The document outlines Tom's presentation on strategic issues facing the accounting industry. It includes a Porter's analysis of industry forces, a SWOT analysis of opportunities and threats, and discusses strengths and weaknesses internally. It also covers developing leadership thinking, the value profit chain concept, and the "4+2 formula" that identifies management practices of outperforming companies, including having a clear growth strategy, operational excellence, a performance-driven culture, and a flat organization. The challenge presented is for leaders to create the right climate, maximize value for all stakeholders, apply the pineapple concept of focus, and prioritize and take action on the 4+2 factors.