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Once a company has branches and offices outside the country how is it possible to call them a US company anymore?

We run around saying all these medical companies are "US" but how is it possible to say that?

Once a company has branches and offices outside the country how is it possible to call them a US company anymore? We run around saying all these medical companies are "US" but how is it possible to say that?

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An interesting question and point. Maybe they should have to disclose all countries they operate in?