I'm just talking about the level of hospitalizations for COVID-19. Not talking specifically about confusion related to ICU capacity, sustainable surge capacity, unsustainable surge capacity, etc.
Looking at Texas Medical Center (106,000 employees, 10,000,000 patients per year, 9,200 hospital beds - a massive complex), they're reporting a big spike in hospitalizations for COVID-19. Does somebody have some kind of official documentation demonstrating that TMC is not actually seeing a rise in COVID-19 hospitalizations?
Here's what they're reporting: 
(Source: https://www.tmc.edu/coronavirus-updates/tmc-daily-new-covid-19-hospitalizations/)
Clearly that number is going up. I don't have any evidence to say their numbers are wrong. Here's their current forecast for total beds used by COVID-19 patients for the next two weeks:
On its surface, that seems like they're seeing a jump in hospitalizations with an expectation that it's going to continue for at least a couple of weeks.
The charts are not representative of a normal year. Much of the data includes the 2 months during which the hospital was massively underused thus making the chart appear to be ramping up at an unusual rate. The vast majority of people in the ICU are not in there BECAUSE of Covid. There is lots of updated info available to support this....or you can simply rely on the media and the resident Fauci fans in here.
TMC is seeing a jump in admissions, but once again it’s the old “with Covid” vs “because of Covid” are all being counted equally. An ACL repair admission that is asymptomatic but tests positive is counted as a covid patient. In addition, the postponed elective procedures are showing up, which is why the chart “ramps” cause panic. Bottom line, their occupancy is reported approx 90%, which is where they normally are this time of year.