The RWHC, LLC was formed in 2005. The RWHC LLC is a physician hospital organization designed to allow single signature contracting on managed care contracts for government sponsored programs (e.g. Medicare Advantage, Medicaid managed care and Veterans programs) which generally lack pricing variability. RWHC LLC contracts on behalf of the LLC members with payers who wish to engage in such contracts with multiple hospitals, and then manages affirmative obligations under those contracts. RWHC LLC is evolving and exploring additional options including possible value-based purchasing and clinical integration.