US Nonprofit Organizations Research Articles

Resource Dependence In Non-profit Organizations: Is It Harder To Fundraise If You Diversify Your Revenue Structure?

This article explores how fundraising efficiency is affected by changes in diversification of revenues in non-profit organizations. It uses random effect regression and Arellano–Bond models to study this phenomenon in a sample of 10358 US non-profits during the 1997–2007 period. We find a negative impact on fundraising efficiency when NPOs alter their locus of dependence and change their pattern of diversification. This effect is impacted by organizational size and industry. Previous studies have suggested that income heterogeneity is associated with organizational stability and financial strength. Using a change (versus level) model of funding diversity, our work shows that increased diversification leads to a higher operational inefficiency that could be penalized by potential donors.

The effects and risks associated to mephedrone and methylone in humans: A review of the preliminary evidences.

New psychoactive substances have drastically modified the world drug scene. An increasingly popular class comprises synthetic or substituted cathinones (legal highs, research chemicals, bath salts). Among the most common psychoactive constituents of bath salts are mephedrone and methylone. Recent reports on the abuse of novel synthetic cathinone derivatives call attention to the serious physical and psychological risks resulting from their consumption, thereby emphasizing the growing use of these drugs might constitute an important public health issue. In this paper, we will review the available data regarding the use and effects of mephedrone and methylone in humans in order to highlight their impact on public health. To reach this objective, a literature search was performed on two representative databases (Pubmed, Google Scholar), the Erowid Center website (a US non-profit educational organization that provides information about psychoactive plants and chemicals), and various governmental websites. The terms used for the database search were "mephedrone", "methylone", "new psychoactive substances", "synthetic cathinones", "substituted cathinones", "substance abuse", "substance use disorder", "adverse effects", "fatalities". The literature search was limited to years 2005-2015 and led to the identification of 71 potentially relevant articles. To date, the actual prevalence rates of their use remains difficult to estimate. Important health-related issues have emerged in relation to the somatic, psychiatric, and addictive consequences of their use. The potential chronic health effects of their prolonged use remain to date unknown (e.g., reproductive toxicity, genotoxicity and carcinogenic potential). Treatment for patients with prolonged exposure to synthetic cathinones should ideally include a drug management plan coupled with psychotherapy taking place in a structured program of care.

How nonprofit organizations responded to the effects of the Great Recession in the US

This paper examines how US nonprofits responded to the Great Recession of 2008-09. Using an extensive panel data set from the National Center for Charitable Statistics it shows that nonprofits in t...

Physics is a casualty of Ukrainian turmoil

Help is needed for physicists and students who were uprooted from rebel-controlled eastern Ukraine. But the particulars are just being fleshed out.

Web disclosure and the market for charitable contributions

Nonprofit organizations face intense competition in the market for charitable contributions. Increasingly, donation decisions are made online, and organizations have responded by implementing substantive Internet disclosure and reporting regimes. We posit here that the voluntary disclosure of financial and performance information inherent in these regimes provides additional relevant information to a broad array of market participants, and thus has a positive impact on the receipt of charitable contributions. We test our hypotheses on a random sample of 400 US nonprofit organizations by building on the well established economic model of giving (Weisbrod and Dominguez, 1986), in which donations serve as the proxy for demand. Our central research question is thus: Are donors willing to “pay” for Web disclosure? Results indicate a positive relationship between the level of charitable contributions and the amount of disclosure provided by an organization on its website; however, performance and annual report disclosure are more important than financial disclosure, and performance disclosure has the biggest impact in organizations that are less reliant on donations.

Compensation of Chief Executive Officers at Nonprofit US Hospitals

Hospital chief executive officers (CEOs) can shape the priorities and performance of their organizations. The degree to which their compensation is based on their hospitals' quality performance is not well known. To characterize CEO compensation and examine its relation with quality metrics. Retrospective observational study. Participants included 1877 CEOs at 2681 private, nonprofit US hospitals. We used linear regression to identify hospital structural characteristics associated with CEO pay. We then determined the degree to which a hospital's performance on financial metrics, technologic metrics, quality metrics, and community benefit in 2008 was associated with CEO pay in 2009. The CEOs in our sample had a mean compensation of $595,781 (median, $404,938) in 2009. In multivariate analyses, CEO pay was associated with the number of hospital beds overseen ($550 for each additional bed; 95% CI, 429-671; P < .001), teaching status ($425,078 more at major teaching vs nonteaching hospitals; 95% CI, 315,238-534,918; P < .001), and urban location. Hospitals with high levels of advanced technologic capabilities compensated their CEOs $135,862 more (95% CI, 80,744-190,990; P < .001) than did hospitals with low levels of technology. Hospitals with high performance on patient satisfaction compensated their CEOs $51,706 more than did those with low performance on patient satisfaction (95% CI, 15,166-88,247; P = .006). We found no association between CEO pay and hospitals' margins, liquidity, capitalization, occupancy rates, process quality performance, mortality rates, readmission rates, or measures of community benefit. Compensation of CEOs at nonprofit hospitals was highly variable across the country. Compensation was associated with technology and patient satisfaction but not with processes of care, patient outcomes, or community benefit.

Chest Physicians Recommend CT Screening for Lung Cancer Only for Older Smokers

the risk factors for women,” Tsai said. Trauma in general may be a factor. Tsai and colleagues studied 581 homeless women veterans at 11 VA Homeless Women Veterans Program sites and found that women in the group had experienced a diverse array of trauma. For example, 82% said someone close to them had experienced a serious or lifethreatening illness, 67% reported having been raped, 61% had experienced a natural or manmade disaster, 53% had a friend or family member who was killed, 52% had been injured by a family member hitting or pushing them, and 27.7% had engaged in prostitution. Tsai said much of the trauma occurred before the women joined the military, and many remained at elevated risk of trauma after they returned home. He noted that some researchers theorize that people who have been traumatized may be at increased risk of further trauma in part because they may put themselves into potentially threatening situations. Homeless female veterans sometimes have a different set of needs than their male counterparts. Many have children and need to find housing that is suitable for children, explained Stephen Peck, MSW, of the nonprofit US Veterans Initiative. The majority of homeless female veterans have also experienced sexual trauma, which may make them less comfortable with participating in programs in which they are greatly outnumbered by men. Peck said his group found that many female homeless veterans declined to participate in their substance abuse program until the group developed a program specifically for women that allows women to attend day treatment as a cohort. Peck noted that his organization also offers on-site child care and a school with kindergarten through grade 8 to provide care and access to education for children whose mothers are seeking treatment. Tailoring interventions to the specific needs of subgroups of homeless vets may be crucial for both men and women, Tsai said. “Some individuals need more intensive services; some are able to do well on their own once they get housing,” he explained. Tsai recommended that physicians refer veterans at risk of homelessness to the VA, which he said is better equipped to handle issues surrounding homelessness and which is often free for veterans. The VA tries to make care as accessible as possible, not just at hospitals but also at outpatient clinics. The US Department of Housing and Urban Development–Veterans Affairs Supportive Housing (HUD-VASH) program provides vouchers to help homeless veterans find rental housing and also provides them with case management and clinical services (http://1.usa .gov/h52lnU).

Pharmacovigilance Systems in Developing Countries: An Evaluative Case Study in Burkina Faso

Burkina Faso, like other Sub-Saharan African countries, has recently experienced a large-scale deployment of new medicines for the prevention and treatment of notable diseases of public health interest, including malaria, HIV/AIDS and meningitis. This new context rendered the implementation of pharmacovigilance necessary in order to monitor and establish the safety and effectiveness of these medicines. In 2008, the Ministry of Health of Burkina Faso, West Africa, launched a formal pharmacovigilance system to respond to this need. The aim of this study was to evaluate the early-stage pharmacovigilance system of Burkina Faso through a comprehensive and system-based approach with the prospect of identifying areas for improvements. We conducted a descriptive cross-sectional study in Burkina Faso. Sixteen key informants from the National Drug Authority (NDA), public health programmes (PHPs) and hospitals were interviewed. Study participants were selected based on a convenience sampling in the NDA, three teaching hospitals, two regional hospitals and six PHPs. Data were collected using the Indicator-based Pharmacovigilance Assessment Tool (IPAT), a metric instrument recently designed and validated by 'Management Sciences for Health', a US non-profit organization. The evaluation also involved the collection and review of relevant pharmacovigilance-related documentation in the institutions assessed. A scoring system was used for the quantification of assessment results. The NDA of Burkina Faso, the institution statutorily in charge of pharmacovigilance, achieved a performance score of 70%. The basic structures for pharmacovigilance activities were in place; however, the lack of specific laws dedicated to pharmacovigilance, the lack of national guidelines and standard operating procedures on pharmacovigilance, and the insufficient coordination of pharmacovigilance stakeholders in the country were identified as the main weaknesses. Safety data collected thus far have not led to the identification of local drug-related risks; yet, relevant external safety alerts are monitored and acted upon. In 2010, 31 marketing authorizations were modified to include new safety information; seven others were suspended and the corresponding medicines were withdrawn from the national market. In PHPs, pharmacovigilance activities were not formalized, and in hospitals, pharmacovigilance structures were still under development. Relevant interventions aimed at strengthening the legal framework and structures for pharmacovigilance activities, and improving the coordination of stakeholders countrywide, should be undertaken as soon as possible. Such an investment is necessary before the national pharmacovigilance system is able to collect its own data, generate signals, evaluate and manage local medicine-related risks and then become a genuine tool for public health.

Being business-like while pursuing a social mission: Acknowledging the inherent tensions in US nonprofit organizing

Nonprofit organizations face an increasing expectation to be more business-like. Although scholars have theoretically explored this phenomenon and studied its influence in various contexts, there has been little empirical examination of the ways in which nonprofit practitioners themselves describe and make sense of their organizations and their work as business-like. Specifically, scholars have not explored the ways in which nonprofit practitioners communicatively reconcile the inherent tensions between being business-like and the pursuit of a social mission. Based on findings from an eight-month ethnographic field study of a US nonprofit organization, this article describes the sophisticated ways in which nonprofit practitioners understand, define and negotiate the need to be business-like within the nonprofit context and the central role of communication in that process. Additionally, critical assessment of these findings reveals the political qualities of talking about nonprofit organizing as being business-like, leading to potential transformative redefinitions of the business-like imperative that acknowledge rather than suppress conflicts inherent in the practice of nonprofit organizing.

Increasing Burden of Methicillin-Resistant Staphylococcus aureus Hospitalizations at US Academic Medical Centers, 2003–2008

The incidence of invasive methicillin-resistant Staphylococcus aureus (MRSA) infections in the United States decreased during 2005-2008, but noninvasive community-associated MRSA (CA-MRSA) infections also frequently lead to hospitalization. We estimated the incidence of all MRSA infections among inpatients at US academic medical centers (AMCs) per 1,000 admissions during 2003-2008. Retrospective cohort study. Hospitalized patients at 90% of nonprofit US AMCs during 2003-2008. Administrative data on MRSA infections from a hospital discharge database (University HealthSystem Consortium [UHC]) were adjusted for underreporting of the MRSA V09.0 International Classification of Diseases, Ninth Revision, Clinical Modification code and validated using chart reviews for patients with known MRSA infections in 2004-2005, 2006, and 2007. The mean sensitivity of administrative data for MRSA infections at the University of Chicago Medical Center in three 12-month periods during 2004-2007 was 59.1%. On the basis of estimates of billing data sensitivity from the literature and the University of Chicago Medical Center, the number of MRSA infections per 1,000 hospital discharges at US AMCs increased from 20.9 (range, 11.1-47.7) in 2003 to 41.7 (range, 21.9-94.0) in 2008. At the University of Chicago Medical Center, among infections cultured more than 3 days prior to hospital discharge, CA-MRSA infections were more likely to be captured in the UHC billing-derived data than were healthcare-associated MRSA infections. The number of hospital admissions for any MRSA infection per 1,000 hospital admissions overall increased during 2003-2008. Use of unadjusted administrative hospital discharge data or surveillance for invasive disease far underestimates the number of MRSA infections among hospitalized patients.

Modeling the adoption and use of social media by nonprofit organizations

This study examines what drives organizational adoption and use of social media through a model built around four key factors – strategy, capacity, governance and environment. Using Twitter, Facebook, and other data on 100 large US nonprofit organizations, the model is employed to examine the determinants of three key facets of social media utilization: (1) adoption, (2) frequency of use and (3) dialogue. We find that organizational strategies, capacities, governance features and external pressures all play a part in these social media adoption and utilization outcomes. Through its integrated, multi-disciplinary theoretical perspective, this study thus helps foster understanding of which types of organizations are able and willing to adopt and juggle multiple social media accounts, to use those accounts to communicate more frequently with their external publics, and to build relationships with those publics through the sending of dialogic messages.

The Quadruple Bottom Line and Nonprofit Housing Organizations in the United States

The work of US nonprofit housing organizations can be viewed as involving a commitment to meet the Quadruple Bottom Line—the financial demands of developing and maintaining affordable housing while serving resident groups and neighborhoods, in an environmentally responsible manner. Nonprofit organizations may be categorized into three major groups, based on their primary areas of concern—‘people’, ‘places’ and ‘projects’. This article outlines the components and approximate size of the US social housing sector and presents examples of how housing nonprofits have, both historically and currently, evolved to incorporate multiple roles. With declines in federal funding for affordable housing, nonprofits have become increasingly hybrid in their operations. Examples are given regarding how nonprofits attempt to mediate the private market; how the various components of the Quadruple Bottom Line often compete with one another; and how hybridity of the nonprofit social housing sector creates additional challenges for these groups. The final section presents policy directions for supporting nonprofits.

Web Disclosure and the Market for Charitable Contributions

Nonprofit organizations face intense competition in the market for charitable contributions. Increasingly, donation decisions are made online, and organizations have responded by implementing substantive Internet disclosure and reporting regimes. We posit here that the voluntary disclosure of financial and performance information inherent in these regimes provides additional relevant information to a broad array of market participants, and thus has a positive impact on the receipt of charitable contributions. We test our hypotheses on a random sample of 400 US nonprofit organizations by building on the well established economic model of giving (Weisbrod and Dominguez, 1986), in which donations serve as the proxy for demand. Our central research question is thus: Are donors willing to “pay” for Web disclosure? Results indicate a positive relationship between the level of charitable contributions and the amount of disclosure provided by an organization on its website; however, performance and annual report disclosure are more important than financial disclosure, and performance disclosure has the biggest impact in organizations that are less reliant on donations.

Is pharmacogenomics a reality? Challenges and oppurtunities for India

Is pharmacogenomics a reality? Challenges and oppurtunities for India

The importance of context: Vietnamese, Somali, and Iranian refugee mothers discuss their resettled lives and involvement in their children’s schools

Parental involvement in schools is regarded as critical to student success in Australia, Canada, and the USA, the world’s top refugee resettlement countries. Refugees can be disadvantaged when they are unfamiliar with the practices and when their own cultural beliefs conflict with expectations in their new communities, or when they are consumed by other pressing needs. As part of an evaluation of a nonprofit US refugee agency’s liaison program, three groups of refugee mothers from different world regions spoke about their lives and connections with their children’s schools. Focus groups revealed satisfaction with many aspects of their children’s schools as well as contrasts between the groups’ needs and experiences. Differences indicate the need for the education community and other service providers to be aware of international backgrounds that bring refugees to the countries of resettlement and cultural differences that create diverse concerns of these groups.

Are single‐gift committed donors different from their multiple‐gift counterparts?

AbstractCommitted donors who keep giving every year are a key asset for nonprofit organizations because they provide a steady funding source and return a higher lifetime value. We distinguish between committed donors who give only one gift per year (single‐gift (SG) donors) and those who give multiple gifts in at least some year (multiple‐gift (MG) donors).In this paper, we study whether SG donors and MG donors follow different longitudinal patterns of gift‐giving in four consecutive years. We theorize that a donor's yearly gift amount is an indication of his or her willingness to give (WTG) to the organization and may be explained in terms of his or her intrinsic willingness to give (IWTG) and extrinsic willingness to give (EWTG) for that year. We test our theory with data from a leading US nonprofit organization and find that SG donors and MG donors would follow different longitudinal patterns: While SG donors and MG donors would start off at a similar level of WTG in year 1 and would both increase WTG in subsequent years, MG donors would record a higher rate of increase than SG donors. IWTG and EWTG would have different relative importance as determinants of the observed yearly giving level: MG donors depend on both IWTG and EWTG whereas SG donors largely depend on IWTG rather than EWTG to determine how much to give in a year. Our findings suggest that different strategies are needed to manage SG donors and MG donors to sustain and grow annual contributions. Copyright © 2009 John Wiley &amp; Sons, Ltd.

The healing of America

The healing of America

Demonstrating museum value: the role of the Institute of Museum and Library Services

In this article, the Institute of Museum and Library Services (IMLS), an independent federal agency in the United States, is used as an example to explore evolving definitions of public value regarding the museum sector. Also, the agency's history and support for projects that contribute to understanding the value and effectiveness of museums are reviewed in the broader context of related developments in US nonprofits and museums. Finally, five broad areas needing continued attention are suggested in connection with relevant IMLS-supported projects.

A political ecology of the built environment: LEED certification for green buildings

The Leadership in Energy and Environmental Design (LEED) standards of the non-profit US Green Building Council have become the accepted benchmark for designating “green buildings” in the USA and many other countries. Throughout their 10-year history, the standards have remained flexible, changing with input from designers, builders, environmentalists, and others to incorporate new types of buildings and modify the existing standards to make them more geographically, economically, and functionally sensitive. In this article, I examine through an urban political ecology lens how the LEED standards help to produce a particular kind of built environment. Political ecology has broadened from its origins in the cultural ecology of the developing world to include urban and industrialised environments. In recent years, work in this area has focused on hybridity and socio-nature to explore the ways that urban environments are constructed and maintained through biological, political, and economic processes. In this article, I show how the LEED standards and the green buildings and built environments they help to produce are hybrids of material objects and human practices.

Non-state ambassadors: NGOs' contribution to America's public diplomacy

This qualitative research paper explores how American non-state actors de facto contribute to US public diplomacy efforts while preserving their freedom of disagreement with government policies. In-depth interviews with 14 representatives of 12 US nonprofit nongovernmental organisations (NGOs) were conducted to look at their institutional and individual experiences of communicating with various foreign publics. NGOs' good standing in host countries depends on their ability to build relationships with and empower their local partners. The government could capitalise on NGOs' successes by highlighting their achievements in providing development assistance, as well as their autonomy, diversity and right to dissent. The study provides a baseline for further research on the unrealised capabilities of US civil society in strengthening America's reputation worldwide.