The issue of avoiding federal taxes is in the news these days with Apple being in the spotlight. Most of the times big companies avoid paying US taxes by skirting their profits to tax havens. Healthcare giants can do the same theoretically. Imagine if there were a health care giant that opens up shop in tax haven islands and then uses the same technique that commercial entities use to skirt their profits out of the country, thereby avoiding taxes. This is very much possible. The of shore clinics can be potentially used to complicate the tax return filing system here in US. I could never understand why a completely US hospital system would like to open up a clinic in Bahamas. These clinics are portrayed as the global reach of the entity but who do they actually serve. We never hear about them in press or public. These clinics are apparently manned by some doctors we never hear about. How does this system work? I really do...
Words are but empty vessels