Stuart's financial problems were a result of selling land and signing leases, exacerbated by the pandemic. Smaller community hospitals faced lower reimbursements from Medicare and Medicaid. The rising costs of serving uninsured immigrants added to the financial strain. This trend is observed nationwide, highlighting broader issues in the healthcare sector. The immigration crisis has strained healthcare systems, with examples from New York, Houston, and Los Angeles. Yuma Regional Medical Center provided $20 million in uncompensated care to migrants. Medicaid costs for illegal aliens were $5.4 billion in fiscal year 2022, up from $3.5 billion in previous years. These costs are borne by the federal government and do not include expenses for states, cities, or individual hospitals mandated to provide emergency care.