NCLEX PDF Download are daily updated at

Rather than squandering energy on one NCLEX digital book that contains obsolete inquiries, register at and neglect to stress over refreshed NCLEX questions. We deal with it for you. Our group ceaselessly works for updates, substantial, and most recent NCLEX test questions that are gotten from NCLEX study guide.

Exam Code: NCLEX Practice test 2022 by team
NCLEX National Council Licensure Examination

NCLEX Exam: Eligibility Criteria

Graduation from any School of Nursing Must possess ATT (Authorisation To Test) Put in credentials and private information
Apply in Nursing or Regulatory Board Register with Pearson Vue Pay NCLEX application fees NCLEX test Pattern:

NCLEX test is conducted at Pearson Professional Centre. Each individual will have a different form of the exam. Since each question depends on how the previous question is answered, an individual can be given between 75 and 265 questions. Only 60 out of the first 75 questions on the test will count, and the rest 15 questions will be kept for future examination. There are 3 levels.

Level 1- Tests candidates' knowledge and understanding
Level 2- Tests candidates' analysis and application
Level 3- Tests candidates' qualitative and aptitude.

NCLEX Exam: Syllabus

NCLEX tests the following areas:

Safe effective care environment
Health promotion and maintenance
Psychosocial Integrity
Psychological Integrity
NCLEX- RN tests the following areas:

Safe effective care environment
Health promotion and maintenance
Psychosocial Integrity
Psychological Integrity

Candidates must attempt all questions carefully.
Candidates must revise their concepts thoroughly.
Candidates must have knowledge of medical terms.
Take online mock tests to know your strengths and weaknesses.
Candidates must practice placement papers and mock tests to prepare well.

National Council Licensure Examination
NCLEX Examination health
Killexams : NCLEX Examination health - BingNews Search results Killexams : NCLEX Examination health - BingNews Killexams : Pennsylvania nursing candidates can now enter the field faster No result found, try new keyword!New nursing school graduates can obtain a temporary practice permit more quickly thanks to a recent policy change. Thu, 28 Jul 2022 08:22:00 -0500 en-us text/html Killexams : Nursing students delayed by test protocols No result found, try new keyword!One CVTC student waited 2 months to get her approval to test from the Department of Safety and Professional Services, so she could take her LPN exam. Mon, 08 Aug 2022 11:58:12 -0500 en-us text/html Killexams : Be the first to know

WENTWORTH – Twenty students recently completed the Practical Nursing program at Rockingham Community College.

They received their caps and pins during a special evening ceremony on July 20, and on July 22 received their Practical Nursing diplomas at RCC’s graduation ceremony.

These graduates are now eligible to apply to take the National Council Licensure Examination (NCLEX-PN), which is required for practice as a Licensed Practical Nurse. Their employment opportunities include hospitals, rehabilitation/long term care/home health facilities, clinics, and physicians’ offices.

Brittney Bowers, Briana Howard, Kimberly Ramos-Ordaz

Janine Rawlins, Kanecia Rorie, Ebony Whitworth

Iyanna Brown, Maurice Lawson

Shenelle Blackwell, Tameshia Stamps

Autumn Jones, Ashley Marsh

Cecilia Armenta, Jamie Lopez, Kelly Roberts.

Cora Cannon, Courtney Cannon.

Sat, 30 Jul 2022 16:00:00 -0500 en text/html
Killexams : Community Newsletter: Gateway Technical College

Arionna Simmons first became interested in a health care career in high school, when she gained Gateway Technical College training to help her to become a nursing assistant.

Fast forward to today and Simmons’ goals still includes a health care career, also helped by Gateway training and equipment. She’s decided to further her nursing education and is a member of the inaugural cohort of Gateway’s revamped 30-credit practical nursing program, hoping to earn her diploma and enter the career field in December.

Simmons is taking her classes at the newly opened Lincoln Center for Health Careers on the college’s Racine campus, a site which offers a mix of traditional classroom education settings with hands-on and technologically advanced simulation equipment that replicates patients and a health care setting.

“I love how Gateway has set up the center,” says Arionna. “I am comfortable there. It’s a great learning environment.”

People are also reading…

Program revamped

The center is home to Gateway’s new practical nursing diploma program as well as its nursing associate degree program.

Students in Gateway’s nursing program already gain the skills to take the state’s LPN licensure test through their regular coursework, and more than 97% do pass. However, students and area employers asked the college for a standalone program that can offer a full range of resources for students who specifically wish to take the LPN exam, said Vicki Coyle, dean of Gateway’s School of Health.

This represents a shift from the past, when educational institutions dialed back their standalone LPN programs. Renee Seymour, Gateway practical nursing program director, said there’s a significant need for LPNs locally as well as nationally. “Our advisory council 100% supported us bringing back the program,” she said.

Seymour says graduates of the program will have a great opportunity to enter a field with solid wages. Examples of where LPNs work include long-term and assisted living facilities as well as hospice care.

The training setup for the practical nursing program differs slightly from the first-year nursing program, giving LPN students about twice as many opportunities to engage in theory coursework as well as providing program-specific support to help them succeed.

Seymour says the program provides a dual benefit to students, too. Some may prefer to obtain the training to be able to enter the workforce as a licensed practical nurse and stay in that specific career field. Others, such as Simmons, seek to gain the training for an LPN and enter the career field — but also have a goal to return to Gateway at some point to earn their nursing degree, which would allow them to take the NCLEX test to become a registered nurse.

“I think this program will help meet the needs for licensed practical nurses in the community, but could also help with the registered nurse shortage, as well,” says Seymour.

Simulated center

Arionna’s thoughts on the center echo what many other students have said. They love the high-tech simulators and training rooms — but they also enjoy the public areas where they can comfortably study for the intense programs housed there.

Micheal Randolph, Gateway School of Health associate dean, said the new center replicates other Gateway health care simulated lab settings.

“The center provides skill as well as simulation rooms. It provides them with an opportunity to address many different situations and procedures so they are comfortable when they have to work with an actual human patient,” says Randolph.

Randolph says simulated labs at Gateway provide a training environment as close as possible to an actual health care facility. “The more they prepare here, the more they are prepared to handle it in real life,” he says.

Those interested in learning more about Gateway’s new Practical Nursing program can go to

Sun, 31 Jul 2022 23:00:00 -0500 en text/html
Killexams : Grand Canyon Education, Inc. (LOPE) CEO Brian Mueller on Q2 2022 Results - Earnings Call Transcript

Grand Canyon Education, Inc. (NASDAQ:LOPE) Q2 2022 Earnings Conference Call August 4, 2022 4:30 PM ET

Company Participants

Brian Mueller - Chairman and Chief Executive Officer

Daniel Bachus - Chief Financial Officer

Conference Call Participants

Ryan Griffin - BMO Capital Markets

Alex Paris - Barrington Research

Jeff Meuler - Baird


Good afternoon, and thank you for standing by. Welcome to the Second Quarter 2022 Grand Canyon Education Earnings Conference Call. At this time, all participants are in a listen-only mode. After the speakers presentation, there will be a question-and-answer session. [Operator Instructions] Please note that today's conference is being recorded.

I would now like to hand the conference over to your first speaker today, Dan Bachus, Chief Financial Officer. Please go ahead.

Daniel Bachus

Joining me on today's call is our Chairman and CEO, Brian Mueller. Please note that many of our comments today will contain forward-looking statements that involve risks and uncertainties. Various factors could cause our actual results to be materially different from any future results expressed or implied by such statements. These factors are discussed in our SEC filings, including our annual report on Form 10-K quarterly reports on Form 10-Q and current reports on Form 8-K. We undertake no obligation to provide updates with regard to the forward-looking statements made during this call, and we recommend that all investors review these reports thoroughly before taking any position in GCE.

In addition, during today's call, we will discuss non-GAAP financial measures, which we believe are useful as supplemental measures. These non-GAAP measures should be considered in addition to and not as a substitute for or in isolation from GAAP results. You can find additional disclosures regarding these non-GAAP measures, including reconciliations with comparable GAAP results in our Form 8-K filed today.

And with that, I will turn the call over to Brian.

Brian Mueller

Good afternoon, and thank you for joining Grand Canyon Education's Second Quarter Fiscal Year 2022 Conference Call. Service revenues was $199.8 million for the second quarter of 2022, a decrease of $1.7 million or 0.9% as compared to the $201.5 million for the second quarter of 2021. The decrease year-over-year in service revenue was primarily due to a decrease in online enrollments at GCU and to a lesser extent, students in a university partners Occupational Therapy Assistance Program of 34%, partially offset by increases in GCU's traditional campus enrollments, university partner enrollments in the accelerated Bachelor of Science in Nursing programs and revenue per student year-over-year.

Operating income for the three months ended June 30, 2022, was $33.8 million, a decrease of $16.4 million as compared to $50.2 million for the same period in 2021. The operating margin for the three months ended June 30, 2022, was 16.9% compared to 24.9% for the same period in 2021. The operating margin was negatively impacted by the investments that are being made to grow our partner enrollments.

Net income decreased 48.3% to $25.6 million for the second quarter of 2022 compared to $49.5 million for the same period in 2021. The decline in net income was partially due to a significant reduction in interest income between years due to GCU paying off the secured note in the fourth quarter of 2021.

GAAP diluted income per share for the three months ended June 30, 2022, is $0.80. As-adjusted non-GAAP diluted income per share for the three months ended in June 30, 2022, is $0.85 or $0.01 over consensus estimate.

I want to start by putting our current performance within the context of the overall trends that exist in higher education to date. While the trends I'm about to discuss are not positive, Grand Canyon Education's strategy places itself and its partners in a differentiated and very strong position going forward.

One, according to the National Student Clearinghouse Research Center, the percentage of 2020 high school graduates who immediately enrolled in college dropped by 6.8% last Fall during the height of the COVID-19 pandemic, a decrease that was 4x greater than the prepandemic negative 1.5% for graduates in the Fall of 2019.

The pandemic disproportionately affected graduates of low income, high poverty and high minority high schools with their enrollments dropping more steeply than the more efficient counterparts. For instance, the decline in immediate college enrollments by graduates from high poverty high schools, minus 11.4% was 4x larger than compared to graduates from low poverty schools at negative 2.9%. And among graduates from high minority high schools, college enrollees in 2020 decreased 9.4% compared to a 4.8% decline from low minority school graduates.

Three, enrollment in private nonprofit four-year institutions saw a decrease of 5.2% in 2020 compared -- higher than the 3% drop at public four-year colleges. Four, according to Inside Higher Ed, as in so many spheres of life, COVID is having an accelerated impact on already concerning trends. For higher education, these sober statistics are acute signals of decades-long enrollment decline of 13% and with the number of high school graduates projected to decrease from 2017 through 2037, college enrollment challenges have just begun.

Five, according to the Wall Street Journal, the number of colleges closing in the past 10 years, around 200, has quadrupled compared with the previous decade. Six, in the past four years, there have been 95 college mergers compared with 78 over the past 18 years. Seven, in 2019, 51% of American adults considered a college degree to be very important down from 70% in 2013 according to a Gallup poll. Positive perceptions of college among adults 18 to 29 fell the fastest of any group to 41% from 74%.

Eight, lower demand has pushed some to hand out more scholarships and grants. In the 2021-'22 academic year, students paid just 45.5% of the sticker price on average, the lowest ever according to the National Association of College and university business offers.

And finally, the U.S. government gave $76 billion in aid to colleges and universities to shore up their balance sheet as COVID-19 swept the country. That money delayed some hard decisions, said Robert Zemsky, Professor of Higher Education at the University of Pennsylvania. He predicts that 500 four-year colleges and universities will close in the next year.

There's obviously widespread dissatisfaction with higher education as an institution and the perceived value of the investment. Since GCE became a service provider, we have been saying consistently college is too expensive, students are taking on too much debt. As tuition levels go up, diversity, especially socioeconomic diversity, goes down, and academic programs take too long to complete, adding to student debt levels.

In addition, academic programs are not tied directly enough to where the economy is going and where the jobs and careers of the future are going to be. Consolidation within higher education industry that many have predicted for at least 10 years is now taking place at accelerated rates. In the past, small and elite has dominated in places like U.S. News and World Report rankings.

In the future, large, affordable, extremely flexible in terms of delivery models and very workplace relevant will dominate in the new world of higher education. GCE and its partners have weathered the challenging times well, have made significant investments and will continue to invest in programs, technology and people and look forward to a very promising next 10 years.

In this context, I will only review the four pillars of Grand Canyon Education. First, GCU's traditional campus saw an increase of 5.7% in new students in the Fall of 2021 over prior-year, an increase of 9.5% in total enrollment and an increase of 36.1% in residential enrollment. The momentum continued in the Spring of 2022 as new enrollments were up 39.6% over the prior-year. Approximately 70.3% of ground traditional students now live on GCU's residential campus.

The average incoming GPAs of the 2021-'22 class rose to 3.6, and the prestigious Honors College grew 8.4% with average incoming GPAs of 4.1. We anticipate approximately 9,700 new students this fall with an average incoming GPA of 3.6 and an increase in the Honors College to 3,100 students with an average incoming GPA of 4.1.

The retention of returning students this fall will be even better than expected, bringing the total on-ground student enrollment body to just at about 25,000. With a larger percentage of those students choosing to remain on campus resulting in the university having to turn away some new students due to lack of beds. This, in spite of the fact that university built two new residence halls and repurposed a residence hall that was used to house prospective students, so in essence added three residence halls. These are remarkable results given the overall trends.

The quality and the relevancy of GCU's academic programs, the low-class sizes in support of its faculty that has less than a 5% turnover rate, the quality of counseling services, a new very modern campuses ranked 18th in the country by, the 20 Advisory Boards with over 500 companies represented who are creating internships and employment opportunities for GCU students and a very affordable tuition, which hasn't been raised in 15 years, results in these students taking out less debt than the average state university students. These are all important contributing factors.

I also want to mention, unlike the national trend that is going on across the country, GCU expects over 3,000 of the 9,700 new students this year will be first-gen college students. These students are largely from the lower socioeconomic strata, but their enrollment at the university, because of the very affordable tuition rate, is going directly against the national trend and is a very positive part of the GCU, GCE story.

Pillar 2, working adult students attending GCU online. As with traditional students attending universities across the country, 2021 saw a downturn in working adult students attending online. Unlike with traditional students attending GCU's campus, we experienced the downturn in online students as well. GCE has worked with GCU on two main strategies to combat the downturn, and we are now seeing signs pointing towards positive growth again.

Number one, we have invested in B2B strategies that are well timed for this COVID period -- post-COVID period. The supply and demand, at least in the short run, for educated labor has slipped. Since the country has reopened, we are working with over 23,100 industry partners in K-12 education, health care, financial services, social service agencies, technology and engineering companies, military bases, et cetera, developing custom strategic initiatives that are helping organizations grow their talent from inside. The number of information meetings scheduled and the attendance at the meetings now exceed where we were prior to the pandemic.

Number two, GCE continues to work with GCU to roll out new and relevant programs. Since the transition four years ago, GCU has rolled out 66 new programs, emphases and certificates. This is a remarkable accomplishment. These new programs have enrolled 19,843 new students. We are still running behind the number of counselors we have budgeted, but despite that, we are currently projecting new enrollment growth in the mid-single digits in the second half of the year.

It is important to note that this return to positive growth will be accomplished with no loss of strength in the quality of GCU's online student body and, as a result, no degradation of the quality metrics, including good graduation rates, cohort default rates reaching 5%, well below the national average and continued low student debt levels.

Next, I would like to discuss GCE's third pillar, it's health care partnerships. Short term, COVID has had a negative impact. Hospitals were extremely busy, preoccupied with COVID patients, and many clinical placement opportunities were canceled. Despite these very significant challenges, many instructional assignments requiring one-on-one clinical interaction in the hospital were replaced by simulations. Some of our university partners requested that we reduce the cohort sizes for 2022 due to concerns about the lack of clinical capacity. And some of the new sites that we hope to open, especially in large markets, have been pushed back to 2023.

We are disappointed in the second quarter enrollment number, but positive signs are emerging. We were only able to open four new locations between January 2021 and May 2022. We are currently planning to open 14 new locations between May 2022 and September 2023, six in the second half of 2022 and eight in 2023.

As a recent example, the state of Washington approved the university partner to open its first location in Seattle just a few months ago and with very limited marketing, we were able to fill the entire cohort for this Fall, and the Spring cohort is almost full. The other new locations that are scheduled to open the summer or fall of 2022, including GCU's locations in Las Vegas and Salt Lake City, are off to good starts.

We are optimistic that our partner in Southern California will be able to start its first cohort in the fall of 2023 and that our mature locations that had declines in total enrollment year-over-year will be back to full capacity by the end of 2023. I'm also very pleased to announce that the GCU locations grew 84% year-over-year from 176 students to 324 and that their first 71 graduates past the NCLEX examination with a 100% first time pass rate. This is extremely important because GCU would ultimately like 40 of our 80 locations to be GCU locations.

This relationship is good financially for GCU, but it is also good for GCE given GCU's national footprint and brand recognition, the excellence of its nursing program and its proven ability to scale.

As with GCU's traditional campus, the long-term environment is very positive for these GCE health care partnerships for the following reasons. Number one, the country needs 1.3 million additional nurses in the next five years alone. Nursing programs are very expensive to operate. And given the financial pressures facing many universities, they will be unable to invest the dollars it will take to scale the programs.

Number two, GCE has the capital to invest in the continued build-out to eventually 80 locations Three, in addition to the runway of 80 locations, up from 30 locations currently, our enrollment budget for this year's coming year is only 50% of the actual spots that exists today. The 50% shortfall is due to the lack of efficient and highly supportive prerequisite course environments, regulatory issues creating slowdowns in opening planned locations and the lack of clinical placements due to COVID issues.

GCE is working hard in investing in new enrollment, simulation, virtual reality and prerequisite strategies to, in the future, fill all the spots that are available. This is a transitional year coming out of COVID-19 for the health care partnerships. However, there is a 10-year runway that is very promising that creates a winning scenario for students, one into a promising career, health care providers desperately needing professional nurses and universities who want a low-risk way to help solve the nursing shortage while, at the same time creating additional revenue streams.

Last, as we discussed on last quarter's call, we continue to work on a new pillar. We're extremely excited because it is desperately needed in higher education to date. In collaboration with our largest partner, GCU, we are developing accelerated certificate programs and the first three have or will roll out in the next couple of months.

Two of the certificate programs are for students who want an efficient way to get into nursing school. We believe there's a big opportunity here. Getting prepared academically to apply a nursing school can be a daunting and confusing process. First, a prenursing certificate program allows recent high school grads to stay home and take the first 60 credits of their bachelor's degree completely online. GCU has worked with GCE to design state-of-the-art science courses that will prepare students to apply for a spot in eventually one of GCE's 80 locations. These courses will be taught mainly by full-time faculty with a tremendous amount of academic support for the students.

The second certificate program is designed for students who have completed a college degree in another academic area or have a partially completed degree. The students will take mainly the science courses necessary to apply to one of our partners in one of our 80 locations. The first certificate has a synchronous component, while the second certificate is being taught completely asynchronously.

Given that eventually GCE will have approximately 24,000 ABSN slots to our partners across 80 locations, we will need more than 24,000 students in certificate programs preparing for those opportunities.

The third certificate program, which will begin in September comes out of GCU's newly formed institute for workforce development. This certificate will prepare students for a professional electrician's apprenticeship program. This is a 16 credit hour, one semester program heavily focused on the mathematical concepts necessary to prepare for a career as an electrician. This program has been designed with a major industry partner who will offer apprenticeships to the students successfully completing this program. This partner needs 1,000 electricians for their business in Arizona alone. This partner also indicates that country is short a minimum of 100,000 electricians necessary to complete the building projects currently underway.

GCU has 278 applications for the September start and is currently interviewing candidates, and will accept 40 of them for the fall semester. Once the concept is proven, there is a potential to scale this program in a very significant way.

With that, I would like to turn it over to Dan Bachus, our CFO, to give a little more color on our 2022 second quarter, talk about changes in the income statement, balance sheet and other items as well as to discuss the updated 2022 guidance.

Daniel Bachus

Thanks, Brian. Included in our Form 8-K filed with the SEC, we have included non-GAAP net income and non-GAAP diluted income per share for the three months ended June 30, 2022, and '21. The non-GAAP amounts exclude the tax-affected amount of the amortization of intangible assets of $2.1 million in the second quarters of both 2022 and '21. We believe the non-GAAP financial information allows investors to develop a more meaningful understanding of the company's performance over time.

As adjusted, non-GAAP diluted income per share for the three months ended June 30, 2022 and '21 is $0.85 and $1.12, respectively. Service revenue was generally in line with our expectations in the second quarter of 2022. Revenue from traditional campus students slightly exceeded expectations due to higher summer school enrollment, whereas revenue from online students were slightly lower than we expected, primarily due to slightly higher-than-expected graduations and students taking more time off from class during the quarter.

Hybrid revenues were in line with our expectations. The hybrid enrollment growth rate is being impacted on a year-over-year basis due to the timing of site openings, a 34% year-over-year decline in OTA enrollments and the closing of sites. Excluding enrollments from closed sites, ABSN enrollments grew 6.6% year-over-year, which was slightly below our expectations as a few sites had lower-than-expected summer enrollments due to the challenges Brian has discussed previously.

The revenue impact of this had little impact on second quarter revenues but will have an impact on revenues in the second half, which I will discuss further in a minute. Revenue per student continues to grow on a year-over-year basis primarily due to increased room, board and other ancillary revenues from GCU students as compared to the prior-year period and the growth in the enrollment of ABSN students.

Service revenue per student for ABSN students generates a significantly higher revenue per student than we earn on the other students as these agreements generally provide us with a higher revenue share percentage, the partners have higher tuition rates and the majority of their students take more credits on average per semester as they are in accelerated programs.

Our operating margin was slightly higher than our expectations. As I discussed on prior quarter's earnings calls, we have restarted hiring, in which head count has mostly been flat since March of 2020 for our expected future growth, which is driving increased compensation costs in technology and academic services and counseling services and support costs.

But as Brian mentioned, we remain below our head count plan, which is the primary reason that expenses were below expectations. We also plan for a significant increase year-over-year in travel and employee benefits as those amounts were significantly lower than pre-COVID levels in the prior-year. We also plan for increased clinical costs at off-campus classroom and laboratory sites due to the nursing shortage. This spending is in line with our expectations.

And the year-over-year difference in the timing of new site openings, all new sites in 2021 were open in the first half of the year, whereas nearly all new sites opened in 2022 will be in the second half is having a negative impact on both revenue and expense.

Included in both our 8-K and 10-Q filed today is a detailed explanation of the actual and anticipated impact of COVID-19 on all our university partners. Our effective tax rate for the second quarter of 2022 was 25.2% compared to 23.3% in the second quarter of 2021 and our guidance of 24.9%. Our effective tax rate continues to be unfavorably impacted by an increase in the state income tax rate primarily due to the fact revenues continue to grow at the off-campus classroom and laboratory sites outside of Arizona, and the majority of these states have higher state income tax rates than Arizona.

We repurchased 1,319,289 shares of our common stock in the second quarter of 2022 at a cost of approximately $128.5 million. The Board is committed to spending at least $24 million during the rest of 2022 based on its previous commitments.

Turning to the balance sheet and cash flows. Total unrestricted cash and short-term investments on June 30, 2022 were $203.3 million. GCE CapEx in the second quarter of 2022, including CapEx for new off-campus classroom and laboratory sites was approximately $8.4 million or 4.2% of service revenue. We continue to expect CapEx for 2022 will be between $30 million and $35 million.

Last, I would like to provide color on the updated guidance that we have provided in our 8-K filed today. The guidance that we have provided continues to be non-GAAP as-adjusted net income and as-adjusted diluted income per share, as we have excluded amortization of acquired intangible assets. We continue to provide ranges for revenue, operating margin and earnings per share for each of these quarters. We do this because our financial results are seasonal.

As you will recall, the difference between the high and low end of the previously provided ranges were primarily due to differing enrollment assumptions for GCU online and hybrid enrollments. The high end of our originally provided revenue guidance assumed GCU online will return to new enrollment growth in the second quarter of 2022, whereas the low end assume new starts would remain down on a year-over-year basis in the second quarter but would turn slightly positive in the second half of 2022.

As Brian mentioned earlier, the B2B activity continues to improve, which gives us confidence that new online enrollments will return to year-over-year growth in the second half of the year. However, our head count continues to be approximately 10% lower than planned. As mentioned earlier, our summer school hybrid enrollments were slightly less than we expected.

Demand generally remains strong for our hybrid locations, but the clinical capacity issues and the prerequisite challenges that Brian has discussed previously continues to pressure cohort sizes at these locations. These challenges have impacted some locations greater than others, which has resulted in lower-than-expected summer school enrollments at a few of the hybrid locations.

One recent example of the challenges currently being faced is a university partner that has historically had 100 student cohorts informed us that they would cap their cohorts in the summer and fall at 80 students each due to concerns around the availability of clinical faculty even though they were qualified students to fill the cohorts.

We are working on solutions to ensure them that there is sufficient clinical faculty for the higher cohort amount, but at this time, it's more likely that the cohort sizes through the end of 2022 will be 80. It is important to note that most of the locations met or exceeded their enrollment goals for the summer term and anticipate the same in the fall. But due to clinical capacities, we are not able to make up for the locations that had shortfalls with increases in future terms or at the other locations.

As a result, we have adjusted our guidance for the second half of the year. The midpoint of the revenue guidance is in line with our previous low end of the guidance. The midpoint of the EPS guidance falls between the midpoint and the low end of our previous guidance. The adjustments are primarily due to the lower expected hybrid revenues and expenses.

The difference between the high end and the low end of the range of the updated guidance is primarily due to differing online head count assumptions with the high end being if we can increase head count over the next couple of months to what we had originally planned, whereas the low end assumes that net headcount remains where it is today. Traditional campus and hybrid revenues and expenses are generally the same in the guidance provided.

The effective tax rate for the second quarter of 2022 have been lowered to 18.4% and 22.9% in the third and fourth quarters, respectively, and operating margin has been adjusted down slightly as well to reflect contributions in lieu of state income taxes that were made last month. As in prior years, the impact of these contributions are to increase G&A expense for the $5 million in contributions in the third quarter and decreased the effective tax rate in the second half of the year, $3.6 million or approximately three-quarters of which is recognized in the third quarter and $1.4 million or approximately one quarter in the fourth quarter.

The impact of this is $0.05 lower EPS in the third quarter and $0.05 higher EPS in the fourth quarter. Our weighted average share count takes into account the number of shares that have been purchased and what we intend to purchase the rest of the year. As was discussed last quarter, the primary reason the board has been so aggressive in its stock buyback activity is that it believes the stock is considerably undervalued. A couple of the key metrics the Board looks to make this determination is the ratio of enterprise value to adjusted EBITDA and the free cash flow yield rather than multiples of other education companies as although we can be viewed as being in the same sector, there are a few, if any, appropriate comps.

On an enterprise value to adjusted EBITDA basis, the stock is currently trading at roughly 10.7, which is significantly less than the recent S&P average of approximately 17. The average free cash flow yield for the S&P 500 remains at about 2%, whereas the company's free cash flow yield is approximately 7.8%.

I will now turn the call over to the moderator so that we can answer questions.

Question-and-Answer Session


Thank you. At this point, we'll conduct a question-and-answer session. [Operator instructions] Our first question comes from Ryan Griffin with BMO Capital Markets.

Ryan Griffin

This is Ryan on for Jeff. I was just wondering if you can provide any additional details on the ABSN closures. It seems like those classrooms and labs were quite large? Thank you.

Daniel Bachus

Did you ask the closures?

Ryan Griffin

Yes. Florida.

Daniel Bachus

Yes. Yes.

Brian Mueller

Yes. There were two locations, one in -- both of them in Florida. And as we've talked about in previous quarters, it was a joint decision between GCE and that university partner, that university partner wanted to refocus their efforts on locations closer to their campus. And so this fall, they're actually opening a second location in Albany, New York.

So we exited the Florida market. We will be reentering the Florida market, hopefully, in the next 12 to 24 months, most likely with Grand Canyon University as our partner. So we will be back in Florida. We think it is a good market, and so that will happen.

But yes, it did have an impact on our year-over-year enrollment growth, although one of the reasons that we were happy closing those locations is that those locations, even though they had been open for multiple years, were still losing money. And so from a profitability standpoint, that was a good decision for both partners.

Ryan Griffin

Got it. And then how would you expect your business to perform in a recessionary environment?

Brian Mueller

I think it's going to -- I think we're going to do really well. The ground campus is just going better than we could have even expected. We've become a national institution. And even though the number of students graduated from high school is going down and the percent of those going to college is going down, increasingly, people are looking for affordable high-quality options, and we represent that in a destination city and state.

So whether there's a recession or not, we won't be impacted from a ground perspective, I think that's just going to keep going really, really strong. Online, we have turned the corner, and we've turned the corner mainly because we've put such a great focus on licensure programs. The fastest-growing programs now are in teacher education, people preparing to be teachers for the first time, where there's a huge shortage of teachers in the country social work, there's a huge shortage of social workers in the country, counseling, etc. And so even if there is a recession and the job market gets tighter, the people wanting to get in those occupational areas, there doesn't seem to be a decline in that.

And you have to have licenses to operate, which means you have to earn degrees. And so we think we've positioned ourselves in a very strong place. The same is true with regards to the makeup of our online student body with regards to graduate students. Most of our graduate students are studying in licensure areas or areas that require licensure.

And those people are currently operating in an area where they want to get promoted, they want to move up. And so we don't anticipate a downturn there. And I think from a healthcare perspective, if there is a recession and the job market gets tighter, the likelihood that people will want to go spend 16 months re-careering into a nursing program to earn a nursing degree as well as it pays and as good as the benefits are, I think that will increase the number of potential candidates for that program. So we think we're really -- we're well positioned if there is a recession. If the job market gets tighter, we think we're really well positioned if that happens.


Thank you, Ryan. [Operator instructions].

Brian Mueller

I think we have a question from Alex.


Yes, our next question does come from Alex Paris with Barrington Research. Go ahead Alex.

Alex Paris

Hi, thank you. And thanks for taking my questions. I just had a couple questions about the new certificate programs within the fourth pillar. Brian, I think you said that you have rolled out or will roll out soon. What has been rolled out? How is it being rolled out? Is it across the online? And how do you charge for these things? Is it the same cost per credit hour? Or is there a difference?

Brian Mueller

Well, the -- well, I'll talk about three of the certificates. The first one will be rolled out through with our ground campus enrollment counselors, mainly the people that work within high schools throughout the country that send students to GCU. They're identifying students who would like to stay home and save money, earn the first 60 credit hours of their undergraduate degree to prepare for a nursing program, earn those online for approximately the same tuition rate as you would pay if you are another online student. And so that's being rolled out in September.

The second one is also being rolled out in September, and that's for students who have a partially completed degree or a completely completed degree and want to take the science courses necessary as prereqs to get into one of our accelerated Bachelor of Science in Nursing programs. That -- those courses are all completed. The faculty have been hired, and we will roll out that opportunity to people starting into September. We are informing all of our partners and the people that represent those programs about that program, and they will have that as an option to send students to.

Right now, most people that express an interest in -- they have a part discipline in giving a complete degree, they will be referred to a community college. That can be a very long process. If they refer them to GCU's program starting in September, we have eight-week courses. If you need to take five or six of those courses, you can take them within two or three weeks of saying that you're interested.

And then each course is eight weeks. You can take them consecutively. And so in a period of eight to nine months, you can be through your prerequisite programs and eligible starting one of the programs. So we think that's going to streamline the process for people to get the prereq done and get into one of our nursing programs, there will be a discount for that tuition as opposed to our normal tuition rates because we're very focused on preparing as many students as possible to get into the ABSN program together throughout the country.

And in the third program will be in a slightly discounted commission rate as well. That's the electricians program in our campus, although we're receiving huge grant money for that program. We received an almost $700,000 grant from the State of Arizona. They are so excited about our workforce development center because of the construction explosion that's going on in Arizona, electricians being us -- in area where we are really scoring.

We have a conservative partner who wants to make sure we get this thing right to start with. And so we're only accepting 40 students in the first semester, somewhere between 40 and 80 the second semester. But once we've proven the concept, the amount of interest in this is tremendous. We've already had 278 people apply, and we're just getting started.

And so all three of those programs are shorter programs that lead to certificates that lead to tremendous workforce, workplace jobs and careers. And so the universities, I think that in the future can work with students across the life span all the way from industrial degrees down to even certificate programs to help build the workforce, I think we're preparing ourselves to be the premier supplier of that.

Alex Paris

That sounds very exciting. And I presume then by your comments that the first three are successful could lead to other certification programs offered by GCU.

Brian Mueller

Yes. There are already people that are hearing about the electricians program that are approaching us as potential partners that want to talk about others.

Alex Paris

All right. Then last one for me, just kind of big picture. Grand Canyon has historically grown organically. What are your thoughts with regard to M&A? Are there any capabilities out there that might make sense to buy rather than grow organically, particularly given what's happened with ad tech valuations and valuations in general over the last six months or so, say?

Brian Mueller

There's a lot of stuff out there, and we have people call us all the time. We will take a look at things. But the likelihood that we're going to do something in the next 12 to 24 months is not very great. We are so enthusiastic about this ground campus and our ability to grow it from the current 25,000 students to 50,000.

Now that online appears to be -- we've got that moving again in a positive direction. We want to really focus on continuing to build out programs in that area. And then a potential to grow to 80 locations with our hybrid campus partners, that is a lot of work. And the return on the investment there is so significant, especially in light of the fact that we've really stayed focused on where the gaps in the workforce development are.

And that nursing thing has been historically so difficult for people to scale. And the shortage is putting this country at such a significant risk area that if we can build out all 80 locations and be producing 24,000 nurses on an annual basis, there's not a whole lot more that we could do that would be -- it would meet those -- a specific need better than that. It would very much be like what we're doing in teacher education. There's a huge shortage -- most people don't know this, but we have 25,000 students in our teacher ed program, the majority of whom are studying to become first-time teachers because we put in place the infrastructure that they can do that at a distance, not only do the studying at a distance, but we can help them with their internship hours, their observation hours.

We can schedule their student teachings and so we are really excited about the areas that we currently have in place and the potential growth of those over the next 10 years. So the likelihood that we would do something else right now is not great.

Alex Paris

Good. Thank you. I appreciate that color. Last one that just occurs to me, just to clarify. GCU online, did you mention new student enrollment for the second quarter. I realize you're projecting mid single-digits growth in the second half. How did it turn out in the second quarter?

Brian Mueller

Yes. It was down in the mid single-digits, which is what we kind of expected going into the quarter given where the head count was. The momentum is good, but also you know historically that the comps become different now. And it's those -- the combination of those two things that now put us in a very favorable position going forward.

Alex Paris

Great. Thanks for that. That's all I have for now.


Thank you, Alex. Okay our next question will be coming from Jeff Meuler with Baird. Your line is open now.

Jeff Meuler

Hi, thank you. So I heard that enrollment advisor head count is 10% behind plan. Can you help us understand how much you grew it during the quarter? And then just anything else you can say to give us confidence in going from down mid single-digits to up single -- mid single-digits on GCU online new enrollment beyond kind of the easier comps. And I know you referenced kind of better partner channel. I don't know if there's any additional color you can give us there?

Brian Mueller

No. The big thing there is over -- almost 35% of our counseling staff is working on B2B strategies out in the marketplace. We're working with school districts. We've had some big school districts visit just recently, Boston, Chicago.

And they're really asking us to help put together programs for their paraprofessionals to become licensed teachers. Military bases are asking us to prepare undergraduate students for cybersecurity careers because they can't compete with the outside world to get cybersecurity specialists. Those are just a couple of examples. But that productivity, which during the pandemic was completely shut off, that comes back slowly because you have to get back out there and you have to meet with people.

You have to understand what it is they're trying to accomplish, and you have to put together programs to help them accomplish that. But that's the main reason we're regaining momentum. Those people are out again, and they are -- we've now gone through a period of about six months where they're reestablished and rebuilding relationships. And now they're starting to start students.

The starting of the students' lags behind, but that's now starting to happen. Our inside counselors, our advertising is -- for those people is still productive at about the same level that it has been, but we had to split those leads among everybody for a period of time. And so they're coming back down to historical rates. The outside people are getting back to their historical productivity rates.

And as that continues to happen, combined with the comps becoming easier, those are the things that are putting us in a strong position. The other thing that is important to note is that the RN to BSN program and the Master of Nursing programs almost throughout the industry has taken a hit because nurses have been extremely busy and reluctant to go back to school, even though the requirements inside hospitals haven't changed. They still have the requirements on a certain percentage of their nurses should be baccalaureate prepared. So that stuff hasn't changed, but the nurses have been reluctant to go back.

And so throughout the country, those numbers are down. Fortunately, we have been developing some new programs that are in huge demand, especially the social work program. We're gaining major momentum with that program. And so as those programs were declining in enrollment and a lot of people were hurting as a result or should we had replaced those with a lot of programs that are newly developed.

And so those programs plus the outside people and the return to normalcy of the inside people, all of those contribute to the momentum coming back. We gained a few in the last quarter, but it was pretty flat. But interestingly enough, I think everybody is starting to see another flip again. And we have very good jobs, and we've got good benefits and good advancement opportunities.

And so if the job market does tighten up, which I think a lot of people think it's going to, that would be to our advantage in a way because it will be easier to get that 10% deficit back to where it should be.

Jeff Meuler

Got it. And then is the clinical instructor -- just was there regulatory changes that were temporary during COVID in terms of how much simulation could be used for clinical experience that is now normalizing? Or just is there a partner pushback on simulations, just how they understand the clinical instructors and the ability -- was there regulatory changes that were temporary during COVID in terms of how much simulation could be used for clinical experience that. Is now normalizing or just is there partner pushback on simulations. How I understand the clinical instructors and the ability to use simulations in lieu of live in-person experiences?

Brian Mueller

Well, there's definitely a trend in many places, not all with the board's loosening -- not loosening requirement but being more open to get this work done without a one-on-one nurse professors involvement. And so in some states, for example, as much as 40% of the work that used to get done one on one is now being done through simulations or other virtual reality exercises. So that's part of it. A bigger part of it is just faculty availability.

And the Masters prepared nurses were reluctant to take one-on-one clinical opportunities because they were getting paid so much in over time to work on the floor. And so we've had to increase what we pay to make it attractive. And increasingly now, as nurses have been paid to be traveling nurses, we will start paying traveling professors, people that are willing to move to travel and take these assignments. And so the thing is evolving, but hospitals are also being a lot more cooperative in terms of wanting to work with us to create clinical spots and to induce faculty members to want to do that work.

In Arizona, for example, with the explosion of population on the west side, we've already got a west side location, but we've got new cities coming to us and saying, would you put another location in our city because we got a growing healthcare area, and we want to hire local -- we want our local high school graduates to go be nurses in our local hospitals. And so we've been, I think, through the toughest part of this. And going forward, I think there's going to be a great deal more cooperation with the nursing boards, with the hospitals, with clinical faculty. I think there'll be greater levels of cooperation going forward.

And we think we'll be in a strong position to take advantage of that, especially because we've got 14 new locations we're going to open in the next 18 months. So the only thing I'd add is with 27 partners and 32 locations, it's just -- it's very partner and location-specific. As we've talked about before, some of these challenges that took us by surprise a little bit recently had popped up in other locations a year ago where they had already requested that we bring down their cohort size. The example that I gave today on the call, they had not done that until recently. And so it's just -- I wouldn't say it's necessarily worse or better to answer your direct question, but more that it's just -- it's location by location and university partner by university partner specific.

But that's why I really am emphasizing the work that's getting done through the GCU program. I am extremely excited about what's happened at our West Valley location, our Tucson location. Those are accelerated better science and nursing locations. They are fairly new.

We had 71 students. We filled them the capacity. We had 71 students graduate in the first and second quarter, and in spite of the challenges, we had 100% first-time pass rate on the NCLEX examination. So this can be done.

It can be done in an extremely high-quality way, but we've got to give some of our partner institutions the confidence to make it happen. And I think as we get more GCU locations open and we have that level of success, I mean the GCU locations are up 80%. And there's been absolutely no reduction in quality because, like I said, we had 100% first-time pass rate on the NCLEX examination. So this can happen.

It can happen in a high-quality way, but GCU is going to have to take a leadership role in convincing others that it can happen.

Jeff Meuler

Got it. And then the last one for me, the 14 planned locations, where are you in terms of regulatory approval process on those 14?

Daniel Bachus

Most of them have already been approved. There are some, especially the fall of 2023 once, and we mentioned one, which is Southern California that are going through the regulatory process, but I think we're more optimistic today than we were even three months ago that that will get approved and be able to get open. There's no guarantees on a few of them, but we're feeling that the things are moving in the right direction.

Jeff Meuler

Okay. Thank you.

Daniel Bachus

We have reached the end of our second-quarter conference call. We appreciate your time and interest in Grand Canyon Education. If you still have questions, please contact myself, Dan Bachus. Thank you very much.


Thank you for your participation in today's conference. This concludes the program, and you may now disconnect.

Sun, 07 Aug 2022 00:01:00 -0500 en text/html
Killexams : National Health and Nutrition Examination Survey coming to Lynchburg, Campbell County No result found, try new keyword!The Central Virginia Health District (CVHD) said the National Health and Nutrition Examination Survey (NHANES) is coming to Campbell County and Lynchburg,. Mon, 08 Aug 2022 06:43:31 -0500 en-us text/html Killexams : Health Care – Monkeypox officially a public health emergency

Ever wondered which Hogwarts house your state would be sorted into? Well good news, someone made a map answering that exact question, and a lot of the U.S. is Slytherin.

Today in health care, monkeypox was declared a public health emergency in the U.S., while the Senate prepares to move forward on its sweeping health and climate package this weekend

Welcome to Overnight Health Care, where we’re following the latest moves on policy and news affecting your health. For The Hill, we’re Peter SullivanNathaniel Weixel and Joseph Choi. Someone forward you this newsletter? Subscribe here.

White House: Monkeypox a public health emergency

The Biden administration on Thursday officially declared monkeypox a public health emergency, a move that’s aimed at freeing up emergency funding and improving distribution of vaccines and treatments.

  • “We are prepared to take our response to the next level in addressing this virus, and we urge every American to take monkeypox seriously and to take responsibility to help us tackle this virus,” Health and Human Services Secretary Xavier Becerra said during a briefing.

The announcement comes amid intense criticism that the Biden administration failed to recognize the severity of the outbreak, leading to shortages of vaccine doses and diagnostic tests even as demand has soared.

The nation has already purchased most of the global supply of Jynneos, the only monkeypox vaccine licensed in the U.S., but much of it is stored frozen in bulk substance. It needs to undergo a process called “fill and finish” to put the vaccine into usable vials to be shipped and then administered.

Where it helps: A public health emergency won’t ease the shortages of vaccines, but it could expedite the approval process for new treatments and provide more flexibility for federal agencies to respond to the outbreak.

  • “This public health emergency will allow us to explore additional strategies to get vaccines and treatments work quickly out to the impacted communities. And it will allow us to get more data from jurisdictions so we can effectively track and attack this outbreak,” said Robert Fenton, the administration’s newly-appointed national coordinator for the monkeypox response.

Read more here.

‘Paxlovid rebound’ raises questions

President Biden testing positive for COVID-19 again days after completing a course of Paxlovid has raised the question of whether the length of the antiviral treatment should be reconsidered.

Just days after he completed a five-day round of Pfizer’s COVID-19 antiviral treatment, Biden’s physician, Kevin O’Connor, said in a letter on Saturday that the president had tested positive once again. As of Wednesday, Biden is still testing positive for COVID-19.

This phenomenon has come to be known as “Paxlovid rebound,” when a person tests positive for the coronavirus again even after initially testing negative following a round of treatment with the antiviral.

Reasons to look into this:

  • Some experts have called for studies into extending Paxlovid treatments to be prioritized, as early research has suggested that Paxlovid rebound could occur due to insufficient exposure to the drug. Researchers from the University of California, San Diego School of Medicine said last month that the drug may not be reaching enough infected cells in the allotted time. 

  • People who experience cases of antiviral rebound are still at risk of transmitting COVID-19 to other people. Michael Charness, a researcher from the Veterans Administration Medical Center in Boston, recently told CNN that he and his colleagues had observed at least two instances of people infecting others after their symptoms reoccurred. Both cases involved people who tested positive again after taking Paxlovid.

“I’m actually still flabbergasted that we have not set up a clinical trial to figure this out. It’s an easy thing to do,” Robert Wachter, chair of the Department of Medicine at the University of California, San Francisco, told The Hill.

“Wouldn’t cost that much to be able to accumulate enough patients in a week or two and follow them for a few weeks so we could have an answer,” Wachter said, adding that the data needed to potentially extend the length of a round of Paxlovid could have been collected already if trials had been started just a few months ago.

Read more here.


It’s looking like it will be a long weekend in the Senate.

Senate Majority Leader Charles Schumer (D-N.Y.) announced that the Senate will begin consideration of a $740 billion budget reconciliation package that would lower drug prices and tackle climate change on Saturday afternoon, setting up a weekend of around-the-clock votes.

“For the information of Senators, the Senate will next convene on Saturday at noon. The next vote will be at 12:30 p.m. on Saturday, on a motion to discharge a nomination. We expect to vote on the motion to proceed to the reconciliation legislation on Saturday afternoon,” Schumer announced on the floor.

Next steps: If a majority of senators vote to proceed to the legislation, they will then debate for up to 20 hours before holding an open-ended series of votes, known as a vote-a-rama, before a final up-or-down vote, which is now expected Sunday or perhaps early Monday morning.

The Sinema question: Sen. Kyrsten Sinema (D-Ariz.) is still negotiating to make changes to the legislation, according to people familiar with the discussion, but it appears Schumer is optimistic he can strike a deal with her before the package comes to final vote on the floor.

Read more here.


Florida Gov. Ron DeSantis (R) suspended Hillsborough County State Attorney Andrew Warren on Thursday for “neglect of duty” after the prosecutor refused to enforce bans on abortion and transgender surgery.

“When you flagrantly violate your oath of office, when you make yourself above the law, you have violated your duty, you have neglected your duty and you are displaying a lack of competence to be able to perform those duties,” DeSantis said at a news conference in the county sheriff’s office.

“And so today we are suspending State Attorney Andrew Warren effective immediately.”

Warren, a Democrat, was first elected in 2016, when he defeated the Republican incumbent, and has been an outspoken voice for criminal justice reform.

DeSantis cited Warren’s signing of a letter saying that he would not enforce “prohibitions on sex change operations for minors” and another saying that he would not enforce “any laws related to protecting the right to life” as evidence that the state attorney had shirked his duty as a public prosecutor.

“It’s not for him to put himself above that and say that he’s not going to enforce the laws,” DeSantis said, accusing Warren of acting like he had “veto power” over the state legislature.

Read more here.

Kansas allows abortion rights advocates to be optimistic

Kansas voters are giving abortion rights advocates and Democrats reason to be hopeful. When Tuesday night’s votes came in, it looked like they confirmed what the groups have been saying all along: Americans broadly support abortion rights.

Nearly 60 percent of voters in the Sunflower State rejected a state constitutional amendment on Tuesday that would have given the state legislature more power to regulate access to abortion, marking the first time Americans were asked to weigh in on abortion rights after the Supreme Court overturned Roe v. Wade.

“In the first election since [the ruling] where abortion was front and center, the people of a state that hasn’t voted for a Democrat for President since 1964 emphatically endorsed a right to abortion. This should send shockwaves through politics at every level,” David Cohen, a law professor at Drexel University’s Thomas R. Kline School of Law, said in an email following the Kansas vote.

Where to watch next:

  • In Kentucky, residents will be asked to weigh in on a state constitutional amendment that says, “Nothing in this Constitution shall be construed to secure or protect a right to abortion or require the funding of abortion.” 

  • In Michigan, residents will vote on a ballot measure that would amend the state constitution, protecting the right to make choices on reproductive issues such as contraception and abortion. 

  • Over in Montana, there’s also a ballot measure that would require that infants born following an abortion attempt be provided medical care.

Read more here.


  • Patients seeking novel weight loss drugs find a ‘wild west’ of online prescribers (Stat)

  • How the 2022 midterms strategy could change after the Kansas abortion vote (NPR)

  • The Three COVID Developments I’m Still Holding Out Hope For (The Atlantic)


  • West Virginia Medicaid must cover gender-affirming surgeries, judge rules (Axios)

  • Indiana lawmakers vote to keep exceptions from abortion ban (Associated Press)

  • Whitmer to Supreme Court: Monday abortion rights ‘fire drill’ requires immediate action (Detroit News)


We need a national action plan to contain monkeypox now

That’s it for today, thanks for reading. Check out The Hill’s Health Care page for the latest news and coverage. See you tomorrow.


For the latest news, weather, sports, and streaming video, head to The Hill.

Thu, 04 Aug 2022 10:43:00 -0500 en-US text/html
Killexams : How Florida A&M University aims to fill the gap during nationwide nurse shortage No result found, try new keyword!The critical need for nurses during the shortage has led FAMU, FSU, and TCC to respond to the demand for growth within their programs. Sun, 31 Jul 2022 22:00:59 -0500 en-us text/html
NCLEX exam dump and training guide direct download
Training Exams List