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8-K - 8-K - TRIPLE-S MANAGEMENT CORPbrhc10016717_8k.htm

Exhibit 99.1


 
Triple-S Management Corporation
 
1441 F.D. Roosevelt Ave.
 
San Juan, PR 00920
 
www.triplesmanagement.com
 
FOR FURTHER INFORMATION:
 
   
AT THE COMPANY:
INVESTOR RELATIONS:
Juan José Román-Jiménez
Mr. Garrett Edson
EVP and Chief Financial Officer
ICR
(787) 749-4949
(787) 792-6488

Triple-S Management Corporation Reports Third Quarter 2020 Results

SAN JUAN, Puerto Rico, November 6, 2020 – Triple-S Management Corporation (NYSE:GTS), a leading healthcare care company in Puerto Rico, today announced its third quarter 2020 results.

“Our strong third quarter performance reflects ongoing, improved performance resulting from our operational focus and enhanced organizational capabilities,” said Roberto Garcia-Rodriguez, President and Chief Executive Officer. “This has led to sustained membership momentum and premium growth in a difficult environment, particularly in the government markets sector. Continuing this momentum, we are delivering a very competitive Medicare Advantage product for this year’s open enrollment period.  Like most of our peer managed care companies, we have also experienced lower than planned utilization due to the impact of the ongoing pandemic.

“I am proud of our people, who continue to support our customers, providers and communities. Through their efforts, we are helping our members handle their medical needs safely and partnering with our providers and community organizations to assist our seniors and most vulnerable members during this challenging time.

“As we look to 2021 and beyond, we aim to be the preeminent healthcare company in Puerto Rico by delivering seamless holistic care through innovative models, state of the art technology and service excellence, in partnership with our providers.”

Third Quarter 2020 Consolidated Results and Other Highlights


Net income of $23.6 million, or $1.02 per diluted share, versus net income of $13.9 million, or $0.58 per diluted share, in the prior-year period;

Adjusted net income of $14.2 million, or $0.61 per diluted share, a 17.4% increase versus adjusted net income of $12.1 million, or $0.51 per diluted share, in the prior-year period;

Operating revenues of $942.9 million, a 12.8% increase from the prior-year period, primarily reflecting higher Managed Care net premiums earned;

Consolidated loss ratio of 82.5%, a 90 basis-point improvement from the third quarter of 2019, reflecting higher premium rates and lower utilization;

Medical loss ratio (“MLR”) of 84.7%, an improvement of 170 basis points over the same period last year;

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Triple-S Management Corporation


Consolidated operating income of $22.3 million, a 17.4% increase compared to $19.0 million in the prior-year period;

Selected Consolidated Quarterly Details

Consolidated net premiums earned were $923.0 million, up 13.3% from the prior-year period, primarily reflecting higher Managed Care premiums.

Consolidated claims incurred were $761.8 million, up 12.0% year-over-year. Consolidated loss ratio was 82.5%, 90 basis points lower than the prior-year period, reflecting higher premium rates and lower utilization in the Company’s Managed Care segment.

Consolidated operating expenses of $158.8 million increased by $21.9 million, or 16.0%, from the prior-year period, primarily reflecting the reinstatement of the HIP fee in 2020 and expenses related to supplying much-needed assistance to our providers, communities and seniors to help them manage through the COVID-19 pandemic.  The consolidated operating expense ratio was 17.1%, a 40 basis-point increase from the prior-year quarter.

Selected Segment Quarterly Details

Managed Care

Managed Care premiums earned were $850.0 million, up 13.9% year-over-year.


o
Medicare premiums earned of $400.7 million increased 9.2% from the prior-year period, largely due to an increase of approximately 20,000 member months, which primarily reflects a more competitive product offering and higher premium rates due to an increase in the premium rate benchmark and membership risk score.  In addition, as utilization of services has trended to almost-normalized levels, the Company reduced the estimated MLR rebate accrual, which was originally recorded as a reduction of premiums.


o
Medicaid premiums earned of $240.9 million increased 36.6% from the prior-year period, primarily reflecting higher member months of approximately 67,000, higher average premium rates following three premium rate increases effective November 1, 2019, May 1, 2020 and July 1, 2020, and the reinstatement of the HIP Fee pass-through in 2020.


o
Commercial premiums earned of $208.4 million increased 2.6% from the prior-year period, mainly reflecting higher average premium rates, an increase of approximately 3,000 fully insured member months and the reinstatement of the HIP Fee pass-through in 2020.

Reported MLR of 84.7% improved 170 basis points from the prior-year period, primarily reflecting higher average premium rates and the reinstatement of the HIP Fee in 2020, as well as lower utilization of services during the quarter as the result of the pandemic, offset in part by increased benefits in the Medicare product offering in 2020.

Life Insurance Segment


Premiums earned of $50.1 million increased 9.4% from the prior-year period, resulting from new sales and the acquisition of a life insurance portfolio in the second quarter of 2020.

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Triple-S Management Corporation


Operating income was $5.7 million, compared with $6.6 million in the prior year period, primarily caused by a higher actuarial reserve due to the reinstatement of policies that were cancelled during the second quarter of 2020 due to the COVID-19 lockdown.

Property and Casualty Segment


Premiums earned of $23.9 million increased 0.8% from the prior-year period.


Operating income was $4.4 million, compared with $6.6 million during the same quarter last year; this decrease was primarily caused by an increase in net commission expense.


Updated information related to Hurricane María as of September 30, 2020:


o
The Company’s P&C subsidiary has paid a cumulative amount of $767 million in claims and expenses related to Hurricane María.  Estimated gross losses remain unchanged at $967 million.


o
TSP closed 75 claims during the third quarter of 2020, increasing the number of claims closed to 97.5%; 434 claims remain open.
 

o
The Company has been served with process with respect to 322 of the 434 claims that remain open.

2020 Outlook

The Company is raising its full year 2020 guidance for adjusted net income per diluted share to be between $3.25 and $3.35, compared to its previous outlook for adjusted net income per diluted share between $2.80 and $3.00.  The Company is currently assuming a weighted average diluted share count for full year 2020 of 23.4 million shares.

Conference Call and Webcast

Management will host a conference call and webcast today at 8:30 a.m. Eastern Time to discuss its financial results for the three months ended September 30, 2020. To participate, callers within the U.S. and Canada should dial 1-877-300-8521 and international callers should dial 1-412-317-6026 at least ten minutes before the call.

To listen to the webcast, participants should visit the “Investor Relations” section of the Company’s website at www.triplesmanagement.com several minutes before the event is broadcast and follow the instructions provided to ensure they have the necessary audio application downloaded and installed. This program is provided at no charge to the user. An archived version of the call, also located on the “Investor Relations” section of Triple-S Management’s website, will be available about two hours after the call ends for one year. This news release, along with other information relating to the call, will be available on the “Investor Relations” section of the website.

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Triple-S Management Corporation

About Triple-S Management Corporation

Triple-S Management Corporation is a healthcare company and one of the top players in the Puerto Rico healthcare industry, with over 60 years of experience as the premier brand serving more people through the most attractive provider networks on the island.  We have the exclusive right to use the Blue Cross Blue Shield name and mark throughout Puerto Rico, the U.S. Virgin Islands, Costa Rica, the British Virgin Islands and Anguilla, and we offer a broad portfolio of managed care and related products in the Commercial, Medicare Advantage and Medicaid markets. Triple-S is also a well-known brand in the life insurance and property and casualty insurance markets in Puerto Rico, with strong customer relationships and a significant market share. For more information about Triple-S Management, visit www.triplesmanagement.com or contact investorrelations@ssspr.com.
 
Non-GAAP Financial Measures

This earnings release presents information about the Company’s adjusted net income, which is a non-GAAP financial metric provided as a complement to the results provided in accordance with accounting principles generally accepted in the United States of America (GAAP). A reconciliation of adjusted net income to net income, the most comparable GAAP financial measure, is provided in the accompanying tables found at the end of this release.

Forward-Looking Statements

This document contains forward-looking statements, as defined in the Private Securities Litigation Reform Act of 1995. Forward-looking statements include information about possible or assumed future sales, results of operations, developments, regulatory approvals or other circumstances. Sentences that include “believe”, “expect”, “plan”, “intend”, “estimate”, “anticipate”, “project”, “may”, “will”, “shall”, “should” and similar expressions, whether in the positive or negative, are intended to identify forward-looking statements.

All forward-looking statements in this news release reflect management’s current views about future events and are based on assumptions and subject to risks and uncertainties. Consequently, actual results may differ materially from those expressed here as a result of various factors, including all the risks discussed and identified in public filings with the U.S. Securities and Exchange Commission (SEC).

In addition, the Company operates in a highly competitive, constantly changing environment, influenced by very large organizations that have resulted from business combinations, aggressive marketing and pricing practices of competitors, and regulatory oversight. The following factors, if markedly different from the Company’s planning assumptions (either individually or in combination), could cause Triple-S Management’s results to differ materially from those expressed in any forward-looking statements shared here:


Trends in health care costs and utilization rates

Ability to secure sufficient premium rate increases

Competitor pricing below market trends of increasing costs

Re-estimates of policy and contract liabilities and reserves

Changes in government laws and regulations of managed care, life insurance or property and casualty insurance

Significant acquisitions or divestitures by major competitors

Introduction and use of new prescription drugs and technologies

A downgrade in the Company’s financial strength ratings

Litigation or legislation targeted at managed care, life insurance or property and casualty insurance companies

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Triple-S Management Corporation


Ability to contract with providers consistent with past practice

Ability to successfully implement the Company’s disease management, utilization management and Star ratings programs

Ability to maintain Federal Employees, Medicare and Medicaid contracts

Volatility in the securities markets and investment losses and defaults

General economic downturns, major disasters, and epidemics

This list is not exhaustive. Management believes the forward-looking statements in this release are reasonable. However, there is no assurance that the actions, events or results anticipated by the forward-looking statements will occur or, if any of them do, what impact they will have on the Company’s results of operations or financial condition. In view of these uncertainties, investors should not place undue reliance on any forward-looking statements, which are based on current expectations. In addition, forward-looking statements are based on information available the day they are made, and (other than as required by applicable law, including the securities laws of the United States) the Company does not intend to update or revise any of them in light of new information or future events.

Readers are advised to carefully review and consider the various disclosures in the Company’s SEC reports.

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Triple-S Management Corporation

Earnings Release Schedules and Supplemental Information

Condensed Consolidated Balance Sheets
Exhibit I
   
Condensed Consolidated Statements of Earnings
Exhibit II
   
Condensed Consolidated Statements of Cash Flows
Exhibit III
   
Segment Performance Supplemental Information
Exhibit IV
   
Reconciliation of Non-GAAP Financial Measures
Exhibit V

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Triple-S Management Corporation

Exhibit I

Condensed Consolidated Balance Sheets
(dollar amounts in thousands)
Unaudited
 
   
September 30,
2020
   
December 31,
2019
 
Assets
           
             
Investments
 
$
1,874,331
   
$
1,643,637
 
Cash and cash equivalents
   
129,603
     
109,837
 
Premium and other receivables, net
   
546,959
     
567,692
 
Deferred policy acquisition costs and value of business acquired
   
243,663
     
234,885
 
Property and equipment, net
   
130,220
     
88,588
 
Other assets
   
195,511
     
174,187
 
                 
Total assets
 
$
3,120,287
   
$
2,818,826
 
                 
                 
Liabilities and Stockholders' Equity
               
                 
Policy liabilities and accruals
 
$
1,551,181
   
$
1,425,477
 
Accounts payable and accrued liabilities
   
423,083
     
370,483
 
Short-term borrowings
   
82,500
     
54,000
 
Long-term borrowings
   
53,836
     
25,694
 
                 
Total liabilities
   
2,110,600
     
1,875,654
 
                 
Stockholders’ equity:
               
Common stock
   
23,430
     
23,800
 
Other stockholders’ equity
   
986,970
     
920,065
 
                 
Total Triple-S Management Corporation stockholders’ equity
   
1,010,400
     
943,865
 
                 
Non-controlling interest in consolidated subsidiary
   
(713
)
   
(693
)
                 
Total stockholders’ equity
   
1,009,687
     
943,172
 
                 
Total liabilities and stockholders’ equity
 
$
3,120,287
   
$
2,818,826
 

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Triple-S Management Corporation

Exhibit II

Condensed Consolidated Statements of Earnings
(dollar amounts in thousands, except per share data)
Unaudited

   
For the Three Months Ended
September 30,
   
For the Nine Months Ended
September 30,
 
   
2020
   
2019
   
2020
   
2019
 
Revenues:
                       
Premiums earned, net
 
$
922,934
   
$
815,021
   
$
2,657,366
   
$
2,442,516
 
Administrative service fees
   
3,752
     
2,607
     
8,755
     
7,695
 
Net investment income
   
14,168
     
15,176
     
42,294
     
45,614
 
Other operating revenues
   
2,052
     
3,167
     
6,394
     
6,335
 
Total operating revenues
   
942,906
     
835,971
     
2,714,809
     
2,502,160
 
                                 
Net realized investment gains (losses)
   
507
     
1,087
     
(180
)
   
4,766
 
Net unrealized investment gains (losses) on equity investments
   
11,040
     
1,267
     
(17,428
)
   
24,259
 
Other income, net
   
1,811
     
485
     
6,217
     
3,359
 
Total revenues
   
956,264
     
838,810
     
2,703,418
     
2,534,544
 
                                 
Benefits and expenses:
                               
Claims incurred
   
761,792
     
680,010
     
2,129,401
     
2,009,504
 
Operating expenses
   
158,809
     
136,882
     
499,669
     
403,629
 
Total operating costs
   
920,601
     
816,892
     
2,629,070
     
2,413,133
 
                                 
Interest expense
   
2,096
     
2,062
     
5,813
     
5,681
 
                                 
Total benefits and expenses
   
922,697
     
818,954
     
2,634,883
     
2,418,814
 
                                 
Income before taxes
   
33,567
     
19,856
     
68,535
     
115,730
 
                                 
Income tax expense
   
9,989
     
5,910
     
27,520
     
36,075
 
                                 
Net income
   
23,578
     
13,946
     
41,015
     
79,655
 
                                 
Net (loss) attributable to the non-controlling interest
   
(3
)
   
(2
)
   
(20
)
   
(10
)
                                 
Net income attributable to Triple-S Management Corporation
 
$
23,581
   
$
13,948
   
$
41,035
   
$
79,665
 
                                 
Earnings per share attributable to Triple-S Management Corporation:
                               
                                 
Basic net income per share
 
$
1.02
   
$
0.59
   
$
1.77
   
$
3.44
 
Diluted net income per share
 
$
1.02
   
$
0.58
   
$
1.76
   
$
3.43
 
 
                               
Weighted average of common shares
   
23,073,511
     
23,830,106
     
23,215,840
     
23,143,361
 
Diluted weighted average of common shares
   
23,193,980
     
23,893,807
     
23,318,069
     
23,217,298
 

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Triple-S Management Corporation

Exhibit III

Condensed Consolidated Statements of Cash Flows
(dollar amounts in thousands)
Unaudited

   
For the Nine Months Ended
September 30,
 
   
2020
   
2019
 
             
Net cash provided by (used in) operating activities
 
$
223,681
   
$
(3,455
)
                 
Cash flows from investing activities:
               
Proceeds from investments sold or matured:
               
Securities available for sale:
               
Fixed maturities sold
   
94,557
      365,383  
Fixed maturities matured/called
   
37,450
     
19,017
 
Securities held to maturity - fixed maturities matured/called
   
1,079
     
1,378
 
Equity investments sold
   
80,152
     
126,134
 
Other invested assets sold
   
13,231
     
3,379
 
Acquisition of investments:
               
Securities available for sale - fixed maturities
   
(206,387
)
   
(397,956
)
Securities held to maturity - fixed maturities
   
(1,087
)
   
(748
)
Equity investments
   
(201,324
)
   
(88,945
)
Other invested assets
   
(25,442
)
   
(24,233
)
Increase in other investments
   
(3,924
)
   
(2,710
)
Net change in policy loans
   
240
     
(1,097
)
Net capital expenditures
   
(52,549
)
   
(14,746
)
Capital contribution on equity method investees
   
(7,083
)
   
-
 
                 
Net cash used in investing activities
   
(271,087
)
   
(15,144
)
                 
Cash flows from financing activities:
               
Change in outstanding checks in excess of bank balances
   
16,814
     
3,808
 
Net change in short-term borrowings
   
28,500
     
-
 
Proceeds of long-term borrowings
   
30,841
     
-
 
Repayments of long-term borrowings
   
(2,760
)
   
(2,425
)
Repurchase and retirement of common stock
   
(14,980
)
   
(1
)
Proceeds from policyholder deposits
   
21,586
     
15,060
 
Surrender of policyholder deposits
   
(12,829
)
   
(16,455
)
                 
Net cash provided by (used in) financing activities
   
67,172
     
(13
)
                 
Net increase (decrease) in cash and cash equivalents
   
19,766
     
(18,612
)
                 
Cash and cash equivalents, beginning of period
   
109,837
     
117,544
 
                 
Cash and cash equivalents, end of period
 
$
129,603
   
$
98,932
 

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Triple-S Management Corporation

Exhibit IV

Segment Performance Supplemental Information

(Unaudited)
 
Three months ended September 30,
   
Nine months ended September 30,
 
(dollar amounts in millions)
 
2020
   
2019
   
Percentage
Change
   
2020
   
2019
   
Percentage
Change
 
Premiums earned, net:
                                   
Managed Care:
                                   
Commercial
 
$
208.4
   
$
203.1
     
2.6
%
 
$
605.3
   
$
602.4
     
0.5
%
Medicare
   
400.7
     
367.1
     
9.2
%
   
1,160.9
     
1,065.7
     
8.9
%
Medicaid
   
240.9
     
176.3
     
36.6
%
   
682.9
     
577.7
     
18.2
%
Total Managed Care
   
850.0
     
746.5
     
13.9
%
   
2,449.1
     
2,245.8
     
9.1
%
Life Insurance
   
50.1
     
45.8
     
9.4
%
   
144.9
     
135.1
     
7.3
%
Property and Casualty
   
23.9
     
23.7
     
0.8
%
   
66.9
     
64.9
     
3.1
%
Other
   
(1.0
)
   
(1.0
)
   
0.0
%
   
(3.5
)
   
(3.3
)
   
(6.1
%)
Consolidated premiums earned, net
 
$
923.0
   
$
815.0
     
13.3
%
 
$
2,657.4
   
$
2,442.5
     
8.8
%
Operating revenues: 1
                                               
Managed Care
 
$
858.2
   
$
755.8
     
13.5
%
 
$
2,473.7
   
$
2,273.7
     
8.8
%
Life Insurance
   
57.0
     
52.5
     
8.6
%
   
165.5
     
155.1
     
6.7
%
Property and Casualty
   
26.1
     
26.2
     
(0.4
%)
   
73.5
     
72.3
     
1.7
%
Other
   
1.6
     
1.4
     
14.3
%
   
2.1
     
1.0
     
110.0
%
Consolidated operating revenues
 
$
942.9
   
$
835.9
     
12.8
%
 
$
2,714.8
   
$
2,502.1
     
8.5
%
Operating income (loss): 2
                                               
Managed Care
 
$
13.0
   
$
5.4
     
140.7
%
 
$
56.5
   
$
56.8
     
(0.5
%)
Life Insurance
   
5.7
     
6.6
     
(13.6
%)
   
20.2
     
17.5
     
15.4
%
Property and Casualty
   
4.4
     
6.6
     
(33.3
%)
   
10.9
     
14.9
     
(26.8
%)
Other
   
(0.8
)
   
0.4
     
(300.0
%)
   
(1.9
)
   
(0.2
)
   
(850.0
%)
Consolidated operating income
 
$
22.3
   
$
19.0
     
17.4
%
 
$
85.7
   
$
89.0
     
(3.7
%)
Operating margin: 3
                                               
Managed Care
   
1.5
%
   
0.7
%
   
80
bp
   
2.3
%
   
2.5
%
   
-20
bp
Life Insurance
   
10.0
%
   
12.6
%
   
-260
bp
   
12.2
%
   
11.3
%
   
90
bp
Property and Casualty
   
16.9
%
   
25.2
%
   
-830
bp
   
14.8
%
   
20.6
%
   
-580
bp
Consolidated
   
2.4
%
   
2.3
%
   
10
bp
   
3.2
%
   
3.6
%
   
-40
bp
Depreciation and amortization expense
 
$
3.1
   
$
3.7
     
(16.2
%)
 
$
10.9
   
$
10.7
     
1.9
%

1 Operating revenues include premiums earned, net, administrative service fees and net investment income.
2 Operating income or loss include operating revenues minus operating costs. Operating costs include claims incurred and operating expenses.
3 Operating margin is defined as operating income or loss divided by operating revenues.

10

Triple-S Management Corporation

Managed Care Additional Data

 
 
Three months ended
September 30,
   
Nine months ended
September 30,
 
(Unaudited)
 
2020
   
2019
   
2020
   
2019
 
Member months enrollment:
                       
Commercial:
                       
Fully-insured
   
966,906
     
964,321
     
2,920,460
     
2,872,836
 
Self-insured
   
324,372
     
356,059
     
981,634
     
1,072,510
 
Total Commercial
   
1,291,278
     
1,320,380
     
3,902,094
     
3,945,346
 
Medicare Advantage
   
407,170
     
386,995
     
1,220,280
     
1,156,438
 
Medicaid
   
1,132,626
     
1,065,885
     
3,278,098
     
3,187,753
 
Total member months
   
2,831,074
     
2,773,260
     
8,400,472
     
8,289,537
 
Claim liabilities (in millions)
                 
$
420.6
   
$
390.3
 
Days claim payable
                   
57
     
56
 
Premium PMPM:
                               
Managed Care
 
$
339.09
   
$
308.83
   
$
330.12
   
$
311.18
 
Commercial
   
215.53
     
210.61
     
207.26
     
209.69
 
Medicare Advantage
   
984.11
     
948.59
     
951.34
     
921.54
 
Medicaid
   
212.69
     
165.40
     
208.32
     
181.22
 
Medical loss ratio:
   
84.7
%
   
86.4
%
   
82.7
%
   
84.9
%
Commercial
   
81.9
%
   
84.7
%
   
76.1
%
   
82.8
%
Medicare Advantage
   
80.6
%
   
81.1
%
   
80.2
%
   
81.4
%
Medicaid
   
94.0
%
   
99.6
%
   
92.7
%
   
93.4
%
Adjusted medical loss ratio: 1
   
82.1
%
   
89.4
%
   
81.3
%
   
86.5
%
Commercial
   
78.3
%
   
88.5
%
   
74.9
%
   
85.1
%
Medicare Advantage
   
78.4
%
   
81.6
%
   
78.9
%
   
80.9
%
Medicaid
   
91.7
%
   
104.9
%
   
91.0
%
   
97.2
%
Operating expense ratio:
                               
Consolidated
   
17.1
%
   
16.7
%
   
18.7
%
   
16.5
%
Managed Care
   
14.6
%
   
14.0
%
   
15.9
%
   
13.8
%

1 The adjusted medical loss ratio accounts for subsequent adjustments to estimates, such as prior-period reserve developments and Medicare premium adjustments, and presents them in their corresponding period.

11

Triple-S Management Corporation

Managed Care Membership by Segment

Managed Care Membership by Segment
 
As of September 30,
 
 
 
2020
   
2019
 
Members:
           
Commercial:
           
Fully-insured
   
321,673
     
322,992
 
Self-insured
   
107,830
     
119,077
 
Total Commercial
   
429,503
     
442,069
 
Medicare Advantage
   
136,135
     
128,660
 
Medicaid
   
385,344
     
354,230
 
Total members
   
950,982
     
924,959
 

12

Triple-S Management Corporation

Exhibit V

Reconciliation of Non-GAAP Financial Measures

 
 
Adjusted Net Income
 
(Unaudited)
 
Three months ended
September 30,
   
Nine months ended
September 30,
 
(dollar amounts in millions, except per share data)
 
2020
   
2019
   
2020
   
2019
 
Net income
 
$
23.6
   
$
13.9
   
$
41.0
   
$
79.7
 
Less adjustments, net of taxes:
                               
Net realized investment gains (losses)
   
0.4
     
0.9
     
(0.1
)
   
3.8
 
Unrealized gains (losses) on equity investments
   
8.8
     
1.0
     
(13.9
)
   
19.4
 
Contingency accrual
   
-
     
-
     
(20.0
)
   
-
 
Private equity investment income (loss)
   
0.2
     
(0.1
)
   
2.4
     
1.0
 
Adjusted net income
 
$
14.2
   
$
12.1
   
$
72.6
   
$
55.6
 
Diluted adjusted net income per share
 
$
0.61
   
$
0.51
   
$
3.12
   
$
2.39
 

Adjusted net income is a non-GAAP financial metric and should not be considered a substitute for, or superior to, financial measures calculated in accordance with GAAP.  Management believes that the use of this adjusted net income and adjusted net income per share provides investors and management useful information about the earnings impact of realized and unrealized investment gains or losses, as well as other non-recurring items impacting the Company’s results of operations.  This non-GAAP metric does not consider all the items associated with the Company’s operations as determined in accordance with GAAP.  As a result, one should not consider these measures in isolation.


13