STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATOR 2 SOUTHEAST PERSONNEL LEASING and LION INSURANCE COMPANY, Petitioners, STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION and ST. JOSEPH’S HOSPITAL, INC., Respondents. a 8 pM RRO A 3g DOAH CASE NO. 07-3362 AHCA NO. 2007007785 DETERMINATION NO. 20070529-012 FINAL ORDER THIS CAUSE concerns a Petition for Administrative Hearing (“Petition”) that the Petitioners filed on July 16, 2007. On July 19, 2007, the Petition was forwarded to the Division of Administrative Hearings by the Agency and assigned to an Administrative Law Judge (“ALJ”). On September 10, 2007, the Petitioners filed a Notice of Voluntary Dismissal, asking the ALJ to relinquish jurisdiction back to the Agency for entry of a final order due to the fact that the parties -had resolved the dispute. On September 18, 2007, the ALJ assigned to the case entered an Order Closing File, relinquishing jurisdiction back to the Agency. Based upon the foregoing, IT IS THEREFORE ORDERED AND ADJUDGED THAT: The Petitioners’ Petition is dismissed with prejudice and the Agency’s June 18, 2007 Determination is hereby upheld. Unless they have already done so, Petitioners shall submit the correct reimbursement amount as stated in the Agency’s June 18, 2007 Determination to St. Joseph’s Hospital, Inc. within 30 days of the date that this final order is rendered, and shall submit proof of reimbursement to: Jeanette Fridich Iriye, R.N., AHCA WC Med Services, Division of Worker’s Compensation, 200 East Gaines Street, Tallahassee, Florida 32399-4229. Petitioners shall govern themselves accordingly. x DONE and ORDERED this /O day of Coyauek 2008, in Tallahassee, Florida. —— HOLLY BENSAQN, Secretary AGENCY FOR HEALTH CARE ADMINISTRATION NOTICE OF RIGHT TO JUDICIAL REVIEW A PARTY WHO IS ADVERSELY AFFECTED BY THIS FINAL ORDER IS ENTITLED TO JUDICIAL REVIEW, WHICH SHALL BE INSTITUTED BY FILING THE ORIGINAL NOTICE OF APPEAL WITH THE AGENCY CLERK OF AHCA, AND A COPY ALONG WITH THE FILING FEE PRESCRIBED BY LAW 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 THE RENDITION OF THE ORDER TO BE REVIEWED. CERTIFICATE OF SERVICE I HEREBY CERTIFY that a true and correct copy of the foregoing Final Order has been furnished by U.S. or interoffice mail to the persons named below on this 2/ = day of Apes /_, 2008. RICHARD J. SHOOP, Agency Clerk Agency for Health Care Administration 2727 Mahan Drive, MS #3 Tallahassee, Florida 32308 (850) 922-5873 COPIES FURNISHED TO: Honorable William F. Quattlebaum Administrative Law Judge Division of Administrative Hearings The DeSoto Building 1230 Apalachee Parkway Tallahassee, Florida 32399-3060 Timothy L. Newhall, Esquire Law Offices of Timothy L. Newhall, L.L.C. 1334 Timberlane Road, Suite 11 Tallahassee, Florida 32312 Mari H. McCully, Esquire Department of Financial Services Division of Worker’s Compensation 200 East Gaines Street Tallahassee, Florida 32399-4229 Mark James Ragusa, Esquire Ruden McClosky 401 East Jackson Street, Suite 2700 Tampa, Florida 33602 Jan Mills Facilities Intake Elizabeth Dudek Health Quality Assurance

Docket for Case No: 07-003362