The Lutheran Church—Missouri Synod entered into a partnership in 2004 with Bethesda Lutheran Homes and Services, Inc., and the Central American Lutheran Mission Society (CALMS). 

The D.R. mission has since planted five churches, an adjacent Lutheran school, and established a seminary for forming pastors. Concordia the Reformer Seminary was opened in 2017 in Palmar Arriba, Santiago, and serves all of the Caribbean, Latin America and South America. 

The seminary supports the formation of pastors to spread the Gospel, plant Lutheran churches, and show mercy. An emphasis of mercy work in the Dominican Republic is ministry to people with developmental disabilities through Good Shepherd Lutheran Homes (Hogares Luteranos el Buen Pastor), a group home for several young adults. 

This ministry serves as a beacon to the community as an example of Christian care giving, and has led to positive change within numerous government institutions.