The Northeastern Minnesota Synod is comprised of 5 conferences: Lake Superior, Laurentian, Living Waters, Heartland, and Kettle River. Each conference is served by an elected Dean and cabinet. The individual conferences meet on a regular basis as well as an annual conference assembly to elect officers, bring forth nominations for synod teams, and any Resolutions or Memorials the conference wishes to forward on to the synod assembly for consideration.
The Bishop of Northeastern Minnesota Synod is elected by voting members from the 130 congregations and serves a 6 year term. A bishop elected in the Northeastern Minnesota Synod is eligible to serve for two consecutive terms.