T. Mills Fleming: Lawyer with HunterMaclean

T. Mills Fleming

Partner
Savannah,  GA  U.S.A.
Phone912.236.0261

Peer Rating
 4.6/5.0
AV® Preeminent

Client Rating

Featured AV Peer Review Rated Lawyer IconFeatured AV Peer Review Rated Lawyer Icon
Printer Friendly VersionEmail this PageDownload to My Outlook ContactsAdd lawyer to My FavoritesCompare this lawyer to other lawyers in your favorites

Experience & Credentials Ratings & Reviews
 

Practice Areas

  • Health Care
  • Corporate
  • Immigration
  • Business Transactions
  • ERISA & Employee Benefits
 
Mailing AddressP.O. Box 9848, Savannah, GA, 31412-0048
 
University University of Florida, B.A., 1986
 
Law SchoolUniversity of Florida College of Law, J.D., 1989
 
Admitted1990, Georgia
 
Memberships 

Professional Affiliations

American Health Lawyers Association
American Immigration Lawyers Association
Georgia Academy of Healthcare Attorneys: Past President

 
Born1964
 
Biography

Mills Fleming chairs HunterMaclean's health care practice group. Mills is a past president of the Georgia Academy of Healthcare Attorneys and a member of the American Health Lawyers Association. His practice concentrates on the general representation of health care systems, specialized regulatory support to health care entities and specialized projects involving compliance planning, qui tam/FCA investigations, health care industry restructuring, tax-exempt entities and intermediate sanctions, reimbursement, fraud and abuse, managed care, and health care policy. He also assists clients with compliance self-assessments and remedial actions, Stark Law compliance assessments, and the development of multi-provider joint ventures.

Mills is included in the most recent editions of The Best Lawyers in America. He writes and speaks frequently on health care law issues and is co-editor of the Georgia Hospital Association's Hospital Law Manual, fifth edition (2006). He also wrote an article on the final HIPAA privacy rules for the American Bar Association's American Law Institute and has presented on the Sarbanes-Oxley Act at the Georgia Academy of Healthcare Attorneys' annual meeting.

Mills' practice also focuses on immigration and nationality law; he began practicing in this area in 1990. His practice includes extensive visa work, handling both temporary and permanent visa cases and J-1 waivers, as well as advice regarding compliance with the I-9, discrimination, and document abuse provisions of the Immigration Reform and Control Act of 1986. Mills is a member of the American Immigration Lawyers Association, the ABA-affiliated association for attorneys practicing immigration law. He is a frequent lecturer and presenter on immigration topics, and he advises employers regarding best practices in employment-related topics.

Mills graduated from the University of Florida with a B.A. in 1986 and a J.D. in 1989. He began his legal career at HunterMaclean, served for three years as general counsel with a large hospital system, and returned to HunterMaclean in 1995. He is admitted to practice in the U.S. District Court for the Southern District of Georgia and the State of Georgia.

Representative Engagements

Corporate/Transactions

•Represented major health care system in corporate restructuring of large multi-specialty physician group practice from for-profit to tax-exempt status.
•Negotiated joint pricing collaborative between two major health care systems and obtained USDOJ approval for the transaction.
•Negotiated affiliation agreement between major health care system and a university-based medical school.
•Corporate reorganization of major health care system and obtained IRS private letter ruling for same.
•Negotiated the sale of a hospital-based outpatient surgery center to a hospital-physician joint venture ASC. Obtained first-ever letter of non-reviewability for this type of transaction from the Georgia Department of Community Health.
•Served as health care system counsel for several $150+ million tax-exempt bond financings and refinancings.
•Negotiated Shared Services Agreement between major health system and multi-state health care provider.
•Negotiated sale of hospital-based air and ground ambulance service.
•Negotiated waiver of major health care system's default of its tax-exempt bond debt.
•Served as health care system counsel for Community Needs Assessment and IRC Section 501(r)compliance.
•Represented nonprofit hospital in negotiations with county government and county hospital authority for the provision of indigent care.
•Negotiated telemedicine contracts between major health system and numerous regional hospitals.
•Represented major health care system in management agreement negotiations.
•Advise nonprofit hospital boards of directors and management on governance requirements, corporate bylaws, and compliance.
•Served as hospital counsel for $50 million taxable and tax-exempt financing for major health system's electronic medical record hardware and software purchase.
•Hospital counsel for public access requests under Georgia's Open Meetings and Open Records Act.
•Represented major health care system in obtaining a joint venture ownership interest in a neurosurgery ASC.
•Represented major health care system in the sale of its inpatient rehabilitation service line to for-profit joint venture with a national health care provider.
•Represented major health care system in negotiating multi-million dollar line of credit arrangement.
•Obtained tax-exempt status and IRS Private Letter Ruling for hospital-based multi-specialty physician group practice.
•Negotiated transition of hospital-based children's hospital into a tax-exempt joint venture owned by major health care system and multi-state health care provider.
•Negotiated sale of hospital-based urgent care operation to joint venture owned by health care system and regional health care provider.
•Represented nonprofit hospital in intercompany service agreement negotiations.

Hospital Physician Contracting

•Negotiated hundreds of hospital-physician employment agreements.
•Negotiated hundreds of independent contractor professional service and medical director agreements for Radiology, Gastroenterology, Anesthesiology, Orthopedic Trauma, Neurology, Neurosurgery, Cardiology, Radiation Oncology, Emergency, and Vascular Surgery Physicians.
•Served as hospital counsel for employment of and immigration (e.g. J-1 waivers, H-1B and O-1 visas, and permanent residency) filings for foreign national physicians.

Regulatory

•Provided Stark law, Anti-Kickback Statute, and False Claims Act advice for health care systems.
•Advised health systems on compliance programs, OIG work plans, and internal audits.
•Advised health care systems on establishment of tax-exempt bond compliance programs under IRS guidelines.

USDOJ/OIG Investigations

•Represented major health care system in criminal and civil fraud and abuse and tax fraud investigation by the USDOJ alleging violations of the Stark law and the Anti-Kickback Statute and the use of the employment exception.
•Represented health care executive in USDOJ investigation of False Claims Act violations.
•Represented major health care system in USDOJ investigation of Stark law, Anti-Kickback Statute, and False Claims Act violations relating to physician compensation and fair market value and commercial reasonableness issues.
•Represented nonprofit hospital in 340B Pharmacy Program audit.

Spotlight

Creative Financing: Firm Secures Multi-Million New Markets Tax Credit for Health System

Firm partners Ben Hartman and Adam Kirk spearheaded a landmark multi-million-dollar New Markets Tax Credit Program deal for Southeast Georgia Health System , one of HunterMaclean's clients. The deal will lead to significant savings for the Health System's new Medical Office Building and Community Care Center.

The Architecture of Business: Attorneys Guide Telfair Through Expansion

HunterMaclean helped lay the groundwork for the Telfair Museum of Art to build the new Jepson Center, a sleek, contemporary building on Telfair Square in downtown Savannah. The Jepsone successfully bridges the city's historic architecture with its vibrant future, serving as a centerpiece of Savannah's cultural community.

recognization

Best Lawyers in America: Real Estate Law, 2013-2015

Best Lawyers is the oldest and most highly-respected peer review guide to the legal profession worldwide. A listing in Best Lawyers is widely regarded by both clients and legal professionals as a significant honor, conferred on a lawyer by his or her peers.

State Bar of Georgia: Business Commitment Pro Bono Award, 2013

The State Bar of Georgia's Business Commitment Pro Bono Business Law Award honors the business law pro bono contributions of an individual lawyer to the nonprofit community and economic development sector in Georgia.

Lawyer of the Year: Real Estate Law, 2013

Edward O. Henneman, Jr. has been named the Best Lawyers' 2013 Savannah Real Estate Law “ Lawyer of the Year .”

Only a single lawyer in each practice area and designated metropolitan area is honored as the “Lawyer of the Year,” making this accolade particularly significant.

Lawyers being honored as “Lawyer of the Year” are selected based on particularly impressive voting averages received during the exhaustive peer-review assessments we conduct with thousands of leading lawyers each year. Receiving this designation reflects the high level of respect a lawyer has earned among other leading lawyers in the same communities and the same practice areas for their abilities, their professionalism, and their integrity.

Martindale-Hubbell: AV Rated

The Martindale-Hubbell PEER REVIEW RATINGS are an objective indicator of a lawyer's high ethical standards and professional ability, generated from evaluations of lawyers by other members of the bar and the judiciary in the United States and Canada.

Publications

Estate Planning in the 21st Century: Modern Considerations to Ease the Burden

The advent of the Internet has changed the way we communicate, the way we shop, the way we learn-and now it is changing the way we plan our estates as well. In addition to the important steps of writing a will and creating an advance directive for health care, there are many new aspects to ensuring that affairs are in order Attorney Ben Hartman discusses these new aspectse of estate planning in hise article for Elegant Island Living.

Successful Estate Planning

Surveys show that while around 60 percent of Americans believe that all adults should have estate plans, only about 40 percent have one. Many think it will be a complex and difficult undertaking Estate planning does not need to be complicated, but it does need three essential elements.

New Estate Planning in Light of the New Tax Laws

HunterMaclean partner Ben Hartman discusses the impact of new estate planning tax laws, offering insight into the latest exemptions and regulations.

Understanding Business Contracts

HunterMaclean partner Ben Hartman provides an informative overview of business contracts, offering suggestions to maximize their effectiveness for business owners.

Successful Retirement Planning

Partner Ben Hartman reveals the important factors to keep in mind when it comes to planning for retirement.

Plan for Strategic Business Succession

HunterMaclean partner Ben Hartman discusses the importance of planning ahead for business succession to ensure a company's long-term success.

Tax Law 2012: A window Of Opportunity?

HunterMaclean partner Ben Hartman discusses shifting political landscapes and tax codes and the potential impact on estate planning opportunities.

COMMUNITY INVOLVEMENT

Bethesda Academy: Board of Directors,e Chair; Endowment Committee, Member
Telfair Museum of Art: Board of Directors,e Immediate Past Chair
Memorial Health University Medical Centere Foundation: Board of Directors, Past Chair
Lucas Theatre for the Arts: Board of Directors,e Past President
Savannah Music Festival: Board of Directors,e Past Member
Court Appointed Special Advocates: Boarde of Directors, Past Member
Rape Crisis Center: Board of Directors,e Past Member
Savannah Country Day School: Annuale Fund Chair
Savannah Voice Festival: Board of Directors,e Member
Savannah Philharmonic: Advisory Board

 
Reported CasesRepresentative Engagements: Corporate/Transactions; Represented major health care system in corporate restructuring of large multi-specialty physician group practice from for-profit to tax-exempt status. Negotiated joint pricing collaborative between two major health care systems and obtained USDOJ approval for the transaction. Negotiated affiliation agreement between major health care system and a university-based medical school. Corporate reorganization of major health care system and obtained IRS private letter ruling for same. Negotiated the sale of a hospital-based outpatient surgery center to a hospital-physician joint venture ASC. Obtained first-ever letter of non-reviewability for this type of transaction from the Georgia Department of Community Health. Served as health care system counsel for several $150+ million tax-exempt bond financings and refinancings. Negotiated Shared Services Agreement between major health system and multi-state health care provider. Negotiated sale of hospital-based air and ground ambulance service. Negotiated waiver of major health care system's default of its tax-exempt bond debt. Served as health care system counsel for Community Needs Assessment and IRC Section 501(r)compliance. Represented nonprofit hospital in negotiations with county government and county hospital authority for the provision of indigent care. Negotiated telemedicine contracts between major health system and numerous regional hospitals. Represented major health care system in management agreement negotiations. Advise nonprofit hospital boards of directors and management on governance requirements, corporate bylaws, and compliance. Served as hospital counsel for $50 million taxable and tax-exempt financing for major health system's electronic medical record hardware and software purchase. Hospital counsel for public access requests under Georgia's Open Meetings and Open Records Act. Represented major health care system in obtaining a joint venture ownership interest in a neurosurgery ASC. Represented major health care system in the sale of its inpatient rehabilitation service line to for-profit joint venture with a national health care provider. Represented major health care system in negotiating multi-million dollar line of credit arrangement. Obtained tax-exempt status and IRS Private Letter Ruling for hospital-based multi-specialty physician group practice. Negotiated transition of hospital-based children's hospital into a tax-exempt joint venture owned by major health care system and multi-state health care provider. Negotiated sale of hospital-based urgent care operation to joint venture owned by health care system and regional health care provider. Represented nonprofit hospital in intercompany service agreement negotiations. Hospital Physician Contracting; Negotiated hundreds of hospital-physician employment agreements. Negotiated hundreds of independent contractor professional service and medical director agreements for Radiology, Gastroenterology, Anesthesiology, Orthopedic Trauma, Neurology, Neurosurgery, Cardiology, Radiation Oncology, Emergency, and Vascular Surgery Physicians. Served as hospital counsel for employment of and immigration (e.g. J-1 waivers, H-1B and O-1 visas, and permanent residency) filings for foreign national physicians. Regulatory; Provided Stark law, Anti-Kickback Statute, and False Claims Act advice for health care systems. Advised health systems on compliance programs, OIG work plans, and internal audits. Advised health care systems on establishment of tax-exempt bond compliance programs under IRS guidelines. USDOJ/OIG Investigations; Represented major health care system in criminal and civil fraud and abuse and tax fraud investigation by the USDOJ alleging violations of the Stark law and the Anti-Kickback Statute and the use of the employment exception. Represented health care executive in USDOJ investigation of False Claims Act violations. Represented major health care system in USDOJ investigation of Stark law, Anti-Kickback Statute, and False Claims Act violations relating to physician compensation and fair market value and commercial reasonableness issues. Represented nonprofit hospital in 340B Pharmacy Program audit.
 
ISLN907376260
 


View Ratings & Reviews
Profile Visibility
#30 in weekly profile views out of 1,112 lawyers in Savannah, Georgia
#34,065 in weekly profile views out of 1,616,736 total lawyers Overall

Office Information

T. Mills Fleming

200 E. Saint Julian Street
SavannahGA 31401




Loading...
 

Professional Networking for Legal Professionals Only

Quickly and easily expand your professional
network - join the premier global network for legal professionals only. It's powered by the
Martindale-Hubbell database - over 1,000,000 lawyers strong.
Join Now