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Operator
Ladies and gentlemen, thanks for standing by, and welcome to the American Public Education Fourth Quarter 2020 Results Conference Call. (Operator Instructions) Please be advised that today's conference is being recorded. (Operator Instructions) I would now like to hand the conference over to your speaker today, Chris Symanoskie, Vice President of Investor Relations. Thank you. Please go ahead.
Christopher L. Symanoskie - VP of IR & Corporate Communications
Thank you, operator. Good evening, and welcome to American Public Education's fourth quarter and full year conference call.
Materials that accompany today's conference call are available in the Events and Presentations section of our website. Please note that statements made in this conference call and in the accompanying presentation materials regarding American Public Education, its subsidiaries or Rasmussen University, that are not historical facts may be forward-looking statements based on current expectations, assumptions, estimates and projections about American Public Education and the industry.
These forward-looking statements are subject to risks and uncertainties that could cause actual future events or results to differ materially from such statements. Forward-looking statements can be identified by words such as anticipate, believe, seek, could, estimate, expect, intend, may, plan, should, will and would. Forward-looking statements include, without limitation, statements regarding the benefits of the acquisition of Rasmussen University, the closing of the acquisition and its timing, expected growth expected registration and enrollments, expected revenues, expected earnings, income and EBITDA, expected financial results for Rasmussen University.
The expected capital structure, net debt, the ability to deliver a return on learners educational investment, the ability to maintain an attractive risk profile and plans with respect to recent, current and future initiatives. Actual results could differ materially from those expressed or implied by these forward-looking statements as a result of various factors, including the risks related to the effects of and APEI's response to the COVID-19 pandemic, the acquisition of Rasmussen University and the risk factors described in the Risk Factors section and elsewhere in the company's annual report on Form 10-K filed with the SEC today as well as the company's other SEC filings.
The company undertakes no obligation to update publicly any forward-looking statements for any reason unless required by law, even if new information becomes available or other events occur in the future. This evening, it's my pleasure to introduce Angela Selden, our Chief Executive Officer; and Rick Sunderland, our Executive Vice President and Chief Financial Officer. Also available for questions today is Steve Somers, Senior Vice President of Strategy and Corporate Development.
Now I'll turn the call over to Angela Selden. Angie?
Angela K. Selden - President, CEO & Director
Thank you, Chris, and good evening, everyone. What a remarkable year it has been at APEI. We've introduced many important changes and launched several key initiatives. These changes are creating energy at APEI and driving momentum inside APUS and Hondros.
At the heart of each of these changes lies a common theme, that of providing a highly affordable, higher education, leading to strong career outcomes. At APEI, our mission is to set adult learners on the path toward achieving their dreams by driving down the cost of higher education and helping them obtain degrees and skills to achieve their potential. We call this higher education return on investment or HEROI.
Beginning in late 2019, we set out to build a growth strategy around that mission. Since then, we have experienced a return to growth at both APUS and Hondros. We've added dynamic new leadership across each of the 3 business units, launched an enterprise-wide technology modernization and have begun to amplify our value proposition to a wider audience. The 2020 results speak for themselves. Strong new and total course registration growth at APUS and record enrollment at Hondros. Further accelerating our growth strategy was the October 2020 announcement about our pending acquisition of Rasmussen University. The acquisition of Rasmussen will nearly double APEI's revenues and will create a large-scale platform to address the U.S. registered nursing shortage. The resulting APEI business will deliver over $165 million in pre-licensure nursing education revenue, primarily by creating new registered nurses.
Today, pre-licensure nursing education is roughly half of the $28 billion in total nursing education, which is estimated to grow to $60 billion over the next few years. The acquisition will add a #1 market position in pre-licensure nursing to the 2 existing #1 positions in active duty military and veterans education at APUS today.
Moving to Page 4. The enrollment momentum at APUS began in 2019 continued for a fifth consecutive quarter with total net course registrations increasing by 11% in the fourth quarter, driven by a robust 17% increase in new student registrations. For all of 2020, net course registrations increased nearly 12%, with new registrations growing at 18% for the year.
The momentum at Hondros was even more pronounced during 2020 as new leadership, along with key enrollment and operational initiatives, produced an impressive turnaround in a very short period of time. Both new and total student enrollment increased 34% year-over-year in the fourth quarter of 2020. While nursing starts for the full year were up a full 50%, leading to an all-time record enrollment of 2,139 students at the end of 2020, momentum that we expect will continue into 2021 and which our CFO, Rick Sunderland, will discuss in more detail shortly.
Overall, full year Hondros enrollment growth was 18% compared to 2019. On Page 5, contributors to the continued growth at APUS include increased investment in marketing to the micro segments where we believe a higher education return on investment value proposition resonates, the implementation of our proprietary and self-funded Freedom Grant which eliminated out-of-pocket costs for active duty military students and graduate programs using TA, adding to the active duty undergraduate student population benefiting from this grant since 2001, additional investments in technology to improve the student experience as well as increased student satisfaction and enrollment rates and tailwinds from increased demand for online education caused by the COVID-19 pandemic.
We don't expect to repeat the full $10 million of incremental marketing that we invested in 2020 but plan to continue to be targeted in directing our marketing to the most productive segment in 2021. Some of the momentum that we had in 2020 carried into the first quarter of this year and are expected to result in a sixth consecutive quarter of year-over-year growth in net course registrations at APUS. The turnaround and performance at Hondros that Harry Wilkins and his team have executed was student centric and purpose-built to create new nurses. While some of the growth at Hondros can be attributed to an increase in demand for nursing education and a change in the competitive landscape due in part to the pandemic, we think much of the improvement was due to key initiatives like launching the direct entry ADN program, implementing affordability grants, which limits student's out-of-pocket cost to $200 per month, the move to fully online admissions processes and improved transparency and conversion of prospective students through sales force automation.
Throughout the year, we saw our marketing efficiency improve and have been seeing increased enrollment with lower marketing spend in recent months. In addition, Hondros definitely shifted its academic coursework online during the pandemic and has managed to optimize its physical footprint for labs and practicums in order to remain open and continue to serve our students, while many competitors, including several public institutions, restricted nursing enrollment indefinitely. The strong enrollment during both Q4 '20 and the full year drove top line growth with fourth quarter consolidated revenues increasing 16% compared to the prior year period, while full year APEI revenue increased 12.4% versus 2019. At APUS, fourth quarter 2020 revenues increased 14% compared to the prior year period, and full year revenues increased 11%. At Hondros, revenue growth was even higher, increasing 32% in the fourth quarter and 22% in the full year 2020 on the strength of its enrollment growth.
Moving to Page 7. With the return to growth in our core businesses and especially at Hondros, we turned our sights to expanding APEI's portfolio and platform with a focus on nursing. This effort resulted in the pending acquisition of Rasmussen University, a regionally accredited institutions with a 120-year history and a growing student population of over 18,000. Rasmussen is the nation's #1 educator of pre-licensure ADN nurses and will nearly double the overall revenue of APEI, giving APEI scale, a national platform in nursing and synergy opportunities. Nursing enrollment at Rasmussen has increased at a 5-year CAGR of 16% to over 8,200 nursing students.
Upon completion of the acquisition, and including Hondros, APEI will collectively educate more than 10,000 nurses through 32 campuses and online. Beyond scale and growth, Rasmussen shares the same DNA for student affordability and has a strong mission and cultural alignment with APEI.
Now I'd like to turn it over to our CFO, Rick Sunderland, to provide a financial perspective.
Richard W. Sunderland - Executive VP & CFO
Thank you, Angie. Good evening. As announced in October, APEI plans to acquire Rasmussen University for $329 million. This acquisition will be funded by cash on the balance sheet, a $175 million term loan and $29 million in preferred stock, which may be replaced by cash at our option. The addition of Rasmussen to APEI's platform is expected to diversify APEI's revenue to approximately 1/3 military and military affiliated, 1/3 nursing and 1/3 online working adult. APUS, Hondros and Rasmussen have solid regulatory track records and a history of strong student outcomes.
These 3 separately accredited and branded institutions will continue serving their respective audiences while we work to leverage cost synergies, share best practices and cross-pollinate certain in-demand programs. As announced last week, APEI closed an underwritten public offering of its common stock on March 1. APEI sold 3,680,000 shares of common stock, including the exercise in full by the underwriters of their option to purchase an additional 480,000 shares. Gross proceeds from the sale were $92 million before deducting the underwriting discounts and commissions and other operating expenses payable by APEI.
The net proceeds of approximately $86.4 million from the offering add liquidity to the $228 million in cash and cash equivalents reported at December 31, 2020. After the anticipated closing of the Rasmussen acquisition, net debt is expected to be approximately 0. However, this is subject to change. Post closing, future liquidity is expected to be further supported by a $20 million revolving line of credit.
Going on to Page 9. As Angie noted earlier, the continued net course registration growth at APUS and enrollment growth at Hondros drove strong increases in revenue at both operating units. For the fourth quarter of 2020, consolidated revenue increased 15.5% as compared to the prior year period. In our APEI segment, APUS revenue increased 13.5%, and our HCN segment revenue increased 31.8% compared to the prior year quarter.
In the fourth quarter, cost and expenses were $76.2 million, an increase of $10.4 million or 15.8% compared to $65.8 million in the prior year period. This increase was primarily due to increases in employee compensation costs, advertising costs, professional fees and information technology costs in our APEI segment and increases in employee compensation costs and structural materials costs in our HCN segment, partially offset by a decrease in advertising costs in our HCN segment and bad debt expense in our APEI segment. Consolidated instructional costs and services expenses increased approximately $3.1 million to $31.1 million and as a percentage of revenue decreased to 36.2% compared to 37.7% in the prior year period.
The increase in instructional costs and services expenses was primarily due to increases in employee compensation costs and instructional material costs in both our APEI and HCN segments. Selling and promotional expenses increased approximately $4.2 million to $19.2 million and as a percentage of revenue increased to 22.4% compared to 20.2% in the prior year period. The increase in selling and promotional expenses was primarily due to increases in advertising costs and employee compensation costs in our API segment, partially offset by a decrease in advertising costs in our HCN segment.
General and administrative expenses increased approximately $3.9 million to $22.7 million and as a percentage of revenue, increased to 26.5% from 25.5% in the prior year period. The increase in general and administrative expenses was primarily a result of increases in professional fees and information technology costs in our APEI segment.
In the fourth quarter of 2020, general and administrative expenses included $1.2 million in professional fees associated with the Rasmussen acquisition. Fourth quarter consolidated bad debt expense was $1.0 million or 1.1% of revenue in 2020 compared to $0.9 million or 1.3% of revenue in 2019.
Depreciation and amortization expenses decreased approximately $0.8 million to $3.0 million and as a percentage of revenue, decreased to 3.5% of revenue from 5.2% of revenue in the prior year period. Operating income for the fourth quarter of 2020 increased by $1.1 million to $9.7 million compared to operating income of $8.6 million in the prior year period. Consolidated net income for the quarter increased 25% to $7.1 million or $0.47 per diluted share compared to net income of $5.7 million or $0.37 per diluted share in the prior year period.
Adjusted EBITDA for the 3 months ended December 31, 2020, was $15.8 million compared to $13.4 million in the prior year period. For the 3 months ended December 31, 2020, and 2019, adjusted EBITDA excludes noncash compensation expense, loss on disposals of long-lived assets and M&A-related professional fees. A reconciliation of EBITDA and adjusted EBITDA to net income, the comparable GAAP financial measure is included in the tables of our earnings release under the caption, GAAP net income to adjusted EBITDA.
Going on to Page 10. For the full year 2020, consolidated revenue increased 12.4% year-over-year to $321.8 million. In our APEI segment, APUS revenue increased $11.2 million -- increased 11.2% year-over-year to $285.8 million and HCN segment revenue increased 22.4% to $36.1 million. For 2020, cost and expenses include the following items on a pretax basis; a $10.4 million increase in advertising costs in our APEI and HCN segments, $5.6 million in information technology costs related to our information technology transformation program and $5.0 million in professional fees associated with strategic growth opportunities, including the Rasmussen acquisition, both in our APEI segment.
For 2019, cost and expenses include the following on a pretax basis. Approximately $2.8 million in employee compensation costs for post-employment benefits payable to the former APUS President upon his retirement and $2.1 million in information technology costs related to our information technology transformation program in our APEI segment and a noncash impairment of goodwill of $7.3 million in our HCN segment.
For the full year 2020, operating income increased $12.0 million to $24.8 million and net income increased $8.8 million to $18.8 million or $1.25 per diluted share. Cash flow from operations for the 12 months ended December 31, 2020, increased 16.7% to $44.8 million compared to $38.4 million in the prior year period. Capital expenditures were approximately $4.9 million for the 12 months ended December 31, 2020, compared to $7.3 million in the same period of 2019.
Total cash and cash equivalents as of December 31, 2020, were approximately $227.7 million compared to $202.7 million as of December 31, 2019.
Going on to Page 11. APEI's outlook for the first quarter of 2021 is as follows. At APUS net course registration by new students are expected to increase approximately 13% year-over-year, and total net course registrations are expected to increase approximately 9% year-over-year. This will represent the sixth consecutive quarter of year-over-year registration growth at APUS. At Hondros, new and total enrollment is expected to increase by 45% year-over-year.
In the first quarter of 2021, we expect consolidated revenue to increase approximately 18% year-over-year with year-over-year increases in both our APEI and HCN segments. The company expects net income to be between $6.4 million and $7.3 million and net income per diluted share to be between $0.39 and $0.44. Adjusted EBITDA is expected to be between $13.8 million and $14.7 million in the first quarter of 2021.
A reconciliation of EBITDA and adjusted EBITDA to net income, the comparable GAAP financial measure is included in the tables in our earnings release under the caption GAAP outlook net income to outlook adjusted EBITDA.
Now I will turn the call back over to Angie for closing comments.
Angela K. Selden - President, CEO & Director
Thank you, Rick. As you can see from our first quarter guidance, we expect our momentum to continue into 2021. Our priorities for 2021 includes building on our successful enterprise transformation, focusing on an effective integration of Rasmussen University and driving growth, especially in our core military, veteran and nursing segments. We believe there is ample room for growth in these markets where we enjoy a defendable leadership position. Our ongoing technology modernization and anticipated integration of Rasmussen using our shared services platform are both expected to help increase operating efficiency and drive growth through scale, synergies and improve student outcomes.
Most importantly all of these efforts are highly aligned with our mission to help learners of all backgrounds, maximize their higher education return on investment or HEROI. We are working to build a high-quality scale platform in higher education, one that is uniquely affordable, flexible and inclusive. We believe this focus will drive sustainable growth and operating leverage and help us maintain an attractive regulatory profile.
To briefly comment on the recent 90/10 legislation, we understand that the Senate version that is constantly under consideration in the House for approval, keeps the ratio at 90/10 versus shifting it to 85/15. As we have shared, based on the current 90/10 calculation methodology, we currently meet the 90/10 ratio when our TA and VA revenue are included in the 90 calculation. We also understand that the first measurement year is currently proposed to be in 2023, which we believe gives us sufficient time to address any mix changes inorganically through acquisition, or organically as [required].
In closing, by building durable institutions of higher education, we are creating momentum and energy focused on setting adult learners on the path toward achieving their dreams, by providing them with the skills necessary to maximize the return on their higher education investment.
With that, I'd like to ask the operator to please open the line for questions.
Operator
(Operator Instructions) Our first question comes from Stephen Sheldon with William Blair.
Stephen Hardy Sheldon - Analyst
At APUS, can you talk about the strategy for how you'll continue to better serve active duty military and veterans? What do you need to do to sustain improved growth there? And what dynamics have you seen in terms of the per learner engagement and courses taken within those populations?
Angela K. Selden - President, CEO & Director
Thanks, Steven. I'll start, and then I'll ask Rick to continue to comment. So we're really excited about the active duty military segment for a couple of the things that you called out, first of which is that we believe that there is room in the tuition reimbursement that they currently enjoy to be able to take additional course registrations beyond what they do today. So we see organic growth from the student population that we currently serve. Second, our marketing segmentation and the micro market work that we've done has identified population inside of the active duty military, where we see increased persistence and retention and creates really great opportunities for us to continue to attract and serve that military population.
Let me turn it over to Rick and see if you have any additional comments from the question.
Richard W. Sunderland - Executive VP & CFO
Just a couple of things to add, Steven. So number one, we are seeing momentum in terms of the number of courses that our military and military affiliated students are taking. So we're building some momentum there. I would add by adding the relevant courses that are meaningful to the active duty military and then having a broader course curriculum that really serves the needs of everyone, including the veterans population. We continue to be very, let's say, relevant in those populations. The other -- the last item I would mention is we implemented what we're now calling the Freedom Grant to our graduate military students in January of 2020. So that's really creating -- and that eliminated out-of-pocket cost for that population, which they previously had to pay a small out-of-pocket cost. So that's really driving some momentum at the graduate military level. And so we would expect to see that continue.
Stephen Hardy Sheldon - Analyst
Got it. That's really helpful. Maybe just as a follow-up, clearly, really strong growth acceleration over the last year. I know you're only providing guidance for the first quarter. But can you maybe frame at a high level how you're thinking about growth over the remainder of the year, especially as you face some tougher comparisons starting in the second quarter for both APUS and Hondros?
Angela K. Selden - President, CEO & Director
Let me turn that question over to Rick.
Richard W. Sunderland - Executive VP & CFO
Yes. So Steve, we're going to stick with our 1 quarter metric. But I would say and the comps do get more challenging. Obviously, we're going to have a more challenging comp in the second quarter. But the things that we're doing, and we just described short lists for the military have enduring value and are going to continue to lift those registrations, whether it's at the current pace or less because some of that is, in fact, due to COVID. But we have great confidence that we're going to continue to see momentum at APUS in registrations. And then what can you say about Hondros and Harry and his team, up 34, 34 in the fourth quarter and up 45, 45 in the first quarter, and that team is comping itself. It really saw the acceleration of the enrollment growth starting in the fourth quarter of '19. So they're already comping themselves in the fourth quarter and in the first quarter.
Angela K. Selden - President, CEO & Director
If I could just add that we also believe the micro-targeting that we're doing with the veterans community will show acceleration because it's a larger addressable market. And they typically will enroll in more courses on an annual basis than some of our other segments. And so it's a very attractive market, and we're seeing some early momentum from our efforts on the veterans market.
Operator
Our next question comes from Greg Pendy with Sidoti.
Gregory R. Pendy - Consumer Analyst
Just real quick on Hondros, just given the momentum and continuing into the first quarter, how should we be thinking about what is the capacity? And are you going to eventually run into some capacity constraints at Hondros in terms of, I guess, a total number of students?
Angela K. Selden - President, CEO & Director
Sure. Thanks for the question. I'll start and then, Rick, if there's anything you'd like to share. So one of the -- I hate to really say that anyone is benefiting from the impact of COVID. But one of the things that the COVID pandemic has done for Hondros has really driven a lot of operating efficiency in the delivery model, both from an admission and enrollment perspective, but also in terms of academic delivery. So even though we've had to move the labs and practicums to CDC guidelines for social distancing, because we've moved much of the academic work -- course work online, it freed up the facilities to be able to use them in a much more robust way for labs and practicum. Certainly, as we continue to see enrollment momentum growing, we have considered taking on additional temporary space in order to be able to conduct those labs and practicums for the students that are taking their course work online. And we don't see any restrictions right now on our ability to do that. So we don't see any kind of cap in terms of enrollment growth that we would come to expect from Hondros because of any kind of facility constraints. Anything else, Rick, from your perspective?
Richard W. Sunderland - Executive VP & CFO
Yes. I would just -- so yes, that really addresses it at the campus level. And Greg, as you know, we're going to begin offering courses in Akron, Ohio in April of this year. And we're already looking at sites in Southern Michigan, suburbs of Detroit to open a campus in 2022. So we will sustain that momentum, utilizing the levers we have that Angie described as well as opening new campuses, which is expand the overall capacity of the school.
Operator
Our next question comes from Raj Sharma with B. Riley.
Rajiv Sharma - Analyst
Congratulations guys on a solid quarter and some good guidance. I just had a couple of questions on the new course registrations. Is there sort of a breakdown if military did better than veterans or civilians? Any color there?
Angela K. Selden - President, CEO & Director
Thanks for the question, Raj, and thanks for the accolades. So I'll share perspectives on the interest level, and then I'll turn it over to Rick for any kind of additional commentary. We're seeing favorable momentum for our military affiliated in associate degrees, bachelors and masters degrees. And we're seeing that same momentum in our active duty military. And we're seeing a lot of interest from the nonmilitary students, particularly in our certificates. I can turn it over to Rick, and you can add any other details you'd like to share based on the question.
Richard W. Sunderland - Executive VP & CFO
Yes. No, that's exactly right. Angie, I don't have anything to add. That's where the interest -- the highest level of interest is coming from.
Rajiv Sharma - Analyst
And then sort of, is this -- is the outlook and the rise in starts here largely you think a result of the improved marketing and sort of the micro-targeting that you're talking about, Angie? Or is the uncertainty in the economy playing any part here?
Angela K. Selden - President, CEO & Director
I think we think it's a combination of many factors. Certainly, the marketing, we're trying to be very deliberate about the students that have the attributes that we see of high persisters and completers. Number two, the -- we see that we serve, I believe, 88% of our students are working adults. And so we believe that career advancement is also a key theme in how our students think about education amplifying and accelerating their careers. And certainly, the way in which we have addressed the out-of-pocket cost, in particular, for the graduate students in the active duty military has been a big contributor in 2020 of that momentum.
Rajiv Sharma - Analyst
Got it. And then I may have missed the -- you were talking -- you spoke just briefly on the 90/10 reclass, the reclassification, I think the -- so just to confirm, your numbers would -- including military and veterans would be under 90%.
Angela K. Selden - President, CEO & Director
That is correct. Assuming that the calculation remains as it is calculated today. Applying the same methodology as exists today, yes, we are under 90%.
Rajiv Sharma - Analyst
Got it. And then I know there has been a lot of talk by the administration making community colleges free. Could you kind of touch upon a little bit what the impact of that on your starts and registrations would be?
Angela K. Selden - President, CEO & Director
Sure. I'll start. Again, I'll turn it over to Rick or Steve for any additional commentary. Typically that community college student isn't necessarily our target market, right? Again, 88% of our students are adult learners who are working adults. And oftentimes, the community college structure just doesn't work for them. So community college is typically orienting towards a younger student that has more availability. And so we will pay very careful attention to the idea of free community college. But we also see oftentimes that a 2 plus 2 progression, where students complete their community college work and then move to complete their 4-year degree is a highly attractive progression to APUS, in particular because of its online accessibility.
Richard W. Sunderland - Executive VP & CFO
That last -- Raj, this is Rick. That last point is really important. The vast majority -- first of all, associate degree is a minority at APUS at this point, but a lot -- the vast majority of our students come in with transfer credits and the students that are the most successful are the ones that come in with at least 9 transfer credits. So if you think about getting a solid experience at a community college, proving your academic abilities and then transferring those credits to APUS, I think it's possibly a powerful combination. So I think there's really an argument to be made that if you really can increase successful students at community colleges, APUS is an online successor to that. Progression beyond community college could possibly benefit. So it really doesn't detract from us, and it could actually be some significant tailwinds pushing us forward.
Rajiv Sharma - Analyst
Got it. And then I have one last question on just post this recent raise of close to $80 million -- close to $90 million of net proceeds, how -- any thoughts around the change in the capital structure? I know that when you announced Rasmussen and then you've been talking a lot, you've been talking about taking on the amount of debt and the preferred. Is that -- you now would have enough cash to do -- most of the transaction, a large part of the transaction in cash. Does that change your outlook on how you would finance the acquisition at all?
Angela K. Selden - President, CEO & Director
Rick, I'll let you take that.
Richard W. Sunderland - Executive VP & CFO
Yes. Sure. I'll take that. No, it doesn't. Raj, we're committed with Macquarie Capital to the $175 million in Term Loan B. We would have flexibility even without the capital raise to replace the preferred with cash, which we're evaluating. So we've bolstered our ability to do that. But what it really does is it just increases our liquidity, right? It will -- to the extent the cash is there, it will reduce our net debt, which we think is good. And it gives us the flexibility to look at other, I would say, smaller acquisitions because there are things that we want to do. And I'll let Angie or Steve comment on that last piece. But no, I don't -- we're still going to take the long-term debt. We think it's a prudent amount of debt. It's not excessive, and it just gives us the flexibility to do other things.
Rajiv Sharma - Analyst
Right. Does it give you the flexibility to perhaps lower the cost of capital on that debt?
Richard W. Sunderland - Executive VP & CFO
In theory, it does, right? More equity should translate to a better pricing on that debt. But I guess we'll see.
Rajiv Sharma - Analyst
Congratulations on good solid numbers and outlook.
Angela K. Selden - President, CEO & Director
Thank you, Raj.
Operator
(Operator Instructions) Our next question comes from Austin Moldow with Canaccord Genuity.
Austin William Moldow - Associate
You mentioned that the $10 million incremental marketing spend was not likely to be replicated this year. So can you talk about what level you do expect? Is it going back down to 2019 levels? Or do you mean it would be sort of flat at this 2020 level? And can you also talk about how you've spent that historically as it pertains to the mix between APUS and HCN? And what that might change to with Hondros and Rasmussen under one roof?
Angela K. Selden - President, CEO & Director
You bet. So thank you for the question. I'm going to turn it over to Rick because he does have that historical perspective and can talk about that mix.
Richard W. Sunderland - Executive VP & CFO
Right. So I mean, if you look back to periods prior to 2020, we were in the kind of the 19%, 20% of revenue range. That number has jumped up to in the fourth quarter, I think it was closer to 22%. To answer your question, we're going to keep spending to produce the results, right? We're balancing customer acquisition with lifetime value, we're looking for a return on that investment. We said we're not going to continue to spend at that level. We're not going to regress to the earlier levels. So I would have to answer it's depending on what's going on in any particular quarter and over the course of the year, but we're not going to return ourselves to those prior levels. We'll probably spend somewhere in between.
Austin William Moldow - Associate
Got it. And can you maybe talk a little bit about the dynamics of the rest of the marketing funnel? How [lease] growth is trending and what your conversion to course registrations and new enrollments has been doing recently?
Angela K. Selden - President, CEO & Director
Great question. We have put a key focus on every step, starting with the generation all the way through enrollment and then re-enrollment and persistence. As you know, our students can -- APUS can enroll in a single course at a time. So making sure that they have a great first course experience and reenroll is a big focus for us. So we have had a deep analysis across each step along that student acquisition, I call it, supply chain, to make sure that we are doing all that we can do to maximize the conversion of every lead that comes into the top of the funnel. And so we're really working to bring out enrollment momentum from every lead that we can. And that is going to continue to be a focus of improvement for APUS through 2021.
Operator
There are no further questions at this time. I'll turn the call back over to Chris for closing remarks.
Christopher L. Symanoskie - VP of IR & Corporate Communications
Thank you, operator. Well, that will conclude our call for today. We wish to thank you for listening and for your continued interest in American Public Education. Good evening, everyone.
Operator
This concludes today's conference call. You may now disconnect.