▁University ▁in ▁Am es , ▁Iowa ▁in ▁ 1 9 8 5 . ▁ ▁Career ▁He ▁served ▁in ▁the ▁Iowa ▁House ▁of ▁Representatives ▁from ▁ 1 9 9 3 ▁to ▁ 1 9 9 9 . ▁He ▁is ▁a ▁co - found er ▁and ▁former ▁President ▁of ▁The ▁Bull ▁Mo ose ▁Club ▁of ▁Des ▁Mo ines , ▁Iowa , ▁an ▁organization ▁of ▁Republic ans ▁under ▁the ▁age ▁of ▁forty ▁based ▁in ▁Des ▁Mo ines , ▁Iowa . ▁ ▁He ▁was ▁the ▁founder ▁and ▁President ▁of ▁The ▁Church ill ▁Group ▁from ▁ 1 9 9 3 ▁to ▁ 1 9 9 7 , ▁a ▁fund ra ising ▁firm . ▁He ▁served ▁as ▁the ▁Director ▁of ▁Major ▁G ifts ▁at ▁Sim pson ▁College ▁in ▁Indian ola , ▁Iowa . ▁He ▁served ▁as ▁the ▁Vice ▁President ▁of ▁Development ▁and ▁Al umn i ▁Rel ations ▁at ▁Des ▁Mo ines ▁University ▁in ▁Des ▁Mo ines , ▁Iowa . ▁He ▁served ▁as ▁the ▁Executive ▁Director ▁of ▁the ▁American ▁Medical ▁Association ▁Foundation ▁from ▁ 2 0 0 7 ▁to ▁ 2 0 1 4 . ▁ ▁He ▁served ▁as ▁the ▁President ▁and ▁Chief ▁Executive ▁Officer ▁of ▁the ▁Associ ate ▁of ▁Health care ▁Phil anth ropy ▁in ▁F alls ▁Church , ▁Virginia . ▁He ▁also ▁served ▁as ▁the ▁E min ent ▁Supreme ▁Arch on ▁of ▁S igma ▁Al pha ▁E psilon ▁until ▁ 2 0 1 7 . ▁ ▁He ▁is ▁the ▁recip ient ▁of ▁the ▁Commander ' s ▁Award ▁for ▁Public ▁Service ▁from ▁the ▁United ▁States ▁Department ▁of ▁the ▁Army