Sacraments develop themselves in relationship to a prayerful community and the Holy Spirit. 


I once threw all 'church' out for a long time and over time found myself re-creating society with sacraments at the important moments of relationship. Perhaps that was because it was so embedded in me, but the literature of the world suggests otherwise--that we move toward agreed-upon symbols and rituals as human beings. In other words, that it is embedded in us as social beings. 


"My" sacraments were not exactly the same as the Church's but were pretty close, because they really are, at heart, human and social mixed with the divine. When I rejoined Catholic community is was quite different, but belonged to me, as well as me belonging to them. I actually don't pay much attention to the hierarchy at all except in terms of how it affects people around me; like most people, my attention is where it needs to be--my community and the Holy Spirit.