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I work for a non-profit community health center. The pay is not always up to other industry averages so they have to throw other benefits at us. We don't have a "buy" program per say but they generally just throw time off at us. We can't carry PTO over to the next year so they let us donate it to be set aside for employees who experience life changing events (death of a spouse/parent/child, major health issues, or other major incidents).
For context I have 5 weeks of PTO and get 14 holidays. I negotiated an extra week when I started 4 yrs ago, but new employees get 4 weeks when they start.