Team Health Holdings Inc. (NYSE: TMH), a clinical outsourcing provider in healthcare, reported fourth-quarter net revenue rose 23.9% to $979.6 million. Team Health operates healthcare staffing firm D&Y among its other business operations.

Acquisitions contributed 19.5%, same-contract revenue contributed 3.6%, and net sales growth contributed 0.8% of the increase in net revenue growth. Within the acquisitions category, new hospital contracting opportunities that were initially developed by the company’s sales and marketing process contributed 4.2% of overall net revenue growth between quarters. 

“In the fourth quarter, our emergency medicine business experienced a mild start to the flu season coupled with strong volume comps from the prior year,” said President and CEO Mike Snow. “Despite these issues, we were able to deliver solid revenue and adjusted EBITDA growth in the fourth quarter through our balanced and integrated approach and focus on cost efficiency.”

Net loss attributable to Team Health was $9.7 million in the fourth quarter compared to net earnings of $16.1 million for the same quarter year prior.

Financial results for the fourth quarter of 2015 included contingent purchase and other acquisition compensation expense of $5.1 million ($4.7 million after-tax), non-cash amortization expense of $21.5 million ($15.6 million after-tax), transaction and integration costs related to the IPC Healthcare Inc. acquisition of $49.1 million ($34.7 million after tax). Excluding these items, net earnings for the fourth quarter of 2015 would have been $45.2 million.

For full-year 2015, Team Health reported net revenue rose 27.6% to $3.60 billion.