AREA PROFILE -- MERRICK                                     
                                                                                                
                                                                                                
        DEMOGRAPHIC DATA                                                                        
                                                                                                
                                U.S. CENSUS ESTIMATES, 2004                                     
                                                                                                
                 MERRICK -     8,101                    NEBRASKA - 1,747,214                    
                                                                                                
                                                                                                
                                 POPULATION BY AGE AND RACE/ETHNICITY                           
                        MERRICK                                    NEBRASKA                     
 AGE         PERCENT        NATIVE                                         NATIVE               
GROUP   TOTAL       BLACK AMERICAN ASIAN HISPANIC  TOTAL  PERCENT  BLACK AMERICAN ASIAN HISPANIC
  0-4     459  5.7      4      3       2      11  122,049   7.0     6,566  1,726   2,087  15,560
 5-14   1,137 14.0      5      3       5      55  236,970  13.6    14,021  3,332   3,652  24,538
15-24   1,165 14.4      3      2       3      39  266,314  15.2    13,893  3,368   4,811  21,847
25-44   1,851 22.8      8      6       7      80  473,637  27.1    22,127  4,736  11,084  40,755
45-64   2,080 25.7      3      2       4      25  416,441  23.8    13,444  2,631   5,077  13,752
65-74     678  8.4      1      0       0       3  111,352   6.4     2,767    471     821   2,126
75-84     475  5.9      0      0       0       1   84,541   4.8     1,454    213     325   1,044
 85+      256  3.2      0      0       0       0   35,910   2.1       549     93      76     359
 <18    2,123 26.2     10      7       8      83  446,083  25.5    24,698  6,261   7,104  47,141
 65+    1,409 17.4      1      0       0       4  231,803  13.3     4,770    777   1,222   3,529
                                                                                                
                                                                                                
                               POPULATION BY GENDER AND RACE/ETHNICITY                          
                        MERRICK                                    NEBRASKA                     
             PERCENT        NATIVE                                         NATIVE               
GENDER  TOTAL       BLACK AMERICAN ASIAN HISPANIC  TOTAL  PERCENT  BLACK AMERICAN ASIAN HISPANIC
Men     4,022 49.6     13      7      11     125  863,628  49.4    37,128   8,068  13,719 65,048
Women   4,079 50.4     11      9      10      89  883,586  50.6    37,693   8,502  14,214 54,933
 15-17    272           0      0       0       7   42,285           1,986    590     663   3,127
                                                                                                
                                                                                                
                                    POPULATION BY RACE/ETHNICITY                                
                                                                                                
                             MERRICK                             NEBRASKA                       
         RACE/ETHNICITY     NUMBER   PERCENT                     NUMBER   PERCENT               
         White               8,028     99.1                   1,609,056     92.1                
         Black                  24      0.3                      74,821      4.3                
         Native American        16      0.2                      16,570      0.9                
         Asian                  21      0.3                      27,933      1.6                
                                                                                                
         Hispanic              214      2.6                     119,981      6.9                
                                                                                                
         Minority *            271      3.3                     250,577     14.3                
                                                                                                
    * Minority Population = Total Population - White, Not Hispanic Population                   
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                  HOUSEHOLDS BY TYPE, 2000 CENSUS                               
                                                                                                
                                      MERRICK                   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                     34.1      27.0              28.6      25.6               
   Male householders                    1.6       2.8               1.3       2.0               
   Female householders                  1.6       4.8               2.6       6.5               
   Male householder nonfamilies        12.7       0.5              15.2       0.3               
   Female householder nonfamilies      14.8       0.0              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                   71.9  72.0  75.0 100.0     66.6  66.2  65.0  74.3               
      Married Couples           61.1  61.2  25.0   0.0     54.2  55.4  28.8  35.4               
        W/Children < 18         27.0  26.7  25.0   0.0     25.6  25.4  16.7  24.0               
      Single Parent Families    10.8   7.6   0.0 100.0     12.4   7.2  28.7  32.6               
        Male householder         4.4   4.4   0.0   0.0      3.3   3.0   5.4   8.8               
          W/Children < 18        2.8   2.8   0.0   0.0      2.0   1.8   3.6   6.7               
        Female Householder       6.4   6.4  50.0 100.0      9.1   7.8  30.8  30.1               
          W/Children < 18        4.8   4.8   0.0 100.0      6.5   5.4  25.1  25.9               
     Nonfamily households       28.0  28.0  25.0   0.0     33.4  33.7  34.9  25.7               
                                                                                                
                                                                                                
                                  % OF HOUSEHOLDS             % OF HOUSEHOLDS                   
                                  Asian  Hispanic Minority *  Asian  Hispanic Minority *        
     Families                      75.0     78.5     72.4      66.9     77.3     70.2           
      Married Couples              75.0     64.2     56.9      53.7     54.0     42.1           
        W/Children < 18            75.0     57.1     48.3      33.0     40.7     28.3           
      Single Parent Families        0.0      4.8      5.2       8.3     17.9     21.8           
        Male householder            0.0      9.5      6.9       4.5      9.6      7.1           
          W/Children < 18           0.0      0.0      0.0       2.2      6.3      4.6           
        Female Householder          0.0      4.8      8.6       8.7     13.7     21.0           
          W/Children < 18           0.0      4.8      5.2       6.1     11.6     17.2           
     Nonfamily households          25.0     21.4     27.6      33.1     22.6     29.9           
                                                                                                
    * Minority Population = Total Population - White, Not Hispanic Population                   
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                        EDUCATIONAL ATTAINMENT BY RACE/ETHNICITY, 2000 CENSUS                   
                                Percent of persons 25 years and older                           
                                                                                                
                                     MERRICK                    NEBRASKA                        
                                                  Native                     Native             
                                Total White Black American Total White Black American           
                                                                                                
     Less than 9th grade         5.8   5.7   0.0   0.0      5.4   4.5   5.3   9.0               
     9th to 11th grade           8.9   8.7   0.0   0.0      8.0   7.3  16.0  15.1               
     High school diploma        41.6  41.8  33.3 100.0     31.3  31.8  31.2  33.7               
     Some college, no degree    21.9  22.0  66.7   0.0     24.3  24.5  27.4  26.1               
     Associate degree            6.8   6.9   0.0   0.0      7.3   7.5   5.9   7.4               
     Baccalaureate degree       10.4  10.4   0.0   0.0     16.5  17.0  10.5   6.2               
     Graduate or professional    4.5   4.6   0.0   0.0      7.3   7.4   3.6   2.6               
     degree                                                                                     
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                Percent of persons 25 years and older                           
                                                                                                
                                     MERRICK                    NEBRASKA                        
                                                                                                
                                                                                                
                                  Asian  Hispanic Minority *  Asian  Hispanic Minority *        
                                                                                                
     Less than 9th grade           45.5     23.7     18.4      10.8     34.2     17.9           
     9th to 11th grade             54.5     36.8     30.6      11.9     19.2     16.3           
     High school diploma            0.0     27.6     30.6      17.1     21.3     25.5           
     Some college, no degree        0.0      3.9     12.2      13.3     13.9     20.1           
     Associate degree               0.0      0.0      0.0       5.4      2.9      4.8           
     Baccalaureate degree           0.0      5.3      6.1      21.8      5.9     10.0           
     Graduate or professional       0.0      2.6      2.0      19.8      2.7      5.5           
     degree                                                                                     
                                                                                                
    * Minority Population = Total Population - White, Not Hispanic Population                   
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        SOCIAL INDICATORS                                                                       
                                  PER CAPITA INCOME, 2000 CENSUS                                
                                                                                                
                                 MERRICK               NEBRASKA                                 
                                $15,958                $19,613                                  
                                                                                                
                         MEDIAN HOUSEHOLD INCOME, 2002 CENSUS ESTIMATES                         
                                                                                                
                                 MERRICK               NEBRASKA                                 
                                $35,560                $41,978                                  
                                                                                                
                        PERCENT BELOW 100% POVERTY, 2002 CENSUS ESTIMATES                       
                                                                                                
                                 MERRICK               NEBRASKA                                 
     5-17 Years of Age               11.4                    10.8                               
     Total Population                10.5                    10.0                               
                                                                                                
                 PERCENT BELOW 100% POVERTY BY RACE/ETHNICITY, 2000 CENSUS *                    
                                                                                                
                                 MERRICK               NEBRASKA                                 
     White                            8.7                     8.2                               
     Black                            0.0                    27.4                               
     Native American                   .                     33.0                               
     Asian                            0.0                    12.8                               
     Hispanic                        13.2                    20.4                               
 * A '.' indicates the population estimate of the racial/ethnic group is zero.                  
                                                                                                
                     PERCENT OF WORKERS UNEMPLOYED, DEPT. OF LABOR, MAY, 2004                   
                                                                                                
                            MERRICK                    NEBRASKA                                 
                    # UNEMPLOYED   % OF WORKERS   # UNEMPLOYED % OF WORKERS                     
                           174         3.8          39,368       4.0                            
                                                                                                
                                  HIGH SCHOOL DROPOUT RATE, 2003-2004                           
                                                                                                
                                 MERRICK                  NEBRASKA                              
     % of 7-12th Grade Member-                                                                  
     ship Who Drop Out of School      0.6                       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              
                                                                                                
                                 MERRICK                  NEBRASKA                              
                      # BIRTHS    % OF 1ST BIRTHS*  # BIRTHS  % OF 1ST BIRTHS*                  
     Total                11            7.8          4,398          9.0                         
     White                11            7.9          3,351          7.7                         
     Black                 .             .             653         24.4                         
     Native American       0             .             232         36.9                         
     Asian                 .             .              39          2.9                         
     Hispanic              0             .           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             
                                                                                                
                                       MERRICK                    NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Total Arrests                         184   22.7          94,648   54.2                    
     Arrests for violent crimes *            7    0.9           1,596    0.9                    
     Reported forcible rape offenses         3    0.4             195    0.1                    
     Arrests for DUI                        82   10.1          14,163    8.1                    
     Drug law violation arrests             40    4.9          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             
                                                                                                
                                       MERRICK                    NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Total Arrests                          5     2.4         14,867    33.3                    
     Arrests for violent crimes *           0     0.0            224     0.5                    
     Arrests for DUI                        0     0.0            348     0.8                    
     Drug law violation arrests             4     1.9          1,150     2.6                    
    *Violent crimes include: murder, forcible rape, robbery and aggravated assault.             
                                                                                                
                           CHILD PROTECTION AND SAFETY, CY 2004                                 
                                                                                                
                                       MERRICK                    NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
                                                                                                
     Average number of children                                                                 
     in out-of-home care *                23    10.8          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                   
                                                                                                
                                            MERRICK              NEBRASKA                       
     Rate per 1,000 Children < Age 19            2.5                 8.6                        
                                                                                                
                   DOMESTIC VIOLENCE, JULY 1, 1999 - JUNE 30, 2000                              
                                       MERRICK                    NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Number of Crisis Calls                                                                     
     Received by Multi-County Agency    3,608     46.4       108,312     63.3                   
     Total New Contacts for                                                                     
     Multi-County Agency                2,008     25.8        24,249     14.2                   
     MERRICK MULTI-COUNTY AREA ALSO INCLUDES:                                                   
               Hall, Hamilton, Howard                                                           
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        HEALTH STATUS                                                                           
                                                                                                
                                                                                                
                                LEADING CAUSES OF DEATH, 2000-2004                              
                             Age-Adjusted Death Rates per 100,000 Population                    
                                                                                                
                                                                            NEBRASKA            
                                                        NEBRASKA           NATIVE               
                        MERRICK           NEBRASKA      YEAR 2010   BLACK AMERICAN HISPANIC     
CAUSE OF DEATH             DEATHS  RATE  DEATHS  RATE   OBJECTIVE   RATE    RATE    RATE        
Heart Disease (#1)            123 189.5  20,262 205.1      --       245.6   276.0  110.6        
Cancer -- All Sites (#2)       87 151.8  16,798 182.0    147.0      255.2   201.9  117.8        
  Lung/Bronchus/Trachea        20  37.3   4,444  49.1     39.0       81.5    60.1   24.6        
  Breast (Female)               3  10.5   1,224  23.8     20.7       41.3    32.8    9.7        
  Prostate                      8  34.1     943  25.7     25.9       48.8    18.5    9.3        
Cerebrovascular (#3)           37  57.3   5,385  54.0     47.4       87.0    55.2   28.8        
Unintentional Injuries (#4)    18  39.1   3,457  37.6     19.4       25.2    92.6   34.9        
  Motor Vehicle                 9  24.4   1,469  16.6     12.0        9.7    43.8   17.4        
Chronic Lung Disease (#5)      22  36.0   3,746  39.4      --        39.2    54.7   12.4        
                                                                                                
Suicide                         6  14.7     922  10.7      8.2        4.6     9.1    4.2        
Homicide                        .   0.0     259   3.0      2.0       20.3    11.9    6.6        
                                                                                                
Diabetes Related               19  29.2   6,933  72.6     25.0      162.8   260.9  109.3        
Tobacco Related                71 119.9  12,886 137.2      --       184.1   192.6   75.5        
Alcohol Related                16  33.5   3,255  35.5      --        41.9   137.3   41.2        
Work Related Accidents          1   1.9     209   2.4      --         0.4     0.9    2.5        
                                                                                                
All Causes                    422 696.5  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                       
                                                                                                
                    MERRICK                                  NEBRASKA                           
                                                                      Native                    
                     Total    Total           Total    Total   Black American Hispanic          
Cancer Type         # Cases   Rate           # Cases   Rate    Rate    Rate     Rate            
All Sites               249   480.7           42,194   474.2   474.5   393.6   292.3            
                                                                                                
Lung & Bronchus          28    53.3            5,572    62.7    93.3    62.7    39.3            
Breast (Female)          36   133.4            6,278   131.8   102.2    56.9    57.2            
Prostate                 50   205.6            6,470   165.9   197.9   146.3    57.0            
Colorectal               34    62.2            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               
                                     MERRICK                NEBRASKA         PERCENT            
    CONDITION/INJURY              # DISCHARGES  RATE # DISCHARGES  RATE     DIFFERENCE          
                                                                                                
     All Conditions/Injuries           2,029 11,580.00  359,031  9,837.00      17.7             
     Pregnancy/Childbirth                321  2,604.00   89,507  2,465.00       5.6             
     All Injuries                        302  1,580.00   55,504  1,509.00       4.7             
     Diabetes Related Diseases           304  1,485.00   46,921  1,277.00      16.3             
     Heart Disease                       224  1,036.00   37,934  1,014.00       2.2             
     Digestive Diseases                  211     1145    29,464    808.0       41.7             
     Musculoskeletal Diseases            161    825.0    23,783    659.0       25.2             
     Psychosis/Mental Health             104    746.0    17,125    492.0       51.6             
     Pneumonia                           134    605.0    14,664    386.0       56.7             
     Genitourinary Diseases               88    484.0    14,656    411.0       17.8             
     Cancer                               72    354.0    11,800    322.0        9.9             
     Fractures                            47    226.0     9,998    261.0      -13.4             
     Other Respiratory Diseases           38    219.0     9,145    246.0      -11.0             
     Tobacco Related Diseases             73    339.0     9,566    257.0       31.9             
     Surgical/Medical Complications       44    229.0     8,506    236.0       -3.0             
     Cerebrovascular Disease              54    238.0     8,131    214.0       11.2             
     COPD                                 42    204.0     7,578    208.0       -1.9             
     Alcohol Related Diseases             11     51.0     2,405     67.0      -23.9             
                                                                                                
    Leading Causes of Injury                                                                    
     Falls                                76    349.0    11,318    291.0       19.9             
     MV Accidents                         15     95.0     2,218     62.0       53.2             
     Self-Inflicted                        3     22.0     1,754     50.0      -56.0             
     Other Unintentional                  10     54.0     1,215     33.0       63.6             
     Poisoning                             2     10.0       592     16.0      -37.5             
     Struck/Pierced by Object              4     22.0       609     17.0       29.4             
     Overexertion                          4     21.0       480     13.0       61.5             
     Environmental                         1      7.0       513     14.0      -50.0             
     Assault                               2     18.0       442     12.0       50.0             
                                                                                                
                                LEADING PAYER TYPE FOR HOSPITALIZATION, 2003-2004               
                                                                                                
                                     MERRICK                NEBRASKA         PERCENT            
    PAYER TYPE                      DISCHARGES    %   DISCHARGES     %      DIFFERENCE          
     Commercial                          707     34.8   168,501     46.9      -25.8             
     Medicare                          1,008     49.7   131,141     36.5       36.2             
     Medicaid                            236     11.6    50,769     14.1      -17.7             
     Self-Pay                             42      2.1     3,460      1.0      110.0             
     Other State/Federal                  36      1.8     5,160      1.4       28.6             
                                                                                                
    NOTE: Age adjusted rates are based on the 2000 U.S. census standard.                        
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                     INCIDENCE OF AIDS, 2000-2004                               
                                                                                                
                                   MERRICK                           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                    
                                                                                                
                                   MERRICK                           NEBRASKA                   
                                       Rate                             Rate                    
      West Nile Virus (WNV)             299                              112                    
      Chronic Hepatitis C              49.8                             64.2                    
      TB                                0.0                              1.6                    
                                                                                                
       Note: Rates are per 100,000 Population.                                                  
                                                                                                
               INCIDENCE RATES OF SEXUALLY TRANSMITTED DISEASES BY RACE/ETHNICITY               
                                                                                                
                          MERRICK                                    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   98.4   37.2    0.0    0.0    0.0    0.0   424.4  193.7 2847.6  903.3  166.6  518.3  
 < 18        0.0    0.0    0.0    0.0    0.0    0.0   226.2   83.9 1616.4  383.6   67.7  125.0  
 > 17       99.8   33.5    0.0    0.0    0.0    0.0   455.9  207.6 3181.6 1086.7  163.3  667.2  
STD TYPE                                                                                        
Gonorrhea    0.0    0.0    0.0    0.0    0.0    0.0    65.8   19.1 1025.7  127.1   19.6   62.9  
Chlamydia   86.1   37.2    0.0    0.0    0.0    0.0   301.3  146.5 1695.1  722.6  131.0  413.7  
  Female    96.3   72.8    0.0    0.0    0.0    0.0   433.6  223.1 2278.7 1163.2  198.0  666.3  
Herpes      12.3    0.0    0.0    0.0    0.0    0.0    42.0   18.6   82.7   18.7    7.3   23.5  
                                                                                                
       Note: Rates are per 100,000 Population.                                                  
                                                                                                
                             ESTIMATED PREVALENCE OF DEMENTIA, 2004                             
                                                                                                
                              MERRICK                           NEBRASKA                        
                Rate *        # of Persons **                   # of Persons **                 
    Age 65-74    10%                 68                            11,135                       
    Age 75-84    20%                 95                            16,908                       
    Age 85+      47%                120                            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                        
                                                                                                
                          MERRICK               NEBRASKA                                        
                           INFANT             INFANT          NEBRASKA YEAR 2010                
    RACE/ETHNICITY         DEATHS  RATE       DEATHS  RATE         OBJECTIVE                    
    White                      3   6.8          670   5.9             4.5                       
    Black                      0   0.0          121  16.9             4.5                       
    Native American            1 200.0           31  14.4             4.5                       
    Asian                      0   0.0           10   3.5             4.5                       
    Total                      4   8.9          838   6.6             4.5                       
    Hispanic                   0   0.0          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                
                          MERRICK               NEBRASKA           OBJECTIVE                    
    WEIGHT                 NUMBER  RATE       NUMBER  RATE          RATE                        
    Very Low - All Births      5  11.1        1,611  12.7             9.0                       
    Low - All Births          29  64.2        8,821  69.4            50.0                       
          White               29  65.5        7,431  65.8            50.0                       
          Black                0   0.0          897 125.1            50.0                       
          Native American      0   0.0          145  67.2            50.0                       
          Asian                0   0.0          221  77.7            50.0                       
          Hispanic             0   0.0          976  62.0            50.0                       
                                                                                                
       Note: Rates are per 1,000 live births.                                                   
                                                                                                
                     NUMBER OF INFANTS BORN WITH BIRTH DEFECTS, 1999-2003                       
                                                                                                
                               MERRICK               NEBRASKA                                   
                           # of      % of          # of      % of                               
                          Infants Total Births    Infants Total Births                          
    Infants with birth                                                                          
     defects                   11      2.4         4,534        3.6                             
                                                                                                
                          TEEN AGE BIRTHS BY AGE AND RACE/ETHNICITY, 2000-2004                  
                   MERRICK                           NEBRASKA                                   
    Age of Mother  10-17        15-17            10-17        15-17                             
                NUMBER   %   NUMBER   %       NUMBER   %   NUMBER   %                           
    All Births      6   1.3      6   1.3      3,715   2.9  3,583   2.8                          
    White           6   1.4      6   1.4      2,792   2.5  2,718   2.4                          
    Black           0   0.0      0   0.0        631   8.8    586   8.2                          
    Native Amer     0   0.0      0   0.0        184   8.5    179   8.3                          
    Asian           0   0.0      0   0.0         36   1.3     35   1.2                          
    Hispanic        0   0.0      0   0.0        881   5.6    846   5.4                          
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
               PERCENTAGE OF PREGNANT WOMEN WHO SMOKE DURING PREGNANCY, 2000-2004               
                                                                                                
    NUMBER OF CIGARETTES                                      NEBRASKA YEAR 2010                
    SMOKED PER DAY           MERRICK              NEBRASKA         OBJECTIVE                    
    1-10                         13.5              10.4                 --                      
    11-20                         4.9               2.8                 --                      
    21+                           0.7               0.6                 --                      
    Unknown                       0.0               0.3                 --                      
                                                                                                
    TOTAL                        19.0              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                     MERRICK              NEBRASKA         OBJECTIVE                    
    White                        81.0              84.7                90.0                     
    Black                        50.0              70.5                90.0                     
    Native American              60.0              68.3                90.0                     
    Asian                         0.0              82.2                90.0                     
                                                                                                
    Total                        80.8              83.2                90.0                     
                                                                                                
    Hispanic                     60.0              69.3                90.0                     
                                                                                                
    Note: These figures are based on pregnant women who have a live birth.                      
                                                                                                
                                                                                                
                                                                                                
                                                                                                
       CHILDREN AGED 19-35 MONTHS UP-TO-DATE ON IMMUNIZATIONS, July 2003 - June 2004            
                                                                                                
                                                                          NEBRASKA              
                                   MERRICK            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               
                                                                                                
                                    MERRICK             NEBRASKA         NEBRASKA               
                                          * % WITH          % WITH      YEAR 2010               
    RISK FACTOR                     (N)   BEHAVIOR   (N)   BEHAVIOR     OBJECTIVE               
    Obese (body mass                                                                            
       index 30 or higher)        1,063     24.5   23,583    22.4          15%                  
    No leisure-time                                                                             
     physical activity            1,132     30.8   24,965    25.0          15%                  
    Currently smoke                                                                             
     cigarettes                   1,131     22.0   24,932    21.1          12%                  
    Chronic drinking                                                                            
     60+/Mo Men - 30+/Mo Women      993      4.0   21,579     4.8          --                   
    No health insurance           1,128     17.8   24,932    11.9           0%                  
    Could not see physician in                                                                  
     past 12 months due to cost     796     11.0   16,873     8.4           4%                  
                                                                                                
    Mammogram                                                                                   
     in past two                                                                                
     years (Ages 40+)             3,372     73.0    6,913    75.5          75%                  
    Immunization rates (65+)                                                                    
     Flu shot past 12 months        273     67.8    6,210    71.5          90%                  
     Pneumonia immunization         267     64.0    6,123    63.2          90%                  
                                                                                                
    General health good to                                                                      
     excellent (self-reported)    1,129     83.8   24,924    87.4          --                   
    Ten or more days in past 30                                                                 
     days health not good                                                                       
      Physical health               921     10.2   20,236     9.7          --                   
      Mental health                 926      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                                     
                                                                                                
               MERRICK                  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                   
       10      10.7     2.7       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                                     
                                                                                                
                MERRICK                                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                 
                                                                                                
        6        1     58.7       8.2          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                        
                                                                                                
              MERRICK                   NEBRASKA                                                
                                                                                                
                 # w/High     %          # w/High      %    NEBRASKA YEAR 2010                  
     LEAD LEVEL Blood Lead Tested       Blood Lead  Tested      OBJECTIVE                       
                                                                                                
     >9ug/dL        10        5.6          1846       3.3      0% (>9ug/dL)                     
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        AVAILABILITY OF SERVICES                                                                
                                                                                                
                           HEALTH PROFESSIONALS IN PRACTICE, 2003                               
                                                                                                
                                     MERRICK                     NEBRASKA                       
                                            # Persons                  # Persons                
                                  # of      Served per       # of      Served per               
    PROFESSION              Practitioners Practitioner Practitioners Practitioner               
                                                                                                
General/Family Practice            3           2711          677          2569                  
Internal Medicine                  0              .          227          7662                  
Pediatrics                         0              .          162         10736                  
OB/Gynecology                      0              .          143         12163                  
Psychiatry                         0              .          140         12424                  
Physician Assistant                2           4067          445          3909                  
Nurse Practitioner                 0              .          329          5287                  
Licensed Practical Nurse          46            177         6337           274                  
Dentist                            2           4067         1084          1605                  
Registered Nurse                  57            143        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                           22              3            15729           1023              
 Black                            .              0              166             15              
 Native American                  .              0               54              5              
 Asian                            .              0              117             43              
 Hispanic                         .              0              183             25              
 Other Race/Ethnicity/Unknown     .              0               85              4              
                                                                                                
                       FEDERAL SHORTAGE AREA DESIGNATIONS, 2003                                 
                                                                                                
                                     MERRICK                     NEBRASKA                       
        HPSA                           Part                        Part                         
        MUA/MUP                        Part                        Part                         
                                                                                                
                            EMERGENCY SERVICES, 2003                                            
                                                                                                
        SERVICE                           MERRICK                NEBRASKA                       
    Ambulance services                           5                 394                          
                                                                                                
                          AVAILABILITY OF TRANSPORATION, 1998                                   
                                                                                                
                 PUBLIC TRANSPORTATION AVAILABLE IN MERRICK ?  YES .                            
                                                                                                
            COMMUNITIES SERVED BY PUBLIC TRANSPORTATION IN MERRICK :                            
                                                                                                
                    Central City, Clarks, Palmer                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        SERVICE UTILIZATION DATA                                                                
                                                                                                
                                                                                                
                     MEDICAID ELIGIBILITY AND EXPENDITURES, FY 2003                             
                                                                                                
                           MERRICK                        NEBRASKA                              
                        TOTAL PERSONS    % OF        TOTAL PERSONS    % OF                      
                        ELIGIBLE(#)   ELIGIBLES      ELIGIBLE(#)   ELIGIBLES                    
                                                                                                
    Medicaid                  906        100.0         205,498        100.0                     
       Aged                   124         13.7          18,449          9.0                     
       Blind & Disabled       130         14.3          26,534         12.9                     
       ADC Children           563         62.1         134,743         65.6                     
       ADC Adults              89          9.8          25,772         12.5                     
                                                                                                
                                                                                                
                                                                                                
                             MERRICK                       NEBRASKA                             
                              TOTAL    % OF TOTAL      TOTAL    % OF TOTAL                      
                             DOLLARS    MEDICAID      DOLLARS    MEDICAID                       
                              ($000)    DOLLARS        ($000)    DOLLARS                        
                                                                                                
    Medicaid                  $5,683     100.0     $1,280,005     100.0                         
       Aged                    2,278      43.2        353,582      29.4                         
       Blind & Disabled        1,557      29.5        432,011      36.0                         
       ADC Children            1,127      21.3        319,452      26.6                         
       ADC Adults                317       6.0         95,724       8.0                         
                                                                                                
               MEDICAID EXPENDITURES BY TYPE OF SERVICE PROVIDED, FY 2003                       
                                                                                                
                             MERRICK                       NEBRASKA                             
                              TOTAL    % OF TOTAL      TOTAL    % OF TOTAL                      
                             DOLLARS    MEDICAID      DOLLARS    MEDICAID                       
                              ($000)    DOLLARS        ($000)    DOLLARS                        
                                                                                                
    All Medicaid              $5,683     100.0     $1,280,005     100.0                         
                                                                                                
    Medicaid Fee-for-Service   4,798      84.4        970,707      75.8                         
       Hospital--Inpatient       949      16.7        257,282      20.1                         
       Hospital--Outpatient      325       5.7         75,892       5.9                         
       ICF Mentally Retarded      25       0.4         50,253       3.9                         
       Nursing Facility        1,723      30.3        271,975      21.2                         
       Physician                 479       8.4        100,083       7.8                         
       Dental                    161       2.8         33,337       2.6                         
       Prescribed Drugs        1,136      20.0        181,885      14.2                         
                                                                                                
    Other Medicaid (Includes                                                                    
       Capitated Payments)       885      15.6        309,298      24.2                         
                                                                                                
                                                                                                
                   UTILIZATION OF SERVICES BY PROGRAM, FY 2004                                  
                                                                                                
                             MERRICK                       NEBRASKA                             
                             AVERAGE    AVERAGE       AVERAGE    AVERAGE                        
                             MONTHLY    PAYMENT       MONTHLY    PAYMENT                        
                          PARTICIPANTS    ($)      PARTICIPANTS    ($)                          
                                                                                                
    Aid to Dependent              28   $352.45*        12,237   $353.16*                        
       Children (ADC)                                                                           
    Food Stamp Program           388    $73.65**      111,435    $79.42**                       
                                                                                                
     *  Average payment per family.                                                             
     ** Average payment per person.                                                             
                                                                                                
                NUMBER OF PERSONS SERVED BY PUBLIC HEALTH PROGRAMS                              
                                                                                                
    SERVICE PROVIDED                 MERRICK                       NEBRASKA                     
                                                                                                
    WIC, UNDUPLICATED PERSONS SERVED, 2004                                                      
       Pregnant women seen                          22            4,527                         
       Breastfeeding clients seen                   18            5,609                         
       Postpartum women seen                        49           10,951                         
       Infants seen                                 36            9,521                         
       Children seen                               187           39,835                         
                                        Native                             Native               
       Total WIC clients     Total  Black Am  Asian Hispanic    Total  Black Am  Asian Hispanic 
       seen in 2004           312     0     2     0     19     70,449 7,664 1,316 1,296 20,674  
                                                                                                
    Reproductive health, 2004                       70           42,421                         
                                                                                                
              NURSING HOME AND HOSPITAL LONG-TERM CARE OCCUPANCY, 2004                          
                                                                                                
                                            MERRICK               NEBRASKA                      
    Nursing Home and Hospital                                                                   
    Long-Term Care Facilities                                                                   
         Number of licensed beds                   114           17,130                         
         Occupancy rate                           75.1             82.7                         
                                                                                                
    Persons Aged 65 and Older                                                                   
    Living in Nursing Homes or                                                                  
    Hospital Long-Term Care                                                                     
    Facilities                                                                                  
         Number                                     74           12,710                         
         Percent of population                     5.0              5.5                         
           aged 65 and older                                                                    

Statistical Profiles