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      <ProgramServiceRevenueGrp>
        <Desc>Publications Advertisi</Desc>
        <BusinessCd>541800</BusinessCd>
        <TotalRevenueColumnAmt>50116</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>50116</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>1321653</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>29656</TotalRevenueColumnAmt>
        <ExclusionAmt>29656</ExclusionAmt>
      </InvestmentIncomeGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>68141</TotalRevenueColumnAmt>
        <ExclusionAmt>68141</ExclusionAmt>
      </RoyaltiesRevenueGrp>
      <GrossSalesOfInventoryAmt>510876</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>35244</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>475632</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>475632</RelatedOrExemptFuncIncomeAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MIscellaneous</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>66303</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>66303</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>66303</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>2577327</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1813472</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>50116</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>97797</ExclusionAmt>
      </TotalRevenueGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>1602512</TotalAmt>
        <ProgramServicesAmt>893726</ProgramServicesAmt>
        <ManagementAndGeneralAmt>708786</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>8447</TotalAmt>
        <ManagementAndGeneralAmt>8447</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>32732</TotalAmt>
        <ManagementAndGeneralAmt>32732</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>31741</TotalAmt>
        <ProgramServicesAmt>29693</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2048</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>14330</TotalAmt>
        <ManagementAndGeneralAmt>14330</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>121481</TotalAmt>
        <ProgramServicesAmt>110298</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11183</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <TravelGrp>
        <TotalAmt>65157</TotalAmt>
        <ProgramServicesAmt>29388</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35769</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>374202</TotalAmt>
        <ProgramServicesAmt>374202</ProgramServicesAmt>
      </ConferencesMeetingsGrp>
      <InsuranceGrp>
        <TotalAmt>19659</TotalAmt>
        <ProgramServicesAmt>4435</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15224</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Audio &amp; Visual</Desc>
        <TotalAmt>122835</TotalAmt>
        <ProgramServicesAmt>122835</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Credit Card &amp; Bank Fees</Desc>
        <TotalAmt>71443</TotalAmt>
        <ManagementAndGeneralAmt>71443</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Honoraria &amp; Scholarship</Desc>
        <TotalAmt>55353</TotalAmt>
        <ProgramServicesAmt>23753</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31600</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Education</Desc>
        <TotalAmt>22483</TotalAmt>
        <ProgramServicesAmt>22483</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>980</TotalAmt>
        <ManagementAndGeneralAmt>980</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>2543355</TotalAmt>
        <ProgramServicesAmt>1610813</ProgramServicesAmt>
        <ManagementAndGeneralAmt>932542</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>795163</BOYAmt>
        <EOYAmt>507333</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>36709</BOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>34285</BOYAmt>
        <EOYAmt>21658</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>72214</BOYAmt>
        <EOYAmt>65325</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>81796</BOYAmt>
        <EOYAmt>153650</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>561096</BOYAmt>
        <EOYAmt>586189</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>1581263</BOYAmt>
        <EOYAmt>1334155</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>110904</BOYAmt>
        <EOYAmt>40600</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>533824</BOYAmt>
        <EOYAmt>343439</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>55378</BOYAmt>
        <EOYAmt>33286</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>700106</BOYAmt>
        <EOYAmt>417325</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>106110</BOYAmt>
        <EOYAmt>106958</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>775047</BOYAmt>
        <EOYAmt>809872</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>881157</BOYAmt>
        <EOYAmt>916830</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1581263</BOYAmt>
        <EOYAmt>1334155</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>33972</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1701</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due To Regional Societies</Desc>
        <Amt>33286</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>33286</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>2579027</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>1700</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>1700</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2577327</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>2577327</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2543354</TotExpnsEtcAuditedFinclStmtAmt>
      <LossesReportedAmt>-1</LossesReportedAmt>
      <ExpensesNotReportedAmt>-1</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2543355</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>2543355</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>FIN 48 Note from Audited Financial Statements The Society is exempt from federal income taxes under Internal Revenue Code Section 501(c)(6) and therefore no provision for federal income taxes has been made on the accompanying financial statements. In addition, the Society has been determined by the Internal Revenue Service not to be a "private foundation" within the meaning of Section 509(a)(1) of the Internal Revenue Code. For the year ended December 31, 2025, the Society generated unrelated business income from website advertising and journal activities. The Society recorded approximately $15,300 of income tax expense related to these activities, which includes both federal and state income taxes. During the year, the Society made estimated tax payments totaling $3,281. The Society's Form 990, Return of Organization Exempt from Income Tax, are subject to examination by the IRS, generally for three years from the date of filing. The Society has adopted the requirements for accounting for uncertain tax positions and management has determined that the Society was not required to record a liability related to uncertain tax positions as of December 31, 2025.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOCIETY HAS A CONTRACT WITH A FULL SERVICE MANAGEMENT COMPANY WHICH PROVIDES ALL DAY-TO-DAY OPERATING ACTIVITIES, UNDER THE DIRECTIVE OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERSHIP IN THE SOCIETY SHALL BE OPEN TO ALL QUALIFIED INDIVIDUALS INVOLVED IN OR ASSOCIATED WITH GASTROENTEROLOGY AND/OR ENDOSCOPY NURSING PRACTICE. MEMBERSHIP INCLUDES BOTH VOTING AND NONVOTING MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUAL ELECTIONS BY THE MEMBERS SHALL BE CONDUCTED TO ELECT DIRECTORS OF THE BOARD OF DIRECTORS AND THE FOUR MEMBERS OF THE COMMITTEE ON NOMINATIONS AND ELECTIONS. ANNUAL ELECTIONS BY THE BOARD OF DIRECTORS SHALL BE CONDUCTED TO ELECT THE OFFICERS OF THE SOCIETY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS REVIEWED IN DETAIL BY THE EXECUTIVE DIRECTORS AND OPERATION MANAGER BEFORE SUBMISSION TO THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS HAVE A FIDUCIARY RELATIONSHIP TO THE SOCIETY. BOARD MEMBERS SHALL NOT TAKE ADVANTAGE OF THEIR POSITIONS OR THEIR PERSONAL KNOWLEDGE OBTAINED THROUGH BUSINESS WITH THE SOCIETY FOR PERSONAL GAIN. A CONFLICT OF INTEREST EXISTS WHEN AN INDIVIDUAL IS IN A POSITION TO PROFIT DIRECTLY OR INDIRECTLY TROUGH APPLICATION OF AUTHORITY, INFLUENCE, OR KNOWLEDGE IN RELATION TO THE AFFAIRS OF SGNA. A CONFLICT OF INTEREST ALSO EXISTS IF A RELATIVE BENEFITS OR WHEN THE ORGANIZATION IS ADVERSELY AFFECTED IN ANY WAY. IF A CONFLICT OF INTEREST IS IDENTIFIED, THE BOARD MEMBER SHALL NOT PARTICIPATE IN DISCUSSION RELATED TO THE SUBJECT IN WHICH HE/SHE HAS PERSONAL INTEREST. THIS INCLUDES ABSTAINING FROM VOTING ON RELATED ISSUES. NO BOARD MEMBER SHALL ENDORSE ANY PERSON, PRODUCT, OR SERVICE ON BEHALF OF SGNA. A BOARD MEMBER'S IMMEDIATE FAMILY SHALL NOT BE EMPLOYED IN ANY OFFICIAL BUSINESS CAPACITY FOR SGNA. AT BOARD ORIENTATION AND ANNUALLY THERE AFTER EACH BOARD MEMBER WILL BE ASKED TO COMPLETE A CONFLICT OF INTEREST FORM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BYLAWS ARE MADE AVAILABLE TO THE PUBLIC ON THE SGNA WEBSITE. THE POLICIES ARE NOT MADE AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS ARE AVAILABLE TO MEMBERS BY REQUEST, SO NOT TO THE PUBLIC. AUDITED FIGURES ARE REPORTED TO THE MEMBERSHIP AT THE ANNUAL COURSE DURING THE BUSINESS MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, line 2c:</FormAndLineReferenceDesc>
        <ExplanationTxt>The process has not changed from the prior year.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>