The S&P Healthcare Services Index decreased 0.9% over the last month, underperforming the S&P 500, which remained flat over the same period, according to the March 2017 Healthcare Services Sector Update from Duff & Phelps.

The best performing sectors were emergency services (up 12.0%), care management/TPA (up 4.9%), and HCIT (up 4.1%). The poorest performing sectors were healthcare staffing (down 9.9%), assisted living/independent living (down 8.1%) and pharmacy management (down 6.1%). The current average LTM revenue and LTM EBITDA multiples for the healthcare services industry overall are 2.3x and 13.1x, respectively.