The Macedonian Orthodox Diocese of America and Canada is one of 10 dioceses of the Macedonian Orthodox Church and one of three located outside of North Macedonia. It was initially established in 1967 for Macedonian diaspora communities in Canada, the United States, and Australia. In 1981, the diocese was split into two parts: one diocese for Australia and New Zealand and another for Canada and the United States. The American and Canadian diocese is further subdivided into three parts, or "regencies": one for the Eastern United States, one for the Midwestern United States, and one for Canada. It consists of roughly 15,000 adherents and 40 churches, monasteries, and parishes.