Presidents of VALHSO serve two years terms beginning January 1st after election at the Fall Meeting.  Below is a list of Past Presidents of the organization from its official founding in 1989 to present.

• Anita Friedman, Director of Human Services, Arlington County (2019-2021)
• Sarah Snead, Deputy County Administrator, Chesterfield County (2017-2019)
• James Taylor, Deputy County Administrator Hanover County (2013-2015)
• Alan Archer, Assistant City Manager, Newport News (2011-2013)
• Verdia Haywood, Deputy County Manager, Fairfax County (2009-2011)
• Doug Powell, Community Services Manager, James City County (2007-2009)
• Bryan Elliott, Assistant County Administrator, Albemarle County (2005-2007)
• Marilyn Blake, Assistant County Administrator, Hanover County (2003-2005)
• George Drumwright, Jr., Deputy County Administrator, Henrico County (2001-2003)
• Glenn Radcliffe, Human Services Manager, City of Manassas Park (1999-2001)
• Diana C. Trent, Human Services Manager, City of Lynchburg (1997-1999)
• Ron Carlee, Human Services Manager, Arlington County (1995-1997)
• Anne Smith, Community Services Director, York County (1993-1995)
• Anthony Conyers, Community Services Manager, James City County (1991-1993)
• James D. Ritchie, Deputy City Manager, City of Roanoke (1989-1991)