The Governing body of the Institute is the Governing Council.  The overall management of the Institute shall vest in the Director, Appointed by the state Government subject to such terms and conditions as are specified in the order of appointment. The director is supported in the administration of the college, by principal, Medical superintended, chief Administrative officer, financial Adviser, Administrative officer, Heads of the department and other members of the medical faculty.

The principal will look after the academic work and function under the guidance of the director. The medical superintendent will be in-charge of the hospital and discharge the functions in maintenance of the hospitals under the guidance of the director.

Chief Administrative Officer to be drown on deputation from among K.A.S. (Senior scale officers) are any officer not below the rank of deputy secretary to Government, Who shall be incharge of the administration, Financial Adviser to be drown on deputation from state accounts department not below the rank of Joint controller or from the officer of accountant general, not below the rank of Account/audit officer, who shall be in-charge of accounts.

Administrative officer to be drown on deputation from government not below the rank of Thahashildar or section officer of state government. Heads of Department and professors, Asso. Professors, Asst. Professors, Sr.Residents, Jr.Residents/Tutors and other members of the medical faculty.

Governing Council

SlnoMemberPost
1Minister for Medical EducationChairman
2The Secretary to Government, Health & Family Welfare Dept. (Medical Education)Vice-Chairman
3Vice-Chancellor, Rajiv Gandhi University of Health Sciences or his NomineeMember
4The Principal Secretary to Government, Finance Department or his Nominee not below the rank of SecretaryMember
5The Principal Secretary to Government, Health & Family Welfare services or his Nominee not below the rank of SecretaryMember
6Director of Medical EducationMember
7Deputy Commissioner, Shivamogga DistrictMember
8An eminent person in the field of medical education, nominated by GovernmentMember
9An eminent social worker, nominated by GovernmentMember
10An eminent women from a recognised Non-Government Organisation (NGO), nominated by GovernmentMember
11Director cum Dean of Shimoga Institute of Medical Sciences, ShivamoggaMember Secretary