Nonprofit Pay in a Competitive Market: Wage Penalty or Premium?

Abstract

Two competing theories argue that the nonprofit sector pays differently: Nonprofit employees may accept lower pay to be able to do meaningful work for a good cause, or they may earn higher pay due to nonprofit organizations’ tax exemptions and weaker incentives to hold down wages. To test these opposing expectations, we use the 2005-2013 American Community Surveys to examine pay differences among registered nurses working for nonprofit, for-profit, and public hospitals. We also test hypotheses that public and nonprofit hospitals have smaller pay disparities by gender, race, and relationship status. We find that pay is highest in nonprofit hospitals, partly because they attract better-educated and more experienced nurses, but partly because they pay comparable nurses more than for-profit hospitals do. Furthermore, contrary to expectations, pay disparities appear to be largest in nonprofit hospitals.

Keywords

wage inequality registered nurses nonprofit and for-profit comparison selection hospital

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References

Auerbach

D. I.

Buerhaus

P. I.

Staiger

D. O.

(2007). Better late than never: Workforce supply implications of later entry into nursing. Health Affairs, 26, 178-185.

Auerbach

D. I.

Buerhaus

P. I.

Staiger

D. O.

(2011). Surge in those ages 23-26 entering the registered nurse work force means that supply is growing faster than projected. Health Affairs, 30, 2286-2292.

Auerbach

D. I.

Staiger

D. O.

Muench

Buerhaus

P. I.

(2013). The nursing workforce in an era of health care reform. New England Journal of Medicine, 368, 1470-1472.

Ballou

J. P.

Weisbrod

B. A.

(2003). Managerial rewards and the behavior of for-profit, governmental, and nonprofit organizations: Evidence from the hospital industry. Journal of Public Economics, 87, 1895-1920.

Bender

K. A.

Heywood

J. S.

(2010). Out of balance? Comparing public and private sector compensation over 20 years. Washington, DC: Center for State & Local Government Excellence.

Ben-Ner

(2006). For-profit, state and non-profit: How to cut the pie among the three sectors. In Touffut

J. P.

(Ed.), Advancing public goods (pp.40-67). Cheltenham, UK: Edward Elgar.

Ben-Ner

Ren

(2015). Comparing workplace organization design based on form of ownership: Nonprofit, for-profit, and local government. Nonprofit and Voluntary Sector Quarterly, 44, 340-359.

Ben-Ner

Ren

Paulson

D. F.

(2011). A sectoral comparison of wage levels and wage inequality in human services industries. Nonprofit and Voluntary Sector Quarterly, 40, 608-633.

Benz

(2005). Not for the profit, but for the satisfaction? Evidence on worker well-being in non-profit firms. Kyklos, 58, 155-176.

10.

Biggs

A. G.

Richwine

(2014). Overpaid or underpaid? A state-by-state ranking of public employee compensation (Working Paper 2014-04). American Enterprise Institute for Public Policy Research.

11.

Black

Gates

Sanders

Taylor

(2000). Demographics of the gay and lesbian population in the United States: Evidence from available systematic data sources. Demography, 37, 139-154.

12.

Blandford

J. M.

(2003). The Nexus of sexual orientation and gender in the determination of earnings. Industrial & Labor Relations Review, 56, 622-642.

13.

Blau

F. D.

Kahn

L. M.

(2000). Gender differences in pay. Journal of Economic Perspectives, 14(4), 75-99.

14.

Blau

F. D.

Kahn

L. M.

(2006). The U.S. gender pay gap in the 1990s: Slowing convergence. Industrial & Labor Relations Review, 60, 45-66.

15.

Bollinger

C. R.

Hirsch

B. T.

(2012). Is earnings nonresponse ignorable? Review of Economics and Statistics, 95, 407-416.

16.

Borzaga

Tortia

(2006). Worker motivations, job satisfaction, and loyalty in public and nonprofit social services. Nonprofit and Voluntary Sector Quarterly, 35, 225-248.

17.

Buerhaus

P. I.

Auerbach

D. I.

Staiger

D. O.

(2009). The recent surge in nurse employment: Causes and implications. Health Affairs, 28, w657-w668.

18.

Buerhaus

P. I.

Staiger

D. O.

Auerbach

D. I.

(2000). Implications of an aging registered nurse workforce. Journal of the American Medical Association, 283, 2948-2954.

19.

Byrne

P. F.

(2014). Do workers profit from the nonprofit tax exemption? The impact of state tax exemption on the nonprofit wage differential of hospital workers. Public Finance Review, 42, 199-221.

20.

Caliendo

Kopeinig

(2008). Some practical guidance for the implementation of propensity score matching. Journal of Economic Surveys, 22, 31-72.

21.

Card

Mas

Moretti

Saez

(2012). Inequality at work: The effect of peer salaries on job satisfaction. American Economic Review, 102, 2981-3003.

22.

Congressional Budget Office. (2006, December). Nonprofit hospitals and the provision of community benefits. Washington, DC: Author. Retrieved from http://www.cbo.gov/sites/default/files/cbofiles/ftpdocs/76xx/doc7695/12-06-nonprofit.pdf

23.

Cutler

Horwitz

(2000). Converting hospitals from not-for-profit to for-profit status: Why and what effects? In Cutler

(Ed.), The changing hospital industry (pp. 45-78). Chicago, IL: University of Chicago Press.

24.

Deb

Trivedi

P. K.

(2006a). Maximum simulated likelihood estimation of a negative binomial regression model with multinomial endogenous treatment. Stata Journal, 6, 246-255.

25.

Deb

Trivedi

P. K.

(2006b). Specification and simulated likelihood estimation of a non-normal treatment-outcome model with selection: Application to health care utilization. The Econometrics Journal, 9, 307-331.

26.

Dougherty

(2006). The marriage earnings premium as a distributed fixed effect. Journal of Human Resources, 41, 433-443.

27.

Drevs

Tscheunlin

D. K.

Lindenmeier

(2014). Do patient perceptions vary with ownership status? A study of nonprofit, for-profit, and public hospital patients. Nonprofit and Voluntary Sector Quarterly, 43, 164-184.

28.

Faulk

Edwards

L. H.

Lewis

G. B.

McGinnis

(2012). An analysis of gender pay disparity in the nonprofit sector: An outcome of labor motivation or gendered jobs? Nonprofit and Voluntary Sector Quarterly, 42, 1268-1287.

29.

Frank

R. H.

(1996). What price the moral high ground? Southern Economic Journal, 63, 1-17.

30.

Gazley

(2009). Personnel recruitment and retention in the nonprofit sector: The 21st century challenge. In Hays

S. W.

Kearney

Coggburn

(Eds.), Public personnel administration: Problems and prospects (pp. 79-92). Uppers Saddle River, NJ: Prentice Hall.

31.

Glauber

(2007). Marriage and the motherhood wage penalty among African Americans, Hispanics, and Whites. Journal of Marriage and Family, 69, 951-961.

32.

Handy

Katz

(1998). The wage differential between nonprofit institutions and corporations: Getting more by paying less? Journal of Comparative Economics, 26, 246-261.

33.

Handy

Mook

Ginieniewicz

Quarter

(2007). The moral high ground: Perceptions of wage differentials among executive directors of Canadian nonprofits. The Philanthropist, 21, 109-127.

34.

Hansmann

H. B.

(1980). The role of nonprofit enterprise. The Yale Law Journal, 89, 835-901.

35.

Harding

(2007). The construction of men who are nurses as gay. Journal of Advanced Nursing, 60, 636-644.

36.

Heckman

J. J.

(1979). Sample bias as a specification error. Econometrica, 47, 153-162.

37.

Holtmann

A. G.

Idson

T. L.

(1993). Wage determination of registered nurses in proprietary and nonprofit nursing homes. The Journal of Human Resources, 28, 55-79.

38.

Horwitz

J. R.

(2005). Making profits and providing care: Comparing nonprofit, for-profit, and government hospitals. Health Affairs, 24, 790-801.

39.

Jones

C. B.

Gates

(2004). Gender-based wage differentials in a predominantly female profession: Observations from nursing. Economics of Education Review, 23, 615-631.

40.

Jones

D. B.

(2015). The supply and demand of motivated labor: When should we expect to see nonprofit wage gaps? Labour Economics, 32, 1-14.

41.

Killewald

Gough

(2013). Does specialization explain marriage penalties and premiums? American Sociological Review, 78, 477-502.

42.

Klawitter

(2015). Meta-analysis of the effects of sexual orientation on earnings. Industrial Relations: A Journal of Economy and Society, 54, 4-32.

43.

Leete

(2000). Wage equity and employee motivation in nonprofit and for-profit organizations. Journal of Economic Behavior & Organization, 43, 423-446.

44.

Leete

(2001). Whither the nonprofit wage differential? Estimates from the 1990 census. Journal of Labor Economics, 19, 136-170.

45.

Lewis

G. B.

(2010). Modeling nonprofit employment: Why do so many lesbians and gay men work for nonprofit organizations? Administration & Society, 42, 720-748.

46.

Loughran

D. S.

Zissimopoulos

J. M.

(2009). Why wait? The effect of marriage and childbearing on the wages of men and women. Journal of Human Resources, 44, 326-349.

47.

Mirvis

P. H.

Hackett

E. J.

(1983). Work and work force characteristics in the nonprofit sector. Monthly Labor Review, 106(4), 3-12.

48.

Muench

Sindelar

Busch

S. H.

Buerhaus

P. I.

(2015). Salary differences between male and female registered nurses in the United States. Journal of the American Medical Association, 313, 1265-1267.

49.

Nonprofit HR Solutions. (2012). Nonprofit Employment Trends Survey. Retrieved from http://www.nonprofithr.com/wp-content/uploads/2013/03/2012-Employment-Trends-Survey-Report.pdf

50.

Preston

A. E.

(1989). The nonprofit worker in a for-profit world. Journal of Labor Economics, 7, 438-463.

51.

Preston

A. E.

Sacks

D. W.

(2010). Nonprofit wages: Theory and evidence. In Young

D. R.

Seaman

(Eds.), Handbook of research on nonprofit economics and management (pp. 106-119). Cheltenham, UK: Edward Elgar.

52.

Preyra

Pink

(2001). Balancing incentives in the compensation contracts of nonprofit hospital CEOs. Journal of Health Economics, 20, 509-525.

53.

Roomkin

M. J.

Weisbrod

B. A.

(1999). Managerial compensation and incentives in for-profit and nonprofit hospitals. Journal of Law, Economics, and Organization, 15, 750-781.

54.

Rose-Ackerman

(1996). Altruism, nonprofits, and economic theory. Journal of Economic Literature, 34, 701-728.

55.

Ruhm

C. J.

Borkoski

(2003). Compensation in the nonprofit sector. Journal of Human Resources, XXXVIII, 992-1021.

56.

Schumacher

E. J.

(2009). Does public or not-for-profit status affect the earnings of hospital workers? Journal of Labor Research, 30, 9-34.

57.

Steinberg

(1990). Labor economics and the nonprofit sector: A literature review. Nonprofit and Voluntary Sector Quarterly, 19, 151-169.

58.

Steinberg

(2010). Principal-agent theory and nonprofit accountability. In Hopt

K. J.

Von Hippel

(Eds.), Comparative corporate governance of non-profit organizations (pp. 73-126). Cambridge, UK: Cambridge University Press.

59.

Tilcsik

(2011). Pride and prejudice: Employment discrimination against openly gay men in the United States. American Journal of Sociology, 117, 586-626.

60.

Wolff

Weisbrod

B. A.

Bird

E. J.

(1993). The supply of volunteer labor: The case of hospitals. Nonprofit Management and Leadership, 4, 23-45.