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YARSI Pontianak Hospital is required to provide quality services and in accordance with Islamic values as implied in its vision and mission. Fulfillment of the needs of hospital patients is not only focused on physical healing, but also pays attention to the spiritual needs of patients. Applying sharia principles, hospitals can create an environment that supports holistic healing, where patients can gain inner peace and spiritual comfort during the treatment process. This study is expected to provide a comprehensive picture of the efforts made by the hospital in implementing sharia principles. This study uses a mix method model and the type of mix method used is a convergent parallel design . The results of the study showed that service quality has a direct and significant effect on patient trust, hospital image, and patient satisfaction. The results of the SWOT analysis obtained that Yarsi Pontianak Hospital has the strength as the only Islamic hospital in West Kalimantan, the only private hospital that cooperates with BPJS, has been fully accredited, the best hemodialysis service. The weaknesses are the lack of specialist doctors, limited medical equipment, and the number of service rooms is still limited. The opportunities are the absence of private hospitals that cooperate with BPJS, public awareness of sharia products. Threats include the financial stability of BPJS, increasing private hospitals. Sharia service strategies include the application of Islamic values in services, development of competent human resources, improving the quality of patient-centered services, developing facilities and technologies that support sharia services, building partnerships and collaboration with stakeholders , implementing a sharia quality management system, education and promotion of sharia health services to the community. Obstacles include limited quality of human resources, inadequate infrastructure and facilities, limited budget, lack of public awareness and understanding.