In January 2013, the hospital expanded and opened a three-story tower and the first phase of its new Emergency Department.

[4] In early 2009, registered nurses were faced with patient care concerns and under staffing at a hospital that nearly lost its certification with the United States Department of Health and Human Services due to issues of infection control and contamination of equipment.

[10] A week before the scheduled union election that July, nurses filed charges against the hospital with the National Labor Relations Board (NLRB).

Faced with federal prosecution, a settlement with the NLRB was reached in which HCA agreed to end the illegal practices.

[11] On January 14, 2010, Mountain View Hospital nurses elected to unionize in a vote of 240 to 152 (approximately 95% participation).