Episcopal dioceses are grouped into nine provinces, the first eight of which, for the most part, correspond to regions of the U.S. Province IX is composed of dioceses in Latin America. Province II and Province VIII also include dioceses outside of the U.S.

Unlike in many churches of the Anglican Communion, in which provinces are helmed by a primate or presiding bishop from the clergy, provinces of The Episcopal Church are led by lay executive directors or presidents. Decisions are made at each province’s Synod of the Province, consisting of a House of Bishops and House of Deputies. Lay and clergy Deputies are elected, two from each diocese.