Ancillary Cases and Teaching Notes
Case A10: Cleveland Clinic
For years, Ohio’s Cleveland Clinic has ranked with the top world–class providers of medical care. It pioneered
coronary bypass surgery and developed the first kidney dialysis machine. King Hussein of Jordan used the
clinic, as does the royal family of Saudi Arabia.
Big-name health care institutions like the Cleveland Clinic are after new markets for their state-of-the-art
medical care, and are posing a new threat to local physicians. The expansions are also disrupting
traditional relationships between physicians and their patients, physicians and their hospitals, and
physicians and their fellow physicians.
When the Cleveland Clinic opened an outpatient clinic in South Florida, a war broke out. In a full-page
advertisement in the Miami Herald, Dr. Seropian, a local physician, pulled out the stops. He likened the
clinic to dingoes (wild Australian dogs) that roam the bush, eating every kind of prey. The clinic filed suit
in federal district court in Fort Lauderdale, charging, among other things, that some physicians had
conspired to hamper its entry into Broward County.
Famous medical institutions like the Cleveland Clinic and Mayo are victims of their own success. Many
of the once-exotic procedures that they invented are now routinely available across the country, reducing
patients’ need to travel to the medical meccas. For instance, the Cleveland Clinic might once have had a
hold on coronary bypass surgery, but no more. In 2000, more than 350,000 patients had the operation at
hospitals throughout the United States.
Discussion Questions
1. Compare the Cleveland Clinic to traditional retailers.
2. What was its retail mix?
3. What factors in its environment resulted in it changing its retail mix?