OH.02Ohio · Northeast Ohio
Consulting in Cleveland
Cleveland's modern economy runs through the Cleveland Clinic — a health system whose reach is global and whose gravity bends the whole region toward medicine. Around it sit University Hospitals, a biomedical startup corridor, headquarters like Sherwin-Williams and Progressive, KeyCorp's banking base, and a manufacturing hinterland in polymers, metals, and machinery that never stopped making things.
The local terrain
What actually drives Cleveland.
Healthcare is Cleveland's export: the Clinic and University Hospitals draw patients internationally, employ at regional-anchor scale, and seed a biomedical device and health-tech ecosystem through their innovation arms. The corporate layer is stronger than outsiders assume — Sherwin-Williams in coatings, Progressive in insurance, KeyCorp in banking — and Northeast Ohio's manufacturing base spans polymers around Akron, precision metals, and industrial machinery, much of it mid-market and family-held.
Two strategy problems dominate. Health systems and their suppliers face margin pressure that makes operating-model and AI decisions urgent rather than optional. And the manufacturing mid-market faces succession, automation, and reshoring questions at the same time — decisions about the next twenty years being made by companies that survived the last fifty. Praxis works both: transformation with a compliance spine for the medical economy, and honest strategy for manufacturers deciding what to become next.
- Economic anchors
- Cleveland Clinic & University Hospitals — global medical draw
- Coatings, insurance & banking headquarters
- Polymers, metals & machinery mid-market
- Biomedical & health-tech startup corridor
- Metro
- Northeast Ohio
- Taxonomy
- OH.02
- Engagement
- Remote + on-site
A note on how we work in Cleveland. Praxis is an independent, service-area advisory practice led by Evan Dang — we work with Cleveland companies remotely and on-site as an engagement requires, and we keep no walk-in office in the city. What you engage is the thinking and the work, delivered where the decisions are made.
The sectors that matter here
Where the local economy concentrates.
These are the industries that carry the weight in Cleveland. Each has its own practice at Praxis — its strategic terrain, the services that fit it, and an honest FAQ.
- 01Health systems & biomedicalThe region's export industry — systems, suppliers, and the device ecosystem seeded around them.Healthcare & Medical practice
- 02Insurance & bankingHeadquarters-scale insurers and banks navigating pricing, technology, and talent shifts.Finance & Insurance practice
- 03Industrial & manufacturing baseA mid-market spine in polymers, metals, and machinery facing automation and succession at once.Construction practice
Where we start
The services that fit Cleveland.
- View service
Digital transformation
Operating-model redesign for health systems and insurers where margin pressure has ended patience with pilots.
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AI implementation consulting
Applied AI in claims, clinical operations, and the plant floor — judged on payback.
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Change management
Carrying century-old institutions through transitions their cultures were not built for.
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Strategy consulting
Direction for mid-market manufacturers choosing among automation, sale, and reinvention.
Questions
Working with us in Cleveland.
- Do you work with hospital systems or their suppliers?
- Both. For systems: operating-model, AI, and transformation work under real margin pressure. For the device and health-tech companies around them: strategy, commercialization, and the compliance discipline that healthcare revenue requires. Cleveland's medical economy is deep enough to need both kinds of help.
- What about family-held manufacturers in Northeast Ohio?
- A core fit. The questions we see are succession and direction: whether to automate, acquire, sell, or refocus — decided with honest numbers rather than sentiment. We bring the outside analysis and stay through the execution, and we'll say plainly if the best answer is the unglamorous one.
Bring us a decision in Cleveland.
A first conversation is a scoping conversation — no obligation, no packaged pitch. Tell us what you're deciding, and we'll tell you honestly whether we're the right firm for it.
No obligation · a scoping conversation first