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 don't know. I think this needs to be investigated further.
This holiday season I decided to gift myself some basic electrical components in the form of a Arduino UNO set from Elegoo. I have always had a desire to tinker with electronics and in gifting myself this basic set I am now starting on a journey to quench my inner electrical workman's thirst. I hope to develop this hobby as I move forward and will, from time to time, post about it here on the blog. As the journey moves forward I am sure to run into trouble and issues. But as they say you can not master anything without first being a fool at it, so I have decided to remain a fool at it until I am a little good at it. To start with, I do possess some elementary knowledge in electronics and electronic circuits. I intend to further my knowledge using the world wide web and following some very useful video channels on youtube. I will first start with some very basic projects to familiarize myself with Arduino and basic electronic circuits and techniques such as soldering. Then graduall...
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The hospital extensions abroad in the Gulf and Ireland etc. are for-profit entities, and the hospitals have to pay corporate rate taxes, if they repatriate the money being earned there, back to the US. I am not sure whether they decide to park that money abroad in off-shore tax havens or actually bring it back and pay taxes in it (though I doubt the latter).