Mark Van Koevering was consecrated as Bishop of Niassa, Mozambique, part of the Anglican Church of Southern Africa, in 2003, where he served until November 2015.

In November 2015, he moved back to the United States, to become the assistant bishop at the Episcopal Diocese of West Virginia.

On 7 October 2024, Bishop Van Koevering announced his intention to resign upon the installation of his successor in early 2026.

Douglas Hahn, was suspended and later resigned after it was learned he had lied during the bishop search process about past adultery with a parishioner.

The Diocese of Lexington also has a co-cathedral located at the diocesan camp and conference center, The Cathedral Domain,[6] in Lee County.