Construction on the Downtown Naples facility continued in the 1980s and on October 15, 1984, The North Collier Health Center opened its doors.

In February 2007, the system expanded once again with the opening of the $64 million Jay & Patty Baker Patient Care Tower at the North Naples hospital.

In 2020, NCH purchased a 186,000 square foot office building on Immokalee Road to relocate some of its administrative support and non-clinical functions which it expects to complete in spring of 2021.

[6][7] NCH also started a $35 million renovation and expansion of its Baker Hospital emergency room with a two-story, 19,000 square foot addition to expand its emergency room capacity to 47,000 square feet, with expected completion in February 2022.

[8] NCH filed and then dropped a lawsuit against Leapfrog, claiming they did not participate in the survey and received the low grade as a result.