STATE OF FLORIDA

AGENCY FOR HEALTH CARE ADMINISTRATION

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2020 JAN 3I P 12: 0

STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

Petitioner, vs.

SOUTH BROWARD HOSPITAL DISTRICT D/B/A MEMORIAL HOSPITAL WEST,

DOAH CASE NO.: 15-3118MPI MPI CASE NO.: 2015-0002441 C.I. NO.: 11-2589-000

PROVIDER NO.: 010252100

NPI NO.: 1134102080

LICENSE NO.: 4316

RENDITION NO.: AHCA- 2-o - o 7 l. -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>_L day of

Leon County, Florida.

2020, in Tallahassee,

YHEW, SECRETARY

Agency for Health Care Administration

Agency for Health Care Administration vs. South Broward Hospital District d/b/a Memorial Hospital West DOAH Case No.: 15-3118MPI MP! Case No.: 2015-0002441 CJ. No.: 11-2589-000

Final Order Page I of3

Filed February 13, 2020 11:48 AM Division of Administrative Hearings

A PARTY 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:

Agency for Health Care Administration vs. South Broward Hospital District d/b/a Memorial Hospital West DOAH Case No.: 15-3118MPI MP! Case No.: 2015-0002441 C.l. No.: 11-2589-000

Final Order Page 2 of 3

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 3l y of

2020.

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

Agency for Health Care Administration vs. South Broward Hospital District d/b/a Memorial Hospital West DOAH Case No.: 15-3l 18MP1 MP! Case No.: 2015-0002441 C.l. No.: 11-2589-000

Final Order Page 3 of 3

Docket for Case No: 15-003118MPI

Orders for Case No: 15-003118MPI