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The hospital is situated on Goldsmith Street, approximately 1 km 0. The hospital is operated by Southern NSW Local Health District and serves as a regional referral facility providing a range of general , surgical and some specialist services.
It is a teaching hospital affiliated with the Australian National University , based in Canberra. An 11 bed emergency department operates 24 hours. Goulburn Base Hospital has a 6 bed Intensive Care Unit for adult patients, specializing in high dependency and coronary care. Critical patients who are suffering from conditions the hospital is not equipped to handle are transferred to Canberra or Sydney. A 20 bed rehabilitation ward was opened in The Chisholm Ross Centre is a 32 bed inpatient psychiatric unit for patients suffering acute mental health conditions.
A variety of allied health services are also available on the hospital campus. In worldwide usage, a base hospital is a military hospital located a safe distance from the battlefront to which patients from field hospitals are evacuated for follow up care. Oakes, while speaking at Goulburn District Hospital, specifically proposed  the establishment of rural base hospitals:.
However, a number of subsequent attempts to seek funding to bring Goulburn District Hospital up to base hospital standard were unsuccessful. Lewis, was reported, apparently for the first time, as using this name for the hospital  by saying:. Lewis: It is the Goulburn 'Base' Hospital. However, six years later, whatever the practical situation, Dr.
Brotherton, the recent Colonel Registrar of Yaralla Military Hospital , then the largest hospital in the Southern Hemisphere, noted that official status was still not forthcoming. Finally, in , twenty eight years after it was first mooted, Goulburn District Hospital was gazetted as the sixth Base Hospital in NSW,  meeting requirements including averaging more than patients per day, and the provision of a children's ward and pathological, X-ray and obstetric units.