Please explain what exactly that would change about this situation. The entire point is most of the surplus from the hospital is being extracted as real estate

Please explain what exactly that would change about this situation. The entire point is most of the surplus from the hospital is being extracted as real estate rent. The hospital itself doesn't need to post a profit in order for the overall scheme to be profitable for the perpetrators. Furthermore as far as getting into this situation, administrators of a non-profit are just as capable of asset stripping to post good numbers in short term, and self-dealing to enrich themselves long term.