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Cleveland can attribute its successful economy to being located on Lake Erie and the Cuyahoga River. This port sees between 12 to 15 million tons of cargo each year, providing residents with many employment opportunities. Cleveland's reputation for being one of the top locations for the manufacturing industry is true. However, the city has worked hard to diversify its economy by adding many service-based industries. Cleveland's largest employer is Cleveland Clinic. This world famous hospital, along with the University Hospitals of Cleveland and MetroHealth, has pushed Cleveland to the top of the list as a leader in healthcare and health sciences. The medical community alone employs upward of 90,000 residents.