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        <ReportableCompFromOrgAmt>10000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VIJAY SHAH MD PHD FAASLD</PersonNm>
        <TitleTxt>SECRETARY/TREASURER UNTIL 5/23</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PRATEEK SHARMA MD FASGE</PersonNm>
        <TitleTxt>SECRETARY/TREASURER AS OF 5/23</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS SERENA</PersonNm>
        <TitleTxt>CEO (SEE SCH. O)</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER BLUHM</PersonNm>
        <TitleTxt>SR. VICE PRESIDENT (SEE SCH. O)</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>10000</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>0</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>0</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>0</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AMERICAN GASTROENTEROLOGICAL ASSOCIATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4930 DEL RAY AVENUE</AddressLine1Txt>
            <CityNm>BETHESDA</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>20814</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MANAGEMENT FEES</ServicesDesc>
        <CompensationAmt>1684968</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SMART CITY NETWORKS LP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5795 W BADURA AVE STE 100</AddressLine1Txt>
            <CityNm>LAS VEGAS</CityNm>
            <StateAbbreviationCd>NV</StateAbbreviationCd>
            <ZIPCd>89118</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TECHNOLOGY</ServicesDesc>
        <CompensationAmt>187649</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CLARIVATE ANALYTICS (US) LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 3772</AddressLine1Txt>
            <CityNm>CAROL STREAM</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60132</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ADMINISTRATION OF ABSTRACT SUBMISSIONS</ServicesDesc>
        <CompensationAmt>116718</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ACTION FIGURES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>870 MARKET ST STE 917</AddressLine1Txt>
            <CityNm>SAN FRANCISCO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94102</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONVENTION STAFFING</ServicesDesc>
        <CompensationAmt>111676</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>CONFERENCE EXHIBITS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>7513971</TotalRevenueColumnAmt>
        <ExclusionAmt>7513971</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>REGISTRATION FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>4916321</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4916321</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ANCILLARY SERVICES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1330750</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1235000</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>4788</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>90962</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONFERENCE ADMINISTRATION</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1017330</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>885997</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>6567</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>124766</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>EDUCATION</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>563910</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>563910</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>15342282</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>184648</TotalRevenueColumnAmt>
        <ExclusionAmt>184648</ExclusionAmt>
      </InvestmentIncomeGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>215125</TotalRevenueColumnAmt>
        <ExclusionAmt>215125</ExclusionAmt>
      </RoyaltiesRevenueGrp>
      <OtherRevenueMiscGrp>
        <Desc>MAIL LIST RENTAL</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>32250</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>32250</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>32250</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>15774305</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7601228</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>43605</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>8129472</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>19000</TotalAmt>
        <ProgramServicesAmt>19000</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>7500</TotalAmt>
        <ManagementAndGeneralAmt>7500</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>1684968</TotalAmt>
        <ProgramServicesAmt>1580411</ProgramServicesAmt>
        <ManagementAndGeneralAmt>104557</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>303</TotalAmt>
        <ManagementAndGeneralAmt>303</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>18375</TotalAmt>
        <ManagementAndGeneralAmt>18375</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1284355</TotalAmt>
        <ProgramServicesAmt>1070790</ProgramServicesAmt>
        <ManagementAndGeneralAmt>213565</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>238454</TotalAmt>
        <ProgramServicesAmt>166267</ProgramServicesAmt>
        <ManagementAndGeneralAmt>72187</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>577846</TotalAmt>
        <ProgramServicesAmt>490900</ProgramServicesAmt>
        <ManagementAndGeneralAmt>86946</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>2338</TotalAmt>
        <ProgramServicesAmt>2338</ProgramServicesAmt>
      </InformationTechnologyGrp>
      <TravelGrp>
        <TotalAmt>57399</TotalAmt>
        <ProgramServicesAmt>35028</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22371</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>3417474</TotalAmt>
        <ProgramServicesAmt>3402827</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14647</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InsuranceGrp>
        <TotalAmt>13413</TotalAmt>
        <ManagementAndGeneralAmt>13413</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>UBI TAXES</Desc>
        <TotalAmt>8844</TotalAmt>
        <ManagementAndGeneralAmt>8844</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS EXPENSES</Desc>
        <TotalAmt>4279</TotalAmt>
        <ProgramServicesAmt>3954</ProgramServicesAmt>
        <ManagementAndGeneralAmt>325</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>7334548</TotalAmt>
        <ProgramServicesAmt>6771515</ProgramServicesAmt>
        <ManagementAndGeneralAmt>563033</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>3704509</BOYAmt>
        <EOYAmt>6325145</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>362478</BOYAmt>
        <EOYAmt>490291</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>123524</BOYAmt>
        <EOYAmt>133348</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>127749</BOYAmt>
        <EOYAmt>132612</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>4318260</BOYAmt>
        <EOYAmt>7081396</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>499077</BOYAmt>
        <EOYAmt>1173748</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>1336840</BOYAmt>
        <EOYAmt>1578026</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>2482343</BOYAmt>
        <EOYAmt>4329622</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>4318260</BOYAmt>
        <EOYAmt>7081396</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>4318260</BOYAmt>
        <EOYAmt>7081396</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>8439757</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-8439757</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>12595952</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>625750</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7894209</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12800987</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7601228</CurrentTaxYearAmt>
        <TotalAmt>41518126</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <GrossReceiptsNonUnrltBusGrp>
        <CurrentTaxYearAmt>7729699</CurrentTaxYearAmt>
        <TotalAmt>7729699</TotalAmt>
      </GrossReceiptsNonUnrltBusGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>12595952</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>625750</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7894209</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12800987</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15330927</CurrentTaxYearAmt>
        <TotalAmt>49247825</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <CurrentTaxYearMinus4YearsAmt>1139617</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>59354</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>819654</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2990667</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7070617</CurrentTaxYearAmt>
        <TotalAmt>12079909</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>1139617</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>59354</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>819654</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2990667</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7070617</CurrentTaxYearAmt>
        <TotalAmt>12079909</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>37167916</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>214874</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>140874</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>134067</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>123815</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>399773</CurrentTaxYearAmt>
        <TotalAmt>1013403</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>214874</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>140874</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>134067</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>123815</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>399773</CurrentTaxYearAmt>
        <TotalAmt>1013403</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <NetIncomeFromOtherUBIGrp>
        <CurrentTaxYearMinus4YearsAmt>45689</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5401</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>12078</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>41396</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>43605</CurrentTaxYearAmt>
        <TotalAmt>148169</TotalAmt>
      </NetIncomeFromOtherUBIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>208835</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>20489</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9592420</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>213276</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>10035020</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>13065350</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>792514</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>17632774</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>13179474</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15774305</CurrentTaxYearAmt>
        <TotalAmt>60444417</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.61490</PublicSupportCY509Pct>
      <InvestmentIncomeCYPct>0.01680</InvestmentIncomeCYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
      <TotalBookValueLandBuildingsAmt>0</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO MEMBER SOCIETIES</Desc>
        <Amt>880122</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>PAYABLE TO MEMBER SOCIETIES</Desc>
        <Amt>3449500</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>4329622</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>15774305</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>15774305</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>15774305</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>7334548</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>7334548</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>7334548</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>DDW EVALUATED ITS UNCERTAINTY IN INCOME TAXES FOR THE YEARS ENDED AUGUST 31, 2023 AND 2022 AND DETERMINED THAT THERE WERE NO MATTERS THAT WOULD REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS, OR THAT MAY HAVE ANY EFFECT ON ITS TAX-EXEMPT STATUS; AND THERE ARE CURRENTLY NO EXAMINATIONS PENDING OR IN PROGRESS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>SCIENTIFIC AWARDS</GrantTypeTxt>
        <RecipientCnt>19</RecipientCnt>
        <CashGrantAmt>19000</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>AWARDS ARE ISSUED THROUGH AN APPLICATION PROCESS THAT INCLUDES ELIGIBILITY QUESTIONS. A SELECTION COMMITTEE COMPOSED OF MEMBERS FROM ALL FOUR MEMBER ASSOCIATIONS REVIEWS APPLICATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>DDW HAS AN EXECUTIVE COMMITTEE, WHICH IS COMPOSED OF THE PRESIDENT OF EACH MEMBER SOCIETY (OR, IF THE PRESIDENT OF A MEMBER SOCIETY IS NOT A REPRESENTATIVE ON THE DDW COUNCIL, A REPRESENTATIVE ON THE DDW COUNCIL DESIGNATED BY THE PRESIDENT OF THAT MEMBER SOCIETY) AND THE CHAIR (AS A NON-VOTING MEMBER). THE SECRETARY/TREASURER SHALL NOT BE A MEMBER OF THE EXECUTIVE COMMITTEE, BUT MAY BE INVITED AT THE DISCRETION OF THE CHAIR TO PARTICIPATE IN EXECUTIVE COMMITTEE DELIBERATIONS FROM TIME TO TIME. THE EXECUTIVE COMMITTEE MAY EXERCISE ALL OF THE POWERS AND AUTHORITY OF THE DDW COUNCIL IN THE MANAGEMENT AND THE BUSINESS OF THE COMPANY BETWEEN MEETINGS OF THE DDW COUNCIL. BY A MAJORITY VOTE OF THE REPRESENTATIVES OF THE DDW COUNCIL, THE DDW COUNCIL MAY AT ANY TIME REVOKE OR MODIFY ANY OR ALL OF THE EXECUTIVE COMMITTEE AUTHORITY SO DELEGATED. THE EXECUTIVE COMMITTEE KEEPS REGULAR MINUTES OF ITS PROCEEDINGS, CAUSES THEM TO BE FILED WITH THE CORPORATE RECORDS, AND REPORTS TO THE DDW COUNCIL FROM TIME TO TIME AS THE DDW COUNCIL MAY REQUIRE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>AMERICAN GASTROENTEROLOGICAL ASSOCIATION INSTITUTE (AGAI), ONE OF THE FOUR MEMBERS OF DDW, MANAGES THE CONFERENCE AND IS COMPENSATED THROUGH A MANAGEMENT FEE. SEE FORM 990, PART VII, SECTION B. PER ARRANGEMENT, AGAI PROVIDES SERVICES OF CEO AND SENIOR VICE PRESIDENT TO PROVIDE EXECUTIVE LEVEL MANAGEMENT SERVICES TO DDW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>DDW, LLC WAS CREATED BY FOUR NON-PROFIT MEDICAL SOCIETIES EXEMPT UNDER IRC SECTION 501(C)(3): THE AMERICAN ASSOCIATION FOR THE STUDY OF LIVER DISEASES, THE AMERICAN GASTROENTEROLOGICAL ASSOCIATION INSTITUTE, THE AMERICAN SOCIETY FOR GASTROINTESTINAL ENDOSCOPY, AND THE SOCIETY FOR SURGERY OF THE ALIMENTARY TRACT. THESE FOUR SOCIETIES ARE THE SOLE MEMBERS OF DDW, AND ALL HAVE EQUAL VOTING RIGHTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT OF DDW IS VESTED IN THE DDW COUNCIL, WHICH CONSISTS OF 12 VOTING REPRESENTATIVES PLUS TWO NON-VOTING REPRESENTATIVES (THE CHAIR AND THE SECRETARY-TREASURER). THE FOUR MEMBER SOCIETIES OF DDW EACH ELECT THREE MEMBERS TO THE DDW COUNCIL. EACH COUNCIL REPRESENTATIVE WILL SERVE FOR NO LESS THAN 2 YEARS, AND CAN BE REMOVED AT ANY TIME, WITH OR WITHOUT CAUSE. ANY VACANCIES ON THE COUNCIL ARE FILLED BY THE MEMBER SOCIETY THAT APPOINTED THE REMOVED REPRESENTATIVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY A THIRD PARTY BASED ON INFORMATION FROM DDW MANAGEMENT. DDW MANAGEMENT REVIEWS THE FORM 990 AND ADDRESSES QUESTIONS PRIOR TO FILING. ALL MEMBER SOCIETIES RECEIVE A COPY OF THE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESIGN AND GRAPHICS: PROGRAM SERVICE EXPENSES 30,694. MANAGEMENT AND GENERAL EXPENSES 153,033. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 183,727. ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 26,914. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,914. OTHER CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 895,835. MANAGEMENT AND GENERAL EXPENSES 60,532. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 956,367. TEMP AGENCY: PROGRAM SERVICE EXPENSES 117,347. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 117,347.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALLOCATIONS TO SPONSORING ORGANIZATIONS -8,439,757.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
