“Our pledge throughout this process is to provide our employees, patients, providers and the public with as much up-to-the minute information as possible, so they can provide valued feedback and learn why we are so excited about coming together and the future of healthcare in New Hampshire.”

  • Douglas Dean, President and CEO Elliot Health System
  • Michael Rose, President and CEO, Southern New Hampshire Health System




The Next Steps in the Process


How does the process work?

The Letter of Intent that SNHH and Elliot have entered into is a non-binding commitment to work together, on an exclusive basis, to conduct careful due diligence and to negotiate a final binding combination agreement (definitive agreement) that would formally join the parties together in an integrated regional healthcare system for New Hampshire.


With our announcement of the Letter of Intent we are also beginning a process of inviting questions and obtaining input from the public regarding our proposed combination.


Both of the SNHH and Elliot Boards of Trustees must approve any final agreement.  If we reach a final agreement, the proposed combination would be subject to approval by various government authorities, including the New Hampshire Department of Justice, Office of the Attorney General.  This regulatory process would also include public meetings in both communities.


How long will this process take?

The management teams of SNHH and Elliot anticipate that we can complete negotiations of a final binding agreement by this fall of 2017.  The process of moving from a final binding definitive agreement to the combination transaction involves numerous variables, including review by regulators.  The State regulatory process typically takes 120 days following notice that the parties have reached final agreement. It is our hope that the entire transaction, including obtaining all governmental approvals, would be completed by sometime during the first quarter of 2018.


How will information be shared?

With our announcement of the Letter of Intent, we have begun a series of discussions with our valued employees, patients, providers and the public, to provide information and answer questions. Throughout this process, we will continue to engage in conversations with our employees and community stakeholders, whose input and ideas we value greatly, and which will be incorporated into our considerations. Our website will continue to be updated as discussions proceed, and will include schedules and information on meetings and open forums for the public to share comments and questions.


How do I comment?

Our goal is to make it easy to provide us with your comments and questions.  All documents, releases and other updates will be posted on this website for public review.  We will also be posting dates and locations of community forums as we schedule them, so you have ample notice to attend, listen and ask questions.  You can also visit the “Your Voice” section of this website to enter your questions or comments.