How Does the Affordable Care Act Affect Independent Care Providers? Listen Download Embed Share Share this on Facebook (Opens in a new window) Share this on Twitter (Opens in a new window) Share this via Email Gouverneur Hospital has a new expanded 5-story ambulatory care center and an 8-story nursing home. ( Health & Hospitals Corporation ) Produced by Ibby Caputo and Tyler Adams Produced by PRI and WNYC