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      <Form990PartVIISectionAGrp>
        <PersonNm>TITUS SHEERS</PersonNm>
        <TitleTxt>BOARD MEMBER BEGINNING 12-21-16</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ELENI MANOUSOGIANNAKIS</PersonNm>
        <TitleTxt>COO</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES J DHYANCHAND</PersonNm>
        <TitleTxt>CMO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HARRY PETERSON</PersonNm>
        <TitleTxt>CFO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER J RICHARDSON</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VIKIL K GIRDHAR</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EDWARD D SCOTT</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANN M GRANEY</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MOLLY M BEUTEL</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALEJANDRO L ADORNO</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <TotalReportableCompFromOrgAmt>1062001</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
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      <IndivRcvdGreaterThan100KCnt>11</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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          <BusinessName>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NORTHEAST OHIO MEDICAL UNIVERSITY</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>QUALITY IP</BusinessNameLine1Txt>
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          <USAddress>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1331521</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1146567</DepreciationAmt>
        <BookValueAmt>184954</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1415127</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>842389</DepreciationAmt>
        <BookValueAmt>572738</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>542443</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>348202</DepreciationAmt>
        <BookValueAmt>194241</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>951933</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>11883720</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>19876</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>110056</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>129932</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>11753788</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>36762</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>36762</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>11790550</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>10360991</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>110056</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>110056</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>10250935</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>36762</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>36762</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>10287697</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>TAX STATUS - THE ORGANIZATION IS A NONPROFIT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). ACCORDINGLY, NO PROVISION FOR FEDERAL INCOME TAX HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE ORGANIZATION IS NOT CLASSIFIED AS A PRIVATE FOUNDATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>INVESTMENT MANAGEMENT FEES 13,376. MISCELLANEOUS 23,386.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>INVESTMENT MANAGEMENT FEES 13,376. MISCELLANEOUS 23,386.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHARLES J DHYANCHAND</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>158810</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16860</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>175670</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EDWARD D SCOTT</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <BaseCompensationFilingOrgAmt>131973</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19884</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>151857</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT REVIEWS A COPY OF THE FORM 990 BEFORE THE RETURN IS FILED. IN ADDITION, FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE FOR COMPLETENESS AND ACCURACY. THE FINANCE COMMITTEE PROVIDES RECOMMENDATIONS TO THE BOARD OF DIRECTORS BASED ON THEIR REVIEW. THE BOARD OF DIRECTORS VOTES ON THE RECOMMENDATIONS AND MAKES ANY NECESSARY CHANGES TO THE FORM BEFORE IT IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>API OFFICERS, DIRECTORS AND EMPLOYEES ARE PROVIDED WITH THE CONFLICT OF INTEREST POLICY ANNUALLY. EACH INDIVIDUAL MUST SIGN AN AFFIDAVIT ACKNOWLEDGING THAT THEY HAVE READ AND UNDERSTOOD THE CONFLICT OF INTEREST POLICY. EACH INDIVIDUAL IS REQUIRED TO DISCLOSE ANY CONFLICTS THAT MAY ARISE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR DETERMINING THE COMPENSATION OF THE CEO INCLUDES AN ANNUAL REVIEW BY THE BOARD OF DIRECTORS. THE COMPENSATION OF THE CFO AND COO IS REVIEWED AND APPROVED BY THE CEO. COMPENSATION OF ALL OTHER EMPLOYEES IS REVIEWED BY THEIR DEPARTMENT DIRECTOR. ANNUAL COMPENSATION IS DETERMINED BY COMPARABLE COMPENSATION DATA FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTANTS AND CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 1,436,449. MANAGEMENT AND GENERAL EXPENSES 663,540. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,099,989.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCE COMMITTEE, WHICH CONSISTS OF FIVE BOARD MEMBERS OF API, IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR.</ExplanationTxt>
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    </IRS990ScheduleO>
  </ReturnData>
</Return>