LAMB considers integration to be a hallmark of its organizational structure. Because of its small size, organizational staff often have cross-departmental responsibilities. For example, LAMB Hospital doctors and nurses provide both classroom and clinical training for the Training Center, together with their primary patient care responsibilities.
International standards, national regulations, and locally-appropriate systems and technology underpin LAMB operations. The organization seeks to operate with transparency and integrity to its international Board and local administrative policies. LAMB Management and LAMB Policy Committees include departmental Directors and advisory staff, groups whose members represent roughly equal numbers of national and foreign, male and female leaders. They are responsible to operationalize policies through codes of staff conduct and standard operating procedures.
Decision making is decentralized to departmental Performance Management Teams made up of Directors and managers. They regularly review achievements toward goals, quality of departmental services, and tracking of resources, both personnel and financial. To sustain the Christian ethos of the organization, Directors are Christian; however, high-level management positions are occupied by persons of all religious backgrounds.