Pathway to Excellence Program Fees

Fees apply to all health care organizations including long term care facilities. Fees are subject to change.

Download the Pathway Fee Calculator (xlsx file)

Pathway Applicant Registration (P.A.R.) Application Fee - $3,750 (Includes Membership to the Pathway Learning Community)

Due at the time of the Pathway Applicant Registration (P.A.R.). Non-refundable.

For Documents Submitted in 2022 or Later Click Here

Appraisal Process Fee

The invoice will be uploaded to the Online Application Portal one month before document submission date. Payment is due within 30 days of receipt. 

Fees based on the number of licensed beds or visits per year.

2022 FEE STRUCTURE

Starting January 1, 2022: Any initial or redesignating applicant submitting documents starting in 2022 will fall under the new fee structure schedule:

• Applicant Registration Fee — $3,750
• Appraisal Review Fees (Fees apply to all health care organizations including long term care institutions. If youre an ambulatory setting, please contact the Pathway Program Office.)
  • Appraisal Fee
    — Based on licensed bed size (see chart below); fee for additional campus(es) included.
  • Annual Payment (year 1, 2 and 3 post-designation year)*
    — Based on licensed bed size (see chart below)
    — Due every year on designation month

Fees are subject to change.

APPLICANT REGISTRATION	DATE DUE	FEE
All Applicants	Submission of Pathway Applicant Registration	$3,750

 

APPRAISAL REVEIW FEES
LICENSED BED SIZE: <50-100	DATE DUE	FEE
Appraisal Fees	Document Submission	$14,375
Year 1 Annual Payment*	Designation Anniversary Year 1	$4,792
Year 2 Annual Payment*	Designation Anniversary Year 2	$4,792
Year 3 Annual Payment*	Designation Anniversary Year 3	$4,792
TOTAL APPRAISAL REVIEW FEES OVER 4 YEAR DESIGNATION		$28,750
Applicant Registration Fee for Redesignating Organizations	8 months before Designation Anniversary Year 4	See website
Appraisal Fee for Redesignating Organizations	Designation Anniversary Year 4

 

APPRAISAL REVEIW FEES
LICENSED BED SIZE: <101-299	DATE DUE	FEE
Appraisal Fees	Document Submission	$20,625
Year 1 Annual Payment*	Designation Anniversary Year 1	$6,875
Year 2 Annual Payment*	Designation Anniversary Year 2	$6,875
Year 3 Annual Payment*	Designation Anniversary Year 3	$6,875
TOTAL APPRAISAL REVIEW FEES OVER 4 YEAR DESIGNATION		$41,250
Applicant Registration Fee for Redesignating Organizations	8 months before Designation Anniversary Year 4	See website
Appraisal Fee for Redesignating Organizations	Designation Anniversary Year 4

 

APPRAISAL REVEIW FEES
LICENSED BED SIZE: <300-399	DATE DUE	FEE
Appraisal Fees	Document Submission	$26,875
Year 1 Annual Payment*	Designation Anniversary Year 1	$8,958
Year 2 Annual Payment*	Designation Anniversary Year 2	$8,958
Year 3 Annual Payment*	Designation Anniversary Year 3	$8,958
TOTAL APPRAISAL REVIEW FEES OVER 4 YEAR DESIGNATION		$53,750
Applicant Registration Fee for Redesignating Organizations	8 months before Designation Anniversary Year 4	See website
Appraisal Fee for Redesignating Organizations	Designation Anniversary Year 4

 

APPRAISAL REVEIW FEES
LICENSED BED SIZE: <400-599	DATE DUE	FEE
Appraisal Fees	Document Submission	$33,125
Year 1 Annual Payment*	Designation Anniversary Year 1	$11,042
Year 2 Annual Payment*	Designation Anniversary Year 2	$11,042
Year 3 Annual Payment*	Designation Anniversary Year 3	$11,042
TOTAL APPRAISAL REVIEW FEES OVER 4 YEAR DESIGNATION		$66,250
Applicant Registration Fee for Redesignating Organizations	8 months before Designation Anniversary Year 4	See website
Appraisal Fee for Redesignating Organizations	Designation Anniversary Year 4

 

APPRAISAL REVEIW FEES
LICENSED BED SIZE: <600-699	DATE DUE	FEE
Appraisal Fees	Document Submission	$38,125
Year 1 Annual Payment*	Designation Anniversary Year 1	$12,708
Year 2 Annual Payment*	Designation Anniversary Year 2	$12,708
Year 3 Annual Payment*	Designation Anniversary Year 3	$12,708
TOTAL APPRAISAL REVIEW FEES OVER 4 YEAR DESIGNATION		$76,250
Applicant Registration Fee for Redesignating Organizations	8 months before Designation Anniversary Year 4	See website
Appraisal Fee for Redesignating Organizations	Designation Anniversary Year 4

 

APPRAISAL REVEIW FEES
LICENSED BED SIZE: <700+	DATE DUE	FEE
Appraisal Fees	Document Submission	$38,125+
Year 1 Annual Payment*	Designation Anniversary Year 1	$12,708+
Year 2 Annual Payment*	Designation Anniversary Year 2	$12,708+
Year 3 Annual Payment*	Designation Anniversary Year 3	$12,708+
TOTAL APPRAISAL REVIEW FEES OVER 4 YEAR DESIGNATION		$76,250+ actual fees depend on bed size
Applicant Registration Fee for Redesignating Organizations	8 months before Designation Anniversary Year 4	See website
Appraisal Fee for Redesignating Organizations	Designation Anniversary Year 4

 

*N/A if not designated

 

ALGORITHM FOR PATHWAY APPLICANTS WITH REMOTE LOCATIONS
	IN-PATIENT CARE ORGANIZATIONS (E.g., Hospital, LTC facilities)	FREE STANDING AMBULATORY CARE ORGANIZATIONS (E.g., Clinics, ED, Urgent Care, Infusion Center, Medical Groups, Dialysis Center)
STEP 1	Is the organization primarily comprised of in-patient beds? If yes, see steps below and fees for inpatient beds. ELIGIBILITY	Is the organization comprised of out-patient services only? If yes, see steps below and contact pathwayinfo@ana.org for ambulatory organization fees
STEP 2	Is the CNO accountable for nursing practice across the organization? See CNO Role Defined	Is the CNO accountable for nursing practice across the organization? See CNO Role Defined
STEP 3	Is the applicant organization comprised of remote locations (additional geographic locations outside of the primary site)? If yes, do the remote locations meet the Pathway to Excellence campus* definition?	Is the applicant organization comprised of remote locations (additional geographic locations outside of the primary site)? If yes, do the remote locations meet the Pathway to Excellence branch** definition?
STEP 4	If yes, may be eligible to include campus(es) in a single Pathway application. Email pathwayinfo@ana.org for additional campus information. Attach nursing service organizational chart and a brief description of nursing operations.	If yes, may be eligible to include branch(es) in a single Pathway application. Email pathwayinfo@ana.org for additional branch fees. Attach nursing service organizational chart and a brief description of nursing operations.
	*Campus = For Pathway purposes, campuses are remote care sites of an in-patient organization (e.g., Hospital, Rehab, LTC facilities). The CNO of the applicant organization is accountable for nursing practice at the campus(es). The executive leadership and Board of Directors are shared across the applicant site and campus. Policies and procedures are the same for the applicant site and campus, as are ancillary resources. Campuses typically provide services to augment the full set of services offered at the primary site. If the additional campus is an acute care setting, the nurses are shared between the acute care sites. See more.	**Branch = For Pathway purposes, a branch is a remote care site of a free-standing ambulatory care organization (e.g., Clinics, ED, Urgent Care, Infusion Center, Medical Groups, Dialysis Center) that provides only ambulatory services. The CNO of the applicant organization is accountable for nursing practice at the branch(es). The executive leadership and Board of Directors are shared across the applicant site and branches. Policies and procedures are the same for the applicant site and branches, as are ancillary resources.

 

Depending on availability, applicants requesting a Pathway Standards Document extension may choose from the subsequent 2 submission cycles. Applicants requesting to extend beyond 2 submission cycles must reapply.

Extension Fee: $1,000.00

Due if/when an organization requests an extension prior to 30 days of the approved document submission date.

Appraisal Preparation Cancellation Fee: $2,000.00

Due if/when an organization requests an extension within 30 days of the approved document submission date.

Nurse Survey Translation Fee: $2,500.00

Due with Appraisal Process fee when translation of the Pathway Survey is required. 

 

International Organizations:

Documents must be submitted in English. Organizations outside of the US needing translation of the nurse survey must contact the Pathway Program Office immediately to discuss additional fees.

Payment Terms

All fees must be paid by check or credit card in the online application portal.

Remit Address:
ANCC Pathway
P.O. Box 505035
St. Louis, MO 63150-5035

For express delivery, mail to:

Bank of America Lockbox Services, 505035
800 Market Street
St. Louis, MO 63101