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A shocking report shows even Christian hospitals are performing transgender treatments.

In their 64-page report, the Catholic-based Lepanto Institute revealed that hospitals in America’s largest Catholic nonprofit health system – CommonSpirit Health – provide sex-change surgeries.

As reported by the Daily Wire, one of CommonSpirit’s more than 140 hospitals, St. Francis Memorial Hospital in San Francisco, has its own “Gender Institute.” St. Francis even made a video promoting transgender surgeries.

St. Francis isn’t alone. At least 13 hospitals in the health system received a perfect score from the Human Rights Campaign, which grades hospitals on “LGBT acceptance.”

The Lepanto Institute slammed CommonSpirit for “acting directly against Catholic moral teaching in direct defiance of its Catholic identity.”