Clergy and lay members of the theologically conservative Pittsburgh diocese have voted overwhelmingly to break from the liberal Episcopal Church.

The votes counted after Saturday’s vote were 240 in favor of leaving the church and 102 against. There were eight other ballots that were either abstentions or declared ineligible.

The Pittsburgh diocese is one of several that disagree with the U.S. church regarding Biblical teachings on salvation and other issues including homosexuality.

The Diocese of San Joaquin, based in Fresno, Calif., was the first to leave the national church, in 2006. Dioceses based in Quincy, Ill., and Fort Worth, Texas, are set to vote next month on leaving, too.