AREA PROFILE -- CENTRAL                                     
                                                                                                
                                                                                                
        DEMOGRAPHIC DATA                                                                        
                                                                                                
                                U.S. CENSUS ESTIMATES, 2004                                     
                                                                                                
                 CENTRAL -   218,171                    NEBRASKA - 1,747,214                    
                                                                                                
                                                                                                
                                 POPULATION BY AGE AND RACE/ETHNICITY                           
                        CENTRAL                                    NEBRASKA                     
 AGE         PERCENT        NATIVE                                         NATIVE               
GROUP   TOTAL       BLACK AMERICAN ASIAN HISPANIC  TOTAL  PERCENT  BLACK AMERICAN ASIAN HISPANIC
  0-4  13,979  6.4     74     74     131   2,026  122,049   7.0     6,566  1,726   2,087  15,560
 5-14  29,109 13.3    283    132     268   3,305  236,970  13.6    14,021  3,332   3,652  24,538
15-24  33,287 15.3    289    155     380   2,745  266,314  15.2    13,893  3,368   4,811  21,847
25-44  53,737 24.6    459    264     576   5,194  473,637  27.1    22,127  4,736  11,084  40,755
45-64  53,418 24.5    145    125     456   1,656  416,441  23.8    13,444  2,631   5,077  13,752
65-74  15,900  7.3     10     24      57     263  111,352   6.4     2,767    471     821   2,126
75-84  12,930  5.9      9     11      21     120   84,541   4.8     1,454    213     325   1,044
 85+    5,811  2.7     15      5       4      40   35,910   2.1       549     93      76     359
 <18   54,618 25.0    440    255     511   6,218  446,083  25.5    24,698  6,261   7,104  47,141
 65+   34,641 15.9     34     40      82     423  231,803  13.3     4,770    777   1,222   3,529
                                                                                                
                                                                                                
                               POPULATION BY GENDER AND RACE/ETHNICITY                          
                        CENTRAL                                    NEBRASKA                     
             PERCENT        NATIVE                                         NATIVE               
GENDER  TOTAL       BLACK AMERICAN ASIAN HISPANIC  TOTAL  PERCENT  BLACK AMERICAN ASIAN HISPANIC
Men   107,639 49.3    774    393     954   8,424  863,628  49.4    37,128   8,068  13,719 65,048
Women 110,532 50.7    510    397     939   6,925  883,586  50.6    37,693   8,502  14,214 54,933
 15-17  5,591          34     22      54     393   42,285           1,986    590     663   3,127
                                                                                                
                                                                                                
                                    POPULATION BY RACE/ETHNICITY                                
                                                                                                
                             CENTRAL                             NEBRASKA                       
         RACE/ETHNICITY     NUMBER   PERCENT                     NUMBER   PERCENT               
         White             213,095     97.7                   1,609,056     92.1                
         Black               1,284      0.6                      74,821      4.3                
         Native American       790      0.4                      16,570      0.9                
         Asian               1,893      0.9                      27,933      1.6                
                                                                                                
         Hispanic           15,349      7.0                     119,981      6.9                
                                                                                                
         Minority *         19,709      9.0                     250,577     14.3                
                                                                                                
    * Minority Population = Total Population - White, Not Hispanic Population                   
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                  HOUSEHOLDS BY TYPE, 2000 CENSUS                               
                                                                                                
                                      CENTRAL                   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                     31.4      26.1              28.6      25.6               
   Male householders                    1.1       2.0               1.3       2.0               
   Female householders                  2.0       5.5               2.6       6.5               
   Male householder nonfamilies        14.1       0.3              15.2       0.3               
   Female householder nonfamilies      17.5       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  67.6  56.2  69.6     66.6  66.2  65.0  74.3               
      Married Couples           57.5  57.6  36.0  39.9     54.2  55.4  28.8  35.4               
        W/Children < 18         26.1  25.5  26.6  22.2     25.6  25.4  16.7  24.0               
      Single Parent Families    10.6   7.0  15.3  24.2     12.4   7.2  28.7  32.6               
        Male householder         3.1   2.8   7.4   7.5      3.3   3.0   5.4   8.8               
          W/Children < 18        2.0   1.8   5.9   4.0      2.0   1.8   3.6   6.7               
        Female Householder       7.5   7.2  12.8  22.2      9.1   7.8  30.8  30.1               
          W/Children < 18        5.5   5.2   9.4  20.2      6.5   5.4  25.1  25.9               
     Nonfamily households       32.0  32.3  43.8  30.3     33.4  33.7  34.9  25.7               
                                                                                                
                                                                                                
                                  % OF HOUSEHOLDS             % OF HOUSEHOLDS                   
                                  Asian  Hispanic Minority *  Asian  Hispanic Minority *        
     Families                      78.5     78.4     76.0      66.9     77.3     70.2           
      Married Couples              61.8     55.4     54.1      53.7     54.0     42.1           
        W/Children < 18            40.0     43.4     39.9      33.0     40.7     28.3           
      Single Parent Families       12.0     18.2     17.1       8.3     17.9     21.8           
        Male householder            7.6      9.6      8.7       4.5      9.6      7.1           
          W/Children < 18           4.9      6.3      5.7       2.2      6.3      4.6           
        Female Householder          9.1     13.4     13.2       8.7     13.7     21.0           
          W/Children < 18           7.1     11.9     11.4       6.1     11.6     17.2           
     Nonfamily households          21.6     21.6     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                           
                                                                                                
                                     CENTRAL                    NEBRASKA                        
                                                  Native                     Native             
                                Total White Black American Total White Black American           
                                                                                                
     Less than 9th grade         5.9   5.0   6.5  12.9      5.4   4.5   5.3   9.0               
     9th to 11th grade           8.2   7.8  16.0  10.9      8.0   7.3  16.0  15.1               
     High school diploma        34.9  35.3  27.8  36.2     31.3  31.8  31.2  33.7               
     Some college, no degree    24.9  25.4  21.3  24.8     24.3  24.5  27.4  26.1               
     Associate degree            7.0   7.2   3.4   6.5      7.3   7.5   5.9   7.4               
     Baccalaureate degree       13.3  13.5  19.1   7.7     16.5  17.0  10.5   6.2               
     Graduate or professional    5.8   5.9   5.9   1.0      7.3   7.4   3.6   2.6               
     degree                                                                                     
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                Percent of persons 25 years and older                           
                                                                                                
                                     CENTRAL                    NEBRASKA                        
                                                                                                
                                                                                                
                                  Asian  Hispanic Minority *  Asian  Hispanic Minority *        
                                                                                                
     Less than 9th grade           21.4     37.6     30.8      10.8     34.2     17.9           
     9th to 11th grade             14.1     20.0     17.9      11.9     19.2     16.3           
     High school diploma           26.2     24.8     26.4      17.1     21.3     25.5           
     Some college, no degree        7.9     11.3     12.9      13.3     13.9     20.1           
     Associate degree               3.7      1.3      2.3       5.4      2.9      4.8           
     Baccalaureate degree          12.7      3.5      6.1      21.8      5.9     10.0           
     Graduate or professional      14.1      1.4      3.6      19.8      2.7      5.5           
     degree                                                                                     
                                                                                                
    * Minority Population = Total Population - White, Not Hispanic Population                   
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        SOCIAL INDICATORS                                                                       
                                  PER CAPITA INCOME, 2000 CENSUS                                
                                                                                                
                                 CENTRAL               NEBRASKA                                 
                                $17,125                $19,613                                  
                                                                                                
                         MEDIAN HOUSEHOLD INCOME, 2002 CENSUS ESTIMATES                         
                                                                                                
                                 CENTRAL               NEBRASKA                                 
                                $36,562                $41,978                                  
                                                                                                
                        PERCENT BELOW 100% POVERTY, 2002 CENSUS ESTIMATES                       
                                                                                                
                                 CENTRAL               NEBRASKA                                 
     5-17 Years of Age               12.1                    10.8                               
     Total Population                11.0                    10.0                               
                                                                                                
                 PERCENT BELOW 100% POVERTY BY RACE/ETHNICITY, 2000 CENSUS *                    
                                                                                                
                                 CENTRAL               NEBRASKA                                 
     White                           10.3                     8.2                               
     Black                           29.0                    27.4                               
     Native American                 21.7                    33.0                               
     Asian                            7.9                    12.8                               
     Hispanic                        24.9                    20.4                               
 * A '.' indicates the population estimate of the racial/ethnic group is zero.                  
                                                                                                
                     PERCENT OF WORKERS UNEMPLOYED, DEPT. OF LABOR, MAY, 2004                   
                                                                                                
                            CENTRAL                    NEBRASKA                                 
                    # UNEMPLOYED   % OF WORKERS   # UNEMPLOYED % OF WORKERS                     
                         4,326         3.6          39,368       4.0                            
                                                                                                
                                  HIGH SCHOOL DROPOUT RATE, 2003-2004                           
                                                                                                
                                 CENTRAL                  NEBRASKA                              
     % of 7-12th Grade Member-                                                                  
     ship Who Drop Out of School      1.5                       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              
                                                                                                
                                 CENTRAL                  NEBRASKA                              
                      # BIRTHS    % OF 1ST BIRTHS*  # BIRTHS  % OF 1ST BIRTHS*                  
     Total               524           10.0          4,398          9.0                         
     White               469            9.5          3,351          7.7                         
     Black                 6           26.1            653         24.4                         
     Native American      10           25.0            232         36.9                         
     Asian                 5            6.8             39          2.9                         
     Hispanic            174           27.2          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             
                                                                                                
                                       CENTRAL                    NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Total Arrests                       10579   48.5          94,648   54.2                    
     Arrests for violent crimes *          196    0.9           1,596    0.9                    
     Reported forcible rape offenses        34    0.2             195    0.1                    
     Arrests for DUI                     1,718    7.9          14,163    8.1                    
     Drug law violation arrests          1,319    6.0          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             
                                                                                                
                                       CENTRAL                    NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Total Arrests                      1,400    25.6         14,867    33.3                    
     Arrests for violent crimes *          18     0.3            224     0.5                    
     Arrests for DUI                       41     0.8            348     0.8                    
     Drug law violation arrests           100     1.8          1,150     2.6                    
    *Violent crimes include: murder, forcible rape, robbery and aggravated assault.             
                                                                                                
                           CHILD PROTECTION AND SAFETY, CY 2004                                 
                                                                                                
                                       CENTRAL                    NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
                                                                                                
     Average number of children                                                                 
     in out-of-home care *               698    12.6          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                   
                                                                                                
                                            CENTRAL              NEBRASKA                       
     Rate per 1,000 Children < Age 19            8.3                 8.6                        
                                                                                                
                   DOMESTIC VIOLENCE, JULY 1, 1999 - JUNE 30, 2000                              
                                       CENTRAL                    NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Number of Crisis Calls                                                                     
     Received by Multi-County Agency   11,996     55.1       108,312     63.3                   
     Total New Contacts for                                                                     
     Multi-County Agency                3,744     17.2        24,249     14.2                   
     CENTRAL MULTI-COUNTY AREA ALSO INCLUDES:                                                   
               Central Counties                                                                 
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        HEALTH STATUS                                                                           
                                                                                                
                                                                                                
                                LEADING CAUSES OF DEATH, 2000-2004                              
                             Age-Adjusted Death Rates per 100,000 Population                    
                                                                                                
                                                                            NEBRASKA            
                                                        NEBRASKA           NATIVE               
                        CENTRAL           NEBRASKA      YEAR 2010   BLACK AMERICAN HISPANIC     
CAUSE OF DEATH             DEATHS  RATE  DEATHS  RATE   OBJECTIVE   RATE    RATE    RATE        
Heart Disease (#1)          3,211 211.2  20,262 205.1      --       245.6   276.0  110.6        
Cancer -- All Sites (#2)    2,343 171.6  16,798 182.0    147.0      255.2   201.9  117.8        
  Lung/Bronchus/Trachea       562  42.5   4,444  49.1     39.0       81.5    60.1   24.6        
  Breast (Female)             163  22.5   1,224  23.8     20.7       41.3    32.8    9.7        
  Prostate                    151  26.2     943  25.7     25.9       48.8    18.5    9.3        
Cerebrovascular (#3)          810  52.0   5,385  54.0     47.4       87.0    55.2   28.8        
Unintentional Injuries (#4)   507  41.2   3,457  37.6     19.4       25.2    92.6   34.9        
  Motor Vehicle               224  20.1   1,469  16.6     12.0        9.7    43.8   17.4        
Chronic Lung Disease (#5)     506  34.8   3,746  39.4      --        39.2    54.7   12.4        
                                                                                                
Suicide                        99   8.9     922  10.7      8.2        4.6     9.1    4.2        
Homicide                       14   1.4     259   3.0      2.0       20.3    11.9    6.6        
                                                                                                
Diabetes Related            1,018  69.2   6,933  72.6     25.0      162.8   260.9  109.3        
Tobacco Related             1,820 129.3  12,886 137.2      --       184.1   192.6   75.5        
Alcohol Related               451  35.2   3,255  35.5      --        41.9   137.3   41.2        
Work Related Accidents         40   3.6     209   2.4      --         0.4     0.9    2.5        
                                                                                                
All Causes                 11,109 762.7  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                       
                                                                                                
                    CENTRAL                                  NEBRASKA                           
                                                                      Native                    
                     Total    Total           Total    Total   Black American Hispanic          
Cancer Type         # Cases   Rate           # Cases   Rate    Rate    Rate     Rate            
All Sites             5,982   468.5           42,194   474.2   474.5   393.6   292.3            
                                                                                                
Lung & Bronchus         736    57.5            5,572    62.7    93.3    62.7    39.3            
Breast (Female)         822   122.3            6,278   131.8   102.2    56.9    57.2            
Prostate              1,014   177.3            6,470   165.9   197.9   146.3    57.0            
Colorectal              779    58.6            5,366    59.1    61.9    47.7    44.5            
                                                                                                
    NOTE: Age adjusted rates are based on the 2000 U.S. census standard.                        
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        LEADING REASONS FOR HOSPITALIZATION (NEBRASKA OCCURRANCE ONLY), 2003-2004               
                     Age-Adjusted Hospital Discharge Rates per 100,000 Population               
                                     CENTRAL                NEBRASKA         PERCENT            
    CONDITION/INJURY              # DISCHARGES  RATE # DISCHARGES  RATE     DIFFERENCE          
                                                                                                
     All Conditions/Injuries          53,896 11,220.00  359,031  9,837.00      14.1             
     Pregnancy/Childbirth             11,101  2,687.00   89,507  2,465.00       9.0             
     All Injuries                      8,099  1,587.00   55,504  1,509.00       5.2             
     Diabetes Related Diseases         7,630  1,466.00   46,921  1,277.00      14.8             
     Heart Disease                     7,031  1,299.00   37,934  1,014.00      28.1             
     Digestive Diseases                4,517    911.0    29,464    808.0       12.7             
     Musculoskeletal Diseases          3,514    707.0    23,783    659.0        7.3             
     Psychosis/Mental Health           2,082    491.0    17,125    492.0       -0.2             
     Pneumonia                         3,095    575.0    14,664    386.0       49.0             
     Genitourinary Diseases            2,435    518.0    14,656    411.0       26.0             
     Cancer                            1,815    356.0    11,800    322.0       10.6             
     Fractures                         1,671    303.0     9,998    261.0       16.1             
     Other Respiratory Diseases        1,361    274.0     9,145    246.0       11.4             
     Tobacco Related Diseases          1,627    306.0     9,566    257.0       19.1             
     Surgical/Medical Complications    1,329    271.0     8,506    236.0       14.8             
     Cerebrovascular Disease           1,304    232.0     8,131    214.0        8.4             
     COPD                              1,220    241.0     7,578    208.0       15.9             
     Alcohol Related Diseases            375     76.0     2,405     67.0       13.4             
                                                                                                
    Leading Causes of Injury                                                                    
     Falls                             1,964    341.0    11,318    291.0       17.2             
     MV Accidents                        299     67.0     2,218     62.0        8.1             
     Self-Inflicted                      155     37.0     1,754     50.0      -26.0             
     Other Unintentional                 165     31.0     1,215     33.0       -6.1             
     Poisoning                            54     11.0       592     16.0      -31.3             
     Struck/Pierced by Object             95     20.0       609     17.0       17.6             
     Overexertion                         75     15.0       480     13.0       15.4             
     Environmental                        75     16.0       513     14.0       14.3             
     Assault                              36      9.0       442     12.0      -25.0             
                                                                                                
                                LEADING PAYER TYPE FOR HOSPITALIZATION, 2003-2004               
                                                                                                
                                     CENTRAL                NEBRASKA         PERCENT            
    PAYER TYPE                      DISCHARGES    %   DISCHARGES     %      DIFFERENCE          
     Commercial                       18,949     35.2   168,501     46.9      -24.9             
     Medicare                         25,633     47.6   131,141     36.5       30.4             
     Medicaid                          7,639     14.2    50,769     14.1        0.7             
     Self-Pay                            675      1.3     3,460      1.0       30.0             
     Other State/Federal               1,000      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                               
                                                                                                
                                   CENTRAL                           NEBRASKA                   
                                       *Rate                            Rate                    
                                        2.1                              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                    
                                                                                                
                                   CENTRAL                           NEBRASKA                   
                                       Rate                             Rate                    
      West Nile Virus (WNV)             357                              112                    
      Chronic Hepatitis C              30.9                             64.2                    
      TB                                1.4                              1.6                    
                                                                                                
       Note: Rates are per 100,000 Population.                                                  
                                                                                                
               INCIDENCE RATES OF SEXUALLY TRANSMITTED DISEASES BY RACE/ETHNICITY               
                                                                                                
                          CENTRAL                                    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  219.8  146.3  815.9  585.7  181.4  542.2   424.4  193.7 2847.6  903.3  166.6  518.3  
 < 18       67.0   50.4  654.2  169.5    0.0  149.5   226.2   83.9 1616.4  383.6   67.7  125.0  
 > 17      196.0  118.9  676.1  698.7  183.5  688.0   455.9  207.6 3181.6 1086.7  163.3  667.2  
STD TYPE                                                                                        
Gonorrhea   13.3    8.9  272.0   58.6   10.7   30.5    65.8   19.1 1025.7  127.1   19.6   62.9  
Chlamydia  180.3  135.5  543.9  439.2  170.8  479.7   301.3  146.5 1695.1  722.6  131.0  413.7  
  Female   286.3  226.7  652.2  701.8  213.9  848.1   433.6  223.1 2278.7 1163.2  198.0  666.3  
Herpes      25.3    1.4    0.0   29.3    0.0   18.3    42.0   18.6   82.7   18.7    7.3   23.5  
                                                                                                
       Note: Rates are per 100,000 Population.                                                  
                                                                                                
                             ESTIMATED PREVALENCE OF DEMENTIA, 2004                             
                                                                                                
                              CENTRAL                           NEBRASKA                        
                Rate *        # of Persons **                   # of Persons **                 
    Age 65-74    10%              1,590                            11,135                       
    Age 75-84    20%              2,586                            16,908                       
    Age 85+      47%              2,731                            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                        
                                                                                                
                          CENTRAL               NEBRASKA                                        
                           INFANT             INFANT          NEBRASKA YEAR 2010                
    RACE/ETHNICITY         DEATHS  RATE       DEATHS  RATE         OBJECTIVE                    
    White                     97   7.1          670   5.9             4.5                       
    Black                      5  67.6          121  16.9             4.5                       
    Native American            1   8.3           31  14.4             4.5                       
    Asian                      1   5.7           10   3.5             4.5                       
    Total                    104   7.1          838   6.6             4.5                       
    Hispanic                  14   6.8          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                
                          CENTRAL               NEBRASKA           OBJECTIVE                    
    WEIGHT                 NUMBER  RATE       NUMBER  RATE          RATE                        
    Very Low - All Births    195  13.4        1,611  12.7             9.0                       
    Low - All Births         922  63.3        8,821  69.4            50.0                       
          White              861  62.6        7,431  65.8            50.0                       
          Black                8 108.1          897 125.1            50.0                       
          Native American      7  57.9          145  67.2            50.0                       
          Asian               16  92.0          221  77.7            50.0                       
          Hispanic           116  56.1          976  62.0            50.0                       
                                                                                                
       Note: Rates are per 1,000 live births.                                                   
                                                                                                
                     NUMBER OF INFANTS BORN WITH BIRTH DEFECTS, 1999-2003                       
                                                                                                
                               CENTRAL               NEBRASKA                                   
                           # of      % of          # of      % of                               
                          Infants Total Births    Infants Total Births                          
    Infants with birth                                                                          
     defects                  409      2.8         4,534        3.6                             
                                                                                                
                          TEEN AGE BIRTHS BY AGE AND RACE/ETHNICITY, 2000-2004                  
                   CENTRAL                           NEBRASKA                                   
    Age of Mother  10-17        15-17            10-17        15-17                             
                NUMBER   %   NUMBER   %       NUMBER   %   NUMBER   %                           
    All Births    413   2.8    400   2.7      3,715   2.9  3,583   2.8                          
    White         374   2.7    363   2.6      2,792   2.5  2,718   2.4                          
    Black           6   8.1      5   6.8        631   8.8    586   8.2                          
    Native Amer     7   5.8      7   5.8        184   8.5    179   8.3                          
    Asian           4   2.3      4   2.3         36   1.3     35   1.2                          
    Hispanic      133   6.4    128   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           CENTRAL              NEBRASKA         OBJECTIVE                    
    1-10                         10.8              10.4                 --                      
    11-20                         3.3               2.8                 --                      
    21+                           0.5               0.6                 --                      
    Unknown                       0.2               0.3                 --                      
                                                                                                
    TOTAL                        14.9              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                     CENTRAL              NEBRASKA         OBJECTIVE                    
    White                        81.6              84.7                90.0                     
    Black                        52.7              70.5                90.0                     
    Native American              62.0              68.3                90.0                     
    Asian                        73.6              82.2                90.0                     
                                                                                                
    Total                        80.2              83.2                90.0                     
                                                                                                
    Hispanic                     60.9              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              
                                   CENTRAL            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               
                                                                                                
                                    CENTRAL             NEBRASKA         NEBRASKA               
                                          * % WITH          % WITH      YEAR 2010               
    RISK FACTOR                     (N)   BEHAVIOR   (N)   BEHAVIOR     OBJECTIVE               
    Obese (body mass                                                                            
       index 30 or higher)        3,548     24.3   23,583    22.4          15%                  
    No leisure-time                                                                             
     physical activity            3,738     26.7   24,965    25.0          15%                  
    Currently smoke                                                                             
     cigarettes                   3,733     19.9   24,932    21.1          12%                  
    Chronic drinking                                                                            
     60+/Mo Men - 30+/Mo Women    3,283      4.2   21,579     4.8          --                   
    No health insurance           3,730     13.5   24,932    11.9           0%                  
    Could not see physician in                                                                  
     past 12 months due to cost   2,653      9.5   16,873     8.4           4%                  
                                                                                                
    Mammogram                                                                                   
     in past two                                                                                
     years (Ages 40+)             1,176     74.6    6,913    75.5          75%                  
    Immunization rates (65+)                                                                    
     Flu shot past 12 months      1,054     71.7    6,210    71.5          90%                  
     Pneumonia immunization       1,033     65.8    6,123    63.2          90%                  
                                                                                                
    General health good to                                                                      
     excellent (self-reported)    3,729     85.5   24,924    87.4          --                   
    Ten or more days in past 30                                                                 
     days health not good                                                                       
      Physical health             3,074      9.4   20,236     9.7          --                   
      Mental health               3,090      9.2   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                                     
                                                                                                
               CENTRAL                  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                   
      271       1.7     4.0       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                                     
                                                                                                
                CENTRAL                                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                 
                                                                                                
      114        9     72.7      24.4          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                        
                                                                                                
              CENTRAL                   NEBRASKA                                                
                                                                                                
                 # w/High     %          # w/High      %    NEBRASKA YEAR 2010                  
     LEAD LEVEL Blood Lead Tested       Blood Lead  Tested      OBJECTIVE                       
                                                                                                
     >9ug/dL       172        3.8          1846       3.3      0% (>9ug/dL)                     
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        AVAILABILITY OF SERVICES                                                                
                                                                                                
                           HEALTH PROFESSIONALS IN PRACTICE, 2003                               
                                                                                                
                                     CENTRAL                     NEBRASKA                       
                                            # Persons                  # Persons                
                                  # of      Served per       # of      Served per               
    PROFESSION              Practitioners Practitioner Practitioners Practitioner               
                                                                                                
General/Family Practice           95           2289          677          2569                  
Internal Medicine                 29           7498          227          7662                  
Pediatrics                        15          14497          162         10736                  
OB/Gynecology                     14          15533          143         12163                  
Psychiatry                        11          19769          140         12424                  
Physician Assistant               44           4942          445          3909                  
Nurse Practitioner                38           5723          329          5287                  
Licensed Practical Nurse        1107            196         6337           274                  
Dentist                          119           1827         1084          1605                  
Registered Nurse                2249             97        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                         1901            141            15729           1023              
 Black                            1              0              166             15              
 Native American                  3              0               54              5              
 Asian                            9              5              117             43              
 Hispanic                        10              1              183             25              
 Other Race/Ethnicity/Unknown     5              1               85              4              
                                                                                                
                       FEDERAL SHORTAGE AREA DESIGNATIONS, 2003                                 
                                                                                                
                                     CENTRAL                     NEBRASKA                       
        HPSA                           Part                        Part                         
        MUA/MUP                        Part                        Part                         
                                                                                                
                            EMERGENCY SERVICES, 2003                                            
                                                                                                
        SERVICE                           CENTRAL                NEBRASKA                       
    Ambulance services                          80                 394                          
                                                                                                
                          AVAILABILITY OF TRANSPORATION, 1998                                   
                                                                                                
                 PUBLIC TRANSPORTATION AVAILABLE IN CENTRAL ?  YES .                            
                                                                                                
            COMMUNITIES SERVED BY PUBLIC TRANSPORTATION IN CENTRAL :                            
                                                                                                
                    Central Nebraska Cities                                                     
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        SERVICE UTILIZATION DATA                                                                
                                                                                                
                                                                                                
                     MEDICAID ELIGIBILITY AND EXPENDITURES, FY 2003                             
                                                                                                
                           CENTRAL                        NEBRASKA                              
                        TOTAL PERSONS    % OF        TOTAL PERSONS    % OF                      
                        ELIGIBLE(#)   ELIGIBLES      ELIGIBLE(#)   ELIGIBLES                    
                                                                                                
    Medicaid               27,782        100.0         205,498        100.0                     
       Aged                 2,934         10.6          18,449          9.0                     
       Blind & Disabled     3,342         12.0          26,534         12.9                     
       ADC Children        18,514         66.6         134,743         65.6                     
       ADC Adults           2,992         10.8          25,772         12.5                     
                                                                                                
                                                                                                
                                                                                                
                             CENTRAL                       NEBRASKA                             
                              TOTAL    % OF TOTAL      TOTAL    % OF TOTAL                      
                             DOLLARS    MEDICAID      DOLLARS    MEDICAID                       
                              ($000)    DOLLARS        ($000)    DOLLARS                        
                                                                                                
    Medicaid                $172,136     100.0     $1,280,005     100.0                         
       Aged                   55,130      34.0        353,582      29.4                         
       Blind & Disabled       53,028      32.7        432,011      36.0                         
       ADC Children           42,144      26.0        319,452      26.6                         
       ADC Adults             11,764       7.3         95,724       8.0                         
                                                                                                
               MEDICAID EXPENDITURES BY TYPE OF SERVICE PROVIDED, FY 2003                       
                                                                                                
                             CENTRAL                       NEBRASKA                             
                              TOTAL    % OF TOTAL      TOTAL    % OF TOTAL                      
                             DOLLARS    MEDICAID      DOLLARS    MEDICAID                       
                              ($000)    DOLLARS        ($000)    DOLLARS                        
                                                                                                
    All Medicaid            $172,136     100.0     $1,280,005     100.0                         
                                                                                                
    Medicaid Fee-for-Service 136,132      79.1        970,707      75.8                         
       Hospital--Inpatient    32,965      19.2        257,282      20.1                         
       Hospital--Outpatient    8,791       5.1         75,892       5.9                         
       ICF Mentally Retarded   7,060       4.1         50,253       3.9                         
       Nursing Facility       39,951      23.2        271,975      21.2                         
       Physician              15,179       8.8        100,083       7.8                         
       Dental                  4,747       2.8         33,337       2.6                         
       Prescribed Drugs       27,439      15.9        181,885      14.2                         
                                                                                                
    Other Medicaid (Includes                                                                    
       Capitated Payments)    36,004      20.9        309,298      24.2                         
                                                                                                
                                                                                                
                   UTILIZATION OF SERVICES BY PROGRAM, FY 2004                                  
                                                                                                
                             CENTRAL                       NEBRASKA                             
                             AVERAGE    AVERAGE       AVERAGE    AVERAGE                        
                             MONTHLY    PAYMENT       MONTHLY    PAYMENT                        
                          PARTICIPANTS    ($)      PARTICIPANTS    ($)                          
                                                                                                
    Aid to Dependent           1,291   $339.41*        12,237   $353.16*                        
       Children (ADC)                                                                           
    Food Stamp Program        13,001    $76.14**      111,435    $79.42**                       
                                                                                                
     *  Average payment per family.                                                             
     ** Average payment per person.                                                             
                                                                                                
                NUMBER OF PERSONS SERVED BY PUBLIC HEALTH PROGRAMS                              
                                                                                                
    SERVICE PROVIDED                 CENTRAL                       NEBRASKA                     
                                                                                                
    WIC, UNDUPLICATED PERSONS SERVED, 2004                                                      
       Pregnant women seen                         518            4,527                         
       Breastfeeding clients seen                  853            5,609                         
       Postpartum women seen                     1,451           10,951                         
       Infants seen                              1,212            9,521                         
       Children seen                             5,727           39,835                         
                                        Native                             Native               
       Total WIC clients     Total  Black Am  Asian Hispanic    Total  Black Am  Asian Hispanic 
       seen in 2004         9,762   211    68    90  2,888     70,449 7,664 1,316 1,296 20,674  
                                                                                                
    Reproductive health, 2004                    4,763           42,421                         
                                                                                                
              NURSING HOME AND HOSPITAL LONG-TERM CARE OCCUPANCY, 2004                          
                                                                                                
                                            CENTRAL               NEBRASKA                      
    Nursing Home and Hospital                                                                   
    Long-Term Care Facilities                                                                   
         Number of licensed beds                 3,078           17,130                         
         Occupancy rate                           82.3             82.7                         
                                                                                                
    Persons Aged 65 and Older                                                                   
    Living in Nursing Homes or                                                                  
    Hospital Long-Term Care                                                                     
    Facilities                                                                                  
         Number                                  2,280           12,710                         
         Percent of population                     6.5              5.5                         
           aged 65 and older                                                                    

Statistical Profiles