fe a 6 et ce ee . Bip, “Xs STATE OF FLORIDA 5, ° /y “A AGENCY FOR HEALTH CARE ADMINISTRATION % Mey, by NATIONAL HEALTHCARE CORPORATION d/b/a BEAR CREEK NURSIN CENTER Petitioner, CLERK . DATE vs. CASE NO.: 01-0333 Rendition no. AHCA-O1- LO8 _s STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, FLBE-Clas Respondent. This cause came before me for the Purpose of issuing a final agency order, it appearing from the Settlement Agreement, attached and incorporated herein, that there ° are no remaining disputed issues of fact, FINDINGS OF FACT aN OF FACT L on ue 600, a Settlement Agreement between the parties was executed which dismissed the Petitioners Case against the Agency. 2. There are no Temaining disputed issues of fact or law. CONCLUSIONS OF LAW SL SIONS OF LAW ~MDA a ar ieee eee aes ema mettre A PARTY Wr TO A JUDICY, feet filuipe Laura Branker Acting Secretary Agency for Health Care Administration RENDITION OF THE ORDER TO BE REY, Copies Fumished to: F.L. Buckine Administrative Law Judge DOAH 1230 Apalachee Parkway Tallahassee, FL 32399-3060 Pam Williams Reimbursement Manager NHC City Center 100 Vine Street ; Murfreesboro, TN 37130 Mary Stewart, CPA Manager, Audit Services AHCA, Bldg. #3 2727 Mahan Drive Tallahassee, FL 32308 Julia Lee AHCA, Finance and Accounting 2727 Mahan Drive Tallahassee, FL 32308 CERTIFICATE OF SERVICE MEE LE 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 on this the Gh. day of wT 4h -S. Power, Esquire Agency Clerk State of Florida STATE OF FLORIDA DIVISION OF ADMINISTRATIVE HEARINGS NATIONAL HEALTH CARE CORPORATION d/b/a BEAR CREEK NURSING CENTER, Petitioner, vs. : : DOAH CASE NO. 01-0333 STATE OF FLORIDA, “AGENCY FOR HEALTH CARE ADMINISTRATION, Respondent. a SETTLEMENT AGREEMENT ob tL LEMENT AGREEMENT The Parties, by and through the undersigned, hereby stipulate in full and complete settlement of the above styled case, as follows: 1. The Respondent, STATE OF FLORIDA, AGENCY FOR HEALTH CARE . ADMINISTRATION (“AHCA”) shall revise its audit (NH-99-097M) of Petitioner's, s, os _NATIONAL HEALTH CARE CORPORATION d/b/a BEAR CREEK NURSING CENTER CNHC”), Medicaid cost report for the period ending March 31, 1997 in accordance with the attached letters adopted and i incorporated herein by reference, dated March 30, 2001 and May 30, 2001, from AHCA Audit Analyst, Lisa D. Milton and NHC Reimbursement Manager, Pam Williams. 2. Based upon this Settlement, the Petitioner agrees to dismiss its Petition in this case ; with prejudice, eT ela reeAteeNtt hse eg 3. Upon formal execution, AHCA will adopt and incorporate this Settlement into its Final Order closing the Agency’s casefile. 4. Each Party agrees to bear its own costs and fees associated with this action. 5. The signatories represent and warrant that they are vested with the authority to execute this settlement agreement on behalf of their respective principles and to fully bind such principals, their successors and “L to its terms. AGREED to on this day o: 2001. FOR THE RESPONDENT FOR THE PETITIONER even Grigas Pam Williams Assistant General Counsel Reimbursement Manager AHCA . National Health Care Corporation 2727 Mahan Drive, MLC #3 100 Vine Street, City Center = Tallahassee, FL 32308 Murfreesboro,. TN 37130. vo Jaké Gallagher ; : General Counsel, AHCA 2727 Mahan Drive, MLC #3 Tallahassee, FL 32308 “on jsuipe — Bob Sharpe Director of Medicaid, AHCA 2727 Mahan Drive, MLC #3 Tallahassee, FL 32308

Docket for Case No: 01-000333