The lawsuit says that HHV improperly classified much of its direct-mail fundraising costs as charitable-purpose expenditures, which makes the charity look more noble.
Keep in mind that while individuals are limited in direct contributions to political campaigns, they are permitted unlimited expenditures for indirect, independent expenditures.
The national government exerts direct operational control over a large proportion of total health care expenditures, through a range of mechanisms, including caps on hospital revenue and national contracts with salaried physicians.