a brief background about the organization, but I do not see specific financial statements included.$$ Topic Duke University Health Systems $$

Articulate key managerial accounting principles in healthcare using appropriate terminology Determine financial impacts in healthcare by analyzing major forces affecting the delivery of health services Utilize financial statements to inform short$-$ and long$-$term strategic planning Craft high$-$level proposals that address budgeting consideration by justifying spending for healthcare services Prompt Your proposal report should answer the following prompt: Considering the major forces in healthcare today, what improvements or changes would you propose for your selected organization? How would your proposal add value to the organization, and what impact would your proposal have in terms of the financial and budgetary considerations? The proposal that you are creating may require you to address these aspects in a different order. Please organize your report in the manner that seems the most logical for your topic. Specifically, you must address the following rubric criteria: Introduction What are the major forces affecting the delivery of healthcare today? Discuss these forces and their corresponding impacts on today$$s healthcare environment. Impact of Forces: What healthcare service and delivery opportunities and challenges exist because of the forces discussed above? Define the challenges and opportunities that exist for today$$s healthcare leaders. Opportunities: Based on your analysis of the major forces, impacts, and opportunities provided, consider the specific organization that you selected. What opportunities exist for this organization, and how do these opportunities relate to the big$-$picture view of healthcare? Proposal: What is your proposal for addressing identified issues or improvements within your organization? In other words, what changes are you trying to incorporate in your selected organization? Financial and Budgetary Considerations Financial Statements: What financial statements will you utilize in making your proposal, and how will you use these statements? Proposal Impact: What impact will your proposal have on the organization$$s financial statements? Articulate the impact using appropriate terminology. Flexed Versus Fixed: How would your proposal be different if using a flexed budget versus a fixed budget? In other words, how would the use of one type of budget versus the other impact your proposal, and how would your proposal impact the budget? $($Evaluate the differences between a fixed and a flexed budget.$)$ Proposal Justification Ratio Selection: What ratios will you use to support your proposal and why? Select the ratio or ratios that would be the most appropriate.