AREA PROFILE -- NORTHERN                                    
                                                                                                
                                                                                                
        DEMOGRAPHIC DATA                                                                        
                                                                                                
                                U.S. CENSUS ESTIMATES, 2004                                     
                                                                                                
                 NORTHERN -   267,614                   NEBRASKA - 1,747,214                    
                                                                                                
                                                                                                
                                 POPULATION BY AGE AND RACE/ETHNICITY                           
                        NORTHERN                                   NEBRASKA                     
 AGE         PERCENT        NATIVE                                         NATIVE               
GROUP   TOTAL       BLACK AMERICAN ASIAN HISPANIC  TOTAL  PERCENT  BLACK AMERICAN ASIAN HISPANIC
  0-4  17,409  6.5    126    866     117   3,095  122,049   7.0     6,566  1,726   2,087  15,560
 5-14  37,134 13.9    401  1,417     288   4,654  236,970  13.6    14,021  3,332   3,652  24,538
15-24  42,298 15.8    439  1,350     375   3,673  266,314  15.2    13,893  3,368   4,811  21,847
25-44  62,691 23.4    612  1,525     636   7,397  473,637  27.1    22,127  4,736  11,084  40,755
45-64  65,025 24.3    185    928     341   1,953  416,441  23.8    13,444  2,631   5,077  13,752
65-74  19,717  7.4     19    188      54     220  111,352   6.4     2,767    471     821   2,126
75-84  16,056  6.0     10     80      21      71   84,541   4.8     1,454    213     325   1,044
 85+    7,284  2.7      4     29       6      45   35,910   2.1       549     93      76     359
 <18   70,662 26.4    665  2,839     534   9,043  446,083  25.5    24,698  6,261   7,104  47,141
 65+   43,057 16.1     33    297      81     336  231,803  13.3     4,770    777   1,222   3,529
                                                                                                
                                                                                                
                               POPULATION BY GENDER AND RACE/ETHNICITY                          
                        NORTHERN                                   NEBRASKA                     
             PERCENT        NATIVE                                         NATIVE               
GENDER  TOTAL       BLACK AMERICAN ASIAN HISPANIC  TOTAL  PERCENT  BLACK AMERICAN ASIAN HISPANIC
Men   132,816 49.6  1,000  3,079     854  11,600  863,628  49.4    37,128   8,068  13,719 65,048
Women 134,798 50.4    796  3,304     984   9,508  883,586  50.6    37,693   8,502  14,214 54,933
 15-17  7,747          58    267      63     555   42,285           1,986    590     663   3,127
                                                                                                
                                                                                                
                                    POPULATION BY RACE/ETHNICITY                                
                                                                                                
                             NORTHERN                            NEBRASKA                       
         RACE/ETHNICITY     NUMBER   PERCENT                     NUMBER   PERCENT               
         White             256,095     95.7                   1,609,056     92.1                
         Black               1,796      0.7                      74,821      4.3                
         Native American     6,383      2.4                      16,570      0.9                
         Asian               1,838      0.7                      27,933      1.6                
                                                                                                
         Hispanic           21,108      7.9                     119,981      6.9                
                                                                                                
         Minority *         31,437     11.7                     250,577     14.3                
                                                                                                
    * Minority Population = Total Population - White, Not Hispanic Population                   
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                  HOUSEHOLDS BY TYPE, 2000 CENSUS                               
                                                                                                
                                      NORTHERN                  NEBRASKA                        
                                                                                                
                                      % OF      % OF              % OF      % OF                
                                      HOUSE-    HOUSE-            HOUSE-    HOUSE-              
                                      HOLDS     HOLDS             HOLDS     HOLDS               
                                     WITH NO   WITH AT           WITH NO   WITH AT              
                                    CHILDREN   LEAST 1          CHILDREN   LEAST 1              
      FAMILY TYPE                      <18    CHILD<18             <18    CHILD<18              
   Married couples                     31.2      27.5              28.6      25.6               
   Male householders                    1.3       2.0               1.3       2.0               
   Female householders                  2.1       5.4               2.6       6.5               
   Male householder nonfamilies        13.6       0.3              15.2       0.3               
   Female householder nonfamilies      16.6       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                   69.5  69.1  65.6  80.9     66.6  66.2  65.0  74.3               
      Married Couples           58.7  59.2  41.7  33.5     54.2  55.4  28.8  35.4               
        W/Children < 18         27.5  26.9  29.3  25.4     25.6  25.4  16.7  24.0               
      Single Parent Families    10.8   6.6  21.0  40.1     12.4   7.2  28.7  32.6               
        Male householder         3.3   3.0   7.8  11.9      3.3   3.0   5.4   8.8               
          W/Children < 18        2.0   1.8   7.0   9.4      2.0   1.8   3.6   6.7               
        Female Householder       7.5   6.9  16.1  35.5      9.1   7.8  30.8  30.1               
          W/Children < 18        5.4   4.8  14.0  30.7      6.5   5.4  25.1  25.9               
     Nonfamily households       30.5  31.0  34.3  19.0     33.4  33.7  34.9  25.7               
                                                                                                
                                                                                                
                                  % OF HOUSEHOLDS             % OF HOUSEHOLDS                   
                                  Asian  Hispanic Minority *  Asian  Hispanic Minority *        
     Families                      75.2     83.1     80.6      66.9     77.3     70.2           
      Married Couples              58.9     57.3     50.5      53.7     54.0     42.1           
        W/Children < 18            41.7     49.4     40.9      33.0     40.7     28.3           
      Single Parent Families       11.7     20.2     24.2       8.3     17.9     21.8           
        Male householder            5.8     11.6     10.9       4.5      9.6      7.1           
          W/Children < 18           3.2      7.2      7.4       2.2      6.3      4.6           
        Female Householder         10.5     14.2     19.2       8.7     13.7     21.0           
          W/Children < 18           8.5     13.0     16.8       6.1     11.6     17.2           
     Nonfamily households          24.8     16.9     19.4      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                           
                                                                                                
                                     NORTHERN                   NEBRASKA                        
                                                  Native                     Native             
                                Total White Black American Total White Black American           
                                                                                                
     Less than 9th grade         8.3   7.2   1.4   8.9      5.4   4.5   5.3   9.0               
     9th to 11th grade           8.8   8.2  15.7  16.5      8.0   7.3  16.0  15.1               
     High school diploma        37.7  38.5  25.8  32.7     31.3  31.8  31.2  33.7               
     Some college, no degree    22.1  22.5  24.9  25.6     24.3  24.5  27.4  26.1               
     Associate degree            7.4   7.5   9.7   9.6      7.3   7.5   5.9   7.4               
     Baccalaureate degree       11.2  11.5  20.3   4.0     16.5  17.0  10.5   6.2               
     Graduate or professional    4.5   4.6   2.2   2.7      7.3   7.4   3.6   2.6               
     degree                                                                                     
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                Percent of persons 25 years and older                           
                                                                                                
                                     NORTHERN                   NEBRASKA                        
                                                                                                
                                                                                                
                                  Asian  Hispanic Minority *  Asian  Hispanic Minority *        
                                                                                                
     Less than 9th grade           19.0     45.4     31.2      10.8     34.2     17.9           
     9th to 11th grade             17.0     25.5     21.8      11.9     19.2     16.3           
     High school diploma           21.2     16.1     22.0      17.1     21.3     25.5           
     Some college, no degree       15.2      7.9     13.9      13.3     13.9     20.1           
     Associate degree               7.9      1.4      4.2       5.4      2.9      4.8           
     Baccalaureate degree          12.7      2.5      4.6      21.8      5.9     10.0           
     Graduate or professional       7.0      1.2      2.3      19.8      2.7      5.5           
     degree                                                                                     
                                                                                                
    * Minority Population = Total Population - White, Not Hispanic Population                   
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        SOCIAL INDICATORS                                                                       
                                  PER CAPITA INCOME, 2000 CENSUS                                
                                                                                                
                                 NORTHERN              NEBRASKA                                 
                                $16,536                $19,613                                  
                                                                                                
                         MEDIAN HOUSEHOLD INCOME, 2002 CENSUS ESTIMATES                         
                                                                                                
                                 NORTHERN              NEBRASKA                                 
                                $36,994                $41,978                                  
                                                                                                
                        PERCENT BELOW 100% POVERTY, 2002 CENSUS ESTIMATES                       
                                                                                                
                                 NORTHERN              NEBRASKA                                 
     5-17 Years of Age               11.6                    10.8                               
     Total Population                10.6                    10.0                               
                                                                                                
                 PERCENT BELOW 100% POVERTY BY RACE/ETHNICITY, 2000 CENSUS *                    
                                                                                                
                                 NORTHERN              NEBRASKA                                 
     White                            9.6                     8.2                               
     Black                           23.6                    27.4                               
     Native American                 36.8                    33.0                               
     Asian                           10.2                    12.8                               
     Hispanic                        21.0                    20.4                               
 * A '.' indicates the population estimate of the racial/ethnic group is zero.                  
                                                                                                
                     PERCENT OF WORKERS UNEMPLOYED, DEPT. OF LABOR, MAY, 2004                   
                                                                                                
                            NORTHERN                   NEBRASKA                                 
                    # UNEMPLOYED   % OF WORKERS   # UNEMPLOYED % OF WORKERS                     
                         6,090         4.1          39,368       4.0                            
                                                                                                
                                  HIGH SCHOOL DROPOUT RATE, 2003-2004                           
                                                                                                
                                 NORTHERN                 NEBRASKA                              
     % of 7-12th Grade Member-                                                                  
     ship Who Drop Out of School      1.5                       1.9                             
                                                                                                
                             NEW FAMILIES AT RISK BY RACE/ETHNICITY, 2000-2004                  
        First Births to Unmarried Women Under Age 20 with Less Than H.S. Education              
                                                                                                
                                 NORTHERN                 NEBRASKA                              
                      # BIRTHS    % OF 1ST BIRTHS*  # BIRTHS  % OF 1ST BIRTHS*                  
     Total               693           10.8          4,398          9.0                         
     White               548            9.2          3,351          7.7                         
     Black                 8           23.5            653         24.4                         
     Native American     110           43.8            232         36.9                         
     Asian                 4            5.8             39          2.9                         
     Hispanic            186           17.8          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             
                                                                                                
                                       NORTHERN                   NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Total Arrests                       11145   41.6          94,648   54.2                    
     Arrests for violent crimes *          132    0.5           1,596    0.9                    
     Reported forcible rape offenses        15    0.1             195    0.1                    
     Arrests for DUI                     2,026    7.6          14,163    8.1                    
     Drug law violation arrests          1,199    4.5          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             
                                                                                                
                                       NORTHERN                   NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Total Arrests                      2,069    29.3         14,867    33.3                    
     Arrests for violent crimes *          17     0.2            224     0.5                    
     Arrests for DUI                       63     0.9            348     0.8                    
     Drug law violation arrests           126     1.8          1,150     2.6                    
    *Violent crimes include: murder, forcible rape, robbery and aggravated assault.             
                                                                                                
                           CHILD PROTECTION AND SAFETY, CY 2004                                 
                                                                                                
                                       NORTHERN                   NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
                                                                                                
     Average number of children                                                                 
     in out-of-home care *               843    11.7          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                   
                                                                                                
                                            NORTHERN             NEBRASKA                       
     Rate per 1,000 Children < Age 19            6.7                 8.6                        
                                                                                                
                   DOMESTIC VIOLENCE, JULY 1, 1999 - JUNE 30, 2000                              
                                       NORTHERN                   NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Number of Crisis Calls                                                                     
     Received by Multi-County Agency   12,146     40.2       108,312     63.3                   
     Total New Contacts for                                                                     
     Multi-County Agency                3,549     11.7        24,249     14.2                   
     NORTHERN MULTI-COUNTY AREA ALSO INCLUDES:                                                  
               Northern plus Butler, Polk & Saunders Counties                                   
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        HEALTH STATUS                                                                           
                                                                                                
                                                                                                
                                LEADING CAUSES OF DEATH, 2000-2004                              
                             Age-Adjusted Death Rates per 100,000 Population                    
                                                                                                
                                                                            NEBRASKA            
                                                        NEBRASKA           NATIVE               
                        NORTHERN          NEBRASKA      YEAR 2010   BLACK AMERICAN HISPANIC     
CAUSE OF DEATH             DEATHS  RATE  DEATHS  RATE   OBJECTIVE   RATE    RATE    RATE        
Heart Disease (#1)          4,032 210.4  20,262 205.1      --       245.6   276.0  110.6        
Cancer -- All Sites (#2)    2,904 172.1  16,798 182.0    147.0      255.2   201.9  117.8        
  Lung/Bronchus/Trachea       739  45.4   4,444  49.1     39.0       81.5    60.1   24.6        
  Breast (Female)             214  23.1   1,224  23.8     20.7       41.3    32.8    9.7        
  Prostate                    158  22.2     943  25.7     25.9       48.8    18.5    9.3        
Cerebrovascular (#3)        1,132  57.6   5,385  54.0     47.4       87.0    55.2   28.8        
Unintentional Injuries (#4)   643  42.7   3,457  37.6     19.4       25.2    92.6   34.9        
  Motor Vehicle               321  23.0   1,469  16.6     12.0        9.7    43.8   17.4        
Chronic Lung Disease (#5)     560  30.7   3,746  39.4      --        39.2    54.7   12.4        
                                                                                                
Suicide                       119   8.9     922  10.7      8.2        4.6     9.1    4.2        
Homicide                       29   2.2     259   3.0      2.0       20.3    11.9    6.6        
                                                                                                
Diabetes Related            1,257  69.5   6,933  72.6     25.0      162.8   260.9  109.3        
Tobacco Related             2,231 127.6  12,886 137.2      --       184.1   192.6   75.5        
Alcohol Related               582  37.0   3,255  35.5      --        41.9   137.3   41.2        
Work Related Accidents         51   3.7     209   2.4      --         0.4     0.9    2.5        
                                                                                                
All Causes                 13,737 758.9  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                       
                                                                                                
                    NORTHERN                                 NEBRASKA                           
                                                                      Native                    
                     Total    Total           Total    Total   Black American Hispanic          
Cancer Type         # Cases   Rate           # Cases   Rate    Rate    Rate     Rate            
All Sites             7,369   464.1           42,194   474.2   474.5   393.6   292.3            
                                                                                                
Lung & Bronchus         888    55.5            5,572    62.7    93.3    62.7    39.3            
Breast (Female)       1,062   127.3            6,278   131.8   102.2    56.9    57.2            
Prostate              1,295   181.2            6,470   165.9   197.9   146.3    57.0            
Colorectal            1,049    63.7            5,366    59.1    61.9    47.7    44.5            
                                                                                                
    NOTE: Age adjusted rates are based on the 2000 U.S. census standard.                        
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        LEADING REASONS FOR HOSPITALIZATION (NEBRASKA OCCURRANCE ONLY), 2003-2004               
                     Age-Adjusted Hospital Discharge Rates per 100,000 Population               
                                     NORTHERN               NEBRASKA         PERCENT            
    CONDITION/INJURY              # DISCHARGES  RATE # DISCHARGES  RATE     DIFFERENCE          
                                                                                                
     All Conditions/Injuries          52,131  8,839.00  359,031  9,837.00     -10.1             
     Pregnancy/Childbirth             11,110  2,224.00   89,507  2,465.00      -9.8             
     All Injuries                      8,072  1,290.00   55,504  1,509.00     -14.5             
     Diabetes Related Diseases         6,963  1,078.00   46,921  1,277.00     -15.6             
     Heart Disease                     6,291    940.00   37,934  1,014.00      -7.3             
     Digestive Diseases                4,628    753.0    29,464    808.0       -6.8             
     Musculoskeletal Diseases          3,607    596.0    23,783    659.0       -9.6             
     Psychosis/Mental Health           1,633    308.0    17,125    492.0      -37.4             
     Pneumonia                         2,523    375.0    14,664    386.0       -2.8             
     Genitourinary Diseases            2,309    399.0    14,656    411.0       -2.9             
     Cancer                            1,800    287.0    11,800    322.0      -10.9             
     Fractures                         1,472    216.0     9,998    261.0      -17.2             
     Other Respiratory Diseases        1,647    269.0     9,145    246.0        9.3             
     Tobacco Related Diseases          1,484    224.0     9,566    257.0      -12.8             
     Surgical/Medical Complications    1,200    201.0     8,506    236.0      -14.8             
     Cerebrovascular Disease           1,296    184.0     8,131    214.0      -14.0             
     COPD                              1,195    187.0     7,578    208.0      -10.1             
     Alcohol Related Diseases            318     51.0     2,405     67.0      -23.9             
                                                                                                
    Leading Causes of Injury                                                                    
     Falls                             1,786    250.0    11,318    291.0      -14.1             
     MV Accidents                        303     54.0     2,218     62.0      -12.9             
     Self-Inflicted                      200     37.0     1,754     50.0      -26.0             
     Other Unintentional                 134     21.0     1,215     33.0      -36.4             
     Poisoning                            69     12.0       592     16.0      -25.0             
     Struck/Pierced by Object             89     15.0       609     17.0      -11.8             
     Overexertion                         76     12.0       480     13.0       -7.7             
     Environmental                        80     14.0       513     14.0        0.0             
     Assault                              37      7.0       442     12.0      -41.7             
                                                                                                
                                LEADING PAYER TYPE FOR HOSPITALIZATION, 2003-2004               
                                                                                                
                                     NORTHERN               NEBRASKA         PERCENT            
    PAYER TYPE                      DISCHARGES    %   DISCHARGES     %      DIFFERENCE          
     Commercial                       20,447     39.2   168,501     46.9      -16.4             
     Medicare                         23,376     44.8   131,141     36.5       22.7             
     Medicaid                          7,359     14.1    50,769     14.1        0.0             
     Self-Pay                            321      0.6     3,460      1.0      -40.0             
     Other State/Federal                 628      1.2     5,160      1.4      -14.3             
                                                                                                
    NOTE: Age adjusted rates are based on the 2000 U.S. census standard.                        
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                     INCIDENCE OF AIDS, 2000-2004                               
                                                                                                
                                   NORTHERN                          NEBRASKA                   
                                       *Rate                            Rate                    
                                        1.3                              3.8                    
                                                                                                
       * County or HD rates are not available.  The above rates are the rate per                
         100,000 population of the Service Area containing the county or HD.                    
                                                                                                
                 INCIDENCE OF RESOURCE INTENSIVE COMMUNICABLE DISEASES, 2003                    
                                                                                                
                                   NORTHERN                          NEBRASKA                   
                                       Rate                             Rate                    
      West Nile Virus (WNV)            94.5                              112                    
      Chronic Hepatitis C              29.7                             64.2                    
      TB                                1.1                              1.6                    
                                                                                                
       Note: Rates are per 100,000 Population.                                                  
                                                                                                
               INCIDENCE RATES OF SEXUALLY TRANSMITTED DISEASES BY RACE/ETHNICITY               
                                                                                                
                          NORTHERN                                   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  188.6  113.1 1115.6 1146.1  427.9  395.0   424.4  193.7 2847.6  903.3  166.6  518.3  
 < 18       61.2   22.3   67.3  578.6  255.5   80.9   226.2   83.9 1616.4  383.6   67.7  125.0  
 > 17      163.5  102.6 1333.3 1384.0  391.9  542.4   455.9  207.6 3181.6 1086.7  163.3  667.2  
STD TYPE                                                                                        
Gonorrhea    8.9    4.7  149.7   63.7    0.0   26.4    65.8   19.1 1025.7  127.1   19.6   62.9  
Chlamydia  155.5   93.3  857.1 1009.2  416.9  336.7   301.3  146.5 1695.1  722.6  131.0  413.7  
  Female   231.8  143.4 1012.7 1634.0  639.2  561.0   433.6  223.1 2278.7 1163.2  198.0  666.3  
Herpes      19.3   12.4   27.2   25.5    0.0   22.0    42.0   18.6   82.7   18.7    7.3   23.5  
                                                                                                
       Note: Rates are per 100,000 Population.                                                  
                                                                                                
                             ESTIMATED PREVALENCE OF DEMENTIA, 2004                             
                                                                                                
                              NORTHERN                          NEBRASKA                        
                Rate *        # of Persons **                   # of Persons **                 
    Age 65-74    10%              1,972                            11,135                       
    Age 75-84    20%              3,211                            16,908                       
    Age 85+      47%              3,423                            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                        
                                                                                                
                          NORTHERN              NEBRASKA                                        
                           INFANT             INFANT          NEBRASKA YEAR 2010                
    RACE/ETHNICITY         DEATHS  RATE       DEATHS  RATE         OBJECTIVE                    
    White                    103   6.2          670   5.9             4.5                       
    Black                      0   0.0          121  16.9             4.5                       
    Native American           11  11.5           31  14.4             4.5                       
    Asian                      2  13.9           10   3.5             4.5                       
    Total                    119   6.5          838   6.6             4.5                       
    Hispanic                  18   5.6          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                
                          NORTHERN              NEBRASKA           OBJECTIVE                    
    WEIGHT                 NUMBER  RATE       NUMBER  RATE          RATE                        
    Very Low - All Births    198  10.8        1,611  12.7             9.0                       
    Low - All Births       1,072  58.7        8,821  69.4            50.0                       
          White              982  58.9        7,431  65.8            50.0                       
          Black               12  96.0          897 125.1            50.0                       
          Native American     44  45.9          145  67.2            50.0                       
          Asian               15 104.2          221  77.7            50.0                       
          Hispanic           184  57.6          976  62.0            50.0                       
                                                                                                
       Note: Rates are per 1,000 live births.                                                   
                                                                                                
                     NUMBER OF INFANTS BORN WITH BIRTH DEFECTS, 1999-2003                       
                                                                                                
                               NORTHERN              NEBRASKA                                   
                           # of      % of          # of      % of                               
                          Infants Total Births    Infants Total Births                          
    Infants with birth                                                                          
     defects                  564      3.1         4,534        3.6                             
                                                                                                
                          TEEN AGE BIRTHS BY AGE AND RACE/ETHNICITY, 2000-2004                  
                   NORTHERN                          NEBRASKA                                   
    Age of Mother  10-17        15-17            10-17        15-17                             
                NUMBER   %   NUMBER   %       NUMBER   %   NUMBER   %                           
    All Births    576   3.2    560   3.1      3,715   2.9  3,583   2.8                          
    White         464   2.8    453   2.7      2,792   2.5  2,718   2.4                          
    Black           9   7.2      9   7.2        631   8.8    586   8.2                          
    Native Amer    86   9.0     84   8.8        184   8.5    179   8.3                          
    Asian           3   2.1      2   1.4         36   1.3     35   1.2                          
    Hispanic      164   5.1    156   4.9        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           NORTHERN             NEBRASKA         OBJECTIVE                    
    1-10                         11.0              10.4                 --                      
    11-20                         2.7               2.8                 --                      
    21+                           0.4               0.6                 --                      
    Unknown                       0.9               0.3                 --                      
                                                                                                
    TOTAL                        14.9              14.1                 2.0                     
                                                                                                
    Note: These figures are based on pregnant women who have a live birth.                      
                                                                                                
                PERCENT BEGINNING PRENATAL CARE IN THE FIRST TRIMESTER, 2000-2004               
                                                                                                
                                                              NEBRASKA YEAR 2010                
    RACE                     NORTHERN             NEBRASKA         OBJECTIVE                    
    White                        84.6              84.7                90.0                     
    Black                        62.4              70.5                90.0                     
    Native American              74.7              68.3                90.0                     
    Asian                        84.8              82.2                90.0                     
                                                                                                
    Total                        83.4              83.2                90.0                     
                                                                                                
    Hispanic                     71.6              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              
                                   NORTHERN           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               
                                                                                                
                                    NORTHERN            NEBRASKA         NEBRASKA               
                                          * % WITH          % WITH      YEAR 2010               
    RISK FACTOR                     (N)   BEHAVIOR   (N)   BEHAVIOR     OBJECTIVE               
    Obese (body mass                                                                            
       index 30 or higher)        3,829     23.5   23,583    22.4          15%                  
    No leisure-time                                                                             
     physical activity            4,071     26.7   24,965    25.0          15%                  
    Currently smoke                                                                             
     cigarettes                   4,068     20.7   24,932    21.1          12%                  
    Chronic drinking                                                                            
     60+/Mo Men - 30+/Mo Women    3,532      4.4   21,579     4.8          --                   
    No health insurance           4,065     13.7   24,932    11.9           0%                  
    Could not see physician in                                                                  
     past 12 months due to cost   2,744      9.3   16,873     8.4           4%                  
                                                                                                
    Mammogram                                                                                   
     in past two                                                                                
     years (Ages 40+)             1,216     70.3    6,913    75.5          75%                  
    Immunization rates (65+)                                                                    
     Flu shot past 12 months      1,148     69.5    6,210    71.5          90%                  
     Pneumonia immunization       1,127     59.5    6,123    63.2          90%                  
                                                                                                
    General health good to                                                                      
     excellent (self-reported)    4,060     86.9   24,924    87.4          --                   
    Ten or more days in past 30                                                                 
     days health not good                                                                       
      Physical health             3,279     10.2   20,236     9.7          --                   
      Mental health               3,284      8.1   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                                     
                                                                                                
               NORTHERN                 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                   
      305       1.6     2.2       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                                     
                                                                                                
                NORTHERN                               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                 
                                                                                                
      163       36     76.2      51.2          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                        
                                                                                                
              NORTHERN                  NEBRASKA                                                
                                                                                                
                 # w/High     %          # w/High      %    NEBRASKA YEAR 2010                  
     LEAD LEVEL Blood Lead Tested       Blood Lead  Tested      OBJECTIVE                       
                                                                                                
     >9ug/dL       280        3.4          1846       3.3      0% (>9ug/dL)                     
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        AVAILABILITY OF SERVICES                                                                
                                                                                                
                           HEALTH PROFESSIONALS IN PRACTICE, 2003                               
                                                                                                
                                     NORTHERN                    NEBRASKA                       
                                            # Persons                  # Persons                
                                  # of      Served per       # of      Served per               
    PROFESSION              Practitioners Practitioner Practitioners Practitioner               
                                                                                                
General/Family Practice          107           2512          677          2569                  
Internal Medicine                 19          14145          227          7662                  
Pediatrics                        12          22397          162         10736                  
OB/Gynecology                     11          24433          143         12163                  
Psychiatry                         8          33595          140         12424                  
Physician Assistant               64           4199          445          3909                  
Nurse Practitioner                30           8959          329          5287                  
Licensed Practical Nurse        1268            212         6337           274                  
Dentist                          118           2278         1084          1605                  
Registered Nurse                2320            116        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                         1364            124            15729           1023              
 Black                            3              2              166             15              
 Native American                  7              0               54              5              
 Asian                            2              5              117             43              
 Hispanic                         6              2              183             25              
 Other Race/Ethnicity/Unknown     1              1               85              4              
                                                                                                
                       FEDERAL SHORTAGE AREA DESIGNATIONS, 2003                                 
                                                                                                
                                     NORTHERN                    NEBRASKA                       
        HPSA                           Part                        Part                         
        MUA/MUP                        Part                        Part                         
                                                                                                
                            EMERGENCY SERVICES, 2003                                            
                                                                                                
        SERVICE                           NORTHERN               NEBRASKA                       
    Ambulance services                         107                 394                          
                                                                                                
                          AVAILABILITY OF TRANSPORATION, 1998                                   
                                                                                                
                 PUBLIC TRANSPORTATION AVAILABLE IN NORTHERN ?  YES .                           
                                                                                                
            COMMUNITIES SERVED BY PUBLIC TRANSPORTATION IN NORTHERN :                           
                                                                                                
                    Northern Nebraska Cities                                                    
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        SERVICE UTILIZATION DATA                                                                
                                                                                                
                                                                                                
                     MEDICAID ELIGIBILITY AND EXPENDITURES, FY 2003                             
                                                                                                
                           NORTHERN                       NEBRASKA                              
                        TOTAL PERSONS    % OF        TOTAL PERSONS    % OF                      
                        ELIGIBLE(#)   ELIGIBLES      ELIGIBLE(#)   ELIGIBLES                    
                                                                                                
    Medicaid               32,444        100.0         205,498        100.0                     
       Aged                 3,762         11.6          18,449          9.0                     
       Blind & Disabled     3,621         11.2          26,534         12.9                     
       ADC Children        22,023         67.9         134,743         65.6                     
       ADC Adults           3,038          9.4          25,772         12.5                     
                                                                                                
                                                                                                
                                                                                                
                             NORTHERN                      NEBRASKA                             
                              TOTAL    % OF TOTAL      TOTAL    % OF TOTAL                      
                             DOLLARS    MEDICAID      DOLLARS    MEDICAID                       
                              ($000)    DOLLARS        ($000)    DOLLARS                        
                                                                                                
    Medicaid                $197,556     100.0     $1,280,005     100.0                         
       Aged                   69,457      37.7        353,582      29.4                         
       Blind & Disabled       53,608      29.1        432,011      36.0                         
       ADC Children           48,910      26.6        319,452      26.6                         
       ADC Adults             12,133       6.6         95,724       8.0                         
                                                                                                
               MEDICAID EXPENDITURES BY TYPE OF SERVICE PROVIDED, FY 2003                       
                                                                                                
                             NORTHERN                      NEBRASKA                             
                              TOTAL    % OF TOTAL      TOTAL    % OF TOTAL                      
                             DOLLARS    MEDICAID      DOLLARS    MEDICAID                       
                              ($000)    DOLLARS        ($000)    DOLLARS                        
                                                                                                
    All Medicaid            $197,556     100.0     $1,280,005     100.0                         
                                                                                                
    Medicaid Fee-for-Service 158,686      80.3        970,707      75.8                         
       Hospital--Inpatient    39,935      20.2        257,282      20.1                         
       Hospital--Outpatient   13,538       6.9         75,892       5.9                         
       ICF Mentally Retarded   1,513       0.8         50,253       3.9                         
       Nursing Facility       51,943      26.3        271,975      21.2                         
       Physician              18,995       9.6        100,083       7.8                         
       Dental                  5,461       2.8         33,337       2.6                         
       Prescribed Drugs       27,302      13.8        181,885      14.2                         
                                                                                                
    Other Medicaid (Includes                                                                    
       Capitated Payments)    38,870      19.7        309,298      24.2                         
                                                                                                
                                                                                                
                   UTILIZATION OF SERVICES BY PROGRAM, FY 2004                                  
                                                                                                
                             NORTHERN                      NEBRASKA                             
                             AVERAGE    AVERAGE       AVERAGE    AVERAGE                        
                             MONTHLY    PAYMENT       MONTHLY    PAYMENT                        
                          PARTICIPANTS    ($)      PARTICIPANTS    ($)                          
                                                                                                
    Aid to Dependent           1,264   $353.03*        12,237   $353.16*                        
       Children (ADC)                                                                           
    Food Stamp Program        14,864    $75.76**      111,435    $79.42**                       
                                                                                                
     *  Average payment per family.                                                             
     ** Average payment per person.                                                             
                                                                                                
                NUMBER OF PERSONS SERVED BY PUBLIC HEALTH PROGRAMS                              
                                                                                                
    SERVICE PROVIDED                 NORTHERN                      NEBRASKA                     
                                                                                                
    WIC, UNDUPLICATED PERSONS SERVED, 2004                                                      
       Pregnant women seen                         536            4,527                         
       Breastfeeding clients seen                  637            5,609                         
       Postpartum women seen                     2,207           10,951                         
       Infants seen                              1,586            9,521                         
       Children seen                             6,760           39,835                         
                                        Native                             Native               
       Total WIC clients     Total  Black Am  Asian Hispanic    Total  Black Am  Asian Hispanic 
       seen in 2004        11,726   220   260    77  4,299     70,449 7,664 1,316 1,296 20,674  
                                                                                                
    Reproductive health, 2004                    5,851           42,421                         
                                                                                                
              NURSING HOME AND HOSPITAL LONG-TERM CARE OCCUPANCY, 2004                          
                                                                                                
                                            NORTHERN              NEBRASKA                      
    Nursing Home and Hospital                                                                   
    Long-Term Care Facilities                                                                   
         Number of licensed beds                 3,803           17,130                         
         Occupancy rate                           81.9             82.7                         
                                                                                                
    Persons Aged 65 and Older                                                                   
    Living in Nursing Homes or                                                                  
    Hospital Long-Term Care                                                                     
    Facilities                                                                                  
         Number                                  2,835           12,710                         
         Percent of population                     6.5              5.5                         
           aged 65 and older                                                                    

Statistical Profiles