For the last 5 years, FOCUS and other industry observers have been reporting on a continual increase in Consolidator acquisitions. Looking back at the year 2016, it appears the total number of MSO and single shops acquired by the Big Four Consolidators has peaked. From 2012 through the end of 2015, the number of shops acquired by the Big Four accelerated year over year over year even as the percentage growth rate slowed. But in 2016 the total number of new shops acquired or opened slowed dramatically – down by 40%! In 2017 the decline seems to be even greater.