James K. Gilliam (Jim)

• Served as co-lead counsel for a large hospital system in an arbitration against a large Medicare Advantage company, obtaining a multi-million-dollar award in 2025 for 340B underpayments from 2018-2022.
• Currently serving as co-lead counsel for several non-profit and governmental hospital systems on in Medicare Advantage-340B disputes. 340B hospitals across the country were harmed to the tune of billions of dollars as a result of Medicare Advantage plans passing through and refusing to remediate an unlawful Medicare rate they paid to 340B hospitals from 2018-2022.
• Served as co-lead counsel for a large state university hospital system in a litigation against a departing physician group, obtaining a high-dollar settlement for misappropriation of hospital proprietary information and trade secrets. This case was important to the hospital in protecting its ability to invest in innovative service lines without fear of competitors “jumping the line” by poaching the hospital’s employees and playbook.
• Served as lead counsel for the Speaker of the South Carolina House of Representatives in the “Heritage Act case” commenced in the original jurisdiction of the South Carolina Supreme Court. After briefing and oral argument in support of the Heritage Act, which removed the Confederate Flag from the State House grounds, the Supreme Court upheld its constitutionality.
• Served as lead counsel for Coastal Carolina University in a Title IX student discipline case tried in front of a jury before the United States District Court for the District of South Carolina and obtained a defense verdict. This was the first student discipline case tried to a jury in the country.

Jim Gilliam's practice is focused on healthcare litigation. Jim’s capabilities include commercial and government managed care, complex business litigation, arbitration, mediation, class/collective actions, investigations, and appellate advocacy. 

Jim represents healthcare providers in a variety of business disputes, on issues ranging from government and commercial reimbursement, misappropriation of hospital proprietary information, and post-M&A disputes. Jim also represents healthcare providers in government investigations, including allegations of Medicaid and Medicare billing fraud and federal/state compliance audits. Jim uses his depth and breadth of experience to assist healthcare providers in navigating a heavily regulated and complex business environment.

Jim has significant courtroom experience, having tried numerous cases and argued multiple appeals. In addition to his healthcare practice, Jim has represented governmental entities and educational institutions on marquis litigations over the course of his career. One of Jim’s more noteworthy representations includes successfully representing a large public institution in a five-day federal jury trial involving Title IX of the Education Amendments of 1972. This was the first trial of its kind in the country.

Additionally, Jim has argued before the Supreme Court of South Carolina on several high-profile issues. As lead counsel for the Speaker of the House of Representatives, Jim successfully defended the constitutionality of The Heritage Act, which removed the Confederate flag from the dome of the State House. Also, as lead counsel for the Speaker of the House of Representatives, Jim successfully defended the constitutionality of legislation allowing counties and cities to impose service fees. Most recently, as lead counsel for the Speaker of the House of Representatives, Jim argued in defense of School Choice legislation.

Prior to private practice, Jim clerked for the Honorable Kaye G. Hearn at the South Carolina of Appeals and South Carolina Supreme Court.