The day-to-day affairs of the SLDHA are managed by the Executive Director, nurse, foot care manager, and office assistants. A volunteer base, consisting of medical personnel, dietitians, health educators and business professionals, can be called on to work with the organization in executing its programme of activities. Additionally, the SLDHA works closely with nurses and diabetic groups throughout the island, as well as in partnership with the Ministry of Health, Universal Health Care and the Medical and Dental Association, all of whom offer additional support SLDHA activities.
The SLDHA receives an quarterly subvention from the Government of St. Lucia. It also receives donations from time to time from corporate partners and individual sponsors. Operations are primarily funded by the sale of services and products.