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        <CurrentTaxYearMinus2Years>1223725</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1302783</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1335824</CurrentTaxYear>
        <Total>5617061</Total>
      </InvestmentIncomeAndUBTI>
      <NetIncomeFromOtherUBI>
        <CurrentTaxYearMinus4Years>806400</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>333550</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>298356</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>121414</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>171914</CurrentTaxYear>
        <Total>1731634</Total>
      </NetIncomeFromOtherUBI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>46177</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>25322</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>165085</CurrentTaxYearMinus2Years>
        <Total>236584</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>12215496</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>26702599</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>12423335</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>19576321</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>22735891</CurrentTaxYear>
        <Total>93653642</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.77530</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.72130</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.06000</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.06410</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
      <GeneralExplanation>SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2008 AMOUNT: $ 46,177. 2009 AMOUNT: $ 25,322. 2010 AMOUNT: $ 165,085.</GeneralExplanation>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <BeginningOfYearBalance>8900227</BeginningOfYearBalance>
        <Contributions>6155135</Contributions>
        <InvestmentEarningsOrLosses>405872</InvestmentEarningsOrLosses>
        <OtherExpenditures>0</OtherExpenditures>
        <EndOfYearBalance>15461234</EndOfYearBalance>
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      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>8218612</BeginningOfYearBalance>
        <Contributions>799593</Contributions>
        <InvestmentEarningsOrLosses>-49451</InvestmentEarningsOrLosses>
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        <EndOfYearBalance>8900227</EndOfYearBalance>
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      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>7322635</BeginningOfYearBalance>
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        <EndOfYearBalance>7322635</EndOfYearBalance>
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      <BoardDesignatedEOYBalance>0.00000</BoardDesignatedEOYBalance>
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      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
      <Land>
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        <BookValue>1800000</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>7579605</OtherCostOrOtherBasis>
        <Depreciation>4875115</Depreciation>
        <BookValue>2704490</BookValue>
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      <Equipment>
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        <BookValue>3181686</BookValue>
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      <TotalOfBookValueLandBuildings>7686176</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>INTEREST RATE SWAP LIABILITY</Description>
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      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO AFFILIATE</Description>
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      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DEFERRED COMPENSATION LIABILITY</Description>
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      <FootnoteInPartXIII>X</FootnoteInPartXIII>
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      <ExpensesNotRptdF990>-124099</ExpensesNotRptdF990>
      <ExpensesSubtotal>17765438</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>244897</InvestmentExpensesNotIncluded2>
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      <ExpensesNotRptdOnFinStmt>240907</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>18006345</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
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        <ReturnReference>PART V, LINE 4:</ReturnReference>
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      <Form990ScheduleDPartXIII>
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      <Form990ScheduleDPartXIII>
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      <Form990ScheduleDPartXIII>
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        <NumberOfEmployees>0</NumberOfEmployees>
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      <AcctsActvsOutUSTable>
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      <AcctsActvsOutUSTable>
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      <AcctsActvsOutUSTable>
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        <SpecificServicesProvided>CONFERENCE/MEETING EXPENSES</SpecificServicesProvided>
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      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
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      <GrantsToIndOutsideUS>
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      <EmailSolicitations>X</EmailSolicitations>
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      <FundraiserActivityInformation>
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      <Form990ScheduleIPartIII>
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      <Form990ScheduleIPartIII>
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      <Form990ScheduleIPartIII>
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      <Form990ScheduleIPartIII>
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      <Form990ScheduleIPartIII>
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      </Form990ScheduleIPartIV>
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      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL STOLAR</NamePerson>
        <Title>SENIOR VICE PRESIDENT</Title>
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      <Form990ScheduleJPartII>
        <NamePerson>DIANNE BACH</NamePerson>
        <Title>SENIOR VICE PRESIDENT</Title>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JEFFREY SPRINGER</NamePerson>
        <Title>VICE PRES, MRKTG &amp; MEMBR SVCS</Title>
        <BaseCompensationFilingOrg>89291</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>89291</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>2735</BonusFilingOrg>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>WENDY COHEN</NamePerson>
        <Title>VICE PRES, PRAC &amp; QUALITY</Title>
        <BaseCompensationFilingOrg>188892</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>5861</BonusFilingOrg>
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        <OtherCompensationFilingOrg>3117</OtherCompensationFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ARCELI BACSINILA</NamePerson>
        <Title>SR DIRECTOR, FINANCE</Title>
        <BaseCompensationFilingOrg>140862</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>4300</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>422</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>10334</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>6574</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>162492</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ELLEN SILVER</NamePerson>
        <Title>VICE PRES, MTGS &amp; CONVTNS</Title>
        <BaseCompensationFilingOrg>160095</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>8750</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>325</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>11861</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>26190</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>207221</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JESSICA DUNCAN</NamePerson>
        <Title>VICE PRES, COMMUNICATIONS</Title>
        <BaseCompensationFilingOrg>144055</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>4573</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>273</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>10913</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>27922</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>187736</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 1A</ReturnReference>
        <Explanation>THE ASSOCIATION'S BOARD CHAIR IS PERMITTED TO BRING A COMPANION ON BUSINESS TRIPS FOR THE ASSOCIATION, AND IS COMPENSATED THEREFOR.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 7</ReturnReference>
        <Explanation>THE AGAI CO-EXECUTIVE DIRECTORS ARE ELIGIBLE TO RECEIVE ANNUAL BONUSES, DETERMINED AS A PERCENTAGE OF BASE SALARY. THESE BONUSES ARE AWARDED AT THE DISCRETION OF THE INSTITUTE'S EXECUTIVE COMPENSATION COMMITTEE, SUBJECT TO FULL BOARD APPROVAL.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>MONTGOMERY COUNTY MARYLAND</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>526000980</IssuerEIN>
        <CUSIPNumber>613342BW3</CUSIPNumber>
        <DateIssued>2003-07-07</DateIssued>
        <IssuePrice>6600000</IssuePrice>
        <DescriptionOfPurpose>MORTGAGE REFINANCING</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceeds>6600000</TotalProceeds>
        <IssuanceCostsFromProceeds>182934</IssuanceCostsFromProceeds>
        <CapitalExpenditures>6417066</CapitalExpenditures>
        <YearOfSubstCompletion>2004</YearOfSubstCompletion>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <PercentageOfPrvtBusinessReUBI>0.02000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.02000</TotalPrivateBusinessUse>
        <BondIssMeetPrvtSecurityPayTest>0</BondIssMeetPrvtSecurityPayTest>
        <ChangeInUseBondFinancedProp>0</ChangeInUseBondFinancedProp>
        <NonQualifiedBondRemedProcdrs>1</NonQualifiedBondRemedProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiled>0</Form8038TFiled>
        <RebateNotDueYet>0</RebateNotDueYet>
        <ExceptionToRebate>0</ExceptionToRebate>
        <NoRebateDue>1</NoRebateDue>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>1</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>WACHOVIA</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>14.000000000000</TermOfHedge>
        <SuperintegratedHedge>0</SuperintegratedHedge>
        <HedgeTerminated>0</HedgeTerminated>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>0</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>A</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>1</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartVI>
        <Identifier>SCHEDULE K, PART IV, LINE 2C:</Identifier>
        <Explanation>NO REBATE WAS NECESSARY AS ALL PROCEEDS FROM THE BOND ISSUANCE WERE SPENT BY 2004.</Explanation>
      </Form990ScheduleKPartVI>
      <Form990ScheduleKPartVI>
        <Identifier>SCHEDULE K, PART IV, LINE 7:</Identifier>
        <Explanation>ALL PROCEEDS WERE SPENT BY 2004.</Explanation>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>AMERICAN GASTROENTEROLOGICAL ASSOCIATION INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>COMMON BOARD MEMBERS/BOARD SELECTION CONTROL</Relationship>
        <DescriptionOfTransaction>PLEASE SEE SCHEDULE R FOR ALL REPORTABLE TRANSACTIONS BETWEEN THE INSTITUTE AND THE RELATED ASSOCIATION.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>SCHEDULE L, PART IV:</Identifier>
        <Explanation>THE INSTITUTE AND ITS RELATED TRADE ASSOCIATION ARE TWO SECTION 501(C) ORGANIZATIONS THAT HAVE BOARD MEMBERS IN COMMON. UNDER THE INSTITUTE'S BYLAWS, 11 OF THE 12 INSTITUTE BOARD MEMBERS ARE SELECTED BY THE TRADE ASSOCIATION, AS THE SOLE MEMBER OF THE INSTITUTE. PLEASE SEE SCHEDULE R FOR ADDITIONAL INFORMATION REGARDING BUSINESS TRANSACTIONS BETWEEN THE TWO ENTITIES.</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 1</ReturnReference>
        <Explanation>THE INSTITUTES' GOVERNING BOARD HAS AN EXECUTIVE COMMITTEE, CONSISTING OF THE BOARD OFFICERS, THE PAST PRESIDENT AND THE CHAIR OF THE INSTITUTE'S FOUNDATION FOR DIGESTIVE HEALTH AND NUTRITION. THE EXECUTIVE COMMITTEE HAS THE FOLLOWING DUTIES AND RESPONSIBILITIES: (1) DURING THE INTERVALS BETWEEN THE MEETINGS OF THE GOVERNING BOARD, TO EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE GOVERNING BOARD; (2) MAKE RECOMMENDATIONS TO THE GOVERNING BOARD AS TO MATTERS OF CHANGES, EXTENSIONS OR REVISIONS IN THE CORPORATIONS POLICY; (3) TO RECEIVE AND STUDY REPORTS OF SUCH COMMITTEES AS THE GOVERNING BOARD MAY DIRECT; (4) TO ACT AS AN ADVISORY BODY TO THE PRESIDENT; (5) TO KEEP A RECORD OF ITS PROCEEDINGS AND REPORT THE SAME TO THE GOVERNING BOARD AT THE NEXT SUCCEEDING MEETING FOR ITS APPROVAL OR DISAPPROVAL; AND (6) TO HOLD ITS MEETINGS AT SUCH PLACE OR PLACES AS IT MAY FROM TIME TO TIME DETERMINE. IN ADDITION, THE COMMITTEE MAY BE CALLED UPON TO MEET AT ANY TIME BY THE PRESIDENT OF THE FOUNDATION. ALL ACTIONS OF THE EXECUTIVE COMMITTEE SHALL BE SUBMITTED TO THE GOVERNING BOARD FOR RATIFICATION. IN ADDITION, THE EXECUTIVE COMMITTEE SHALL REVIEW AND EVALUATE PERFORMANCE OF EXISTING MEMBERS OF ALL COMMITTEES AND TASK FORCES AND DEVELOP SYSTEMS, POLICIES AND PROCEDURES TO ASSURE THAT ALL MEMBERSHIP THEREON IS APPROPRIATE TO THE RELEVANT MISSION AND THAT PROSPECTIVE APPOINTMENTS MEET THE NEEDS OF THE ORGANIZATION. THE EXECUTIVE COMMITTEE SHALL OVERSEE SELECTION OF ALL OFFICIAL AWARDS, PRIZES, AND GRANTS; AND SPECIFICALLY TO SELECT THE ANNUAL RECIPIENT OF THE JULIUS FRIEDENWALD MEDAL, WHICH WILL BE PRESENTED TO A MEMBER OF THE AMERICAN GASTROENTEROLOGICAL ASSOCIATION FOR DISTINGUISHED ACHIEVEMENT IN GASTROENTEROLOGY. THE EXECUTIVE COMMITTEE SHALL ALSO (1) ASSESS THE NEED FOR PRINT AND ELECTRONIC PUBLICATIONS AND SERVICES IN THE AREAS OF GASTROENTEROLOGY SCIENCE, CLINICAL PRACTICE AND EDUCATION, (2) RECOMMEND AND INITIATE PUBLISHING PROJECTS AND ACTIVITIES IN RESPONSE TO THOSE NEEDS, (3) DEVELOP PUBLICATION-RELATED POLICIES FOR APPROVAL BY THE GOVERNING BOARD, AND (4) ENSURE THE QUALITY AND FINANCIAL VIABILITY OF ALL AGA INSTITUTE PUBLICATIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>THE SOLE MEMBER OF THE ORGANIZATION IS AMERICAN GASTROENTEROLOGICAL ASSOCIATION, INC., A RELATED ENTITY EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(6).</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>THE INSTITUTE'S GOVERNING BOARD CONSISTS OF TWELVE PERSONS, ELEVEN OF WHICH ARE ELECTED BY THE MEMBER (THE AMERICAN GASTROLOGICAL ASSOCIATION) AND ONE OF WHICH IS THE CHAIR OF THE INSTITUTE'S FOUNDATION FOR DIGESTIVE HEALTH AND NUTRITION (FDHN; NOT A SEPARATE ENTITY), WHICH IS ELECTED BY THE FDHN.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE FORM 990 IS PREPARED BY A THIRD PARTY, FROM INFORMATION SUPPLIED BY THE INSTITUTE. AGA MANAGEMENT REVIEWS THE FINAL FORM 990 AND ADDRESSES ANY QUESTIONS PRIOR TO FILING. THE GOVERNING BOARD DOES NOT REVIEW THE FORM 990 PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE GOVERNING BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST POLICY FORM QUARTERLY TO DISCLOSE ANY CONFLICTS THAT MAY ARISE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE EXECUTIVE COMPENSATION COMMITTEE MEETS ANNUALLY TO REVIEW AND APPROVE COMPENSATION OF TOP MANAGEMENT OFFICIALS. AN INDEPENDENT CONSULTANT IS USED TO PROVIDE COMPARABLE SURVEY DATA TO HELP SET COMPENSATION LEVELS FOR THE EXECUTIVE VICE PRESIDENTS. THE FINANCE AND OPERATIONS COMMITTEE REVIEWS ON A BI-ANNUAL BASIS THE LEVELS OF COMPENSATION FOR THE OFFICERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST. THE FINANCIAL STATEMENT SUMMARY IS POSTED ON THE ORGANIZATION'S WEBSITE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 9:</ReturnReference>
        <Explanation>GAIN ON INTEREST RATE SWAP 165,381. RECOVERY OF PRIOR YEAR GRANTS 124,099.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C:</ReturnReference>
        <Explanation>THE AUDIT OVERSIGHT PROCESS HAS REMAINED UNCHANGED FROM THE PREVIOUS YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>AMERICAN GASTROENTEROLOGICAL ASSOCIATION INC (AGA)</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>4930 DEL RAY AVENUE</AddressLine1>
          <City>BETHESDA</City>
          <State>MD</State>
          <ZIPCode>20814</ZIPCode>
        </AddressUS>
        <EIN>202986410</EIN>
        <PrimaryActivities>PROFESSIONAL MEMBERSHIP ASSOCIATION</PrimaryActivities>
        <LegalDomicileState>DE</LegalDomicileState>
        <ExemptCodeSection>501(C)(6)</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>AGA POLITICAL ACTION COMMITTEE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4930 DEL RAY AVENUE</AddressLine1>
          <City>BETHESDA</City>
          <State>MD</State>
          <ZIPCode>20814</ZIPCode>
        </AddressUS>
        <EIN>204759482</EIN>
        <PrimaryActivities>POLITICAL ACTION COMMITTEE</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>527</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>AGA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>DDW LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>4930 DEL RAY AVENUE</AddressLine1>
          <City>BETHESDA</City>
          <State>MD</State>
          <ZIPCode>208142512</ZIPCode>
        </AddressUS>
        <EIN>222279199</EIN>
        <PrimaryActivity>OPERATION OF "DIGESTIVE DISEASE WEEK" CONFERENCE</PrimaryActivity>
        <LegalDomicileState>MD</LegalDomicileState>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>4324703</ShareOfTotalIncome>
        <ShareOfEOYAssets>1542554</ShareOfEOYAssets>
        <DisproportionateAllocations>1</DisproportionateAllocations>
        <CodeVAmount>76821</CodeVAmount>
        <GeneralOrManagingPartner>1</GeneralOrManagingPartner>
        <PercentageOwnership>0.25000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>0</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
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      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>1</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>AMERICAN GASTROENTEROLOGICAL ASSN INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>635096</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>AMERICAN GASTROENTEROLOGICAL ASSN INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>2096900</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>DDW LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>S</TransactionType>
        <AmountInvolved>1997180</AmountInvolved>
        <MethodOfAmtDetermination>CASH DISTRIBUTION</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>DDW LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>1596965</AmountInvolved>
        <MethodOfAmtDetermination>MANAGEMENT AGREEMENT</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>