STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION PUBLIX SUPER MARKETS, INC., Petitioner, Vv. STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, Respondent and HEALTHPARK SURGERY CENTER, LC, Intervenor. if ae TR F DOAH CASE NO. 06-2123. “SARINAS AHCA NO. 2006000454 DETERMINATION NO. 20051108-001 FINAL ORDER THIS CAUSE concerns a Petition for Administrative Hearing (“Petition”) that the Petitioner filed on January 10, 2006. On June 15, 2006, the Petition was forwarded to the Division of Administrative Hearings by the Agency and assigned to an Administrative Law Judge (“ALJ”). On November 15, 2007, the Petitioner filed a Motion to Relinquish Jurisdiction, stating that the parties had amicably resolved the dispute. On November 16, 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 Petitioner's Petition is dismissed with prejudice, the Petitioner and Healthpark Surgery Center, L.C. shall comply with the terms of the global settlement that they entered into, and this matter is hereby closed. The parties shall govern themselves accordingly. DONE and ORDERED this o¢7 Boy of era LAL! , 2008, in Tallahassee, Florida. . we BENSON, ae 7 y/ 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 3 day of . Jere __, 2008. amen GN 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 Daniel M. Kilbride Administrative Law Judge Division of Administrative Hearings The DeSoto Building 1230 Apalachee Parkway Tallahassee, Florida 32399-3060 Daniel R. Goodman, Esquire Eraclides, Johns, Hall, Gelman, Eikner and Johannessen, LLP Post Office Box 49137 Sarasota, Florida 34230 Mari H. McCully, Esquire Department of Financial Services Division of Worker’s Compensation 200 East Gaines Street Tallahassee, Florida 32399-4229 Stephen K. Boone, Esquire Boone, Boone, Boone, Koda & Frook, P.A. 1001 Avenida Del Circo Post Office Box 1596 Venice, Florida 34284 Healthpark Surgery Center Post Office Box 32016 Venice, Florida 34292-4522 Jan Mills Facilities Intake Elizabeth Dudek Health Quality Assurance

Docket for Case No: 06-002123