Appalachian Regional Healthcare (ARH) Tech Stack

Regional health system operating 13 hospitals across Kentucky and West Virginia

Hospitals and Health Care Hazard, KENTUCKY 5,001–10,000 employees Founded 1956 Nonprofit

ARH operates a 13-hospital network across Appalachia with 6,000+ employees, anchored on Meditech and Cerner EHR platforms alongside AWS, Waystar billing, and BI tools (Power BI, Tableau). The hiring surge (357 roles posted in 30 days) skews heavily toward clinical staff—651 healthcare roles against 26 ops—reflecting acute demand for nurses and care coordinators. Active projects center on workflow standardization (bedside reporting, nurse rounding, infection prevention) and facility go-lives, while stated pain points cluster around staffing optimization, patient throughput, and reimbursement compliance.

Tech Stack 19 technologies

Core StackPower BI Tableau PACS AWS EMR Microsoft Office Teams Outlook SharePoint Windows Word Meditech Excel Cerner EHR Microsoft Access PowerPoint Waystar ICD-10 Pacemaker

What Appalachian Regional Healthcare (ARH) Is Building

◆Challenges

Improving patient engagement
Staff scheduling
Improving patient safety
Government reimbursement
Ensuring 340b compliance
Improving patient throughput
Staffing optimization
Staffing shortages
Improving outcomes and service
Nursing practice improvement

▲Active Projects

Implementation of the infection prevention program plan
Nurse leader rounding
Bedside shift report
Standardized educational initiatives
Go live support for new facilities
Review of construction and renovation projects
Education classes coordination across facilities
Training content development for new workflows
Care plan development and monitoring
Employee rounding

Hiring Activity

Accelerating700 roles · 360 in 30d

Department

Healthcare

651

Ops

Finance

Engineering

Executive

Operations

Support

Seniority

Junior

421

Mid

186

Manager

Senior

Staff

Director

C-Level

Intern

Notable leadership hires: Head Nurse, Emergency Nursing Director, Radiology Director, Clinic Head Nurse, Quality Improvement Director

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About Appalachian Regional Healthcare (ARH)

ARH is a nonprofit health system headquartered in Hazard, Kentucky, operating 13 hospitals in rural and underserved areas of southeastern Kentucky and southern West Virginia, along with physician practices, home health, medical equipment retail, and pharmacies. The organization employs more than 6,000 staff and maintains a network of 600+ active and courtesy medical staff members, generating $330 million in annual payroll and benefits to local economies. ARH is the largest healthcare provider and single largest employer in southeastern Kentucky and the third largest private employer in southern West Virginia. The technology footprint reflects a mature health system: core EHR on Meditech and Cerner, revenue cycle on Waystar, analytics via Power BI and Tableau, and cloud infrastructure on AWS.

HeadquartersHazard, KENTUCKY

Company Size5,001–10,000 employees

Founded1956

Hiring MarketsUnited States, Canada

Frequently Asked Questions

What tech stack does ARH use?

Core systems: Meditech and Cerner EHR, Waystar for billing/revenue cycle, AWS infrastructure. Analytics: Power BI and Tableau. Clinical tools: PACS for imaging, ICD-10 coding. Office productivity: Microsoft 365 (Teams, Outlook, SharePoint, Office Suite).

Where is ARH headquartered?

Hazard, Kentucky. ARH operates 13 hospitals across 11 Kentucky locations (Barbourville, Hazard, Harlan, Hyden, Martin, McDowell, Middlesboro, Prestonsburg, South Williamson, West Liberty, Whitesburg) and 2 West Virginia locations (Beckley, Hinton).