sentences:  After his election, many theologically conservative Episcopalians in the United States abandoned the Episcopal Church, formed the Anglican Church in North America (ACNA) and aligned themselves with bishops outside the Episcopal Church in the United States, a process called the Anglican realignment.There have been documented cases of other openly gay Anglican bishops, however.The first bishop to come out as gay was the US Episcopal bishop Otis Charles, who did so soon after his retirement in 1993.