The S&P Healthcare Services Index increased 6.3% over the last month, outperforming the S&P 500, which increased 3.0% over the same period, according to the “August 2018 Healthcare Services Sector Update” from Duff & Phelps. Over the past month, the best performing sectors were: consumer-directed health/wellness (up 17.0%), government managed care (up 15.8%), and HCIT (up 13.0%). The poorest performing sectors were: specialty managed care (down 9.1%), hospital vendors (down 6.5%), and healthcare staffing (down 4.9%). The current average LTM revenue and LTM EBITDA multiples for the healthcare services industry overall are 2.42x and 15.4x, respectively.