Directors are elected to three year terms. One-third of the Board is elected each year by the Members. The Board is responsible for the overall direction of ANMF. The Board elects the Officers, including the Chairperson, the Treasurer, and the Secretary. The Board can also appoint a President and an Executive Director.
The day to day work of the Foundation is carried out by the Officers and the Committees under the guidance of the Chairperson. An Executive Committee has been empowered by the Board to carry out many of its functions between Board meetings.
The Board can also appoint other Committees to conduct the business of the Foundation. Currently committees include Annual Conference, Continuing Medical Education, Fund Raising, Membership, Projects and Website.
ANMF also benefits from the advice of an Advisory Council comprised of experts with particular knowledge of medicine and Nepal.
ANMF works closely with its sister organization, America Nepal Chikitsa Pratisthan (ANMF/Nepal), a registered NGO (non-government organization) in Nepal.