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Legal Agreements

The documents available below represent Central Health’s agreements with The University of Texas System and Seton Healthcare Family, in support of the Dell Medical School at The University of Texas at Austin, University Medical Center Brackenridge, and Dell Seton Medical Center at The University of Texas.

Master Agreement

The Master Agreement between Central Health and Seton Healthcare Family represents a transition from a strictly contractual relationship to a true public–private partnership. The result is a new healthcare model based on a highly structured integrated delivery system with a focus on preventative care.

Through the creation of the Dell Medical School at The University of Texas at Austin and the Seton Medical Center at UT Austin, our partnership is transforming and revitalizing downtown Austin as part of an innovative medical district that will:

  • Boost the economy by creating jobs
  • Provide more healthcare facilities and providers for Travis County residents
  • Establish the future of health care in downtown Austin
  • Facilitate the training of the new generation of world-class doctors
  • Provide preventative care to improve health in our community

The Master Agreement was approved by the Central Health Board of Managers on Wednesday, June 5, 2013.

The agreement was developed and negotiated in observance of regulatory constraints (Health and Human Services Commission and Centers for Medicaid Services), commitments to the electorate, and the objective of strengthening the 18-year public–private partnership for the benefit of the community.


Download the Master Agreement and related documents


Download the Lease Agreement for University Medical Center Brackenridge

UT Affiliation Agreement

The Affiliation Agreement between The University of Texas at Austin (UT), Central Health, and the Community Care Collaborative (CCC) is the result of a multi-year collaboration with our health care partners and the community. The agreement among the three entities formalizes the relationship as well as the transfer of $35 million per year to support the Dell Medical School.

The Dell MedicaRGB_formal_Delll School is bolstering health centers throughout the region with new physicians, medical students, residents, and faculty. Our partnership with UT will also further our goal of building an integrated health care system and providing preventive care for uninsured and underinsured residents.



Historical Context

In November 2012, Travis County Voters passed Proposition 1 to increase our tax rate and invest in strengthening the local safety-net system to transform the health care delivery system.

On June 5, 2013, the Central Health Board of Managers approved the Master Agreement Agreement between Central Health and the Seton Healthcare Family to create a partnership known as the Community Care Collaborative to maximize federal funds and implement the mandate of voters to build an integrated health care system.


The Dell Medical School at The University of Texas at Austin

The Affiliation Agreement builds on our ongoing collaborative process and progress to date by formalizing our partnership with The University of Texas and our support of the Dell Medical School.

As part of a major research university, the Dell Medical School will focus on developing new approaches for teaching, patient care, and research that build on a vision to transform both medical education and healthcare delivery.

As a partner to Central Health and the community, the Dell Medical School will assist directly in fulfilling Central Health’s mission to create easily accessible, high-quality health care for all Travis County residents by:

  • Training medical professionals to serve vulnerable populations in our network of community-based health centers,
  • Promoting multidisciplinary medical teams focused on preventive health services,
  • Coordinating to achieve better health outcomes and reduce health disparities, and
  • Increasing the local supply of providers, especially primary care providers, trained in evidence-based practices.

    Board of Managers Action

    July 2, 2014

    The Central Health Board of Managers approved the Affiliation Agreement.
    Read the press release.
    Download the presentation

    June 4, 2014

    The Central Health Board of Managers received and discussed a draft of the proposed Affiliation Agreement with The University of Texas and Community Care Collaborative (CCC) at the regularly scheduled June 4, 2014 meeting.
    Download the presentation

UT/Seton Ground Lease

The Ground Lease, as approved by the Central Health Board of Managers on Oct. 15, 2014, will allow Seton to construct the new teaching hospital on UT property, where students at the new medical school can be taught and trained. It will ensure the hospital continues to provide basic, safety-net services to vulnerable Travis County residents who lack health insurance. The new hospital, called Seton Medical Center at the University of Texas, will cost $295 million and is expected to open in 2017. It will replace the University Medical Center Brackenridge.

The hospital represents a major benefit of Proposition 1, a Central Health ballot measure that Travis County voters approved in 2012 to provide funding for the Dell Medical School at The University of Texas at Austin, and innovative programs such as an integrated delivery system for safety-net health care in Travis County. The agreement will allow Seton to build the teaching hospital on UT property, and Central Health’s participation ensures that Seton will use the hospital to maintain safety net services for Travis County for 60-80 years. If Seton defaults on that commitment, it could lose its investment in the hospital.

The agreement is structured in two parts: a Ground Lease from UT to Central Health, and a corresponding Sublease from Central Health to Seton. Both documents are available below. It is part of a series of agreements formalizing the partnership between Central Health, Seton and their joint effort to create and support a Community Care Collaborative that will work with UT. These agreements require the Dell Medical School to directly assist Central Health in fulfilling its mission: to create and enhance access to health care for those who need it most. The faculty and residents of the Dell Medical School will provide Travis County with a supply of primary care physicians, and they will improve the availability of specialists in Travis County.


Download a copy of the UT ground lease

Download a copy of the Seton ground sublease