AREA PROFILE -- SCOTTS BLUFF                                
                                                                                                
                                                                                                
        DEMOGRAPHIC DATA                                                                        
                                                                                                
                                U.S. CENSUS ESTIMATES, 2004                                     
                                                                                                
                 SCOTTS BLUFF -    36,631               NEBRASKA - 1,747,214                    
                                                                                                
                                                                                                
                                 POPULATION BY AGE AND RACE/ETHNICITY                           
                        SCOTTS BLUFF                               NEBRASKA                     
 AGE         PERCENT        NATIVE                                         NATIVE               
GROUP   TOTAL       BLACK AMERICAN ASIAN HISPANIC  TOTAL  PERCENT  BLACK AMERICAN ASIAN HISPANIC
  0-4   2,502  6.8     18    101      10     778  122,049   7.0     6,566  1,726   2,087  15,560
 5-14   4,912 13.4     34    181      45   1,389  236,970  13.6    14,021  3,332   3,652  24,538
15-24   5,230 14.3     37    163      42   1,255  266,314  15.2    13,893  3,368   4,811  21,847
25-44   8,572 23.4     40    223      58   1,806  473,637  27.1    22,127  4,736  11,084  40,755
45-64   9,228 25.2     16    104      49   1,170  416,441  23.8    13,444  2,631   5,077  13,752
65-74   2,921  8.0      2     21      22     271  111,352   6.4     2,767    471     821   2,126
75-84   2,333  6.4      2      7      36     146   84,541   4.8     1,454    213     325   1,044
 85+      933  2.5      4      1       9      44   35,910   2.1       549     93      76     359
 <18    9,308 25.4     66    341      70   2,621  446,083  25.5    24,698  6,261   7,104  47,141
 65+    6,187 16.9      8     29      67     461  231,803  13.3     4,770    777   1,222   3,529
                                                                                                
                                                                                                
                               POPULATION BY GENDER AND RACE/ETHNICITY                          
                        SCOTTS BLUFF                               NEBRASKA                     
             PERCENT        NATIVE                                         NATIVE               
GENDER  TOTAL       BLACK AMERICAN ASIAN HISPANIC  TOTAL  PERCENT  BLACK AMERICAN ASIAN HISPANIC
Men    17,426 47.6     95    389     133   3,369  863,628  49.4    37,128   8,068  13,719 65,048
Women  19,205 52.4     58    412     138   3,490  883,586  50.6    37,693   8,502  14,214 54,933
 15-17    955           3     30       5     229   42,285           1,986    590     663   3,127
                                                                                                
                                                                                                
                                    POPULATION BY RACE/ETHNICITY                                
                                                                                                
                             SCOTTS BLUFF                        NEBRASKA                       
         RACE/ETHNICITY     NUMBER   PERCENT                     NUMBER   PERCENT               
         White              35,104     95.8                   1,609,056     92.1                
         Black                 153      0.4                      74,821      4.3                
         Native American       801      2.2                      16,570      0.9                
         Asian                 271      0.7                      27,933      1.6                
                                                                                                
         Hispanic            6,859     18.7                     119,981      6.9                
                                                                                                
         Minority *          8,019     21.9                     250,577     14.3                
                                                                                                
    * Minority Population = Total Population - White, Not Hispanic Population                   
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                  HOUSEHOLDS BY TYPE, 2000 CENSUS                               
                                                                                                
                                      SCOTTS BLUFF              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                     31.0      23.2              28.6      25.6               
   Male householders                    1.1       2.4               1.3       2.0               
   Female householders                  2.7       8.0               2.6       6.5               
   Male householder nonfamilies        12.6       0.3              15.2       0.3               
   Female householder nonfamilies      18.6       0.1              17.8       0.1               
                                                                                                
                        HOUSEHOLDS BY TYPE AND RACE/ETHNICITY, 2000 CENSUS                      
                                                                                                
                                % OF HOUSEHOLDS               % OF HOUSEHOLDS                   
                                                  Native                     Native             
                                Total White Black American Total White Black American           
     Families                   68.4  67.2  63.2  82.9     66.6  66.2  65.0  74.3               
      Married Couples           54.2  54.7  36.9  34.6     54.2  55.4  28.8  35.4               
        W/Children < 18         23.2  22.2  15.8  28.0     25.6  25.4  16.7  24.0               
      Single Parent Families    14.2   8.8  15.8  42.3     12.4   7.2  28.7  32.6               
        Male householder         3.5   2.9   5.3   7.1      3.3   3.0   5.4   8.8               
          W/Children < 18        2.4   1.9   5.3   5.5      2.0   1.8   3.6   6.7               
        Female Householder      10.7   9.6  21.0  41.2      9.1   7.8  30.8  30.1               
          W/Children < 18        8.0   6.9  10.5  36.8      6.5   5.4  25.1  25.9               
     Nonfamily households       31.6  32.8  36.8  17.0     33.4  33.7  34.9  25.7               
                                                                                                
                                                                                                
                                  % OF HOUSEHOLDS             % OF HOUSEHOLDS                   
                                  Asian  Hispanic Minority *  Asian  Hispanic Minority *        
     Families                      68.2     80.1     79.2      66.9     77.3     70.2           
      Married Couples              52.8     53.2     51.4      53.7     54.0     42.1           
        W/Children < 18            13.2     34.0     32.2      33.0     40.7     28.3           
      Single Parent Families        5.5     21.5     22.1       8.3     17.9     21.8           
        Male householder            5.5      7.7      7.6       4.5      9.6      7.1           
          W/Children < 18           0.0      5.5      5.3       2.2      6.3      4.6           
        Female Householder          9.9     19.2     20.2       8.7     13.7     21.0           
          W/Children < 18           5.5     16.0     16.8       6.1     11.6     17.2           
     Nonfamily households          31.9     19.8     20.8      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                           
                                                                                                
                                     SCOTTS BLUFF               NEBRASKA                        
                                                  Native                     Native             
                                Total White Black American Total White Black American           
                                                                                                
     Less than 9th grade         8.7   7.0   0.0  21.3      5.4   4.5   5.3   9.0               
     9th to 11th grade          11.6  10.7  29.6  19.7      8.0   7.3  16.0  15.1               
     High school diploma        29.6  30.4  48.1  37.7     31.3  31.8  31.2  33.7               
     Some college, no degree    24.9  25.6  22.2  18.0     24.3  24.5  27.4  26.1               
     Associate degree            7.8   8.1   0.0   2.5      7.3   7.5   5.9   7.4               
     Baccalaureate degree       12.3  13.0   0.0   0.8     16.5  17.0  10.5   6.2               
     Graduate or professional    5.0   5.3   0.0   0.0      7.3   7.4   3.6   2.6               
     degree                                                                                     
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                Percent of persons 25 years and older                           
                                                                                                
                                     SCOTTS BLUFF               NEBRASKA                        
                                                                                                
                                                                                                
                                  Asian  Hispanic Minority *  Asian  Hispanic Minority *        
                                                                                                
     Less than 9th grade            1.7     30.9     27.8      10.8     34.2     17.9           
     9th to 11th grade              0.0     21.5     20.5      11.9     19.2     16.3           
     High school diploma           22.4     23.0     24.0      17.1     21.3     25.5           
     Some college, no degree       14.7     16.2     16.6      13.3     13.9     20.1           
     Associate degree              10.3      3.3      3.9       5.4      2.9      4.8           
     Baccalaureate degree          41.4      4.2      5.6      21.8      5.9     10.0           
     Graduate or professional       9.5      0.9      1.7      19.8      2.7      5.5           
     degree                                                                                     
                                                                                                
    * Minority Population = Total Population - White, Not Hispanic Population                   
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        SOCIAL INDICATORS                                                                       
                                  PER CAPITA INCOME, 2000 CENSUS                                
                                                                                                
                                 SCOTTS BLUFF          NEBRASKA                                 
                                $17,355                $19,613                                  
                                                                                                
                         MEDIAN HOUSEHOLD INCOME, 2002 CENSUS ESTIMATES                         
                                                                                                
                                 SCOTTS BLUFF          NEBRASKA                                 
                                $32,103                $41,978                                  
                                                                                                
                        PERCENT BELOW 100% POVERTY, 2002 CENSUS ESTIMATES                       
                                                                                                
                                 SCOTTS BLUFF          NEBRASKA                                 
     5-17 Years of Age               18.8                    10.8                               
     Total Population                14.8                    10.0                               
                                                                                                
                 PERCENT BELOW 100% POVERTY BY RACE/ETHNICITY, 2000 CENSUS *                    
                                                                                                
                                 SCOTTS BLUFF          NEBRASKA                                 
     White                           11.5                     8.2                               
     Black                           36.7                    27.4                               
     Native American                 72.7                    33.0                               
     Asian                           14.6                    12.8                               
     Hispanic                        30.1                    20.4                               
 * A '.' indicates the population estimate of the racial/ethnic group is zero.                  
                                                                                                
                     PERCENT OF WORKERS UNEMPLOYED, DEPT. OF LABOR, MAY, 2004                   
                                                                                                
                            SCOTTS BLUFF               NEBRASKA                                 
                    # UNEMPLOYED   % OF WORKERS   # UNEMPLOYED % OF WORKERS                     
                           963         4.9          39,368       4.0                            
                                                                                                
                                  HIGH SCHOOL DROPOUT RATE, 2003-2004                           
                                                                                                
                                 SCOTTS BLUFF             NEBRASKA                              
     % of 7-12th Grade Member-                                                                  
     ship Who Drop Out of School      2.1                       1.9                             
                                                                                                
                             NEW FAMILIES AT RISK BY RACE/ETHNICITY, 2000-2004                  
        First Births to Unmarried Women Under Age 20 with Less Than H.S. Education              
                                                                                                
                                 SCOTTS BLUFF             NEBRASKA                              
                      # BIRTHS    % OF 1ST BIRTHS*  # BIRTHS  % OF 1ST BIRTHS*                  
     Total               156           15.8          4,398          9.0                         
     White               134           14.2          3,351          7.7                         
     Black                 0             .             653         24.4                         
     Native American      21           60.0            232         36.9                         
     Asian                 1           11.1             39          2.9                         
     Hispanic             64           25.7          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             
                                                                                                
                                       SCOTTS BLUFF               NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Total Arrests                       2,097   57.2          94,648   54.2                    
     Arrests for violent crimes *           19    0.5           1,596    0.9                    
     Reported forcible rape offenses         3    0.1             195    0.1                    
     Arrests for DUI                       275    7.5          14,163    8.1                    
     Drug law violation arrests            178    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             
                                                                                                
                                       SCOTTS BLUFF               NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Total Arrests                        525    56.4         14,867    33.3                    
     Arrests for violent crimes *           2     0.2            224     0.5                    
     Arrests for DUI                       10     1.1            348     0.8                    
     Drug law violation arrests            25     2.7          1,150     2.6                    
    *Violent crimes include: murder, forcible rape, robbery and aggravated assault.             
                                                                                                
                           CHILD PROTECTION AND SAFETY, CY 2004                                 
                                                                                                
                                       SCOTTS BLUFF               NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
                                                                                                
     Average number of children                                                                 
     in out-of-home care *               211    22.2          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                   
                                                                                                
                                            SCOTTS BLUFF         NEBRASKA                       
     Rate per 1,000 Children < Age 19            9.6                 8.6                        
                                                                                                
                   DOMESTIC VIOLENCE, JULY 1, 1999 - JUNE 30, 2000                              
                                       SCOTTS BLUFF               NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Number of Crisis Calls                                                                     
     Received by Multi-County Agency    1,415     24.8       108,312     63.3                   
     Total New Contacts for                                                                     
     Multi-County Agency                  192      3.4        24,249     14.2                   
     SCOTTS BLUFF MULTI-COUNTY AREA ALSO INCLUDES:                                              
               Banner, Cheyenne, Kimball, Morrill                                               
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        HEALTH STATUS                                                                           
                                                                                                
                                                                                                
                                LEADING CAUSES OF DEATH, 2000-2004                              
                             Age-Adjusted Death Rates per 100,000 Population                    
                                                                                                
                                                                            NEBRASKA            
                                                        NEBRASKA           NATIVE               
                        SCOTTS BLUFF      NEBRASKA      YEAR 2010   BLACK AMERICAN HISPANIC     
CAUSE OF DEATH             DEATHS  RATE  DEATHS  RATE   OBJECTIVE   RATE    RATE    RATE        
Heart Disease (#1)            577 223.2  20,262 205.1      --       245.6   276.0  110.6        
Cancer -- All Sites (#2)      409 172.4  16,798 182.0    147.0      255.2   201.9  117.8        
  Lung/Bronchus/Trachea       100  42.5   4,444  49.1     39.0       81.5    60.1   24.6        
  Breast (Female)              26  20.1   1,224  23.8     20.7       41.3    32.8    9.7        
  Prostate                     20  20.5     943  25.7     25.9       48.8    18.5    9.3        
Cerebrovascular (#3)          140  54.3   5,385  54.0     47.4       87.0    55.2   28.8        
Unintentional Injuries (#4)    96  46.5   3,457  37.6     19.4       25.2    92.6   34.9        
  Motor Vehicle                36  19.8   1,469  16.6     12.0        9.7    43.8   17.4        
Chronic Lung Disease (#5)     145  57.3   3,746  39.4      --        39.2    54.7   12.4        
                                                                                                
Suicide                        26  15.0     922  10.7      8.2        4.6     9.1    4.2        
Homicide                        3   1.6     259   3.0      2.0       20.3    11.9    6.6        
                                                                                                
Diabetes Related              218  87.2   6,933  72.6     25.0      162.8   260.9  109.3        
Tobacco Related               372 151.4  12,886 137.2      --       184.1   192.6   75.5        
Alcohol Related                85  39.8   3,255  35.5      --        41.9   137.3   41.2        
Work Related Accidents          6   3.5     209   2.4      --         0.4     0.9    2.5        
                                                                                                
All Causes                  2,189 895.4  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                       
                                                                                                
                    SCOTTS BLUFF                             NEBRASKA                           
                                                                      Native                    
                     Total    Total           Total    Total   Black American Hispanic          
Cancer Type         # Cases   Rate           # Cases   Rate    Rate    Rate     Rate            
All Sites             1,061   470.2           42,194   474.2   474.5   393.6   292.3            
                                                                                                
Lung & Bronchus         121    52.6            5,572    62.7    93.3    62.7    39.3            
Breast (Female)         139   115.5            6,278   131.8   102.2    56.9    57.2            
Prostate                202   200.1            6,470   165.9   197.9   146.3    57.0            
Colorectal              120    50.4            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               
                                     SCOTTS BLUFF           NEBRASKA         PERCENT            
    CONDITION/INJURY              # DISCHARGES  RATE # DISCHARGES  RATE     DIFFERENCE          
                                                                                                
     All Conditions/Injuries           4,775  5,718.00  359,031  9,837.00     -41.9             
     Pregnancy/Childbirth              1,021  1,418.00   89,507  2,465.00     -42.5             
     All Injuries                        503    573.00   55,504  1,509.00     -62.0             
     Diabetes Related Diseases           747    823.00   46,921  1,277.00     -35.6             
     Heart Disease                       462    480.00   37,934  1,014.00     -52.7             
     Digestive Diseases                  475    549.0    29,464    808.0      -32.1             
     Musculoskeletal Diseases            206    225.0    23,783    659.0      -65.9             
     Psychosis/Mental Health             124    167.0    17,125    492.0      -66.1             
     Pneumonia                           228    258.0    14,664    386.0      -33.2             
     Genitourinary Diseases              183    233.0    14,656    411.0      -43.3             
     Cancer                              144    156.0    11,800    322.0      -51.6             
     Fractures                           134    136.0     9,998    261.0      -47.9             
     Other Respiratory Diseases          148    185.0     9,145    246.0      -24.8             
     Tobacco Related Diseases            186    200.0     9,566    257.0      -22.2             
     Surgical/Medical Complications      107    130.0     8,506    236.0      -44.9             
     Cerebrovascular Disease             111    111.0     8,131    214.0      -48.1             
     COPD                                143    168.0     7,578    208.0      -19.2             
     Alcohol Related Diseases             39     44.0     2,405     67.0      -34.3             
                                                                                                
    Leading Causes of Injury                                                                    
     Falls                               167    165.0    11,318    291.0      -43.3             
     MV Accidents                         13     16.0     2,218     62.0      -74.2             
     Self-Inflicted                       17     24.0     1,754     50.0      -52.0             
     Other Unintentional                   8      9.0     1,215     33.0      -72.7             
     Poisoning                            12     16.0       592     16.0        0.0             
     Struck/Pierced by Object              1      1.0       609     17.0      -94.1             
     Overexertion                          5      7.0       480     13.0      -46.2             
     Environmental                         2      2.0       513     14.0      -85.7             
     Assault                               3      3.0       442     12.0      -75.0             
                                                                                                
                                LEADING PAYER TYPE FOR HOSPITALIZATION, 2003-2004               
                                                                                                
                                     SCOTTS BLUFF           NEBRASKA         PERCENT            
    PAYER TYPE                      DISCHARGES    %   DISCHARGES     %      DIFFERENCE          
     Commercial                          696     14.6   168,501     46.9      -68.9             
     Medicare                          2,661     55.7   131,141     36.5       52.6             
     Medicaid                          1,407     29.5    50,769     14.1      109.2             
     Self-Pay                              1      0.0     3,460      1.0       -100             
     Other State/Federal                  10      0.2     5,160      1.4      -85.7             
                                                                                                
    NOTE: Age adjusted rates are based on the 2000 U.S. census standard.                        
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                     INCIDENCE OF AIDS, 2000-2004                               
                                                                                                
                                   SCOTTS BLUFF                      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                    
                                                                                                
                                   SCOTTS BLUFF                      NEBRASKA                   
                                       Rate                             Rate                    
      West Nile Virus (WNV)             122                              112                    
      Chronic Hepatitis C              51.7                             64.2                    
      TB                                5.4                              1.6                    
                                                                                                
       Note: Rates are per 100,000 Population.                                                  
                                                                                                
               INCIDENCE RATES OF SEXUALLY TRANSMITTED DISEASES BY RACE/ETHNICITY               
                                                                                                
                          SCOTTS BLUFF                               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  403.2  147.1  782.1  726.4   70.9  439.5   424.4  193.7 2847.6  903.3  166.6  518.3  
 < 18      105.0   45.0  307.7  206.7    0.0  238.3   226.2   83.9 1616.4  383.6   67.7  125.0  
 > 17      346.3  128.5  990.1  932.2   98.0  457.8   455.9  207.6 3181.6 1086.7  163.3  667.2  
STD TYPE                                                                                        
Gonorrhea    8.1    2.8  111.7   48.4    0.0   16.3    65.8   19.1 1025.7  127.1   19.6   62.9  
Chlamydia  316.6  144.3  558.7  653.8   70.9  416.7   301.3  146.5 1695.1  722.6  131.0  413.7  
  Female   492.1  232.1  289.9 1222.5  143.9  689.0   433.6  223.1 2278.7 1163.2  198.0  666.3  
Herpes      73.1    0.0  111.7    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                             
                                                                                                
                              SCOTTS BLUFF                      NEBRASKA                        
                Rate *        # of Persons **                   # of Persons **                 
    Age 65-74    10%                292                            11,135                       
    Age 75-84    20%                467                            16,908                       
    Age 85+      47%                439                            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                        
                                                                                                
                          SCOTTS BLUFF          NEBRASKA                                        
                           INFANT             INFANT          NEBRASKA YEAR 2010                
    RACE/ETHNICITY         DEATHS  RATE       DEATHS  RATE         OBJECTIVE                    
    White                     17   6.8          670   5.9             4.5                       
    Black                      0   0.0          121  16.9             4.5                       
    Native American            1   7.7           31  14.4             4.5                       
    Asian                      0   0.0           10   3.5             4.5                       
    Total                     18   6.7          838   6.6             4.5                       
    Hispanic                   4   5.1          109   6.9             4.5                       
                                                                                                
       Note: Rates are per 1,000 live births.                                                   
                                                                                                
    VERY LOW (<1500 GR) AND LOW (<2500 GR) BIRTH WEIGHT BY RACE/ETHNICITY, 2000-2004            
                                                                                                
                                                              NEBRASKA YEAR 2010                
                          SCOTTS BLUFF          NEBRASKA           OBJECTIVE                    
    WEIGHT                 NUMBER  RATE       NUMBER  RATE          RATE                        
    Very Low - All Births     16   6.0        1,611  12.7             9.0                       
    Low - All Births         213  79.6        8,821  69.4            50.0                       
          White              197  78.3        7,431  65.8            50.0                       
          Black                2 200.0          897 125.1            50.0                       
          Native American     12  92.3          145  67.2            50.0                       
          Asian                2 125.0          221  77.7            50.0                       
          Hispanic            63  80.5          976  62.0            50.0                       
                                                                                                
       Note: Rates are per 1,000 live births.                                                   
                                                                                                
                     NUMBER OF INFANTS BORN WITH BIRTH DEFECTS, 1999-2003                       
                                                                                                
                               SCOTTS BLUFF          NEBRASKA                                   
                           # of      % of          # of      % of                               
                          Infants Total Births    Infants Total Births                          
    Infants with birth                                                                          
     defects                  103      3.9         4,534        3.6                             
                                                                                                
                          TEEN AGE BIRTHS BY AGE AND RACE/ETHNICITY, 2000-2004                  
                   SCOTTS BLUFF                      NEBRASKA                                   
    Age of Mother  10-17        15-17            10-17        15-17                             
                NUMBER   %   NUMBER   %       NUMBER   %   NUMBER   %                           
    All Births    144   5.4    139   5.2      3,715   2.9  3,583   2.8                          
    White         130   5.2    125   5.0      2,792   2.5  2,718   2.4                          
    Black           0   0.0      0   0.0        631   8.8    586   8.2                          
    Native Amer    14  10.8     14  10.8        184   8.5    179   8.3                          
    Asian           0   0.0      0   0.0         36   1.3     35   1.2                          
    Hispanic       71   9.1     68   8.7        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           SCOTTS BLUFF         NEBRASKA         OBJECTIVE                    
    1-10                         13.8              10.4                 --                      
    11-20                         2.1               2.8                 --                      
    21+                           0.2               0.6                 --                      
    Unknown                       0.5               0.3                 --                      
                                                                                                
    TOTAL                        16.5              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                     SCOTTS BLUFF         NEBRASKA         OBJECTIVE                    
    White                        79.2              84.7                90.0                     
    Black                        60.0              70.5                90.0                     
    Native American              54.6              68.3                90.0                     
    Asian                        75.0              82.2                90.0                     
                                                                                                
    Total                        77.8              83.2                90.0                     
                                                                                                
    Hispanic                     71.4              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              
                                   SCOTTS BLUFF       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               
                                                                                                
                                    SCOTTS BLUFF        NEBRASKA         NEBRASKA               
                                          * % WITH          % WITH      YEAR 2010               
    RISK FACTOR                     (N)   BEHAVIOR   (N)   BEHAVIOR     OBJECTIVE               
    Obese (body mass                                                                            
       index 30 or higher)        2,253     22.8   23,583    22.4          15%                  
    No leisure-time                                                                             
     physical activity            2,375     26.2   24,965    25.0          15%                  
    Currently smoke                                                                             
     cigarettes                   2,372     22.0   24,932    21.1          12%                  
    Chronic drinking                                                                            
     60+/Mo Men - 30+/Mo Women    2,144      2.4   21,579     4.8          --                   
    No health insurance           2,370     14.9   24,932    11.9           0%                  
    Could not see physician in                                                                  
     past 12 months due to cost   1,884     11.6   16,873     8.4           4%                  
                                                                                                
    Mammogram                                                                                   
     in past two                                                                                
     years (Ages 40+)               839     64.3    6,913    75.5          75%                  
    Immunization rates (65+)                                                                    
     Flu shot past 12 months        710     66.1    6,210    71.5          90%                  
     Pneumonia immunization         703     58.2    6,123    63.2          90%                  
                                                                                                
    General health good to                                                                      
     excellent (self-reported)    2,369     83.7   24,924    87.4          --                   
    Ten or more days in past 30                                                                 
     days health not good                                                                       
      Physical health             2,073     11.6   20,236     9.7          --                   
      Mental health               2,072     11.1   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                                     
                                                                                                
               SCOTTS BLUFF             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                   
       31       0.0     6.3       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                                     
                                                                                                
                SCOTTS BLUFF                           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                 
                                                                                                
       12        4     81.0      32.2          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                        
                                                                                                
              SCOTTS BLUFF              NEBRASKA                                                
                                                                                                
                 # w/High     %          # w/High      %    NEBRASKA YEAR 2010                  
     LEAD LEVEL Blood Lead Tested       Blood Lead  Tested      OBJECTIVE                       
                                                                                                
     >9ug/dL        14        1.3          1846       3.3      0% (>9ug/dL)                     
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        AVAILABILITY OF SERVICES                                                                
                                                                                                
                           HEALTH PROFESSIONALS IN PRACTICE, 2003                               
                                                                                                
                                     SCOTTS BLUFF                NEBRASKA                       
                                            # Persons                  # Persons                
                                  # of      Served per       # of      Served per               
    PROFESSION              Practitioners Practitioner Practitioners Practitioner               
                                                                                                
General/Family Practice           15           2464          677          2569                  
Internal Medicine                  5           7391          227          7662                  
Pediatrics                         3          12318          162         10736                  
OB/Gynecology                      5           7391          143         12163                  
Psychiatry                         4           9239          140         12424                  
Physician Assistant               17           2174          445          3909                  
Nurse Practitioner                 9           4106          329          5287                  
Licensed Practical Nurse         222            166         6337           274                  
Dentist                           23           1607         1084          1605                  
Registered Nurse                 439             84        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                          362             20            15729           1023              
 Black                            .              0              166             15              
 Native American                  1              0               54              5              
 Asian                            1              1              117             43              
 Hispanic                        12              1              183             25              
 Other Race/Ethnicity/Unknown     3              0               85              4              
                                                                                                
                       FEDERAL SHORTAGE AREA DESIGNATIONS, 2003                                 
                                                                                                
                                     SCOTTS BLUFF                NEBRASKA                       
        HPSA                           Part                        Part                         
        MUA/MUP                        Part                        Part                         
                                                                                                
                            EMERGENCY SERVICES, 2003                                            
                                                                                                
        SERVICE                           SCOTTS BLUFF           NEBRASKA                       
    Ambulance services                           8                 394                          
                                                                                                
                          AVAILABILITY OF TRANSPORATION, 1998                                   
                                                                                                
                 PUBLIC TRANSPORTATION AVAILABLE IN SCOTTS BLUFF ?  YES .                       
                                                                                                
            COMMUNITIES SERVED BY PUBLIC TRANSPORTATION IN SCOTTS BLUFF :                       
                                                                                                
                    Gering, Henry, Lyman, McGrew, Melbeta, Minatare, Mitchell,                  
                    Morrill, Scottsbluff                                                        
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        SERVICE UTILIZATION DATA                                                                
                                                                                                
                                                                                                
                     MEDICAID ELIGIBILITY AND EXPENDITURES, FY 2003                             
                                                                                                
                           SCOTTS BLUFF                   NEBRASKA                              
                        TOTAL PERSONS    % OF        TOTAL PERSONS    % OF                      
                        ELIGIBLE(#)   ELIGIBLES      ELIGIBLE(#)   ELIGIBLES                    
                                                                                                
    Medicaid                7,011        100.0         205,498        100.0                     
       Aged                   631          9.0          18,449          9.0                     
       Blind & Disabled       958         13.7          26,534         12.9                     
       ADC Children         4,598         65.6         134,743         65.6                     
       ADC Adults             824         11.8          25,772         12.5                     
                                                                                                
                                                                                                
                                                                                                
                             SCOTTS BLUFF                  NEBRASKA                             
                              TOTAL    % OF TOTAL      TOTAL    % OF TOTAL                      
                             DOLLARS    MEDICAID      DOLLARS    MEDICAID                       
                              ($000)    DOLLARS        ($000)    DOLLARS                        
                                                                                                
    Medicaid                 $34,867     100.0     $1,280,005     100.0                         
       Aged                    8,621      26.2        353,582      29.4                         
       Blind & Disabled       11,390      34.7        432,011      36.0                         
       ADC Children            9,585      29.2        319,452      26.6                         
       ADC Adults              3,269       9.9         95,724       8.0                         
                                                                                                
               MEDICAID EXPENDITURES BY TYPE OF SERVICE PROVIDED, FY 2003                       
                                                                                                
                             SCOTTS BLUFF                  NEBRASKA                             
                              TOTAL    % OF TOTAL      TOTAL    % OF TOTAL                      
                             DOLLARS    MEDICAID      DOLLARS    MEDICAID                       
                              ($000)    DOLLARS        ($000)    DOLLARS                        
                                                                                                
    All Medicaid             $34,867     100.0     $1,280,005     100.0                         
                                                                                                
    Medicaid Fee-for-Service  27,473      78.8        970,707      75.8                         
       Hospital--Inpatient     4,924      14.1        257,282      20.1                         
       Hospital--Outpatient    4,947      14.2         75,892       5.9                         
       ICF Mentally Retarded     498       1.4         50,253       3.9                         
       Nursing Facility        5,622      16.1        271,975      21.2                         
       Physician               3,618      10.4        100,083       7.8                         
       Dental                  1,325       3.8         33,337       2.6                         
       Prescribed Drugs        6,540      18.8        181,885      14.2                         
                                                                                                
    Other Medicaid (Includes                                                                    
       Capitated Payments)     7,394      21.2        309,298      24.2                         
                                                                                                
                                                                                                
                   UTILIZATION OF SERVICES BY PROGRAM, FY 2004                                  
                                                                                                
                             SCOTTS BLUFF                  NEBRASKA                             
                             AVERAGE    AVERAGE       AVERAGE    AVERAGE                        
                             MONTHLY    PAYMENT       MONTHLY    PAYMENT                        
                          PARTICIPANTS    ($)      PARTICIPANTS    ($)                          
                                                                                                
    Aid to Dependent             346   $364.63*        12,237   $353.16*                        
       Children (ADC)                                                                           
    Food Stamp Program         4,172    $71.79**      111,435    $79.42**                       
                                                                                                
     *  Average payment per family.                                                             
     ** Average payment per person.                                                             
                                                                                                
                NUMBER OF PERSONS SERVED BY PUBLIC HEALTH PROGRAMS                              
                                                                                                
    SERVICE PROVIDED                 SCOTTS BLUFF                  NEBRASKA                     
                                                                                                
    WIC, UNDUPLICATED PERSONS SERVED, 2004                                                      
       Pregnant women seen                         132            4,527                         
       Breastfeeding clients seen                  120            5,609                         
       Postpartum women seen                       425           10,951                         
       Infants seen                                270            9,521                         
       Children seen                             1,258           39,835                         
                                        Native                             Native               
       Total WIC clients     Total  Black Am  Asian Hispanic    Total  Black Am  Asian Hispanic 
       seen in 2004         2,205     8   130     9  1,017     70,449 7,664 1,316 1,296 20,674  
                                                                                                
    Reproductive health, 2004                    1,498           42,421                         
                                                                                                
              NURSING HOME AND HOSPITAL LONG-TERM CARE OCCUPANCY, 2004                          
                                                                                                
                                            SCOTTS BLUFF          NEBRASKA                      
    Nursing Home and Hospital                                                                   
    Long-Term Care Facilities                                                                   
         Number of licensed beds                   440           17,130                         
         Occupancy rate                           83.5             82.7                         
                                                                                                
    Persons Aged 65 and Older                                                                   
    Living in Nursing Homes or                                                                  
    Hospital Long-Term Care                                                                     
    Facilities                                                                                  
         Number                                    343           12,710                         
         Percent of population                     5.4              5.5                         
           aged 65 and older                                                                    

Statistical Profiles