The S&P Healthcare Services Index has increased by 12% over the last three months, outperforming the S&P 500 (a 0.9% increase over the same period), according to the August 2015 Healthcare Sector Update from Duff & Phelps. The best performing sectors were emergency services (up 29.7%) and specialty managed care (up 18.3%). The worst performing sectors were diagnostic imaging (down 20.2%) and care management/TPA (down 10.6%).

The current median LTM revenue and LTM EBITDA multiples for the healthcare services industry overall are 1.7x and 12.6x, respectively. The sectors with the highest valuation multiples include: consumer-directed health and wellness (4.2x LTM Revenue, 23.5x LTM EBITDA), HCIT (3.7x LTM Revenue, 21.7x LTM EBITDA), and emergency services (3.5x LTM Revenue, 25.5x LTM EBITDA).