Specifications include, but are not limited to: 1. Prepare a detailed analysis of current and future healthcare trends within the Midwest and across other regional academic medical centers to include emerging technologies, care model innovations, and management / operating structures. 2. Conduct an in-depth market analysis of the current and future healthcare landscape in Iowa (by region) to include analysis of payer / employer objectives, market utilization and unmet need, as well as demand for UIHC and other providers’ services. 3. Conduct a strengths and weaknesses assessment of the UIHC clinical enterprise (overall and by service line) to include comparative customer experience and access, differential quality and reliability, efficiency and capacity, as well as agility / capabilities to manage change.