Affiliation

Littleton Regional Healthcare (LRH) and Dartmouth Health (DH) share a strong commitment to providing high-quality, accessible healthcare. LRH and DH have a long and broad history of collaboration, with a focus on keeping care close to home and bringing more services to the greater North Country region. 

After two years of extensive evaluation of various affiliation models, LRH announced on September 12, 2025 that its Board of Trustees chose Dartmouth Health (DH) as its preferred partner. LRH and DH have signed a Letter of Intent (LOI), which serves as the next step towards LRH becoming a member of the Dartmouth Health system.

The signing of this LOI represents the beginning of a robust process of due diligence and regulatory review.

On Oct. 22, LRH held an informal “listening session” with LRH and DH leadership to hear directly from community about how to continue providing the highest quality, easily accessible healthcare to a rural population. A link to the recording is below.

This webpage will be regularly updated with information on the progression of the due diligence work.

To read the media release announcing the Community Listening Session, click here.

To read the media release announcing the signing of the Letter of Intent (LOI), click here.
To read the Letter of Intent (LOI), click here.
To read the Executive Summary of the Letter of Intent (LOI), click here.

To access the recording of the October 22nd, 2025 Community Listening Session, click here.

To review Frequently Asked Questions (FAQs) on the planned affiliation process, click here.