Mr. Underwood has transformed Boone Memorial Health from a small rural hospital into a thriving regional health system serving thousands across four West Virginia counties. Since becoming CEO in 2015, he has overseen the opening of a new hospital facility, multiple rural health clinics and a behavioral health center. His leadership is rooted in financial discipline, community responsiveness and deep ties to the region, having previously served on the system’s board before transitioning into healthcare from the business and insurance sectors. Under Mr. Underwood’s direction, the system has launched creative health access programs and formed key partnerships with regional academic health centers. Mr. Underwood in 2024 earned recognition on WV Executive Magazine’s “Health Care Hall of Fame” list. He is also a passionate community advocate, previously serving on boards for the American Lung Association and Boone County Community Foundation.
