improve this text: This study offers a twofold contribution. First, while physical IT infrastructure has long been viewed as a dimensions of IT capability in most studies, this study asserts that the advent of digital technologies, such as cloud computing, has altered this traditional perspective, particularly in the context of hospitals during the process of digital transformation. In this study, physical IT infrastructure is considered an “IT resource”, while IT architecture, IT human capability, and IT relationship capability are regarded as the dimensions of hospital-specific IT capabilities. Second, while physical IT infrastructure in a hospital supports the dimensions of IT capabilities as a platform and shared resource, it does not have a direct influence on digital transformation. Instead, it influences digital transformation indirectly through IT capability dimensions and strategic alignment.