The Presbyterian Church (PCUSA) is organized as a democratic form of government. Members from within each congregation are elected as spiritual leaders, called Elders and Deacons. They serve defined terms (typically three years) before being eligible for re-election. All members are considered called into diverse ministries of service, but Teaching Elders and Ruling Elders make up the Presbyterian governing body, and may then be elected to serve in either the Synod or national governing body (PCUSA).

Ministers of the Word and Sacrament (the churches pastors) are responsible for preaching, pastoral care, and general oversight of the congregation.

Ruling Elders share in the responsibility of congregational oversight, with administrative care given to worship, education, stewardship, facility care, and policy management.

The following diagram indicates the organizational structure within our denomination, the Presbyterian Church (USA).