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Meet Ruth L. Bush, MD, JD, MPH, FACS

Dr. Ruth L. Bush

Dr. Bush is a Professor at Baylor College of Medicine and Deputy Director of the Center for Innovations in Quality, Effectiveness and Safety, a partnership between the Baylor College of Medicine and the Michael E. DeBakey Veteran Affairs Medical Center, Houston, TX, and practicing vascular surgeon.

For Dr. Ruth Bush, giving back is a way of life. Despite her busy career as a vascular surgeon and medical program director, Dr. Bush also gives her time for missionary medical trips, provides mentorship to medical students, and is an ACS Foundation board officer.

Dr. Bush and her husband, Mr. William A. Fife, IV, also donate generously to ACS and will continue this generosity into the future as members of the ACS Foundation's legacy society. By simply including the ACS as one of the beneficiaries of their estate, they will ensure their values as reflected through the work of ACS. Their legacy gift will help support key philanthropic initiatives like Operation Giving Back, which connects ACS Fellows to global surgical volunteerism.

Dr. Bush explained her enthusiasm to give back, stating, "We all are given many gifts, including our ability to operate and change our patients' lives as surgeons. We need to give back on many levels. I have been impressed with the outreach and the projects to which the Foundation contribute. I wanted to a part of this inspiring process."

As an ACS Fellow, you may wish to include the ACS as a beneficiary in your own legacy planning. Get started through a confidential conversation with Shane Hollett at 312-202-5506 or

eBrochure Request Form

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A charitable bequest is one or two sentences in your will or living trust that leave to American College of Surgeons Foundation a specific item, an amount of money, a gift contingent upon certain events or a percentage of your estate.

an individual or organization designated to receive benefits or funds under a will or other contract, such as an insurance policy, trust or retirement plan

"I give to American College of Surgeons Foundation, a nonprofit corporation currently located at Chicago, IL, or its successor thereto, ______________* [written amount or percentage of the estate or description of property] for its unrestricted use and purpose."

able to be changed or cancelled

A revocable living trust is set up during your lifetime and can be revoked at any time before death. They allow assets held in the trust to pass directly to beneficiaries without probate court proceedings and can also reduce federal estate taxes.

cannot be changed or cancelled

tax on gifts generally paid by the person making the gift rather than the recipient

the original value of an asset, such as stock, before its appreciation or depreciation

the growth in value of an asset like stock or real estate since the original purchase

the price a willing buyer and willing seller can agree on

The person receiving the gift annuity payments.

the part of an estate left after debts, taxes and specific bequests have been paid

a written and properly witnessed legal change to a will

the person named in a will to manage the estate, collect the property, pay any debt, and distribute property according to the will

A donor advised fund is an account that you set up but which is managed by a nonprofit organization. You contribute to the account, which grows tax-free. You can recommend how much (and how often) you want to distribute money from that fund to ACS Foundation or other charities. You cannot direct the gifts.

An endowed gift can create a new endowment or add to an existing endowment. The principal of the endowment is invested and a portion of the principal’s earnings are used each year to support our mission.

Tax on the growth in value of an asset—such as real estate or stock—since its original purchase.

Securities, real estate or any other property having a fair market value greater than its original purchase price.

Real estate can be a personal residence, vacation home, timeshare property, farm, commercial property or undeveloped land.

A charitable remainder trust provides you or other named individuals income each year for life or a period not exceeding 20 years from assets you give to the trust you create.

You give assets to a trust that pays our organization set payments for a number of years, which you choose. The longer the length of time, the better the gift tax savings to you. When the term is up, the remaining trust assets go to you, your family or other beneficiaries you select. This is an excellent way to transfer property to family members at a minimal cost.

You fund this type of trust with cash or appreciated assets—and receive an immediate federal income tax charitable deduction. You can also make additional gifts; each one also qualifies for a tax deduction. The trust pays you, each year, a variable amount based on a fixed percentage of the fair market value of the trust assets. When the trust terminates, the remaining principal goes to ACS Foundation as a lump sum.

You fund this trust with cash or appreciated assets—and receive an immediate federal income tax charitable deduction. Each year the trust pays you or another named individual the same dollar amount you choose at the start. When the trust terminates, the remaining principal goes to ACS Foundation as a lump sum.

A beneficiary designation clearly identifies how specific assets will be distributed after your death.

A charitable gift annuity involves a simple contract between you and ACS Foundation where you agree to make a gift to ACS Foundation and we, in return, agree to pay you (and someone else, if you choose) a fixed amount each year for the rest of your life.

Personal Estate Planning Kit Request Form

Please provide the following information to view the materials for planning your estate.