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Treating Prostate Cancer
                                                                                              Effects the New Tax Bill
                Successfully – in a Single Day!                                                  Will Have on Divorce

                                – with HIFU
                                                                                       Now that the new tax bill has become law,
                                                                                     you may be wondering how those changes
          Prostate cancer will                        because he has seen, first-    affect your current divorce agreement or final
        effect one in seven men                       hand, the advantages the       judgment of dissolution of marriage. If you
        throughout their life-                        procedure offers including:    enter or entered into a divorce agreement
        time. Traditional treat-                        • The ability to success-    wherein you are paying alimony that is taxable
        ments have included                           fully treat prostate cancer in  to your ex-spouse and deductible by you, your
        chemotherapy,  radia-                         one day via a minimally        alimony agreement is not changed by the new
        tion, surgery (radical                        invasive, outpatient proce-    law. This law affects new alimony agreements
        prostatectomy)    or                          dure.                          entered into after January 1, 2019. If you
        “watch  ful waiting” - all                      • Minimal risk of urinary    entered into an agreement before January 1,
        of which can carry sig-                       or sexual side effects         2019, and you modify the alimony portions of
        nificant risk of side                           • The ability to utilize     that agreement after January 1, 2019, then you
        effects such as impo-                         HIFU as a first line of treat-  will no longer be able to deduct the alimony  BY ANGELA R. NEAVE,
        tence,  incontinence,                         ment AND a salvage therapy     expense you are paying. If you are paying      ESQUIRE
        pain and erectile dys-                        for cancer recurrence          alimony and need to modify that amount,
        function.                                       • An up to 95% decrease      2018 is the year to modify. Your new alimony
          But now, men have an    Dr. George Suarez   in PSA levels with up to 10    amount can still be taxable to your ex-spouse and deductible by you if you
        alternative for prostate                      years of no cancer recur-      make those changes before January 1, 2019.
        cancer treatment– HIFU (high intensity  rence                                  The other major change that affects your divorce agreement or final judg-
        focused ultrasound). HIFU uses thera-  And now health care providers         ment of dissolution of marriage is the loss of the child dependency exemp-
        peutic ultrasound waves that pass harm-  throughout Florida can offer their  tion which disappears for tax year 2018. The child tax credit is still available
        lessly through intervening tissue while  patients this same-day treatment in a sus-  and increased from prior years, and should be designated each year depend-
        destroying targeted cancer cells. There is  tainable economic framework through  ing on your income and your ex-spouse’s income. The child tax credit phases
        no cutting involved and, hence, no  mobile, proctored HIFU services provid-  out after a certain amount of income is earned - $200,000.00 for single filers,
        bleeding or “scatter-effect” into healthy  ed by International HIFU Center (IHC).   and this credit should be designated in your divorce agreement or re-deter-
        tissue.                               IHC will provide on-site proctors,     mined if your divorce agreement was silent on the child tax credit.
          Dr. George Suarez, known as the pio-  trainers and technicians who are special-  There are other changes that could affect your deductions. You should
        neer of HIFU and director of the    ly trained and certified in the application  speak to your CPA before entering into any divorce agreement and under-
        International HIFU Centers, has dedicat-  of HIFU throughout the duration of the  stand how the changes in the tax law will affect your income starting in 2018.
        ed a portion of his career and life advo-  session. As well, they will oversee the
        cating for the FDA approval of HIFU in  management of all billing and collection    If you have questions about the changes the new tax bill will have on your
        the U.S. after successfully performing it  of patient fees, including payment to the  divorce agreement, and want to discuss your options with an attorney, call Angela
        overseas for more than a decade. In  facility and/or physician at the time of                R. Neave, Esquire, at (954) 981-2200 for a free consultation.
        October of 2015, HIFU became approved  service. In addition, IHC will transport
        in the United States after a positive study  and allow on-site use of the Sonablate
        led by Dr. Suarez showed a 95.4%    500 to perform the HIFU procedure.
        decrease in PSA levels from baseline sig-  “Having changed the culture of how
        nifying a successful ablation of the  we treat the most common cancer in men
        prostate cancer cells. In addition, Dr.  and having the opportunity to impact the
        Suarez noted a significant decrease in the  entire community of urologists around
        risk of impotence, from 80% to 2%, and  the world is deeply gratifying,” said
        incontinence, from 20% to a mere 0.4%.  Suarez. “But more importantly, we can
          “From the very beginning since    now provide an effective treatment that  IN HEALTHCARE SERVICES
        designing the FDA trial protocols, I never  offers a cure without compromising qual-
        doubted that HIFU would become the  ity of life for men.”
        new standard of care for the way we suc-
        cessfully treat prostate cancer while still
        preserving the lives – and dignity – of  For more information about mobile HIFU
        men,” said Suarez.                      services, call (305) 274-7144 or email                     SM
          Dr. Suarez is passionate about HIFU          drsuarez@suarezurology.com.
                                                                                  At WithumSmith+Brown, PC, our client-focused
                                                                                  philosophy and goal-oriented approach delivers
                          Visit us on the web at                                  expertise, efficiency and innovation to meet the unique
                                                                                  needs of the healthcare industry.
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                                                                                  Scott J. Mariani, JD, Partner
                                                                                  Practice Leader, Healthcare Services Group
                         COMPREHENSIVE                                            smariani@withum.com
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        South Florida Hospital News                                                              southfloridahospitalnews.com                                                        February 2018                            7
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