6 unchanged sentences
In September 2021, ACEN placed conditions on the Bloomington, Minnesota ADN program’s continued accreditation, requiring it to demonstrate compliance with all applicable accreditation criteria within two years.
−Removed: ACEN conducted a site visit at the Bloomington, Minnesota ADN program for April 2023.
−Removed: In June 2023, ACEN’s site visit team recommended denial of continuing accreditation for the Bloomington, MN ADN program based on the team’s findings that the program did not demonstrate compliance with certain accreditation criteria related to student outcomes.
−Removed: However, RU has an opportunity to respond to this recommendation before the ACEN board makes a decision, and we believe that we have a strong rationale for why continuing accreditation should not be denied for this program.
−Removed: We expect the ACEN board to make a decision in September 2023.
−Removed: If ACEN denies continuing accreditation, RU has the ability to immediately reapply for accreditation with ACEN or with another national nursing accreditor, the first step of which would be candidacy.
−Removed: Due to previously self-imposed enrollment caps, enrollment in this program currently represents approximately 2% of RU’s current total enrollment.
+Added: In June 2023, ACEN’s site visit team recommended denial of continuing accreditation for the program based on the team’s findings that the program did not demonstrate compliance with certain accreditation criteria related to student outcomes.
+Added: RU thereafter responded to the recommendation detailing RU’s belief that good cause existed not to deny continuing accreditation.
+Added: On October 6, 2023, RU received notice from ACEN that the ACEN board had granted continuing accreditation for good cause until September 2024.
+Added: ACEN also requested a follow-up report for good cause be submitted in advance of a follow-up visit in spring 2024 due to a finding of non-compliance related to an alleged lack of evidence that the program implements actions based on data analysis to improve the program completion rate.
+Added: In conjunction with the spring 2024 follow-up visit, the ACEN board will also conduct a focused visit due to a complaint received by ACEN related to student clinical preparation and graduate clinical performance.
+Added: If the ACEN board denies continuing accreditation
+Added: following its review of the follow-up report and the spring 2024 site visit report, the program can apply for an additional year of continuing accreditation for good cause.
+Added: There can be no assurance that ACEN will allow continuing accreditation following its spring 2024 visit or that if continuing accreditation is denied, an application for an additional year of continuing accreditation for good cause would be successful.
+Added: In August 2023, RU decided to voluntarily pause new enrollments beginning in November 2023.
+Added: Due to previously self-imposed enrollment caps and the pause on new enrollments, enrollment in this program currently represents less than 2% of RU’s current total enrollment.
+Added: A Minnesota statute requires nursing programs in the state to provide evidence of current accreditation in order to meet state approval requirements.
If RU is unable to obtain accreditation or candidacy status with ACEN or another national nursing accrediting body, RU would likely have to close its Bloomington, Minnesota ADN program, which would have an adverse impact on RU’s enrollments and RU’s and our results of operations, cash flows, and financial condition.
In addition, a stipulation and consent order with the Minnesota Board of Nursing, or MBN, requires the Bloomington, Minnesota ADN program to among other things reach applicable NCLEX pass rate standards by the end of 2023 and maintain a specified student to faculty ratio in 2023, with a potential penalty up to and including withdrawal of program approval.
−Removed: The student to faculty ratio limit constrains our ability to enroll students based on our ability to attract and retain qualified faculty.
−Removed: RU voluntarily further reduced enrollments in the Bloomington ADN program for new cohorts that started in January 2023, but there can be no assurance that these or other efforts will improve NCLEX scores above the applicable threshold or by the required deadline, if at all, or that the program will be found to be in compliance with the order.
+Added: The student to faculty ratio limit constrains our ability to enroll students based on our ability to attract and retain qualified faculty and as of the Q3 NCLEX results, Bloomington Minnesota ADN program has not reached the applicable NCLEX pass rate standards.
+Added: RU paused enrollments in the Bloomington ADN program, but there can be no assurance that these or other efforts will improve NCLEX scores above the applicable threshold or by the required deadline, if at all, or that the program will be found to be in compliance with the order.
As a result of the order, the Minnesota Office of Higher Education, or MOHE, informed RU that it expects RU to identify a clinical site for each student within 50 miles from the student’s home, disclose to potential students that RU may not be able to satisfy the MBN’s order, provide options for students unable to complete the program if the MBN were to withdraw program approval, including a refund option, and provide MOHE with copies of any reports submitted to MBN or ACEN as they become available.
−Removed: The MBN order and MOHE’s related scrutiny could have an adverse impact on our reputation and ability to enroll students, and could result in the closure of the Bloomington, Minnesota ADN program, which would have an adverse impact on RU’s enrollments and RU’s and our results of operations, cash flows, and financial condition.
+Added: The MBN order and MOHE’s related scrutiny could have an adverse impact on our reputation and ability to enroll students, and could result in the closure of the Bloomington, Minnesota ADN program in early 2024, which would have an adverse impact on RU’s enrollments and RU’s and our results of operations, cash flows, and financial condition.
+Added: RU paused enrollments in the Bloomington, MN ADN program for the January 2023 quarter start date.
We may not achieve the anticipated benefits of our cost savings efforts, including reductions in force, and any savings may be offset by increased costs in other areas.
−Removed: On August 1, 2023, we completed a reduction in force that resulted in the termination of 35 employees and the elimination of 46 open positions across a variety of roles and departments.
−Removed: The reduction in force is expected to result in pre-tax labor and benefit savings in 2023 of approximately $3.8 million, excluding severance costs, and approximately $8.1 million in savings on an annualized basis.
+Added: During the three months ended September 30, 2023, we completed a reduction in force that resulted in the termination of 74 employees and the elimination of 57 open positions across a variety of roles and departments.
+Added: The reduction in force is expected to result in approximately $15.5 million in savings on an annualized basis.
The headcount reductions reflect our ongoing efforts focused on realigning our organizational structure, eliminating redundancies, and optimizing certain functions.
We continue to examine our cost structure for additional opportunities in the near term.
−Removed: We anticipate completing our current review during the third quarter of 2023, and there can be no assurance that we will be successful or recognize the benefits we anticipate from our cost savings efforts.
+Added: There can be no assurance that we will be successful or recognize the benefits we anticipate from our cost savings efforts.
Furthermore, some of the savings anticipated in 2023 will be offset in the short-term by severance and other related costs, and over the long-term may be offset by increases to wages and salaries necessary to remain competitive, or by additional hiring if we determine it is necessary.
−Removed: Reductions in force may also result in increased costs, as opposed to cost savings, including due to associated legal risks, and could distract management and employees.
+Added: A reduction in force may also result in increased costs, as opposed to cost savings, including due to associated legal risks, and could distract management and employees.
This headcount reduction, together with previous headcount reductions, could also adversely affect employee morale and make it more difficult to hire and retain qualified personnel.
−Removed: ED’s recently proposed rulemaking on gainful employment requirements could materially and adversely affect our business if finalized.
−Removed: On May 19, 2023, ED released a notice of proposed rulemaking that would modify regulations related to Title IV participation, including gainful employment requirements, or the GE Proposal.
−Removed: The GE Proposal contemplates two new metrics that ED would use to determine the Title IV eligibility of gainful employment programs.
−Removed: The two metrics are referred to as the debt-to-earnings rates (which include two rates, the discretionary earnings rate and the annual earnings rate) and the earnings premium measure.
−Removed: ED released with the GE Proposal a data set, referred to as the program performance data, or the PPD, that includes calculations of the two metrics.
−Removed: The methodology ED used to produce the PPD differs from the proposed methodology in the GE Proposal because of data limitations, and any final regulation’s methodology may change as compared to the GE Proposal.
−Removed: However, out of the 30 RU programs, 47 APUS programs, and three HCN programs that ED assessed, which includes one program no longer offered at HCN, in the PPD for which gainful employment data was available, six RU programs and three APUS programs failed one or both of the new measures.
−Removed: Programs that fail at least one of the metrics would need to warn students that the program risks losing access to Title IV funding, and programs that fail to meet the metrics twice in a three-year period would lose access to Title IV funding.
−Removed: Under the GE Proposal, the failure of any of our institutions’ programs to meet the required metrics could therefore adversely impact those institutions and programs.
−Removed: At this time, the outcome of the gainful employment rulemaking remains uncertain, and it is difficult to predict whether our institutions’ programs will satisfy any future gainful employment metrics, including whether the programs identified as failing in the PPD will in fact fail or whether other programs will fail or pass.
−Removed: Any final gainful employment requirements would be effective no earlier than July 1, 2024.
+Added: ED’s recently finalized new gainful employment requirements could materially and adversely affect our business after they take effect.
+Added: Pursuant to new gainful employment regulations, or the GE regulations, that will take effect July 1, 2024, ED will determine the Title IV eligibility of gainful employment programs based in part on satisfaction of specified performance levels of two performance measures defined by the regulations:
+Added: the debt-to-earnings rates (which include two rates, the discretionary debt-to-earnings rate and the annual debt-to-earnings rate) and the earnings premium measure.
+Added: ED previously released a data set, referred to as the program performance data, or the PPD, that includes calculations of the two metrics for certain programs.
+Added: The methodology ED used to produce the PPD differs from the methodology that will be used to identify programs under the final GE regulation, primarily due to data limitations.
+Added: However, out of the 30 RU programs, 47 APUS programs, and three HCN programs (including one no longer offered at HCN) that ED assessed in the PPD provided by ED, six current RU programs and three APUS programs failed one or both of the new measures.
+Added: The six RU programs failing in the PPD represent 7.4% of total student enrollment for the three months ended September 30, 2023.
+Added: The three APUS programs failing in the PPD represent 2.1% of total net course registrations for the nine months ended September 30, 2023.
+Added: Programs that fail to achieve the specified GE performance measures in two of any three successive years for which the debt-to-earnings rates or the earnings premium measure are calculated would lose access to Title IV funding.
+Added: Under the GE regulations, the failure of any of our institutions’ programs to meet the required metrics could therefore adversely impact those institutions and programs.
+Added: We expect that the earliest a program could lose eligibility is July 1, 2026.
+Added: In addition, programs that fail any of the metrics in a year would need to warn enrolled and prospective students that the program risks losing access to Title IV funding.
+Added: At this time, it is difficult to predict whether our institutions’ programs will satisfy the future gainful employment metrics, including whether the programs identified as failing in the PPD will in fact fail or whether other programs will fail or pass.
ED is conducting and will in the future conduct compliance reviews of our institutions, which could disrupt our institutions’ operations and adversely affect their performance.
11 unchanged sentences
HLC moved APUS from the Open Pathway for reaffirmation of accreditation to the Standard Pathway, which will result in a comprehensive site visit occurring for the mid-cycle review in year four of the ten year accreditation cycle instead of a panel review.
−Removed: HLC has determined to conduct a focused visit at APUS no later than March 2024.
−Removed: Specifically, HLC found potential concerns regarding APUS’s compliance with standards related to program development oversight and program assessment processes as a result of certain courses not being available for students in one program.
+Added: HLC has determined to conduct a focused visit at APUS in March 2024 after HLC raised potential concerns regarding APUS’s compliance with standards related to program development oversight and program assessment processes as a result of certain courses not being available for students in one program.
Pursuant to HLC policy, APUS has transitioned from the Open Pathway to the Standard Pathway because of the decision to conduct a focused visit.
8 unchanged sentences
If after two years the pass rate does not satisfy the required standard, the program will be reevaluated by the IDFPR for a determination as to whether the program will be allowed to continue on probation or whether it should be disapproved.
−Removed: While we have seen a recent improvement in the RU Illinois ADN program’s first-time NCLEX pass rate, the improved rate may not persist or further improve, and the IDFPR could require us to continue on probationary status, impose additional restrictions on RU’s Illinois ADN program, or determine that the program should be disapproved, which would have an adverse effect on our results of operations, cash flows, and financial condition.
+Added: In August 2023, the State of Illinois enacted legislation, which takes effect January 1, 2024, that will provide the program with additional time to improve NCLEX pass rates.
+Added: The legislation changes the Illinois NCLEX pass rate requirements from a one-year measurement based on first attempts only to a three-year average that includes all test attempts and temporarily removes all nursing programs from probationary status for a period of three years.
An Illinois statute also requires nursing programs in the state to have achieved accreditation by the end of 2022 in order to meet state approval requirements.
−Removed: RU’s Illinois ADN program has been in candidacy status for initial accreditation
−Removed: with ACEN since July 2020.
+Added: RU’s Illinois ADN program has been in candidacy status for initial accreditation with ACEN since July 2020.
Although the IDFPR has indicated that candidacy status satisfies this requirement, the IDFPR could change its position.
2 unchanged sentences
If ACEN ultimately denies initial accreditation and RU is unable to obtain accreditation or candidacy status with another national nursing accrediting body, RU would likely have to close the Illinois ADN program.
−Removed: Illinois HB2509, which is described in more detail in “Management’s Discussion and Analysis of Financial Condition and Results of Operations – Overview – Regulatory and Legislative Activity” above, may provide a path forward for RU.
−Removed: It could lead to RU’s removal from probation and full ACEN accreditation, providing RU with additional time to improve NCLEX rates.
−Removed: However, there is no assurance that HB2509 will be signed into law, or that if signed, it will benefit RU’s Illinois ADN program as anticipated.
+Added: Removal from probationary status pursuant to the newly enacted Illinois legislation described above may be viewed favorably by ACEN or another nursing program accreditor and may result in RU’s Illinois ADN program obtaining ACEN accreditation following a site visit in February 2024, which we also expect will allow RU to be deemed to have met Illinois’ requirement for its Illinois ADN program to have achieved accreditation by the end of 2022 to meet state approval requirements.
+Added: However, there is no assurance that this legislation will benefit RU’s Illinois ADN program as anticipated or that the program will meet the new NCLEX pass rate requirements.
Our institutions may lose eligibility to participate in Title IV programs if their student loan default rates are too high, and our future growth could be impaired as a result.
5 unchanged sentences
In June 2023, the Fiscal Responsibility Act was enacted, ending the freeze on payments and interest accruals.
−Removed: Accordingly, interest accrual on federal student loans will resume on September 1, 2023 and payments will be due beginning October 1, 2023, which may lead to an increase in defaults and therefore an increase in our institutions’ cohort default rates.
+Added: Accordingly, interest accrual on federal student loans resumed on September 1, 2023 and payments became due beginning October 1, 2023, which may lead to an increase in defaults and therefore an increase in our institutions’ cohort default rates.
ED has announced a 12-month “on-ramp” to repayment, running from October 1, 2023 to September 30, 2024, so that financially vulnerable borrowers who miss monthly payments during this period will not be considered delinquent, reported to credit bureaus, placed in default, or referred to debt collection agencies.
2 unchanged sentences
If one of our institutions loses its eligibility to participate in Title IV programs because of high student loan default rates, students would no longer be eligible to use Title IV program funds at that institution, which would significantly reduce that institution’s enrollments and revenue and cash flows and have a material adverse effect on our results of operations.
−Removed: In addition, if Congress or ED restricts permitted types of default prevention assistance, the default rates of our former students may be negatively impacted.
+Added: In addition, if Congress or ED restricts permitted types of default prevention assistance, the default rates of our former students
+Added: may be negatively impacted.
Congress could also increase the measuring period, which could also negatively impact student default rates.
+Added: RU is currently on provisional certification with ED, and the terms of that provisional certification could limit its potential for growth.
+Added: In July 2021, ED notified RU that in connection with its March 2019 change in ownership, ED was imposing certain temporary growth restrictions on the institution, including limitations on new programs and locations and a cap on enrollments by students that participate in Title IV programs.
+Added: Additionally, ED required RU to submit periodic financial and enrollment reports, a requirement that it had imposed on RU in connection with a financial responsibility letter of credit previously imposed on RU.
+Added: RU timely submitted a change in ownership and control application to ED seeking approval to participate in the Title IV programs under our ownership and, effective October 2021, ED and RU entered into a Temporary Provisional Program Participation Agreement, or TPPPA, that allowed RU to continue disbursing Title IV funds while ED reviewed the change in ownership application.
+Added: The TPPPA continued the growth restrictions imposed as a result of the previous change in ownership, with certain qualifications more fully described in “Regulatory Environment – Regulatory Actions and Restrictions on Operations” and “-Student Financing Sources and Related Regulations/Requirements” in our Annual Report.
+Added: In August 2023, ED notified RU that it had approved RU’s continued participation in the Title IV programs under APEI ownership.
+Added: In the Provisional Program Participation Agreement, or PPPA, that RU executed in connection with the approval, ED continues to impose certain growth restrictions on RU that were included in the TPPPA, including limitations on new programs and locations and an enrollment cap on the number of students that participate in Title IV programs.
+Added: ED also continues to require RU to submit periodic financial and Title IV enrollment reports.
+Added: The PPPA no longer requires RU to post the financial responsibility letter of credit that ED had imposed based on the 2019 change in ownership and control of RU, although this letter of credit has not yet been released.
+Added: We believe we have met all obligations for the release of the letter of credit.
+Added: The PPPA also imposes new reporting requirements related to accrediting agency actions, government actions, and class actions and new reporting requirements related to student complaints.
+Added: The PPPA specifies that after ED reviews and accepts financial statements and compliance audits for one complete fiscal year of RU’s Title IV participation under APEI’s ownership, RU may seek removal of the enrollment cap and approval for new programs that replace current programs.
+Added: The PPPA also specifies that at least until after ED reviews and accepts financial statements and compliance audits that cover the second complete fiscal year of RU’s Title IV participation under our ownership, RU must seek pre-approval for new locations, new programs that are not replacing current programs, and other changes.
+Added: These growth restrictions could limit or adversely affect RU’s growth opportunities, including restricting its ability to serve additional students, particularly additional nursing students, and limiting its ability to continue to evolve to address current education or market needs by providing new or changed programs.
+Added: The growth restrictions could also have an adverse effect on our ability to grow revenue or meet investors’ and financial analysts’ expectations for financial performance.
+Added: If one or more of our institutions does not comply with the 90/10 Rule for two consecutive years, it or they will lose eligibility to participate in federal student financial aid programs.
+Added: The HEA requires all for-profit education institutions to comply with what is commonly referred to as the 90/10 Rule, which imposes sanctions on institutions that derive more than 90% of their total revenue on a cash accounting basis from Title IV programs and other federal educational assistance funds, as calculated under ED’s regulations.
+Added: As more fully described in “Regulatory Environment–Student Financing Sources and Related Regulations/Requirements – Department of Education – Regulation of Title IV Financial Aid Programs – The ‘90/10 Rule’” in our Annual Report, for fiscal years beginning on or after January 1, 2023, federal funds used to calculate the “90%” side of the ratio include Title IV funds and any other educational assistance funds provided by a federal agency directly to an institution or a student, including the federal portion of any grant funds provided by or administered by a non-federal agency, except for non-Title IV federal funds provided directly to a student to cover expenses other than tuition, fees, and other institutional charges.
+Added: ED confirmed that the 90/10 Rule would no longer permit institutions to count federal aid for veterans and service members as part of the “10%” side of the ratio.
+Added: As a result, effective January 1, 2023, TA and VA benefits are included in the “90%” side of the ratio, and our institutions’ 90/10 Rule percentages are increasing, particularly at APUS.
+Added: Cash payments from the Army to APUS that were expected in 2021 and 2022 have been received in 2023, which together with recent amendments to the 90/10 Rule and faster enrollment growth among service members than non-military growth has caused APUS’s 90/10 Rule percentage to increase.
+Added: Beginning in September 2023, APUS changed its practice with respect to the timing of TA invoices to offset the impact in 2023 of the delayed receipt of cash payments from the Army that would have otherwise been received in prior years.
+Added: There can be no assurance that APUS will be in compliance with the 90/10
+Added: Rule for 2023, and this change in practice could make it more difficult to comply with the 90/10 Rule for 2024.
+Added: This change in practice will add to our accounts receivable as of December 31, 2023, as well as result in an increase to our leverage ratios as of December 31, 2023 under our Credit Agreement, as described in Note 8 to our audited consolidated financial statements for the year ended December 31, 2022.
+Added: Depending on what our leverage ratio is for the year ended December 31, 2023, we could be subject to limitations on our ability to incur additional indebtedness, pay dividends, or otherwise comply with the terms of our preferred stock.
+Added: While we do not anticipate a higher leverage ratio will have material limitations on our expected operations for fiscal 2023, it could result in reduced operational flexibility.
+Added: In addition, given the recent modifications of the 90/10 Rule, we also anticipate more general scrutiny of practices and compliance with the 90/10 Rule across the industry.
+Added: As noted in the risk factor with the caption beginning “ED is conducting and will in the future conduct compliance reviews...”, ED is currently conducting a regular program review at APUS, which includes among other things a review of APUS’s compliance with the 90/10 Rule.
+Added: Subsequent to ED’s site visit to APUS as part of the program review, APUS changed the way it calculates certain elements of 90/10 based on preliminary feedback from ED, which had the effect of a modest increase to the “90%” side of the ratio.
+Added: At this time, we cannot predict whether ED could have further feedback or findings on APUS’s 90/10 compliance and related practices, whether as a result of the program review or otherwise.
+Added: Failure of one of our institutions to meet the 90/10 Rule for any fiscal year would require the institution to notify ED and students of this failure, would result in the institution being on provisional status for two fiscal years, could subject the institution to heightened regulatory scrutiny and possible adverse regulatory action, and could damage the institution’s reputation, which would have a material adverse impact on our results of operation, cash flow, and financial condition.
+Added: Failure of an institution to meet the 90/10 Rule for two consecutive fiscal years results in the institution becoming ineligible to participate in Title IV programs for at least two fiscal years, and would have a material adverse impact on our results of operation, cash flow, and financial condition.
Compared sentence by sentence after normalising whitespace, quotation marks, case and digits, so re-formatting and restated figures do not read as changed language. Wording changes appear as one removal and one addition. The current filing and the prior one are authoritative.