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This collection consists primarily of the minutes of the Board of Directors/Trustees of the Beth Israel Hospital and its successor institution the Beth Israel Medical Center. The minutes are complete from 1889 to 2004 with the exception of the years 1892-1896, 1903-1913, and 1925-1926. (The years up to 1989 are in bound volumes; minutes from 1990 on are in folders.) The years 1925-1936 are also covered by an incomplete second set (mostly dated 1928 and 1934-1936) of loose minute pages. Some of these pages include annotations/corrections in what is likely the hand of Hospital Superintendent Louis J. Frank.

The Board initially kept its minutes in Yiddish, but at some point between 1891 and 1897 they switched to English as the language of record. During the preparations for Beth Israel's 1989 centenary, an English translation of the 1889-1891 Yiddish minute book was created. The translation exists in two versions, a 208-page typescript and a 166-page typescript.

The collection also includes an extensive file of routine Board records for the years 1906-1907, including correspondence, memoranda, and committee reports. (See the Processing Note below for more detail on these items.) These records are organized chronologically by month. There is also a small file of routine Board records from the years 1925-1936.

Finally, the collection contains the 1905-1912 minutes of the Board subcommittee responsible for the administration of the Beth Israel Hospital Training School for Nurses.