He was assistant administrator and director of development from 1976 to 1992 at primary children ' s medical center as well as director of development at intermountain health care , a not - for - profit chain of hospitals based in salt lake city , utah 从1976年到1992年他不但是首要儿童医学中心行政助理和研发主任而且是美国犹他州咸湖城市一所非营利的连锁医院研发主任。