As early as 2002, plans were underway to expand the hospital to meet the growing needs of clients and staff, continuing its history of innovation in veterinary medicine. In 2009, a 13,000 square foot addition was unveiled. This new space features state-of-the-art treatment areas, an intensive care unit, an advanced dental procedure area, five additional exam rooms, and a walk-in pet pharmacy. The facility also includes a cat-friendly waiting area and a luxury dog and cat hotel with a covered, climate-controlled outdoor exercise area.

The architectural design of the hospital presents an updated version of classic brick Jersey Shore style, aiming to maintain a friendly, comfortable atmosphere while enhancing efficiency and customer service. Oakhurst Veterinary Hospital proudly received the 2010 Veterinary Economics Merit Award for Hospital Design.