EXHIBIT 1.1 SHELF UNDERWRITING AGREEMENT ___________ 7.05% Debentures due 2027 ___________ December 5, 1995 Columbia/HCA Healthcare Corporation One Park Plaza Nashville, Tennessee 37203 Dear Sirs: We (the "Managers") are acting on behalf of the underwriter or underwriters (including ourselves) named below (such underwriter or underwriters being herein called the "Underwriters"), and we understand that Columbia/HCA Healthcare Corporation, a Delaware corporation (the "Company"), proposes to issue and sell $150,000,000 aggregate principal amount of its 7.05% Debentures due December 1, 2027 (the "Debentures"). The Debentures are sometimes referred to herein as the "Offered Securities." The Offered Securities will be issued pursuant to the provisions of an Indenture dated as of December 15, 1993 (the "Indenture") between the Company and The First National Bank of Chicago, as trustee (the "Trustee"). Subject to the terms and conditions set forth or incorporated by reference herein, the Company hereby agrees to sell and the Underwriters agree to purchase, severally and not jointly, the respective principal amounts of the Debentures set forth below opposite their names at a purchase price of 99.125% of the principal amount of the Debentures. PRINCIPAL AMOUNT OF DEBENTURES ------------- Salomon Brothers Inc............ $ 45,000,000 CS First Boston Corporation..... 45,000,000 J.P. Morgan Securities Inc...... 45,000,000 ABN AMRO Securities (USA) Inc... 5,000,000 Dean Witter Reynolds Inc........ 5,000,000 Furman Selz Incorporated........ 5,000,000 ------------ Total...................... $150,000,000 ============ The Underwriters will pay for the Offered Securities upon delivery thereof at the offices of Salomon Brothers Inc or through the facilities of The Depository Trust Company at 9:00 a.m. (New York time) on December 8, 1995, in immediately available funds. The time and date of such payment and delivery are hereinafter referred to as the Closing Date. The Offered Securities shall have the terms set forth in the Prospectus, dated November 17, 1995, and the Prospectus Supplement, dated December 5, 1995, including the following: Public Offering Price: 100% of principal amount Purchase Price: 99.125% of principal amount Maturity Date: December 1, 2027 Interest Rate: 7.05% Redemption Provisions: Not redeemable by the Company prior to maturity Interest Payment Dates: June 1 and December 1, commencing June 1, 1996. Interest accrues from December 8, 1995 Current Ratings: Standard & Poor's Corporation -- BBB+ Moody's Investor Service -- A3 All provisions contained in the document entitled Underwriting Agreement Standard Provisions (Debt Securities), a copy of which is attached hereto, are herein incorporated by reference in their entirety and shall be deemed to be a part of this Agreement to the same extent as if such provisions had been set forth in full herein, except that (i) if any term defined in such document is otherwise defined herein, the definition set forth herein shall control, (ii) all references in such document to a type of security that is not an Offered Security shall not be deemed to be a part of this Agreement and (iii) all references in such document to a type of agreement that has not been entered into in connection with the transactions contemplated hereby shall not be deemed to be a part of this Agreement. Please confirm your agreement by having an authorized officer sign a copy of this Agreement in the space set forth below. Very truly yours, SALOMON BROTHERS INC CS FIRST BOSTON CORPORATION J.P. MORGAN SECURITIES INC. By: SALOMON BROTHERS INC Acting severally on behalf of itself and the several Underwriters named herein By: _________________________________________ Name:________________________________________ Title:_______________________________________ Accepted: COLUMBIA/HCA HEALTHCARE CORPORATION By:__________________________________ David G. Anderson Vice President of Finance of Columbia/HCA Healthcare Corporation