Since its reorganization in 1918, the ELS has participated in foreign mission work in fifteen nations. Today, in addition to the ongoing work in Peru, the ELS conducts mission work in Chile, India and South Korea. In 2008, through the acquisition of Thoughts of Faith, Inc., a church-related organization founded in 1979, the synod helps promote gospel outreach in Latvia and in the Czech Republic (Czechia), and also supports the Gift of Life and Medical Clinic on Wheels projects in Ukraine.
