Middlechurch Home of Winnipeg Inc is a not-for-profit corporation established by an act of the Manitoba legislature in 1884.  The affairs of the Corporation are managed by a Board of Directors, which meets regularly throughout the year and reports annually to the Corporation.

Board policies are put into effect by the executive director who is responsible for the day-to-day operation of the home.

The size of the board is established in legislation.  Board members are recruited from many walks of life in order to bring a balance of expertise to the work of the board.  Backgrounds of board members have included that of engineer, architect, doctor, nurse, dietician, teacher, psychologist, pharmacist, lawyer, consultant, business person, church and community leaders to name a few.  Board members volunteer their time, and are not paid.

The board has four main committees, which meet regularly to consider board business and to prepare reports for the board to consider.