When Virginia Mason merged with Catholic Health Initiatives in 2021, becoming Virginia Mason Franciscan Health, some employees were told that the only changes to care would be related to the delivery of abortion and medical-aid-in-dying services, which are typically stopped following mergers of secular and Catholic health systems. But the week of Sept. 17, two months before the birth center was shuttered, Virginia Mason employees were told their insurance benefits would be changing "to align" with those of CommonSpirit, the largest national Catholic hospital chain, itself the product of a merger of Dignity Health and Catholic Health Initiatives.