AREA PROFILE -- LANCASTER                                   
                                                                                                
                                                                                                
        DEMOGRAPHIC DATA                                                                        
                                                                                                
                                U.S. CENSUS ESTIMATES, 2004                                     
                                                                                                
                 LANCASTER -   261,545                  NEBRASKA - 1,747,214                    
                                                                                                
                                                                                                
                                 POPULATION BY AGE AND RACE/ETHNICITY                           
                        LANCASTER                                  NEBRASKA                     
 AGE         PERCENT        NATIVE                                         NATIVE               
GROUP   TOTAL       BLACK AMERICAN ASIAN HISPANIC  TOTAL  PERCENT  BLACK AMERICAN ASIAN HISPANIC
  0-4  18,506  7.1    679    158     661   1,159  122,049   7.0     6,566  1,726   2,087  15,560
 5-14  32,247 12.3  1,549    314   1,109   2,008  236,970  13.6    14,021  3,332   3,652  24,538
15-24  42,656 16.3  1,499    361   1,501   1,965  266,314  15.2    13,893  3,368   4,811  21,847
25-44  82,518 31.6  2,744    647   3,332   3,901  473,637  27.1    22,127  4,736  11,084  40,755
45-64  58,650 22.4  1,164    292   1,564   1,300  416,441  23.8    13,444  2,631   5,077  13,752
65-74  13,251  5.1    151     38     289     203  111,352   6.4     2,767    471     821   2,126
75-84   9,858  3.8     85     20      70     107   84,541   4.8     1,454    213     325   1,044
 85+    3,859  1.5     30      5      15      35   35,910   2.1       549     93      76     359
 <18   59,564 22.8  2,537    547   2,080   3,573  446,083  25.5    24,698  6,261   7,104  47,141
 65+   26,968 10.3    266     63     374     345  231,803  13.3     4,770    777   1,222   3,529
                                                                                                
                                                                                                
                               POPULATION BY GENDER AND RACE/ETHNICITY                          
                        LANCASTER                                  NEBRASKA                     
             PERCENT        NATIVE                                         NATIVE               
GENDER  TOTAL       BLACK AMERICAN ASIAN HISPANIC  TOTAL  PERCENT  BLACK AMERICAN ASIAN HISPANIC
Men   130,578 49.9  4,502    935   4,290   5,796  863,628  49.4    37,128   8,068  13,719 65,048
Women 130,967 50.1  3,399    900   4,251   4,882  883,586  50.6    37,693   8,502  14,214 54,933
 15-17  4,420         137     36     153     182   42,285           1,986    590     663   3,127
                                                                                                
                                                                                                
                                    POPULATION BY RACE/ETHNICITY                                
                                                                                                
                             LANCASTER                           NEBRASKA                       
         RACE/ETHNICITY     NUMBER   PERCENT                     NUMBER   PERCENT               
         White             239,257     91.5                   1,609,056     92.1                
         Black               7,901      3.0                      74,821      4.3                
         Native American     1,835      0.7                      16,570      0.9                
         Asian               8,541      3.3                      27,933      1.6                
                                                                                                
         Hispanic           10,678      4.1                     119,981      6.9                
                                                                                                
         Minority *         31,935     12.2                     250,577     14.3                
                                                                                                
    * Minority Population = Total Population - White, Not Hispanic Population                   
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                  HOUSEHOLDS BY TYPE, 2000 CENSUS                               
                                                                                                
                                      LANCASTER                 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                     25.7      23.1              28.6      25.6               
   Male householders                    1.4       1.9               1.3       2.0               
   Female householders                  2.7       6.4               2.6       6.5               
   Male householder nonfamilies        18.3       0.3              15.2       0.3               
   Female householder nonfamilies      20.1       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                   61.2  60.9  58.9  65.0     66.6  66.2  65.0  74.3               
      Married Couples           48.8  49.4  30.0  30.0     54.2  55.4  28.8  35.4               
        W/Children < 18         23.1  22.7  19.8  17.2     25.6  25.4  16.7  24.0               
      Single Parent Families    12.4   7.5  23.9  29.1     12.4   7.2  28.7  32.6               
        Male householder         3.3   3.0   6.9   5.2      3.3   3.0   5.4   8.8               
          W/Children < 18        1.9   1.7   5.4   4.1      2.0   1.8   3.6   6.7               
        Female Householder       9.1   8.5  22.0  29.8      9.1   7.8  30.8  30.1               
          W/Children < 18        6.4   5.8  18.5  25.0      6.5   5.4  25.1  25.9               
     Nonfamily households       38.8  39.0  41.2  35.0     33.4  33.7  34.9  25.7               
                                                                                                
                                                                                                
                                  % OF HOUSEHOLDS             % OF HOUSEHOLDS                   
                                  Asian  Hispanic Minority *  Asian  Hispanic Minority *        
     Families                      70.4     68.2     64.5      66.9     77.3     70.2           
      Married Couples              55.9     46.3     42.0      53.7     54.0     42.1           
        W/Children < 18            35.7     32.3     27.7      33.0     40.7     28.3           
      Single Parent Families        9.6     15.9     17.2       8.3     17.9     21.8           
        Male householder            4.9      7.7      6.4       4.5      9.6      7.1           
          W/Children < 18           2.4      4.6      4.0       2.2      6.3      4.6           
        Female Householder          9.6     14.2     16.1       8.7     13.7     21.0           
          W/Children < 18           7.2     11.3     13.2       6.1     11.6     17.2           
     Nonfamily households          29.5     31.8     35.5      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                           
                                                                                                
                                     LANCASTER                  NEBRASKA                        
                                                  Native                     Native             
                                Total White Black American Total White Black American           
                                                                                                
     Less than 9th grade         2.9   2.1   6.0   6.0      5.4   4.5   5.3   9.0               
     9th to 11th grade           6.6   5.9  12.5  12.2      8.0   7.3  16.0  15.1               
     High school diploma        25.2  25.5  26.8  25.4     31.3  31.8  31.2  33.7               
     Some college, no degree    24.0  24.2  29.6  30.6     24.3  24.5  27.4  26.1               
     Associate degree            8.7   8.9   7.5   8.2      7.3   7.5   5.9   7.4               
     Baccalaureate degree       21.7  22.4  11.9  11.7     16.5  17.0  10.5   6.2               
     Graduate or professional   10.9  10.9   5.7   5.9      7.3   7.4   3.6   2.6               
     degree                                                                                     
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                Percent of persons 25 years and older                           
                                                                                                
                                     LANCASTER                  NEBRASKA                        
                                                                                                
                                                                                                
                                  Asian  Hispanic Minority *  Asian  Hispanic Minority *        
                                                                                                
     Less than 9th grade           15.9     18.0     11.9      10.8     34.2     17.9           
     9th to 11th grade             15.9     17.9     14.7      11.9     19.2     16.3           
     High school diploma           16.3     22.8     22.1      17.1     21.3     25.5           
     Some college, no degree       11.0     18.4     21.1      13.3     13.9     20.1           
     Associate degree               4.7      3.5      5.7       5.4      2.9      4.8           
     Baccalaureate degree          17.2     11.7     13.7      21.8      5.9     10.0           
     Graduate or professional      19.1      7.6     10.7      19.8      2.7      5.5           
     degree                                                                                     
                                                                                                
    * Minority Population = Total Population - White, Not Hispanic Population                   
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        SOCIAL INDICATORS                                                                       
                                  PER CAPITA INCOME, 2000 CENSUS                                
                                                                                                
                                 LANCASTER             NEBRASKA                                 
                                $21,265                $19,613                                  
                                                                                                
                         MEDIAN HOUSEHOLD INCOME, 2002 CENSUS ESTIMATES                         
                                                                                                
                                 LANCASTER             NEBRASKA                                 
                                $42,828                $41,978                                  
                                                                                                
                        PERCENT BELOW 100% POVERTY, 2002 CENSUS ESTIMATES                       
                                                                                                
                                 LANCASTER             NEBRASKA                                 
     5-17 Years of Age                9.6                    10.8                               
     Total Population                 9.4                    10.0                               
                                                                                                
                 PERCENT BELOW 100% POVERTY BY RACE/ETHNICITY, 2000 CENSUS *                    
                                                                                                
                                 LANCASTER             NEBRASKA                                 
     White                            8.3                     8.2                               
     Black                           27.1                    27.4                               
     Native American                 25.6                    33.0                               
     Asian                           13.2                    12.8                               
     Hispanic                        18.8                    20.4                               
 * A '.' indicates the population estimate of the racial/ethnic group is zero.                  
                                                                                                
                     PERCENT OF WORKERS UNEMPLOYED, DEPT. OF LABOR, MAY, 2004                   
                                                                                                
                            LANCASTER                  NEBRASKA                                 
                    # UNEMPLOYED   % OF WORKERS   # UNEMPLOYED % OF WORKERS                     
                         6,196         4.0          39,368       4.0                            
                                                                                                
                                  HIGH SCHOOL DROPOUT RATE, 2003-2004                           
                                                                                                
                                 LANCASTER                NEBRASKA                              
     % of 7-12th Grade Member-                                                                  
     ship Who Drop Out of School      3.1                       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              
                                                                                                
                                 LANCASTER                NEBRASKA                              
                      # BIRTHS    % OF 1ST BIRTHS*  # BIRTHS  % OF 1ST BIRTHS*                  
     Total               519            6.3          4,398          9.0                         
     White               413            5.5          3,351          7.7                         
     Black                57           23.6            653         24.4                         
     Native American      30           40.5            232         36.9                         
     Asian                15            3.2             39          2.9                         
     Hispanic             65           15.4          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             
                                                                                                
                                       LANCASTER                  NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Total Arrests                       19415   74.2          94,648   54.2                    
     Arrests for violent crimes *          333    1.3           1,596    0.9                    
     Reported forcible rape offenses        51    0.2             195    0.1                    
     Arrests for DUI                     2,036    7.8          14,163    8.1                    
     Drug law violation arrests          1,921    7.3          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             
                                                                                                
                                       LANCASTER                  NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Total Arrests                      2,864    48.1         14,867    33.3                    
     Arrests for violent crimes *          40     0.7            224     0.5                    
     Arrests for DUI                       63     1.1            348     0.8                    
     Drug law violation arrests           192     3.2          1,150     2.6                    
    *Violent crimes include: murder, forcible rape, robbery and aggravated assault.             
                                                                                                
                           CHILD PROTECTION AND SAFETY, CY 2004                                 
                                                                                                
                                       LANCASTER                  NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
                                                                                                
     Average number of children                                                                 
     in out-of-home care *              1273    21.0          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                   
                                                                                                
                                            LANCASTER            NEBRASKA                       
     Rate per 1,000 Children < Age 19           15.9                 8.6                        
                                                                                                
                   DOMESTIC VIOLENCE, JULY 1, 1999 - JUNE 30, 2000                              
                                       LANCASTER                  NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Number of Crisis Calls                                                                     
     Received by Multi-County Agency   47,504    189.8       108,312     63.3                   
     Total New Contacts for                                                                     
     Multi-County Agency                4,504     18.0        24,249     14.2                   
     LANCASTER MULTI-COUNTY AREA ALSO INCLUDES:                                                 
               Lancaster                                                                        
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        HEALTH STATUS                                                                           
                                                                                                
                                                                                                
                                LEADING CAUSES OF DEATH, 2000-2004                              
                             Age-Adjusted Death Rates per 100,000 Population                    
                                                                                                
                                                                            NEBRASKA            
                                                        NEBRASKA           NATIVE               
                        LANCASTER         NEBRASKA      YEAR 2010   BLACK AMERICAN HISPANIC     
CAUSE OF DEATH             DEATHS  RATE  DEATHS  RATE   OBJECTIVE   RATE    RATE    RATE        
Heart Disease (#1)          1,967 175.6  20,262 205.1      --       245.6   276.0  110.6        
Cancer -- All Sites (#2)    2,042 185.2  16,798 182.0    147.0      255.2   201.9  117.8        
  Lung/Bronchus/Trachea       569  52.3   4,444  49.1     39.0       81.5    60.1   24.6        
  Breast (Female)             150  23.4   1,224  23.8     20.7       41.3    32.8    9.7        
  Prostate                     94  24.1     943  25.7     25.9       48.8    18.5    9.3        
Cerebrovascular (#3)          530  47.4   5,385  54.0     47.4       87.0    55.2   28.8        
Unintentional Injuries (#4)   434  35.1   3,457  37.6     19.4       25.2    92.6   34.9        
  Motor Vehicle               160  11.8   1,469  16.6     12.0        9.7    43.8   17.4        
Chronic Lung Disease (#5)     435  39.9   3,746  39.4      --        39.2    54.7   12.4        
                                                                                                
Suicide                       145  11.4     922  10.7      8.2        4.6     9.1    4.2        
Homicide                       23   1.6     259   3.0      2.0       20.3    11.9    6.6        
                                                                                                
Diabetes Related              809  73.1   6,933  72.6     25.0      162.8   260.9  109.3        
Tobacco Related             1,451 131.5  12,886 137.2      --       184.1   192.6   75.5        
Alcohol Related               375  31.4   3,255  35.5      --        41.9   137.3   41.2        
Work Related Accidents         15   1.2     209   2.4      --         0.4     0.9    2.5        
                                                                                                
All Causes                  8,485 752.0  75,953 789.1      --     1,110.5 1,269.2  559.0        
                                                                                                
    NOTE: Age adjusted rates are based on the 2000 U.S. census standard.                        
                                                                                                
                                                                                                
                                                                                                
                                  CANCER INCIDENCE, 1999-2003                                   
                      Age-Adjusted Incidence Rates per 100,000 Population                       
                                                                                                
                    LANCASTER                                NEBRASKA                           
                                                                      Native                    
                     Total    Total           Total    Total   Black American Hispanic          
Cancer Type         # Cases   Rate           # Cases   Rate    Rate    Rate     Rate            
All Sites             5,304   483.6           42,194   474.2   474.5   393.6   292.3            
                                                                                                
Lung & Bronchus         683    64.1            5,572    62.7    93.3    62.7    39.3            
Breast (Female)         845   141.1            6,278   131.8   102.2    56.9    57.2            
Prostate                731   156.7            6,470   165.9   197.9   146.3    57.0            
Colorectal              630    58.1            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               
                                     LANCASTER              NEBRASKA         PERCENT            
    CONDITION/INJURY              # DISCHARGES  RATE # DISCHARGES  RATE     DIFFERENCE          
                                                                                                
     All Conditions/Injuries          54,038 10,560.00  359,031  9,837.00       7.3             
     Pregnancy/Childbirth             15,355  2,520.00   89,507  2,465.00       2.2             
     All Injuries                      8,230  1,709.00   55,504  1,509.00      13.3             
     Diabetes Related Diseases         6,801  1,462.00   46,921  1,277.00      14.5             
     Heart Disease                     4,963  1,070.00   37,934  1,014.00       5.5             
     Digestive Diseases                3,866    799.0    29,464    808.0       -1.1             
     Musculoskeletal Diseases          3,880    836.0    23,783    659.0       26.9             
     Psychosis/Mental Health           3,841    739.0    17,125    492.0       50.2             
     Pneumonia                         1,487    315.0    14,664    386.0      -18.4             
     Genitourinary Diseases            1,869    379.0    14,656    411.0       -7.8             
     Cancer                            1,602    343.0    11,800    322.0        6.5             
     Fractures                         1,535    319.0     9,998    261.0       22.2             
     Other Respiratory Diseases        1,196    244.0     9,145    246.0       -0.8             
     Tobacco Related Diseases          1,217    261.0     9,566    257.0        1.6             
     Surgical/Medical Complications    1,313    276.0     8,506    236.0       16.9             
     Cerebrovascular Disease           1,190    259.0     8,131    214.0       21.0             
     COPD                                878    189.0     7,578    208.0       -9.1             
     Alcohol Related Diseases            474     95.0     2,405     67.0       41.8             
                                                                                                
    Leading Causes of Injury                                                                    
     Falls                             1,805    384.0    11,318    291.0       32.0             
     MV Accidents                        391     73.0     2,218     62.0       17.7             
     Self-Inflicted                      380     69.0     1,754     50.0       38.0             
     Other Unintentional                  91     19.0     1,215     33.0      -42.4             
     Poisoning                           106     20.0       592     16.0       25.0             
     Struck/Pierced by Object             97     18.0       609     17.0        5.9             
     Overexertion                         94     18.0       480     13.0       38.5             
     Environmental                        67     13.0       513     14.0       -7.1             
     Assault                              74     13.0       442     12.0        8.3             
                                                                                                
                                LEADING PAYER TYPE FOR HOSPITALIZATION, 2003-2004               
                                                                                                
                                     LANCASTER              NEBRASKA         PERCENT            
    PAYER TYPE                      DISCHARGES    %   DISCHARGES     %      DIFFERENCE          
     Commercial                       26,327     48.7   168,501     46.9        3.8             
     Medicare                         18,937     35.0   131,141     36.5       -4.1             
     Medicaid                          7,329     13.6    50,769     14.1       -3.5             
     Self-Pay                            390      0.7     3,460      1.0      -30.0             
     Other State/Federal               1,055      2.0     5,160      1.4       42.9             
                                                                                                
    NOTE: Age adjusted rates are based on the 2000 U.S. census standard.                        
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                     INCIDENCE OF AIDS, 2000-2004                               
                                                                                                
                                   LANCASTER                         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                    
                                                                                                
                                   LANCASTER                         NEBRASKA                   
                                       Rate                             Rate                    
      West Nile Virus (WNV)            44.3                              112                    
      Chronic Hepatitis C              68.7                             64.2                    
      TB                                1.2                              1.6                    
                                                                                                
       Note: Rates are per 100,000 Population.                                                  
                                                                                                
               INCIDENCE RATES OF SEXUALLY TRANSMITTED DISEASES BY RACE/ETHNICITY               
                                                                                                
                          LANCASTER                                  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  541.0  197.1 2198.1  775.3  150.3  568.6   424.4  193.7 2847.6  903.3  166.6  518.3  
 < 18      232.1   73.5  679.8  215.1   98.8  129.4   226.2   83.9 1616.4  383.6   67.7  125.0  
 > 17      631.7  232.0 2840.8 1021.9  153.6  738.0   455.9  207.6 3181.6 1086.7  163.3  667.2  
STD TYPE                                                                                        
Gonorrhea   83.9   23.5  707.4  157.3   23.5   98.4    65.8   19.1 1025.7  127.1   19.6   62.9  
Chlamydia  321.1  107.4 1160.6  505.6  101.0  341.2   301.3  146.5 1695.1  722.6  131.0  413.7  
  Female   404.5  132.7 1107.7  606.8  170.8  378.1   433.6  223.1 2278.7 1163.2  198.0  666.3  
Herpes      56.3   11.3   23.6   11.2    2.3   10.9    42.0   18.6   82.7   18.7    7.3   23.5  
                                                                                                
       Note: Rates are per 100,000 Population.                                                  
                                                                                                
                             ESTIMATED PREVALENCE OF DEMENTIA, 2004                             
                                                                                                
                              LANCASTER                         NEBRASKA                        
                Rate *        # of Persons **                   # of Persons **                 
    Age 65-74    10%              1,325                            11,135                       
    Age 75-84    20%              1,972                            16,908                       
    Age 85+      47%              1,814                            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                        
                                                                                                
                          LANCASTER             NEBRASKA                                        
                           INFANT             INFANT          NEBRASKA YEAR 2010                
    RACE/ETHNICITY         DEATHS  RATE       DEATHS  RATE         OBJECTIVE                    
    White                    100   5.7          670   5.9             4.5                       
    Black                     15  21.5          121  16.9             4.5                       
    Native American            5  21.5           31  14.4             4.5                       
    Asian                      2   2.1           10   3.5             4.5                       
    Total                    124   6.4          838   6.6             4.5                       
    Hispanic                   8   7.1          109   6.9             4.5                       
                                                                                                
       Note: Rates are per 1,000 live births.                                                   
                                                                                                
    VERY LOW (<1500 GR) AND LOW (<2500 GR) BIRTH WEIGHT BY RACE/ETHNICITY, 2000-2004            
                                                                                                
                                                              NEBRASKA YEAR 2010                
                          LANCASTER             NEBRASKA           OBJECTIVE                    
    WEIGHT                 NUMBER  RATE       NUMBER  RATE          RATE                        
    Very Low - All Births    242  12.4        1,611  12.7             9.0                       
    Low - All Births       1,382  71.0        8,821  69.4            50.0                       
          White            1,229  70.4        7,431  65.8            50.0                       
          Black               76 109.0          897 125.1            50.0                       
          Native American     15  64.4          145  67.2            50.0                       
          Asian               58  59.6          221  77.7            50.0                       
          Hispanic            59  52.4          976  62.0            50.0                       
                                                                                                
       Note: Rates are per 1,000 live births.                                                   
                                                                                                
                     NUMBER OF INFANTS BORN WITH BIRTH DEFECTS, 1999-2003                       
                                                                                                
                               LANCASTER             NEBRASKA                                   
                           # of      % of          # of      % of                               
                          Infants Total Births    Infants Total Births                          
    Infants with birth                                                                          
     defects                  769      4.1         4,534        3.6                             
                                                                                                
                          TEEN AGE BIRTHS BY AGE AND RACE/ETHNICITY, 2000-2004                  
                   LANCASTER                         NEBRASKA                                   
    Age of Mother  10-17        15-17            10-17        15-17                             
                NUMBER   %   NUMBER   %       NUMBER   %   NUMBER   %                           
    All Births    482   2.5    469   2.4      3,715   2.9  3,583   2.8                          
    White         366   2.1    360   2.1      2,792   2.5  2,718   2.4                          
    Black          70  10.0     64   9.2        631   8.8    586   8.2                          
    Native Amer    25  10.7     25  10.7        184   8.5    179   8.3                          
    Asian          16   1.6     16   1.6         36   1.3     35   1.2                          
    Hispanic       60   5.3     59   5.2        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           LANCASTER            NEBRASKA         OBJECTIVE                    
    1-10                         10.9              10.4                 --                      
    11-20                         2.8               2.8                 --                      
    21+                           0.3               0.6                 --                      
    Unknown                       0.1               0.3                 --                      
                                                                                                
    TOTAL                        13.9              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                     LANCASTER            NEBRASKA         OBJECTIVE                    
    White                        85.9              84.7                90.0                     
    Black                        71.5              70.5                90.0                     
    Native American              69.1              68.3                90.0                     
    Asian                        81.7              82.2                90.0                     
                                                                                                
    Total                        84.9              83.2                90.0                     
                                                                                                
    Hispanic                     77.2              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              
                                   LANCASTER          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               
                                                                                                
                                    LANCASTER           NEBRASKA         NEBRASKA               
                                          * % WITH          % WITH      YEAR 2010               
    RISK FACTOR                     (N)   BEHAVIOR   (N)   BEHAVIOR     OBJECTIVE               
    Obese (body mass                                                                            
       index 30 or higher)        3,163     20.6   23,583    22.4          15%                  
    No leisure-time                                                                             
     physical activity            3,355     24.2   24,965    25.0          15%                  
    Currently smoke                                                                             
     cigarettes                   3,354     21.3   24,932    21.1          12%                  
    Chronic drinking                                                                            
     60+/Mo Men - 30+/Mo Women    2,772      6.2   21,579     4.8          --                   
    No health insurance           3,350     10.7   24,932    11.9           0%                  
    Could not see physician in                                                                  
     past 12 months due to cost   2,124      6.7   16,873     8.4           4%                  
                                                                                                
    Mammogram                                                                                   
     in past two                                                                                
     years (Ages 40+)               726     81.0    6,913    75.5          75%                  
    Immunization rates (65+)                                                                    
     Flu shot past 12 months        625     72.5    6,210    71.5          90%                  
     Pneumonia immunization         616     66.9    6,123    63.2          90%                  
                                                                                                
    General health good to                                                                      
     excellent (self-reported)    3,351     90.8   24,924    87.4          --                   
    Ten or more days in past 30                                                                 
     days health not good                                                                       
      Physical health             2,711      8.7   20,236     9.7          --                   
      Mental health               2,704      8.8   20,276     9.5          --                   
                                                                                                
    * Note: With the exception of Sarpy, county percentages are the                             
      Health District percentage containing the county.  Douglas and                            
      Lancaster counties are their own Health District                                          
                                                                                                
                           YOUTH RISK BEHAVIORS, GRADES 9-12, 2003                              
                                                                 NEBRASKA YEAR 2010             
                                          NEBRASKA       U.S.           OBJECTIVE               
    Smoking at least once in                                                                    
     past 30 days                           24%          35%               15%                  
                                                                                                
    Drank alcohol on at least                                                                   
     1 of past 30 days                      47%          50%               --                   
                                                                                                
    Binge drinking (5+ drinks                                                                   
     on an occasion) in past                                                                    
     30 days                                32%          32%               25%                  
                                                                                                
    Drinking and driving                                                                        
     in past 30 days                        21%          13%               10%                  
                                                                                                
    Riding in a motor vehicle with                                                              
     someone who has been drinking                                                              
     alcohol (past 30 days)                 39%          33%               30%                  
                                                                                                
    Ever used marijuana in lifetime         35%          49%               --                   
                                                                                                
    Used marijuana in past 30 days          18%          27%               5%                   
                                                                                                
    Ever used cocaine (any form) in                                                             
        lifetime                             7%          10%               --                   
                                                                                                
    Ever used inhalants (sniffed glue,                                                          
     breathed contents of aerosol spray                                                         
     cans, inhaled paints/sprays to get                                                         
     high) in lifetime                      12%          15%               --                   
                                                                                                
                                                                                                
            RACIAL/ETHNIC RISK FACTOR PREVALENCE ESTIMATES, AGES 18 & OLDER, 2000-2004          
                                                                                                
                                              State-Level Data Only                             
                                                                                                
                                                                                                
                                      African   Native   Asian   Hispanic                       
     Risk Factor                      American American American American  White                
                                                                                                
     Obese (BMI 30 or higher)           34       39       11       24       23                  
                                                                                                
     No leisure-time physical activity  34       29       25       44       25                  
                                                                                                
     Currently smoke cigarettes         27       44       20       18       23                  
                                                                                                
     General health good to excellent   77       76       89       73       86                  
                                                                                                
     No health insurance                20       27       14       45       11                  
                                                                                                
     Could not afford to see physician  17       21       13       17        9                  
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        ENVIRONMENTAL DATA                                                                      
                                                                                                
       NITRATE LEVELS IN COMMUNITY WATER SYSTEMS, 2000-2004                                     
                                                                                                
               LANCASTER                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                   
       92       0.0     2.6       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                                     
                                                                                                
                LANCASTER                              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                 
                                                                                                
       23        3     81.9      96.3          607       97    81.1       67.5                  
                                                                                                
                                                                                                
    Nebraska Year 2010 Objective: at least 80% of people served by community                    
                                  water systems receive optimal levels of                       
                                  fluoride (.75-1 ppm).                                         
                                                                                                
                                                                                                
                                                                                                
               HIGH BLOOD LEAD LEVELS IN CHILDREN UNDER AGE 6, 2002-2004                        
                                                                                                
              LANCASTER                 NEBRASKA                                                
                                                                                                
                 # w/High     %          # w/High      %    NEBRASKA YEAR 2010                  
     LEAD LEVEL Blood Lead Tested       Blood Lead  Tested      OBJECTIVE                       
                                                                                                
     >9ug/dL        82        2.5          1846       3.3      0% (>9ug/dL)                     
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        AVAILABILITY OF SERVICES                                                                
                                                                                                
                           HEALTH PROFESSIONALS IN PRACTICE, 2003                               
                                                                                                
                                     LANCASTER                   NEBRASKA                       
                                            # Persons                  # Persons                
                                  # of      Served per       # of      Served per               
    PROFESSION              Practitioners Practitioner Practitioners Practitioner               
                                                                                                
General/Family Practice           90           2900          677          2569                  
Internal Medicine                 37           7054          227          7662                  
Pediatrics                        32           8156          162         10736                  
OB/Gynecology                     23          11348          143         12163                  
Psychiatry                        27           9666          140         12424                  
Physician Assistant              101           2584          445          3909                  
Nurse Practitioner                59           4424          329          5287                  
Licensed Practical Nurse         853            306         6337           274                  
Dentist                          236           1106         1084          1605                  
Registered Nurse                3153             83        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                         2575            167            15729           1023              
 Black                           17              1              166             15              
 Native American                  5              0               54              5              
 Asian                           21              7              117             43              
 Hispanic                        29              0              183             25              
 Other Race/Ethnicity/Unknown    13              1               85              4              
                                                                                                
                       FEDERAL SHORTAGE AREA DESIGNATIONS, 2003                                 
                                                                                                
                                     LANCASTER                   NEBRASKA                       
        HPSA                           No                          Part                         
        MUA/MUP                        Part                        Part                         
                                                                                                
                            EMERGENCY SERVICES, 2003                                            
                                                                                                
        SERVICE                           LANCASTER              NEBRASKA                       
    Ambulance services                          14                 394                          
                                                                                                
                          AVAILABILITY OF TRANSPORATION, 1998                                   
                                                                                                
                 PUBLIC TRANSPORTATION AVAILABLE IN LANCASTER ?  YES .                          
                                                                                                
            COMMUNITIES SERVED BY PUBLIC TRANSPORTATION IN LANCASTER :                          
                                                                                                
                    Agnew, Bennet, Cheney, Davey, Denton, Emerald, Firth,                       
                    Hallam, Hickman, Holland, Kramer, Lincoln, Malcolm, Martell,                
                    Panama, Prairie Home, Princeton, Raymond, Roca, Sprague                     
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        SERVICE UTILIZATION DATA                                                                
                                                                                                
                                                                                                
                     MEDICAID ELIGIBILITY AND EXPENDITURES, FY 2003                             
                                                                                                
                           LANCASTER                      NEBRASKA                              
                        TOTAL PERSONS    % OF        TOTAL PERSONS    % OF                      
                        ELIGIBLE(#)   ELIGIBLES      ELIGIBLE(#)   ELIGIBLES                    
                                                                                                
    Medicaid               26,612        100.0         205,498        100.0                     
       Aged                 1,860          7.0          18,449          9.0                     
       Blind & Disabled     3,812         14.3          26,534         12.9                     
       ADC Children        17,123         64.3         134,743         65.6                     
       ADC Adults           3,817         14.3          25,772         12.5                     
                                                                                                
                                                                                                
                                                                                                
                             LANCASTER                     NEBRASKA                             
                              TOTAL    % OF TOTAL      TOTAL    % OF TOTAL                      
                             DOLLARS    MEDICAID      DOLLARS    MEDICAID                       
                              ($000)    DOLLARS        ($000)    DOLLARS                        
                                                                                                
    Medicaid                $175,132     100.0     $1,280,005     100.0                         
       Aged                   41,885      25.4        353,582      29.4                         
       Blind & Disabled       61,350      37.2        432,011      36.0                         
       ADC Children           46,792      28.4        319,452      26.6                         
       ADC Adults             14,802       9.0         95,724       8.0                         
                                                                                                
               MEDICAID EXPENDITURES BY TYPE OF SERVICE PROVIDED, FY 2003                       
                                                                                                
                             LANCASTER                     NEBRASKA                             
                              TOTAL    % OF TOTAL      TOTAL    % OF TOTAL                      
                             DOLLARS    MEDICAID      DOLLARS    MEDICAID                       
                              ($000)    DOLLARS        ($000)    DOLLARS                        
                                                                                                
    All Medicaid            $175,132     100.0     $1,280,005     100.0                         
                                                                                                
    Medicaid Fee-for-Service 125,520      71.7        970,707      75.8                         
       Hospital--Inpatient    38,499      22.0        257,282      20.1                         
       Hospital--Outpatient    9,510       5.4         75,892       5.9                         
       ICF Mentally Retarded     938       0.5         50,253       3.9                         
       Nursing Facility       32,095      18.3        271,975      21.2                         
       Physician              14,069       8.0        100,083       7.8                         
       Dental                  4,641       2.6         33,337       2.6                         
       Prescribed Drugs       25,768      14.7        181,885      14.2                         
                                                                                                
    Other Medicaid (Includes                                                                    
       Capitated Payments)    49,612      28.3        309,298      24.2                         
                                                                                                
                                                                                                
                   UTILIZATION OF SERVICES BY PROGRAM, FY 2004                                  
                                                                                                
                             LANCASTER                     NEBRASKA                             
                             AVERAGE    AVERAGE       AVERAGE    AVERAGE                        
                             MONTHLY    PAYMENT       MONTHLY    PAYMENT                        
                          PARTICIPANTS    ($)      PARTICIPANTS    ($)                          
                                                                                                
    Aid to Dependent           1,476   $363.13*        12,237   $353.16*                        
       Children (ADC)                                                                           
    Food Stamp Program        15,158    $80.13**      111,435    $79.42**                       
                                                                                                
     *  Average payment per family.                                                             
     ** Average payment per person.                                                             
                                                                                                
                NUMBER OF PERSONS SERVED BY PUBLIC HEALTH PROGRAMS                              
                                                                                                
    SERVICE PROVIDED                 LANCASTER                     NEBRASKA                     
                                                                                                
    WIC, UNDUPLICATED PERSONS SERVED, 2004                                                      
       Pregnant women seen                         879            4,527                         
       Breastfeeding clients seen                  825            5,609                         
       Postpartum women seen                     1,596           10,951                         
       Infants seen                              1,314            9,521                         
       Children seen                             5,317           39,835                         
                                        Native                             Native               
       Total WIC clients     Total  Black Am  Asian Hispanic    Total  Black Am  Asian Hispanic 
       seen in 2004         9,935 1,070   213   645  1,575     70,449 7,664 1,316 1,296 20,674  
                                                                                                
    Reproductive health, 2004                   11,903           42,421                         
                                                                                                
              NURSING HOME AND HOSPITAL LONG-TERM CARE OCCUPANCY, 2004                          
                                                                                                
                                            LANCASTER             NEBRASKA                      
    Nursing Home and Hospital                                                                   
    Long-Term Care Facilities                                                                   
         Number of licensed beds                 1,388           17,130                         
         Occupancy rate                           86.0             82.7                         
                                                                                                
    Persons Aged 65 and Older                                                                   
    Living in Nursing Homes or                                                                  
    Hospital Long-Term Care                                                                     
    Facilities                                                                                  
         Number                                  1,044           12,710                         
         Percent of population                     3.9              5.5                         
           aged 65 and older                                                                    

Statistical Profiles