Three-Layer Cost Disclosure
ASF is the only accreditation body that publishes the full cost — not just the registration fee. This is a constitutional commitment.
Why Three Layers?
The most harmful aspect of existing accreditation body pricing is not the stated fee — it is the undisclosed indirect and opportunity costs. Lebanese hospitals borrowed money to fund accreditation. Dubai hospitals reported 100+ working days of preparation time. Neither figure appeared in the body’s published fee schedule. ASF publishes all three layers for every package it offers.
Layer Definitions
| Layer | What it includes | Who sets it |
|---|---|---|
| Layer 1 — Direct Fees | Monthly package fee, which includes the yearly in-person assessment | ASF — fixed and published, see Fees |
| Layer 2 — Indirect Costs | Extras you choose (consultancy, in-person training, additional certifications) and any independent Coordinator or Monitor you engage | ASF — fixed and published; independent professionals — agreed directly |
| Layer 3 — Opportunity Costs | Estimated staff hours for quarterly administration × local wage | Estimated by ASF; varies by country |
Representative Estimate — Hospital in Georgia, per Year
| Monthly package (€375 / €500 × 12) | €4,500 | €6,000 |
| Yearly in-person assessment | Included | Included |
| Coordinator and Monitor certification (one person each) | Included | Included |
| E-learning for all staff | Included | Included |
| Patient council management | Not included | Included |
| Consultancy (2 online sessions + 2 in-person hours a month) | Not included | Included |
| Total (Layers 1–2), the same every year | €4,500 | €6,000 |
Layer 3 (staff time) is not included in the totals above because it varies by local wage — see the Fees page’s interactive calculator to estimate your own facility’s total including staff time.
Compare: JCI accreditation for a comparable Georgian hospital — estimated total three-layer cost: €35,000–60,000 over a three-year cycle (roughly €12,000–20,000/year). This figure is not published by JCI — derived from published research on accreditation costs in comparable health systems.