    226   6.5          670   5.9             4.5                       
    Black                      6  37.0          121  16.9             4.5                       
    Native American            7  10.4           31  14.4             4.5                       
    Asian                      2   6.6           10   3.5             4.5                       
    Total                    242   6.6          838   6.6             4.5                       
    Hispanic                  39   7.5          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                
                          CD 3                  NEBRASKA           OBJECTIVE                    
    WEIGHT                 NUMBER  RATE       NUMBER  RATE          RATE                        
    Very Low - All Births    423  11.6        1,611  12.7             9.0                       
    Low - All Births       2,338  63.9        8,821  69.4            50.0                       
          White            2,169  62.8        7,431  65.8            50.0                       
          Black               17 104.9          897 125.1            50.0                       
          Native American     54  80.4          145  67.2            50.0                       
          Asian               29  95.4          221  77.7            50.0                       
          Hispanic           337  64.8          976  62.0            50.0                       
                                                                                                
       Note: Rates are per 1,000 live births.                                                   
                                                                                                
                     NUMBER OF INFANTS BORN WITH BIRTH DEFECTS, 1999-2003                       
                                                                                                
                               CD 3                  NEBRASKA                                   
                           # of      % of          # of      % of                               
                          Infants Total Births    Infants Total Births                          
    Infants with birth                                                                          
     defects                1,074      3.0         4,534        3.6                             
                                                                                                
                          TEEN AGE BIRTHS BY AGE AND RACE/ETHNICITY, 2000-2004                  
                   CD 3                              NEBRASKA                                   
    Age of Mother  10-17        15-17            10-17        15-17                             
                NUMBER   %   NUMBER   %       NUMBER   %   NUMBER   %                           
    All Births  1,102   3.0  1,066   2.9      3,715   2.9  3,583   2.8                          
    White         996   2.9    965   2.8      2,792   2.5  2,718   2.4                          
    Black          10   6.2      9   5.6        631   8.8    586   8.2                          
    Native Amer    53   7.9     51   7.6        184   8.5    179   8.3                          
    Asian           7   2.3      7   2.3         36   1.3     35   1.2                          
    Hispanic      336   6.5    320   6.2        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           CD 3                 NEBRASKA         OBJECTIVE                    
    1-10                         11.6              10.4                 --                      
    11-20                         3.2               2.8                 --                      
    21+                           0.4               0.6                 --                      
    Unknown                       0.6               0.3                 --                      
                                                                                                
    TOTAL                        15.8              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                     CD 3                 NEBRASKA         OBJECTIVE                    
    White                        82.8              84.7                90.0                     
    Black                        51.2              70.5                90.0                     
    Native American              61.4              68.3                90.0                     
    Asian                        74.9              82.2                90.0                     
                                                                                                
    Total                        81.6              83.2                90.0                     
                                                                                                
    Hispanic                     66.2              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              
                                   CD 3               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               
                                                                                                
                                    CD 3                NEBRASKA         NEBRASKA               
                                          * % WITH          % WITH      YEAR 2010               
    RISK FACTOR                     (N)   BEHAVIOR   (N)   BEHAVIOR     OBJECTIVE               
    Obese (body mass                                                                            
       index 30 or higher)       10,531     23.3   23,583    22.4          15%                  
    No leisure-time                                                                             
     physical activity           11,095     26.5   24,965    25.0          15%                  
    Currently smoke                                                                             
     cigarettes                  11,086     19.8   24,932    21.1          12%                  
    Chronic drinking                                                                            
     60+/Mo Men - 30+/Mo Women    9,853      3.7   21,579     4.8          --                   
    No health insurance          11,076     13.5   24,932    11.9           0%                  
    Could not see physician in                                                                  
     past 12 months due to cost   8,071      9.1   16,873     8.4           4%                  
                                                                                                
    Mammogram                                                                                   
     in past two                                                                                
     years (Ages 40+)             3,603     71.5    6,913    75.5          75%                  
    Immunization rates (65+)                                                                    
     Flu shot past 12 months      3,253     69.4    6,210    71.5          90%                  
     Pneumonia immunization       3,208     61.7    6,123    63.2          90%                  
                                                                                                
    General health good to                                                                      
     excellent (self-reported)   11,070     85.4   24,924    87.4          --                   
    Ten or more days in past 30                                                                 
     days health not good                                                                       
      Physical health             9,238     10.0   20,236     9.7          --                   
      Mental health               9,278      9.3   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                                     
                                                                                                
               CD 3                     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                   
      877       0.9     3.6       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                                     
                                                                                                
                CD 3                                   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                 
                                                                                                
      345       56     73.0      30.0          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                        
                                                                                                
              CD 3                      NEBRASKA                                                
                                                                                                
                 # w/High     %          # w/High      %    NEBRASKA YEAR 2010                  
     LEAD LEVEL Blood Lead Tested       Blood Lead  Tested      OBJECTIVE                       
                                                                                                
     >9ug/dL       429        3.4          1846       3.3      0% (>9ug/dL)                     
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        AVAILABILITY OF SERVICES                                                                
                                                                                                
                           HEALTH PROFESSIONALS IN PRACTICE, 2003                               
                                                                                                
                                     CD 3                        NEBRASKA                       
                                            # Persons                  # Persons                
                                  # of      Served per       # of      Served per               
    PROFESSION              Practitioners Practitioner Practitioners Practitioner               
                                                                                                
General/Family Practice          260           2180          677          2569                  
Internal Medicine                 57           9943          227          7662                  
Pediatrics                        24          23616          162         10736                  
OB/Gynecology                     25          22671          143         12163                  
Psychiatry                        19          29830          140         12424                  
Physician Assistant              138           4107          445          3909                  
Nurse Practitioner                77           7361          329          5287                  
Licensed Practical Nurse        3041            186         6337           274                  
Dentist                          279           2031         1084          1605                  
Registered Nurse                5034            113        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                         3856            317            15729           1023              
 Black                            5              0              166             15              
 Native American                  8              2               54              5              
 Asian                           18             12              117             43              
 Hispanic                        34              4              183             25              
 Other Race/Ethnicity/Unknown    14              2               85              4              
                                                                                                
                       FEDERAL SHORTAGE AREA DESIGNATIONS, 2003                                 
                                                                                                
                                     CD 3                        NEBRASKA                       
        HPSA                           Part                        Part                         
        MUA/MUP                        Part                        Part                         
                                                                                                
                            EMERGENCY SERVICES, 2003                                            
                                                                                                
        SERVICE                           CD 3                   NEBRASKA                       
    Ambulance services                         241                 394                          
                                                                                                
                          AVAILABILITY OF TRANSPORATION, 1998                                   
                                                                                                
                 PUBLIC TRANSPORTATION AVAILABLE IN CD 3 ?  YES .                               
                                                                                                
            COMMUNITIES SERVED BY PUBLIC TRANSPORTATION IN CD 3 :                               
                                                                                                
                    Congressional District 3 Cities                                             
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        SERVICE UTILIZATION DATA                                                                
                                                                                                
                                                                                                
                     MEDICAID ELIGIBILITY AND EXPENDITURES, FY 2003                             
                                                                                                
                           CD 3                           NEBRASKA                              
                        TOTAL PERSONS    % OF        TOTAL PERSONS    % OF                      
                        ELIGIBLE(#)   ELIGIBLES      ELIGIBLE(#)   ELIGIBLES                    
                                                                                                
    Medicaid               73,233        100.0         205,498        100.0                     
       Aged                 8,406         11.5          18,449          9.0                     
       Blind & Disabled     8,850         12.1          26,534         12.9                     
       ADC Children        48,550         66.3         134,743         65.6                     
       ADC Adults           7,427         10.1          25,772         12.5                     
                                                                                                
                                                                                                
                                                                                                
                             CD 3                          NEBRASKA                             
                              TOTAL    % OF TOTAL      TOTAL    % OF TOTAL                      
                             DOLLARS    MEDICAID      DOLLARS    MEDICAID                       
                              ($000)    DOLLARS        ($000)    DOLLARS                        
                                                                                                
    Medicaid                $433,038     100.0     $1,280,005     100.0                         
       Aged                  148,700      36.6        353,582      29.4                         
       Blind & Disabled      124,053      30.6        432,011      36.0                         
       ADC Children          103,550      25.5        319,452      26.6                         
       ADC Adults             29,610       7.3         95,724       8.0                         
                                                                                                
               MEDICAID EXPENDITURES BY TYPE OF SERVICE PROVIDED, FY 2003                       
                                                                                                
                             CD 3                          NEBRASKA                             
                              TOTAL    % OF TOTAL      TOTAL    % OF TOTAL                      
                             DOLLARS    MEDICAID      DOLLARS    MEDICAID                       
                              ($000)    DOLLARS        ($000)    DOLLARS                        
                                                                                                
    All Medicaid            $433,038     100.0     $1,280,005     100.0                         
                                                                                                
    Medicaid Fee-for-Service 347,408      80.2        970,707      75.8                         
       Hospital--Inpatient    81,146      18.7        257,282      20.1                         
       Hospital--Outpatient   31,561       7.3         75,892       5.9                         
       ICF Mentally Retarded   9,756       2.3         50,253       3.9                         
       Nursing Facility      106,434      24.6        271,975      21.2                         
       Physician              39,019       9.0        100,083       7.8                         
       Dental                 12,221       2.8         33,337       2.6                         
       Prescribed Drugs       67,270      15.5        181,885      14.2                         
                                                                                                
    Other Medicaid (Includes                                                                    
       Capitated Payments)    85,630      19.8        309,298      24.2                         
                                                                                                
                                                                                                
                   UTILIZATION OF SERVICES BY PROGRAM, FY 2004                                  
                                                                                                
                             CD 3                          NEBRASKA                             
                             AVERAGE    AVERAGE       AVERAGE    AVERAGE                        
                             MONTHLY    PAYMENT       MONTHLY    PAYMENT                        
                          PARTICIPANTS    ($)      PARTICIPANTS    ($)                          
                                                                                                
    Aid to Dependent           2,881   $348.34*        12,237   $353.16*                        
       Children (ADC)                                                                           
    Food Stamp Program        34,719    $73.11**      111,435    $79.42**                       
                                                                                                
     *  Average payment per family.                                                             
     ** Average payment per person.                                                             
                                                                                                
                NUMBER OF PERSONS SERVED BY PUBLIC HEALTH PROGRAMS                              
                                                                                                
    SERVICE PROVIDED                 CD 3                          NEBRASKA                     
                                                                                                
    WIC, UNDUPLICATED PERSONS SERVED, 2004                                                      
       Pregnant women seen                       1,340            4,527                         
       Breastfeeding clients seen                1,901            5,609                         
       Postpartum women seen                     4,043           10,951                         
       Infants seen                              3,158            9,521                         
       Children seen                            14,604           39,835                         
                                        Native                             Native               
       Total WIC clients     Total  Black Am  Asian Hispanic    Total  Black Am  Asian Hispanic 
       seen in 2004        25,049   376   597   185  7,347     70,449 7,664 1,316 1,296 20,674  
                                                                                                
    Reproductive health, 2004                   13,096           42,421                         
                                                                                                
              NURSING HOME AND HOSPITAL LONG-TERM CARE OCCUPANCY, 2004                          
                                                                                                
                                            CD 3                  NEBRASKA                      
    Nursing Home and Hospital                                                                   
    Long-Term Care Facilities                                                                   
         Number of licensed beds                 7,831           17,130                         
         Occupancy rate                           82.8             82.7                         
                                                                                                
    Persons Aged 65 and Older                                                                   
    Living in Nursing Homes or                                                                  
    Hospital Long-Term Care                                                                     
    Facilities                                                                                  
         Number                                  5,987           12,710                         
         Percent of population                     6.2              5.5                         
           aged 65 and older                                                                    

Statistical Profiles