EXHIBIT 1.1 SHELF UNDERWRITING AGREEMENT ___________ 7.19% Debentures due 2015 ___________ November 20, 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 7.19% Debentures due November 15, 2015 (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 ------------- Morgan Stanley & Co. Incorporated................... $ 25,000,000 Furman Selz Incorporated............................ 25,000,000 Goldman, Sachs & Co................................. 25,000,000 Lehman Brothers Inc................................. 25,000,000 Merrill Lynch, Pierce, Fenner & Smith Incorporated.. 25,000,000 Salomon Brothers Inc................................ 25,000,000 ------------ Total.......................................... $150,000,000 ============ The Underwriters will pay for the Offered Securities upon delivery thereof at the offices of Morgan Stanley & Co. Incorporated or through the facilities of The Depository Trust Company at 9:00 a.m. (New York time) on November 27, 1995. 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 November 20, 1995, including the following: Public Offering Price: 100% of principal amount Purchase Price: 99.125% of principal amount Maturity Date: November 15, 2015 Interest Rate: 7.19% Redemption Provisions: Redeemable in whole or in part, at the option of the Company, at any time Interest Payment Dates: May 15 and November 15, commencing May 15, 1996. Interest accrues from November 15, 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, MORGAN STANLEY & CO. INCORPORATED FURMAN SELZ INCORPORATED GOLDMAN, SACHS & CO. LEHMAN BROTHERS MERRILL LYNCH, PIERCE, FENNER & SMITH INCORPORATED SALOMON BROTHERS INC By: MORGAN STANLEY & CO. INCORPORATED Acting severally on behalf of itself and the several Underwriters named herein By:_________________________________ Name:_______________________________ Title:______________________________ Accepted: COLUMBIA/HCA HEALTHCARE CORPORATION By:_______________________________ Name:_____________________________ Title:____________________________