In a recent letter to IRS Commissioner Douglas Shulman, the American Hospital Association wrote that Schedule H of Form 990, which is used by nonprofit hospitals to report their community benefit activities, does not accurately reflect the activities of multi-hospital systems. The AHA urged the IRS to change the form in order to address the form's flaws, which include hospital systems filing multiple forms without any means of connecting the different filings.
See also "Hospital Group Urges Changes to IRS Form for Reporting Community Benefit," 2010 TNT 45-10, March 9, 2010.
Posted by Jenny Robertson, Associate Editor, Wealth Strategies Journal.

yeah they must do this to increase productivity.