Fred Malphurs spent thirty-seven years working for the Department of Veterans Affairs. He is the retired CEO of the North Florida/South Georgia Veterans Healthcare System in Gainesville, Florida, and a retired Fellow of the American College of Healthcare Executives. Married, he has six grown children, two cats, and a Chihuahua. Having transferred thirteen times, been on three long term details and served in the VA Central Office in Washington on three different occasions, Fred has been exposed to the inner workings of health care delivery at the highest levels as well as health care's front lines. He has interacted with political appointees, members of Congress and leaders in national health care and veterans orgnizations. His career spans from the impact of returning veterans from the Viet Nam War to those returning from the current wars in Afghanistan and Iraq. In the course of serving in the VA, Fred receivd numerous award during his career, including the two highest: Presidential Rank, at both the meritoious and distinguished levels. Health care systems under his direction have twice received the VA's highest award for quality, the prestigious Carey award. As a network director, the network under Fred's leadership twice received the VA's highest award for quality, the Kizer award. Organizations that he led have also been recognized many times for having the best practices in a wide variety of administrative and clinical areas. He has received Leadership VA's award for leadership as well as being recognized as for the advancement of nursing. He has published in health care periodicals, given media interviews and appeared on television in the course of his career.