RS Islam Surabaya berada di bawah naungan Yayasan Rumah Sakit Islam Surabaya (YARSIS) dengan pendirinya antara lain : KH. Zaki Goefron, KH. Abdul Mujib Ridwan, KH. Anas Thohir, KH. Husaini Tiway, Nyai Hj. Umi Kulsum Yasin, Nyai Hj. Maryam Thoha, Nyai Hj. Murthosiyah dan tokoh – tokoh NU yang lain. RS Islam Surabaya mulai beroperasi sejak tanggal 25 Maret 1975 yang bertepatan dengan tanggal 12 Rabiul Awal 1395 H. (Peringatan Maulid Nabi Muhammad SAW.)
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