We are based in Tel Aviv, but serves clients all over the world. The majority of clients are in the U.S. (New York, Rhode Island, California, Alabama, Washington, Washington DC) with additional clients in Canada, the UK, Netherlands, France, Belgium, Italy, Singapore, and Switzerland.
We need to plan carefully, Tel Aviv is 7 hours ahead of New York, and has a work week that runs from Sunday to Thursday, and holidays do not always overlap.
Some clients even prefer to work with someone in an opposite time zone. Requests for changes that are emailed out in the evening are returned the next morning you come in the office.
Phone, email, and screen sharing software makes it perfectly possible to run projects long distance. In fact, this is how things are done with many clients in Tel Aviv, within driving distance from the office!