As of summer 2018, Dignity Health does not provide many services considered routine by non-religious providers, including some emergency procedures. Dignity Health has cited the "Ethical and Religious Directives for Catholic Health Care Services" as its guideline in approving or refusing medical procedures. That document is prepared by the United States Conference of Catholic Bishops, which is not a medical organization. A particular controversy results from Dignity Health's non-Catholic marketing style, and unclear representations of which facilities are and are not considered Catholic.