T. Mills Fleming: Lawyer with HunterMaclean

T. Mills Fleming

Savannah,  GA  U.S.A.

Peer Rating
AV® Preeminent

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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

Professional Affiliations

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



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.


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 Jepson successfully bridges the city's historic architecture with its vibrant future, serving as a centerpiece of Savannah's cultural community.

Just What the Doctor Ordered: Innovative Legal Strategies Benefit Memorial

Now more than ever, hospitals need innovative legal strategies to grow market share and cut costs. HunterMaclean has provided this type of innovative legal advice for Memorial since Memorial's inception as a county-owned hospital in 1955. More than 50 years later, HunterMaclean is still advising Memorial and has helped the hospital grow to being a premier health system.


Chambers USA, America's Leading Lawyers for Business: Health Care Law, 2014

Chambers USA ranks the leading firms and lawyers in an extensive range of practice areas throughout America. Click here for more information.

Georgia Super Lawyers: Health Care Law, 2006-2014

Super Lawyers is a rating service of outstanding lawyers from more than 70 practice areas who have attained a high-degree of peer recognition and professional achievement. The selection process is multi-phased and includes independent research, peer nominations and peer evaluations. Click here for more information.

Best Lawyers in America: Health Care Law, Immigration Law; 2003-2014

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. Click here for more information.

Georgia Trend Magazine Legal Elite: 2012

Georgia Trend Magazine's annual listing of Georgia's top attorneys, selected by their peers. The list includes eight practice areas: business law; personal injury litigation; criminal law; labor and employment; taxes, estates and trusts; bankruptcy and creditors' rights; family law; and general practice/trial law.

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.

Community Involvement

Bethesda Academy: Board of Directors, President
Telfair Museum of Art: Board of Directors, Past President
Memorial Health University Medical Center Foundation: Board of Directors, Past President
Lucas Theatre for the Arts: Board of Directors, Past President
Savannah Music Festival: Board of Directors, Past member
Court Appointed Special Advocates: Board of Directors, Past Member
Rape Crisis Center: Board of Directors, Past Member
Savannah Country Day School: Annual Fund Chair
Savannah Voice Festival: Board of Directors

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.

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Office Information

T. Mills Fleming

200 E. Saint Julian Street
SavannahGA 31401


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