Does Public or Not-for-Profit Status Affect the Earnings of Hospital Workers? Edward J. Schumacher Departments of Health Care Administration and Economics Trinity University San Antonio, TX 78232 Edward.Schumacher@Trinity.edu 210.999.8137 Abstract This paper examines the earnings differentials among health industry workers in the public, private nonprofit, and private for-profit sectors. Utilizing data from the 1995 through 2004 Current Population Surveys, unadjusted earnings are highest in the private nonprofit sector and lowest in private for-profit firms. Once measurable characteristics are accounted for health practitioners in for-profit and nonprofit firms earn similar wages while public sector health care workers earn small but significant wage penalties. Wage change analysis using pooled two year panels constructed from the CPS indicate no significant differences in earnings is found between the three sectors of employment. Whatever the role of the sector of employment on the overall earnings of hospital workers, there is sufficient worker mobility within the industry to largely eliminate systematic wage differences across type of hospital. July 2006 I. Introduction The health care industry is a unique industry in the US economy and accounts for a large and growing proportion of its resources. Spending in 2003 was 1.67 trillion dollars or $5,670 per capita, and accounted for over 15 percent of GDP. In 1985 employment in the industry accounted for 8.2 percent of all employment and by 2003 healthcare employment was 11.3 percent of all employment. This industry is unique, in part, due to the fact that the public sector, the for-profit, and private not-for-profit sectors all compete directly in the same markets. There has been considerable research examining the theory and outcomes of the differing incentives of these sectors on output markets (Chakravarty, et al. 2005; Horwitz, 2005; Sloan, 2000), but there has been little research examining how labor market outcomes are different within these sectors of the industry. Sloan and Steinwald (1980) use data from the 1970s and find no significant wage differences in wage rates paid by hospitals of different ownership types. This paper looks at how the earnings and employment of workers in the health care industry are different across these three sectors of the industry. Previous research on public labor market tends to find moderate to large wage premium for federal government workers (on the order of 10-20 percent), with larger differentials for females than for males and for nonwhite males than for white males.1 These differentials, however, are reduced substantially once occupation is controlled for in detail (Moulton 1990).2 Thus once occupation is controlled for in sufficient detail the public wage differential disappears. This assumes, however, that jobs are similar across sectors, which is generally not the case. Thus, prior studies finding a non-profit or public wage effect are not comparing truly similar jobs. Rhum and Borkowski (2003) examine compensation in the nonprofit sector and lay out why wages might differ between private for-profit and non-profit industries. Since nonprofits are barred from distributing net earnings, Hansmann (1980), Easly and O’Hara(1983) and Handy and 1 For a review of this literature, see Ehrenberg and Schwarz (1986) or Gregory and Borland (1999). 2 Postal workers are the clear exception (Hirsch, Wachter, and Gillula; 1999). Katz (1998) argue that nonprofits will be prevalent in markets where consumers lack information about the good (price, quality, quantity, etc.) since nonprofits will help alleviate the consumer trust problem. Rhum and Borkowski suggest this characteristic results in two reasons for why wages might be higher in the nonprofit sector. First, managers may have less incentive to hold down wages since they do not gain from the resulting costs savings. Second, nonprofits have less incentive to shirk on quality and so may choose to hire better quality workers. At the same time though, workers may be willing to work for lower wages in nonprofit firms as a way of donating to a “worthy cause.” Also Lakdawalla and Philipson (1998) suggest that nonprofits are likely to be concentrated in more competitive and less profitable industries and this should put additional downward pressure on wages. Rhum and Borkowski use data from the 1994-1998 Current Population Surveys and find that weekly wages are about 11 percent lower in nonprofit jobs as compared to for-profit jobs, but this is due almost entirely to differences in hours worked and the concentration of nonprofit jobs in low paying industries. Thus previous studies examining either the public vs. private wage differential or the forprofit vs. not-for-profit wage differential have faced the difficulty of comparing similar workers doing similar jobs. This paper focuses specifically on occupations within the hospital industry since it has the unique characteristic of containing large segments of public, private for-profit, and private nonprofit employers and workers who are performing similar tasks across sectors. Data from the Current Population Survey are utilized to analyze how wages and employment differ across the three sectors of employment. Using both cross-sectional data as well as pooled twoyear panels, wage differentials between public, private for-profit, and private-non-profit workers in the health care industry are estimated. The findings show that while wage differences are small, earnings are lowest in the public sector and highest in the private not-for–profit sector(once differences in measurable characteristics are accounted for). This is counter to the non-health care market where large premiums are found for public sector employment. Wage change analysis, however, fails to find a significant difference between the three sectors of employment. 2 II. Data and Descriptive Statistics Data The primary data for this study are drawn from the monthly Current Population Survey (CPS) Outgoing Rotation Group (ORG) earnings files for January 1994 through December 2004. Beginning in 1994 the CPS began collecting information on the profit status of the workers in the private sector. Previous surveys contain information about public sector workers (federal, state, or local government), but 1994 was the first year they separated private for-profit from private nonprofit employers. The focus is on hospital workers. In order to make more detailed comparisons, this group is broken into four groups: RNs, other health practitioner occupations3, those non-practitioners with at least a college degree, and those non-practitioners with less than a college education. Comparisons are also made to workers outside the health care industry. The samples include employed wage and salary workers ages 18 and over, with positive weekly earnings and hours. The wage on the primary job is measured directly for workers reporting hourly earnings who do not receive tips, commissions, or overtime. For others the wage is calculated by dividing usual weekly earnings on the primary job (which includes usual tips, commissions, and overtime) by usual hours worked per week.4 Usual weekly earnings are topcoded at $1,923 through 1997 and at $2,885 beginning in 1998. Those at the cap are assigned mean earnings above the cap based on year and gender-specific estimates that assume a Pareto distribution for earnings beyond the median.5 Workers with measured hourly earnings less than $3 or greater than $150 (in 2004 dollars) are omitted. Workers who have had their earnings, occupation, or industry allocated by the Census are also excluded. Few workers have occupation or industry allocated. A large number (20-30%) have earnings imputed by the Census based on a cell hot-deck procedure in which 3 Other practitioners include the following. For 1994-2002: Health Diagnosing Occupations (excluding RNs, physicians, dentists, and veterinarians), and Health Assessment and Treating Occupations. For 2003-2004: Health Practitioner and Technical Occupations (excluding RNs, physicians, dentists, and veterinarians). 4 Those reporting “variable” hours have their implicit wage calculated, if necessary, using hours worked last week. 5 Estimates of gender-specific means above the cap for 1973-2003 are posted by Barry Hirsch and David Macpherson at http://www.unionstats.com. Values are about 1.5 times the cap, with somewhat smaller female than male means and modest growth over time. 3 nonrespondents are allocated the earnings of a “donor” with an identical set of match characteristics. CPS imputation rates have been particularly large in recent years. Imputed earners are excluded from the sample since their inclusion may result in match bias (Hirsch and Schumacher, 2004). Since non-responding workers are not in general matched to the earnings of workers in similar settings (Industry and public/private sector are not match criteria, and occupation is defined at only a broad level), wage differences between public, private for-profit, and private nonprofit are biased toward zero. Following the above sample restrictions, the sample sizes of RNs, other health practitioners, non-practitioners with at least a college degree, and nonpractitioners with less than a college degree are 15,212; 12,183; 7,143; and 23,247 respectively Descriptive Statistics Table 1 displays employment (overall and by sector of employment) for hospital workers between the years 1994 through 2004. Employment increases for all the groups, but the increases are mostly confined to the private sector. Public sector employment decreases for RNs, other practitioners, and non-practitioners with less than a college degree. Practitioner employment increases the most in the private nonprofit sector. Note that part of the jump in employment for practitioners between 2002 and 2003 could be due to the occupational code changes that were implemented in the 2003 CPS. In January 2003, the CPS adopted the 2002 Census industry and occupational classification systems derived from the 2002 North American Industry Classification System and the 2000 Standard Occupational Classification system. The industry changes did not substantially affect the definition of the hospital industry, but there were numerous occupational changes that affected the classification of practitioners. It is not possible to construct time consistent occupational codes to cover the period. Overall the table shows an increase in employment in the industry with a shift away from the public sector towards private sector employment. 4 To illustrate relative wage movements during the period, an adjusted wage index is constructed for each group. A separate log wage equation is estimated for each of the healthcare groups and for non-healthcare workers with and without a college degree. The regressions include controls for years of schooling, experience and its square, and dummy variables for gender, union membership, part-time employment, race (3), marital status (2), region (8), and year. The coefficients from the year dummies are converted to a percentage of the wage in 1994 (the omitted year), which is set equal to 100. Figure 1 displays these indexes, revealing that early in the period, healthcare wages were relatively flat or declining (especially for nonpractitioners with a college degree). Beginning around 1997, however, wages began rising. Health industry wages flattened out again in the 1999 to 2001 period and then rose rapidly in the 2001 to 2002 period. It appears that wage growth has slowed in the most recent years. Practitioners had particularly rapid wage growth in the later years. A hospital RN in 2004 is estimated to earn a little more than 12 percent more than a similar RN in 1994. For other hospital workers wages grew by 8-10 percent over the period. Table 2 displays descriptive statistics for each of the groups. Overall, unadjusted wages are about 8-9 percent higher in the private non-profit sector, although for RNs there is little wage difference across sectors. Among other practitioners workers in the private non-profit sector earn about 6.6 percent higher wages than those in the public sector and 7.4 percent higher than those in the private for-profit sector. For nonpractitioners with a college degree, public sector wages are about 6.0 percent lower and for-profit wages are about 10.0 percent lower than private non-profit wages. Public sector workers tend to be older, are more likely to hold a graduate degree, are less likely to be white, and more likely to be a union member. The next section examines how these differentials change once measured characteristics are accounted for. 5 III. Cross-Sectional Estimates of the Public/Nonprofit/For-Profit Wage Differentials. The estimation begins with a standard cross-sectional log-wage equation: (1) J Y j 1 y 2 ln Wit jXijt yYEARiy 1 Public it 2 Pr ivateNPit it , where lnWi is the log of the real wage for worker i, at time t, X contains J-1 personal, job, and labor market characteristics (e.g., education, potential experience, union status, region, etc.) and contains the corresponding coefficients (X1=1 and 1 is the intercept). Public is a dummy variable equal to 1 if the worker is employed in the federal, state or local government, and PrivateNP is equal to one if the worker is employed by a private nonprofit firm (with private for-profit as the omitted group). YEAR includes dummy variables for the years 1995-2004. For now ei is assumed to be a well behaved error term. The coefficients 1 and 2 are the adjusted log earnings differences relative to the for-profit sector. That is, 2 is an estimate of the wage differential between private for-profit and nonprofit workers, holding all other variables constant, and 1 is the unbiased differential between public sector workers and private for-profit workers. Table 3 shows estimates of these differentials, pooled over the years 1994 to 2004. Other than the variables shown in the table, dummy variables for marital status (2), race/ethnicity (3), year (10), and region (8) are included in the model. Unlike industries outside of health care, there is a negative and significant differential associated with employment in the public sector. Overall, health industry workers in public employment earn about 2.5 percent lower wages than similar workers employed in the private for-profit sector, and 4.8 percent less than workers in private non-profit hospitals. For RNs, the differential is only about 1.8 percent while for other practitioners this differential is about 3.1 percent between public and private for-profit and about 6.4 percent between public and non-profit hospital workers. While these effects are not particularly large, they are counter to other studies examining all industries, which tend to find that wages are 10 to 20 percent higher in the public sector (Ehrenberg and Schwarz, 1986; Gregory and Borland, 1999). For nonpractitioners with less than a college degree there is little 6 difference between public sector and private nonprofit earnings, while wages are about 3 percent lower in the for-profit sector. Among nonpractitioners with a college degree there is about a 6 percent wage advantage for working in a nonprofit hospital, compared to a public or for-profit hospital. Among the other coefficients there are large returns to education and relative flat returns to experience among practitioners. There is not a wage differential associated with gender for RNS (where about 94 percent are female), but a relatively large penalty among those nonpractitioners with a college degree. The union wage differential is relatively small within the industry6. Among RNs there is a higher wage for part-time employment. This is counter to the other occupations within the industry and to results for the economy as a whole (Hirsch 2005). This premium for part-time employment could be due to lower non-wage benefits for part-time workers, older workers selecting into part-time jobs, or to differences in shift work. If part-time jobs are more likely to be on weekends or late night shifts and there is a premium for these shifts, then this will show up as a part-time wage premium. The cross-sectional regressions find that once measurable characteristics are accounted for, there are little differences in wages for hospital RNs employed across the three different sectors. Among other hospital workers, however, private nonprofit hospital workers make 5-6 percent more than workers in public hospitals (with the exception of RNs and nonpractitioners with less than a college degree), while wages in for-profit hospitals tend to be 3 to 6 percent lower than private nonprofit hospitals. If the included right-hand-side variables control completely for human capital and other determinants of earnings, or if those factors not included are uncorrelated with sector employment, then the differentials could be interpreted as a true wage premium for working in the private nonprofit sector. Since public sector hospitals tend to have a much higher proportion of uncompensated care (both bad debt and charity care) than do private sector hospitals, it could be that public hospitals attract workers who are also more willing 6 The negative differential for non-practitioners with a college degree is likely capturing management positions which should be relatively high wage with little or no unionization. 7 to “donate” a portion of their wage to help fulfill the mission of the organization (though this would not explain the for-profit/nonprofit differential). Alternatively public sector employment could offer job amenities such as greater job security, more regular hours, or other nonwage attributes that workers are willing to pay for in the form of lower wages. On the other hand, it could be that private hospitals are able to attract a higher quality worker into their facilities due to better facilities, more stable financial conditions, more attractive clientele, etc. In this case the lower wage in the public sector would reflect ability or quality differences between the workers and would not be a true wage penalty for working in the public industry. For profit hospitals may face tighter financial pressure than private nonprofit hospitals and this tends to push wages down relative to the nonprofit sector. That the private nonprofit/for profit wage differential is largest for nonpractitioners with a college degree (who are more likely to be managers with more influence over wages) is consistent with this wage differential being a true rent. However, since the CPS data utilized here only contains information on wages, it is possible that for profit hospitals offer larger non-wage compensation. Such things as stock options and other types of compensation in the for-profit sector could well offset the 6 percent premium for private nonprofits over for-profit hospitals. IV. Longitudinal Estimates of the Public/Nonprofit/For-profit Wage Differentials. If there are omitted factors correlated with sector of employment and earnings, then the cross-sectional differentials will be biased estimates. Suppose the error term , can be broken down into two parts: it = i + eit, where i is a person-specific component fixed over time, and eit is a random, well behaved, component. If the omitted fixed effect is negatively correlated with public employment (e.g., less able workers are located in the public sector), then estimates of the public differential above are biased downward. Letting the symbol represent changes between adjacent years, a wage change equation will take the form (dropping the individual subscript i): 8 (2) J D j 1 d 2 ln Wd jXjd 1 ' Public id 2 ' Pr ivateNPid dPERIOD d e' d , where d indexes the time periods over which values are differenced, and PERIODd are dummies for the periods 1995/96 through 2001/02 (with 1994/95 the reference period). The major distinction between equations 2 and 1 is that the effects owing to unmeasured skills fall out, potentially allowing for unbiased estimates of the quality-constant premium between sectors of employment. For equation 2 to provide an unbiased measure of the public/nonprofit/forprofit wage differential, sectoral switching is assumed to be exogenous and ability must be equally valued at the margin by employers in all sectors (Gibbons and Katz, 1992) and within a year’s time.7 Panel data are constructed from multiple panels from the CPS ORG files for 1994/95 through 2001/02 by matching individuals in the same month in consecutive years. Because measurement error is a particular concern with longitudinal analysis, those with industry, occupation or earnings allocated by the Census are deleted from the sample. The resulting panel data set for 1994/95 through 2001/02 contains data on 13,447 hospital workers in the health care industry, 4,049 RNs, 2,408 other practitioners, 3,488 nonpractitioners with at least a college degree, and 5,432 nonpractitioners with less than a college degree. Table 4 displays movements by group as well as the average change in wage for each category. While there are still a small number of movers in absolute terms, one of the advantages of examining the health care industry is that there are a relatively large number of movers into and out of the public sector as compared to studies examining the economy as a whole. Of the 1,894 workers in the public sector in year 1, 78.2 percent stay in the public sector, 14.6 percent move to the for-profit sector, and 7.2 percent move to the nonprofit sector. There are similar movements in the other sectors and for the other groups of workers. There is much more movement between the for profit and not-for-profit 7 The above specification forces the effects of joining and leaving sector to be symmetric. That it, it assumes that the gain (or loss) in wage to moving out of the public sector is equal to the loss (or gain) in wage to moving into the public sector. This assumption can be relaxed by including eight separate dummy variables for the nine categories of changes between years (public to for-profit, public to nonprofit, public to public, etc.). Small sample sizes, however, make estimates from this specification unreliable. 9 sectors than between the private and public sectors. Part of this could be due to a higher degree of measurement error on the private for-profit and not-for-profit distinction. Overall there is a 2.7 percent increase in wages for health care workers between years. The wage change for RNs is 3.8 percent and for non-practitioners with a college degree it is 5.3 percent. There does not appear to be a clear pattern in the wage changes among those who changed sectors of employment. Table 5 shows wage level regressions using the first year from the CPS matched panel data as well as wage change regressions. Here the differentials are similar to those estimated from the full CPS data. Wage change regressions, however, find little to know wage differences across all three sectors. The coefficient estimates are all very small and none of them are statistically significant. These results suggest that there is no wage difference across the three sectors of employment in the health care industry. The small wage differentials found in the cross sectional results are not found in the wage change results. This suggest that these small differentials are not true wage premiums, but are due to omitted factors correlated with sector of employment. That is, the negative wage differential associated with public employment found in Table 3 is not due to these workers donating part of their earnings to the organization in support of its mission or to differences in job amenities, but may be explained by lower quality workers being attracted to the public sector. Also shown in Table 5 are estimates of the part-time wage differential. Note that the positive differential for RNs in the cross-sectional analysis of about 6 percent is quite similar to the wage change result. This suggests that there is a true differential associated with part-time employment, and is consistent with part-time jobs being associated with differences in shift work. V. Conclusion This paper examines the role of the sector of employment in the earnings of workers in the health care industry. The results find that before accounting for measurable characteristics 10 workers in the private non-profit sector earn higher wages than private for-profit and public sector workers, with for-profit workers earning the lowest wages. But once personal characteristics are accounted for, workers in the public sector earn significantly lower wages than those in the other sectors of employment. Public sector workers are found to earn about 4.6 percent lower wages than private nonprofit workers, and about 2.5 percent less than private for-profit workers. RNs appear to be the exception to this as there are few wage differences across sectors. Wage change analysis utilizing two-year panels constructed from the CPS finds no significant differences between the groups. This suggests that the small public private wage differential is due to unmeasured ability, suggesting that lower quality workers are attracted to the public sector. Alternatively, measurement error in the longitudinal data could be biasing the wage change results towards zero. But given that even the cross-sectional differentials are quite small, the results here suggest that there are few differences across sector and is consistent with competitive wage setting behavior. There is a large IO literature examining differences in the behavior of for-profit and not-forprofit hospitals. The results are somewhat mixed, but for the most part few differences are found in output, costs, efficiency, pricing, and provision of uncompensated Care (Chakravarty, et al. 2005). The results here are consistent with there being few differences in costs across hospital sectors. While there are small wage differences between workers across the three sectors, it appears that public, private for-profit, and private not-for-profit hospitals operate in the same labor markets. 11 Figure 1 Wage Indices by Year by Group 116 114 112 110 Wage Index 108 106 104 102 100 98 96 94 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Year RNs Other Practitioners Non-Practitioner School >=16 Non-Practitioner School <16 Non Health Industry School >= 16 Non Health Industry School < 16 Data are from the 1994-2004 Monthly Outgoing Rotation groups of the Current Population Survey. Shown are log wage regression coefficients on year dummies, with 1994=100 estimated separately for each group. The indices are derived from a separate log wage equation for each group including controls for years of schooling, potential experience (years since finishing school) and its square, and dummies for race (2), gender, part-time status, marital status (2), region (8), large metropolitan area, and year (10). The coefficients on the year dummies are converted to a percentage index by: exp()*100, where is the coefficient. 12 2004 Table 1 Hospital Employment: 1994-2004 (in thousands) RNs All Non-Practitioner School 16 Other Practitioners Non-Practitioner School <16 Public 1994 1,324 Non- ForAll Public Non- For- All Public Non- ForAll Public Non- ForProfit profit Profit profit Profit profit Profit profit 190 370 764 936 145 268 551 538 101 198 238 1,928 377 468 1,092 1995 1,290 176 436 678 951 147 274 530 538 91 209 237 1,962 355 542 1,065 1996 1,274 149 439 685 932 141 294 498 563 103 209 251 2,012 359 569 1,085 1997 1,322 156 480 686 986 142 355 489 557 99 217 240 2,006 348 603 1,054 1998 1,305 150 466 689 1,009 122 357 530 609 94 245 269 1,963 317 627 1,018 1999 1,363 150 501 713 1,004 107 359 539 558 96 232 230 1,933 307 644 982 2000 1,310 147 498 665 965 122 350 493 534 91 215 228 1,923 272 597 1,053 2001 1,290 137 491 662 928 105 314 508 611 90 245 276 2,013 281 631 1,102 2002 1,396 149 519 728 977 100 344 533 619 92 252 275 2,016 288 625 1,103 2003 1,545 137 551 857 1,371 159 486 726 666 101 268 297 2,044 259 702 1,083 2004 1,540 123 580 837 1,307 185 473 650 699 110 303 286 2,033 313 655 1,066 Data are from the 1994-2004 Monthly Outgoing Rotation groups of the Current Population Survey. Practitioners includes the following. For 1994-2002: Health Diagnosing Occupations (excluding physicians, dentists, and veterinarians), and Health Assessment and Treating Occupations. For 2003-2004: Health Practitioner and Technical Occupations (excluding physicians, dentists, and veterinarians). Non Practitioner School includes those individuals in the health care industry with at least a college degree but not in practitioner occupations. Non Practitioner School < 16 is defined similarly. 13 Table 2 Hospital Employee Descriptive Statistics by Group by Sector of Employment Real Wage Log Wage Age Bach. Degree Graduate Degree Female PartTime Black Other 24.88 (9.25) Non Profit 25.16 (8.59) Forprofit 24.09 (15.02) Other Practitioners Public Non Profit 20.87 21.39 (16.42) (15.65) Forprofit 20.02 (14.34) Health Care School 16 Public Non ForProfit profit 23.52 24.97 23.01 (13.57) (15.24) (16.07) Health Care School <16 Public Non Profit 13.59 13.28 (9.31) (6.08) Forprofit 12.52 (9.26) 2.789 3.157 3.176 3.160 2.879 2.935 2.865 3.034 3.086 2.979 2.519 2.509 2.441 40.03 (11.17) .252 (.434) .082 (.274) .818 (.386) .213 (.410) .126 (.332) .060 (.238) .623 (.485) .183 (.386) 21,754 42.84 (9.81) .464 (.499) .094 (.292) .882 (.322) .151 (.358) .120 (.326) .088 (.284) .655 (.475) .328 (.470) 1,428 41.52 (9.83) .442 (.497) .088 (.283) .929 (.257) .330 (.470) .028 (.164) .038 (.192) .715 (.452) .165 (.371) 5,277 40.57 (9.82) .474 (.499) .060 (.238) .932 (.252) .279 (.449) .066 (.248) .081 (.272) .701 (.458) .168 (.374) 6,129 41.04 (10.73) .243 (.429) .190 (.392) .670 (.470) .116 (.321) .146 (.354) .093 (.290) .574 (.495) .250 (.433) 1,264 39.45 (10.29) .299 (.458) .149 (.356) .762 (.426) .221 (.415) .065 (.246) .043 (.203) .628 (.483) .077 (.267) 3,734 38.70 (10.47) .252 (.434) .130 (.326) .757 (.429) .213 (.409) .102 (.302) .070 (.256) .640 (.480) .096 (.295) 4,699 43.76 (10.33) .545 (.498) .455 (.498) .609 (.488) .077 (.267) .097 (.296) .087 (.282) .631 (.482) .168 (.374) 987 41.76 (10.26) .615 (.487) .385 (.487) .659 (.474) .124 (.329) .050 (.217) .046 (.218) .655 (.475) .041 (.199) 2,509 40.56 (10.46) .636 (.481) .364 (.481) .682 (.466) .132 (.338) .082 (.275) .078 (.269) .641 (.480) .058 (.234) 2,200 43.02 (11.57) 0.00 41.83 (12.23) 0.00 40.24 (12.48) 0.00 0.00 0.00 0.00 .689 (.463) .107 (.309) .212 (.409) .067 (.250) .555 (.497) .303 (.460) 2,901 .784 (.411) .177 (.382) .111 (.314) .030 (.172) .582 (.493) .090 (.286) 6,544 .804 (.397) .188 (.390) .193 (.394) .036 (.186) .555 (.497) .104 (.306) 8,726 All Health Care Public Non Profit 18.93 20.05 (12.66) (12.34) Forprofit 18.74 (14.05) 2.804 2.872 42.71 (10.90) .229 (.420) .125 (.331) .715 (.451) .114 (318) .162 (.369) .080 (.271) .592 (.492) .278 (.448) 6,580 41.24 (10.96) .281 (.449) .110 (.313) .804 (.397) .223 (.416) .069 (.253) .037 (.190) .641 (.480) .180 (.384) 18,064 RNs Public Currently Married Union Member Sample Size Data are from the 1994-2004 Monthly Outgoing Rotation groups of the Current Population Survey. Standard deviations are in parenthesis. See Table 1 note for description of groups. 14 Table 3 Public-Private Nonprofit Hospital Log Wage Differentials Public Private Non Profit Some College Bacc Degree Grad Degree Experience Exp2/100 Female Union Member Part-Time All Health Care -.022 (.006) .021 (.004) .345 (.005) .643 (.005) .811 (.007) .027 (.001) -.046 (.001) -.042 (.005) .104 (.006) -.004 (.005) RNs Other Practitioners -.027 (.013) 027 (.009) .214 (.013) .486 (.013) .711 (.017) .024 (.001) -.040 (.003) -.092 (.010) .024 (.014) -.003 (.010) -.010 (.009) .003 (.006) .131 (.022) .216 (.022) .323 (.024) .018 (.001) -.030 (.002) -.011 (.010) .078 (.007) .063 (.006) Health Care School 16 Health Care School <16 .015 (.017) .066 (.013) -- .031 (.008) .025 (.006) .182 (.005) -- -.268 (.012) .037 (.002) -.069 (.005) -.118 (.013) -.111 (.013) -.162 (.018) -.021 (.001) -.032 (.002) -.105 (.006) .071 (.008) -.105 (.007) Data are from the 1995:8-2004:12 Monthly Outgoing Rotation groups of the Current Population Survey. Private for-profit is the omitted group. Also included in the model are dummy variables for marital status (2), race/ethnicity (3), year (9), and region (8). 15 Table 4 Descriptive Statistics on Two-Year Group Changes All Health Care Sample Log Size Wage RNs Sample Size Log Wage Other Practitioners Sample Log Size Wage NP School 16 Sample Log Size Wage NP School < 16 Sample Log Size Wage ALL 7,986 .028 2,529 .015 1,476 .029 937 .057 3,044 .028 Public to Public 888 (79.9%) .014 218 (77.9%) -.001 146 (78.5%) .020 129 (78.2%) .032 395 (82.3%) .014 Public to For-profit 140 (12.6%) .028 42 (15.0%) .023 26 (14.0%) -.017 20 (12.1%) .073 52 (10.8%) .037 Public to NFP 83 (7.5%) .052 20 (7.1%) .109 14 (7.5%) -.066 16 (9.7%) .061 33 (6.9%) .062 For-profit to Public 111 (3.2%) .072 33 (3.0%) -.005 20 (3.0%) .098 11 (3.4%) .319 47 (3.5%) .057 For-profit to For-profit 2,451 (70.9%) .017 799 (71.5%) -.001 471 (71.3%) .034 222 (68.9%) .055 959 (70.8%) .015 For-profit to NFP 893 (25.8%) .013 285 (25.5%) -.012 170 (25.7%) .009 89 (27.6%) .043 349 (25.8%) .029 NFP to Public 104 (3.0%) .049 38 (3.4%) .100 14 (2.2%) .100 7 (1.6%) .088 45 (3.7%) -.017 NFP to Forprofit 1,028 (30.1%) .036 338 (29.9%) .017 202 (32.1%) .021 127 (28.2%) .082 361 (29.9%) .047 NFP to NFP 2,288 .042 756 .041 413 .038 316 .052 803 .041 (66.9%) (66.8%) (65.7%) (70.2%) (66.4%) Data are from the matched CPS ORG Monthly files for 1994/95 through 2001/02. Shown are sample sizes and the average change in log wage for each group and by the nine two-year mover categories. The numbers in parenthesis are the percentage of workers in the given sector in year 1 that are in that category in year two. For example, 79.9 percent of workers in the public sector in year 1 are in the public sector in year 2, 12.6 percent of workers in the public sector in year 1 are in the private for-profit sector in year 2, and 7.5 percent are in private not for profit in year 2. 16 Table 5 Wage Change Regression Results Public Private Non Profit All Healthcare Wage Wage Level Change RNs Wage Level -.016 (.013) .022 (.009) .021 (.030) .006 (.013) Public -- Private Non Profit -- Part-Time Part-Time --- .007 (.015) -.010 (.007) .049 (.011) --- Wage Change --- NP School 16 Wage Wage Level Change NP School < 16 Wage Wage Level Change -.032 (.027) .044 (.018) .024 (.042) .110 (.030) .026 (.019) .021 (.014) -.005 (.032) -.015 (.014) .066 (.014) .021 (.012) Other Practitioners Wage Wage Level Change --- --- .065 (.030) -.003 (.013) .027 (.021 .031 (.022) --- --- .048 (.038) -.014 (.018) -.126 (.042) .005 (.027) --- --- .016 (.022) -.005 (.010) -.075 (.018) .105 (.039) -.003 (.020) Data are from the matched CPS ORG Monthly files for 1995/94 through 2001/02. 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