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BMH Administration


Virgil Underwood
Virgil Underwood

Chief Executive Officer 

Virgil Underwood, a West Virginia native, was born in Fayette County. He moved to Kanawha County after graduating from college and has lived in Boone County for nearly 20 years.


Virgil has a B.S. Degree in Business from the West Virginia Institute of Technology and received a post-graduate certificate from the Bank Administration Institute Controllership Program at the University of Wisconsin. Additionally, he has held licenses as a General Securities Representative, a Uniform Investment Advisor, an Accredited ACH Professional, a Property & Casualty Insurance Advisor, a Retirement Planner, a Certified Public Accountant and has his private pilot’s license.


Virgil worked as Vice-President of One Valley Bank for eleven years, was a Financial Consultant and Coach for Merrill Lynch for seven years and Co-Owner of Allstate Insurance Agencies in Southern WV for fourteen years before working with Boone Memorial Hospital as a Board Member and Consultant.


Virgil has been deeply involved in his community serving on various boards including the American Lung Association, Junior Achievement of WV, Madison Buddy League Basketball, Madison Little League Baseball, Boone County Community Foundation Distribution Committee, the Driven Knights, and Boone Memorial Hospital.


Virgil currently resides in Country Estates subdivision in Madison with his wife, Liz, and their two children Patrick and Katie. Virgil also has two older sons, Jason and Adam, and four grandchildren.



Terri Castle, BSN, RN

Chief Nursing Officer 

Terri started her nursing career in 1992 as a Nursing graduate from Southern WV Community College. Her inspiration to pursue a nursing degree started after her completion of a Pre-med course and additional Secondary Educational studies in Math and Biology at Marshall University. She began her employment at Boone Memorial Hospital in 2002 as an ER nurse. Her overall career experience includes Emergency Nursing, Home Health, Cardiology and Psychiatric nursing.


Her current and previous certifications include ACLS, PALS, BTLS, CPR, TCI and NIMS. She has been a member of the Stroke Pilot Project of WV, Advisory Council Representative of CORE and an Advisory Committee Member at Southern WV Community and Technical College. In 2007, she became Assistant Director of Emergency Services and Education Coordinator at BMH. Her position advanced to Assistant Director of Nursing in 2011. Terri was named Chief Nursing Officer in 2015.


Terri graduated from the University of Louisiana Lafayette with a BSN Degree. She is a resident of Boone County and lives with her husband David Castle at Country Estates. Together, Terri and David have six children; Brooke, Levi, Garrett, Chandler, Jagger and Maddiex. 

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Angie Christian, BSN, RN, CRNI

Chief Operating Officer

Angie joined the Administrative Team at Boone Memorial on March 4, 2019. She is responsible for providing leadership and establishing strategic direction for hospital operations. Prior to coming to BMH, Angie was the Vice President of Nursing for a national infusion company and previously a Regional General Manager overseeing two of its pharmacies and infusion suites. In addition, she has experience working as a private nurse for a cardiology practice and as a hospital staff nurse in the emergency room, operating room, and on the post cardiac catheterization unit. 


Angie received an Associate Degree in Nursing from Southern West Virginia Community & Technical College and a Bachelor of Science Degree in Nursing from South University. She also completed The Certified Registered Nurse Infusion (CRNI) Program, which is nationally recognized in credentialing nurses in infusion therapy. 


She currently resides in Alum Creek with her husband, Derek, who is an Administrator at Winfield High School. They have four children. She enjoys gardening and spending time with family in her spare time.  

David Gresham

Chief Development Officer

David has been employed at Boone Memorial Hospital since 2008 as Revenue Cycle Manager and was promoted to Chief Development Officer in 2015. He previously served as CFO and Assistant Administrator of several Southern West Virginia hospital’s including Logan General, Williamson ARH, Welch Emergency Hospital and Cabell Huntington Hospital. David graduated from Morris Harvey College in 1978 and attended the The Ohio State University’s Graduate Executive Program in HealthCare Administration in 1982. David brings over 40 years of health care experience to Boone in the areas of Finance, Billing, Administration, Recruitment and Business Development.


David is a SSAC Registered Umpire and has coached various community sport teams such as Little League and Buddy League basketball. He is an avid golfer and gun enthusiast. 


David resides in Chapmanville with his wife Marsha. They have three children; Ryan, Zac and Makayla. 

Ray Harrell, Jr., JD

General Counsel and Chief External Affairs Officer

Ray serves as General Counsel and Chief External Affairs Officer for Boone Memorial Hospital. As General Counsel, Ray oversees the legal affairs of the company and provides legal advice and counsel to the Chief Executive Officer, Administration and management teams, and the BMH Board of Directors. As Chief External Affairs Officer, Ray manages the Boone Memorial Foundation for Healthy Living and is also responsible for fundraising and grants, public relations and marketing, government relations, facility experience, and external relationships.


Prior to joining BMH, Ray practiced in the Labor & Employment and Government Relations groups of Dinsmore & Shohl LLP; an AmLaw 200 U.S. law firm headquartered in Cincinnati, Ohio. Ray was named to the 2020 West Virginia Rising Stars list by Super Lawyers, and was one of ten attorneys selected to participate in the 2019 West Virginia Bar Foundation Lawyer Leadership Institute.  


Ray serves on the West Virginia Hospital Association Legislative Committee and the HOSPAC Board of Trustees. He is an active member of the West Virginia State Bar and the American Health Law Association, and also serves on the Board of Directors for Capitol Market, and The Greater Kanawha Valley Foundation Economic Development Task Force. Ray previously served on the Marshall University Alumni Association Board of Directors and the West Virginia Bar Association Executive Council.


Ray is a cum laude graduate of the University of Florida Levin College of Law, where he earned his Juris Doctor degree and served as President of the Florida Moot Court Team. He received his Bachelor of Arts in Political Science, cum laude, from Marshall University, where he served as Student Body President. He resides in Charleston with his wife, Ashton, and their three daughters.

D. Cole Malcolm, CPA

Chief Financial Officer

Cole joined Boone Memorial Health in October 2022 as its Chief Financial Officer. As CFO, Cole provides strategic leadership for BMH’s business and finance functions and is responsible for the management of its financial and capital resources. This responsibility includes financial reporting, accounts receivable and payable, sponsored projects accounting, financial systems, audit, treasury, special projects, and corporate finance.


Prior to joining BMH, Cole was a Senior Manager within the FORVIS Healthcare (previously Dixon Hughes Goodman) assurance and advisory practice and a manager with Ernst & Young in Charleston, West Virginia.

With nearly 20 years of experience, Cole has maintained a strategic focus on healthcare for the majority of his professional career. His prior experience includes serving clients that provided care throughout the continuum of a patient’s life. Cole’s financial statement audit and consulting portfolio consisted of a wide range of acute care facilities that ranged from small community and critical access facilities to large, multi-state academic medical centers. His post-acute experience included skilled nursing facilities, rehabilitation hospitals, and other long-term care organizations that specialized in independent living, assisted living, and memory care. He also served clients in the non-acute space, which included physician practices, ambulatory surgery centers, drug treatment facilities, and other non-acute providers.


Cole graduated Magna Cum Laude with a Bachelor of Science in Business Administration (Accounting & Finance) from Concord University. He also earned a Master of Business Administration from Morehead State University.


Cole lives in Saint Albans, West Virginia and is very active in the local community, including volunteering at his local church, Bible Center (Charleston, WV). He and his wife, Mary Beth, have twin children that bless their home on a daily basis.

Amy Parker Sayre, MD 

Chief Medical Officer

Dr. Sayre has been part of the Boone Memorial Health family on a full-time basis since 2017. She grew up in Madison, WV and graduated Valedictorian of Scott High School in 1993. She attended West Virginia University and graduated with a BS in Exercise Physiology. At WVU she was a member of the Pride of WV, playing trumpet in the WVU Marching Band from 1993-1996 and remains an avid Mountaineer fan. She went on to WVU School of Medicine graduating in 2002. Dr. Sayre furthered her medical education at the Washington Hospital completing a three year family medicine residency and is board certified in family medicine.  

In 2005, Dr. Sayre returned to serve her hometown as a family physician with Madison Medical Group, and cared for coal miners and their families at the WV Family Wellness Center. She then spent nine years caring for patients in Chapmanville, WV. In 2017, she returned to her roots in Madison and started a family medicine practice in conjunction with Boone Memorial Hospital. In her family practice, Dr. Sayre cares for men, women and children of all ages. She has a special interest in preventative medicine, health education and women’s health. She also served as Chief of the Medical Staff from 2020-2021.  

Amy currently resides in Madison with her husband Jeremy, who is a personal fitness trainer. They have one daughter, Callie, who is an honor student and soccer player at Scott High School. They enjoy running, biking, Disney and spending time on Hilton Head Island.

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