Lexington, KY – ARH is proud to announce the establishment of a new systemwide Wellness division, bringing together community health, employee wellness, Lifestyle Medicine, and diabetes education initiatives into one coordinated strategy advancing nutrition, physical activity, and prevention to address the root causes of chronic disease. The division strengthens ARH’s commitment to whole‑person health and supports long‑term health goals across Central Appalachia.
“ARH has long been committed to serving our communities, and the creation of a unified Wellness division strengthens our ability to make a lasting impact,” said Roy Milwee, Chief Ambulatory Officer. “By bringing together leaders who are already doing incredible work, we are advancing innovative approaches that help individuals, families, and communities live healthier lives.”
As previously announced, Nika Larian has been named Vice President of Wellness and will lead the new division. In this role, she oversees the Lifestyle Medicine service line and guides the integration of clinical care, workforce wellbeing, and community partnerships into a unified wellness strategy. Her work supports ARH’s Food Is Medicine approach and continued focus on prevention‑based care.
Aligned within the Wellness division is a leadership team whose work includes employees, patients, and communities:
The formation of the Wellness division represents an important step forward in aligning ARH’s prevention, employee well-being, and community health efforts. By bringing together experienced leaders and existing programs under one umbrella, ARH is strengthening its ability to improve health outcomes across the region.

About Appalachian Regional Healthcare (ARH)
Appalachian Regional Healthcare (ARH) traces its roots back to 1955, when the United Mine Workers of America opened the Miners Memorial Hospital system – a network of 10 hospitals dedicated to providing care throughout the coalfields of eastern Kentucky and southern West Virginia. Seventy years later, ARH has grown into a 14-hospital not-for-profit health system that serves more than 500,000 residents of central Appalachia each year. ARH hospitals in Barbourville, Harlan, Hazard, Hyden, Martin, McDowell, Middlesboro, Paintsville, Prestonsburg, West Liberty, Whitesburg, and South Williamson in Kentucky, and Beckley and Hinton in West Virginia, ensure that residents, tucked away in even the most remote areas, can access the highest quality of care without traveling hours from home. ARH’s hospitals, clinics, multi-specialty physician practices, home health agencies, home medical equipment stores, retail pharmacies, and medical spas boast more than 6,700 employees with a network of more than 1,300 providers, making it the single largest employer in southeastern Kentucky and the third-largest private employer in southern West Virginia.
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