The S&P Healthcare Services Index declined 1.9% over the last month, but outperformed the S&P 500, which declined 2.7% over the same period, according to the March 2018 Healthcare Services Sector Update from Duff & Phelps. Over the past month: The best performing sectors were specialty managed care (up 7.0%), home health/hospice (up 5.7%) and behavioral health (up 5.0%). The poorest performing sectors were pharmacy management (down 8.4%), distribution (down 7.1%) and commercial managed care (down 6.0%). The current average LTM revenue and LTM EBITDA multiples for the healthcare services industry overall are 2.13x and 13.9x, respectively.