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AHC;\

STATE OF FLORIDA A G!:: NC Y CLERK

AGENCY FOR HEALTH CARE ADMINISTRATION2017 MAY 2b A 9: 13

STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

vs.

Petitioner,

DOAH Case No.: 16-1821MPI CJ. No.: 13-0075-000

MPI Case ID: 2015-0001960

Provider No.: 010960600

NPI No.: 1649200601

License No.: 4200

CGH HOSPITAL, LTD d/b/a CORAL GABLES HOSPITAL ,

RENDITION NO.: AHCA-\7 -Q 1'8s-MOO

Respondent.

                                                                       I

FINAL ORDER

THE PARTIES resolved all disputed issues and executed a Settlement Agreement. 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 ;)_I/ day of   o/

Florida.

, 2017, in Tallahassee,

JUST 7s r

Agency for Health Care Administration

Agency for Health Care Administration vs. CGH Hospital, LTD d/b/a Coral Gables Hospital

(MPl Case ID: 2015-0001960)

Final Order

Page I of 3

Filed May 30, 2017 2:38 PM Division of Administrative Hearings

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 BYLAW, 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:

CGH Hospital, Ltd. Attention: Carrie Metts

4660 Communication Avenue Boca Raton, FL 33431-4487 (U.S. Mail)

Kelly Bennett, Chief, MPI (Electronic Mail)

Michael Glazer Ausley McMullen (Electronic Mail)

Bureau of Financial Services (Electronic Mail)

Health Quality Assurance (Electronic Mail)

Shena Grantham

MAL & MPI Chief Counsel (Electronic Mail)

James B. Countess Assistant General Counsel (Electronic Mail)

Agency for Health Care Administration vs. CGH Hospital, LTD d/b/a Coral Gables Hospital (MPl Case ID: 2015-0001960)

Final Order Page 2 of3

CERTIFICATE 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 or other designated method on this the of

----'--------'-7 -,2017.

Richard J. Shoop, Esqmre Agency Clerk

State of Florida

Agency for Health Care Administration 2727 Mahan Drive, MS #3

Tallahassee, Florida 32308-5403

(850) 412-3689/FAX (850) 921-0158

Agency for Health Care Administration vs. CGH Hospital, LTD d/b/a Coral Gables Hospital (MPI Case ID: 2015-0001960)

Final Order Page 3 of3

Docket for Case No: 16-001821MPI

Orders for Case No: 16-001821MPI