Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

West Virginia · Ranked 172 of 1033 by CEO pay.

Boone Memorial Hospital

Virgil Underwood, CEO. Fiscal year ending 2025-06.

$2.1M
CEO total compensation
Form 990 Part VII, columns D+E+F
0.54%
of expenses spent on charity care
Schedule H Part I line 7a
407.9%
CEO pay as a share of all charity care
In the most recent filing year, Virgil Underwood’s reported compensation was $2,115,680. The system’s charity care for the same year was $518,734. One person’s reported compensation was 4.1 times what the system gave to every patient who could not pay.

§1The filing

Total revenue
$106,642,311
Total expenses
$96,168,445
Net assets
$34,954,655
Employees
647
Hospitals covered
1 facilities across 1 filing
Charity care, net
$518,734
Bad debt
$1,209,346
Medicare surplus (shortfall), as filed
$471,512
CEO pay from the organization (Part VII col. D)
$1,619,786
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$495,894
CEO total compensation (D+E+F)
$2,115,680 to Virgil Underwood

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Boone Memorial Hospital, EIN 55-0477361, fiscal year ending 2025-06, as published by the IRS. CEO identification: ceo title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$953,767 Of which charity care to patients who could not pay (line 7a)$518,734 (54%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($1.2M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

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Boone Memorial Hospital: CEO pay $2.1M, charity care 0.54% of expenses