Gouverneur Health, formerly Gouverneur Hospital, (pronounced GU-ver-neer) is a municipally owned healthcare facility in New York City affiliated with the New York University School of Medicine. It is located at 227 Madison Street in Lower Manhattan. The facility offers comprehensive healthcare services, including outpatient, specialty, and skilled nursing care. It primarily serves residents of Manhattan, Brooklyn and Queens. Gouverneur Health comprises The Residence at Gouverneur Court, a nursing home with 295 beds; and the Center for Community Health and Wellness, the largest freestanding ambulatory care center in New York State. It originally opened in 1885, and moved to its current location in 1972. A multi-year modernization project was completed in 2014, expanding the facility dramatically. The facility is a member of the New York City Health and Hospitals Corporation. Facilities Gouverneur Health is Medicare and Medicaid certified, and has a 295-bed nursing facility with 24-hour care. It is one of the largest institutions in Lower Manhattan, and the largest freestanding ambulatory care center in New York State. It serves approximately 50,000 patients a year, predominantly Hispanic and Chinese New Yorkers. It also provides interpreter services for non-English speakers and immigrants. The modernization project completed in 2014 created a new 450,000-square-foot state-of-the-art health care center; and 85 new nursing home beds (increasing the total to 295) for The Residence at Gouverneur Court, a modern skilled nursing facility with rehabilitative medicine, long-term care, wound management, and hospice services. It is affiliated with the NYU Rusk Institute of Rehabilitative Medicine. Renovations of The Center for Community Health and Wellness, an ambulatory care pavilion that serves over 345,000 outpatient visits per year, include a newly renovated 30,000-square-foot Women and Children's Center; a new digital radiology center; on-site pharmacy; and laboratory services. Specialty services include prenatal care, rehabilitation, and a new 16-chair dental suite. The building is glass and steel, wrapped around red brick, an open and inviting style with much natural light. Since the mid-1970s, Gouverneur has had an academic affiliation with the New York University Medical School. Since 1991, Gouverneur has been an outpatient and teaching center for NYU's Primary Care Internal Medicine Residency Program. Gouverneur also has three community health centers below 14th Street in Manhattan, and offers mobile medical and dental vans to bring assistance directly to those with difficulty accessing services. Services History Early years (1885–1958) Gouverneur Hospital opened in 1885, in a three-story building in Manhattan's Financial District. It