Pathway to Excellence Program Fees
Fees apply to all health care organizations including long term care facilities. Fees are subject to change.
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.
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
- Appraisal Fee
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 |
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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) |
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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 |
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*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