14-001572 Tlc Outpatient Surgery And Laser Center vs. Agency For Health Care Administration Status: Closed Settled and/or Dismissed prior to entry of RO/FO on Wednesday, April 16, 2014.

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P-, J\\HCA HCA

AGENCY CLERK CLERK

STATE STATE OF OF FLORIDA FLORIDA AGENCY

AGENCY AGENCY FOR FOR HEALTHCARE HEALTH CARE ADMINISTRATION ADMINISTRATION 7014 2014 JUN - JUN -5 5 A A 0 to: 11 I l

KZMSS KZMSS AGAIN, AGAIN, LLLP LLLP d/b/ a dlbla

TLC TLC OUTPATIENT OUTPATIENT SURGERY SURGERY

AND AND LASER LASER CENTER, CENTER,

Petitioner, Petitioner, AHCA AHCA NO.: NO.: 2014002695 2014002695

DOAH DOAH NO.: NO.: 14-1572 14- 1572

V. v. RENDITION RENDITION NO.: NO.: AHCA- ) AHCA- ) q - - '0 0 Sog- OLC S-

STATE STATE OF OF FLORIDA, FLORIDA, AGENCY AGENCY FOR FOR

HEALTH HEALTH CARE CARE ADMINISTRATION, ADMINISTRATION,

__________________ Respondent. Respondent. .1

FINAL FINAL ORDER ORDER

THIS THIS CAUSE CAUSE came came on on for for consideration consideration before before the the Agency Agency for for Health Health Care Care Administration Administration

the ("the Agency"), Agency"), which which finds finds and and concludes concludes as as follows: follows:

1. 1. The The Agency Agency issuedthe issued the Petitioner (" Petitioner the ("the Applicant") Applicant") the the attached attached Notice Notice of of Intent Intent to to Deny Deny

Ex. (Ex. 1). 1). The The parties parties entered entered into into the the attached attached Settlement Settlement Agreement ( Agreement Ex. (Ex. 2), 2), which which is is adopted adopted and and

incorporated incorporated by by reference. reference.

2. 2. The The parties parties shall shall comply comply with with the the terms terms of of the the Settlement Settlement Agreement. Agreement. If If the the Agency Agency has has

not not already already completed completed its its review review of of the the application, application, it it shall shall resume resume its its review review of of the the application. application. The The

Applicant Applicant shall shall pay pay the the Agency Agency an an administrative administrative fee fee of $ of 2, 00 $2,000.00 000. within within 30 30 days days of of the the entry entry of of this this

Final Final Order. Order. A A check check made made payable payable to to the " the Agency "Agency for for Health Health Care Care Administration" Administration" containing containing the the

AHCA AHCA number( number(s) s) should should be be sent sent to: to:

Agency Agency for for Health Health Care Care Administration Administration

Office Office of of Finance Finance and and Accounting Accounting

Revenue Revenue Management Management Unit Unit

2727 2727 Mahan Mahan Drive, Drive, MS MS 14 14

Tallahassee, Tallahassee, Florida Florida 32308 32308

ORDERED ORDERED in in Tallahassee, Tallahassee, Florida, Florida, on on this, day day of Of_-'cft="'---_..L. __ - , 2014. 2014.

a6t~, a

Elizabeth ek, cretary cretary

Agency for DlHealt Care Care Administration Administration

Page Page 1 1 of of2 2

NOTICE OF RIGHT TO JUDICIAL REVIEW

A party that is adversely affected by this Final Order is entitled to seek 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 of 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.

CERTIFICATE OF SERVICE

I HEREBY CERTIFY that a true and correct copy of this Final rder was served on the below-

named persons/entities by the method designated on this day of (/\\.o.J- ,2014.

Richard Shoop, Agelicy Clerk

Agency for Health Care Administration

2727 Mahan Drive, MS 3

Tallahassee, Florida 32308

Telephone [phone]

David J. Menkhaus Bradford C. Herter

KZMSS Again, LLLP d/b/a TLC Outpatient Assistant General Counsel

Surgery and Laser Center Office of the General Counsel

201 West Guava Street Agency for Health Care Administration

Lady Lake, Florida 32159 (Electronic Mail)

(U. S. Mail)

Jan Mills Finance and Accounting

Facilities Intake Unit Revenue Management Unit

Agency for Health Care Administration Agency for Health Care Administration

(Electronic Mail) (Electronic Mail)

Jay Adams, Esq.

Broad and Cassel

215 South Monroe Street, Suite 400

Tallahassee, Florida 32302

(U. S. Mail)

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