AREA PROFILE -- S HEARTLAND                                 
                                                                                                
                                                                                                
        DEMOGRAPHIC DATA                                                                        
                                                                                                
                                U.S. CENSUS ESTIMATES, 2004                                     
                                                                                                
                 S HEARTLAND -    46,400                NEBRASKA - 1,747,214                    
                                                                                                
                                                                                                
                                 POPULATION BY AGE AND RACE/ETHNICITY                           
                        S HEARTLAND                                NEBRASKA                     
 AGE         PERCENT        NATIVE                                         NATIVE               
GROUP   TOTAL       BLACK AMERICAN ASIAN HISPANIC  TOTAL  PERCENT  BLACK AMERICAN ASIAN HISPANIC
  0-4   2,746  5.9     20     14      47     282  122,049   7.0     6,566  1,726   2,087  15,560
 5-14   5,853 12.6     58     34      84     436  236,970  13.6    14,021  3,332   3,652  24,538
15-24   7,192 15.5     57     45     147     374  266,314  15.2    13,893  3,368   4,811  21,847
25-44  10,731 23.1     85     68     235     734  473,637  27.1    22,127  4,736  11,084  40,755
45-64  11,792 25.4     37     28     212     198  416,441  23.8    13,444  2,631   5,077  13,752
65-74   3,529  7.6      4      7      31      28  111,352   6.4     2,767    471     821   2,126
75-84   3,155  6.8      1      1       8      13   84,541   4.8     1,454    213     325   1,044
 85+    1,402  3.0      3      2       2       4   35,910   2.1       549     93      76     359
 <18   10,984 23.7     94     61     170     836  446,083  25.5    24,698  6,261   7,104  47,141
 65+    8,086 17.4      8     10      41      45  231,803  13.3     4,770    777   1,222   3,529
                                                                                                
                                                                                                
                               POPULATION BY GENDER AND RACE/ETHNICITY                          
                        S HEARTLAND                                NEBRASKA                     
             PERCENT        NATIVE                                         NATIVE               
GENDER  TOTAL       BLACK AMERICAN ASIAN HISPANIC  TOTAL  PERCENT  BLACK AMERICAN ASIAN HISPANIC
Men    22,706 48.9    172     96     393   1,124  863,628  49.4    37,128   8,068  13,719 65,048
Women  23,694 51.1     93    103     373     945  883,586  50.6    37,693   8,502  14,214 54,933
 15-17  1,203           5      7      19      51   42,285           1,986    590     663   3,127
                                                                                                
                                                                                                
                                    POPULATION BY RACE/ETHNICITY                                
                                                                                                
                             S HEARTLAND                         NEBRASKA                       
         RACE/ETHNICITY     NUMBER   PERCENT                     NUMBER   PERCENT               
         White              44,946     96.9                   1,609,056     92.1                
         Black                 265      0.6                      74,821      4.3                
         Native American       199      0.4                      16,570      0.9                
         Asian                 766      1.7                      27,933      1.6                
                                                                                                
         Hispanic            2,069      4.5                     119,981      6.9                
                                                                                                
         Minority *          3,425      7.4                     250,577     14.3                
                                                                                                
    * Minority Population = Total Population - White, Not Hispanic Population                   
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                  HOUSEHOLDS BY TYPE, 2000 CENSUS                               
                                                                                                
                                      S HEARTLAND               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                     32.0      24.6              28.6      25.6               
   Male householders                    1.0       1.7               1.3       2.0               
   Female householders                  2.0       5.1               2.6       6.5               
   Male householder nonfamilies        14.3       0.3              15.2       0.3               
   Female householder nonfamilies      18.8       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                   66.4  66.3  51.0  68.7     66.6  66.2  65.0  74.3               
      Married Couples           56.6  56.7  28.1  42.9     54.2  55.4  28.8  35.4               
        W/Children < 18         24.6  24.2  19.3  22.9     25.6  25.4  16.7  24.0               
      Single Parent Families     9.8   6.6  19.3  20.0     12.4   7.2  28.7  32.6               
        Male householder         2.7   2.6   7.1   8.6      3.3   3.0   5.4   8.8               
          W/Children < 18        1.7   1.6   5.3   5.7      2.0   1.8   3.6   6.7               
        Female Householder       7.1   7.0  15.8  17.2      9.1   7.8  30.8  30.1               
          W/Children < 18        5.1   5.0  14.0  14.3      6.5   5.4  25.1  25.9               
     Nonfamily households       33.5  33.7  49.1  31.4     33.4  33.7  34.9  25.7               
                                                                                                
                                                                                                
                                  % OF HOUSEHOLDS             % OF HOUSEHOLDS                   
                                  Asian  Hispanic Minority *  Asian  Hispanic Minority *        
     Families                      85.5     77.9     75.7      66.9     77.3     70.2           
      Married Couples              63.6     59.9     57.3      53.7     54.0     42.1           
        W/Children < 18            39.4     46.6     40.2      33.0     40.7     28.3           
      Single Parent Families       15.1     14.0     13.8       8.3     17.9     21.8           
        Male householder            8.3      8.1      7.6       4.5      9.6      7.1           
          W/Children < 18           4.5      4.8      4.5       2.2      6.3      4.6           
        Female Householder         13.6      9.9     10.8       8.7     13.7     21.0           
          W/Children < 18          10.6      9.2      9.3       6.1     11.6     17.2           
     Nonfamily households          14.4     22.2     24.3      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                           
                                                                                                
                                     S HEARTLAND                NEBRASKA                        
                                                  Native                     Native             
                                Total White Black American Total White Black American           
                                                                                                
     Less than 9th grade         5.8   5.3   1.0  24.7      5.4   4.5   5.3   9.0               
     9th to 11th grade           8.3   7.8  23.8  20.2      8.0   7.3  16.0  15.1               
     High school diploma        35.2  35.5  36.2  15.7     31.3  31.8  31.2  33.7               
     Some college, no degree    25.2  25.8  13.3  20.2     24.3  24.5  27.4  26.1               
     Associate degree            7.5   7.7   1.0   4.5      7.3   7.5   5.9   7.4               
     Baccalaureate degree       12.1  12.1  24.8  10.1     16.5  17.0  10.5   6.2               
     Graduate or professional    5.9   5.9   0.0   4.5      7.3   7.4   3.6   2.6               
     degree                                                                                     
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                Percent of persons 25 years and older                           
                                                                                                
                                     S HEARTLAND                NEBRASKA                        
                                                                                                
                                                                                                
                                  Asian  Hispanic Minority *  Asian  Hispanic Minority *        
                                                                                                
     Less than 9th grade           25.2     22.6     20.0      10.8     34.2     17.9           
     9th to 11th grade             16.3     29.0     22.1      11.9     19.2     16.3           
     High school diploma           27.6     30.3     29.1      17.1     21.3     25.5           
     Some college, no degree        4.0     11.1     11.3      13.3     13.9     20.1           
     Associate degree               5.4      1.9      3.2       5.4      2.9      4.8           
     Baccalaureate degree          11.3      3.0      8.9      21.8      5.9     10.0           
     Graduate or professional      10.1      2.1      5.4      19.8      2.7      5.5           
     degree                                                                                     
                                                                                                
    * Minority Population = Total Population - White, Not Hispanic Population                   
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        SOCIAL INDICATORS                                                                       
                                  PER CAPITA INCOME, 2000 CENSUS                                
                                                                                                
                                 S HEARTLAND           NEBRASKA                                 
                                $17,676                $19,613                                  
                                                                                                
                         MEDIAN HOUSEHOLD INCOME, 2002 CENSUS ESTIMATES                         
                                                                                                
                                 S HEARTLAND           NEBRASKA                                 
                                $35,964                $41,978                                  
                                                                                                
                        PERCENT BELOW 100% POVERTY, 2002 CENSUS ESTIMATES                       
                                                                                                
                                 S HEARTLAND           NEBRASKA                                 
     5-17 Years of Age               10.4                    10.8                               
     Total Population                10.3                    10.0                               
                                                                                                
                 PERCENT BELOW 100% POVERTY BY RACE/ETHNICITY, 2000 CENSUS *                    
                                                                                                
                                 S HEARTLAND           NEBRASKA                                 
     White                            9.6                     8.2                               
     Black                           19.5                    27.4                               
     Native American                 34.6                    33.0                               
     Asian                            4.1                    12.8                               
     Hispanic                        24.4                    20.4                               
 * A '.' indicates the population estimate of the racial/ethnic group is zero.                  
                                                                                                
                     PERCENT OF WORKERS UNEMPLOYED, DEPT. OF LABOR, MAY, 2004                   
                                                                                                
                            S HEARTLAND                NEBRASKA                                 
                    # UNEMPLOYED   % OF WORKERS   # UNEMPLOYED % OF WORKERS                     
                           827         3.7          39,368       4.0                            
                                                                                                
                                  HIGH SCHOOL DROPOUT RATE, 2003-2004                           
                                                                                                
                                 S HEARTLAND              NEBRASKA                              
     % of 7-12th Grade Member-                                                                  
     ship Who Drop Out of School      1.3                       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              
                                                                                                
                                 S HEARTLAND              NEBRASKA                              
                      # BIRTHS    % OF 1ST BIRTHS*  # BIRTHS  % OF 1ST BIRTHS*                  
     Total               102           10.0          4,398          9.0                         
     White                98           10.0          3,351          7.7                         
     Black                 3           42.9            653         24.4                         
     Native American       1           12.5            232         36.9                         
     Asian                 0            0.0             39          2.9                         
     Hispanic             24           26.1          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             
                                                                                                
                                       S HEARTLAND                NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Total Arrests                       1,670   36.0          94,648   54.2                    
     Arrests for violent crimes *           26    0.6           1,596    0.9                    
     Reported forcible rape offenses         3    0.1             195    0.1                    
     Arrests for DUI                       204    4.4          14,163    8.1                    
     Drug law violation arrests            127    2.7          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             
                                                                                                
                                       S HEARTLAND                NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Total Arrests                        276    25.1         14,867    33.3                    
     Arrests for violent crimes *           4     0.4            224     0.5                    
     Arrests for DUI                        8     0.7            348     0.8                    
     Drug law violation arrests             5     0.5          1,150     2.6                    
    *Violent crimes include: murder, forcible rape, robbery and aggravated assault.             
                                                                                                
                           CHILD PROTECTION AND SAFETY, CY 2004                                 
                                                                                                
                                       S HEARTLAND                NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
                                                                                                
     Average number of children                                                                 
     in out-of-home care *               182    16.3          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                   
                                                                                                
                                            S HEARTLAND          NEBRASKA                       
     Rate per 1,000 Children < Age 19            7.3                 8.6                        
                                                                                                
                   DOMESTIC VIOLENCE, JULY 1, 1999 - JUNE 30, 2000                              
                                       S HEARTLAND                NEBRASKA                      
                                        NUMBER RATE/1,000      NUMBER RATE/1,000                
     Number of Crisis Calls                                                                     
     Received by Multi-County Agency    1,633     34.5       108,312     63.3                   
     Total New Contacts for                                                                     
     Multi-County Agency                  906     19.2        24,249     14.2                   
     S HEARTLAND MULTI-COUNTY AREA ALSO INCLUDES:                                               
               South Heartland HD                                                               
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        HEALTH STATUS                                                                           
                                                                                                
                                                                                                
                                LEADING CAUSES OF DEATH, 2000-2004                              
                             Age-Adjusted Death Rates per 100,000 Population                    
                                                                                                
                                                                            NEBRASKA            
                                                        NEBRASKA           NATIVE               
                        S HEARTLAND       NEBRASKA      YEAR 2010   BLACK AMERICAN HISPANIC     
CAUSE OF DEATH             DEATHS  RATE  DEATHS  RATE   OBJECTIVE   RATE    RATE    RATE        
Heart Disease (#1)            814 222.5  20,262 205.1      --       245.6   276.0  110.6        
Cancer -- All Sites (#2)      564 178.0  16,798 182.0    147.0      255.2   201.9  117.8        
  Lung/Bronchus/Trachea       143  46.6   4,444  49.1     39.0       81.5    60.1   24.6        
  Breast (Female)              34  20.4   1,224  23.8     20.7       41.3    32.8    9.7        
  Prostate                     34  25.0     943  25.7     25.9       48.8    18.5    9.3        
Cerebrovascular (#3)          184  49.6   5,385  54.0     47.4       87.0    55.2   28.8        
Unintentional Injuries (#4)   107  38.6   3,457  37.6     19.4       25.2    92.6   34.9        
  Motor Vehicle                49  20.1   1,469  16.6     12.0        9.7    43.8   17.4        
Chronic Lung Disease (#5)      93  26.9   3,746  39.4      --        39.2    54.7   12.4        
                                                                                                
Suicide                        17   7.2     922  10.7      8.2        4.6     9.1    4.2        
Homicide                        5   2.2     259   3.0      2.0       20.3    11.9    6.6        
                                                                                                
Diabetes Related              222  64.2   6,933  72.6     25.0      162.8   260.9  109.3        
Tobacco Related               422 127.7  12,886 137.2      --       184.1   192.6   75.5        
Alcohol Related                96  32.1   3,255  35.5      --        41.9   137.3   41.2        
Work Related Accidents          8   3.0     209   2.4      --         0.4     0.9    2.5        
                                                                                                
All Causes                  2,543 736.6  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                       
                                                                                                
                    S HEARTLAND                              NEBRASKA                           
                                                                      Native                    
                     Total    Total           Total    Total   Black American Hispanic          
Cancer Type         # Cases   Rate           # Cases   Rate    Rate    Rate     Rate            
All Sites             1,337   450.8           42,194   474.2   474.5   393.6   292.3            
                                                                                                
Lung & Bronchus         196    65.9            5,572    62.7    93.3    62.7    39.3            
Breast (Female)         189   117.5            6,278   131.8   102.2    56.9    57.2            
Prostate                180   137.2            6,470   165.9   197.9   146.3    57.0            
Colorectal              179    56.7            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               
                                     S HEARTLAND            NEBRASKA         PERCENT            
    CONDITION/INJURY              # DISCHARGES  RATE # DISCHARGES  RATE     DIFFERENCE          
                                                                                                
     All Conditions/Injuries          12,338 11,466.00  359,031  9,837.00      16.6             
     Pregnancy/Childbirth              2,169  2,562.00   89,507  2,465.00       3.9             
     All Injuries                      1,982  1,712.00   55,504  1,509.00      13.5             
     Diabetes Related Diseases         1,874  1,547.00   46,921  1,277.00      21.1             
     Heart Disease                     1,905  1,502.00   37,934  1,014.00      48.1             
     Digestive Diseases                1,026    915.0    29,464    808.0       13.2             
     Musculoskeletal Diseases            750    664.0    23,783    659.0        0.8             
     Psychosis/Mental Health             727    830.0    17,125    492.0       68.7             
     Pneumonia                           817    629.0    14,664    386.0       63.0             
     Genitourinary Diseases              495    469.0    14,656    411.0       14.1             
     Cancer                              416    361.0    11,800    322.0       12.1             
     Fractures                           415    320.0     9,998    261.0       22.6             
     Other Respiratory Diseases          292    270.0     9,145    246.0        9.8             
     Tobacco Related Diseases            420    337.0     9,566    257.0       31.1             
     Surgical/Medical Complications      366    328.0     8,506    236.0       39.0             
     Cerebrovascular Disease             343    258.0     8,131    214.0       20.6             
     COPD                                325    277.0     7,578    208.0       33.2             
     Alcohol Related Diseases            104     96.0     2,405     67.0       43.3             
                                                                                                
    Leading Causes of Injury                                                                    
     Falls                               492    356.0    11,318    291.0       22.3             
     MV Accidents                         74     76.0     2,218     62.0       22.6             
     Self-Inflicted                       73     84.0     1,754     50.0       68.0             
     Other Unintentional                  43     31.0     1,215     33.0       -6.1             
     Poisoning                            13     14.0       592     16.0      -12.5             
     Struck/Pierced by Object             25     23.0       609     17.0       35.3             
     Overexertion                         14     12.0       480     13.0       -7.7             
     Environmental                        14     15.0       513     14.0        7.1             
     Assault                               8      9.0       442     12.0      -25.0             
                                                                                                
                                LEADING PAYER TYPE FOR HOSPITALIZATION, 2003-2004               
                                                                                                
                                     S HEARTLAND            NEBRASKA         PERCENT            
    PAYER TYPE                      DISCHARGES    %   DISCHARGES     %      DIFFERENCE          
     Commercial                        3,935     31.9   168,501     46.9      -32.0             
     Medicare                          6,551     53.1   131,141     36.5       45.5             
     Medicaid                          1,401     11.4    50,769     14.1      -19.1             
     Self-Pay                             83      0.7     3,460      1.0      -30.0             
     Other State/Federal                 368      3.0     5,160      1.4      114.3             
                                                                                                
    NOTE: Age adjusted rates are based on the 2000 U.S. census standard.                        
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                     INCIDENCE OF AIDS, 2000-2004                               
                                                                                                
                                   S HEARTLAND                       NEBRASKA                   
                                       *Rate                            Rate                    
                                        2.4                              3.8                    
                                                                                                
       * County or HD rates are not available.  The above rates are the rate per                
         100,000 population of the Service Area containing the county or HD.                    
                                                                                                
                 INCIDENCE OF RESOURCE INTENSIVE COMMUNICABLE DISEASES, 2003                    
                                                                                                
                                   S HEARTLAND                       NEBRASKA                   
                                       Rate                             Rate                    
      West Nile Virus (WNV)             368                              112                    
      Chronic Hepatitis C              31.9                             64.2                    
      TB                                0.0                              1.6                    
                                                                                                
       Note: Rates are per 100,000 Population.                                                  
                                                                                                
               INCIDENCE RATES OF SEXUALLY TRANSMITTED DISEASES BY RACE/ETHNICITY               
                                                                                                
                          S HEARTLAND                                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  240.9  159.6  975.6  119.0   59.8  516.8   424.4  193.7 2847.6  903.3  166.6  518.3  
 < 18       62.8   46.6  576.9    0.0    0.0  356.2   226.2   83.9 1616.4  383.6   67.7  125.0  
 > 17      203.7  116.3  930.2  181.8   73.8  543.9   455.9  207.6 3181.6 1086.7  163.3  667.2  
STD TYPE                                                                                        
Gonorrhea   17.2   13.3  406.5    0.0    0.0   44.0    65.8   19.1 1025.7  127.1   19.6   62.9  
Chlamydia  189.3  146.3  569.1    0.0   59.8  450.8   301.3  146.5 1695.1  722.6  131.0  413.7  
  Female   293.5  245.6 1075.3    0.0  119.0  769.2   433.6  223.1 2278.7 1163.2  198.0  666.3  
Herpes      32.3    0.0    0.0    0.0    0.0    0.0    42.0   18.6   82.7   18.7    7.3   23.5  
                                                                                                
       Note: Rates are per 100,000 Population.                                                  
                                                                                                
                             ESTIMATED PREVALENCE OF DEMENTIA, 2004                             
                                                                                                
                              S HEARTLAND                       NEBRASKA                        
                Rate *        # of Persons **                   # of Persons **                 
    Age 65-74    10%                353                            11,135                       
    Age 75-84    20%                631                            16,908                       
    Age 85+      47%                659                            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                        
                                                                                                
                          S HEARTLAND           NEBRASKA                                        
                           INFANT             INFANT          NEBRASKA YEAR 2010                
    RACE/ETHNICITY         DEATHS  RATE       DEATHS  RATE         OBJECTIVE                    
    White                     16   5.8          670   5.9             4.5                       
    Black                      1  52.6          121  16.9             4.5                       
    Native American            0   0.0           31  14.4             4.5                       
    Asian                      0   0.0           10   3.5             4.5                       
    Total                     17   5.9          838   6.6             4.5                       
    Hispanic                   4  13.5          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                
                          S HEARTLAND           NEBRASKA           OBJECTIVE                    
    WEIGHT                 NUMBER  RATE       NUMBER  RATE          RATE                        
    Very Low - All Births     39  13.5        1,611  12.7             9.0                       
    Low - All Births         174  60.2        8,821  69.4            50.0                       
          White              169  61.1        7,431  65.8            50.0                       
          Black                0   0.0          897 125.1            50.0                       
          Native American      1  47.6          145  67.2            50.0                       
          Asian                2  31.8          221  77.7            50.0                       
          Hispanic            17  57.4          976  62.0            50.0                       
                                                                                                
       Note: Rates are per 1,000 live births.                                                   
                                                                                                
                     NUMBER OF INFANTS BORN WITH BIRTH DEFECTS, 1999-2003                       
                                                                                                
                               S HEARTLAND           NEBRASKA                                   
                           # of      % of          # of      % of                               
                          Infants Total Births    Infants Total Births                          
    Infants with birth                                                                          
     defects                   57      2.0         4,534        3.6                             
                                                                                                
                          TEEN AGE BIRTHS BY AGE AND RACE/ETHNICITY, 2000-2004                  
                   S HEARTLAND                       NEBRASKA                                   
    Age of Mother  10-17        15-17            10-17        15-17                             
                NUMBER   %   NUMBER   %       NUMBER   %   NUMBER   %                           
    All Births     78   2.7     75   2.6      3,715   2.9  3,583   2.8                          
    White          73   2.6     70   2.5      2,792   2.5  2,718   2.4                          
    Black           4  21.1      4  21.1        631   8.8    586   8.2                          
    Native Amer     1   4.8      1   4.8        184   8.5    179   8.3                          
    Asian           0   0.0      0   0.0         36   1.3     35   1.2                          
    Hispanic       20   6.8     19   6.4        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           S HEARTLAND          NEBRASKA         OBJECTIVE                    
    1-10                         11.6              10.4                 --                      
    11-20                         4.1               2.8                 --                      
    21+                           0.7               0.6                 --                      
    Unknown                       0.1               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                     S HEARTLAND          NEBRASKA         OBJECTIVE                    
    White                        87.6              84.7                90.0                     
    Black                        68.4              70.5                90.0                     
    Native American              61.9              68.3                90.0                     
    Asian                        85.5              82.2                90.0                     
                                                                                                
    Total                        87.1              83.2                90.0                     
                                                                                                
    Hispanic                     75.0              69.3                90.0                     
                                                                                                
    Note: These figures are based on pregnant women who have a live birth.                      
                                                                                                
                                                                                                
                                                                                                
                                                                                                
       CHILDREN AGED 19-35 MONTHS UP-TO-DATE ON IMMUNIZATIONS, July 2003 - June 2004            
                                                                                                
                                                                          NEBRASKA              
                                   S HEARTLAND        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               
                                                                                                
                                    S HEARTLAND         NEBRASKA         NEBRASKA               
                                          * % WITH          % WITH      YEAR 2010               
    RISK FACTOR                     (N)   BEHAVIOR   (N)   BEHAVIOR     OBJECTIVE               
    Obese (body mass                                                                            
       index 30 or higher)          798     22.3   23,583    22.4          15%                  
    No leisure-time                                                                             
     physical activity              836     24.7   24,965    25.0          15%                  
    Currently smoke                                                                             
     cigarettes                     833     19.9   24,932    21.1          12%                  
    Chronic drinking                                                                            
     60+/Mo Men - 30+/Mo Women      730      3.7   21,579     4.8          --                   
    No health insurance             834     12.6   24,932    11.9           0%                  
    Could not see physician in                                                                  
     past 12 months due to cost     594      6.7   16,873     8.4           4%                  
                                                                                                
    Mammogram                                                                                   
     in past two                                                                                
     years (Ages 40+)               275     82.1    6,913    75.5          75%                  
    Immunization rates (65+)                                                                    
     Flu shot past 12 months        255     75.6    6,210    71.5          90%                  
     Pneumonia immunization         253     64.8    6,123    63.2          90%                  
                                                                                                
    General health good to                                                                      
     excellent (self-reported)      834     86.2   24,924    87.4          --                   
    Ten or more days in past 30                                                                 
     days health not good                                                                       
      Physical health               684      8.8   20,236     9.7          --                   
      Mental health                 688      8.9   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                                     
                                                                                                
               S HEARTLAND              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                   
       40       0.8     5.4       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                                     
                                                                                                
                S HEARTLAND                            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                 
                                                                                                
       26        5     81.3      13.0          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                        
                                                                                                
              S HEARTLAND               NEBRASKA                                                
                                                                                                
                 # w/High     %          # w/High      %    NEBRASKA YEAR 2010                  
     LEAD LEVEL Blood Lead Tested       Blood Lead  Tested      OBJECTIVE                       
                                                                                                
     >9ug/dL        38        3.7          1846       3.3      0% (>9ug/dL)                     
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        AVAILABILITY OF SERVICES                                                                
                                                                                                
                           HEALTH PROFESSIONALS IN PRACTICE, 2003                               
                                                                                                
                                     S HEARTLAND                 NEBRASKA                       
                                            # Persons                  # Persons                
                                  # of      Served per       # of      Served per               
    PROFESSION              Practitioners Practitioner Practitioners Practitioner               
                                                                                                
General/Family Practice           21           2214          677          2569                  
Internal Medicine                  5           9299          227          7662                  
Pediatrics                         5           9299          162         10736                  
OB/Gynecology                      4          11624          143         12163                  
Psychiatry                         1          46494          140         12424                  
Physician Assistant                9           5166          445          3909                  
Nurse Practitioner                10           4649          329          5287                  
Licensed Practical Nurse         188            247         6337           274                  
Dentist                           26           1788         1084          1605                  
Registered Nurse                 572             81        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                          559             32            15729           1023              
 Black                            .              0              166             15              
 Native American                  1              0               54              5              
 Asian                            1              1              117             43              
 Hispanic                         1              0              183             25              
 Other Race/Ethnicity/Unknown     1              0               85              4              
                                                                                                
                       FEDERAL SHORTAGE AREA DESIGNATIONS, 2003                                 
                                                                                                
                                     S HEARTLAND                 NEBRASKA                       
        HPSA                           Part                        Part                         
        MUA/MUP                        Part                        Part                         
                                                                                                
                            EMERGENCY SERVICES, 2003                                            
                                                                                                
        SERVICE                           S HEARTLAND            NEBRASKA                       
    Ambulance services                          20                 394                          
                                                                                                
                          AVAILABILITY OF TRANSPORATION, 1998                                   
                                                                                                
                 PUBLIC TRANSPORTATION AVAILABLE IN S HEARTLAND ?  YES .                        
                                                                                                
            COMMUNITIES SERVED BY PUBLIC TRANSPORTATION IN S HEARTLAND :                        
                                                                                                
                    South Heartland HD Cities                                                   
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
                                                                                                
        SERVICE UTILIZATION DATA                                                                
                                                                                                
                                                                                                
                     MEDICAID ELIGIBILITY AND EXPENDITURES, FY 2003                             
                                                                                                
                           S HEARTLAND                    NEBRASKA                              
                        TOTAL PERSONS    % OF        TOTAL PERSONS    % OF                      
                        ELIGIBLE(#)   ELIGIBLES      ELIGIBLE(#)   ELIGIBLES                    
                                                                                                
    Medicaid                5,743        100.0         205,498        100.0                     
       Aged                   736         12.8          18,449          9.0                     
       Blind & Disabled       871         15.2          26,534         12.9                     
       ADC Children         3,519         61.3         134,743         65.6                     
       ADC Adults             617         10.7          25,772         12.5                     
                                                                                                
                                                                                                
                                                                                                
                             S HEARTLAND                   NEBRASKA                             
                              TOTAL    % OF TOTAL      TOTAL    % OF TOTAL                      
                             DOLLARS    MEDICAID      DOLLARS    MEDICAID                       
                              ($000)    DOLLARS        ($000)    DOLLARS                        
                                                                                                
    Medicaid                 $37,823     100.0     $1,280,005     100.0                         
       Aged                   13,397      36.4        353,582      29.4                         
       Blind & Disabled       12,022      32.6        432,011      36.0                         
       ADC Children            8,932      24.2        319,452      26.6                         
       ADC Adults              2,483       6.7         95,724       8.0                         
                                                                                                
               MEDICAID EXPENDITURES BY TYPE OF SERVICE PROVIDED, FY 2003                       
                                                                                                
                             S HEARTLAND                   NEBRASKA                             
                              TOTAL    % OF TOTAL      TOTAL    % OF TOTAL                      
                             DOLLARS    MEDICAID      DOLLARS    MEDICAID                       
                              ($000)    DOLLARS        ($000)    DOLLARS                        
                                                                                                
    All Medicaid             $37,823     100.0     $1,280,005     100.0                         
                                                                                                
    Medicaid Fee-for-Service  29,294      77.5        970,707      75.8                         
       Hospital--Inpatient     6,061      16.0        257,282      20.1                         
       Hospital--Outpatient    2,075       5.5         75,892       5.9                         
       ICF Mentally Retarded     574       1.5         50,253       3.9                         
       Nursing Facility        9,956      26.3        271,975      21.2                         
       Physician               2,856       7.6        100,083       7.8                         
       Dental                    902       2.4         33,337       2.6                         
       Prescribed Drugs        6,870      18.2        181,885      14.2                         
                                                                                                
    Other Medicaid (Includes                                                                    
       Capitated Payments)     8,529      22.5        309,298      24.2                         
                                                                                                
                                                                                                
                   UTILIZATION OF SERVICES BY PROGRAM, FY 2004                                  
                                                                                                
                             S HEARTLAND                   NEBRASKA                             
                             AVERAGE    AVERAGE       AVERAGE    AVERAGE                        
                             MONTHLY    PAYMENT       MONTHLY    PAYMENT                        
                          PARTICIPANTS    ($)      PARTICIPANTS    ($)                          
                                                                                                
    Aid to Dependent             255   $342.52*        12,237   $353.16*                        
       Children (ADC)                                                                           
    Food Stamp Program         2,668    $74.93**      111,435    $79.42**                       
                                                                                                
     *  Average payment per family.                                                             
     ** Average payment per person.                                                             
                                                                                                
                NUMBER OF PERSONS SERVED BY PUBLIC HEALTH PROGRAMS                              
                                                                                                
    SERVICE PROVIDED                 S HEARTLAND                   NEBRASKA                     
                                                                                                
    WIC, UNDUPLICATED PERSONS SERVED, 2004                                                      
       Pregnant women seen                          81            4,527                         
       Breastfeeding clients seen                  153            5,609                         
       Postpartum women seen                       268           10,951                         
       Infants seen                                227            9,521                         
       Children seen                             1,026           39,835                         
                                        Native                             Native               
       Total WIC clients     Total  Black Am  Asian Hispanic    Total  Black Am  Asian Hispanic 
       seen in 2004         1,757    40     9    33    418     70,449 7,664 1,316 1,296 20,674  
                                                                                                
    Reproductive health, 2004                      572           42,421                         
                                                                                                
              NURSING HOME AND HOSPITAL LONG-TERM CARE OCCUPANCY, 2004                          
                                                                                                
                                            S HEARTLAND           NEBRASKA                      
    Nursing Home and Hospital                                                                   
    Long-Term Care Facilities                                                                   
         Number of licensed beds                   649           17,130                         
         Occupancy rate                           84.2             82.7                         
                                                                                                
    Persons Aged 65 and Older                                                                   
    Living in Nursing Homes or                                                                  
    Hospital Long-Term Care                                                                     
    Facilities                                                                                  
         Number                                    496           12,710                         
         Percent of population                     6.1              5.5                         
           aged 65 and older                                                                    

Statistical Profiles