The Russian Orthodox Church in the USA is the name of the group of parishes of the Russian Orthodox Church in America that are under the canonical authority of the Patriarch of Moscow and all Rus'. They were previously known as the Russian Exarchate of North America before autocephaly was granted to the Orthodox Church in America (OCA) in 1970.

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All of the parishes of the exarchate were given a choice to join the OCA at that time. The parishes that remained were the following:^[1]

1. St. Nicholas Church, Brookside, Alabama
2. St. Demetrius Monastery, Bellflower, California
3. Christ the Savior Church, San Francisco, California
4. St. Nicholas Cathedral, San Francisco, California
5. Church of All Saints Glorified in the Russian Land, San Francisco, California
6. Our Lady of Kazan Church, San Diego, California
7. Resurrection Church, Chicago, Illinois
8. Dormition Church, Benld, Illinois
9. Holy Trinity Church, Baltimore, Maryland
10. St. Elias Church, Battle Creek, Michigan
11. St. Innocent Church, Detroit, Michigan
12. St. Michael the Archangel Church, Detroit, Michigan
13. Church of St. Andrew the First-Called Apostle, East Lansing, Michigan
14. Holy Trinity Church, Saginaw, Michigan
15. St. John Chrysostom Church, Grand Rapids, Michigan
16. House Chapel of St. Seraphim of Sarov, Westtown, New York
17. St. Demetrius Church, Jackson, Michigan
18. St. Nicholas Church, Bayonne, New Jersey
19. Sts. Peter and Paul Church, Elizabeth, New Jersey
20. Three Hierarchs Church, Garfield, New Jersey
21. Holy Cross Church, Hackettstown, New Jersey
22. Sts. Peter and Paul Church; Passaic, New Jersey
23. St. John the Baptist Church, Singac, New Jersey
24. St. Olga Church, Somerset, New Jersey
25. St. Mark Chapel, New York
26. Church of St. George the Great Martyr, New York
27. Church of All Saints Glorified in the Russian Land, on the estate of Pine Bush, New York
28. St. John the Baptist Chapel, Bronx, New York
29. St. Stephen Church, Lorain, Ohio
30. Nativity of Christ Church, Youngstown, Ohio
31. St. Nicholas Church, Chester, Pennsylvania
32. St. Nicholas Church, Pageville, Edinboro, Pennsylvania
33. St. Nicholas Church, Reading, Pennsylvania
34. Sts. Peter and Paul Church, Mount Union, Pennsylvania
35. St. Nicholas Church, Wilkes-Barre, Pennsylvania
36. St. Andrew the Apostle Church, Philadelphia, Pennsylvania
37. St. Michael the Archangel Church, Philadelphia, Pennsylvania
38. Sts. Peter and Paul Church, Scranton, Pennsylvania
39. Sts. Peter and Paul Church, Burgaw, North Carolina
40. St. Gregory the Theologian Church, Tampa, Florida
41. Sts. Peter and Paul Church, Manchester, New Hampshire
42. Church of St. George the Great Martyr, Buffalo, New York
43. All Exarchate parishes and clergy in Canada
44. St. Nicholas Cathedral, New York

Vicar of His Holiness Patriarch of Moscow and All Russia, Administrator of the Patriarchal parishes in the USA:^[2]

• Macarius (Svistun), Bishop of Uman (1970–1974)
• Job (Tyvoniuk), Bishop of Zaraisk (1975–1976)
• Irenaeus (Seredny), Bishop of Serpukhov (1976–1982)
• Clement (Kapalin), Bishop of Serpukhov (1982–1990)
• Macarius (Svistun), Bishop of Klin (1990–1992)
• Paul (Ponomaryov), Bishop of Zaraisk (1992–1999)
• Mercurius (Ivanov), Bishop of Zaraisk (2000–2009)
• Job (Smakouz), Bishop of Kashira (2009–2010)
• Justinian (Ovchinnikov), Archbishop of Naro-Fominsk (2010–2014)
• John (Roshchin) (2014–2018)^[3]
• Matthew (Andreev) [ru] (temporary administrator since 14 October 2018)^[4]

• Assembly of Canonical Orthodox Bishops of the United States of America