Almost exactly a year ago, TeamHealth Holdings, a provider of physician outsourcing services, rebuffed a takeover offer from its rival AmSurg for nearly $8 billion, saying the proposed valuation was too low.

Shareholders balked, and the stock price tumbled. Now, TeamHealth has finally agreed to be sold, but at a large discount to that offer, which was made Nov. 2, 2015.

This time, TeamHealth agreed to be sold to funds associated with the Blackstone Group for about $6.1 billion, including debt, according to a news release Monday.

Under the terms of Monday’s agreement, Blackstone will acquire TeamHealth for $43.50 a share in cash, representing an equity value of about $3.2 billion.