The River supports a variety of ministries around the world. The church partners with ministries in India like Gospel to the Ends of the Earth and Harvest Mission for Christ to feed and care for orphans, provide clothing to those in need, support to people in poverty and leper colonies, and medical care. There are special ministries that offer opportunities to widows and women rescued from slavery. They receive training in how to sew and then a sewing machine so they are able to produce an income and support themselves. The River also supports Bible colleges in India that raise up pastors to take the gospel across the Asian continent.