STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION AG 08 APRS P 20S FLORIDA FRUIT AND VEGETABLE ASSOCIATION, Petitioner, DOAH CASE NO. 07-1664 3 AHCA NO. 2007003763. v. DETERMINATION NO. 26976123-081 * : ane 2 PPE STATE OF FLORIDA, AGENCY FOR on HEALTH CARE ADMINISTRATION, 2 Soe ood Respondent. FINAL ORDER THIS CAUSE concerns a Petition for Administrative Hearing (“Petition”) that the Petitioner filed on March 26, 2007. On April 11, 2007, the Petition was forwarded to the Division of Administrative Hearings by the Agency and assigned to an Administrative Law Judge (“ALJ”). On May 10, 2007, the Petitioners filed a Notice of Voluntary Dismissal of Petition for Administrative Hearing, stating that the matter had been amicably resolved. On May 11, 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 and the Agency’s March 1, 2007 Determination is hereby upheld. Unless they have already done so, Petitioner shall submit the correct reimbursement amount as stated in the Agency’s March 1, 2007 Determination to Memorial Hospital Jacksonville within 30 days of the date that this final order is rendered, and shall submit proof of reimbursement to: Arlene Cotton, R.N., AHCA WC Med Services, Division of Worker’s Compensation, 200 East Gaines Street, Tallahassee, Florida 32399-4229. Petitioner shall govern itself accordingly. DONE and ORDERED this LE day of (You , 2008, in Tallahassee, Florida. aloebe. HOLLY BENSQN, Secretary AGENCY FOR HEALTH CARE ADMINISTRAT: 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 AS day of Apel , 2008. COPIES FURNISHED TO: Honorable R. Bruce McKibben Administrative Law Judge Division of Administrative Hearings The DeSoto Building 1230 Apalachee Parkway Tallahassee, Florida 32399-3060 Tamela I. Perdue, Esquire Stiles, Taylor & Grace, P.A. Post Office Box 1140 Tallahassee, Florida 32302 Mari H. McCully, Esquire Department of Financial Services Division of Worker’s Compensation 200 East Gaines Street Tallahassee, Florida 32399-4229 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: 07-001664