STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATI PALs BEVERLY HEALTHCARE OF NORTH “OKALOOSA, Petitioner, vs. DOAH CASE NO. 01-1990.5DPC’ RENDITION NO.: AHCA-01-G0Z-S-OLC STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, Respondent. FINAL ORDER THE PARTIES resolved all disputed issues and executed a Settlement Agreement on [2-/ 12S wich is incorporated by reference. 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 / 21 Uay of Leceabler, 2001, in Tallahassee, Florida. come] 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 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 RENDITION OF THE ORDER TO BE REVIEWED. Copies furnished to: Christine T. Messana, Esquire Agency for Health Care Administration Fort Knox, Building 3 2727 Mahan Drive Tallahassee, Florida 32308-5403 (Interoffice Mail) Jay Adams, Esquire Broad & Cassel 215 South Monroe Street, Suite 400 Tallahassee, Florida 32301 (U.S. Mail and FAX to (850) 681-9792) Donah Heiberg Agency for Health Care Administration Managed Care and Health Quality, Area 2 2727 Mahan Drive, Mail Stop #46 Tallahassee, Florida 32308 (Interoffice Mail) Long Term Care Unit (Interoffice Mail) Gloria Collins, Finance & Accounting (Interoffice Mail) 0 CRE REE RUE EE REE EE RE ORE REE rE re ere rere on Spree oe CERTIFICATE OF SERVICE I HEREBY CERTIFY that a true and correct copy of the foregoing has been served to the above named addressees by indicated means on this the LO day of Detesbee , _thn plot InQuyeaoD ! . Agency Clerk fee oes of Florida Agency for Health Care Administration 2727 Mahan Drive, Building #3 Tallahassee, Florida 32308-5403 (850) 922-5873 ore rowrer:

Docket for Case No: 01-001990