STATE OF FLORIDA

AGENCY FOR HEALTH CARE ADMINISTRATION

AGENCY FOR HEALTH CARE

2017 APR 17 P 3: LiO

ADMINISTRATION,

Petitioners,

vs.

LIFEMARK HOSPITAL OF FLORIDA INC. D/B/A PALMETTO GENERAL HOSPITAL ,

DOAH Case No. 15-311 lMPI MPI CASE NO.: 2015-0002421 C.I. NO.: 11-2478-000

PROVIDER NO.: 010460400 NPI NO.: 1568493641< *J LICENSE NO.: 4313

RENDITION NO.: AHCi\- \'l ·0-;}. \ -S-MDO

Respondent.

- - - - - - - - - - - - - - - - I

FINAL ORDER

THE PARTIES resolved all disputed issues and executed a Settlement Agreement. The parties are directed to comply with the terms of the attached settlement agreement. Based on the foregoing, this file is CLOSED.

DONE and ORDERED on this the /L.IX day f-----,2017, in Tallahassee, Florida.

,., Jhe N I'/ No. is correct as on Final Order.

I

Agency for Health Care Administration vs. Lifemark Hospital of Flo rida, Inc. O/B/A Palmetto Ge neral Hospital

(C. I. No .: I 1- 2478-000; MP! Case No.: 2015-0002421)

Final Order

Filed April 25, 2017 9:34 AM Division of Administrative Hearings

AP ARTY WHO IS ADVERSELY AFFECTED BY THIS FINAL ORDER IS ENTITLED TO A JUDICIAL REVIEW WHICH SHALL BE INSTITUTED BY FILING ONE COPY OF A NOTICE OF APPEAL WITH THE AGENCY CLERK OF AHCA, AND A SECOND COPY ALONG WITH FILING FEE AS PRESCRIBED BYLAW, WITH THE DISTRICT COURT OF APPEAL IN THE APPELLATE DISTRICT WHERE THE AGENCY MAINTAINS ITS HEADQUARTERS OR WHERE A PARTY RESIDES. REVIEW PROCEEDINGS SHALL BE CONDUCTED IN ACCORDANCE WITH THE FLORIDA APPELLATE RULES. THE NOTICE OF APPEAL MUST BE FILED WITHIN 30 DAYS OF RENDITION OF THE ORDER TO BE REVIEWED.

Copies furnished to:

Lifemark Hospital of Florida, Inc. O/B/A Palmetto General Hospital ATTN: Carri Metts

4660 Communication Ave Boca Raton, FL 33431 (U.S. mail)

Joseph M. Goldstein, Esquire Shutts & Bowen LLP

200 East Broward Blvd., Suite 2100 Fort Lauderdale, FL 33301 jgoldstein@shutts.com

(E-Mail)

Kelly Bennett, Chief, MPI (E-Mail)

Michael J. Glazer, Esquire Ausley McMullen

123 S. Calhoun Street Tallahassee, Florida 32301 111!.!lazerra auslt:'.}_,.,:_9_m

(E-Mail)

Health Quality Assurance (E-Mail)

Bureau of Financial Services (E-Mail)

2

Agency for Health Care Administration vs. Lifemark Hospital of Florida. Inc. D/8/A Palmetto General Hospital (C. I. No.: 11-2478-000; MPI Case No.: 2015-0002421)

CERTIFICATE OF SERVICE

I HEREBY CERTIFY that a true and correct copy of the foregoing has been furnished to

the above named addressees by U.S. Mail or other designated method on this the/ ,2017.

Richard J. Shoop, Esq Agency Clerk

State of Florida

Agency for Health Care Administration 2727 Mahan Drive, MS #3

Tallahassee, Florida 32308-5403

(850) 412-3689/FAX (850) 921-0158

3

Agency for Health Care Administration vs. Lifemark Hospital ofFlorida. Inc. O/B/A Palmetto General Hospital (C I. No.: 11-2478-000; MPI Case No.: 2015-0002421)

Docket for Case No: 15-003111MPI

Orders for Case No: 15-003111MPI