https://www.churchmilitant.com/news/article/largest-catholic-health-network-does-sex-change-mutilations
CommonSpirit Health is sponsored by the Catholic Health Care Federation, which receives its authority from the Vatican's Congregation for the Institutes of Consecrated Life and Societies of Apostolic Life. "This means that direct oversight and jurisdiction over CommonSpirit Health belongs to the Apostolic See in the Vatican, alone,"