STATE OF FLORIDA 7) ‘4 AGENCY FOR HEALTH CARE sDunsrasnie /9 "Pb iep Ate 3] SOUTHEAST PERSONNEL LEASING and LION INSURANCE COMPANY, Petitioner, DOAH CASE NO. 07-1515 AHCA NO.2007002658 Vv. DETERMINATION NO. 20060925-007 STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION and HOLMES REGIONAL MEDICAL CENTER, Respondent. / FINAL ORDER THIS CAUSE concerns a Petition for Administrative Hearing (“Petition”) that the Petitioners filed on March 6, 2007. On April 2, 2007, the Petition was forwarded to the Division of Administrative Hearings by the Agency and assigned to an Administrative Law Judge (“ALJ”). On May 31, 2007, the Petitioners filed an Unopposed Notice of Voluntary Dismissal with Prejudice, stating that they had entered into a settlement agreement with Holmes Regional Medical Center and were voluntarily dismissing their Petition with prejudice pursuant to that agreement. On June 6, 2007, the ALJ assigned to the case entered an Order Closing File, a relinquishing jurisdiction back to the Agency. Based upon the foregoing, IT IS THEREFORE ORDERED AND ADJUDGED THAT: The Petitioners’ Petition is dismissed with prejudice, the Petitioners and Holmes Regional Medical Center shall comply with the terms of the settlement that they entered into, and this matter is hereby closed. The parties shall govern themselves accordingly. DONE and ORDERED this Ke day of Bart , 2008, in Tallahassee, Florida. HOLLY BENSON, 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 . ts furnished by U.S. or interoffice mail to the persons named below on this “3 day of Apc 7 __, 2008. COPIES FURNISHED TO: Honorable William F. Quattlebaum Administrative Law Judge Division of Administrative Hearings The DeSoto Building 1230 Apalachee Parkway Tallahassee, Florida 32399-3060 Mari H. McCully, Esquire Department of Financial Services Division of Worker’s Compensation 200 East Gaines Street Tallahassee, Florida 32399-4229 Matthew H. Mears, Esquire Holland & Knight, L.L.P. Post Office Drawer 810 Tallahassee, Florida 32302 Jan Mills Facilities Intake Elizabeth Dudek Health Quality Assurance RICHARD J. SHOOP, Agency Clerk Agency for Health Care Administration 2727 Mahan Drive, MS #3 Tallahassee, Florida 32308 (850) 922-5873

Docket for Case No: 07-001515