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==Missions== The Presbyterian Church (USA) has, in the past, been a leading United States denomination in mission work, and many hospitals, clinics, colleges and universities worldwide trace their origins to the pioneering work of Presbyterian missionaries who founded them more than a century ago. In 2008, the church supported about 215 (70 as of 2021) missionaries abroad annually<ref>{{Citation | last = Riley | first = Jennifer | title = PC(USA) Poised to Grow World Mission Christian Post | journal = Christian Post | url = http://www.christianpost.com/article/20080505/pc-usa-poised-to-grow-world-mission.htm | date = May 5, 2008 | access-date = October 16, 2008 | archive-date = October 13, 2008 | archive-url = https://web.archive.org/web/20081013130624/http://christianpost.com/article/20080505/pc-usa-poised-to-grow-world-mission.htm | url-status = live }}</ref> with significant further reductions planned for February 2025, as noted above. Many churches sponsor missionaries abroad at the session level (the local church level), and these are not included in official statistics. The denomination also builds and maintains relationships with Presbyterian, Reformed and other churches around the world, even if this is not usually considered missions. The PC(USA) is a leader in disaster assistance relief and also participates in or relates to work in other countries through ecumenical relationships, in what is usually considered not missions, but deaconship. At the 225th General Assembly in 2022, a three year process was started to unify the [[Presbyterian Mission Agency]] with the Office of General Assembly.<ref>https://pcusa.org/about-pcusa/agencies-entities/interim-unified-agency</ref> After announcing large cuts a months earlier, in February 2025 it was announced that the Presbyterian World Mission would be closed entirely in March, with 54 remaining missionaries laid off and a handful offered alternate roles within the Presbyterian Mission Agency/Interim Unified Agency.<ref>https://www.al.com/news/2025/04/presbyterian-church-usa-fires-missionaries-ends-mission-agency.html</ref><ref>https://pres-outlook.org/2025/04/global-partners-protest-pcusa-mission-layoffs-in-open-letter/</ref>
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