In 1999, the Franciscan Center of the Washington Theological Union gathered experts to discuss the role of contemporary Franciscans in the ministry of healthcare. The talks were designed with a view both to spirituality and to maintaining Franciscan identity. At a time when Franciscan institutions are facing critical decisions, it is important to remember the tradition that brought them to where they are, the values that make them what they are, and the spirituality that identifies who they are. The contributions made here are a step in this direction.