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United States Government Accountability Office: GAO: Report to Congressional Requesters: December 2011: Postsecondary Education: Student Outcomes Vary at For-Profit, Nonprofit, and Public Schools: GAO-12-143: Contents: Letter: Limited Research Suggests that For-Profit School Students Generally Have Different Outcomes than Nonprofit or Public School Students: For-Profit School Graduates Generally Had Lower Pass Rates than Graduates from Other Schools on Licensing Exams We Reviewed: Agency Comments: Appendix I: Scope and Methodology: Appendix II: List of Studies and Ongoing Research Included in Our Literature Review: Appendix III: Detailed Analysis of Licensing Exam Pass Rates: Appendix IV: Briefing Slides: Appendix V: GAO Contact and Staff Acknowledgments: Tables: Table 1: Studies Included in GAO's Report, By Student Outcomes: Table 2: RN (Bachelor's Degrees): Number of Programs and First Time Test Takers, by Sector: Table 3: RN (Bachelor's Degree): Student Pass Rate and Mean Program Pass Rate, by Sector: Table 4: RN (Associate's Degree): Number of Programs and First Time Test Takers, by Sector: Table 5: RN (Associate's Degree): Student Pass Rate and Mean Program Pass Rate, by Sector: Table 6: LPN: Number of Programs and First Time Test Takers, by Sector: Table 7: LPN: Student Pass Rate and Mean Program Pass Rate, by Sector: Table 8: Radiography: Number of Programs and Test Takers, by Sector: Table 9: Radiography: Student Pass Rate and Mean Program Pass Rates, by Sector: Table 10: EMT: Number of Programs and Test Takers, by Sector: Table 11: EMT: Student Pass Rate and Mean Program Pass Rates, by Sector: Table 12: Paramedic: Number of Programs and Test Takers, by Sector: Table 13: Paramedic: Student Pass Rate and Mean Program Pass Rates, by Sector: Table 14: Surgical Technologist: Number of Programs and Test Takers, by Sector: Table 15: Surgical Technologist: Student Pass Rate and Mean Program Pass Rates, by Sector: Table 16: Massage Therapist: Number of Programs and Test Takers, by Sector: Table 17: Massage Therapist: Student Pass Rate and Mean Program Pass Rates, by Sector: Table 18: Law: Number of Programs and Test Takers, by Sector: Table 19: Law: Student Pass Rate and Mean Program Pass Rates, by Sector: Table 20: Cosmetology: Number of Programs and Test Takers, by Sector: Table 21: Cosmetology: Student Pass Rate and Mean Program Pass Rate, by Sector: Table 22: Funeral Directors: Number of Programs and Test Takers, by Sector (All Programs): Table 23: Funeral Directors: Number of Programs and Test Takers, by Sector (Associate's Programs Only): Table 24: Funeral Directors: Student Pass Rate and Mean Program Pass Rates, by Sector (All Programs): Table 25: Funeral Directors: Student Pass Rate and Mean Program Pass Rates, by Sector (Associate's Programs Only): Figures: Figure 1: Nursing: Number of Programs by Pass Rate Range, 2008-2010: Figure 2: Radiography: Number of Programs by Pass Rate Range, 2008- 2010: Figure 3: EMT Basic: Number of Programs by Pass Rate Range, 2008-2010: Figure 4: Paramedic: Number of Programs by Pass Rate Range, 2008-2010: Figure 5: Surgical Technologists: Number of Programs by Pass Rate Range, 2010: Figure 6: Massage Therapist: Number of Programs by Pass Rate Range, 2008-2010: Figure 7: Law: Number of Programs by Pass Rate Range, 2008-2010: Figure 8: Cosmetology: Number of Programs by Pass Rate Range, 2008- 2010: Figure 9: Number of Programs by Pass Rate Range on Sciences Section, 2008-2010 (Associate's Programs Only): Abbreviations: ABFSE: American Board of Funeral Service Education: BPS: Beginning Postsecondary Students Longitudinal Study: CIP: Classification of Instructional Programs: Education: Department of Education: EMT: Emergency Medical Technician: ERIC: Education Resources Information Center: IPEDS: Integrated Postsecondary Education Data System: LPN: Licensed Practical Nurse: NPSAS: National Postsecondary Student Aid Survey: NSLDS: National Student Loan Data System: NTIS: National Technical Information Service: OIG: Office of Inspector General: RN: Registered Nurse: [End of section] United States Government Accountability Office: Washington, DC 20548: December 7, 2011: Congressional Requesters: Institutions of higher education, including for-profit, nonprofit, and public schools, receive billions of dollars each year from the Department of Education (Education) to help students pay for school. [Footnote 1] In the 2009-2010 school year, Education provided $132 billion in grants and loans to students under federal student aid programs, up from $49 billion in the 2001-2002 school year.[Footnote 2] However, relatively little information is available about the quality of education being provided by these schools.[Footnote 3] Measuring the quality of educational programs (i.e., how much knowledge or skill students gain) is difficult. Because few direct measures are available, indirect outcome measures, such as graduation and student loan default rates, are often used. Although no single outcome can be used to fully measure something as complex as educational quality, looking at multiple outcome measures (e.g., graduation rates, pass rates on licensing exams, employment outcomes, and student loan default rates) can shed light on the quality of education provided by schools. Student characteristics are also important to consider when comparing educational outcomes at schools in different sectors (for-profit, nonprofit, and public).[Footnote 4] Available data indicate that for- profit schools enroll a higher proportion of low-income, minority, and nontraditional students who face challenges that can affect their educational outcomes. Students with these characteristics tend to have less positive educational outcomes than other students for a number of reasons. For example, students who are low-income, minority, or older generally have lower graduation rates than other students regardless of sector.[Footnote 5] Consequently, student outcomes at different types of schools can be associated with differences in student characteristics, as well as school type. Accounting for differences in student characteristics as much as possible allows for more meaningful comparisons between types of schools and a better understanding of the school's role in producing student outcomes. This can be done in different ways, such as using statistical models or comparing outcomes for similar groups of students or graduates. To respond to your interest in student outcomes at different types of schools, this report addresses the following questions. 1. What does research show about graduation rates, employment outcomes, student loan debts, and default rates for students at for- profit schools compared to those at nonprofit and public schools, taking differences in student characteristics into account? 2. How do pass rates on licensing exams for selected occupations compare among graduates of for-profit, nonprofit, and public schools? We used the following methodologies to develop our findings (see appendix I for a detailed discussion of our scope and methodologies). We began by contacting representatives from several higher education associations representing schools in all three sectors to obtain their perspectives on key issues discussed in this report. To identify comparative research on outcomes that controls for student characteristics, we conducted a literature search and rigorously reviewed the data and methodologies used by external researchers and only reported findings that were based on sound methods and reliable data. * For most outcomes we reviewed, we relied primarily on studies using data from Education's Beginning Postsecondary Students Longitudinal Study (BPS), which tracks a nationally representative sample of first- time students for 6 years. BPS graduation rates are more representative of first-time students than graduation rates from other data sources because they include part-time and transfer students. BPS also collects self-reported information on earnings and employment status, as well as extensive data on student characteristics. * Some of the graduation rate studies included in our review used data from Education's Integrated Postsecondary Education Data System (IPEDS). IPEDS captures detailed enrollment data from all schools participating in federal student aid programs; however, IPEDS graduation rates include only full-time, first-time students and exclude a significant number of other students (e.g., those who attend part-time or transfer to another school). Because of this limitation, we gave greater weight in our report to studies using BPS data to calculate graduation rates; however, studies using IPEDS data had similar results. * Studies in our review that analyzed debt levels used data from Education's National Postsecondary Student Aid Survey (NPSAS), which collects detailed data on financial aid and student loans for a large, nationally representative sample of students. * One study in our review analyzed school default rates using data from the National Student Loan Data System (NSLDS), which is Education's central database for federal student aid loans and grants. We found a relatively small number of studies that compared student outcomes across sectors and accounted for differences in student characteristics (see appendix II for the list of studies included in our literature review). This body of research also has certain limitations. For example, while BPS has some of the best available data on outcomes and student characteristics, it does not represent the experience of more recent students[Footnote 6]. Further, while two studies in our review conducted regression analyses that account for multiple student characteristics simultaneously (which allows for a more rigorous comparison), other studies analyzed subgroups of students, accounting for a single characteristic at a time. Despite these limitations, we believe that the studies included in our review provide insight on the comparative outcomes of students attending different types of schools. To compare the performance of graduates from for-profit, nonprofit, and public schools on professional licensing exams, we analyzed pass rates for selected exams for first-time test takers.[Footnote 7] For this analysis, we focused on schools that participate in federal student aid programs. We selected occupations in which passing an exam was generally required and significant work experience was not required prior to taking the exam. We also used Education data to select occupations that (1) had programs in multiple sectors, including the for-profit sector, and (2) had sufficiently large numbers of students graduating from these programs. When possible, we used exams offered by national organizations to maximize the number of states in our analysis. We excluded from our analyses states that did not require the exam in an occupation. For occupations that use state or multiple exams, we used Education data to select four states in which the numbers of graduates and the distribution of graduates across sectors provided the best chance to detect any statistically significant differences that might exist between sectors. Results for individual states are not generalizable to other states and it is possible that sector comparisons in other states would show different results or would differ as to whether the results were statistically significant. Because demographic information on test takers was generally not available, directly controlling for the characteristics of test takers in our analyses was not possible. However, because our analysis of licensing exam pass rates focuses on outcomes for program graduates, it may partially mitigate the effect of differences in student characteristics on exam results since some characteristics, such as race, age, and income, are associated with lower graduation rates. We assessed the reliability of the data from each test included in our analyses by interviewing representatives knowledgeable about the data, reviewing relevant data and related documentation, and conducting additional analyses. We determined that these exam data were sufficiently reliable for the purpose of comparing pass rates across sectors. For more detailed results from our analyses of licensing exam pass rates, see appendix III. We conducted our work from November 2010 to December 2011 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings. On November 10, 2011, we briefed cognizant congressional staff on the results of this study and this report formally conveys the information provided during these briefings. (See appendix IV for the slides we used to brief the requesters.) Limited Research Suggests that For-Profit School Students Generally Have Different Outcomes than Nonprofit or Public School Students: The small number of available studies that accounted for selected student characteristics, such as gender, race, or income, suggests that student outcomes vary by type of school. Student outcomes include graduation rates, employment outcomes, student loan debt, and default rates. Graduation Rates: Two studies show that for-profit school students had higher graduation rates for certificate programs, similar graduation rates for associate's degree programs, and lower graduation rates for bachelor's degree programs than students at nonprofit and public schools.[Footnote 8] For example, one study found that 36 percent of low-income students who started at for-profit schools completed a certificate, compared to 6 percent at 2-year public schools.[Footnote 9] In contrast, 3 percent of low-income students who started at for- profit schools completed a bachelor's degree, compared to 49 percent at 4-year public schools and 13 percent at 2-year public schools. [Footnote 10] Employment Outcomes: An ongoing study suggests that students who started at for-profit schools had similar annual earnings, but higher rates of unemployment compared to students who started at nonprofit and public schools. For example, students who started at for-profit schools during the 2003- 2004 school year and were no longer enrolled after 6 years were more likely to have been unemployed for more than 3 months, compared to students who started at nonprofit and public schools. Student Loan Debt: Three studies show that a higher proportion of bachelor's degree recipients from for-profit schools took out student loans and that they generally had higher total student loan debt than bachelor's degree recipients from nonprofit and public schools. For example, one study shows that, among low-income students who graduated in 2007- 2008, the percentage who borrowed was greater at for-profit schools (99 percent) than at nonprofit and public schools (83 and 72 percent, respectively). Default Rates: Two studies show that for-profit schools have higher default rates than 4-year public schools, but the results are mixed when comparing for-profit schools to other types of schools. One ongoing study shows that for-profit schools had a higher proportion of students default on their student loans than 4-year nonprofit schools and 2-year nonprofit and public schools, while the other study did not find any statistically significant differences between for-profit schools and these other types of schools[Footnote 11].: For-Profit School Graduates Generally Had Lower Pass Rates than Graduates from Other Schools on Licensing Exams We Reviewed: On 9 of the 10 licensing exams we reviewed, graduates of for-profit schools generally had lower pass rates over the 2008-2010 period. Exam Results: The nine licensing exams for which graduates of for-profit schools generally had lower pass rates were for Registered Nurses (RN), Licensed Practical Nurses (LPN), Radiographers, Emergency Medical Technicians (EMT), Paramedics, Surgical Technologists, Massage Therapists, Lawyers, and Cosmetologists. On some exams, the differences across sectors were statistically significant, but relatively small. For example, 85 percent of graduates earning a bachelor's degree from for-profit nursing programs passed the RN exam, compared to 87 percent of such graduates from nonprofit schools. While we were unable to calculate overall pass rates on the 10th exam (for Funeral Directors), separate analyses of the two sections of the exam suggest that graduates of for-profit schools had similar or better pass rates than graduates of nonprofit and public schools.[Footnote 12] While for-profit graduates as a group generally had lower pass rates, some individual for-profit schools had relatively high pass rates. For example, 9 of the 40 for-profit schools in our analysis of the radiographer exam had pass rates of 100 percent in 2010.[Footnote 13] Limitations: Several experts and higher education association officials said that licensing exam pass rates are one reasonable measure of school quality. However, exam pass rates also have some limitations when used for this purpose. For example, relatively few postsecondary graduates overall take licensing exams, as many occupations do not require a license. Further, pass rates on licensing exams only measure the performance of students who both complete a program and take the exam. Data were not available to compare the total number of students who begin a program with those who take the exam. Consequently, a high pass rate may not provide complete information about the quality of a program if a large number of enrolled students do not finish a program or do not take a licensing exam.[Footnote 14] Differences in student populations may also affect pass rates. While focusing on graduates can mitigate the effect of differences in student characteristics, it may not completely eliminate the impact of these characteristics on test results. Nevertheless, the federal government has a strong interest in ensuring that schools that receive federal student aid funds are appropriately preparing graduates for any required licensing exams. Agency Comments: We provided a draft copy of this report to Education for review and comment. Education did not have comments on the report. In addition, we shared relevant sections of the draft report with (1) the authors of studies included in our literature review and (2) the states and entities that provided licensing exam data to us. We incorporated their technical comments as appropriate. We are sending copies of this report to relevant congressional committees, the Secretary of Education, and other interested parties. In addition, this report will be available at no charge on GAO's website at [hyperlink, http://www.gao.gov]. If you or your staffs have any questions about this report, please contact me at (202) 512-7215 or scottg@gao.gov. Contact points for our Offices of Congressional Relations and Public Affairs may be found on the last page of this report. GAO staff who made key contributions to this report are listed in appendix V. Signed by: George A. Scott: Director, Education, Workforce, and Income Security Issues: Congressional Requesters: The Honorable Richard J. Durbin: Majority Whip: United States Senate: The Honorable Tom Harkin: Chairman: The Honorable Michael B. Enzi: Ranking Member: Committee on Health, Education, Labor, and Pensions: United States Senate: The Honorable Lamar Alexander: United States Senate: The Honorable John Kline: Chairman: The Honorable George Miller: Ranking Member: Committee on Education and the Workforce: House of Representatives: The Honorable Virginia Foxx: Chairwoman: The Honorable Rubén Hinojosa: Ranking Member: Subcommittee on Higher Education and Workforce Training: Committee on Education and the Workforce: House of Representatives: The Honorable Robert Andrews: Ranking Member: Subcommittee on Health, Employment, Labor, and Pensions: Committee on Education and the Workforce: House of Representatives: The Honorable Timothy Bishop: House of Representatives: The Honorable Alcee L. Hastings: House of Representatives: Appendix I: Scope and Methodology: To help us identify data sources on student outcomes and recent research comparing student outcomes across sectors (for-profit, nonprofit, and public), we interviewed officials from the Department of Education (Education) and Education's Office of Inspector General (OIG). We also spoke with 10 higher education experts and researchers, as well as representatives from 6 higher education associations, 6 postsecondary school accreditors, and 8 state agencies that oversee postsecondary institutions.[Footnote 15] We also reviewed relevant federal laws and regulations. To address our objectives, we (1) conducted a structured literature review of recent studies comparing selected postsecondary student outcomes at for-profit and nonprofit and/or public schools and (2) collected and analyzed pass rate data for selected licensing exams for first-time test takers from for- profit, nonprofit, and public schools, focusing on schools that participate in federal student aid programs. We conducted this performance audit from November 2010 through December 2011 in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings based on our audit objectives. We believe that the evidence obtained provides a reasonable basis for our findings based on our audit objectives. Literature Review: To identify recent research on comparative postsecondary student outcomes at for-profit, nonprofit, and public schools, we conducted a structured literature review. We searched numerous bibliographic databases--including Education Resources Information Center (ERIC), ProQuest, Education Journals, PsycINFO, National Technical Information Service (NTIS), EconLit, and WorldCat--for articles or studies published from January 2000 through July 2011 that used data from 2000 or later.[Footnote 16] We employed a variety of search strategies to identify research related to student outcomes such as graduation rates, employment outcomes, earnings, student loan indebtedness, and default rates. In addition to searching the bibliographic databases, we identified studies through citations in previously identified work and through a review of several higher education news publications. We also asked higher education associations, researchers, and Education officials to identify any relevant studies and included such studies in our review. We defined "studies" broadly to include published peer- reviewed journal articles; ongoing studies submitted to journals for formal publication by academic researchers; unpublished studies by higher education associations, academic researchers, and other experts; and studies issued or commissioned by different higher education associations, researchers, the Congressional Research Service, or Education. In order to focus on studies that compared postsecondary student outcomes at for-profit and nonprofit and/or public schools, we examined all initial search results and restricted our formal review to studies meeting the following criteria: * focused on the U.S. student population; * used at least some data collected in 2000 or later; * addressed at least one of the following student outcomes: graduation rates, earnings, employment outcomes, student loan debt, and default rates; * compared outcomes of for-profit schools with outcomes of nonprofit and/or public schools; and: * contained original analysis controlling for at least one student characteristic (e.g., race, gender, and age). We identified 32 studies that met these screening criteria. For each of these studies, we conducted a rigorous review of the research methodology, including the research design; objectives; data source; analyses conducted; and any applicable data-related or methodological limitations. As a result of this review, we excluded 21 studies due to methodological limitations and retained 11 for our analyses (see appendix II for a list of the 11 studies). Seven of the 11 remaining studies included information on graduation rates, 1 study focused on employment outcomes, 4 studies included information on total student loan indebtedness, and 2 studies included information on student loan default rates at schools. All of these studies included comparative analyses of student outcomes at for-profit and nonprofit and/or public schools, while controlling for at least one student characteristic, and all were determined to be methodologically sound.[Footnote 17] Licensing Exam Pass Rate Analysis: To identify potential occupations for our analyses, we reviewed information from the Bureau of Labor Statistics' 2010-2011 Occupational Outlook Handbook and Education data on the largest fields of study by enrollment. We also spoke with and reviewed information from representatives at national credentialing organizations, state licensing bodies, testing companies, and other entities involved in occupational licensing, to learn more about which occupations require practitioners to pass an exam, which states require practitioners to pass specific exams, and the availability of exam data. To identify educational programs of study associated with our potential list of occupations, we reviewed Education's Classification of Instructional Programs (CIP) codes. We initially considered more than 20 occupational fields.[Footnote 18] We restricted our analysis of licensing exam data to occupations that met the following criteria.[Footnote 19] * Practitioners are generally required to pass a licensing exam in order to work.[Footnote 20] * Obtaining a license does not require significant work experience before taking the licensing exam.[Footnote 21] * Passing a licensing exam is generally not a requirement to graduate from a program of study.[Footnote 22] To ensure that we selected programs with sufficient numbers of graduates across sectors, we used CIP data to determine the number of students completing each program in each sector in school year 2009. [Footnote 23] As we identified potential occupations and programs and spoke with representatives from state and other licensing entities, we further refined our list by eliminating occupations where available data would not allow us to both (1) reliably identify the type of school at which test takers completed an educational program and (2) reliably distinguish first time test takers from repeat test takers. [Footnote 24] Licensing exams in the following 10 occupations met our criteria and the associated exam entities agreed to provide us with data: Registered Nurse (RN), Licensed Practical Nurse (LPN), Radiographer, Emergency Medical Technician (EMT), Paramedic, Surgical Technologist, Massage Therapist, Lawyer, Cosmetologist, and Funeral Director. We generally collected licensing exam pass rate data for first-time test takers for calendar years 2008, 2009, and 2010 to allow us to identify pass rate patterns and account for any data anomalies that might occur in a single year. To prevent the identification of individual schools or students, we did not report specific pass rates if there were less than five programs in a sector over the 2008-2010 time period, unless the data were publicly available. Data Sources for Pass Rates on Licensing Exams Included in Our Analyses: When possible, we selected licensing exams offered by national organizations to maximize the number of states in our analysis.[Footnote 25] To ensure that national data included in our analyses were consistent and equivalent, we restricted our analysis to national licensing exams where a single exam with a nationally set pass score was used. We included in our analyses only states that required passing the licensing exam to practice in the occupation.[Footnote 26] We obtained pass rate data for a national exam for seven occupations--RN, LPN, radiographer, EMT, paramedic, surgical technologist, and funeral director. RN and LPN. We analyzed licensing exam data from the National Council of State Boards of Nursing for first-time exam takers from LPN programs, associate's degree RN programs, and bachelor's degree RN programs.[Footnote 27] For each of these degrees, we collected data on less than 2-year programs, 2-year programs, and 4-year programs. All states require RNs and LPNs to pass these exams in order to practice. [Footnote 28] Radiographer. We collected licensing exam data from the American Registry of Radiologic Technologists for its radiography technologist exam. We obtained data for 34 states that require radiographers to pass this exam in order to practice in the state. EMT and Paramedic. We collected licensing exam data from the National Registry of Emergency Medical Technicians for its basic EMT and paramedic exams. We obtained data for 32 states that required EMTs to pass this basic EMT exam and for 38 states that require paramedics to pass this paramedic exam in order to practice in the state. Surgical Technologist. We collected licensing exam data from the National Board of Surgical Technology and Surgical Assisting for its surgical technologist exam.[Footnote 29] While no state requires surgical technologists to be licensed, two states do require most surgical technologists to pass this exam in order to practice in the state. We obtained data for these two states. Funeral Director. We collected licensing exam data from the International Conference of Funeral Service Examining Boards, Inc. for its National Board Examination. These data were for graduates of the 56 American Board of Funeral Service Education (ABFSE) accredited schools, which are located in 32 states. While not all states require passing this exam to practice as a funeral director, all students in ABFSE-accredited programs are required to take the exam in order to graduate.[Footnote 30] Therefore, we determined that this exam allowed for a reasonable comparison of program quality across sectors. The exam consists of two sections--Arts and Sciences--which may be taken together or at different times. We report pass rates for each section separately because the International Conference of Funeral Service Examining Boards does not calculate a combined pass rate. Seven of the schools that ABFSE accredits offer bachelor's degree programs in addition to or instead of associate's degree programs; however, the International Conference of Funeral Service Examining Boards cannot distinguish between test takers from associate's degree and bachelor degree programs. In order to ensure a fair comparison across sectors, we collected and analyzed the data both including and excluding schools that offer a bachelor's degree program. The findings were generally similar for both analyses with respect to the relationship between test takers from for-profit schools and those from nonprofit and public schools.[Footnote 31] There were only four for-profit schools included in our analysis; however, because school pass rate data are available publicly, we made an exception to our rule of not reporting on sectors with less than five programs, which is meant to protect the identity of individual schools. For the three remaining occupations, we collected data from selected states for state and/or multiple national exams accepted for licensing purposes.[Footnote 32] For each occupation, we used Education's CIP data to identify the four states in which the numbers of graduates and the distribution of graduates across sectors provided the best chance to detect any statistically significant differences that might exist between sectors. However, in some cases, we were unable to obtain data from one of the top four states, so we collected data from the state that was the next most likely to allow us detect differences across sectors.[Footnote 33] We generally included test takers from schools that were considered "in-state" by the states in our analysis. Results for individual states are not generalizable to other states and it is possible that sector comparisons in other states would show different results or would differ as to whether the results were statistically significant. Massage Therapist. We collected massage therapy licensing exam pass rate data for schools in Florida, New York, North Carolina, and Ohio. [Footnote 34] New York and Ohio use their own state exams. During the time period for which we collected data, Florida and North Carolina both accepted passage of exams from either of two different testing entities and we report pass rates separately for the separate exams. [Footnote 35] We do not report specific pass rates for nonprofit massage therapist programs because there were fewer than five such programs in New York and Ohio, and none in Florida or North Carolina over the 2008-2010 time period. Bar Exam for Lawyers. We collected publicly available bar exam pass rate data from California, Florida, Georgia, and South Carolina, but eliminated South Carolina because first-time and repeat test takers could not be separately identified.[Footnote 36] There were fewer than five schools in several sectors in these states; however, because school pass rate data are publicly available, we made an exception to our rule of not reporting on sectors with less than five programs, which is meant to protect the identity of individual schools. Cosmetologist. We collected cosmetology licensing exam pass rate data from California, Florida, North Carolina, and Texas.[Footnote 37] To obtain a license in these states, individuals must pass both a written and a practical portion of the exam. Only test takers who passed both the written and practical portions of the exam on their first attempt are included in the percent of first-time test takers who passed the exam. In California, North Carolina, and Texas, candidates can apply for a general cosmetology license, which allows them to perform a wide range of cosmetology-related activities, or a more specific license, such as a manicure or esthetician license, which have their own licensing exams.[Footnote 38] In Florida, only one cosmetology licensing exam was offered.[Footnote 39] In the states that offer multiple exams, we collected data on each exam, but only reported pass rates on the largest exam by test taker volume.[Footnote 40] We did not report specific pass rates for nonprofit cosmetology programs because California and North Carolina did not have any nonprofit cosmetologist programs and Florida and Texas each had less than five nonprofit cosmetologist programs over the 2008-2010 time period. We assessed the reliability of licensing exam data for each exam in our analysis by interviewing representatives at each entity from which we collected data and reviewing documentation related to the data systems and the collection, storage, and processing of data, when available. We determined that all data included in our report are sufficiently reliable for the purpose of comparing pass rates across sectors. Data Analysis: For each occupation, licensing exam data were collected at either the program level or individual test taker level. Entities providing program level data identified first-time and repeat test takers for us.[Footnote 41] In some cases, the entity providing the data did not want to provide data in a way that would allow us to identify a specific school's pass rate. In such cases, we sent the entity the list of schools with their sector identified, and the entity replaced the school name with a generic, sector-specific identifier such as "public school 1," "public school 2," etc. As a result, further analysis with respect to individual school characteristics was not possible. For test taker level data, we identified the first time an individual took an exam using the exam dates provided, and compiled school level records based on the school name or unique identifier associated with each school. We determined the sector of each school using information from Education's Integrated Postsecondary Education Data System (IPEDS) database.[Footnote 42] This allowed us to focus on schools that participate in federal student aid programs. However, it is possible that we were unable to match some schools to a sector because the name provided did not match closely enough to the school name listed in IPEDS. Additionally, IPEDS contains a small number of schools that do not participate in federal student aid programs. It is possible that a small number of nonparticipating schools are captured in our analysis if they offer programs related to the occupations for which we collected licensing data. After we grouped the schools by sector for each licensing exam, we used SAS software to calculate licensing exam pass rates and mean school pass rates for first-time test takers for each exam for each sector.[Footnote 43] We conducted appropriate tests to assess the statistical significance of differences in student pass rates and mean school pass rates across sectors (see appendix III for overall sector and mean school pass rate data and school pass rate distribution data). [Footnote 44] We presented overall sector pass rates rather than mean school pass rates in our briefing to avoid having schools with a small number of test takers disproportionately influence sector comparisons. In addition, using the student (rather than the school) as the unit of analysis resulted in larger comparison groups, which increased the likelihood of detecting any statistically significant differences that might exist between sectors. Generally, there were not substantial differences between the overall sector pass rates and the mean school pass rates.[Footnote 45] In some cases, sector differences in student pass rates were statistically significant, but differences in the mean school pass rates were not. This may be due to the fact that analyses of mean school pass rates are based on fewer observations than analyses of overall sector pass rates. Limitations of the Analysis: There are some limitations related to using licensing exam pass rates as an indicator of school quality. First, although experts and higher education association officials told us that licensing exam pass rates are one reasonable measure of school quality, relatively few postsecondary school graduates take licensing exams because many occupations do not require a license or certification. Therefore, this analysis is limited to specific programs for which graduates require licensure and does not provide information on the quality of other types of postsecondary programs. In addition, reliable data were not available to estimate the number of students who begin programs likely to lead to specific occupations requiring a license; as a result, we could not compare the number of students who begin a program to those who complete the program or to those who take the relevant licensing exam. Therefore, a school could have a high licensing exam pass rate, but could also have a high drop-out rate if the students least likely to pass the exam did not complete the program. Additionally, a school could have a high exam pass rate if those graduates least likely to pass the exam decided not to take it. Although student characteristics, such as race and income, have generally been found to be correlated with student outcomes, data were generally not available on the characteristics of licensing exam test takers. As a result, controlling for these factors in our analysis was not possible. Exam pass rates may be affected by the extent to which schools in one sector serve a higher proportion of nontraditional or disadvantaged students. Similarly, schools that attract better prepared students may have higher licensing exam pass rates, which may not be a direct function of the quality of the education provided. Although focusing on outcomes for graduates can mitigate the impact of student characteristics, it may not completely eliminate the effect of these characteristics on test results. Lastly, the number of schools and students for some of the exams in our analysis was quite small. For example, there was only one for- profit law school in Florida and only one for-profit, two nonprofit, and two public law schools in Georgia. Similarly, there were only 5 for-profit paramedic programs compared to 368 public paramedic programs (see appendix III for data on the number of programs and test takers for each exam). [End of section] Appendix II: List of Studies and Ongoing Research Included in Our Literature Review: We identified 11 studies that included original research on postsecondary student outcomes, controlled for at least one student characteristic, compared student outcomes at for-profit schools and schools from at least one other sector (nonprofit or public), and met our standards for methodological soundness. Table 1 identifies these studies, the outcomes of interest from each study, the data source, and the time period covered by the study data. Table 1: Studies Included in GAO's Report, By Student Outcomes: Student outcome of interest: Graduation rates, employment outcomes, student indebtedness, And school default rates; Study information: Deming, D., Claudia Goldin, and Lawrence F. Katz, The For-Profit Postsecondary School Sector: Nimble Critters or Agile Predators? Draft Paper Harvard University and the National Bureau of Economic Research. (Mass., July 2011); Data source and time period covered: BPS, 2004-2009; IPEDS, 2005-2008; NSLDS, 2005-2008. Student outcome of interest: Graduation rates; Study information: Skomsvold, P., Alexandria Walton Radford, and Lutz Berkner of MPR Associates, Inc., Web Tables: Six-Year Attainment, Persistence, Transfer, Retention, and Withdrawal Rates of Students Who Began Postsecondary Education in 2003-04. ED-02-CO-0011, U.S. Department of Education, National Center for Education Statistics (Washington, D.C.: July 2011); Data source and time period covered: BPS, 2004-2009. Student outcome of interest: Graduation rates; Study information: Knapp, L.G., J.E. Kelly-Reid, and S.A. Ginder. Enrollment in Postsecondary Institutions, Fall 2009; Graduation Rates, 2003 & 2006 Cohorts; and Financial Statistics, Fiscal Year 2009. (NCES 2011-230), U.S. Department of Education, National Center for Education Statistics (Washington, D.C.: February 2011); Data source and time period covered: IPEDS, spring 2010. Student outcome of interest: Graduation rates; Study information: Knapp, L.G., J.E. Kelly-Reid, and S.A. Ginder, Enrollment in Postsecondary Institutions, Fall 2008; Graduation Rates, 2002 & 2005 Cohorts; and Financial Statistics, Fiscal Year 2008. (NCES 2010-152), U.S. Department of Education, National Center for Education Statistics (Washington, D.C.: April 2010); Data source and time period covered: IPEDS, spring 2009. Student outcome of interest: Graduation rates; Study information: Knapp, L.G., J.E. Kelly-Reid, and S.A. Ginder, Enrollment in Postsecondary Institutions, Fall 2007; Graduation Rates, 2001 & 2004 Cohorts; and Financial Statistics, Fiscal Year 2007. (NCES 2009-155), U.S. Department of Education, National Center for Education Statistics (Washington, D.C.: March 2009); Data source and time period covered: IPEDS, spring 2008. Student outcome of interest: Graduation rates; Study information: Knapp, L.G., J.E. Kelly-Reid, S.A.Ginder, and E. Miller, Enrollment in Postsecondary Institutions, Fall 2006; Graduation Rates, 2000 & 2003 Cohorts; and Financial Statistics, Fiscal Year 2006. (NCES 2008-173), U.S. Department of Education, National Center for Education Statistics (Washington D.C.: June 2008); Data source and time period covered: IPEDS, spring 2007. Student outcome of interest: Graduation rates; Study information: Knapp, L.G., J.E. Kelly-Reid, R.W. Whitmore, and E. Miller, Enrollment in Postsecondary Institutions, Fall 2005; Graduation Rates, 1999 and 2002 Cohorts; and Financial Statistics, Fiscal Year 2005. (NCES 2007-154), U.S. Department of Education, National Center for Education Statistics (Washington D.C.: April 2007); Data source and time period covered: IPEDS, spring 2006. Student outcome of interest: Student indebtedness; Study information: Hinze-Pifer, R. and R. Fry, "The Rise of College Student Borrowing, A Social and Demographic Trends Report," Pew Research Center (November 2010); Data source and time period covered: NPSAS, 2007-2008. Student outcome of interest: Student indebtedness; Study information: Baum, S. and Patricia Steele, "Who Borrows the Most? Bachelor's Degree Recipients with High Levels of Student Debt," College Board Advocacy & Policy Center, Trends in Higher Education Series (2010); Data source and time period covered: NPSAS, 2007-2008. Student outcome of interest: Student indebtedness; Study information: "Trends in Student Aid 2010," College Board Advocacy & Policy Center Trends in Higher Education Series (2010); Data source and time period covered: NPSAS, 2007-2008. Student outcome of interest: Default rate; Study information: Guryan, J., M. Thompson, and Charles River Associates, Report on Gainful Employment, Prepared for Harris N. Miller, Career College Association (Washington, D.C.: April 2010); Data source and time period covered: BPS, 1996-2001. Source: GAO. Note: IPEDS refers to Education's Integrated Postsecondary Education Data System. BPS refers to Education's Beginning Postsecondary Students Longitudinal Study. NPSAS refers to Education's National Postsecondary Student Aid Survey. NSLDS refers to Education's National Student Loan Data System. [End of table] [End of section] Appendix III: Detailed Analysis of Licensing Exam Pass Rates: The following tables contain more detailed data from our analyses of licensing exam pass rates. For each exam, data are presented in two tables and one figure. The first table contains the number of programs and number of test takers by sector. The second table contains the overall student pass rate and the mean program pass rate by sector. To protect the confidentiality of individual schools and students, we did not report pass rates in cases in which there were less than five programs (unless the data were already publicly available). The figure presents the distribution of program pass rates by sector over the 2008-2010 time period. Table 2: RN (Bachelor's Degrees): Number of Programs and First Time Test Takers, by Sector: Sector: For-profit; Program length: Less than 2 years; 2008: Programs: 0; 2008: Test takers: 0; 2009: Programs: 0; 2009: Test takers: 0; 2010: Programs: 0; 2010: Test takers: 0; 2008-2010: Programs: 0; 2008-2010: Test takers: 0. Sector: For-profit; Program length: 2 years; 2008: Programs: 0; 2008: Test takers: 0; 2009: Programs: 0; 2009: Test takers: 0; 2010: Programs: 0; 2010: Test takers: 0; 2008-2010: Programs: 0; 2008-2010: Test takers: 0. Sector: For-profit; Program length: 4 years; 2008: Programs: 11; 2008: Test takers: 518; 2009: Programs: 14; 2009: Test takers: 825; 2010: Programs: 20; 2010: Test takers: 1,083; 2008-2010: Programs: 21; 2008-2010: Test takers: 2,426. Sector: For-profit; Total; 2008: Programs: 11; 2008: Test takers: 518; 2009: Programs: 14; 2009: Test takers: 825; 2010: Programs: 20; 2010: Test takers: 1,083; 2008-2010: Programs: 21; 2008-2010: Test takers: 2,426. Sector: Nonprofit; Program length: Less than 2 years; 2008: Programs: 0; 2008: Test takers: 0; 2009: Programs: 0; 2009: Test takers: 0; 2010: Programs: 0; 2010: Test takers: 0; 2008-2010: Programs: 0; 2008-2010: Test takers: 0. Sector: Nonprofit; Program length: 2 years; 2008: Programs: 1; 2008: Test takers: 111; 2009: Programs: 1; 2009: Test takers: 112; 2010: Programs: 2; 2010: Test takers: 131; 2008-2010: Programs: 2; 2008-2010: Test takers: 354. Sector: Nonprofit; Program length: 4 years; 2008: Programs: 300; 2008: Test takers: 18,690; 2009: Programs: 316; 2009: Test takers: 19,313; 2010: Programs: 322; 2010: Test takers: 20,354; 2008-2010: Programs: 328; 2008-2010: Test takers: 58,357. Sector: Nonprofit; Total; 2008: Programs: 301; 2008: Test takers: 18,801; 2009: Programs: 317; 2009: Test takers: 19,425; 2010: Programs: 324; 2010: Test takers: 20,485; 2008-2010: Programs: 330; 2008-2010: Test takers: 58,711. Sector: Public; Program length: Less than 2 years; 2008: Programs: 1; 2008: Test takers: 232; 2009: Programs: 1; 2009: Test takers: 195; 2010: Programs: 1; 2010: Test takers: 200; 2008-2010: Programs: 1; 2008-2010: Test takers: 627. Sector: Public; Program length: 2 years; 2008: Programs: 0; 2008: Test takers: 0; 2009: Programs: 0; 2009: Test takers: 0; 2010: Programs: 0; 2010: Test takers: 0; 2008-2010: Programs: 0; 2008-2010: Test takers: 0. Sector: Public; Program length: 4 years; 2008: Programs: 297; 2008: Test takers: 27,994; 2009: Programs: 302; 2009: Test takers: 29,163; 2010: Programs: 310; 2010: Test takers: 30,780; 2008-2010: Programs: 315; 2008-2010: Test takers: 87,937. Sector: Public; Total; 2008: Programs: 298; 2008: Test takers: 28,226; 2009: Programs: 303; 2009: Test takers: 29,358; 2010: Programs: 311; 2010: Test takers: 30,980; 2008-2010: Programs: 316; 2008-2010: Test takers: 88,564. Source: GAO analysis of National Council of State Boards of Nursing data. [End of table] Table 3: RN (Bachelor's Degree): Student Pass Rate and Mean Program Pass Rate, by Sector: Sector: For-profit; Program length: Less than 2 years; 2008: Student pass rate: n/a; 2008: Mean program pass rate: n/a; 2009: Student pass rate: n/a; 2009: Mean program pass rate: n/a; 2010: Student pass rate: n/a; 2010: Mean program pass rate: n/a; 2008-2010: Student pass rate: n/a; 2008-2010: Mean program pass rate: n/a. Sector: For-profit; Program length: 2 years; 2008: Student pass rate: n/a; 2008: Mean program pass rate: n/a; 2009: Student pass rate: n/a; 2009: Mean program pass rate: n/a; 2010: Student pass rate: n/a; 2010: Mean program pass rate: n/a; 2008-2010: Student pass rate: n/a; 2008-2010: Mean program pass rate: n/a. Sector: For-profit; Program length: 4 years; 2008: Student pass rate: 83.6[C]; 2008: Mean program pass rate: 83.1; 2009: Student pass rate: 84.8[B,] c; 2009: Mean program pass rate: 77.9; 2010: Student pass rate: 84.8[C]; 2010: Mean program pass rate: 86; 2008-2010: Student pass rate: 84.5[B, C]; 2008-2010: Mean program pass rate: 81.3. Sector: For-profit; Total; 2008: Student pass rate: 83.6%[C]; 2008: Mean program pass rate: 83.1%; 2009: Student pass rate: 84.8%[B, C]; 2009: Mean program pass rate: 77.9%; 2010: Student pass rate: 84.8%[C]; 2010: Mean program pass rate: 86%; 2008-2010: Student pass rate: 84.5%[B, C]; 2008-2010: Mean program pass rate: 81.3%. Sector: Nonprofit; Program length: Less than 2 years; 2008: Student pass rate: n/a; 2008: Mean program pass rate: n/a; 2009: Student pass rate: n/a; 2009: Mean program pass rate: n/a; 2010: Student pass rate: n/a; 2010: Mean program pass rate: n/a; 2008-2010: Student pass rate: n/a; 2008-2010: Mean program pass rate: n/a. Sector: Nonprofit; Program length: 2 years; 2008: Student pass rate: n/r; 2008: Mean program pass rate: n/r; 2009: Student pass rate: n/r; 2009: Mean program pass rate: n/r; 2010: Student pass rate: n/r; 2010: Mean program pass rate: n/r; 2008-2010: Student pass rate: n/r; 2008-2010: Mean program pass rate: n/r. Sector: Nonprofit; 2008: Student pass rate: Total: 85[C]; 2008: Mean program pass rate: Total: 83.7[C]; 2009: Student pass rate: Total: 87.8 [A, C]; 2009: Mean program pass rate: Total: 86.1[C]; 2010: Student pass rate: Total: 87.2[C]; 2010: Mean program pass rate: Total: 85.6[C]; 2008-2010: Student pass rate: Total: 86.7[A, C]; 2008-2010: Mean program pass rate: Total: 84.4[C]. Sector: Nonprofit; Total; 2008: Student pass rate: 85%[C]; 2008: Mean program pass rate: 83.7%[C]; 2009: Student pass rate: 87.9%[A, C]; 2009: Mean program pass rate: 86.1%[C]; 2010: Student pass rate: 87.2%[C]; 2010: Mean program pass rate: 85.7%[C]; 2008-2010: Student pass rate: 86.7%[A, C]; 2008-2010: Mean program pass rate: 84.5%[C]. Sector: Public; Program length: Less than 2 years; 2008: Student pass rate: n/r; 2008: Mean program pass rate: n/r; 2009: Student pass rate: n/r; 2009: Mean program pass rate: n/r; 2010: Student pass rate: n/r; 2010: Mean program pass rate: n/r; 2008-2010: Student pass rate: n/r; 2008-2010: Mean program pass rate: n/r. Sector: Public; Program length: 2 years; 2008: Student pass rate: n/a; 2008: Mean program pass rate: n/a; 2009: Student pass rate: n/a; 2009: Mean program pass rate: n/a; 2010: Student pass rate: n/a; 2010: Mean program pass rate: n/a; 2008-2010: Student pass rate: n/a; 2008-2010: Mean program pass rate: n/a. Sector: Public; Program length: Total: 4 years; 2008: Student pass rate: Total: 88.9[A, B]; 2008: Mean program pass rate: Total: 87.9[B]; 2009: Student pass rate: Total: 90.5[A, B]; 2009: Mean program pass rate: Total: 90.5[B]; 2010: Student pass rate: Total: 89.7[A, B]; 2010: Mean program pass rate: Total: 88.4[B]; 2008-2010: Student pass rate: Total: 89.7[A, B]; 2008-2010: Mean program pass rate: Total: 88.9[B]. Sector: Public; Total; 2008: Student pass rate: 88.9%[A, B]; 2008: Mean program pass rate: 87.9%[B]; 2009: Student pass rate: 90.5%[A, B]; 2009: Mean program pass rate: 90.5%[B]; 2010: Student pass rate: 89.7%[A, B]; 2010: Mean program pass rate: 88.4%[B]; 2008-2010: Student pass rate: 89.7%[A, B]; 2008-2010: Mean program pass rate: 88.9%[B]. Source: GAO analysis of National Council of State Boards of Nursing data. Notes: To calculate the student pass rate, the total number of first- time test takers passing the exam was divided by the total number of first-time test takers for each sector for each year and overall. The mean program pass rate represents the average pass rate of all programs in each sector and was calculated by summing the individual program pass rates and dividing by the total number of programs for each sector, for each year and overall. N/R indicates that we are not reporting pass rates because there were less than five programs. N/A indicates not applicable because there were no programs or test takers. [A] Indicates pass rate is statistically different from for-profit sector pass rates. [B] Indicates pass rate is statistically different from nonprofit sector pass rate. [C] Indicates pass rate is statistically different from public sector pass rate. [End of table] Table 4: RN (Associate's Degree): Number of Programs and First Time Test Takers, by Sector: Sector: For-profit; Program length: Less than 2 years; 2008: Programs: 2; 2008: Test takers: 117; 2009: Programs: 3; 2009: Test takers: 223; 2010: Programs: 5; 2010: Test takers: 212; 2008-2010: Programs: 5; 2008-2010: Test takers: 552. Sector: For-profit; Program length: Program length: 2 years; 2008: Programs: Programs: 28; 2008: Test takers: Test takers: 1,709; 2009: Programs: Programs: 35; 2009: Test takers: Test takers: 2,283; 2010: Programs: Programs: 46; 2010: Test takers: Test takers: 3,085; 2008-2010: Programs: Programs: 47; 2008-2010: Test takers: Test takers: 7,077. Sector: For-profit; Program length: 4 years; 2008: Programs: 15; 2008: Test takers: 1,034; 2009: Programs: 21; 2009: Test takers: 1,304; 2010: Programs: 26; 2010: Test takers: 1,534; 2008-2010: Programs: 27; 2008-2010: Test takers: 3,872. Sector: For-profit; Total; 2008: Programs: 45; 2008: Test takers: 2,860; 2009: Programs: 59; 2009: Test takers: 3,810; 2010: Programs: 77; 2010: Test takers: 4,831; 2008-2010: Programs: 79; 2008-2010: Test takers: 11,501. Sector: Nonprofit; Program length: Less than 2 years; 2008: Programs: 1; 2008: Test takers: 21; 2009: Programs: 1; 2009: Test takers: 12; 2010: Programs: 2; 2010: Test takers: 43; 2008-2010: Programs: 2; 2008-2010: Test takers: 76. Sector: Nonprofit; Program length: 2 years; 2008: Programs: 28; 2008: Test takers: 2,019; 2009: Programs: 28; 2009: Test takers: 2,215; 2010: Programs: 28; 2010: Test takers: 1,998; 2008-2010: Programs: 29; 2008-2010: Test takers: 6,232. Sector: Nonprofit; Program length: Total: 4 years; 2008: Programs: Total: 73; 2008: Test takers: Total: 6,165; 2009: Programs: Total: 78; 2009: Test takers: Total: 6,324; 2010: Programs: Total: 78; 2010: Test takers: Total: 6,298; 2008-2010: Programs: Total: 81; 2008-2010: Test takers: Total: 18,787. Sector: Nonprofit; Total; 2008: Programs: 102; 2008: Test takers: 8,205; 2009: Programs: 107; 2009: Test takers: 8,551; 2010: Programs: 108; 2010: Test takers: 8,339; 2008-2010: Programs: 112; 2008-2010: Test takers: 25,095. Sector: Public; Program length: Less than 2 years; 2008: Programs: 1; 2008: Test takers: 11; 2009: Programs: 2; 2009: Test takers: 32; 2010: Programs: 2; 2010: Test takers: 55; 2008-2010: Programs: 2; 2008-2010: Test takers: 98. Sector: Public; Program length: 2 years; 2008: Programs: 723; 2008: Test takers: 52,076; 2009: Programs: 741; 2009: Test takers: 53,741; 2010: Programs: 758; 2010: Test takers: 55,956; 2008-2010: Programs: 768; 2008-2010: Test takers: 161,773. Sector: Public; Program length: Total: 4 years; 2008: Programs: Total: 119; 2008: Test takers: Total: 9,592; 2009: Programs: Total: 115; 2009: Test takers: Total: 9,578; 2010: Programs: Total: 117; 2010: Test takers: Total: 9,569; 2008-2010: Programs: Total: 124; 2008-2010: Test takers: Total: 28,739. Sector: Public; Total; 2008: Programs: 843; 2008: Test takers: 61,679; 2009: Programs: 858; 2009: Test takers: 63,351; 2010: Programs: 877; 2010: Test takers: 65,580; 2008-2010: Programs: 894; 2008-2010: Test takers: 190,610. Source: GAO analysis of National Council of State Boards of Nursing data. [End of table] Table 5: RN (Associate's Degree): Student Pass Rate and Mean Program Pass Rate, by Sector: Sector: For-profit; Program length: Less than 2 years; 2008: Student pass rate: n/r; 2008: Mean program pass rate: n/r; 2009: Student pass rate: n/r; 2009: Mean program pass rate: n/r; 2010: Student pass rate: 78.3; 2010: Mean program pass rate: 70.9; 2008-2010: Student pass rate: 84.2; 2008-2010: Mean program pass rate: 71.3. Sector: For-profit; Program length: : 2 years; 2008: Student pass rate: 71.4[B,] c; 2008: Mean program pass rate: 70.4[B,] c; 2009: Student pass rate: 79.7[B, C]; 2009: Mean program pass rate: 77.2[B,] c; 2010: Student pass rate: 78.7[B, C]; 2010: Mean program pass rate: 77.8[B, C]; 2008-2010: Student pass rate: 77.3[B, C]; 2008-2010: Mean program pass rate: 76.2[B, C]. Sector: For-profit; Program length: Total: 4 years; 2008: Student pass rate: Total: 78.9[B,] c; 2008: Mean program pass rate: Total: 76.5[B,] c; 2009: Student pass rate: Total: 84[C]; 2009: Mean program pass rate: Total: 75.5[B, C]; 2010: Student pass rate: Total: 83.2[C]; 2010: Mean program pass rate: Total: 82.8; 2008-2010: Student pass rate: Total: 82.3[B,] c; 2008-2010: Mean program pass rate: Total: 78.7[C]. Sector: For-profit; Total; 2008: Student pass rate: 74.6%[B,] c; 2008: Mean program pass rate: 73%[B, C]; 2009: Student pass rate: 81.8%[B,] c; 2009: Mean program pass rate: 77.2%[B, C]; 2010: Student pass rate: 80.1%[B,] c; 2010: Mean program pass rate: 79%[B, C]; 2008-2010: Student pass rate: 79.3%[B, C]; 2008-2010: Mean program pass rate: 76.7%[B,] c. Sector: Nonprofit; Program length: Less than 2 years; 2008: Student pass rate: n/r; 2008: Mean program pass rate: n/r; 2009: Student pass rate: n/r; 2009: Mean program pass rate: n/r; 2010: Student pass rate: n/r; 2010: Mean program pass rate: n/r; 2008-2010: Student pass rate: n/r; 2008-2010: Mean program pass rate: n/r. Sector: Nonprofit; Program length: 2 years; 2008: Student pass rate: 83.9[A,] c; 2008: Mean program pass rate: 82[A]; 2009: Student pass rate: 86.6[A, C]; 2009: Mean program pass rate: 87.4[A]; 2010: Student pass rate: 86.1[A]; 2010: Mean program pass rate: 87.8[A]; 2008-2010: Student pass rate: 85.6[A, C]; 2008-2010: Mean program pass rate: 86.4[A]. Sector: Nonprofit; Program length: Total: 4 years; 2008: Student pass rate: Total: 85.1[A]; 2008: Mean program pass rate: Total: 85.6[A]; 2009: Student pass rate: Total: 86; 2009: Mean program pass rate: Total: 86.1[A]; 2010: Student pass rate: Total: 84.4[C]; 2010: Mean program pass rate: Total: 83.2; 2008-2010: Student pass rate: Total: 85.2[A, C]; 2008-2010: Mean program pass rate: Total: 84. Sector: Nonprofit; Total; 2008: Student pass rate: 84.8%[A, C]; 2008: Mean program pass rate: 84.7%[A]; 2009: Student pass rate: 86.2%[A,] c; 2009: Mean program pass rate: 86.5%[A]; 2010: Student pass rate: 84.8%[A, C]; 2010: Mean program pass rate: 84.3%[A, C]; 2008-2010: Student pass rate: 85.3%[A, C]; 2008-2010: Mean program pass rate: 84.6%[A, C]. Sector: Public; Program length: Less than 2 years; 2008: Student pass rate: n/r; 2008: Mean program pass rate: n/r; 2009: Student pass rate: n/r; 2009: Mean program pass rate: n/r; 2010: Student pass rate: n/r; 2010: Mean program pass rate: n/r; 2008-2010: Student pass rate: n/r; 2008-2010: Mean program pass rate: n/r. Sector: Public; Program length: 2 years; 2008: Student pass rate: 87.4[A, B]; 2008: Mean program pass rate: 87.1[A]; 2009: Student pass rate: 88.4[A, B]; 2009: Mean program pass rate: 88.4[A]; 2010: Student pass rate: 87.2[A]; 2010: Mean program pass rate: 87.3[A]; 2008-2010: Student pass rate: 87.7[A, B]; 2008-2010: Mean program pass rate: 87.1[A]. Sector: Public; Program length: Total: 4 years; 2008: Student pass rate: Total: 85.4[A]; 2008: Mean program pass rate: Total: 85.2[A]; 2009: Student pass rate: Total: 87.2[A]; 2009: Mean program pass rate: Total: 87.8[A]; 2010: Student pass rate: Total: 87[A, B]; 2010: Mean program pass rate: Total: 85.7; 2008-2010: Student pass rate: Total: 86.5[A, B]; 2008-2010: Mean program pass rate: Total: 85.9[A]. Sector: Public; Total; 2008: Student pass rate: 87.1%[A, B]; 2008: Mean program pass rate: 86.8%[A]; 2009: Student pass rate: 88.3%[A, B]; 2009: Mean program pass rate: 88.3%[A]; 2010: Student pass rate: 87.2%[A, B]; 2010: Mean program pass rate: 87%[A, B]; 2008-2010: Student pass rate: 87.5%[A, B]; 2008-2010: Mean program pass rate: 87%[A, B]. Source: GAO analysis of National Council of State Boards of Nursing data. Notes: To calculate the student pass rate, the total number of first- time test takers passing the exam was divided by the total number of first-time test takers for each sector for each year and overall. The mean program pass rate represents the average pass rate of all programs in each sector and was calculated by summing the individual program pass rates and dividing by the total number of programs for each sector, for each year and overall. N/R indicates that we are not reporting pass rates because there were less than five programs. [A] Indicates pass rate is statistically different from for-profit sector pass rates. [B] Indicates pass rate is statistically different from nonprofit sector pass rate. [C] Indicates pass rate is statistically different from public sector pass rate. [End of table] Table 6: LPN: Number of Programs and First Time Test Takers, by Sector: Sector: For-profit; Program length: Less than 2 years; 2008: Programs: 54; 2008: Test takers: 3,104; 2009: Programs: 60; 2009: Test takers: 3,495; 2010: Programs: 65; 2010: Test takers: 4,342; 2008-2010: Programs: 69; 2008-2010: Test takers: 10,941. Sector: For-profit; Program length: : 2 years; 2008: Programs: : 79; 2008: Test takers: : 6,770; 2009: Programs: : 89; 2009: Test takers: : 7,386; 2010: Programs: : 100; 2010: Test takers: : 8,010; 2008-2010: Programs: : 106; 2008-2010: Test takers: : 22,166. Sector: For-profit; Program length: Total: 4 years; 2008: Programs: Total: 29; 2008: Test takers: Total: 1,721; 2009: Programs: Total: 28; 2009: Test takers: Total: 1,647; 2010: Programs: Total: 32; 2010: Test takers: Total: 2,254; 2008-2010: Programs: Total: 34; 2008-2010: Test takers: Total: 5,622. Sector: For-profit; Total; Program length: [Empty]; 2008: Programs: 162; 2008: Test takers: 11,595; 2009: Programs: 177; 2009: Test takers: 12,528; 2010: Programs: 197; 2010: Test takers: 14,606; 2008-2010: Programs: 209; 2008-2010: Test takers: 38,729. Sector: Nonprofit; Program length: Less than 2 years; 2008: Programs: 19; 2008: Test takers: 1,153; 2009: Programs: 19; 2009: Test takers: 1,034; 2010: Programs: 20; 2010: Test takers: 958; 2008-2010: Programs: 20; 2008-2010: Test takers: 3,145. Sector: Nonprofit; Program length: 2 years; 2008: Programs: 12; 2008: Test takers: 537; 2009: Programs: 12; 2009: Test takers: 583; 2010: Programs: 11; 2010: Test takers: 576; 2008-2010: Programs: 12; 2008-2010: Test takers: 1,696. Sector: Nonprofit; Program length: Total: 4 years; 2008: Programs: Total: 17; 2008: Test takers: Total: 596; 2009: Programs: Total: 20; 2009: Test takers: Total: 690; 2010: Programs: Total: 19; 2010: Test takers: Total: 640; 2008-2010: Programs: Total: 20; 2008-2010: Test takers: Total: 1,926. Sector: Nonprofit; Total; 2008: Programs: 48; 2008: Test takers: 2,286; 2009: Programs: 51; 2009: Test takers: 2,307; 2010: Programs: 50; 2010: Test takers: 2,174; 2008-2010: Programs: 52; 2008-2010: Test takers: 6,767. Sector: Public; Program length: Less than 2 years; 2008: Programs: 230; 2008: Test takers: 7,881; 2009: Programs: 225; 2009: Test takers: 7,704; 2010: Programs: 235; 2010: Test takers: 8,320; 2008-2010: Programs: 245; 2008-2010: Test takers: 23,905. Sector: Public; Program length: 2 years; 2008: Programs: 723; 2008: Test takers: 26,662; 2009: Programs: 719; 2009: Test takers: 26,850; 2010: Programs: 724; 2010: Test takers: 26,601; 2008-2010: Programs: 759; 2008-2010: Test takers: 80,113. Sector: Public; Program length: Total: 4 years; 2008: Programs: Total: 53; 2008: Test takers: Total: 1,922; 2009: Programs: Total: 54; 2009: Test takers: Total: 1,944; 2010: Programs: Total: 55; 2010: Test takers: Total: 2,000; 2008-2010: Programs: Total: 58; 2008-2010: Test takers: Total: 5,866. Sector: Public; Total; 2008: Programs: 1,006; 2008: Test takers: 36,465; 2009: Programs: 998; 2009: Test takers: 36,498; 2010: Programs: 1,014; 2010: Test takers: 36,921; 2008-2010: Programs: 1,062; 2008-2010: Test takers: 109,884. Source: GAO analysis of National Council of State Boards of Nursing data. [End of table] Table 7: LPN: Student Pass Rate and Mean Program Pass Rate, by Sector: Sector: For-profit; Program length: Less than 2 years; 2008: Student pass rate: 77.3[C]; 2008: Mean program pass rate: 73.9[B, C]; 2009: Student pass rate: 77.2[C]; 2009: Mean program pass rate: 76[C]; 2010: Student pass rate: 80.3[C]; 2010: Mean program pass rate: 78.6[C]; 2008-2010: Student pass rate: 78.4[C]; 2008-2010: Mean program pass rate: 76.3[C]. Sector: For-profit; Program length: 2 years; 2008: Student pass rate: 80[C]; 2008: Mean program pass rate: 76.2[C]; 2009: Student pass rate: 81[B,] c; 2009: Mean program pass rate: 78.8[C]; 2010: Student pass rate: 84.3[C]; 2010: Mean program pass rate: 83.1[C]; 2008-2010: Student pass rate: 81.9[B, C]; 2008-2010: Mean program pass rate: 79.6[C]. Sector: For-profit; Program length: 4 years; 2008: Student pass rate: 80.6[C]; 2008: Mean program pass rate: 86.1; 2009: Student pass rate: 80.9[B,] c; 2009: Mean program pass rate: 84.1; 2010: Student pass rate: 84.1[C]; 2010: Mean program pass rate: 86.8[C]; 2008-2010: Student pass rate: 82.1[B,] c; 2008-2010: Mean program pass rate: 86.1[C]. Sector: For-profit; Total; 2008: Student pass rate: 79.3%[C]; 2008: Mean program pass rate: 77.2%[B, C]; 2009: Student pass rate: 79.9%[C]; 2009: Mean program pass rate: 78.7%[C]; 2010: Student pass rate: 83.1%[C]; 2010: Mean program pass rate: 82.2%[C]; 2008-2010: Student pass rate: 80.9%[C]; 2008-2010: Mean program pass rate: 79.6%[C]. Sector: Nonprofit; Program length: Less than 2 years; 2008: Student pass rate: 78.6[C]; 2008: Mean program pass rate: 84.1[A]; 2009: Student pass rate: 79.3[C]; 2009: Mean program pass rate: 81.4; 2010: Student pass rate: 80[C]; 2010: Mean program pass rate: 80.7; 2008-2010: Student pass rate: 79.2[C]; 2008-2010: Mean program pass rate: 81. Sector: Nonprofit; Program length: 2 years; 2008: Student pass rate: 82.3[C]; 2008: Mean program pass rate: 84.9; 2009: Student pass rate: 74.4[A, C]; 2009: Mean program pass rate: 80.5[C]; 2010: Student pass rate: 80.9[C]; 2010: Mean program pass rate: 86.7; 2008-2010: Student pass rate: 79.1[A, C]; 2008-2010: Mean program pass rate: 84.1. Sector: Nonprofit; Program length: 4 years; 2008: Student pass rate: 84.7[C]; 2008: Mean program pass rate: 83; 2009: Student pass rate: 87.7[A]; 2009: Mean program pass rate: 86.4; 2010: Student pass rate: 84.1[C]; 2010: Mean program pass rate: 82.1[C]; 2008-2010: Student pass rate: 85.6[A, C]; 2008-2010: Mean program pass rate: 81.5[C]. Sector: Nonprofit; Total; 2008: Student pass rate: 81.1%[C]; 2008: Mean program pass rate: 83.9%[A,] c; 2009: Student pass rate: 80.6%[C]; 2009: Mean program pass rate: 83.1%[C]; 2010: Student pass rate: 81.4%[C]; 2010: Mean program pass rate: 82.5%[C]; 2008-2010: Student pass rate: 81%[C]; 2008-2010: Mean program pass rate: 81.9%[C]. Sector: Public; Program length: Less than 2 years; 2008: Student pass rate: 86.9[A, B]; 2008: Mean program pass rate: 87.3[A]; 2009: Student pass rate: 86.3[A, B]; 2009: Mean program pass rate: 86.4[A]; 2010: Student pass rate: 88.8[A, B]; 2010: Mean program pass rate: 89[A]; 2008-2010: Student pass rate: 87.4[A, B]; 2008-2010: Mean program pass rate: 87.4[A]. Sector: Public; Program length: 2 years; 2008: Student pass rate: 91.5[A, B]; 2008: Mean program pass rate: 91.6[A]; 2009: Student pass rate: 92.1[A, B]; 2009: Mean program pass rate: 91.8[A, B]; 2010: Student pass rate: 93.1[A, B]; 2010: Mean program pass rate: 92.8[A]; 2008-2010: Student pass rate: 92.2[A, B]; 2008-2010: Mean program pass rate: 91.8[A]. Sector: Public; Program length: 4 years; 2008: Student pass rate: 89.4[A, B]; 2008: Mean program pass rate: 89.3; 2009: Student pass rate: 89.9[A]; 2009: Mean program pass rate: 89.2; 2010: Student pass rate: 91.8[A, B]; 2010: Mean program pass rate: 91.6[A, B]; 2008-2010: Student pass rate: 90.4[A, B]; 2008-2010: Mean program pass rate: 90.7[A, B]. Sector: Public; Total; 2008: Student pass rate: 90.4%[A, B]; 2008: Mean program pass rate: 90.5%[A, B]; 2009: Student pass rate: 90.7%[A, B]; 2009: Mean program pass rate: 90.5%[A, B]; 2010: Student pass rate: 92.1%[A, B]; 2010: Mean program pass rate: 91.9%[A, B]; 2008-2010: Student pass rate: 91.1%[A, B]; 2008-2010: Mean program pass rate: 90.7%[A, B]. Source: GAO analysis of National Council of State Boards of Nursing data. Note: To calculate the student pass rate, the total number of first- time test takers passing the exam was divided by the total number of first-time test takers for each sector for each year and overall. The mean program pass rate represents the average pass rate of all programs in each sector and was calculated by summing the individual program pass rates and dividing by the total number of programs for each sector, for each year and overall. [A] Indicates pass rate is statistically different from for-profit sector pass rates. [B] Indicates pass rate is statistically different from nonprofit sector pass rate. [C] Indicates pass rate is statistically different from public sector pass rate. [End of table] Figure 1: Nursing: Number of Programs by Pass Rate Range, 2008-2010: [Refer to PDF for image: 9 horizontal bar graphs] Public: Total LPN (1,062 programs): Pass rate between 0-25%: 4; Pass rate between 26-50%: 11; Pass rate between 51-75%: 56; Pass rate between 76-100%: 991. Total RN - Associates (894 programs): Pass rate between 0-25%: 4; Pass rate between 26-50%: 1; Pass rate between 51-75%: 59; Pass rate between 76-100%: 830. Total RN - Bachelors (316 programs): Pass rate between 0-25%: 0; Pass rate between 26-50%: 2; Pass rate between 51-75%: 10; Pass rate between 76-100%: 304. Nonprofit: Total LPN (52 programs): Pass rate between 0-25%: 0; Pass rate between 26-50%: 3; Pass rate between 51-75%: 11; Pass rate between 76-100%: 38. Total RN - Associates (112 programs): Pass rate between 0-25%: 0; Pass rate between 26-50%: 2; Pass rate between 51-75%: 15; Pass rate between 76-100%: 95. Total RN - Bachelors (330 programs): Pass rate between 0-25%: 4; Pass rate between 26-50%: 2; Pass rate between 51-75%: 41; Pass rate between 76-100%: 283. For-profit: Total LPN (209 programs): Pass rate between 0-25%: 5; Pass rate between 26-50%: 12; Pass rate between 51-75%: 47; Pass rate between 76-100%: 145. Total RN - Associates (79 programs): Pass rate between 0-25%: 0; Pass rate between 26-50%: 3; Pass rate between 51-75%: 27; Pass rate between 76-100%: 49. Total RN - Bachelors (21 programs): Pass rate between 0-25%: 1; Pass rate between 26-50%: 0; Pass rate between 51-75%: 3; Pass rate between 76-100%: 17. Source: GAO analysis of National Council of State Boards of Nursing data. [End of figure] Table 8: Radiography: Number of Programs and Test Takers, by Sector: Sector: For-profit; 2008: Programs: 32; 2008: Test takers: 1,265; 2009: Programs: 35; 2009: Test takers: 1,219; 2010: Programs: 40; 2010: Test takers: 1,193; 2008-2010: Programs: 40; 2008-2010: Test takers: 3,677. Sector: Nonprofit; 2008: Programs: 89; 2008: Test takers: 1,270; 2009: Programs: 89; 2009: Test takers: 1,283; 2010: Programs: 89; 2010: Test takers: 1,277; 2008-2010: Programs: 89; 2008-2010: Test takers: 3,830. Sector: Public; 2008: Programs: 278; 2008: Test takers: 6,125; 2009: Programs: 285; 2009: Test takers: 5,917; 2010: Programs: 290; 2010: Test takers: 5,861; 2008-2010: Programs: 291; 2008-2010: Test takers: 17,903. Source: GAO analysis of American Registry of Radiologic Technologists data. [End of table] Table 9: Radiography: Student Pass Rate and Mean Program Pass Rates, by Sector: Sector: For-profit; 2008: Student pass rate: 81.3%[B, C]; 2008: Mean program pass rate: 82.9%[B, C]; 2009: Student pass rate: 84.7%[B, C]; 2009: Mean program pass rate: 83.2%[B, C]; 2010: Student pass rate: 84.8%[B, C]; 2010: Mean program pass rate: 84.1%[B, C]; 2008-2010: Student pass rate: 83.5%[B, C]; 2008-2010: Mean program pass rate: 82.3%[B, C]. Sector: Nonprofit; 2008: Student pass rate: 92[A, C]; 2008: Mean program pass rate: 93.6[A]; 2009: Student pass rate: 93.3[A]; 2009: Mean program pass rate: 93.4[A]; 2010: Student pass rate: 95.7[A]; 2010: Mean program pass rate: 96.3[A]; 2008-2010: Student pass rate: 93.7[A]; 2008-2010: Mean program pass rate: 94.2[A]. Sector: Public; 2008: Student pass rate: 94.5[A, B]; 2008: Mean program pass rate: 94.6[A]; 2009: Student pass rate: 94.1[A]; 2009: Mean program pass rate: 94.1[A]; 2010: Student pass rate: 94.5[A]; 2010: Mean program pass rate: 94.6[A]; 2008-2010: Student pass rate: 94.4[A]; 2008-2010: Mean program pass rate: 94.2[A]. Source: GAO analysis of American Registry of Radiologic Technologists data. Note: To calculate the student pass rate, the total number of first- time test takers passing the exam was divided by the total number of first-time test takers for each sector for each year and overall. The mean program pass rate represents the average pass rate of all programs in each sector and was calculated by summing the individual program pass rates and dividing by the total number of programs for each sector, for each year and overall. [A] Indicates pass rate is statistically different from for-profit sector pass rates. [B] Indicates pass rate is statistically different from nonprofit sector pass rate. [C] Indicates pass rate is statistically different from public sector pass rate. [End of table] Figure 2: Radiography: Number of Programs by Pass Rate Range, 2008- 2010: [Refer to PDF for image: 3 horizontal bar graphs] Public (291 programs): Pass rate between 0-25%: 0; Pass rate between 26-50%: 0; Pass rate between 51-75%: 6; Pass rate between 76-100%: 285. Nonprofit (89 programs): Pass rate between 0-25%: 0; Pass rate between 26-50%: 0; Pass rate between 51-75%: 3; Pass rate between 76-100%: 86. For-profit (40 programs): Pass rate between 0-25%: 0; Pass rate between 26-50%: 1; Pass rate between 51-75%: 10; Pass rate between 76-100%: 29. Source: GAO analysis of American Registry of Radiologic Technologists data. [End of figure] Table 10: EMT: Number of Programs and Test Takers, by Sector: Sector: For-profit; 2008: Programs: 10; 2008: Test takers: 756; 2009: Programs: 15; 2009: Test takers: 896; 2010: Programs: 16; 2010: Test takers: 980; 2008-2010: Programs: 18; 2008-2010: Test takers: 2,632. Sector: Nonprofit; 2008: Programs: 26; 2008: Test takers: 728; 2009: Programs: 29; 2009: Test takers: 878; 2010: Programs: 27; 2010: Test takers: 1,069; 2008-2010: Programs: 30; 2008-2010: Test takers: 2,675. Sector: Public; 2008: Programs: 565; 2008: Test takers: 28,230; 2009: Programs: 571; 2009: Test takers: 31,038; 2010: Programs: 575; 2010: Test takers: 33,750; 2008-2010: Programs: 615; 2008-2010: Test takers: 93,018. Source: GAO analysis of National Registry of Emergency Medical Technicians data. [End of table] Table 11: EMT: Student Pass Rate and Mean Program Pass Rates, by Sector: Sector: For-profit; 2008: Student pass rate: 60.2%[B, C]; 2008: Mean program pass rate: 49.1%[B]; 2009: Student pass rate: 51.2%[B, C]; 2009: Mean program pass rate: 49.3%[C]; 2010: Student pass rate: 61%[B, C]; 2010: Mean program pass rate: 56.2%; 2008-2010: Student pass rate: 57.4%[B, C]; 2008-2010: Mean program pass rate: 48.7%[B, C]. Sector: Nonprofit; 2008: Student pass rate: 77.3[A, C]; 2008: Mean program pass rate: 74[A,] c; 2009: Student pass rate: 68.3[A]; 2009: Mean program pass rate: 65.1; 2010: Student pass rate: 68.6[A]; 2010: Mean program pass rate: 67.3; 2008-2010: Student pass rate: 70.9[A, C]; 2008-2010: Mean program pass rate: 70.3[A, C]. Sector: Public; 2008: Student pass rate: 66.9[A, B]; 2008: Mean program pass rate: 63.1[B]; 2009: Student pass rate: 66.5[A]; 2009: Mean program pass rate: 63.8[A]; 2010: Student pass rate: 67.5[A]; 2010: Mean program pass rate: 63.4; 2008-2010: Student pass rate: 67[A, B]; 2008-2010: Mean program pass rate: 63.5[A, B]. Source: GAO analysis of National Registry of Emergency Medical Technicians data. Note: To calculate the student pass rate, the total number of first- time test takers passing the exam was divided by the total number of first-time test takers for each sector for each year and overall. The mean program pass rate represents the average pass rate of all programs in each sector and was calculated by summing the individual program pass rates and dividing by the total number of programs for each sector, for each year and overall. [A] Indicates pass rate is statistically different from for-profit sector pass rates. [B] Indicates pass rate is statistically different from nonprofit sector pass rate. [C] Indicates pass rate is statistically different from public sector pass rate. [End of table] Figure 3: EMT Basic: Number of Programs by Pass Rate Range, 2008-2010: [Refer to PDF for image: 3 horizontal bar graphs] Public (615 programs): Pass rate between 0-25%: 15; Pass rate between 26-50%: 87; Pass rate between 51-75%: 371; Pass rate between 76-100%: 142. Nonprofit (30 programs): Pass rate between 0-25%: 1; Pass rate between 26-50%: 3; Pass rate between 51-75%: 12; Pass rate between 76-100%: 14. For-profit (18 programs): Pass rate between 0-25%: 2; Pass rate between 26-50%: 5; Pass rate between 51-75%: 11; Pass rate between 76-100%: 0. Source: GAO analysis of National Registry of Emergency Medical Technicians data. [End of figure] Table 12: Paramedic: Number of Programs and Test Takers, by Sector: Sector: For-profit; 2008: Programs: 5; 2008: Test takers: 43; 2009: Programs: 5; 2009: Test takers: 74; 2010: Programs: 5; 2010: Test takers: 75; 2008-2010: Programs: 5; 2008-2010: Test takers: 192. Sector: Nonprofit; 2008: Programs: 19; 2008: Test takers: 423; 2009: Programs: 18; 2009: Test takers: 406; 2010: Programs: 19; 2010: Test takers: 419; 2008-2010: Programs: 22; 2008-2010: Test takers: 1,248. Sector: Public; 2008: Programs: 347; 2008: Test takers: 5,474; 2009: Programs: 348; 2009: Test takers: 5,621; 2010: Programs: 349; 2010: Test takers: 6,170; 2008-2010: Programs: 383; 2008-2010: Test takers: 17,265. Source: GAO analysis of National Registry of Emergency Medical Technicians data. [End of table] Table 13: Paramedic: Student Pass Rate and Mean Program Pass Rates, by Sector: Sector: For-profit; 2008: Student pass rate: 41.9%[C]; 2008: Mean program pass rate: 46.9%; 2009: Student pass rate: 44.6%[B, C]; 2009: Mean program pass rate: 38.6%[C]; 2010: Student pass rate: 42.7%[B, C]; 2010: Mean program pass rate: 42.7%[B, C]; 2008-2010: Student pass rate: 43.2%[B, C]; 2008-2010: Mean program pass rate: 43.7%[C]. Sector: Nonprofit; 2008: Student pass rate: 60.5; 2008: Mean program pass rate: 51.7; 2009: Student pass rate: 63.3[A, C]; 2009: Mean program pass rate: 62.9; 2010: Student pass rate: 64.9[A]; 2010: Mean program pass rate: 64.9[A]; 2008-2010: Student pass rate: 62.9[A, C]; 2008-2010: Mean program pass rate: 59.5. Sector: Public; 2008: Student pass rate: 65.3[A]; 2008: Mean program pass rate: 60.3; 2009: Student pass rate: 70.5[A, B]; 2009: Mean program pass rate: 66.5[A]; 2010: Student pass rate: 70[A]; 2010: Mean program pass rate: 66.5[A]; 2008-2010: Student pass rate: 68.7[A, B]; 2008-2010: Mean program pass rate: 63.8[A]. Source: GAO analysis of National Registry of Emergency Medical Technicians data. Note: To calculate the student pass rate, the total number of first- time test takers passing the exam was divided by the total number of first-time test takers for each sector for each year and overall. The mean program pass rate represents the average pass rate of all programs in each sector and was calculated by summing the individual program pass rates and dividing by the total number of programs for each sector, for each year and overall. [A] Indicates pass rate is statistically different from for-profit sector pass rates. [B] Indicates pass rate is statistically different from nonprofit sector pass rate. [C] Indicates pass rate is statistically different from public sector pass rate. [End of table] Figure 4: Paramedic: Number of Programs by Pass Rate Range, 2008-2010: [Refer to PDF for image: 3 horizontal bar graphs] Public (383 programs): Pass rate between 0-25%: 22; Pass rate between 26-50%: 79; Pass rate between 51-75%: 156; Pass rate between 76-100%: 126. Nonprofit (22 programs): Pass rate between 0-25%: 0; Pass rate between 26-50%: 6; Pass rate between 51-75%: 11; Pass rate between 76-100%: 5. For-profit (5 programs): Pass rate between 0-25%: 1; Pass rate between 26-50%: 3; Pass rate between 51-75%: 1; Pass rate between 76-100%: 0. Source: GAO analysis of National Registry of Emergency Medical Technicians data. [End of figure] Table 14: Surgical Technologist: Number of Programs and Test Takers, by Sector: Sector: For-profit; 2010: Programs: 8; 2010: Test takers: 225. Sector: Nonprofit; 2010: Programs: 1; 2010: Test takers: 13. Sector: Public; 2010: Programs: 20; 2010: Test takers: 393. Source: GAO analysis of National Board of Surgical Technology and Surgical Assisting data for Indiana and South Carolina. Note: One of the two states included in our analysis changed its regulations in 2009, so we present data from 2010 only. [End of table] Table 15: Surgical Technologist: Student Pass Rate and Mean Program Pass Rates, by Sector: For-profit; 2010: Student pass rate: 29.3%[C]; 2010: Mean program pass rate: 29.3%[C]. Nonprofit; 2010: Student pass rate: n/r; 2010: Mean program pass rate: n/r. Public; 2010: Student pass rate: 72[A]; 2010: Mean program pass rate: 72[A]. Source: GAO analysis of National Board of Surgical Technology and Surgical Assisting data for Indiana and South Carolina. Notes: One of the two states included in our analysis changed its regulations in 2009, so we present data from 2010 only. To calculate the student pass rate, the total number of first-time test takers passing the exam was divided by the total number of first- time test takers for each sector for each year and overall. The mean program pass rate represents the average pass rate of all programs in each sector and was calculated by summing the individual program pass rates and dividing by the total number of programs for each sector, for each year and overall. We do not report specific pass rates for nonprofit surgical technician programs because there were fewer than five such programs in our sample. However, the pass rates for students from the nonprofit sector was statistically significantly higher than that of students in the for-profit and public sectors. N/R indicates that we are not reporting pass rates because there were less than five programs. [A] Indicates pass rate is statistically different from for-profit sector pass rates. [C] Indicates pass rate is statistically different from public sector pass rate. [End of table] Figure 5: Surgical Technologists: Number of Programs by Pass Rate Range, 2010: [Refer to PDF for image: 2 horizontal bar graphs] Public (20 programs): Pass rate between 0-25%: 0; Pass rate between 26-50%: 3; Pass rate between 51-75%: 8; Pass rate between 76-100%: 9. For-profit (8 programs): Pass rate between 0-25%: 2; Pass rate between 26-50%: 6; Pass rate between 51-75%: 0; Pass rate between 76-100%: 0. Source: GAO analysis of National Board of Surgical Technology and Surgical Assisting data from Indiana and South Carolina. [End of figure] Table 16: Massage Therapist: Number of Programs and Test Takers, by Sector: State: Florida; Exam: Combined NCETM/NCETMB; Sector: For-profit; 2008: Programs: 78; 2008: Test takers: 2,580; 2009: Programs: 79; 2009: Test takers: 2,423; 2010: Programs: 64; 2010: Test takers: 974; 2008-2010: Programs: 90; 2008-2010: Test takers: 5,977. State: Florida; Exam: Combined NCETM/NCETMB; Sector: Public; 2008: Programs: 23; 2008: Test takers: 376; 2009: Programs: 21; 2009: Test takers: 336; 2010: Programs: 16; 2010: Test takers: 158; 2008-2010: Programs: 23; 2008-2010: Test takers: 870. State: Florida; Exam: NCETM; Sector: For-profit; 2008: Programs: 20; 2008: Test takers: 24; 2009: Programs: 22; 2009: Test takers: 59; 2010: Programs: 22; 2010: Test takers: 147; 2008-2010: Programs: 43; 2008-2010: Test takers: 230. State: Florida; Exam: NCETM; Sector: Public; 2008: Programs: 1; 2008: Test takers: 1; 2009: Programs: 2; 2009: Test takers: 2; 2010: Programs: 4; 2010: Test takers: 11; 2008-2010: Programs: 7; 2008-2010: Test takers: 14. State: Florida; Exam: NCETMB; Sector: For-profit; 2008: Programs: 77; 2008: Test takers: 2,556; 2009: Programs: 79; 2009: Test takers: 2,364; 2010: Programs: 59; 2010: Test takers: 827; 2008-2010: Programs: 90; 2008-2010: Test takers: 5,747. State: Florida; Exam: NCETMB; Sector: Public; 2008: Programs: 23; 2008: Test takers: 375; 2009: Programs: 21; 2009: Test takers: 334; 2010: Programs: 16; 2010: Test takers: 147; 2008-2010: Programs: 23; 2008-2010: Test takers: 856. State: Florida; Exam: MBLEx; Sector: For-profit; 2008: Programs: 11; 2008: Test takers: 18; 2009: Programs: 48; 2009: Test takers: 434; 2010: Programs: 57; 2010: Test takers: 2,423; 2008-2010: Programs: 65; 2008-2010: Test takers: 2,875. State: Florida; Exam: MBLEx; Sector: Public; 2008: Programs: 1; 2008: Test takers: 1; 2009: Programs: 7; 2009: Test takers: 35; 2010: Programs: 14; 2010: Test takers: 177; 2008-2010: Programs: 15; 2008-2010: Test takers: 213. State: North Carolina; Exam: Combined NCETM/NCETMB; Sector: For-profit; 2008: Programs: 6; 2008: Test takers: 363; 2009: Programs: 6; 2009: Test takers: 307; 2010: Programs: 5; 2010: Test takers: 72; 2008-2010: Programs: 8; 2008-2010: Test takers: 742. State: North Carolina; Exam: Combined NCETM/NCETMB; Sector: Public; 2008: Programs: 13; 2008: Test takers: 122; 2009: Programs: 8; 2009: Test takers: 46; 2010: Programs: 7; 2010: Test takers: 25; 2008-2010: Programs: 15; 2008-2010: Test takers: 193. State: North Carolina; Exam: NCETM; Sector: For-profit; 2008: Programs: 5; 2008: Test takers: 17; 2009: Programs: 3; 2009: Test takers: 9; 2010: Programs: 2; 2010: Test takers: 3; 2008-2010: Programs: 6; 2008-2010: Test takers: 29. State: North Carolina; Exam: NCETM; Sector: Public; 2008: Programs: 8; 2008: Test takers: 31; 2009: Programs: 4; 2009: Test takers: 12; 2010: Programs: 4; 2010: Test takers: 6; 2008-2010: Programs: 10; 2008-2010: Test takers: 49. State: North Carolina; Exam: NCETMB; Sector: For-Profit; 2008: Programs: 6; 2008: Test takers: 346; 2009: Programs: 6; 2009: Test takers: 298; 2010: Programs: 5; 2010: Test takers: 69; 2008-2010: Programs: 8; 2008-2010: Test takers: 713. State: North Carolina; Exam: NCETMB; Sector: Public; 2008: Programs: 12; 2008: Test takers: 91; 2009: Programs: 7; 2009: Test takers: 34; 2010: Programs: 5; 2010: Test takers: 19; 2008-2010: Programs: 14; 2008-2010: Test takers: 144. State: North Carolina; Exam: MBLEx; Sector: For-profit; 2008: Programs: 2; 2008: Test takers: 2; 2009: Programs: 5; 2009: Test takers: 428; 2010: Programs: 7; 2010: Test takers: 550; 2008-2010: Programs: 7; 2008-2010: Test takers: 980. State: North Carolina; Exam: MBLEx; Sector: Public; 2008: Programs: 3; 2008: Test takers: 14; 2009: Programs: 11; 2009: Test takers: 84; 2010: Programs: 12; 2010: Test takers: 99; 2008-2010: Programs: 12; 2008-2010: Test takers: 197. State: New York; Exam: [Empty]; Sector: For-profit; 2008: Programs: 10; 2008: Test takers: 746; 2009: Programs: 10; 2009: Test takers: 784; 2010: Programs: 10; 2010: Test takers: 670; 2008-2010: Programs: 10; 2008-2010: Test takers: 2,200. State: New York; Exam: [Empty]; Sector: Nonprofit; 2008: Programs: 2; 2008: Test takers: 190; 2009: Programs: 2; 2009: Test takers: 168; 2010: Programs: 2; 2010: Test takers: 257; 2008-2010: Programs: 2; 2008-2010: Test takers: 615. State: New York; Exam: [Empty]; Sector: Public; 2008: Programs: 6; 2008: Test takers: 101; 2009: Programs: 6; 2009: Test takers: 94; 2010: Programs: 6; 2010: Test takers: 79; 2008-2010: Programs: 6; 2008-2010: Test takers: 274. State: Ohio; Exam: [Empty]; Sector: For-profit; 2008: Programs: 21; 2008: Test takers: 357; 2009: Programs: 23; 2009: Test takers: 704; 2010: Programs: 21; 2010: Test takers: 660; 2008-2010: Programs: 23; 2008-2010: Test takers: 1,721. State: Ohio; Exam: [Empty]; Sector: Nonprofit; 2008: Programs: 3; 2008: Test takers: 20; 2009: Programs: 4; 2009: Test takers: 68; 2010: Programs: 3; 2010: Test takers: 51; 2008-2010: Programs: 4; 2008-2010: Test takers: 139. State: Ohio; Exam: [Empty]; Sector: Public; 2008: Programs: 9; 2008: Test takers: 62; 2009: Programs: 10; 2009: Test takers: 133; 2010: Programs: 9; 2010: Test takers: 147; 2008-2010: Programs: 12; 2008-2010: Test takers: 342. Source: GAO analysis of data provided by the Federation of State Massage Therapy Boards, the National Certification Board for Therapeutic Massage and Bodywork, the New York State Board for Massage Therapy, and the State Medical Board of Ohio. Note: Ohio offers its massage therapy licensing exam in June and December. We were unable to obtain data from the June 2008 exam. Data presented from Ohio includes the second half of 2008 and all of 2009 and 2010. [End of table] Table 17: Massage Therapist: Student Pass Rate and Mean Program Pass Rates, by Sector: State: Florida; Exam: Combined NCETM/NCETMB; Sector: For-profit; 2008: Student pass rate: 56%[C]; 2008: Mean program pass rate: 51.1%[C]; 2009: Student pass rate: 48.7%[C]; 2009: Mean program pass rate: 41.5%[C]; 2010: Student pass rate: 59.4%[C]; 2010: Mean program pass rate: 45.2%[C]; 2008-2010: Student pass rate: 53.6%[C]; 2008-2010: Mean program pass rate: 44.7%[C]. State: Florida; Exam: Combined NCETM/NCETMB; Sector: Public; 2008: Student pass rate: 72.1[A]; 2008: Mean program pass rate: 73.6[A]; 2009: Student pass rate: 61[A]; 2009: Mean program pass rate: 56.9[A]; 2010: Student pass rate: 79.7[A]; 2010: Mean program pass rate: 83.4[A]; 2008-2010: Student pass rate: 69.2[A]; 2008-2010: Mean program pass rate: 68.3[A]. State: Florida; Exam: NCETM; Sector: For-profit; 2008: Student pass rate: 70.8; 2008: Mean program pass rate: 74.2; 2009: Student pass rate: 49.2; 2009: Mean program pass rate: 20.2; 2010: Student pass rate: 55.8; 2010: Mean program pass rate: 44.6; 2008-2010: Student pass rate: 55.7; 2008-2010: Mean program pass rate: 42.9. State: Florida; Exam: NCETM; Sector: Public; 2008: Student pass rate: n/r; 2008: Mean program pass rate: n/r; 2009: Student pass rate: n/r; 2009: Mean program pass rate: n/r; 2010: Student pass rate: n/r; 2010: Mean program pass rate: n/r; 2008-2010: Student pass rate: 57.1; 2008-2010: Mean program pass rate: 51. State: Florida; Exam: NCETMB; Sector: For-profit; 2008: Student pass rate: 55.8[C]; 2008: Mean program pass rate: 49.8[C]; 2009: Student pass rate: 48.7[C]; 2009: Mean program pass rate: 42.1[C]; 2010: Student pass rate: 60.1[C]; 2010: Mean program pass rate: 46.1[C]; 2008-2010: Student pass rate: 53.5[C]; 2008-2010: Mean program pass rate: 45.4[C]. State: Florida; Exam: NCETMB; Sector: Public; 2008: Student pass rate: 72[A]; 2008: Mean program pass rate: 73.5[A]; 2009: Student pass rate: 61.4[A]; 2009: Mean program pass rate: 57.1[A]; 2010: Student pass rate: 81[A]; 2010: Mean program pass rate: 86.4[A]; 2008-2010: Student pass rate: 69.4[A]; 2008-2010: Mean program pass rate: 68.5[A]. State: Florida; Exam: MBLEx; Sector: For-profit; 2008: Student pass rate: 94.4; 2008: Mean program pass rate: 97; 2009: Student pass rate: 71.4; 2009: Mean program pass rate: 71.1; 2010: Student pass rate: 63[C]; 2010: Mean program pass rate: 62.4[C]; 2008-2010: Student pass rate: 64.5[C]; 2008-2010: Mean program pass rate: 65.3. State: Florida; Exam: MBLEx; Sector: Public; 2008: Student pass rate: n/r; 2008: Mean program pass rate: n/r; 2009: Student pass rate: 82.9; 2009: Mean program pass rate: 79; 2010: Student pass rate: 72.9[A]; 2010: Mean program pass rate: 76.5[A]; 2008-2010: Student pass rate: 74.6[A]; 2008-2010: Mean program pass rate: 73.7. State: North Carolina; Exam: Combined NCETM/NCETMB; Sector: For-profit; 2008: Student pass rate: 71.3; 2008: Mean program pass rate: 76.1; 2009: Student pass rate: 57[C]; 2009: Mean program pass rate: 59.7[C]; 2010: Student pass rate: 80.6; 2010: Mean program pass rate: 65.6; 2008-2010: Student pass rate: 66.3[C]; 2008-2010: Mean program pass rate: 76. State: North Carolina; Exam: Combined NCETM/NCETMB; Sector: Public; 2008: Student pass rate: 77.9; 2008: Mean program pass rate: 81.9; 2009: Student pass rate: 80.4[A]; 2009: Mean program pass rate: 82.6[A]; 2010: Student pass rate: 68; 2010: Mean program pass rate: 72.1; 2008-2010: Student pass rate: 77.2[A]; 2008-2010: Mean program pass rate: 78. State: North Carolina; Exam: NCETM; Sector: For-profit; 2008: Student pass rate: 52.9; 2008: Mean program pass rate: 59.1; 2009: Student pass rate: n/r; 2009: Mean program pass rate: n/r; 2010: Student pass rate: n/r; 2010: Mean program pass rate: n/r; 2008-2010: Student pass rate: 51.7[C]; 2008-2010: Mean program pass rate: 58.3. State: North Carolina; Exam: NCETM; Sector: Public; 2008: Student pass rate: 77.4; 2008: Mean program pass rate: 83.3; 2009: Student pass rate: n/r; 2009: Mean program pass rate: n/r; 2010: Student pass rate: n/r; 2010: Mean program pass rate: n/r; 2008-2010: Student pass rate: 81.6[A]; 2008-2010: Mean program pass rate: 89.2. State: North Carolina; Exam: NCETMB; Sector: For-profit; 2008: Student pass rate: 72.3; 2008: Mean program pass rate: 78; 2009: Student pass rate: 57[C]; 2009: Mean program pass rate: 61; 2010: Student pass rate: 82.6; 2010: Mean program pass rate: 67.5; 2008-2010: Student pass rate: 66.9; 2008-2010: Mean program pass rate: 77.2. State: North Carolina; Exam: NCETMB; Sector: Public; 2008: Student pass rate: 78; 2008: Mean program pass rate: 74; 2009: Student pass rate: 79.4[A]; 2009: Mean program pass rate: 77; 2010: Student pass rate: 57.9; 2010: Mean program pass rate: 61; 2008-2010: Student pass rate: 75.7; 2008-2010: Mean program pass rate: 69. State: North Carolina; Exam: Exam: MBLEx; Sector: For-profit; 2008: Student pass rate: n/r; 2008: Mean program pass rate: n/r; 2009: Student pass rate: 80.8[C]; 2009: Mean program pass rate: 86.9; 2010: Student pass rate: 78.9[C]; 2010: Mean program pass rate: 78.8; 2008-2010: Student pass rate: 79.8[C]; 2008-2010: Mean program pass rate: 80.8[C]. State: North Carolina; Exam: Exam: MBLEx; Sector: Public; 2008: Student pass rate: n/r; 2008: Mean program pass rate: n/r; 2009: Student pass rate: 96.4[A]; 2009: Mean program pass rate: 98.3; 2010: Student pass rate: 88.9[A]; 2010: Mean program pass rate: 89.7; 2008-2010: Student pass rate: 91.9[A]; 2008-2010: Mean program pass rate: 92.9[A]. State: New York; Exam: [Empty]; Sector: For-profit; 2008: Student pass rate: 87; 2008: Mean program pass rate: 85.1; 2009: Student pass rate: 84.3; 2009: Mean program pass rate: 79.9; 2010: Student pass rate: 79.6; 2010: Mean program pass rate: 75.9[C]; 2008-2010: Student pass rate: 83.8; 2008-2010: Mean program pass rate: 81.1. State: New York; Exam: [Empty]; Sector: Nonprofit; 2008: Student pass rate: n/r; 2008: Mean program pass rate: n/r; 2009: Student pass rate: n/r; 2009: Mean program pass rate: n/r; 2010: Student pass rate: n/r; 2010: Mean program pass rate: n/r; 2008-2010: Student pass rate: n/r; 2008-2010: Mean program pass rate: n/r. State: New York; Exam: [Empty]; Sector: Public; 2008: Student pass rate: 88.1; 2008: Mean program pass rate: 88; 2009: Student pass rate: 80.9; 2009: Mean program pass rate: 78.4; 2010: Student pass rate: 88.6; 2010: Mean program pass rate: 88.8[A]; 2008-2010: Student pass rate: 85.8; 2008-2010: Mean program pass rate: 84.6. State: Ohio; Exam: [Empty]; Sector: For-profit; 2008: Student pass rate: 45.9[C]; 2008: Mean program pass rate: 47.8; 2009: Student pass rate: 59.4[C]; 2009: Mean program pass rate: 64.1; 2010: Student pass rate: 67[C]; 2010: Mean program pass rate: 66.6[C]; 2008-2010: Student pass rate: 59.5[C]; 2008-2010: Mean program pass rate: 58.9[C]. State: Ohio; Exam: [Empty]; Sector: Nonprofit; 2008: Student pass rate: n/r; 2008: Mean program pass rate: n/r; 2009: Student pass rate: n/r; 2009: Mean program pass rate: n/r; 2010: Student pass rate: n/r; 2010: Mean program pass rate: n/r; 2008-2010: Student pass rate: n/r; 2008-2010: Mean program pass rate: n/r. State: Ohio; Exam: [Empty]; Sector: Public; 2008: Student pass rate: 72.6[A]; 2008: Mean program pass rate: 63; 2009: Student pass rate: 81.2[A]; 2009: Mean program pass rate: 79.7; 2010: Student pass rate: 85.7[A]; 2010: Mean program pass rate: 84[A]; 2008-2010: Student pass rate: 81.6[A]; 2008-2010: Mean program pass rate: 74.7[A]. Source: GAO analysis of data provided by the Federation of State Massage Therapy Boards, the National Certification Board for Therapeutic Massage and Bodywork, the New York State Board for Massage Therapy, and the State Medical Board of Ohio. Notes: Ohio offers its massage therapy licensing exam in June and December. We were unable to obtain data from the June 2008 exam. Data presented from Ohio includes the second half of 2008 and all of 2009 and 2010. To calculate the student pass rate, the total number of first-time test takers passing the exam was divided by the total number of first- time test takers for each sector for each year and overall. The mean program pass rate represents the average pass rate of all programs in each sector and was calculated by summing the individual program pass rates and dividing by the total number of programs for each sector, for each year and overall. We do not report specific pass rates for nonprofit massage therapist programs because there were fewer than five such programs in Ohio, Florida, and New York, and none in North Carolina over the 2008-2010 time period. However, the pass rates for students from the nonprofit sector in Florida and New York were not statistically different than that of students from the for-profit sector or public sector. The pass rate for nonprofit students in Ohio was statistically significantly higher than that of students from the for-profit sector. N/R indicates that we are not reporting pass rates because there were less than five programs. [A] Indicates pass rate is statistically different from for-profit sector pass rates. [B] Indicates pass rate is statistically different from nonprofit sector pass rate. [C] Indicates pass rate is statistically different from public sector pass rate. [End of table] Figure 6: Massage Therapist: Number of Programs by Pass Rate Range, 2008-2010: [Refer to PDF for image: 2 horizontal bar graphs] Public: Florida: NCETM/NCETMB (23 programs): Pass rate between 0-25%: 0; Pass rate between 26-50%: 4; Pass rate between 51-75%: 13; Pass rate between 76-100%: 6. Florida: MBLEx (15 programs): Pass rate between 0-25%: 1; Pass rate between 26-50%: 1; Pass rate between 51-75%: 4; Pass rate between 76-100%: 9. North Carolina: NCETM/NCETMB (15 programs): Pass rate between 0-25%: 0; Pass rate between 26-50%: 1; Pass rate between 51-75%: 4; Pass rate between 76-100%: 9. North Carolina: MBLEx (12 programs): Pass rate between 0-25%: 0; Pass rate between 26-50%: 0; Pass rate between 51-75%: 0; Pass rate between 76-100%: 12. New York (6 programs): Pass rate between 0-25%: 0; Pass rate between 26-50%: 0; Pass rate between 51-75%: 1; Pass rate between 76-100%: 5. Ohio (12 programs): Pass rate between 0-25%: 0; Pass rate between 26-50%: 3; Pass rate between 51-75%: 2; Pass rate between 76-100%: 7. For-profit: Florida: NCETM/NCETMB (90 programs): Pass rate between 0-25%: 18; Pass rate between 26-50%: 38; Pass rate between 51-75%: 24; Pass rate between 76-100%: 10. Florida: MBLEx (65 programs): Pass rate between 0-25%: 2; Pass rate between 26-50%: 13; Pass rate between 51-75%: 31; Pass rate between 76-100%: 19. North Carolina: NCETM/NCETMB (8 programs): Pass rate between 0-25%: 0; Pass rate between 26-50%: 0; Pass rate between 51-75%: 5; Pass rate between 76-100%: 3. North Carolina: MBLEx (7 programs): Pass rate between 0-25%: 0; Pass rate between 26-50%: 0; Pass rate between 51-75%: 2; Pass rate between 76-100%: 5. New York (10 programs): Pass rate between 0-25%: 0; Pass rate between 26-50%: 0; Pass rate between 51-75%: 2; Pass rate between 76-100%: 8. Ohio (23 programs): Pass rate between 0-25%: 3; Pass rate between 26-50%: 4; Pass rate between 51-75%: 11; Pass rate between 76-100%: 5. Source: GAAO analysis of data provided by the Federation of State Massage Therapy Boards, the National Certification Board for Therapeutic Massage and Bodywork, the New York State Board of Massage Therapy, and the State Medical Board of Ohio. [End of figure] Table 18: Law: Number of Programs and Test Takers, by Sector: State: California; Sector: For-profit; 2008: Programs: 3; 2008: Test takers: 239; 2009: Programs: 3; 2009: Test takers: 193; 2010: Programs: 3; 2010: Test takers: 180; 2008-2010: Programs: 3; 2008-2010: Test takers: 612. State: California; Sector: Nonprofit; 2008: Programs: 22; 2008: Test takers: 3,334; 2009: Programs: 22; 2009: Test takers: 3,282; 2010: Programs: 22; 2010: Test takers: 3,331; 2008-2010: Programs: 22; 2008-2010: Test takers: 9,947. State: California; Sector: Public; 2008: Programs: 4; 2008: Test takers: 1,050; 2009: Programs: 4; 2009: Test takers: 1,109; 2010: Programs: 4; 2010: Test takers: 1,083; 2008-2010: Programs: 4; 2008-2010: Test takers: 3,242. State: Florida; Sector: For-profit; 2008: Programs: 1; 2008: Test takers: 253; 2009: Programs: 1; 2009: Test takers: 289; 2010: Programs: 1; 2010: Test takers: 290; 2008-2010: Programs: 1; 2008-2010: Test takers: 832. State: Florida; Sector: Nonprofit; 2008: Programs: 5; 2008: Test takers: 1,080; 2009: Programs: 5; 2009: Test takers: 1,067; 2010: Programs: 6; 2010: Test takers: 1,280; 2008-2010: Programs: 6; 2008-2010: Test takers: 3,427. State: Florida; Sector: Public; 2008: Programs: 4; 2008: Test takers: 861; 2009: Programs: 4; 2009: Test takers: 835; 2010: Programs: 4; 2010: Test takers: 813; 2008-2010: Programs: 4; 2008-2010: Test takers: 2,509. State: Georgia; Sector: For-profit; 2008: Programs: 1; 2008: Test takers: 87; 2009: Programs: 1; 2009: Test takers: 104; 2010: Programs: 1; 2010: Test takers: 135; 2008-2010: Programs: 1; 2008-2010: Test takers: 326. State: Georgia; Sector: Nonprofit; 2008: Programs: 2; 2008: Test takers: 228; 2009: Programs: 2; 2009: Test takers: 226; 2010: Programs: 2; 2010: Test takers: 232; 2008-2010: Programs: 2; 2008-2010: Test takers: 686. State: Georgia; Sector: Public; 2008: Programs: 2; 2008: Test takers: 335; 2009: Programs: 2; 2009: Test takers: 340; 2010: Programs: 2; 2010: Test takers: 363; 2008-2010: Programs: 2; 2008-2010: Test takers: 1,038. Source: GAO analysis of publicly available data from the State Bar of California, the Florida Board of Bar Examiners, and the Supreme Court of Georgia Office of Bar Admissions. [End of table] Table 19: Law: Student Pass Rate and Mean Program Pass Rates, by Sector: State: California; Sector: For-profit; 2008: Student pass rate: 49.4%[B, C]; 2008: Mean program pass rate: 41.4%[C]; 2009: Student pass rate: 41.5%[B, C]; 2009: Mean program pass rate: 39.3%[B, C]; 2010: Student pass rate: 42.8%[B, C]; 2010: Mean program pass rate: 34.2%[C]; 2008-2010: Student pass rate: 44.9%[B, C]; 2008-2010: Mean program pass rate: 40.3%[C]. State: California; Sector: Nonprofit; 2008: Student pass rate: 76.7[A, C]; 2008: Mean program pass rate: 62.7[C]; 2009: Student pass rate: 69.3[A, C]; 2009: Mean program pass rate: 56.2[A, C]; 2010: Student pass rate: 67.6[A, C]; 2010: Mean program pass rate: 58.2[C]; 2008-2010: Student pass rate: 71.2[A, C]; 2008-2010: Mean program pass rate: 59.5[C]. State: California; Sector: Public; 2008: Student pass rate: 84.1[A, B]; 2008: Mean program pass rate: 84[A, B]; 2009: Student pass rate: 87[A, B]; 2009: Mean program pass rate: 87.6[A, B]; 2010: Student pass rate: 83.3[A, B]; 2010: Mean program pass rate: 83.7[A, B]; 2008-2010: Student pass rate: 84.8[A, B]; 2008-2010: Mean program pass rate: 85.1[A, B]. State: Florida; Sector: For-profit; 2008: Student pass rate: 83; 2008: Mean program pass rate: 83; 2009: Student pass rate: 79.6; 2009: Mean program pass rate: 79.6; 2010: Student pass rate: 74.8; 2010: Mean program pass rate: 74.8[B, C]; 2008-2010: Student pass rate: 79; 2008-2010: Mean program pass rate: 79. State: Florida; Sector: Nonprofit; 2008: Student pass rate: 83.5; 2008: Mean program pass rate: 82.6; 2009: Student pass rate: 79.5; 2009: Mean program pass rate: 78.1; 2010: Student pass rate: 78.6; 2010: Mean program pass rate: 75.9[A]; 2008-2010: Student pass rate: 80.4; 2008-2010: Mean program pass rate: 77.2. State: Florida; Sector: Public; 2008: Student pass rate: 85.4; 2008: Mean program pass rate: 82.4; 2009: Student pass rate: 79; 2009: Mean program pass rate: 76; 2010: Student pass rate: 81.9; 2010: Mean program pass rate: 78.5[A]; 2008-2010: Student pass rate: 82.1; 2008-2010: Mean program pass rate: 78.7. State: Georgia; Sector: For-profit; 2008: Student pass rate: 83.9[B, C]; 2008: Mean program pass rate: 83.9[B, C]; 2009: Student pass rate: 82.7[C]; 2009: Mean program pass rate: 82.7[B, C]; 2010: Student pass rate: 59.3[B, C]; 2010: Mean program pass rate: 59.3[B, C]; 2008-2010: Student pass rate: 73.3[B, C]; 2008-2010: Mean program pass rate: 73.3[B, C]. State: Georgia; Sector: Nonprofit; 2008: Student pass rate: 96.1[A]; 2008: Mean program pass rate: 96.1[A]; 2009: Student pass rate: 88.5; 2009: Mean program pass rate: 88.7[A, C]; 2010: Student pass rate: 92.7[A]; 2010: Mean program pass rate: 92.7[A]; 2008-2010: Student pass rate: 92.4[A]; 2008-2010: Mean program pass rate: 92.5[A]. State: Georgia; Sector: Public; 2008: Student pass rate: 96.4[A]; 2008: Mean program pass rate: 96.5[A]; 2009: Student pass rate: 93.2[A]; 2009: Mean program pass rate: 93.2[A, B]; 2010: Student pass rate: 94.8[A]; 2010: Mean program pass rate: 94.6[A]; 2008-2010: Student pass rate: 94.8[A]; 2008-2010: Mean program pass rate: 94.8[A]. Source: GAO analysis of publicly available data from the State Bar of California, the Florida Board of Bar Examiners, and the Supreme Court of Georgia Office of Bar Admissions. Note: To calculate the student pass rate, the total number of first- time test takers passing the exam was divided by the total number of first-time test takers for each sector for each year and overall. The mean program pass rate represents the average pass rate of all programs in each sector and was calculated by summing the individual program pass rates and dividing by the total number of programs for each sector, for each year and overall. [A] Indicates pass rate is statistically different from for-profit sector pass rates. [B] Indicates pass rate is statistically different from nonprofit sector pass rate. [C] Indicates pass rate is statistically different from public sector pass rate. [End of table] Figure 7: Law: Number of Programs by Pass Rate Range, 2008-2010: [Refer to PDF for image: 3 horizontal bar graphs] Public: California (4 programs): Pass rate between 0-25%: 0; Pass rate between 26-50%: 0; Pass rate between 51-75%: 0; Pass rate between 76-100%: 4. Florida (4 programs): Pass rate between 0-25%: 0; Pass rate between 26-50%: 0; Pass rate between 51-75%: 1; Pass rate between 76-100%: 3. Georgia (2 programs): Pass rate between 0-25%: 0; Pass rate between 26-50%: 0; Pass rate between 51-75%: 0; Pass rate between 76-100%: 2. Nonprofit: California (22 programs): Pass rate between 0-25%: 2; Pass rate between 26-50%: 5; Pass rate between 51-75%: 7; Pass rate between 76-100%: 8. Florida (6 programs): Pass rate between 0-25%: 0; Pass rate between 26-50%: 0; Pass rate between 51-75%: 2; Pass rate between 76-100%: 4. Georgia (2 programs): Pass rate between 0-25%: 0; Pass rate between 26-50%: 0; Pass rate between 51-75%: 0; Pass rate between 76-100%: 2. For-profit: California (3 programs): Pass rate between 0-25%: 1; Pass rate between 26-50%: 1; Pass rate between 51-75%: 1; Pass rate between 76-100%: 0. Florida (1 program): Pass rate between 0-25%: 0; Pass rate between 26-50%: 0; Pass rate between 51-75%: 0; Pass rate between 76-100%: 1. Georgia (1 program): Pass rate between 0-25%: 0; Pass rate between 26-50%: 0; Pass rate between 51-75%: 1; Pass rate between 76-100%: 0. Source: GAO analysis of publicly available data form the State Bar of California, the Florida Board of Examiners, and the Supreme Court of Georgia Office of Bar Admissions. [End of figure] Table 20: Cosmetology: Number of Programs and Test Takers, by Sector: State: California; Exam: Barber; Sector: For-profit; 2008: Programs: 20; 2008: Test takers: 409; 2009: Programs: 22; 2009: Test takers: 362; 2010: Programs: 20; 2010: Test takers: 440; 2008-2010: Programs: 26; 2008-2010: Test takers: 1,211. State: California; Exam: Barber; Sector: Public; 2008: Programs: 3; 2008: Test takers: 29; 2009: Programs: 3; 2009: Test takers: 44; 2010: Programs: 3; 2010: Test takers: 43; 2008-2010: Programs: 3; 2008-2010: Test takers: 116. State: California; Exam: Cosmetology; Sector: For-profit; 2008: Programs: 159; 2008: Test takers: 7,980; 2009: Programs: 161; 2009: Test takers: 7,357; 2010: Programs: 162; 2010: Test takers: 8,069; 2008-2010: Programs: 172; 2008-2010: Test takers: 23,406. State: California; Exam: Cosmetology; Sector: Public; 2008: Programs: 28; 2008: Test takers: 1,784; 2009: Programs: 28; 2009: Test takers: 1,527; 2010: Programs: 28; 2010: Test takers: 1,617; 2008-2010: Programs: 29; 2008-2010: Test takers: 4,928. State: California; Exam: Manicurist; Sector: For-profit; 2008: Programs: 81; 2008: Test takers: 3,160; 2009: Programs: 70; 2009: Test takers: 2,230; 2010: Programs: 78; 2010: Test takers: 1,716; 2008-2010: Programs: 98; 2008-2010: Test takers: 7,106. State: California; Exam: Manicurist; Sector: Public; 2008: Programs: 10; 2008: Test takers: 103; 2009: Programs: 8; 2009: Test takers: 60; 2010: Programs: 8; 2010: Test takers: 74; 2008-2010: Programs: 13; 2008-2010: Test takers: 237. State: California; Exam: Esthetician; Sector: For-profit; 2008: Programs: 92; 2008: Test takers: 3,453; 2009: Programs: 92; 2009: Test takers: 2,347; 2010: Programs: 98; 2010: Test takers: 2,434; 2008-2010: Programs: 105; 2008-2010: Test takers: 8,234. State: California; Exam: Esthetician; Sector: Public; 2008: Programs: 15; 2008: Test takers: 702; 2009: Programs: 17; 2009: Test takers: 570; 2010: Programs: 14; 2010: Test takers: 533; 2008-2010: Programs: 17; 2008-2010: Test takers: 1,805. State: California; Exam: Overall; Sector: For-profit; 2008: Programs: 171; 2008: Test takers: 15,002; 2009: Programs: 174; 2009: Test takers: 12,296; 2010: Programs: 175; 2010: Test takers: 12,659; 2008-2010: Programs: 182; 2008-2010: Test takers: 39,957. State: California; Exam: Overall; Sector: Public; 2008: Programs: 28; 2008: Test takers: 2,618; 2009: Programs: 28; 2009: Test takers: 2,201; 2010: Programs: 28; 2010: Test takers: 2,267; 2008-2010: Programs: 29; 2008-2010: Test takers: 7,086. State: Florida; Exam: Cosmetology; Sector: For-profit; 2008: Programs: 2008 data unavailable; 2008: Test takers: 2008 data unavailable; 2009: Programs: 65; 2009: Test takers: 1,216; 2010: Programs: 77; 2010: Test takers: 3,327; 2008-2010: Programs: 79; 2008-2010: Test takers: 4,543. State: Florida; Exam: Cosmetology; Sector: Nonprofit; 2008: Programs: 2008 data unavailable; 2008: Test takers: 2008 data unavailable; 2009: Programs: 1; 2009: Test takers: 3; 2010: Programs: 1; 2010: Test takers: 10; 2008-2010: Programs: 1; 2008-2010: Test takers: 13. State: Florida; Exam: Cosmetology; Sector: Public; 2008: Programs: 2008 data unavailable; 2008: Test takers: 2008 data unavailable; 2009: Programs: 42; 2009: Test takers: 432; 2010: Programs: 42; 2010: Test takers: 1,182; 2008-2010: Programs: 44; 2008-2010: Test takers: 1,614. State: North Carolina; Exam: Apprentice; Sector: For-profit; 2008: Programs: 13; 2008: Test takers: 46; 2009: Programs: 16; 2009: Test takers: 52; 2010: Programs: 14; 2010: Test takers: 48; 2008-2010: Programs: 20; 2008-2010: Test takers: 146. State: North Carolina; Exam: Apprentice; Sector: Public; 2008: Programs: 34; 2008: Test takers: 255; 2009: Programs: 40; 2009: Test takers: 317; 2010: Programs: 39; 2010: Test takers: 245; 2008-2010: Programs: 45; 2008-2010: Test takers: 817. State: North Carolina; Exam: Cosmetology; Sector: For-profit; 2008: Programs: 29; 2008: Test takers: 569; 2009: Programs: 32; 2009: Test takers: 714; 2010: Programs: 36; 2010: Test takers: 963; 2008-2010: Programs: 40; 2008-2010: Test takers: 2,246. State: North Carolina; Exam: Cosmetology; Sector: Public; 2008: Programs: 42; 2008: Test takers: 349; 2009: Programs: 51; 2009: Test takers: 495; 2010: Programs: 51; 2010: Test takers: 698; 2008-2010: Programs: 53; 2008-2010: Test takers: 1,542. State: North Carolina; Exam: Manicurist; Sector: For-profit; 2008: Programs: 11; 2008: Test takers: 69; 2009: Programs: 10; 2009: Test takers: 45; 2010: Programs: 11; 2010: Test takers: 55; 2008-2010: Programs: 23; 2008-2010: Test takers: 169. State: North Carolina; Exam: Manicurist; Sector: Public; 2008: Programs: 28; 2008: Test takers: 107; 2009: Programs: 29; 2009: Test takers: 93; 2010: Programs: 20; 2010: Test takers: 80; 2008-2010: Programs: 40; 2008-2010: Test takers: 280. State: North Carolina; Exam: Cosmetology teacher; Sector: For-profit; 2008: Programs: 14; 2008: Test takers: 20; 2009: Programs: 14; 2009: Test takers: 21; 2010: Programs: 20; 2010: Test takers: 30; 2008-2010: Programs: 26; 2008-2010: Test takers: 71. State: North Carolina; Exam: Cosmetology teacher; Sector: Public; 2008: Programs: 17; 2008: Test takers: 24; 2009: Programs: 19; 2009: Test takers: 31; 2010: Programs: 17; 2010: Test takers: 26; 2008-2010: Programs: 31; 2008-2010: Test takers: 81. State: North Carolina; Exam: Esthetician; Sector: For-profit; 2008: Programs: 11; 2008: Test takers: 138; 2009: Programs: 12; 2009: Test takers: 150; 2010: Programs: 8; 2010: Test takers: 151; 2008-2010: Programs: 16; 2008-2010: Test takers: 439. State: North Carolina; Exam: Esthetician; Sector: Public; 2008: Programs: 22; 2008: Test takers: 180; 2009: Programs: 25; 2009: Test takers: 187; 2010: Programs: 25; 2010: Test takers: 160; 2008-2010: Programs: 32; 2008-2010: Test takers: 527. State: North Carolina; Exam: Esthetician teacher; Sector: For-profit; 2008: Programs: 1; 2008: Test takers: 1; 2009: Programs: 3; 2009: Test takers: 3; 2010: Programs: 0; 2010: Test takers: 0; 2008-2010: Programs: 3; 2008-2010: Test takers: 4. State: North Carolina; Exam: Esthetician teacher; Sector: Public; 2008: Programs: 4; 2008: Test takers: 4; 2009: Programs: 1; 2009: Test takers: 1; 2010: Programs: 3; 2010: Test takers: 3; 2008-2010: Programs: 7; 2008-2010: Test takers: 8. State: North Carolina; Exam: Manicurist teacher; Sector: For-profit; 2008: Programs: 1; 2008: Test takers: 1; 2009: Programs: 1; 2009: Test takers: 1; 2010: Programs: 0; 2010: Test takers: 0; 2008-2010: Programs: 2; 2008-2010: Test takers: 2. State: North Carolina; Exam: Manicurist teacher; Sector: Public; 2008: Programs: 0; 2008: Test takers: 0; 2009: Programs: 1; 2009: Test takers: 1; 2010: Programs: 0; 2010: Test takers: 0; 2008-2010: Programs: 1; 2008-2010: Test takers: 1. State: North Carolina; Exam: Overall; Sector: For-profit; 2008: Programs: 35; 2008: Test takers: 844; 2009: Programs: 35; 2009: Test takers: 986; 2010: Programs: 41; 2010: Test takers: 1,247; 2008-2010: Programs: 46; 2008-2010: Test takers: 3,077. State: North Carolina; Exam: Overall; Sector: Public; 2008: Programs: 50; 2008: Test takers: 919; 2009: Programs: 55; 2009: Test takers: 1,125; 2010: Programs: 55; 2010: Test takers: 1,212; 2008-2010: Programs: 59; 2008-2010: Test takers: 3,256. State: Texas; Exam: Facialist; Sector: For-profit; 2008: Programs: 41; 2008: Test takers: 711; 2009: Programs: 41; 2009: Test takers: 742; 2010: Programs: 37; 2010: Test takers: 594; 2008-2010: Programs: 47; 2008-2010: Test takers: 2,047. State: Texas; Exam: Facialist; Sector: Nonprofit; 2008: Programs: 1; 2008: Test takers: 3; 2009: Programs: 1; 2009: Test takers: 2; 2010: Programs: 1; 2010: Test takers: 2; 2008-2010: Programs: 1; 2008-2010: Test takers: 7. State: Texas; Exam: Facialist; Sector: Public; 2008: Programs: 12; 2008: Test takers: 117; 2009: Programs: 12; 2009: Test takers: 90; 2010: Programs: 14; 2010: Test takers: 81; 2008-2010: Programs: 14; 2008-2010: Test takers: 288. State: Texas; Exam: Facial instructor; Sector: For-profit; 2008: Programs: 5; 2008: Test takers: 5; 2009: Programs: 3; 2009: Test takers: 5; 2010: Programs: 5; 2010: Test takers: 6; 2008-2010: Programs: 8; 2008-2010: Test takers: 16. State: Texas; Exam: Facial instructor; Sector: Public; 2008: Programs: 1; 2008: Test takers: 1; 2009: Programs: 2; 2009: Test takers: 2; 2010: Programs: 1; 2010: Test takers: 1; 2008-2010: Programs: 4; 2008-2010: Test takers: 4. State: Texas; Exam: Hair weaving; Sector: For-profit; 2008: Programs: 3; 2008: Test takers: 8; 2009: Programs: 3; 2009: Test takers: 7; 2010: Programs: 2; 2010: Test takers: 2; 2008-2010: Programs: 4; 2008-2010: Test takers: 17. State: Texas; Exam: Hair weaving; Sector: Public; 2008: Programs: 1; 2008: Test takers: 2; 2009: Programs: 1; 2009: Test takers: 6; 2010: Programs: 1; 2010: Test takers: 1; 2008-2010: Programs: 1; 2008-2010: Test takers: 9. State: Texas; Exam: Operator instructor; Sector: For-profit; 2008: Programs: 54; 2008: Test takers: 132; 2009: Programs: 57; 2009: Test takers: 158; 2010: Programs: 46; 2010: Test takers: 95; 2008-2010: Programs: 82; 2008-2010: Test takers: 385. State: Texas; Exam: Operator instructor; Sector: Nonprofit; 2008: Programs: 1; 2008: Test takers: 2; 2009: Programs: 1; 2009: Test takers: 1; 2010: Programs: 1; 2010: Test takers: 3; 2008-2010: Programs: 1; 2008-2010: Test takers: 6. State: Texas; Exam: Operator instructor; Sector: Public; 2008: Programs: 21; 2008: Test takers: 46; 2009: Programs: 26; 2009: Test takers: 84; 2010: Programs: 24; 2010: Test takers: 58; 2008-2010: Programs: 34; 2008-2010: Test takers: 188. State: Texas; Exam: Manicurist; Sector: For-profit; 2008: Programs: 57; 2008: Test takers: 576; 2009: Programs: 58; 2009: Test takers: 595; 2010: Programs: 50; 2010: Test takers: 446; 2008-2010: Programs: 79; 2008-2010: Test takers: 1,617. State: Texas; Exam: Manicurist; Sector: Nonprofit; 2008: Programs: 1; 2008: Test takers: 13; 2009: Programs: 1; 2009: Test takers: 15; 2010: Programs: 1; 2010: Test takers: 9; 2008-2010: Programs: 1; 2008-2010: Test takers: 37. State: Texas; Exam: Manicurist; Sector: Public; 2008: Programs: 10; 2008: Test takers: 38; 2009: Programs: 12; 2009: Test takers: 51; 2010: Programs: 12; 2010: Test takers: 58; 2008-2010: Programs: 18; 2008-2010: Test takers: 147. State: Texas; Exam: Manicure instructor; Sector: For-profit; 2008: Programs: 2; 2008: Test takers: 2; 2009: Programs: 0; 2009: Test takers: 0; 2010: Programs: 0; 2010: Test takers: 0; 2008-2010: Programs: 2; 2008-2010: Test takers: 2. State: Texas; Exam: Manicure instructor; Sector: Public; 2008: Programs: 1; 2008: Test takers: 1; 2009: Programs: 1; 2009: Test takers: 1; 2010: Programs: 0; 2010: Test takers: 0; 2008-2010: Programs: 2; 2008-2010: Test takers: 2. State: Texas; Exam: Cosmetology operator; Sector: For-profit; 2008: Programs: 112; 2008: Test takers: 3,369; 2009: Programs: 125; 2009: Test takers: 3,485; 2010: Programs: 132; 2010: Test takers: 3,641; 2008-2010: Programs: 143; 2008-2010: Test takers: 10,495. State: Texas; Exam: Cosmetology operator; Sector: Nonprofit; 2008: Programs: 1; 2008: Test takers: 24; 2009: Programs: 1; 2009: Test takers: 30; 2010: Programs: 1; 2010: Test takers: 31; 2008-2010: Programs: 1; 2008-2010: Test takers: 85. State: Texas; Exam: Cosmetology operator; Sector: Public; 2008: Programs: 46; 2008: Test takers: 1,046; 2009: Programs: 48; 2009: Test takers: 1,229; 2010: Programs: 48; 2010: Test takers: 1,022; 2008-2010: Programs: 50; 2008-2010: Test takers: 3,297. State: Texas; Exam: Shampooing and conditioning; Sector: For-profit; 2008: Programs: 5; 2008: Test takers: 6; 2009: Programs: 4; 2009: Test takers: 8; 2010: Programs: 5; 2010: Test takers: 5; 2008-2010: Programs: 10; 2008-2010: Test takers: 19. State: Texas; Exam: Overall; Sector: For-profit; 2008: Programs: 121; 2008: Test takers: 4,809; 2009: Programs: 128; 2009: Test takers: 5,000; 2010: Programs: 133; 2010: Test takers: 4,789; 2008-2010: Programs: 148; 2008-2010: Test takers: 14,598. State: Texas; Exam: Overall; Sector: Nonprofit; 2008: Programs: 1; 2008: Test takers: 42; 2009: Programs: 1; 2009: Test takers: 48; 2010: Programs: 1; 2010: Test takers: 45; 2008-2010: Programs: 1; 2008-2010: Test takers: 135. State: Texas; Exam: Overall; Sector: Public; 2008: Programs: 47; 2008: Test takers: 1,251; 2009: Programs: 48; 2009: Test takers: 1,463; 2010: Programs: 48; 2010: Test takers: 1,221; 2008-2010: Programs: 50; 2008-2010: Test takers: 3,935. Source: GAO analysis of data provided by the California State Board of Barbering and Cosmetology, the Florida Department of Business and Professional Regulation, Board of Cosmetology, the North Carolina Board of Cosmetic Art Examiners, and the Texas Department of Licensing and Regulation. [End of table] Table 21: Cosmetology: Student Pass Rate and Mean Program Pass Rate, by Sector: State: California; Exam: Barber; Sector: For-profit; 2008: Student pass rate: 82.2%; 2008: Mean program pass rate: 84.2%; 2009: Student pass rate: 80.9%; 2009: Mean program pass rate: 87%; 2010: Student pass rate: 82%; 2010: Mean program pass rate: 79.9%; 2008-2010: Student pass rate: 81.8%; 2008-2010: Mean program pass rate: 87.1%. State: California; Exam: Barber; Sector: Public; 2008: Student pass rate: n/r; 2008: Mean program pass rate: n/r; 2009: Student pass rate: n/r; 2009: Mean program pass rate: n/r; 2010: Student pass rate: n/r; 2010: Mean program pass rate: n/r; 2008-2010: Student pass rate: n/r; 2008-2010: Mean program pass rate: n/r. State: California; Exam: Cosmetology; Sector: For-profit; 2008: Student pass rate: 71.3[C]; 2008: Mean program pass rate: 69[C]; 2009: Student pass rate: 74.5[C]; 2009: Mean program pass rate: 72.7[C]; 2010: Student pass rate: 69.2[C]; 2010: Mean program pass rate: 68[C]; 2008-2010: Student pass rate: 71.6[C]; 2008-2010: Mean program pass rate: 69[C]. State: California; Exam: Cosmetology; Sector: Public; 2008: Student pass rate: 80.3[A]; 2008: Mean program pass rate: 78.4[A]; 2009: Student pass rate: 83.7[A]; 2009: Mean program pass rate: 80.6[A]; 2010: Student pass rate: 79.8[A]; 2010: Mean program pass rate: 74.8[A]; 2008-2010: Student pass rate: 81.2[A]; 2008-2010: Mean program pass rate: 78[A]. State: California; Exam: Manicurist; Sector: For-profit; 2008: Student pass rate: 79.5[C]; 2008: Mean program pass rate: 81; 2009: Student pass rate: 82.2; 2009: Mean program pass rate: 79; 2010: Student pass rate: 78.6; 2010: Mean program pass rate: 79.2; 2008-2010: Student pass rate: 80.1[C]; 2008-2010: Mean program pass rate: 79.9. State: California; Exam: Manicurist; Sector: Public; 2008: Student pass rate: 93.2[A]; 2008: Mean program pass rate: 89.1; 2009: Student pass rate: 86.7; 2009: Mean program pass rate: 79; 2010: Student pass rate: 81.1; 2010: Mean program pass rate: 70.2; 2008-2010: Student pass rate: 87.8[A]; 2008-2010: Mean program pass rate: 86.1. State: California; Exam: Esthetician; Sector: For-profit; 2008: Student pass rate: 85.2; 2008: Mean program pass rate: 85.7; 2009: Student pass rate: 91.3; 2009: Mean program pass rate: 91.6; 2010: Student pass rate: 89.2; 2010: Mean program pass rate: 87.3[C]; 2008-2010: Student pass rate: 88.1[C]; 2008-2010: Mean program pass rate: 87.4. State: California; Exam: Esthetician; Sector: Public; 2008: Student pass rate: 87.2; 2008: Mean program pass rate: 82.1; 2009: Student pass rate: 94; 2009: Mean program pass rate: 87.6; 2010: Student pass rate: 90.8; 2010: Mean program pass rate: 92.2[A]; 2008-2010: Student pass rate: 90.4[A]; 2008-2010: Mean program pass rate: 89.4. State: California; Exam: Overall; Sector: For-profit; 2008: Student pass rate: 76.6[C]; 2008: Mean program pass rate: 73.1[C]; 2009: Student pass rate: 79.3[C]; 2009: Mean program pass rate: 77[C]; 2010: Student pass rate: 74.8[C]; 2010: Mean program pass rate: 73.8; 2008-2010: Student pass rate: 76.8[C]; 2008-2010: Mean program pass rate: 73.9[C]. State: California; Exam: Overall; Sector: Public; 2008: Student pass rate: 82.7[A]; 2008: Mean program pass rate: 79.7[A]; 2009: Student pass rate: 86.4[A]; 2009: Mean program pass rate: 82.2[A]; 2010: Student pass rate: 82.8[A]; 2010: Mean program pass rate: 78; 2008-2010: Student pass rate: 83.9[A]; 2008-2010: Mean program pass rate: 80.1[A]. State: Florida; Exam: Cosmetology; Sector: For-profit; 2008: Student pass rate: 2008 data unavailable; 2008: Mean program pass rate: 2008 data unavailable; 2009: Student pass rate: 36.8[C]; 2009: Mean program pass rate: 43[C]; 2010: Student pass rate: 69.4[C]; 2010: Mean program pass rate: 69.4[C]; 2008-2010: Student pass rate: 60.7[C]; 2008-2010: Mean program pass rate: 62. State: Florida; Exam: Cosmetology; Sector: Nonprofit; 2008: Student pass rate: 2008 data unavailable; 2008: Mean program pass rate: 2008 data unavailable; 2009: Student pass rate: n/r; 2009: Mean program pass rate: n/r; 2010: Student pass rate: n/r; 2010: Mean program pass rate: n/r; 2008-2010: Student pass rate: n/r; 2008-2010: Mean program pass rate: n/r. State: Florida; Exam: Cosmetology; Sector: Public; 2008: Student pass rate: 2008 data unavailable; 2008: Mean program pass rate: 2008 data unavailable; 2009: Student pass rate: 53.7[A]; 2009: Mean program pass rate: 55.8[A]; 2010: Student pass rate: 78.9[A]; 2010: Mean program pass rate: 76[A]; 2008-2010: Student pass rate: 72.2[A]; 2008-2010: Mean program pass rate: 69.3. State: North Carolina; Exam: Apprentice; Sector: For-profit; 2008: Student pass rate: 93.5; 2008: Mean program pass rate: 89.3; 2009: Student pass rate: 78.8; 2009: Mean program pass rate: 85.6; 2010: Student pass rate: 83.3; 2010: Mean program pass rate: 74.9; 2008-2010: Student pass rate: 84.9; 2008-2010: Mean program pass rate: 85.2. State: North Carolina; Exam: Apprentice; Sector: Public; 2008: Student pass rate: 88.2; 2008: Mean program pass rate: 86; 2009: Student pass rate: 91.2; 2009: Mean program pass rate: 87.6; 2010: Student pass rate: 84.1; 2010: Mean program pass rate: 82.7; 2008-2010: Student pass rate: 88.1; 2008-2010: Mean program pass rate: 83.6. State: North Carolina; Exam: Cosmetology; Sector: For-profit; 2008: Student pass rate: 75[C]; 2008: Mean program pass rate: 71[C]; 2009: Student pass rate: 74.2[C]; 2009: Mean program pass rate: 65.9; 2010: Student pass rate: 68.4[C]; 2010: Mean program pass rate: 65.1; 2008-2010: Student pass rate: 72[C]; 2008-2010: Mean program pass rate: 64.8[C]. State: North Carolina; Exam: Cosmetology; Sector: Public; 2008: Student pass rate: 88.3[A]; 2008: Mean program pass rate: 86.1[A]; 2009: Student pass rate: 83.6[A]; 2009: Mean program pass rate: 77.2; 2010: Student pass rate: 76.9[A]; 2010: Mean program pass rate: 73.1; 2008-2010: Student pass rate: 81.6[A]; 2008-2010: Mean program pass rate: 75.1[A]. State: North Carolina; Exam: Manicurist; Sector: For-profit; 2008: Student pass rate: 71; 2008: Mean program pass rate: 70.4; 2009: Student pass rate: 73.3; 2009: Mean program pass rate: 60.6; 2010: Student pass rate: 65.5; 2010: Mean program pass rate: 55.1; 2008-2010: Student pass rate: 69.8; 2008-2010: Mean program pass rate: 62.7. State: North Carolina; Exam: Manicurist; Sector: Public; 2008: Student pass rate: 78.5; 2008: Mean program pass rate: 72.5; 2009: Student pass rate: 79.6; 2009: Mean program pass rate: 75.4; 2010: Student pass rate: 81.3; 2010: Mean program pass rate: 80.5; 2008-2010: Student pass rate: 79.6; 2008-2010: Mean program pass rate: 71.1. State: North Carolina; Exam: Cosmetology teacher; Sector: For-profit; 2008: Student pass rate: 35; 2008: Mean program pass rate: 28.6; 2009: Student pass rate: 57.1; 2009: Mean program pass rate: 61.9; 2010: Student pass rate: 50; 2010: Mean program pass rate: 45.4; 2008-2010: Student pass rate: 47.9; 2008-2010: Mean program pass rate: 50. State: North Carolina; Exam: Cosmetology teacher; Sector: Public; 2008: Student pass rate: 66.7; 2008: Mean program pass rate: 55.9; 2009: Student pass rate: 61.3; 2009: Mean program pass rate: 46.1; 2010: Student pass rate: 61.5; 2010: Mean program pass rate: 60.8; 2008-2010: Student pass rate: 63; 2008-2010: Mean program pass rate: 54.9. State: North Carolina; Exam: Esthetician; Sector: For-profit; 2008: Student pass rate: 89.9; 2008: Mean program pass rate: 87.7; 2009: Student pass rate: 86; 2009: Mean program pass rate: 59.7; 2010: Student pass rate: 80.1; 2010: Mean program pass rate: 85.6[C]; 2008-2010: Student pass rate: 85.2; 2008-2010: Mean program pass rate: 73.6. State: North Carolina; Exam: Esthetician; Sector: Public; 2008: Student pass rate: 88.3; 2008: Mean program pass rate: 91; 2009: Student pass rate: 88.8; 2009: Mean program pass rate: 79; 2010: Student pass rate: 73.8; 2010: Mean program pass rate: 70.1[A]; 2008-2010: Student pass rate: 84.1; 2008-2010: Mean program pass rate: 83.3. State: North Carolina; Exam: Esthetician teacher; Sector: For-profit; 2008: Student pass rate: n/r; 2008: Mean program pass rate: n/r; 2009: Student pass rate: n/r; 2009: Mean program pass rate: n/r; 2010: Student pass rate: n/a; 2010: Mean program pass rate: n/a; 2008-2010: Student pass rate: n/r; 2008-2010: Mean program pass rate: n/r. State: North Carolina; Exam: Esthetician teacher; Sector: Public; 2008: Student pass rate: n/r; 2008: Mean program pass rate: n/r; 2009: Student pass rate: n/r; 2009: Mean program pass rate: n/r; 2010: Student pass rate: n/r; 2010: Mean program pass rate: n/r; 2008-2010: Student pass rate: 75; 2008-2010: Mean program pass rate: 78.6. State: North Carolina; Exam: Manicurist teacher; Sector: For-profit; 2008: Student pass rate: n/r; 2008: Mean program pass rate: n/r; 2009: Student pass rate: n/r; 2009: Mean program pass rate: n/r; 2010: Student pass rate: n/a; 2010: Mean program pass rate: n/a; 2008-2010: Student pass rate: n/r; 2008-2010: Mean program pass rate: n/r. State: North Carolina; Exam: Manicurist teacher; Sector: Public; 2008: Student pass rate: n/a; 2008: Mean program pass rate: n/a; 2009: Student pass rate: n/r; 2009: Mean program pass rate: n/r; 2010: Student pass rate: n/a; 2010: Mean program pass rate: n/a; 2008-2010: Student pass rate: n/r; 2008-2010: Mean program pass rate: n/r. State: North Carolina; Exam: Overall; Sector: For-profit; 2008: Student pass rate: 77.1[C]; 2008: Mean program pass rate: 72.5[C]; 2009: Student pass rate: 76[C]; 2009: Mean program pass rate: 70.5[C]; 2010: Student pass rate: 69.8[C]; 2010: Mean program pass rate: 64.3; 2008-2010: Student pass rate: 73.8[C]; 2008-2010: Mean program pass rate: 67.4[C]. State: North Carolina; Exam: Overall; Sector: Public; 2008: Student pass rate: 86.6[A]; 2008: Mean program pass rate: 84.1[A]; 2009: Student pass rate: 85.6[A]; 2009: Mean program pass rate: 80.5[A]; 2010: Student pass rate: 77.9[A]; 2010: Mean program pass rate: 73.1; 2008-2010: Student pass rate: 83[A]; 2008-2010: Mean program pass rate: 77[A]. State: Texas; Exam: Facialist; Sector: For-profit; 2008: Student pass rate: 88; 2008: Mean program pass rate: 81[C]; 2009: Student pass rate: 90.2; 2009: Mean program pass rate: 86.3; 2010: Student pass rate: 72.6; 2010: Mean program pass rate: 69; 2008-2010: Student pass rate: 84.3; 2008-2010: Mean program pass rate: 80[C]. State: Texas; Exam: Facialist; Sector: Nonprofit; 2008: Student pass rate: n/r; 2008: Mean program pass rate: n/r; 2009: Student pass rate: n/r; 2009: Mean program pass rate: n/r; 2010: Student pass rate: n/r; 2010: Mean program pass rate: n/r; 2008-2010: Student pass rate: n/r; 2008-2010: Mean program pass rate: n/r. State: Texas; Exam: Facialist; Sector: Public; 2008: Student pass rate: 88.9; 2008: Mean program pass rate: 90.8[A]; 2009: Student pass rate: 90; 2009: Mean program pass rate: 89.1; 2010: Student pass rate: 75.3; 2010: Mean program pass rate: 75.8; 2008-2010: Student pass rate: 85.4; 2008-2010: Mean program pass rate: 87.5[A]. State: Texas; Exam: Facial instructor; Sector: For-profit; 2008: Student pass rate: 80; 2008: Mean program pass rate: 80; 2009: Student pass rate: n/r; 2009: Mean program pass rate: n/r; 2010: Student pass rate: 50; 2010: Mean program pass rate: 40; 2008-2010: Student pass rate: 56.3; 2008-2010: Mean program pass rate: 35. State: Texas; Exam: Facial instructor; Sector: Public; 2008: Student pass rate: n/r; 2008: Mean program pass rate: n/r; 2009: Student pass rate: n/r; 2009: Mean program pass rate: n/r; 2010: Student pass rate: n/r; 2010: Mean program pass rate: n/r; 2008-2010: Student pass rate: n/r; 2008-2010: Mean program pass rate: n/r. State: Texas; Exam: Hair weaving; Sector: For-profit; 2008: Student pass rate: n/r; 2008: Mean program pass rate: n/r; 2009: Student pass rate: n/r; 2009: Mean program pass rate: n/r; 2010: Student pass rate: n/r; 2010: Mean program pass rate: n/r; 2008-2010: Student pass rate: n/r; 2008-2010: Mean program pass rate: n/r. State: Texas; Exam: Hair weaving; Sector: Public; 2008: Student pass rate: n/r; 2008: Mean program pass rate: n/r; 2009: Student pass rate: n/r; 2009: Mean program pass rate: n/r; 2010: Student pass rate: n/r; 2010: Mean program pass rate: n/r; 2008-2010: Student pass rate: n/r; 2008-2010: Mean program pass rate: n/r. State: Texas; Exam: Operator instructor; Sector: For-profit; 2008: Student pass rate: 48.5; 2008: Mean program pass rate: 49.1; 2009: Student pass rate: 51.3; 2009: Mean program pass rate: 47.3; 2010: Student pass rate: 51.6; 2010: Mean program pass rate: 45.2; 2008-2010: Student pass rate: 50.4; 2008-2010: Mean program pass rate: 42.9. State: Texas; Exam: Operator instructor; Sector: Nonprofit; 2008: Student pass rate: n/r; 2008: Mean program pass rate: n/r; 2009: Student pass rate: n/r; 2009: Mean program pass rate: n/r; 2010: Student pass rate: n/r; 2010: Mean program pass rate: n/r; 2008-2010: Student pass rate: n/r; 2008-2010: Mean program pass rate: n/r. State: Texas; Exam: Operator instructor; Sector: Public; 2008: Student pass rate: 58.7; 2008: Mean program pass rate: 57; 2009: Student pass rate: 58.3; 2009: Mean program pass rate: 56.9; 2010: Student pass rate: 62.1; 2010: Mean program pass rate: 50.1; 2008-2010: Student pass rate: 59.6; 2008-2010: Mean program pass rate: 54.5. State: Texas; Exam: Manicurist; Sector: For-profit; 2008: Student pass rate: 73.6; 2008: Mean program pass rate: 63.8[C]; 2009: Student pass rate: 77; 2009: Mean program pass rate: 66.9; 2010: Student pass rate: 63.7[C]; 2010: Mean program pass rate: 58.4[C]; 2008-2010: Student pass rate: 72.1; 2008-2010: Mean program pass rate: 63.7[C]. State: Texas; Exam: Manicurist; Sector: Nonprofit; 2008: Student pass rate: n/r; 2008: Mean program pass rate: n/r; 2009: Student pass rate: n/r; 2009: Mean program pass rate: n/r; 2010: Student pass rate: n/r; 2010: Mean program pass rate: n/r; 2008-2010: Student pass rate: n/r; 2008-2010: Mean program pass rate: n/r. State: Texas; Exam: Manicurist; Sector: Public; 2008: Student pass rate: 78.9; 2008: Mean program pass rate: 88.1[A]; 2009: Student pass rate: 80.4; 2009: Mean program pass rate: 82.2; 2010: Student pass rate: 81[A]; 2010: Mean program pass rate: 82.9[A]; 2008-2010: Student pass rate: 80.3; 2008-2010: Mean program pass rate: 82[A]. State: Texas; Exam: Manicure instructor; Sector: For-profit; 2008: Student pass rate: n/r; 2008: Mean program pass rate: n/r; 2009: Student pass rate: n/a; 2009: Mean program pass rate: n/a; 2010: Student pass rate: n/a; 2010: Mean program pass rate: n/a; 2008-2010: Student pass rate: n/r; 2008-2010: Mean program pass rate: n/r. State: Texas; Exam: Manicure instructor; Sector: Public; 2008: Student pass rate: n/r; 2008: Mean program pass rate: n/r; 2009: Student pass rate: n/r; 2009: Mean program pass rate: n/r; 2010: Student pass rate: n/a; 2010: Mean program pass rate: n/a; 2008-2010: Student pass rate: n/r; 2008-2010: Mean program pass rate: n/r. State: Texas; Exam: Cosmetology operator; Sector: For-profit; 2008: Student pass rate: 75.3[C]; 2008: Mean program pass rate: 65.8[C]; 2009: Student pass rate: 76.6[C]; 2009: Mean program pass rate: 71.6[C]; 2010: Student pass rate: 57.1; 2010: Mean program pass rate: 51.2[C]; 2008-2010: Student pass rate: 69.4[C]; 2008-2010: Mean program pass rate: 61.8[C]. State: Texas; Exam: Cosmetology operator; Sector: Nonprofit; 2008: Student pass rate: n/r; 2008: Mean program pass rate: n/r; 2009: Student pass rate: n/r; 2009: Mean program pass rate: n/r; 2010: Student pass rate: n/r; 2010: Mean program pass rate: n/r; 2008-2010: Student pass rate: n/r; 2008-2010: Mean program pass rate: n/r. State: Texas; Exam: Cosmetology operator; Sector: Public; 2008: Student pass rate: 82.7[A]; 2008: Mean program pass rate: 84.3[A]; 2009: Student pass rate: 83.2[A]; 2009: Mean program pass rate: 85.9[A]; 2010: Student pass rate: 57.7; 2010: Mean program pass rate: 59.1[A]; 2008-2010: Student pass rate: 75.1[A]; 2008-2010: Mean program pass rate: 77[A]. State: Texas; Exam: Shampooing and conditioning; Sector: For-profit; 2008: Student pass rate: 33.3; 2008: Mean program pass rate: 40; 2009: Student pass rate: n/r; 2009: Mean program pass rate: n/r; 2010: Student pass rate: 40; 2010: Mean program pass rate: 40; 2008-2010: Student pass rate: 31.6; 2008-2010: Mean program pass rate: 36.4. State: Texas; Exam: Overall; Sector: For-profit; 2008: Student pass rate: 76.1[C]; 2008: Mean program pass rate: 68.2[C]; 2009: Student pass rate: 77.7[C]; 2009: Mean program pass rate: 70[C]; 2010: Student pass rate: 59.5; 2010: Mean program pass rate: 51.6[C]; 2008-2010: Student pass rate: 71.2[C]; 2008-2010: Mean program pass rate: 63.5[C]. State: Texas; Exam: Overall; Sector: Nonprofit; 2008: Student pass rate: n/r; 2008: Mean program pass rate: n/r; 2009: Student pass rate: n/r; 2009: Mean program pass rate: n/r; 2010: Student pass rate: n/r; 2010: Mean program pass rate: n/r; 2008-2010: Student pass rate: n/r; 2008-2010: Mean program pass rate: n/r. State: Texas; Exam: Overall; Sector: Public; 2008: Student pass rate: 82.3[A]; 2008: Mean program pass rate: 84[A]; 2009: Student pass rate: 82.2[A]; 2009: Mean program pass rate: 84.9[A]; 2010: Student pass rate: 60.3; 2010: Mean program pass rate: 59.6[A]; 2008-2010: Student pass rate: 75.4[A]; 2008-2010: Mean program pass rate: 76.4[A]. Source: GAO analysis of data provided by the California State Board of Barbering and Cosmetology, the Florida Department of Business and Professional Regulation, Board of Cosmetology, the North Carolina Board of Cosmetic Art Examiners, and the Texas Department of Licensing and Regulation. Notes: Two of the four states had no nonprofit cosmetology programs, while the other two each had fewer than 5 nonprofit programs, so we did not report results for the nonprofit sector. However, the pass rate for students from nonprofit programs was not statistically different than that for students from for-profit or public programs, probably due to the small sample size. To calculate the student pass rate, the total number of first-time test takers passing the exam was divided by the total number of first- time test takers for each sector for each year and overall. The mean program pass rate represents the average pass rate of all programs in each sector and was calculated by summing the individual program pass rates and dividing by the total number of programs for each sector, for each year and overall. N/R indicates that we are not reporting pass rates because there were less than five programs. N/A indicates not applicable because there were no programs or test takers. [A] Indicates pass rate is statistically different from for-profit sector pass rates. [B] Indicates pass rate is statistically different from nonprofit sector pass rate. [C] Indicates pass rate is statistically different from public sector pass rate. [End of table] Figure 8: Cosmetology: Number of Programs by Pass Rate Range, 2008- 2010: [Refer to PDF for image: 2 horizontal bar graphs] Public: California (29 programs): Pass rate between 0-25%: 0; Pass rate between 26-50%: 0; Pass rate between 51-75%: 8; Pass rate between 76-100%: 21. Florida (44 programs): Pass rate between 0-25%: 1; Pass rate between 26-50%: 8; Pass rate between 51-75%: 17; Pass rate between 76-100%: 18. North Carolina (53 programs): Pass rate between 0-25%: 2; Pass rate between 26-50%: 2; Pass rate between 51-75%: 17; Pass rate between 76-100%: 32. Texas (50 programs): Pass rate between 0-25%: 0; Pass rate between 26-50%: 1; Pass rate between 51-75%: 18; Pass rate between 76-100%: 31. For-profit: California (172 programs): Pass rate between 0-25%: 2; Pass rate between 26-50%: 7; Pass rate between 51-75%: 110; Pass rate between 76-100%: 53. Florida (79 programs): Pass rate between 0-25%: 7; Pass rate between 26-50%: 12; Pass rate between 51-75%: 39; Pass rate between 76-100%: 21. North Carolina (40 programs): Pass rate between 0-25%: 2; Pass rate between 26-50%: 7; Pass rate between 51-75%: 17; Pass rate between 76-100%: 14. Texas (143 programs): Pass rate between 0-25%: 13; Pass rate between 26-50%: 27; Pass rate between 51-75%: 61; Pass rate between 76-100%: 42. Source: GAO analysis of data provided by the California State Board of Barbering and Cosmetology, the Florida Department of Business and Professional Regulation, Board of Cosmetology, the North Carolina Board of Cosmetic Art Examiners, and the Texas Department of Licensing and Regulation. [End of figure] Table 22: Funeral Directors: Number of Programs and Test Takers, by Sector (All Programs): Sector: For-profit; Exam section: Arts; 2008: Programs: 4; 2008: Test takers: 148; 2009: Programs: 4; 2009: Test takers: 128; 2010: Programs: 4; 2010: Test takers: 127; 2008-2010: Programs: 4; 2008-2010: Test takers: 403. Sector: For-profit; Exam section: Sciences; 2008: Programs: 4; 2008: Test takers: 145; 2009: Programs: 4; 2009: Test takers: 129; 2010: Programs: 4; 2010: Test takers: 128; 2008-2010: Programs: 4; 2008-2010: Test takers: 402. Sector: Nonprofit; Exam section: Arts; 2008: Programs: 9; 2008: Test takers: 490; 2009: Programs: 9; 2009: Test takers: 463; 2010: Programs: 9; 2010: Test takers: 538; 2008-2010: Programs: 9; 2008-2010: Test takers: 1,491. Sector: Nonprofit; Exam section: Sciences; 2008: Programs: 9; 2008: Test takers: 481; 2009: Programs: 9; 2009: Test takers: 463; 2010: Programs: 9; 2010: Test takers: 535; 2008-2010: Programs: 9; 2008-2010: Test takers: 1,479. Sector: Public; Exam section: Arts; 2008: Programs: 43; 2008: Test takers: 761; 2009: Programs: 43; 2009: Test takers: 760; 2010: Programs: 43; 2010: Test takers: 756; 2008-2010: Programs: 43; 2008-2010: Test takers: 2,277. Sector: Public; Exam section: Sciences; 2008: Programs: 43; 2008: Test takers: 769; 2009: Programs: 43; 2009: Test takers: 751; 2010: Programs: 43; 2010: Test takers: 760; 2008-2010: Programs: 43; 2008-2010: Test takers: 2,280. Source: GAO analysis of data from the International Conference of Funeral Service Examining Boards, Inc. on the National Board Examination for funeral directors/embalmers. [End of table] Table 23: Funeral Directors: Number of Programs and Test Takers, by Sector (Associate's Programs Only): Sector: For-profit; Exam Section: Arts; 2008: Programs: 4; 2008: Test takers: 148; 2009: Programs: 4; 2009: Test takers: 128; 2010: Programs: 4; 2010: Test takers: 127; 2008-2010: Programs: 4; 2008-2010: Test takers: 403. Sector: For-profit; Exam Section: Sciences; 2008: Programs: 4; 2008: Test takers: 145; 2009: Programs: 4; 2009: Test takers: 129; 2010: Programs: 4; 2010: Test takers: 128; 2008-2010: Programs: 4; 2008-2010: Test takers: 402. Sector: Nonprofit; Exam Section: Arts; 2008: Programs: 6; 2008: Test takers: 346; 2009: Programs: 6; 2009: Test takers: 341; 2010: Programs: 6; 2010: Test takers: 391; 2008-2010: Programs: 6; 2008-2010: Test takers: 1,078. Sector: Nonprofit; Exam Section: Sciences; 2008: Programs: 6; 2008: Test takers: 342; 2009: Programs: 6; 2009: Test takers: 339; 2010: Programs: 6; 2010: Test takers: 388; 2008-2010: Programs: 6; 2008-2010: Test takers: 1,069. Sector: Public; Exam Section: Arts; 2008: Programs: 39; 2008: Test takers: 686; 2009: Programs: 39; 2009: Test takers: 648; 2010: Programs: 39; 2010: Test takers: 683; 2008-2010: Programs: 39; 2008-2010: Test takers: 2,017. Sector: Public; Exam Section: Sciences; 2008: Programs: 39; 2008: Test takers: 693; 2009: Programs: 39; 2009: Test takers: 641; 2010: Programs: 39; 2010: Test takers: 683; 2008-2010: Programs: 39; 2008-2010: Test takers: 2,017. Source: GAO analysis of data from the International Conference of Funeral Service Examining Boards, Inc. on the National Board Examination for funeral directors/embalmers. [End of table] Table 24: Funeral Directors: Student Pass Rate and Mean Program Pass Rates, by Sector (All Programs): Sector: For-profit; Exam section: Arts; 2008: Student pass rate: 77%; 2008: Mean program pass rate: 76.3%; 2009: Student pass rate: 82%; 2009: Mean program pass rate: 78.4%; 2010: Student pass rate: 85%; 2010: Mean program pass rate: 83.2%; 2008-2010: Student pass rate: 81.1%; 2008-2010: Mean program pass rate: 79%. Sector: For-profit; Exam section: Sciences; 2008: Student pass rate: 82.8; 2008: Mean program pass rate: 81.5; 2009: Student pass rate: 86.8; 2009: Mean program pass rate: 83.5; 2010: Student pass rate: 85.2[C]; 2010: Mean program pass rate: 84.5; 2008-2010: Student pass rate: 84.8[C]; 2008-2010: Mean program pass rate: 83. Sector: Nonprofit; Exam section: Arts; 2008: Student pass rate: 80.8; 2008: Mean program pass rate: 83; 2009: Student pass rate: 79; 2009: Mean program pass rate: 77.7; 2010: Student pass rate: 78.8; 2010: Mean program pass rate: 76.4; 2008-2010: Student pass rate: 79.5; 2008-2010: Mean program pass rate: 78.8. Sector: Nonprofit; Exam section: Sciences; 2008: Student pass rate: 80.2; 2008: Mean program pass rate: 81.4; 2009: Student pass rate: 83.4; 2009: Mean program pass rate: 83.5; 2010: Student pass rate: 78.9; 2010: Mean program pass rate: 77.3; 2008-2010: Student pass rate: 80.7; 2008-2010: Mean program pass rate: 80.7. Sector: Public; Exam section: Arts; 2008: Student pass rate: 84.1; 2008: Mean program pass rate: 83.7; 2009: Student pass rate: 74.5; 2009: Mean program pass rate: 71.4; 2010: Student pass rate: 77.1; 2010: Mean program pass rate: 76.7; 2008-2010: Student pass rate: 78.6; 2008-2010: Mean program pass rate: 76.8. Sector: Public; Exam section: Sciences; 2008: Student pass rate: 81.3; 2008: Mean program pass rate: 81.2; 2009: Student pass rate: 78.8; 2009: Mean program pass rate: 76.2; 2010: Student pass rate: 73.7[A]; 2010: Mean program pass rate: 75.7; 2008-2010: Student pass rate: 77.9[A]; 2008-2010: Mean program pass rate: 77.7. Source: GAO analysis of data from the International Conference of Funeral Service Examining Boards, Inc. on the National Board Examination for funeral directors/embalmers. Note: To calculate the student pass rate, the total number of first- time test takers passing the exam was divided by the total number of first-time test takers for each sector for each year and overall. The mean program pass rate represents the average pass rate of all programs in each sector and was calculated by summing the individual program pass rates and dividing by the total number of programs for each sector, for each year and overall. [A] Indicates pass rate is statistically different from for-profit sector pass rates. [B] Indicates pass rate is statistically different from nonprofit sector pass rate. [C] Indicates pass rate is statistically different from public sector pass rate. [End of table] Table 25: Funeral Directors: Student Pass Rate and Mean Program Pass Rates, by Sector (Associate's Programs Only): Sector: For-profit; Exam section: Arts; 2008: Student pass rate: 77%; 2008: Mean program pass rate: 76.3%; 2009: Student pass rate: 82%; 2009: Mean program pass rate: 78.4%; 2010: Student pass rate: 85%; 2010: Mean program pass rate: 83.2%; 2008-2010: Student pass rate: 81.1%; 2008-2010: Mean program pass rate: 79%. Sector: For-profit; Exam section: Sciences; 2008: Student pass rate: 82.8; 2008: Mean program pass rate: 81.5; 2009: Student pass rate: 86.8[C]; 2009: Mean program pass rate: 83.5; 2010: Student pass rate: 85.2[C]; 2010: Mean program pass rate: 84.5; 2008-2010: Student pass rate: 84.8[C]; 2008-2010: Mean program pass rate: 83. Sector: Nonprofit; Exam section: Arts; 2008: Student pass rate: 81.8; 2008: Mean program pass rate: 83.3; 2009: Student pass rate: 81.2[C]; 2009: Mean program pass rate: 79.7; 2010: Student pass rate: 82.4; 2010: Mean program pass rate: 82.2; 2008-2010: Student pass rate: 81.8[C]; 2008-2010: Mean program pass rate: 81.7. Sector: Nonprofit; Exam section: Sciences; 2008: Student pass rate: 83; 2008: Mean program pass rate: 84.3; 2009: Student pass rate: 84.7[C]; 2009: Mean program pass rate: 83.9; 2010: Student pass rate: 84.5[C]; 2010: Mean program pass rate: 83.7; 2008-2010: Student pass rate: 84.1[C]; 2008-2010: Mean program pass rate: 84.1. Sector: Public; Exam section: Arts; 2008: Student pass rate: 82.8; 2008: Mean program pass rate: 82.5; 2009: Student pass rate: 72.5[B]; 2009: Mean program pass rate: 70.1; 2010: Student pass rate: 77.5; 2010: Mean program pass rate: 76.9; 2008-2010: Student pass rate: 77.7[B]; 2008-2010: Mean program pass rate: 76. Sector: Public; Exam section: Sciences; 2008: Student pass rate: 80.4; 2008: Mean program pass rate: 80.5; 2009: Student pass rate: 76.6[A, B]; 2009: Mean program pass rate: 74.6; 2010: Student pass rate: 74.4[A, B]; 2010: Mean program pass rate: 76.4; 2008-2010: Student pass rate: 77.1[A, B]; 2008-2010: Mean program pass rate: 77.1. Source: GAO analysis of data from the International Conference of Funeral Service Examining Boards, Inc. on the National Board Examination for funeral directors/embalmers. Note: To calculate the student pass rate, the total number of first- time test takers passing the exam was divided by the total number of first-time test takers for each sector for each year and overall. The mean program pass rate represents the average pass rate of all programs in each sector and was calculated by summing the individual program pass rates and dividing by the total number of programs for each sector, for each year and overall. [A] Indicates pass rate is statistically different from for-profit sector pass rates. [B] Indicates pass rate is statistically different from nonprofit sector pass rate. [C] Indicates pass rate is statistically different from public sector pass rate. [End of table] Figure 9: Number of Programs by Pass Rate Range on Sciences Section, 2008-2010 (Associate's Programs Only): [Refer to PDF for image: 3 horizontal bar graphs] Public (39 programs): Pass rate between 0-25%: 0; Pass rate between 26-50%: 0; Pass rate between 51-75%: 17; Pass rate between 76-100%: 22. Nonprofit (6 programs): Pass rate between 0-25%: 0; Pass rate between 26-50%: 0; Pass rate between 51-75%: 1; Pass rate between 76-100%: 5. For-profit (4 programs): Pass rate between 0-25%: 0; Pass rate between 26-50%: 0; Pass rate between 51-75%: 1; Pass rate between 76-100%: 3. Source: GAO analysis of data from the International Conference of Funeral Service Examining Boards, Inc. on the National Board Examination for funeral directors/embalmers. [End of figure] [End of section] Appendix IV: Briefing Slides: Postsecondary Education: Student Outcomes Vary at For-Profit, Nonprofit, and Public Schools: Briefing to Congressional Committee Staff: Committee on Health, Education, Labor, and Pensions: United States Senate: Committee on Education and the Workforce: House of Representatives: November 2011: Overview: * Introduction; * Research Objectives; * Scope and Methodology; * Summary of Findings; * Background; * Findings. Introduction: Spending on Federal Student Aid Has Increased, but Information on Educational Quality is Limited: The federal government's investment in higher education has increased significantly-—from $49 billion in 2001-2002 to $132 billion in 2009- 2010.[Footnote 46] Measuring the quality of educational programs (i.e., how much knowledge or skill students gain) is difficult and information is limited. * The federal government relies on accrediting agencies to ensure educational quality, but accreditors collect varying types of data on student outcomes. Using multiple outcomes that indirectly measure educational quality (e.g., graduation rates, pass rates on licensing exams, employment outcomes, and student loan default rates) can shed some light on the quality of education provided by schools. [Footnote 47] Student Characteristics Are Important When Comparing Educational Outcomes: Available data indicate that for-profit schools have a higher proportion of low-income, minority, and nontraditional students who face challenges that can affect their educational outcomes. * Students with these characteristics tend to have less positive educational outcomes than other students for a number of reasons. [Footnote 48] Comparing student outcomes at for-profit, nonprofit, and public schools is challenging because outcomes can be associated with differences in student characteristics, as well as school type. * For example, student characteristics-—such as being low income or minority, being older, working full time, or having dependent children--are associated with lower graduation rates. Accounting for differences in student characteristics as much as possible allows for more meaningful comparisons between types of schools and a better understanding of the school's role in contributing to student outcomes. Accounting for Differences in Student Characteristics Can Be Done in Several Ways: Statistical models: Statistical modeling methods, such as multiple regression, can be used to compare students in different sectors while statistically controlling for differences in multiple student characteristics that could impact student outcomes. This is among the most rigorous methods to account for differences. * A multiple regression model can be used to compare graduation rates at for-profit, nonprofit, and public schools, while controlling for differences in age, race, and income. Comparing students within subgroups: Analyzing outcomes for specific subgroups can allow for reasonable comparisons, while accounting for a single characteristic. * One can compare graduation rates at for-profit, nonprofit, and public schools for a subgroup of students, such as Black students or low-income students.[Footnote 49] Focusing on graduates: Comparing outcomes for graduates of specific programs can also partially mitigate the impact of differences in student characteristics, given that some characteristics, such as race, age, and income, are associated with lower graduation rates. * Comparing outcomes (such as licensing exam pass rates) for graduates of a program (rather than for all students who enrolled in a program) can mitigate the impact of race, age, and income on the results. [End of section] Research Objectives: 1. What does research show about graduation rates, employment outcomes, student loan debts, and default rates for students at for- profit schools compared to those at nonprofit and public schools, taking differences in student characteristics into account? 2. How do pass rates on licensing exams for selected occupations compare among graduates of for-profit, nonprofit, and public schools? [End of section] Scope and Methodology: Objective 1: Scope and Methodology: Review of Literature on Student Outcomes: We conducted a literature review on comparative student outcomes at for-profit, nonprofit, and public schools. * Outcomes included: graduation rates and post-educational outcomes, such as earnings and employment, student loan indebtedness, and default rates. * Our review covered a wide range of studies, including published peer reviewed articles, unpublished studies by academic researchers, and reports from higher education associations and the Department of Education (Education). We included studies that compared outcomes for students at for-profit schools and either nonprofit and/or public schools and that accounted for at least one student characteristic (e.g., race or income).[Footnote 50] We found that research comparing student outcomes across sectors and accounting for differences in student characteristics is relatively limited. We rigorously reviewed the data and methodologies used and only reported on studies that were methodologically sound. Beginning Postsecondary Students Longitudinal Study (BPS): For most outcomes, we relied primarily on studies using Education's BPS data, which tracks a nationally representative sample of first-time students for 6 years. * BPS graduation rates are more representative of first-time students because they include part-time students and students who earn a credential at any school within 6 years.[Footnote 51] * BPS also collects self-reported information on earnings and employment status, as well as extensive data on student characteristics.[Footnote 52] * Since the most recent cohort started during the 2003-2004 school year, BPS does not include outcomes for students who enrolled more recently. Integrated Postsecondary Education Data System (IPEDS): Some of the studies in our review used Education's IPEDS data to examine graduation rates. IPEDS collects detailed annual data on enrollment, graduation, and school characteristics from all schools that participate in federal student aid programs. * IPEDS graduation rates include only first-time, full-time students, and include only students who complete their degree at the first institution they attended. As a result, we gave greater weight in our report to studies using BPS data to calculate graduation rates. However, studies using IPEDS data had similar results.[Footnote 53] National Postsecondary Student Aid Survey (NPSAS): Studies included in our review that analyzed debt levels used Education's NPSAS data, which collects detailed information on financial aid and student debt for a large, nationally representative sample of students. National Student Loan Data System (NSLDS): To calculate default rates, one study used NSLDS data, which is Education's central database for federal student aid loans and grants. Scope and Methodology: Objective 2: Scope and Methodology: Analysis of Licensing Exam Pass Rates: We analyzed pass rates for selected licensing exams to compare the performance of first-time test takers from for-profit, nonprofit, and public schools.[Footnote 54] * These exams were for: Registered Nurses (RN), Licensed Practical Nurses (LPN), Radiographers, Emergency Medical Technicians (EMT), Paramedics, Surgical Technologists, Massage Therapists, Lawyers, Cosmetologists, and Funeral Directors. We selected occupations in which passing an exam was generally required and significant work experience was not required prior to taking the exam.[Footnote 55] We used Education data to select occupations that (1) had programs in multiple sectors, including the for-profit sector, and (2) had sufficiently large numbers of students graduating from these programs. * During the 2008-2009 school year, RN programs were among the 10 largest associate's degree programs at schools in each sector, while massage therapist programs were among the 10 largest associate's degree programs at nonprofit and for-profit schools. * Radiographer programs were among the 10 largest certificate programs at schools in each sector, while cosmetologist programs were among the 10 largest certificate programs at public and for-profit schools. [Footnote 56] When possible, we used exams offered by national organizations to maximize the number of states in our analyses. We excluded from our analyses states that did not require the exam in an occupation. For occupations that use state or multiple exams, we used Education data to select 4 states in which the numbers of graduates and distribution of graduates across sectors provided the best chance to detect any statistically significant differences that might exist between sectors.[Footnote 57] We did not directly control for the characteristics of test takers because this information was generally not available. However, focusing on graduates is one way to partially control for differences in student characteristics. We determined that these exam data were sufficiently reliable for our purposes. We conducted our review between November 2010 and November 2011 in accordance with generally accepted government auditing standards. Table: Types of Licensing Exams and Number of States Included in GAO's Review: Occupation: RN and LPN; National exam: Yes; State specific/multiple national exams: No; Number of states included in GAO's review: 50. Occupation: Paramedic; National exam: Yes; State specific/multiple national exams: No; Number of states included in GAO's review: 38. Occupation: Radiographer; National exam: Yes; State specific/multiple national exams: No; Number of states included in GAO's review: 34. Occupation: EMT; National exam: Yes; State specific/multiple national exams: No; Number of states included in GAO's review: 32. Occupation: Funeral Director; National exam: Yes; State specific/multiple national exams: No; Number of states included in GAO's review: 32. Occupation: Surgical Technologist[A]; National exam: Yes; State specific/multiple national exams: No; Number of states included in GAO's review: 2. Occupation: Cosmetologist; National exam: No; State specific/multiple national exams: Yes; Number of states included in GAO's review: 4. Occupation: Massage Therapist; National exam: No; State specific/multiple national exams: Yes; Number of states included in GAO's review: 4. Occupation: Lawyer; National exam: No. State specific/multiple national exams: Yes. Number of states included in GAO's review: 3. Source: GAO analysis of data from testing entities. [A] No states license surgical technologists, but two states generally require them to pass a particular national exam to practice in the state. [End of table] [End of section] Summary of Findings: Student Outcomes Vary by Type of Institution Attended: Limited research suggests that, after accounting for differences in at least one student characteristic: * students from for-profit schools had higher graduation rates for certificate programs, similar graduation rates for associate's degree programs, and lower graduation rates for bachelor's degree programs than students from nonprofit and public schools. * students from for-profit schools had similar earnings, but higher unemployment than students from nonprofit and public schools * bachelor's degree recipients from for-profit schools had higher total student loan debt than bachelor's degree recipients from nonprofit and public schools. * for-profit schools had higher default rates than 4-year public schools, but results were mixed when comparing for-profit schools with other types of schools. Between 2008 and 2010, graduates of for-profit schools generally had lower pass rates on licensing exams than graduates of nonprofit and public schools. [End of section] Background: School Sectors: Different Types of Schools Can Receive Federal Student Aid Funds: Different types of schools can receive federal student aid funds. * Sector: - Public schools: operated and funded by state or local governments. - Nonprofit schools: owned and operated by nonprofit organizations whose net earnings do not benefit any shareholder or individual. - For-profit schools: privately owned and net earnings can benefit a shareholder or individual. * Institution Level: - 4 year and above: Colleges and universities that typically offer bachelor's and higher level degrees, but can also offer associate's degrees. - 2 year: Community colleges and other schools that typically offer associate's degrees, but can also offer certificate programs. - Less than 2 year: Vocational and technical schools that offer certificate programs, but typically not degrees. Background: Program Types: Most Students Attend 4-Year Schools: Figure: Enrollment by Institution Level and School Sector, 2009-2010: Public: 4-year: 52%; 2-year: 48%. Nonprofit: 4-year: 65%; 2-year: 21%; Less than 2-year: 15%. For-profit: 4-year: 98%; 2-year: 1%; Less than 2-year: 1%. Source: GAO analysis of IPEDS data. [End of figure] In each sector—-for-profit, nonprofit, and public-—more than half of students attend 4-year schools.[Footnote 58] Since the 1999-2000 school year, about half of public school enrollment and almost all nonprofit school enrollment has been at 4- year schools. In contrast, enrollment at 4-year schools represented 37 percent of total for-profit enrollment in the 1999-2000 school year, but grew to 65 percent in the 2009-2010 school year. Background: Enrollment: Enrollment in All Sectors Grew in Last 20 Years, but Grew Faster at For-Profit Schools: Student enrollment at all schools has increased since 1990, with most of the growth occurring since 2000. Although most students attend public and nonprofit schools, enrollment at for-profit schools has grown faster in recent years. Some of the largest for-profit schools are reporting decreased enrollment in 2011 due to a variety of factors, including economic conditions and changing admissions practices. Figure: Increase in Enrollment by School Sector, from 1990 to 2010: [Refer to PDF for image: line graph] Public: 1990 enrollment: 11.1 million; 2010 enrollment: 15.0 million; Change since 1990: 35% increase. Nonprofit: 1990 enrollment: 2.9 million; 2010 enrollment: 4.0 million; Change since 1990: 38% increase. For-profit: 1990 enrollment: 0.7 million; 2010 enrollment: 2.3 million; Change since 1990: 229% increase. Source: GAO analysis of IPEDS data. [End of figure] Background: Publicly-Traded Schools: Enrollment at For-Profit Schools Has Shifted from Small, Local Schools to Large, Publicly-Traded Companies: Prior to the 1990s, for-profit schools were traditionally owned by local, sole proprietors. In the 1990s, large, publicly-traded companies began enrolling significant numbers of students. Enrollment in the for-profit sector is increasingly concentrated in these schools.[Footnote 59] * Schools owned by 10 publicly-traded for-profit companies enrolled 50 percent of all for-profit school students in the fall of 2009. Background: Student Characteristics: For-Profit Schools Enroll a Higher Proportion of Minority Students: A higher percentage of students at for-profit schools are Black or Hispanic compared to other schools. Public and nonprofit schools enroll a slightly higher percentage of Asian/Pacific Islander students than for-profit schools. Figure: Race of Students by School Sector, Fall 2009[A]: [Refer to PDF for image: 3 pie-charts] Public: White, non-Hispanic: 61%; Hispanic: 15%; Black: 13%; Asian/Pacific Islander: 7%; Other: 4%. Nonprofit: White, non-Hispanic: 65%; Hispanic: 12%; Black: 12%; Asian/Pacific Islander: 5%; Other: 5%. For-profit: White, non-Hispanic: 46%; Hispanic: 20%; Black: 27%; Asian/Pacific Islander: 3%; Other: 3%. Source: GAO analysis of IPEDS data. Notes: Figures exclude students of unknown race. Percentages may not add to 100 due to rounding. [A] This is the most recent race data available from IPEDS. [End of figure] For-Profit Schools Enroll a Higher Proportion of Students Who Are Older, Female, and Have Lower Incomes: For-profit schools enroll a higher percentage of students who are age 25 and older, female, and financially independent than nonprofit and public schools. Students at for-profit schools tend to have lower family incomes and a smaller proportion of their parents have attained an associate's degree or higher. Table: Percentage of Students with Selected Characteristics, by Sector, 2008[A]: School sector: For-profit; Age 25 or older: 57%; Female: 69%; Financially independent: 76%. School sector: Nonprofit; Age 25 or older: 28%; Female: 57%; Financially independent: 34%. School sector: Public; Age 25 or older: 35%; Female: 55%; Financially independent: 46%; Family Income and Parental Education of Students, by Sector, 2008[A]: School sector: For-profit; Annual median family income: $22,932; Percent of students with parents who had an associate's degree or higher: 34%. School sector: Nonprofit; Annual median family income: $61,827; Percent of students with parents who had an associate's degree or higher: 63%. School sector: Public; Annual median family income: $44,878; Percent of students with parents who had an associate's degree or higher: 52%. Source: GAO analysis of 2008 NPSAS dataset. [A] This is the most recent NPSAS data available. [End of table] Background: Funding: Federal Student Aid at All Schools Has Increased in Recent Years, but Has Grown Faster at For-Profit Schools: Between the 2001-2002 and 2009-2010 school years, federal student aid increased 325 percent at for-profit schools, from almost $8 billion to $32 billion. During the same time frame, federal student aid has increased much less at other schools. Figure: Increase in Federal Student Aid by School Sector, between 2002 and 2009-2010 School years: [Refer to PDF for image: vertical bar graph] Public: Up from $30.8 billion to $63.6 billion; 106% increase ($32.8 billion). Nonprofit: Up from $7.6 billion to $32.3 billion; 325% increase ($242.7 billion). Source: GAO analysis of Education's annual federal student aid funding data. Dollar amounts have been adjusted for inflation using the Gross Domestic Product Price Index and represent fiscal year 2011 dollars. [End of figure] [End of section] Finding 1: Student Outcomes—Overview: Limited Research Suggests that For-Profit School Students Generally Have Different Outcomes than Nonprofit or Public School Students: Relatively few studies have compared student outcomes across sectors while accounting for differences in student characteristics.[Footnote 60] Several studies that account for student characteristics, such as gender or race, suggest that students at for-profit schools had: * higher graduation rates for certificate programs than students at nonprofit and public schools; * similar graduation rates for associate's degree programs as students at nonprofit and public schools; * lower graduation rates for bachelor's degree programs than students at nonprofit and public schools;[Footnote 61] * comparable earnings when employed, but higher rates of unemployment; and; * a higher proportion of bachelor's degree recipients who took out loans, and generally had higher total debt. Two studies that account for student characteristics show that for- profit schools have higher default rates than 4-year public schools, but results are mixed when comparing for-profit schools to 4-year nonprofit schools and 2-year nonprofit and public schools. Finding 1: Graduation Rates-—Certificate Programs: Two Studies Show that For-Profit School Students Had Higher Graduation Rates for Certificate Programs: One study shows that when comparing students with a selected characteristic (e.g., male, Hispanic, or low income), those who started at for-profit schools generally had higher graduation rates from certificate programs than students who started at 2-year public schools (see figure).[Footnote 62] * About 36 percent of low income students who started at for-profit schools completed a certificate, compared to 6 percent at 2-year public schools. Ongoing research from another study that controls for multiple student characteristics at a time (e.g., race, gender, age, income, marital status, delayed enrollment, and parental education) suggests that students who started in certificate programs at for-profit schools during the 2003-2004 school year were about 9 percentage points more likely to obtain a certificate within 6 years than students at other schools.[Footnote 63] Figure: Percentage of Students Who Completed Certificate Programs within Six Years, for Students Starting at For-Profit and Two-Year Public Schools during the 2003-2004 School Year[A]: Male: Two-year public: 8%; For profit: 21%. Female: Two-year public: 9%; For profit: 35%. Age when first enrolled: 18 or less; Two-year public: 6%; For profit: 29%. Age when first enrolled: 19; Two-year public: 7%; For profit: 34%. Age when first enrolled: 20-23; Two-year public: 8%; For profit: 32%. Age when first enrolled: 24-29; Two-year public: 13%; For profit: 33%. Age when first enrolled: 30 or more; Two-year public: 12%; For profit: 27%. White, non-Hispanic: 9%; Two-year public: 25%. For profit: Hispanic: Two-year public: 10%; For profit: 29%. Black: Two-year public: 6%; For profit: 43%. Dependent: Two-year public: 6%; For profit: 32%. Independent: Two-year public: 12%; For profit: 30%. Low Income: Two-year public: 6%; For profit: 36%. Risk factors when first enrolled: none; Two-year public: 5%; For profit: 29%. Risk factors when first enrolled: 1; Two-year public: 8%; For profit: 32%. Risk factors when first enrolled: 2 or 3; Two-year public: 9%; For profit: 36%. Risk factors when first enrolled: 4 or more; Two-year public: 12%; For profit: 28%. Source: GAO analysis of data from Skomsvold, P., Radford, A.W., and Berkner, L. (2011). Study used BPS data. Graduation rates are associated with the first school attended and are for the highest degree earned within 6 years. [A] Analysis does not differentiate between 2 and 4-year for-profit schools or control for the program students start in or if they transfer to higher degree programs. Dependency status refers to whether students are financially dependent on their parents. Risk factors include: no high school diploma, delayed or part-time enrollment, financial independence, having dependents, being a single parent, and working full time. [End of figure] Finding 1: Graduation Rates-—Associate's Degrees: Two Studies Show that For-Profit School Students Had Similar Graduation Rates for Associate's Degree Programs: One study shows that students who started at for-profit schools during the 2003-2004 school year generally had comparable graduation rates for associate's degree programs as students who started at 2-year public schools.[Footnote 64] * This study analyzed graduation rates for separate groups of students based on a single characteristic, such as gender, age, or parents' education level. Ongoing research from another study controlling for multiple student characteristics at a time (e.g., race, gender, age, income, marital status, delayed enrollment, and parental education) has not found statistically significant differences in graduation rates between students who started in associate's degree programs at for-profit schools and similar students who started in associate's degree programs at other 2-year schools during the 2003-2004 school year.[Footnote 65] Finding 1: Graduation Rates—-Bachelor's Degrees: Several Studies Show that Students at For-Profit Schools Were Less Likely to Graduate from a Bachelor's Degree Program: One study shows that when comparing students with a selected characteristic (e.g., low income or delayed enrollment), those who started at for-profit schools generally had lower graduation rates from bachelor's degree programs than students who started at other schools (see figure).[Footnote 66] Ongoing research from another study controlling for multiple characteristics at a time (e.g., race, gender, age, income, marital status, and delayed enrollment) suggests that students who started a bachelor's degree program during the 2003-2004 school year at a for- profit school were 12 to 19 percentage points less likely to earn such a degree within 6 years than similar students at other schools. [Footnote 67] Several annual Education studies using IPEDS data also show that for- profit school students generally had lower graduation rates for bachelor's degree programs.[Footnote 68] Figure: Percentage of Students Who Completed a Bachelor's Degree Program within Six Years, for Students Starting During the 2003-2004 School Year: Independent: Two-year Public: 4%[A]; Four-year Public: 21%: Four-year Nonprofit: 26%: For-Profit: 3%. Low Income: Two-year Public: 13%: Four-year Public: 49%: Four-year Nonprofit: 56%: For-Profit: 3%. Delayed enrollment: Two-year Public: 17%: Four-year Public: 64%: Four-year Nonprofit: 70%: For-Profit: 5%. Four or more risk factors at enrollment: Two-year Public: 2%[A]; Four-year Public: 14%: Four-year Nonprofit: 24%: For-Profit: 4%. Source: GAO analysis of BPS data from Skomsvold, P., Radford, A.W., and Berkner, L. (2011). Graduation rates are associated with the first school attended and are for the highest degree earned within 6 years. We included 2-year public schools in our analysis because some students who started at these schools transferred to a 4-year school to complete a bachelor's degree. [A] Percentage was not significantly different than at for-profit schools. [End of figure] Finding 1: Post-educational Outcomes—-Employment: One Ongoing Study Suggests that Students from For-Profit Schools Have Similar Earnings but Higher Rates of Unemployment: Ongoing research controlling for multiple characteristics at a time, such as race, gender, age, income, marital status, delayed enrollment, parental education, and type of program in which a student started, suggests that: Earnings were similar: Students who started at for-profit schools during the 2003-04 school year had similar annual earnings 6 years after first enrolling in school, compared to students who started at nonprofit and public schools.[Footnote 69] Rate of unemployment was higher: Students who started at for-profit schools during the 2003-2004 school year and were no longer enrolled after 6 years were more likely to have been unemployed for 3 months or more since leaving school, compared to students who started at nonprofit and public schools. [Footnote 69] Finding 1: Post-educational Outcomes—-Debt: Studies Show that a Larger Proportion of Bachelor's Degree Recipients from For-Profit Schools Took Out Student Loans and These Borrowers Generally Incurred Higher Student Loan Debt: Three studies show that a larger proportion of bachelor's degree recipients from for-profit schools took out student loans and that they tended to have higher student loan debt than recipients from other schools, when comparing groups of students with a selected characteristic (e.g., male, Hispanic, or low income) across sectors. [Footnote 70] * One study shows that, among low-income 2007-2008 graduates, the percentage who had borrowed was higher for students from for-profit schools (99 percent) than for students from nonprofit and public schools (83 percent and 72 percent, respectively).[Footnote 71] * Another study shows that, among 2007-2008 graduates, the percentage with loan debt of $30,500 or higher was greater at for-profit schools than at other schools. For example, among low-income students who were financially dependent on their parents, about 73 percent of white students from for-profit schools graduated with high debt, compared to 26 percent of white students from nonprofit schools.[Footnote 72] However, in some cases the cross-sector differences in average amount borrowed were relatively small. * One study shows that the average amount borrowed by Black 2007-2008 graduates from for-profit schools was almost the same as the average amount borrowed by this group at nonprofit schools ($30,990 vs. $29,184).[Footnote 71] Bachelor's Degree Recipients from For-Profit Schools Had Higher Total Student Debt: Figure: Student Loan Debt Amounts for 2008 Bachelor's Degree Recipients Who Borrowed, By Type of School and Selected Student Characteristics: [Refer to PDF for image: vertical bar graph] Amount borrowed (in dollars): Public: Percent borrowing: 62%: Average: $20,087; Percent borrowing: 61%: White, non-Hispanic: $20,432; Percent borrowing: 78%: Black: $23,155; Percent borrowing: 62%: Hispanic: $17,366; Percent borrowing: 72%: Low Income: $22,140; Percent borrowing: 67%: Middle Income: $19,153; Percent borrowing: 49%: High Income: $18,187. Nonprofit: Percent borrowing: 72%: Average: $28,039; Percent borrowing: 69%: White, non-Hispanic: $27,948; Percent borrowing: 83%: Black: $29,194; Percent borrowing: 81%: Hispanic: $28,343; Percent borrowing: 83%: Low Income: $28,738; Percent borrowing: 78%: Middle Income: $28,275; Percent borrowing: 61%: High Income: $27,279. For-profit: Percent borrowing: 97%: Average: $33,046; Percent borrowing: 95%: White, non-Hispanic: $33,299; Percent borrowing: 99%: Black: $30,990; Percent borrowing: N/A: Hispanic: N/A; Percent borrowing: 99%: Low Income: $32,861; Percent borrowing: 96%: Middle Income: $$32,214; Percent borrowing: 95%: High Income: $34,926. Source: GAO analysis of a study from the Pew Research Center using NPSAS data. Loan debt is cumulative, includes both federal and nonfederal student loans, and represents the total debt incurred by graduates. Note: N/A indicates that the sample size was too small for meaningful analysis. [End of figure] Finding 1: Post-educational Outcomes—-Default Rates: Two Studies Show that For-Profit Schools Have Higher Default Rates than 4-Year Public Schools, but Results Are Mixed When Comparing For- Profit Schools with Other Types of Schools: After controlling for multiple student characteristics at once, such as gender, race, receipt of financial aid, income, and degree type: * Ongoing research and another study show that a higher proportion of students from for-profit schools default on student loans, compared to 4-year public schools. - Ongoing research shows that, in the years 2005-2008, the proportion of students at for-profit schools who defaulted within 3 years of entering repayment was about 10.5 percentage points higher than the proportion from 4-year public schools.[Footnote 73] - Another study shows that, for students who started school in 1996, the proportion of students at for-profit schools who defaulted within 6 years was about 6.7 percentage points higher than the rate at 4-year public schools.[Footnote 74] * However, these two studies show mixed results when comparing for- profit schools to other types of schools. - The ongoing research study shows that for-profit schools had higher default rates than 4-year nonprofit schools and 2-year nonprofit and public schools; in the other study, however, the differences were not statistically significant between for-profit schools and these others types of schools. [End of Finding 1] Finding 2: Licensing Exams—-Overview: For-Profit School Graduates Generally Had Lower Pass Rates than Graduates from Other Schools on Licensing Exams We Reviewed: Experts noted that licensing exam pass rates are one reasonable measure of the quality of school programs. On 9 of the 10 licensing exams we reviewed, graduates of for-profit schools generally had lower pass rates over the 2008-2010 period. [Footnote 75] * These nine exams were for: RNs, LPNs, Radiographers, EMTs, Paramedics, Surgical Technologists, Massage Therapists, Lawyers, and Cosmetologists. Data on the overall pass rates on the Funeral Director licensing exam were not available, but separate analyses of the two exam sections suggests that for-profit graduates had similar or better pass rates over the 2008-2010 period.[Footnote 76] There are some limitations to using licensing exam pass rates as a measure of the quality of school programs. Finding 2: Licensing Exams: Licensing Exams are One Measure of the Quality of School Programs: Several experts and higher education association officials agreed that licensing exam pass rates are one reasonable measure of the quality of school programs. In the states included in our analyses, individuals must generally pass a licensing exam to practice in the occupations we reviewed. Pass Rates on Nurse Exams: Graduates with a bachelor's or associate's degree from for-profit schools had a somewhat lower pass rate on the RN licensing exam than graduates with these degrees from nonprofit and public schools. [Footnote 77] Graduates of for-profit schools had a lower pass rate on the LPN licensing exam than of graduates public but to schools, a similar pass rate to graduates of nonprofit schools. * However, the for-profit sector pass rate was higher than the nonprofit sector for LPN test takers who completed 2-year LPN programs. Figure: Exam Pass Rates by Sector for All States (2008-2010): [Refer to PDF for image: horizontal bar graph] Registered Nurse (bachelor's degree): Public: Did not pass: 10%; Passed: 90%; Nonprofit: Did not pass: 13%; Passed: 87%; For-profit: Did not pass: 16%; Passed: 84%. Registered Nurse (associate's degree): Public: Did not pass: 13%; Passed: 88%; Nonprofit: Did not pass: 15%; Passed: 85%; For-profit: Did not pass: 21%; Passed: 79%. Licensed Practical Nurse (LPN)[A]: Public: Did not pass: 9%; Passed: 91%; Nonprofit: Did not pass: 19%; Passed: 81%; For-profit: Did not pass: 19%; Passed: 81%. Source: GAO analysis of National data. Percentages may not add up to 100% due to rounding. [A] Differences between the for-profit significant. [End of figure] Pass Rates on the Radiographer Exam: Graduates of for-profit schools had a lower pass rate on the exam than graduates of nonprofit or public schools.[Footnote 78] Figure: Exam Pass Rate by Sector for 34 States (2008-2010): [Refer to PDF for image: horizontal bar graph] Public: Did not pass: 6%; Passed: 94%[A]; Nonprofit: Did not pass: 7%; Passed: 94%[A]; For-profit: Did not pass: 17%; Passed: 84%. Source: GAO analysis of American Registry of Radiologic Technologists data. Percentages may not add to 100 due to rounding. [A] Differences between public and nonprofit sectors were not statistically significant. Pass Rates on EMT and Paramedic Exams: The pass rate for graduates of for-profit schools on the basic EMT and paramedic exams was lower than that for graduates of nonprofit and public schools.[Footnote 79] Figure: Exam Pass Rate by Sector for 32 States for the Basic EMT Exam and 38 States for the Paramedic Exam (2008-2010): [Refer to PDF for image: horizontal bar graph] Emergency Medical Technician (EMT): Public: Did not pass: 33%; Passed: 67%; Nonprofit: Did not pass: 29%; Passed: 71%; For-profit: Did not pass: 43%; Passed: 57%. Paramedic: Public: Did not pass: 31%; Passed: 69%; Nonprofit: Did not pass: 37%; Passed: 63%; For-profit: Did not pass: 57%; Passed: 43%. Source: GAO analysis of National Registry of Emergency Medical Technicians. [End of figure] Pass Rates on the Surgical Technologist Exam: In the two states that require practitioners to pass the national surgical technologist exam, the pass rate for graduates of for-profit schools was lower than the pass rate of graduates of public schools in 2010.[Footnote 80] Figure: Exam Pass Rates by Sector for Two States (2010): [Refer to PDF for image: horizontal bar graph] Public: Did not pass: 28%; Passed: 72%; For-profit: Did not pass: 71%; Passed: 29%. Source: GAO analysis of National Board of Surgical Technology and Surgical Assisting data from Indiana and South Carolina. Notes: To avoid identifying individual schools, we did not report data for programs or sectors with fewer than 5 schools. There were fewer than 5 nonprofit surgical technologist schools in our sample, so we did not report specific pass rates for them. However, the pass rate for students from nonprofit schools was statistically significantly higher than that of students from for-profit and public schools. [End of figure] Pass Rates on Massage Therapist Exams: In three of the four states from which we obtained data, the pass rate of graduates of for-profit schools was generally lower than that of graduates of public schools.[Footnote 81] Figure: Exam Pass Rates by Sector for Four States (2008-2010): [Refer to PDF for image: horizontal bar graph] Florida: NCETM/B exam; Public: Did not pass: 31%; Passed: 69%; For-profit: Did not pass: 46%; Passed: 54%. Florida: MBLEx exam; Public: Did not pass: 25%; Passed: 75%; For-profit: Did not pass: 36%; Passed: 65%. North Carolina: NCETM/B exam; Public: Did not pass: 23%; Passed: 77%; For-profit: Did not pass: 34%; Passed: 66%. North Carolina: MBLEx exam; Public: Did not pass: 8%; Passed: 92%; For-profit: Did not pass: 20%; Passed: 80%. Ohio: State exam; Public: Did not pass: 18%; Passed: 82%; For-profit: Did not pass: 41%; Passed: 60%. New York[A]: State exam; Public: Did not pass: 14%; Passed: 86%; For-profit: Did not pass: 16%; Passed: 84%. Source: GAO analysis of data provided by the Federation of State Massage Therapy Boards, the National Certification Board for Therapeutic Massage and Bodywork, and Ohio and New York. Percentages may not add to 100 due to rounding. [A] In New York, the differences between the public and for-profit sectors were not statistically significant. [End of figure] Pass Rates on the Bar Exam for Lawyers: In two of the three states from which we obtained data—-California and Georgia-—the pass rate of graduates of for-profit schools on the state bar exam was generally lower than that of graduates of nonprofit and public schools.[Footnote 82] In Florida, there were no statistically significant differences in the pass rates of graduates of for-profit, nonprofit, and public schools. [Footnote 83] Figure: Exam Pass Rates by Sector for Three States (2008-2010): [Refer to PDF for image: horizontal bar graph] California: Public: Did not pass: 15%; Passed: 85%; Nonprofit: Did not pass: 29%; Passed: 71%; For-profit: Did not pass: 55%; Passed: 45%. Florida[A]: Public: Did not pass: 18%; Passed: 82%; Nonprofit: Did not pass: 20%; Passed: 80%; For-profit: Did not pass: 21%; Passed: 79%. Georgia[B]: Public: Did not pass: 5%; Passed: 95%; Nonprofit: Did not pass: 8%; Passed: 92%; For-profit: Did not pass: 27%; Passed: 73%. Source: GAO analysis of publicly available data from the State Bar of California, the Florida Board of Bar Examiners, and the Supreme Court of Georgia Office of Bar Admissions. [A] In Florida, differences across sectors were not statistically significant. [B] Georgia, differences between the public and the nonprofit sectors were not statistically significant. [End of figure] Pass Rates on Cosmetologist Exams: In the four states from which we obtained data, the pass rate of graduates of for-profit schools was lower than the pass rate of graduates of public schools on the most common cosmetologist licensing exam.[Footnote 84] Figure: Exam Pass Rates by Sector for Four States (2008-2010): [Refer to PDF for image: horizontal bar graph] California: Public: Did not pass: 19%; Passed: 81%; For-profit: Did not pass: 28%; Passed: 72%. Florida: Public: Did not pass: 28%; Passed: 72%; For-profit: Did not pass: 39%; Passed: 61%. North Carolina: Public: Did not pass: 18%; Passed: 82%; For-profit: Did not pass: 28%; Passed: 72%. Texas: Public: Did not pass: 25%; Passed: 75%; For-profit: Did not pass: 31%; Passed: 69%. Source: GAO analysis of data provided by the California State Board of Barbering and Cosmetology, the Florida Department of Business and Professional Regulation, Board of Cosmetology, the North Carolina Board of Cosmetic Art Examiners, and the Texas Department of Licensing and Regulation. Percentages may not add to 100 due to rounding. [End of figure] Pass Rates on the Funeral Director Exam: Comparing the overall performance of graduates on the funeral director exam was not possible because data on the overall pass rate for both sections of the exam were not available. However, separate analyses of the two sections suggest that for-profit graduates had similar or better pass rates. * Graduates of for-profit schools generally had a higher pass rate on the sciences section of the funeral director exam than graduates of public schools and a similar pass rate as graduates of nonprofit schools.[Footnote 85] See figure. * Graduates of for-profit schools had similar pass rates on the arts section of the exam as graduates of nonprofit and public schools, with no statistically significant differences. Figure: Pass Rates by Sector for Sciences Section of Exam for the 49 ABFSE Accredited Programs Offering Only Associate's Degrees (2008- 2010): [Refer to PDF for image: horizontal bar graph] Public: Did not pass: 23%; Passed: 77%; Nonprofit: Did not pass: 16%; Passed: 84%[A]; For-profit: Did not pass: 15%; Passed: 85%[A]. Source: GAO analysis of data from the International Conference of Funeral Service Examining Boards on the National Board Examination for funeral directors/embalmers. We analyzed data on schools accredited by the American Board of Funeral Service Education (ABFSE). Although there were only four for-profit funeral director programs, we reported these data because some school-level pass rates were publicly available. We also analyzed data for 6 nonprofit and 39 public associate's degree programs. [A] Differences between the nonprofit and for-profit sectors were not statistically significant. [End of figure] While For-Profit Graduates as a Group Generally Had Lower Pass Rates, Some For-Profit Schools Performed Well: Graduates of for-profit schools generally had lower pass rates, but for some of the exams we reviewed, some individual for-profit schools had relatively high pass rates.[Footnote 86] * In 2010, 9 of the 40 for-profit schools in our analysis had pass rates of 100 percent on the radiographer exam. * In 2008, 9 of the 10 for-profit massage therapist programs in New York had pass rates between 75 percent and 100 percent. On some exams, although the differences across sectors were statistically significant, they were relatively small. * Eight-five percent of graduates of for-profit nursing programs with a bachelor's degree passed the RN exam compared with 87 percent of graduates with a bachelor's degree from nonprofit schools. Finding 2: Licensing Exams—-Limitations: Exam Pass Rates Have Some Limitations: Relatively few graduates take licensing exams because many occupations do not require a license. Data are not available to compare the number of students who (1) begin a program, (2) successfully complete it, and (3) take the exam. [Footnote 87] Some states have more stringent requirements for authorizing schools to operate, which can affect state level pass rates. Factors other than school quality may affect pass rates. * Schools may serve different populations of students. Although focusing on graduates can mitigate the impact of student characteristics, it may not completely eliminate the effect of these characteristics on test results. * Some schools may more deliberately "teach to the test" than others, while students in some sectors may rely more heavily on test preparation courses to pass required exams. Nevertheless, the federal government has a strong interest in ensuring that schools that receive federal student aid funds are appropriately preparing graduates for any required licensing exams. [End of briefing slides] Appendix V: GAO Contact and Staff Acknowledgments: GAO Contact: George A. Scott, (202) 512-7215 or scottg@gao.gov: Staff Acknowledgments: The following staff members made key contributions to this report: Melissa Emrey-Arras, Acting Director; Michelle St. Pierre, Analyst-in- Charge; Jennifer McDonald; David Barish; James Bennett; Deborah Bland; Jessica Botsford; Russell Burnett; Barbara Chapman; David Chrisinger; Lorraine Ettaro; Ashley McCall; John Mingus; Anna Maria Ortiz; Sal Sorbello; and Shana Wallace. [End of section] Footnotes: [1] For the purposes of this report, we refer to private for-profit schools as for-profit schools and private nonprofit schools as nonprofit schools. [2] These programs are authorized by Title IV of the Higher Education Act of 1965, as amended. For the purposes of this report, we define federal student aid programs as financial aid programs authorized under Title IV of the Higher Education Act. Federal student aid spending data beginning in the 2001-2002 school year are more reliable than data from previous years. [3] The federal government relies on accrediting agencies recognized by Education to ensure educational quality, but accreditors collect varying types of data on student outcomes. Individual schools may also collect data on a variety of student outcomes. [4] The term "student characteristics" refers to demographic characteristics such as gender, race, and income, as well as to other characteristics, such as prior education and delayed postsecondary school enrollment. [5] Research shows that being a racial or ethnic minority may be associated with less positive educational outcomes in part because certain minorities are more likely to have risk factors (such as having a parent who did not finish high school) that can affect educational achievement. [6] Because the most recent cohort of students started during the 2003- 2004 school year, BPS does not include outcomes for students who enrolled more recently. [7] We use the term "licensing exam" to refer to exams that are required to work in a specific occupation, even though some of these exams are technically certification exams. Differences between sectors are statistically significant unless otherwise noted. [8] We reported graduation rate findings for certificate, associate's degree and bachelor's degree programs from two studies that used BPS data. For bachelor's degree programs, we also reviewed several studies using IPEDS data, which had similar findings. The term "graduation rate" refers to students who complete a higher education program and receive a degree, diploma, certificate, or other formal award. [9] This study does not differentiate between 2-and 4-year for-profit schools, nor does it control for the type of program a student starts in or whether a student transfers to a higher degree program. Graduation rates are for the highest degree attained within 6 years. As a result, students who start in a certificate program and complete an associate's degree are included in the associate's degree graduation rate. Similarly, students who start in an associate's degree program and complete a bachelor's degree will be included in the bachelor's degree graduation rate. BPS data show that few, if any, students at for-profit and nonprofit schools start in certificate programs and complete an associate's degree within 6 years, while a small percentage of students at public schools do so. [10] We included 2-year public schools in our analysis because some students who started at these schools may have transferred to a 4-year school to complete a bachelor's degree program. BPS data show that few, if any, students at for-profit schools start in associate's degree programs and complete a bachelor's degree program within 6 years, while a small percentage of students at nonprofit and public schools do so. [11] One study used NSLDS data to calculate default rates and IPEDS enrollment data to control for selected student characteristics. While the graduation rates calculated in IPEDS exclude part-time and transfer students, IPEDS enrollment data include these students. The other study used BPS data to calculate default rates. In general, a lack of statistical significance can mean that there is no actual difference or that the sample sizes are too small to detect any differences. [12] It was not possible to compare the overall performance of graduates on the Funeral Director exam because data on the combined pass rate for the two sections of the exam (Arts and Sciences) were not available. [13] In most cases, the pass rate data provided by testing entities did not identify individual schools. As a result, it was not possible to conduct further analyses on school characteristics that might be associated with higher pass rates. [14] For example, a school may enroll 100 students in an educational program. If 75 students do not complete the program or choose not to take a required licensing exam, only 25 of the initial 100 students will take the exam. If all 25 pass the exam, the program will have a 100-percent pass rate. This school will have the same pass rate as a school that enrolled 100 students, who all completed the program, took the exam, and passed. [15] We spoke with the following higher education associations: American Association of Collegiate Registrars and Admissions Officers, American Association of Community Colleges, Association of Private Sector Colleges and Universities, National Association of College Admissions Counselors, National Association of Independent Colleges and Universities, and National Student Clearinghouse. [16] Our search also included the following databases: Congressional Research Service; Wilson Social Sciences Abstracts; Social SciSearch; Sociological Abstracts; Social Services Abstracts; Academic OneFile; PolicyFile; Statistical Insight; Electronic Collections Online; PapersFirst; ArticleFirst; Dissertation Abstracts Online; PAIS International; PASCAL; and British Education Index. [17] The studies in our literature review did not separately analyze outcomes for students at minority-serving institutions. [18] Occupations that we considered included: funeral directors/ embalmers, cosmetology, culinary arts/cooking, teaching, law/ attorneys, legal assisting/paralegal, criminal justice/law enforcement/corrections, dental assisting, dental hygienists, medical assisting, EMT/paramedics, radiography, surgical technology, ultrasound/sonography, nursing, nurse assistants/home health aides, dietetics/nutrition, massage therapy, accounting, real estate, plumbing, and electricians. [19] We use the term "licensing exam" to refer to exams that are required to work in a specific occupation, even though some of these exams may technically be certification exams. [20] Surgical technologists who work in a health care facility, such as a hospital or ambulatory surgical center, must generally pass an exam to work in the two states included in our analysis. While surgical technologists who work in physicians' offices are not necessarily required to pass the exam, knowledgeable individuals told us that the significant majority of surgical technologists work in health care facilities. Surgical technologists who work for the federal government or were trained by the U.S. military or the U.S. Public Health Service are also exempt from the testing requirement in these states. [21] Some occupations we initially considered, such as plumber and electrician, typically require long apprenticeships prior to taking a licensing exam. We excluded such occupations since passage of a licensing exam might reflect skills acquired during an apprenticeship rather than from an educational program. [22] An Education official told us that some teaching programs have historically required students to pass a licensing exam to graduate, so pass rates would always be 100 percent and therefore not a reasonable measure of program quality. [23] While CIP completions data do not directly correspond to the exact number of licensing exam test takers in any field, we used these data as a proxy for actual test taker data to ascertain which programs of study and corresponding occupations were worth pursuing. [24] We focused on first-time test takers because we believe their results are more closely associated with the quality of the program they completed, since they are less likely to have had intervening experiences since completing their schooling. [25] The District of Columbia is counted as a state in reporting on the number of states from which licensing data were collected. [26] To determine which states require practitioners to pass specific exams, we spoke with and reviewed information from representatives at national credentialing organizations, state licensing bodies, testing companies, and other entities involved in occupational licensing. [27] Some states use the term Licensed Vocational Nurse (LVN) instead of LPN. LVNs must pass the same exam as LPNs. [28] Nursing data also include programs in American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, and the Virgin Islands. [29] We only report surgical technologist pass rates for 2010 because one of the two states included in our review did not require surgical technologists to pass this exam until 2010. [30] According to the International Conference of Funeral Service Examining Boards, generally individuals are required to take, but not pass, the exam to graduate. One of the ABFSE-accredited program requires passing the exam to graduate; however, we obtained exam data for all students who took the exam, not just graduates, so this requirement did not impact our analysis. [31] Results when including bachelor's degree programs in our analysis were slightly different in one year--it eliminated the statistically significant difference between test takers from for-profit schools and those from public schools on the sciences section of the exam in 2009. See appendix III for data including and excluding schools offering bachelor's degrees. [32] For state licensing exams, states could have different requirements, but each individual state had to use one or comparable licensing exams for everyone who is licensed to practice in a specific occupation within the state. [33] For cosmetology, for example, Georgia was among the four states which best met our criteria; however, we were unable to collect data from this state, so we used North Carolina as our alternative. [34] We report massage therapy exam pass rates for 2008-2010 for Florida, North Carolina, and New York. Ohio offers its exam in June and December; we were only able to obtain data for the December exam in 2008, so the pass rate reported for Ohio is for the second half of 2008 and all of 2009 and 2010. [35] Although we tried to avoid states in which more than one exam was used, we included data from both Florida and North Carolina because we were able to obtain complete data on each exam accepted in these states. Both states accept exams from two testing entities: (1) the Federation of State Massage Therapy Boards, which offers the Massage and Bodywork Licensing Examination, and (2) the National Certification Board for Therapeutic Massage and Bodywork, which offers the National Certification Examination for Therapeutic Massage and the National Certification Examination for Therapeutic Massage and Bodywork exams. We determined that combining the results of both exams offered by the National Certification Board was methodologically sound after interviewing officials at the National Certification Board, who told us that the content of the two exams was largely identical. Results for these two exams are reported individually in appendix III. The National Certification Board provided results from the English language version of its exams. A board official told us that the board offers a Spanish language version of its exams, but test taker volume is very low. [36] These data were collected from the websites of the State Bar of California, the Florida Board of Bar Examiners, the Supreme Court of Georgia, Office of Bar Admissions, and the South Carolina Supreme Court, Office of Bar Admissions. In the states for which we analyzed data, the bar exam is offered twice each year, in February and July. We collected data from both exams and combined the February and July results in our analysis. In most states, only graduates of schools accredited by the American Bar Association (ABA) are eligible to take the bar exam, but in California, students from ABA-accredited, California-accredited, and California-unaccredited law schools are eligible to take the bar exam and practice in the state. Two of the three California for-profit law schools in our data set were unaccredited; the third was ABA-accredited. Seven of the 22 nonprofit schools were accredited by California, but not the ABA; the rest were ABA-accredited. All of the public schools were ABA-accredited. [37] We collected data from the California State Board of Barbering and Cosmetology, the Florida Department of Business and Professional Regulation, Board of Cosmetology, the North Carolina Board of Cosmetic Art Examiners, and the Texas Department of Licensing and Regulation. [38] Estheticians specialize in skin care therapy and perform treatments such as facials and waxing. [39] Because Florida could not reliably identify the school from which test takers graduated for its 2008 exam data, we collected only 2009 and 2010 data from Florida. [40] When all cosmetologist-related exams were analyzed together, the pass rate of graduates of for-profit schools was generally lower than that of graduates of public schools. However, there were few statistically significant differences in pass rates when the less common tests were examined individually, possibly due to small numbers of test takers (see appendix III for data on each individual exam). [41] In some cases, only data on first-time test takers was provided. [42] Generally, the entity from which we collected data provided a list of schools with programs from which graduates were eligible to take the exam. However, in some cases we obtained a list of applicable schools from publicly available sources. For the bar exam, we obtained a list of applicable schools from each state's bar website. For the radiography, Texas cosmetology, and Funeral Director exams, we obtained a list of applicable schools from the American Registry of Radiologic Technologists, the Texas Department of Licensing and Regulation, and the American Board of Funeral Service Education's websites, respectively. [43] To calculate mean school pass rates, we counted the number of school programs in our data. There are challenges when matching schools with Education's IPEDS data base and counting the number of school programs. Some schools have multiple branches and campuses and can be included in Education's data as either a single school or multiple schools. As a result, matching school programs and counting the number of programs involved some judgment. [44] Although we have data for the population of students and schools taking specific tests in each year, we expect some random fluctuation in the population over time. Accordingly, we did not treat pass rate information as fixed population data, but instead we used statistical tests to determine whether the differences we observed exceeded what we would expect to see with random fluctuation. We used t-tests at the 95 percent confidence level. A 95 percent confidence level for t-tests implies that we would have less than a 5 percent chance of observing the differences that occurred by chance. [45] Almost 80 percent of the time, differences between overall sector pass rates and mean school pass rates were within 5 percentage points of each other. In the remaining cases, differences of more than 5 percentage points occurred most frequently for law programs in California, massage therapy programs in Florida and North Carolina, and cosmetology programs in North Carolina and Texas. [46] Funding data is for federal student aid programs authorized by Title IV of the Higher Education Act of 1965, as amended, which include loan and grant programs for students. Data beginning in the 2001-2002 school year are more reliable than data from previous years. [47] When we use the term "graduation rate,” we include students who completed a higher education program and received a degree, diploma, certificate, or other formal award. [48] Research shows that being a racial or ethnic minority may be associated with less positive educational outcomes in part because certain minorities are more likely to have risk factors (such as being low income or having a parent who did not finish high school) that can affect educational achievement. [49] This can be done even if the subgroup represents a larger share of students at schools in one sector compared to other sectors. [50] In addition, we included studies that used data from 2000 or later. [51] BPS includes students who transfer to other schools. [52] While self-reported data may contain errors, it is unlikely that such errors would differ systematically between sectors and influence sector comparisons. [53] IPEDS graduation rates exclude students who attend part time or transfer to other schools. [54] We focused on programs at schools that participate in federal student aid programs authorized by Title IV of the Higher Education Act of 1965, as amended. [55] For some occupations, students must graduate from specially accredited programs in order to take required licensing exams. [56] For programs that were at least 2 but less than 4 years in length. [57] There was no one generally accepted national exam in these occupations; some states use different and/or multiple national exams and others use state specific exams. We selected four states for the bar exam for lawyers, but were only able to obtain data for first-time test takers from three of these states. Pass rates for individual states are not generalizable to other states. [58] A 4-year school can also offer 2-year and less than 2-year programs. For example according to the most recent NPSAS data-—for the 2007-2008 school year-—about 50 percent of students at 4-year for- profit schools were not enrolled in 4-year bachelors degree programs. By contrast, over 90 percent of students at nonprofit and public 4- year schools were enrolled in 4-year bachelors degree programs. [59] A publicly-traded company is authorized to offer its securities (e.g., stocks and bonds) for sale to the general public, typically through a stock exchange. [60] "Student characteristics" refers to both demographic characteristics, such as gender, race, or income, and to other characteristics and risk factors, such as not enrolling in school immediately after high school. "Students" refers to individuals who started their education at a particular 19 type of school, whether they were still enrolled, earned a degree, or dropped out. [61] Some students in certificate or associates' degree programs may have transferred to higher degree levels before completing these programs. [62] Analysis does not differentiate between 2 and 4-year for-profit schools or control for the program students start in or if they transfer to higher degree programs. Dependency status refers to whether students are financially dependent on their parents. Risk factors include: no high school diploma, delayed or part-time enrollment, financial independence, having dependents, being a single parent, and working full time. [63] Deming. D., Goldin. C., and Katz. L. (2011). Study used BPS data and controlled for the type of program in which the student started. [64] Skomsvold, P., Radford, A.W., and Berkner, L. (2011). Study used BPS data and does not differentiate between 2 and 4-year for-profit schools or control for the program in which a student started or for transfer to higher degree programs. Graduation rates based on highest degree earned. [65] Deming, D., Goldin, C., and Katz, L. (2011). Study used BPS data and controlled for type of program in which a student started. Enrollment in 2-year and 4-year for-profit schools since 2004 has increased much faster than at other schools; findings from both studies do not reflect outcomes of more recent students. [66] Study did not control for the program students start in or distinguish between 2 and 4-year for-profit schools. [67] Deming, D., Goldin, C., and Katz, L. (2011). Study used BPS data and controlled for type of program in which a student started (e.g., bachelor's degree). Study looked at 6-year graduation rates. [68] Knapp, L.G., Kelly-Reid, J.E. and Ginder. (2011)-—most recent annual report. Study did not include part-time or transfer students. [69] Deming, D., Goldin, C., and Katz, L. (2011). Study used self- reported employment data from BPS. We refer to "students" rather than "graduates" in this section because individuals may have dropped out or still be enrolled. Authors included all students who were no longer enrolled after 6 years, but did not differentiate between students who completed a degree or certificate and those who dropped out. Earnings analysis was based on students who were employed 6 years after first enrolling in school and sector differences were not statistically significant. [70] Loan debt is cumulative and includes both federal and nonfederal student loans, but not consumer debt. Lithe is known about how the debt of borrowers from different sectors compares for students who earn certificates or associate's degrees or for students who do not graduate. [71] Hinze-Pifer, R. and Fry, R. (2010). Study used NPSAS data. Authors noted that about a quarter of student loan debt was from non- federal loans. [72] Baum. S. and Steele. P. (2010). Study used NPSAS data. [73] Deming, D., Goldin, C., and Katz, L. (2011). Study used default data from NSLDS and IPEDS enrollment data to control for student characteristics and type of program student started in. In 2012, Education will begin to use the 3-year default rate as its measure for school federal student aid eligibility. [74] Guryan, J. and Charles River Associates. (2010). Study used BPS data. Authors did not differentiate between 2- and 4-year for-profit schools or the type of program in which students enrolled (e.a. certificate program). This finding is supported by additional data provided by the authors. [75] We use "licensing exam” to refer to exams required to work in an occupation, although some are technically certification exams. Pass rates are for first-time test takers and are statistically significant unless otherwise noted. In some cases, test takers may not have formally graduated, but have completed most program requirements. In a small number of cases, data are presented for a shorter time period. [76] The funeral director exam consists of two sections-—Arts and Sciences—-which may be taken together or at different times. [77] Pass rates were calculated based on national data from the National Council of State Boards of Nursing on the National Council Licensure Examination for Practical Nurses and the National Council Licensure Examination for Registered Nurses exams. Data include programs in all states, American Samoa, Guam, Northern Mariana Islands, Puerto Rico, and the Virgin Islands. Programs of all lengths were combined for this analysis. [78] Pass rates were calculated using data from the American Registry of Radiologic Technologists' examination in radiography from 34 states that require radiographers to pass this exam in order to practice in the state. Radiographers perform diagnostic imaging examinations, such as X-rays, magnetic resonance imaging (MRI), and mammograms. [79] Pass rates were calculated using data provided by the National Registry of Emergency Medical Technicians on its basic EMT exam from 32 states and paramedic exam from 38 states. We analyzed data from 18 for-profit, 30 nonprofit, and 615 public EMT programs and 5 for- profit, 22 nonprofit, and 383 public paramedic programs over the 2008- 2010 time period. The basic EMT exam is the lowest level EMT exam which eve licensed EMT has to pass. [80] Pass rates were calculated using data from the National Board of Surgical Technology and Surgical Assisting for the two states that generally require passing its exam to work as a surgical technologist in the state. The requirement to pass this exam was instituted in 2009 in one of the states, so we analyzed only 2010 data. Pass rates are based on 8 for-profit and 20 public schools. [81] We did not report pass rates for the nonprofit sector because in our data two states had no nonprofit programs and the other two had less than five nonprofit programs. For some individual massage therapy exams in individual years, for-profit students had higher pass rates than students at other schools, but these differences were not statistically significant. [82] Georgia had 1 for-profit, 2 nonprofit, and 2 public law programs; California had 3 for-profit, 22 nonprofit, and 4 public law programs; and Florida had 1 for-profit, 6 nonprofit, and 4 public law programs. California allows students from nonaccredited law schools to take the bar exam. [83] We also analyzed average school pass rates. For-profit schools in Florida had a higher average school pass rate than other schools, but the difference was not statistically significant. [84] Two of the four states had no nonprofit cosmetology schools, while the other two each had fewer than five nonprofit schools, so we did not report results for the nonprofit sector. For some individual cosmetology exams in individual years, for-profit students had higher pass rates than students at other schools, but the differences were not statistically significant. In one case, for-profit schools had a statistically higher average school pass rate than public schools—-on the esthetician exam in North Carolina in 2010. [85] Not all states require funeral directors to pass this national exam. However, for all programs included in our analysis, students must take this exam prior to graduating. As a result, we determined that these data represented a valid sector comparison of pass rates. A small number of nonprofit and public schools offer bachelor's degrees in addition to, or instead of, associate's degrees. We compared pass rates including these schools and the results were generally similar. [86] In the majority of occupations, the pass rate data provided by testing entities did not identify individual schools. As a result, it was not possible to conduct further analyses on school characteristics that might be associated with higher pass rates. [87] A high pass rate may not provide complete information about the quality of a program if a large number of enrolled students do not complete the program or do not take the licensing exam. A program or sector may have a high exam pass rate, but also a high dropout rate if a large number of students do not complete the program, but those who do complete pass the exam at a high rate. 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