[1] As the Melkite Catholic presence in the United States reached 70 years, to serve the faithful the Holy See erected an apostolic exarchate on January 10, 1966, with the title Apostolic Exarchate of United States of America, Faithful of the Oriental Rite (Melkite).

While the descendants of the earlier waves of Melkite immigrants to the U.S. became increasingly assimilated into American culture, the late twentieth and early twenty-first centuries saw, for a variety of reasons (e.g., economic, sectarian), new waves of Melkite immigrants hailing from traditional Middle-eastern homelands.

In some well established Melkite parishes new waves of immigrants saw a resurgence in Arabic, over English, as the primary liturgical language.

[9] It is often home to Bishop Samra for several months of the year as he visits the Melkite churches in the western portion of the United States.

While the eparchy lists the number of parishes as 43, the additional missions and "outreaches" bring the total of Melkite communities in the U.S. to almost 50, each varying in size and level of vitality.

[14] The number of active Melkites is considered to be significantly lower, as it the case with most other religious groups, especially highly-ethnic denominations.

[18] In fact, anecdotal evidence suggests that many Melkites whose first language is English become members of their local Roman Catholic parish.

A few others, especially in larger metropolitan areas such as Los Angeles, assimilate into Arabic-speaking Mainline Protestant or Evangelical denominations.

Following ancient Christian tradition the eparchy counts among its clergy both celibate and married priests and deacons.

Sophia Press publishes liturgical and prayer books, as well as biographies, histories, and other texts of Melkite interest.

[23] The office of the eparchial Victim Assistance Coordinator (VAC) is contacted via a toll free number.

The vocation office is co-located at St John Chrysostom parish in Atlanta, Georgia.

There is a periodic national convention generally hosted by a Melkite parish, the last one held in July 2024 in Quincy, Massachusetts.

"[25] Melkite Association of Young Adults (MAYA) is social and spiritual group for those who are aged 18 and at least one year out of high school to their mid-20s.