Almshouses are typically managed by Almshouses charities or charitable trusts. These organisations are responsible for the daily operations and maintenance of the buildings, ensuring that residents have a safe and comfortable place to live. The management is often overseen by a board of trustees who handle decisions related to the upkeep, funding, resident qualifications, and other concerns such as charity building insurance.

While Almshouses share similarities with social housing in that they provide affordable housing for individuals in need, they are nevertheless distinct. Almshouses are typically run by independent charities, whereas social housing is usually managed by local authorities or housing associations. The criteria for living in an Almshouse are also based on charitable eligibility rather than the broader guidelines used for social housing.

Almshouses are funded primarily through charitable donations, legacies, and endowments. Many Almshouses were established hundreds of years ago with financial backing from wealthy benefactors, and the income generated from these funds helps sustain their operations. In some cases, residents may be asked to contribute towards their housing costs, though the fees are often minimal.

Each Almshouse charity sets its own eligibility criteria, but the focus is often on supporting older individuals who may have limited financial means or specific housing needs. Many Almshouses prioritise applicants who live within a particular local area or meet specific charitable objectives, such as individuals who have served their local community or industry.

The responsibility for insurance for Almshouses typically lies with the Almshouse charity trustees who manage the properties. Since Almshouses are charity-run, they require specialist insurance to protect the building, its contents, and the trustees from various risks. Risk management is often a necessary to step to ensure an Almshouse is suitably insured.

Almshouses tend to be unique in their structure, history, and charitable status, which means their insurance needs are equally specific. Insurance for Almshouses usually includes charity building insurance, which covers the physical structure of the property, and charity insurance brokers may also recommend additional coverage for trustee indemnity, public liability, and contents insurance.