The pandemic Covid-19 has risen the standards for hospitals and indirectly influenced the ‘wisdom’ in management and operational functions of the hospitals. Literature have shown that there is lacking in the implementation Islamic hospital culture in the healthcare services in Malaysia. The purpose of this article is to present a suggested framework to transform waqf-based hospitals with an Islamic hospital culture through the adaptation of theories of organizational culture embedded with Islamic perspectives and observations of Shari’ah compliant hospitals from the past and present. The methodology used is content analysis from qualitative research methodology. Data analysis will involve manual coding, thematic analysis, and pattern-matching. The general findings show that the Islamic organizational culture will be more than providing space in the hospitals for Muslims to perform the daily five times worship but will include holistic Islamic management of the hospital organization, Islamic architecture wherein they are purpose-built, with underlaying service-oriented patient-centered culture plus distinctive dressing, decorum, halal medicines and other facilities presented. Through the transformation it will promote improved healthcare with Shari’ah compliant services and endorse healthcare tourism with Muslim-friendly facilities in hospitals for Muslims, local and abroad. With this newly developed culture in waqf-based hospitals, it can be an inauguration to a future of many more interesting adaptations of Islamic organizational culture in other public services and private organizations.

There are many different types of social-based healthcare in Malaysia providing free healthcare to the poor while offering discounted fee to regular patients. The social-based healthcare includes non-profit organizations, the social enterprises, waqf-based hospital, and private hospital’s Corporate Social Responsibility. This study aims to clarify their indistinctive status of the different types of social-based healthcare in Malaysia, disclosing their similarities, differences and to determine the extent of which these healthcare institutions provide the many forms of ‘free healthcare services’ to the public. The research methodology used is critical content analysis and coding, manual and with NVivo 12. Initial findings revealed a new diagram for health providers in Malaysia, their challenges of social-based healthcare services in their mission and financial sustainability. This study will add value in the area of social innovation by investigating the importance of different concepts and values in social-based healthcare missions and their methods in maintaining financial sustainability.