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  • Financial data for hospital cost report period ending 12/31/2023 (HCRIS 774040 - 2010).
  • Medicare IPPS claims data are for federal fiscal year ending 09/30/2023 (Final rule MedPAR).
  • Medicare OPPS claims data are not available.
  • Data from other sources and their effective periods are identified within report headers.
  • Errata: Please notify us by email of any corrections or updates.

Gouverneur Hospital

Gouverneur, NY  13642
CMS Certification Number: 331315

Identification and Characteristics

Name and Address: Gouverneur Hospital
77 West Barney Street
Gouverneur, NY  13642
Telephone Number: (315) 287-1000
Hospital Website:
CMS Certification Number: 331315
   
Type of Facility: Critical Access
Type of Control: Voluntary Nonprofit, Other
Total Staffed Beds: 25
   
Total Patient Revenue: $67,350,428
Total Discharges: 525
Total Patient Days: 5,829
TPS Quality Score: 0.00
Patient Experience Rating: Not Available
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Notes



Clinical Cost Analyzer
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Clinical Services

Emergency Services
Emergency Department
Subprovider Units
Swing Beds - NF
Swing Beds - SNF

DNV Hospital Accreditation

  • Accredited for the period: 06/13/2023 - 06/13/2026
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MS-DRG Coding Indicators
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Inpatient Utilization Statistics by Medical Service

  Number Medicare Inpatients Average Length of Stay Average Charges Medicare Case Mix Index (CMI)
Medicine 33 3.33 $7,621 1.0235
Psychiatry 20 4.40 $7,877 1.5099
Pulmonology 36 3.14 $7,190 1.1049
Total 114 3.46 $7,724 1.1271
Market Analysis
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Inpatient Origin for Top 3 Zip Codes

  • Medicare Hospital Market Service Area File for calendar year ending 12/31/2023 / Definitions
ZIP Code of Residence Discharges Days of Care Charges Discharges Inc/(Dec) Market Share
13642 121 408 $1,430,847 9.0% 30.3%
13681 14 60 $256,721 27.3% 45.2%
13617 11 36 $75,342 0.0% 2.3%

Beds and Patient Days by Unit

  Available Beds Inpatient Days
HOSPITAL
(including swing beds)
   
Routine Services 25 1,811
Special Care 0 0
Nursery 0
Total Hospital 25 5,829
Operational Trends
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Financial Statistics

  $ %
Gross Patient Revenue $67,350,428 97.5
Non-Patient Revenue $1,751,430 2.5
Total Revenue $69,101,858  
Net Income (or Loss) $1,839,094 2.7
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