Around 1922 Sisters of the Holy Family of Nazareth arrived from Chicago to serve immigrant Lithuanian Catholics in the Pittsburgh area. They were known as the "Lithuanian Sisters of the Third Order of St. Francis of Assisi". Some worked in Lithuania in the 1930s and again in the 1990s. In 1949 they adopted their current name to reflect what had become a broader outreach. As of 2015 there were seventy-four members in the United States, Brazil, Bolivia, and Haiti working with children, the homeless, and inmates. They operate the Franciscan Child Day Care Center at the former St. Francis Academy in the Diocese of Pittsburgh. As of 2015, there were twenty-nine members.