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        <OtherCompensation>17353</OtherCompensation>
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        <ReportableCompFromOrganization>126717</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>31312</OtherCompensation>
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        <NamePerson>JESSICA DUNCAN</NamePerson>
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        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>120682</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>30850</OtherCompensation>
      </Form990PartVIISectionA>
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        <NamePerson>DEBORAH ROBIN</NamePerson>
        <Title>SR. DIRECTOR FOR QUALITY</Title>
        <AverageHoursPerWeek>37.5</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>112438</ReportableCompFromOrganization>
        <OtherCompensation>24015</OtherCompensation>
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        <NamePerson>ELLEN SILVER</NamePerson>
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        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
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        <OtherCompensation>30442</OtherCompensation>
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      <TotalReportableCompFrmRltdOrgs>13250</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>567330</TotalOtherCompensation>
      <NumberIndividualsGT100K>14</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
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      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>MEDASSURANT</NamePerson>
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        <AddressOfContractor>
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            <State>MD</State>
            <ZIPCode>20716</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>DATA REGISTRY DEVEL.</DescriptionOfServices>
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      <ContractorCompensation>
        <NameOfContractor>
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      <ContractorCompensation>
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      <ProgramServiceRevenue>
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      <ProgramServiceRevenue>
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      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
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      <ProgramServiceRevenue>
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        <RelatedOrExemptFunctionIncome>2283588</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>14149635</TotalProgramServiceRevenue>
      <InvestmentIncome>
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        <ExclusionAmount>901817</ExclusionAmount>
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      <IncomeFromInvestBondProceeds>
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      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossAmountSalesAssets>
        <Securities>7006633</Securities>
        <Other>0</Other>
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      <LessCostOthBasisSalesExpenses>
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      <NetGainOrLossInvestments>
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        <ExclusionAmount>-138523</ExclusionAmount>
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      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
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      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
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      <OtherRevenueMisc>
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      <OtherRevenueMisc>
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        <RelatedOrExemptFunctionIncome>15084</RelatedOrExemptFunctionIncome>
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      <TotalRevenue>
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      <GrantsToDomesticOrgs>
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        <ProgramServices>64500</ProgramServices>
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      <GrantsToDomesticIndividuals>
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        <ProgramServices>10000</ProgramServices>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
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        <ProgramServices>7500</ProgramServices>
      </ForeignGrants>
      <BenefitsToMembers>
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      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
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        <ManagementAndGeneral>1439973</ManagementAndGeneral>
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      <CompDisqualPersons>
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      </CompDisqualPersons>
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        <ProgramServices>2574740</ProgramServices>
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      <PensionPlanContributions>
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        <ProgramServices>121005</ProgramServices>
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      <OtherEmployeeBenefits>
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      <PayrollTaxes>
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        <ProgramServices>234049</ProgramServices>
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        <Fundraising>19150</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
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      </FeesForServicesManagement>
      <FeesForServicesLegal>
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        <ProgramServices>45641</ProgramServices>
        <ManagementAndGeneral>35695</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
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        <ManagementAndGeneral>58275</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
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      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
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      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
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        <ManagementAndGeneral>134481</ManagementAndGeneral>
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        <ProgramServices>950895</ProgramServices>
        <ManagementAndGeneral>12091</ManagementAndGeneral>
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      <Advertising>
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        <ProgramServices>68124</ProgramServices>
        <ManagementAndGeneral>315</ManagementAndGeneral>
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      <OfficeExpenses>
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        <ProgramServices>501507</ProgramServices>
        <ManagementAndGeneral>452164</ManagementAndGeneral>
        <Fundraising>2751</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
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        <ProgramServices>21280</ProgramServices>
        <ManagementAndGeneral>18324</ManagementAndGeneral>
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      <Royalties>
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        <ProgramServices>1794</ProgramServices>
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      <Occupancy>
        <Total>371197</Total>
        <ProgramServices>31653</ProgramServices>
        <ManagementAndGeneral>339544</ManagementAndGeneral>
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      <Travel>
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        <ManagementAndGeneral>154938</ManagementAndGeneral>
        <Fundraising>21298</Fundraising>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
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      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
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        <ManagementAndGeneral>74493</ManagementAndGeneral>
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      <Interest>
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        <ManagementAndGeneral>326316</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
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      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>503502</Total>
        <ManagementAndGeneral>503502</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
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        <ManagementAndGeneral>55405</ManagementAndGeneral>
      </Insurance>
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      <OtherExpenses>
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      <OtherExpenses>
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      </OtherExpenses>
      <OtherExpenses>
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        <ManagementAndGeneral>1011</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>OTHER EXPENSES</Description>
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        <ManagementAndGeneral>32913</ManagementAndGeneral>
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      <SavingsAndTempCashInvestments>
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      <TotalLiabilities>
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      <FollowSFAS117>X</FollowSFAS117>
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        <EOY>49038137</EOY>
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      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
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        <CurrentTaxYear>18097824</CurrentTaxYear>
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        <CurrentTaxYearMinus1Year>4815284</CurrentTaxYearMinus1Year>
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        <CurrentTaxYearMinus1Year>852912</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>901817</CurrentTaxYear>
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        <CurrentTaxYearMinus1Year>806400</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>333550</CurrentTaxYear>
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        <CurrentTaxYearMinus1Year>46177</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>25322</CurrentTaxYear>
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        <CurrentTaxYearMinus3Years>13289874</CurrentTaxYearMinus3Years>
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        <CurrentTaxYearMinus1Year>12215496</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>26702599</CurrentTaxYear>
        <Total>78024213</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.59121</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.47740</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.04844</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.04890</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
      <GeneralExplanation>OTHER INCOME INCLUDES AMOUNTS FROM SALES SHIPPING AND HANDLING, AND MAIL SHOP RECOVERY.</GeneralExplanation>
    </IRS990ScheduleA>
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        </ContributorNameBusiness>
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        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
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      <TotalOfBookValueLandBuildings>6595657</TotalOfBookValueLandBuildings>
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      <OtherLiabilities>
        <Description>INTEREST RATE SWAP OBLIGATION</Description>
        <Amount>810541</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO AGA, INC.</Description>
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      <NetUnrealizedGLOnInvestments>4319494</NetUnrealizedGLOnInvestments>
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      <TotalAdjustments>4450204</TotalAdjustments>
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      <TotRevenueEtcAuditedFinclStmt>37378958</TotRevenueEtcAuditedFinclStmt>
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      <RevenueNotRptdOnFinStmt>107321</RevenueNotRptdOnFinStmt>
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      <ExpensesSubtotal>16184918</ExpensesSubtotal>
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    </IRS990ScheduleD>
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        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>Grantmaking</TypeOfActivitiesConducted>
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      <TotalNumberOfOffices>0</TotalNumberOfOffices>
      <TotalNumberOfEmployees>0</TotalNumberOfEmployees>
      <TotalAmountSpent>7500</TotalAmountSpent>
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        <Region>East Asia/Pacific</Region>
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        <MannerOfCashDisbursement>CHECK</MannerOfCashDisbursement>
        <DescriptionOfNonCashAssistance>N/A</DescriptionOfNonCashAssistance>
        <MethodOfValuation>NONE</MethodOfValuation>
      </GrantsToOrgsOutsideUS>
      <TotalNumberOf501c3Orgs>0</TotalNumberOf501c3Orgs>
      <TotalNumberOfOtherOrgs>1</TotalNumberOfOtherOrgs>
      <Form990ScheduleFPartIV>
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        <Explanation>GRANTS AND AWARDS ARE AWARDED AND MONITORED BASED ON PROGRAM BUDGET AND GRANT STIPULATIONS, IF ANY. PROGRAM MANAGERS ARE RESPONSIBLE FOR MONITORING THE USE OF GRANT FUNDS.</Explanation>
      </Form990ScheduleFPartIV>
    </IRS990ScheduleF>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <NoGrantMoreThan5000>X</NoGrantMoreThan5000>
      <Form990ScheduleIPartIII>
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        <MethodOfValuation>none</MethodOfValuation>
        <DescriptionOfNonCashAssistance>n/a</DescriptionOfNonCashAssistance>
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        <Identifier>PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS</Identifier>
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        <Explanation>GRANTS AND AWARDS ARE AWARDED AND MONITORED BASED ON PROGRAM'S BUDGET AND GRANT STIPULATIONS, IF ANY. PROGRAM MANAGERS ARE RESPONSIBLE FOR MONITORING THE USE OF GRANT FUNDS.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
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      <IndependentConsultant>X</IndependentConsultant>
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      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>true</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
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      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
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        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
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      </Form990ScheduleJPartII>
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        <NamePerson>CHRISTINE CHARLIP</NamePerson>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
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        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JESSICA DUNCAN</NamePerson>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>30850</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>151532</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>SEVERANCE PAYMENT</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 4A</ReturnReference>
        <Explanation>ROBERT GREENBERG, FORMER EXECUTIVE VICE PRESIDENT, RECEIVED A SEVERANCE PAYMENT OF $418,968, OF WHICH $34,914 WAS PAID IN THE FISCAL YEAR ENDED MARCH 31, 2010, BY AMERICAN GASTROENTEROLOGICAL ASSOCIATION INSTITUTE.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
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          <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>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>6600000</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <AmountDefeased>0</AmountDefeased>
        <AmountUnspent>0</AmountUnspent>
        <IssuanceCostsFromProceeds>182934</IssuanceCostsFromProceeds>
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        <CapitalExpenditures>6417066</CapitalExpenditures>
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        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
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        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.02000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.02000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
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      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>true</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>WACHOVIA</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>14.</TermOfHedge>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
      <WorksOfArt />
      <ArtHistoricalTreasures />
      <ArtFractionalInterest />
      <BooksAndPublications />
      <ClothingAndHouseholdGoods />
      <CarsAndOtherVehicles />
      <BoatsAndPlanes />
      <IntellectualProperty />
      <SecuritiesPubliclyTraded>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>9666010</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR VALUE</MethodOfDeterminingRevenues>
      </SecuritiesPubliclyTraded>
      <SecuritiesCloselyHeldStock />
      <SecuritiesPrtnrshpTrustIntrsts />
      <SecuritiesMiscellaneous />
      <QualifiedContribHistStruct />
      <QualifiedContribOther />
      <RealEstateResidential />
      <RealEstateCommercial />
      <RealEstateOther />
      <Collectibles />
      <FoodInventory />
      <DrugsAndMedicalSupplies />
      <Taxidermy />
      <HistoricalArtifacts />
      <ScientificSpecimens />
      <ArchaeologicalArtifacts />
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>NET ASSETS</Description>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>612036</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR VALUE</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <NumberOf8283Received>0</NumberOf8283Received>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>false</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
      <Form990ScheduleMPartII>
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        <ReturnReference>PART I LINE 25 - NET ASSETS</ReturnReference>
        <Explanation>EFFECTIVE MARCH 31, 2010, FOUNDATION FOR DIGESTIVE HEALTH AND NUTRITION CEASED OPERATIONS AND WAS MERGED INTO AMERICAN GASTROENTEROLOGICAL ASSOCIATION INSTITUTE, RESULTING IN A TRANSFER OF CASH, INVESTMENTS, PLEDGES RECEIVABLE AND LIABILITIES.</Explanation>
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    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>MONITOR AND ENFORCEMENT OF CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>PART VI, LINE 12C</ReturnReference>
        <Explanation>THE GOVERNING BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM QUARTERLY TO DISCLOSE ANY CONFLICTS THAT MAY ARISE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>TOP MANAGEMENT OFFICIAL COMPENSATION</Identifier>
        <ReturnReference>PART VI, LINE 15A AND 15B</ReturnReference>
        <Explanation>THE EXECUTIVE COMPENSATION COMMITTEE MEETS ANNUALLY TO DISCUSS THE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL, AS WELL AS THE CFO/COO AND THE SENIOR VP AND GENERAL COUNSEL.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZING DOCUMENTS</Identifier>
        <ReturnReference>PART VI, 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>MEMBERS OF THE ORGANIZATION</Identifier>
        <ReturnReference>PART VI, LINE 6</ReturnReference>
        <Explanation>THE SOLE MEMBER OF THE ORGANIZATION IS AMERICAN GASTROENTEROLOGICAL ASSOCIATION INC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MEMBER ELECTION OF GOVERNING BOARD</Identifier>
        <ReturnReference>PART VI, LINE 7A</ReturnReference>
        <Explanation>THE NOMINATING COMMITTEE MEETS ANNUALLY TO REVIEW THE NOMINATIONS OF MEMBERS OF THE GOVERNING BODY. MEMBERS THEN CAST BALLOTS FOR THE ELECTION OF THE GOVERNING BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AUDITED FINANCIAL STATEMENTS</Identifier>
        <ReturnReference>PART XI, LINE 2b</ReturnReference>
        <Explanation>AGAI'S FINANCIAL STATEMENTS WERE AUDITED ON A CONSOLIDATED BASIS WITH ITS PARENT ORGANIZATION, AMERICAN GASTROENTEROLOGICAL ASSOCIATION INC., AND AFFILIATE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AVERAGE HOURS PER WEEK</Identifier>
        <ReturnReference>PART VII, SECTION A</ReturnReference>
        <Explanation>ROBERT GREENBERG, LYNN ROBINSON, AND TOM SERENA SPENT AN AVERAGE OF 20 HOURS PER WEEK ON AMERICAN GASTROENTEROLOGICAL ASSOCIATION INSTITUTE AND 17.5 HOURS PER WEEK ON RELATED ENTITIES.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
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          <BusinessNameLine1>FDTN FOR DIGESTIVE HEALTH AND NUTRITION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4930 DEL RAY AVENUE</AddressLine1>
          <City>BETHESDA</City>
          <State>MD</State>
          <ZIPCode>20814</ZIPCode>
        </AddressUS>
        <EIN>521764955</EIN>
        <PrimaryActivities>GRANTMAKING</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11A; TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>AMERICAN GASTROENTEROLOGICAL ASSN INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4930 DEL RAY AVENUE</AddressLine1>
          <City>BETHESDA</City>
          <State>MD</State>
          <ZIPCode>20814</ZIPCode>
        </AddressUS>
        <EIN>202986410</EIN>
        <PrimaryActivities>MEMBERSHIP</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(6)</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>DDW LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>4930 DEL RAY AVENUE</AddressLine1>
          <City>BETHESDA</City>
          <State>MD</State>
          <ZIPCode>20814</ZIPCode>
        </AddressUS>
        <EIN>222279199</EIN>
        <PrimaryActivity>ANNUAL CONFERENCE</PrimaryActivity>
        <LegalDomicileState>DE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>2283588</ShareOfTotalIncome>
        <ShareOfEOYAssets>613708</ShareOfEOYAssets>
        <DisproportionateAllocations>true</DisproportionateAllocations>
        <CodeVAmount>119408</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>AMERICAN GASTROENTEROLOGICAL ASSN INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>305714</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>AMERICAN GASTROENTEROLOGICAL ASSN INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>502509</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>AMERICAN GASTROENTEROLOGICAL ASSN INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>938555</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>AMERICAN GASTROENTEROLOGICAL ASSN INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>4800000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>