LOOK BACK GLOBAL CENTER FOR HEALTH INNOVATION Born as a medical mart, the center continues its search for an identity. PAGE 27
CRAINSCLEVELAND.COM I AUGUST 17, 2020
LAW
Largest law firm in NEO? Stay tuned Smaller regionals gain on BigLaw peers BY JEREMY NOBILE
HEALTH CARE
DELAYS IN CARE WILL BE COSTLY The Cleveland Clinic, like other hospitals, has implemented a series of safety measures, including masking, increasing hand sanitizer, symptom screenings and temperature checks, for those entering its facilities. | CLEVELAND CLINIC
As hospitals’ volumes return, leaders are still urging patients to seek needed treatments BY LYDIA COUTRÉ | After significant drops in patient volumes in mid-March and April under a state mandate to postpone nonessential surgeries and procedures, health systems are working to help patients understand that it is safe and important that they return for care. The Cleveland Clinic’s patient volumes have climbed to about 85% of previous levels in January and February. University Hospitals reports that it’s pretty much back to its budgeted patient levels. And Summa Health is between 90% and 100% of its preCOVID-19 volumes across services.
As hospitals encourage patients to return, they’re seeing a concerning pattern of patients continuing to defer care or returning after delayed care with more severe issues. “That’s really what is going to be the much higher price than COVID in the long run,” said Dr. Beri Ridgeway, associate chief of staff for the Clinic. See PATIENTS on Page 26
“(DEFERRED CARE) IS REALLY WHAT IS GOING TO BE THE MUCH HIGHER PRICE THAN COVID IN THE LONG RUN.” — Dr. Beri Ridgeway, Cleveland Clinic associate chief of staff
SPORTS BUSINESS
Spire poised to capitalize on college timeouts Geneva complex’s new ownership is recruiting athletes whose seasons are paused BY KEVIN KLEPS
It was almost mid-August, and the only signs of the five dorms that would soon be located on the grounds of Spire Institute and Academy were foundations that had been laid and huge piles of dirt that had been dug behind the aquatics center. “We have a fair bit to do in the
next three weeks,” said Rich Odell, Spire’s co-managing director. Starting on Monday, Aug. 17, the five dorms — each 2,360 square feet and manufactured in Sugarcreek by Skyline Homes — will be delivered and installed in a matter of hours. By Aug. 18, three of the five buildings should be set and ready for inspections. That’s good, since students at Spire’s boarding
academy will begin to arrive on Aug. 28 and start school three days later. The blur of activity on the massive campus in Geneva has been a constant since Axxella, a Baltimore investment firm that’s a subsidiary of Blue Ocean, announced the acquisition of Spire in December. See SPIRE on Page 26
The foundations have been laid for new dorms that will be installed at Spire this week. | KEVIN KLEPS/CRAIN’S
VOL. 41, NO. 30 l COPYRIGHT 2020 CRAIN COMMUNICATIONS INC. l ALL RIGHTS RESERVED
Global BigLaw firm Jones Day has grown into a dominating presence in the Cleveland legal market since its founding nearly 130 years ago, yet it’s ceding ground to smaller regionals growing bigger in the local market while it shrinks. To be fair, owning the title of the largest firm in any given market — especially those outside marquee regions like New York and Washington, D.C. — is not incredibly important to most firms. In a tech-enabled and interconnected business world, the location in which an attorney is based is less relevant than it was decades ago. And most firms don’t hire people exclusively for the sake of growth. Even if no one is overtly aspiring to be the largest firm in Cleveland, the patterns in firms growing or shrinking indicate there may soon be a new largest firm in town, which speaks to the evolving business of law. Jones Day remains the largest firm in Northeast Ohio in 2020 with 172 in-market lawyers, according to the Crain’s law firm list. It’s followed by BigLaw firm BakerHostetler (160 lawyers) and Cleveland-based regionals Benesch (146 lawyers) and Tucker Ellis LLP (142 lawyers). Jones Day’s Cleveland office has shed lawyers at a rate of about nine a year since 2010, when its in-market bench was 236 lawyers deep, a decrease since that peak of 26%. Firmwide, Jones Day reports more than 2,500 attorneys in total, the same it reported in 2010. Baker’s peak in Cleveland in the past decade was at 193 lawyers in 2012. It reports 978 firmwide attorneys today. Its local office has decreased 17% since that high-water mark, while its total attorneys has increased 49% during the same time. Benesch and Tucker report firmwide attorneys of 259 and 223, respectively. Both have grown in Cleveland more than 40% compared to their sizes 10 years ago. See LAW FIRMS on Page 25
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