Ralph has served as the executive director of the Florida Society of Clinical Oncology Foundation and the Berwyn Cicero Council on Aging, helping to establish the organization and begin serving the community. He was also an AARP regional vice president for a decade and, prior to that, the Illinois State Director for four years.

He holds BS and MA degrees in psychology from Loyola University of Chicago and worked as a licensed clinical professional counselor in Illinois for three decades. He also holds an MBA degree from Regis University in Denver, Colorado. Ralph has served on numerous boards for nonprofit organizations and in 2018 founded the LGMD2L Foundation to help look for treatments and cures for his form of muscular dystrophy.