The Annual General Meeting of September 2006 formally introduced the new Heartwood House governance structure featuring 15 individuals appointed by each Member Organization to serve as the Corporate Members of Heartwood House. The Corporate Members elect the Board of Directors, which is comprised of a maximum of 7 individuals.

The Board is responsible for supporting the mission and monitoring the work of the Executive Director with respect to compliance with the organization's policy directives. Guided by these policies, the Executive Director is responsible for the day-to-day affairs of Heartwood House.