The SSHS is governed and guided by an eight-member board consisting of two representatives from each of the four Nations. Each SSHS representative is appointed to the board by the chief and council of their community. The society's board of directors works closely with the health director to meet the organizational goals as outlined in the SSHS Community Wellness Health and Wellness Plan 2012–2017. The board meet bi-monthly (six times a year) but may convene special meetings.
The SHSS Board of Directors is very stable with many of its members having been involved for more than five years.