This paper is the result of an organizational culture research made in a public hospital, aimed to make an approximation to discourses circulating in a hospital which is in process of transformation towards an “Empresa Social del Estado”. The analysis illustrates how the transformation of hospital into a productive enterprise leads to the displaying of new ways of doing things and new discourses imported from the context –client, registers and administrative control, information management, flexibilization of labor, efficiency– that contribute to the worker’s construction. However, opposing voices against changes embedded in economic logic make evident that the new order is no hegemonic so far.