The bishop in the five commonwealths and territories have different episcopal conferences: The 176 Latin Church dioceses in the United States are divided into 33 ecclesiastical provinces.
The pope chooses from a list of candidates provided by the papal nuncio of the United States to the Congregation of Bishops in Rome.
The most recent example in the United States was that of Celestine Damiano, whom Pope John XXIII named as bishop of the Diocese of Camden in 1960.
An exception to this rule is the United States, which has a significant number of foreign-born bishops, with most serving as auxiliaries in culturally diverse dioceses.
The following nations have produced at least one bishop who is serving in the United States: Italy, Haiti, Ireland, Colombia, Lebanon, Peru, Spain, Cuba, South Africa, Malta, Argentina, El Salvador, and Cameroon.
The United States has two Eastern Catholic metropoliae, each led by a metropolitan archbishop called an archeparch: Although the majority (53%) of the US Roman Catholic population now live in the Western and Southern states, there is only one active cardinal located West of the Mississippi River, and there are no active cardinals West of the Diocese of Galveston-Houston.