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ProAssurance Reports Results for Fourth Quarter and Full-Year 2025

ProAssurance Corporation (NYSE: PRA), an industry-leading specialty insurer with extensive expertise in medical professional liability, today reported net income of $33.4 million, or $0.64 per diluted share, and operating income(1) of $42.4 million, or $0.82 per diluted share, for the three months ended December 31, 2025. For the year ended December 31, 2025, net income was $50.9 million, or $0.99 per diluted share, and operating income was $83.9 million, or $1.62 per diluted share.

Highlights(2)

  • Operating performance continues to demonstrate progress toward premium rate levels appropriate for the challenging conditions in the medical professional liability and workers’ compensation markets.
  • Net Income was impacted by non-operating items totaling $9.0 million and $32.9 million for the quarter and year ended December 31, 2025, respectively, which are discussed under “Reconciliation of Net Income (Loss) to Non-GAAP Operating Income (Loss).”
  • Consolidated net premiums written were $916.9 million for the year, including net premiums written of $673.6 million for our Medical Professional Liability business, which makes up over 95% of the Specialty P&C segment, and $167.3 million for the Workers’ Compensation Insurance segment.
  • Specialty P&C renewal premium increases of 8% for 2025 are part of the cumulative premium change of more than 80% we have accomplished since 2018 in the medical professional liability market. Retention for the entire Specialty P&C segment was 84% for the year, unchanged from the prior year. We continue to forgo renewal and new business opportunities when we believe they do not meet our expectation of rate adequacy in the current medical professional liability loss environment.
  • Consolidated Non-GAAP combined ratio for the full-year 2025 improved 4.8 points for 2025 to 104.2%, including a 98.3% Non-GAAP combined ratio for the Specialty P&C segment(1). The consolidated Non-GAAP combined ratio(1) was 90.3% in the fourth quarter, largely due to the effect of favorable prior year reserve development, primarily related to $53.1 million of favorable development in our Medical Professional Liability business.
  • Consolidated net investment income increased 8.3% for the year, reflecting higher average book yields. Earnings from limited partnership investments (reported as equity in earnings of unconsolidated subsidiaries) were below the prior year due to lower market valuations for two holdings.
  • Book value per share was $26.24 at December 31, 2025, up $2.75 from $23.49 at year-end 2024; Non-GAAP adjusted book value per share(1) was $27.82 compared with $26.86 at year-end 2024.

“We continue to see progress toward our objectives,” said Ned Rand, President and Chief Executive Officer of ProAssurance. “Joining forces with The Doctors Company through the transaction we announced in March 2025 will allow our organizations to continue to serve today’s healthcare providers with the necessary scale and breadth of capabilities.

“Closing the transaction remains subject to approval from insurance regulators in the jurisdictions where we have operating subsidiaries domiciled. To date, The Doctors Company has received final approval from insurance regulators in Alabama, the District of Columbia, Illinois, Missouri, Texas and Vermont. Review of the proposed transaction by insurance regulators remains pending in California and Pennsylvania. The timing for completion of the pending reviews is uncertain and outside our control, but in light of progress made, we continue to anticipate closing the transaction by June 30, 2026,” Rand added. “The Federal Trade Commission granted the transaction early termination of the waiting period under the Hart-Scott-Rodino Antitrust Improvements Act of 1976 in July and ProAssurance shareholders overwhelmingly approved the transaction in June.”

(1)

Represents a Non-GAAP financial measure that excludes certain items that are not indicative of the performance of our ongoing core operations. See a reconciliation of the Non-GAAP financial measure to its GAAP counterpart under the heading “Non-GAAP Financial Measures” that follows.

(2)

Comparisons are to full-year 2024 unless otherwise noted.

 

CONSOLIDATED INCOME STATEMENT HIGHLIGHTS

Selected consolidated financial data for each period is summarized in the table below.

 

Three Months Ended December 31

 

Year Ended December 31

($ in thousands, except per share data)

 

2025

 

 

 

2024

 

 

Change

 

 

2025

 

 

 

2024

 

Change

Revenues

 

 

 

 

 

 

 

 

 

 

 

Gross premiums written(1)

$

201,517

 

 

$

207,673

 

 

 

(3.0

%)

 

$

1,012,705

 

 

$

1,050,867

 

 

(3.6

%)

Net premiums written

$

183,884

 

 

$

188,545

 

 

 

(2.5

%)

 

$

916,913

 

 

$

953,675

 

 

(3.9

%)

Net premiums earned

$

232,149

 

 

$

241,074

 

 

 

(3.7

%)

 

$

934,236

 

 

$

968,250

 

 

(3.5

%)

Net investment income

 

40,172

 

 

 

36,811

 

 

 

9.1

%

 

 

156,498

 

 

 

144,538

 

 

8.3

%

Equity in earnings (loss) of unconsolidated subsidiaries

 

2,946

 

 

 

5,820

 

 

 

(49.4

%)

 

 

16,276

 

 

 

22,203

 

 

(26.7

%)

Net investment gains (losses)(2)

 

(4,861

)

 

 

(3,243

)

 

 

(49.9

%)

 

 

(5,486

)

 

 

1,903

 

 

(388.3

%)

Other income (expense)(1)

 

(765

)

 

 

9,638

 

 

 

(107.9

%)

 

 

(3,496

)

 

 

13,510

 

 

(125.9

%)

Total revenues(1)

 

269,641

 

 

 

290,100

 

 

 

(7.1

%)

 

 

1,098,028

 

 

 

1,150,404

 

 

(4.6

%)

Expenses

 

 

 

 

 

 

 

 

 

 

 

Net losses and loss adjustment expenses

 

129,320

 

 

 

182,410

 

 

 

(29.1

%)

 

 

665,418

 

 

 

739,435

 

 

(10.0

%)

Underwriting, policy acquisition and operating expenses(1)

 

84,894

 

 

 

80,927

 

 

 

4.9

%

 

 

330,417

 

 

 

319,339

 

 

3.5

%

SPC U.S. federal income tax expense (benefit)

 

501

 

 

 

724

 

 

 

(30.8

%)

 

 

2,413

 

 

 

1,766

 

 

36.6

%

SPC dividend expense (income)

 

3,112

 

 

 

1,965

 

 

 

58.4

%

 

 

6,873

 

 

 

4,444

 

 

54.7

%

Interest expense

 

5,218

 

 

 

5,339

 

 

 

(2.3

%)

 

 

20,838

 

 

 

22,342

 

 

(6.7

%)

Total expenses(1)

 

223,045

 

 

 

271,365

 

 

 

(17.8

%)

 

 

1,025,959

 

 

 

1,087,326

 

 

(5.6

%)

Income (loss) before income taxes

 

46,596

 

 

 

18,735

 

 

 

148.7

%

 

 

72,069

 

 

 

63,078

 

 

14.3

%

Income tax expense (benefit)

 

13,227

 

 

 

2,566

 

 

 

415.5

%

 

 

21,154

 

 

 

10,334

 

 

104.7

%

Net income (loss)

$

33,369

 

 

$

16,169

 

 

 

106.4

%

 

$

50,915

 

 

$

52,744

 

 

(3.5

%)

Non-GAAP operating income (loss)(3)

$

42,389

 

 

$

19,744

 

 

 

114.7

%

 

$

83,863

 

 

$

50,171

 

 

67.2

%

Weighted average number of common shares outstanding

 

 

 

 

 

 

 

 

 

 

 

Basic

 

51,414

 

 

 

51,156

 

 

 

 

 

51,341

 

 

 

51,097

 

 

Diluted

 

51,795

 

 

 

51,411

 

 

 

 

 

51,669

 

 

 

51,266

 

 

Earnings (loss) per share

 

 

 

 

 

 

 

 

 

 

 

Net income (loss) per diluted share

$

0.64

 

 

$

0.31

 

 

$

0.33

 

 

$

0.99

 

 

$

1.03

 

$

(0.04

)

Non-GAAP operating income (loss) per diluted share

$

0.82

 

 

$

0.38

 

 

$

0.44

 

 

$

1.62

 

 

$

0.98

 

$

0.64

 

(1)

Consolidated totals include inter-segment eliminations. The eliminations affect individual line items only and have no effect on net income (loss). See Note 15 of the Notes to Consolidated Financial Statements in our December 31, 2025 report on Form 10-K for amounts by line item.

(2)

This line item typically includes both realized and unrealized investment gains and losses and investment impairments losses. Detailed information regarding the components of net investment gains (losses) are included in Note 3 of the Notes to Consolidated Financial Statements in our December 31, 2025 report on Form 10-K.

(3)

See a reconciliation of net income (loss) to Non-GAAP operating income (loss) under the heading “Non-GAAP Financial Measures” that follows.

The abbreviation “nm” indicates that the information or the percentage change is not meaningful.

 

BALANCE SHEET HIGHLIGHTS

($ in thousands, except per share data)

December 31, 2025

 

December 31, 2024

Total investments

$

4,429,379

 

 

$

4,367,427

 

Total assets

$

5,447,192

 

 

$

5,574,273

 

Total liabilities

$

4,098,058

 

 

$

4,372,524

 

Common shares (par value $0.01)

$

640

 

 

$

638

 

Retained earnings

$

1,485,640

 

 

$

1,434,725

 

Treasury shares

$

(469,694

)

 

$

(469,694

)

Shareholders’ equity

$

1,349,134

 

 

$

1,201,749

 

Book value per share

$

26.24

 

 

$

23.49

 

Non-GAAP adjusted book value per share(1)

$

27.82

 

 

$

26.86

 

(1)

Adjusted book value per share is a Non-GAAP financial measure. See a reconciliation of book value per share to Non-GAAP adjusted book value per share under the heading “Non-GAAP Financial Measures” that follows.

 

CONSOLIDATED KEY RATIOS

 

Three Months Ended December 31

 

Year Ended December 31

 

2025

 

2024

 

2025

 

2024

Current accident year net loss ratio

81.7

%

 

80.4

%

 

80.9

%

 

80.5

%

Effect of prior accident years’ reserve development

(26.0

%)

 

(4.7

%)

 

(9.7

%)

 

(4.1

%)

Net loss ratio

55.7

%

 

75.7

%

 

71.2

%

 

76.4

%

Underwriting expense ratio

36.6

%

 

33.6

%

 

35.4

%

 

33.0

%

Combined ratio

92.3

%

 

109.3

%

 

106.6

%

 

109.4

%

Non-GAAP combined ratio(1)

90.3

%

 

106.0

%

 

104.2

%

 

109.0

%

Operating ratio

75.0

%

 

94.0

%

 

89.8

%

 

94.5

%

Non-GAAP operating ratio(1)

73.0

%

 

90.5

%

 

87.4

%

 

93.7

%

Return on equity(2)

10.1

%

 

5.3

%

 

4.0

%

 

4.6

%

Non-GAAP operating return on equity(1)(2)

12.8

%

 

6.5

%

 

6.6

%

 

4.4

%

(1)

Represents a Non-GAAP financial measure. See a reconciliation to their GAAP counterparts under the heading “Non-GAAP Adjusted Key Ratios” that follows.

(2)

Quarterly amounts are annualized. Refer to our December 31, 2025 report on Form 10-K under the heading “Non-GAAP Operating ROE” in the Executive Summary of Operations section for details on our calculation.

 

SPECIALTY P&C SEGMENT RESULTS

 

Three Months Ended December 31

 

Year Ended December 31

($ in thousands)

 

2025

 

 

 

2024

 

 

% Change

 

 

2025

 

 

 

2024

 

 

% Change

Gross premiums written

$

155,815

 

 

$

161,561

 

 

(3.6

%)

 

$

776,942

 

 

$

807,463

 

 

(3.8

%)

Net premiums written

$

143,560

 

 

$

148,293

 

 

(3.2

%)

 

$

705,768

 

 

$

737,502

 

 

(4.3

%)

Net premiums earned

$

180,846

 

 

$

185,805

 

 

(2.7

%)

 

$

724,198

 

 

$

747,942

 

 

(3.2

%)

Other income (expense)

 

(583

)

 

 

1,605

 

 

(136.3

%)

 

 

6,321

 

 

 

6,588

 

 

(4.1

%)

Total revenues

 

180,263

 

 

 

187,410

 

 

(3.8

%)

 

 

730,519

 

 

 

754,530

 

 

(3.2

%)

Net losses and loss adjustment expenses

 

(94,037

)

 

 

(143,924

)

 

(34.7

%)

 

 

(519,375

)

 

 

(578,486

)

 

(10.2

%)

Underwriting, policy acquisition and operating expenses

 

(53,870

)

 

 

(49,994

)

 

7.8

%

 

 

(200,436

)

 

 

(204,142

)

 

(1.8

%)

Total expenses

 

(147,907

)

 

 

(193,918

)

 

(23.7

%)

 

 

(719,811

)

 

 

(782,628

)

 

(8.0

%)

Segment results

$

32,356

 

 

$

(6,508

)

 

597.2

%

 

$

10,708

 

 

$

(28,098

)

 

138.1

%

 

SPECIALTY P&C SEGMENT NON-GAAP ADJUSTED KEY RATIOS(1)

 

Three Months Ended December 31

 

Year Ended December 31

 

2025

 

2024

 

2025

 

2024

Current accident year net loss ratio

84.4

%

 

83.6

%

 

83.3

%

 

83.1

%

Effect of prior accident years’ reserve development

(34.5

%)

 

(10.3

%)

 

(12.7

%)

 

(6.5

%)

Net loss ratio

49.9

%

 

73.3

%

 

70.6

%

 

76.6

%

Underwriting expense ratio

30.0

%

 

26.6

%

 

27.7

%

 

27.3

%

Combined ratio

79.9

%

 

99.9

%

 

98.3

%

 

103.9

%

(1)

Represents Non-GAAP financial measures. See a reconciliation to their GAAP counterparts under the heading “Non-GAAP Adjusted Key Ratios” that follows.

 

WORKERS’ COMPENSATION INSURANCE SEGMENT RESULTS

 

Three Months Ended December 31

 

Year Ended December 31

($ in thousands)

 

2025

 

 

 

2024

 

 

% Change

 

 

2025

 

 

 

2024

 

 

% Change

Gross premiums written

$

45,702

 

 

$

46,112

 

 

(0.9

%)

 

$

235,763

 

 

$

243,404

 

 

(3.1

%)

Net premiums written

$

30,887

 

 

$

29,559

 

 

4.5

%

 

$

167,258

 

 

$

166,223

 

 

0.6

%

Net premiums earned

$

40,313

 

 

$

42,918

 

 

(6.1

%)

 

$

164,351

 

 

$

167,610

 

 

(1.9

%)

Other income (expense)

 

819

 

 

 

403

 

 

103.2

%

 

 

2,056

 

 

 

1,887

 

 

9.0

%

Total revenues

 

41,132

 

 

 

43,321

 

 

(5.1

%)

 

 

166,407

 

 

 

169,497

 

 

(1.8

%)

Net losses and loss adjustment expenses

 

(31,767

)

 

 

(32,503

)

 

(2.3

%)

 

 

(123,795

)

 

 

(128,483

)

 

(3.6

%)

Underwriting, policy acquisition and operating expenses

 

(15,112

)

 

 

(17,990

)

 

(16.0

%)

 

 

(63,295

)

 

 

(61,999

)

 

2.1

%

Total expenses

 

(46,879

)

 

 

(50,493

)

 

(7.2

%)

 

 

(187,090

)

 

 

(190,482

)

 

(1.8

%)

Segment results

$

(5,747

)

 

$

(7,172

)

 

19.9

%

 

$

(20,683

)

 

$

(20,985

)

 

1.4

%

 

WORKERS’ COMPENSATION INSURANCE SEGMENT KEY RATIOS

 

Three Months Ended December 31

 

Year Ended December 31

 

2025

 

2024

 

2025

 

2024

Current accident year net loss ratio

83.0

%

 

77.0

%

 

77.0

%

 

77.0

%

Effect of prior accident years’ reserve development

(4.2

%)

 

(1.3

%)

 

(1.7

%)

 

(0.3

%)

Net loss ratio

78.8

%

 

75.7

%

 

75.3

%

 

76.7

%

Underwriting expense ratio

37.5

%

 

41.9

%

 

38.5

%

 

37.0

%

Combined ratio

116.3

%

 

117.6

%

 

113.8

%

 

113.7

%

 

SEGREGATED PORTFOLIO CELL REINSURANCE SEGMENT RESULTS

 

Three Months Ended December 31

 

Year Ended December 31

($ in thousands)

 

2025

 

 

 

2024

 

 

% Change

 

 

2025

 

 

 

2024

 

 

% Change

Gross premiums written

$

11,051

 

 

$

12,437

 

 

(11.1

%)

 

$

51,052

 

 

$

57,904

 

 

(11.8

%)

Net premiums written

$

9,437

 

 

$

10,693

 

 

(11.7

%)

 

$

43,887

 

 

$

49,950

 

 

(12.1

%)

Net premiums earned

$

10,990

 

 

$

12,351

 

 

(11.0

%)

 

$

45,687

 

 

$

52,698

 

 

(13.3

%)

Net investment income

 

1,046

 

 

 

921

 

 

13.6

%

 

 

3,864

 

 

 

3,608

 

 

7.1

%

Net investment gains (losses)

 

480

 

 

 

42

 

 

1,042.9

%

 

 

2,259

 

 

 

2,369

 

 

(4.6

%)

Other income (expense)

 

7

 

 

 

18

 

 

(61.1

%)

 

 

25

 

 

 

19

 

 

31.6

%

Net losses and loss adjustment expenses

 

(3,516

)

 

 

(5,983

)

 

(41.2

%)

 

 

(22,248

)

 

 

(32,466

)

 

(31.5

%)

Underwriting, policy acquisition and operating expenses

 

(3,888

)

 

 

(3,959

)

 

(1.8

%)

 

 

(16,128

)

 

 

(18,063

)

 

(10.7

%)

SPC U.S. federal income tax (expense) benefit (1)

 

(501

)

 

 

(724

)

 

(30.8

%)

 

 

(2,413

)

 

 

(1,766

)

 

36.6

%

SPC net results

 

4,618

 

 

 

2,666

 

 

73.2

%

 

 

11,046

 

 

 

6,399

 

 

72.6

%

SPC dividend (expense) income (2)

 

(3,112

)

 

 

(1,965

)

 

58.4

%

 

 

(6,873

)

 

 

(4,444

)

 

54.7

%

Segment results (3)

$

1,506

 

 

$

701

 

 

114.8

%

 

$

4,173

 

 

$

1,955

 

 

113.5

%

(1)

Represents the provision for U.S. federal income taxes for SPCs at Inova Re, which have elected to be taxed as a U.S. corporation under Section 953(d) of the Internal Revenue Code. U.S. federal income taxes are included in the total SPC net results and are paid by the individual SPCs.

(2)

Represents the net (profit) loss attributable to external cell participants.

(3)

Represents our share of the net profit (loss) and OCI of the SPCs in which we participate.

 

SEGREGATED PORTFOLIO CELL REINSURANCE SEGMENT KEY RATIOS

 

Three Months Ended December 31

 

Year Ended December 31

 

2025

 

2024

 

2025

 

2024

Current accident year net loss ratio

56.4

%

 

58.1

%

 

65.8

%

 

66.8

%

Effect of prior accident years’ reserve development

(24.4

%)

 

(9.7

%)

 

(17.1

%)

 

(5.2

%)

Net loss ratio

32.0

%

 

48.4

%

 

48.7

%

 

61.6

%

Underwriting expense ratio

35.4

%

 

32.1

%

 

35.3

%

 

34.3

%

Combined ratio

67.4

%

 

80.5

%

 

84.0

%

 

95.9

%

 

CORPORATE SEGMENT

 

Three Months Ended December 31

 

Year Ended December 31

($ in thousands)

 

2025

 

 

 

2024

 

 

% Change

 

 

2025

 

 

 

2024

 

 

% Change

Net investment income

$

39,126

 

 

$

35,890

 

 

9.0

%

 

$

152,634

 

 

$

140,930

 

 

8.3

%

Equity in earnings (loss) of unconsolidated subsidiaries:

 

 

 

 

 

 

 

 

 

 

 

All other investments, primarily investment fund LPs/LLCs

 

2,895

 

 

 

4,986

 

 

(41.9

%)

 

 

15,443

 

 

 

21,532

 

 

(28.3

%)

Tax credit partnerships

 

51

 

 

 

834

 

 

(93.9

%)

 

 

833

 

 

 

671

 

 

24.1

%

Total equity in earnings (loss) of unconsolidated subsidiaries:

 

2,946

 

 

 

5,820

 

 

(49.4

%)

 

 

16,276

 

 

 

22,203

 

 

(26.7

%)

Net investment gains (losses)

 

(5,341

)

 

 

(3,285

)

 

(62.6

%)

 

 

(7,745

)

 

 

(7,206

)

 

(7.5

%)

Other income (expense)

 

(773

)

 

 

8,160

 

 

(109.5

%)

 

 

(10,813

)

 

 

6,820

 

 

(258.5

%)

Operating expenses(1)

 

(10,486

)

 

 

(9,532

)

 

10.0

%

 

 

(35,292

)

 

 

(36,619

)

 

(3.6

%)

Interest expense

 

(5,218

)

 

 

(5,339

)

 

(2.3

%)

 

 

(20,838

)

 

 

(22,342

)

 

(6.7

%)

Income tax (expense) benefit(1)

 

(13,227

)

 

 

(2,566

)

 

415.5

%

 

 

(22,229

)

 

 

(10,401

)

 

113.7

%

Segment results

$

7,027

 

 

$

29,148

 

 

(75.9

%)

 

$

71,993

 

 

$

93,385

 

 

(22.9

%)

Consolidated effective tax rate

 

28.4

%

 

 

13.7

%

 

 

 

 

29.4

%

 

 

16.4

%

 

 

(1)

Our Corporate segment results for the quarter and year ended December 31, 2025 exclude pre-tax transaction-related costs of $1.8 million and $16.4 million, respectively, and the associated income tax benefit related to the proposed merger transaction with The Doctors Company. Our Corporate segment results for the year ended December 31, 2024 exclude pre-tax transaction-related costs of $0.3 million and the associated income tax benefit attributable to actuarial consulting fees paid during the second quarter of 2024 in relation to the final determination of contingent consideration associated with the NORCAL acquisition. These costs are excluded as we do not consider these items in assessing the financial performance of the segment. Additional information regarding the proposed merger transaction with The Doctors Company is provided in Note 1 of the Notes to the Consolidated Financial Statements in our December 31, 2025 report on Form 10-K.

NON-GAAP FINANCIAL MEASURES

Non-GAAP Operating Income (Loss)

Non-GAAP operating income (loss) is a financial measure that is widely used to evaluate performance within the insurance sector. In calculating Non-GAAP operating income (loss), we have excluded the effects of the items listed in the following table that do not reflect normal results. We believe Non-GAAP operating income (loss) presents a useful view of the performance of our ongoing core insurance operations; however, it should be considered in conjunction with net income (loss) computed in accordance with GAAP. The following table is a reconciliation of net income (loss) to Non-GAAP operating income (loss):

 

RECONCILIATION OF NET INCOME (LOSS) TO NON-GAAP OPERATING INCOME (LOSS)

 

Three Months Ended December 31

 

Year Ended December 31

(In thousands, except per share data)

 

2025

 

 

 

2024

 

 

 

2025

 

 

 

2024

 

Net income (loss)

$

33,369

 

 

$

16,169

 

 

$

50,915

 

 

$

52,744

 

Items excluded in the calculation of Non-GAAP operating income (loss):

 

 

 

 

 

 

 

Net investment (gains) losses (1)

 

4,861

 

 

 

3,243

 

 

 

5,486

 

 

 

(1,903

)

Net investment gains (losses) attributable to SPCs in which no profit/loss is retained (2)

 

347

 

 

 

30

 

 

 

1,585

 

 

 

1,773

 

Transaction-related costs (3)

 

1,773

 

 

 

 

 

 

16,351

 

 

 

320

 

Foreign currency exchange rate (gains) losses (4)

 

841

 

 

 

(8,140

)

 

 

10,882

 

 

 

(6,731

)

Non-operating income (5)

 

 

 

 

 

 

 

(3,162

)

 

 

 

Guaranty fund assessments (recoupments)

 

(517

)

 

 

(2

)

 

 

(491

)

 

 

(873

)

Non-core operations (6)

 

2,844

 

 

 

7,879

 

 

 

6,382

 

 

 

5,330

 

Pre-tax effect of exclusions

 

10,149

 

 

 

3,010

 

 

 

37,033

 

 

 

(2,084

)

Tax effect, at 21% (7)

 

(1,129

)

 

 

565

 

 

 

(4,085

)

 

 

(489

)

After-tax effect of exclusions

 

9,020

 

 

 

3,575

 

 

 

32,948

 

 

 

(2,573

)

Non-GAAP operating income (loss)

$

42,389

 

 

$

19,744

 

 

$

83,863

 

 

$

50,171

 

Per diluted common share:

 

 

 

 

 

 

 

Net income (loss)

$

0.64

 

 

$

0.31

 

 

$

0.99

 

 

$

1.03

 

Effect of exclusions

 

0.18

 

 

 

0.07

 

 

 

0.63

 

 

 

(0.05

)

Non-GAAP operating income (loss) per diluted common share

$

0.82

 

 

$

0.38

 

 

$

1.62

 

 

$

0.98

 

(1)

Net investment gains (losses) recognized in earnings are primarily driven by changes in the value of investments that are marked to fair value each period, the nature and timing of which are unrelated to our normal operating results. In addition, net investment gains (losses) for the year ended December 31, 2024 include the $6.5 million decrease to the contingent consideration liability.

(2)

Net investment gains (losses) on investments related to SPCs are recognized in our Segregated Portfolio Cell Reinsurance segment. SPC results, including any net investment gain or loss, that are attributable to external cell participants are reflected in the SPC dividend expense (income). To be consistent with our exclusion of net investment gains (losses) recognized in earnings, we are excluding the portion of net investment gains (losses) that is included in the SPC dividend expense (income) which is attributable to the external cell participants.

(3)

Transaction-related costs in 2025 are attributable to professional fees incurred in relation to the proposed merger transaction with The Doctors Company. Additional information regarding the proposed merger transaction with The Doctors Company is provided in Note 1 of the Notes to the Consolidated Financial Statements in our December 31, 2025 report on Form 10-K. Transaction-related costs in 2024 are attributable to actuarial consulting fees paid during the second quarter of 2024 in relation to the final determination of contingent consideration associated with the NORCAL acquisition. We are excluding these costs as they do not reflect normal operating results and are unique and non-recurring in nature.

(4)

Foreign currency exchange rate gains (losses) are reported in our Corporate segment and are primarily related to foreign currency denominated balances associated with international insurance exposures, primarily related to our strategic partnership with an international medical professional liability insured in our Specialty P&C segment. Due to the size of the loss reserves associated with these international exposures, even nominal movements in exchange rates can lead to volatility in our results of operations. We exclude foreign currency exchange rate movements as the nature and timing of these changes are not indicative of our normal core operating results. Additional information on foreign currency exchange rate gains (losses) is provided in the Executive Summary of Operations section under the heading "Revenues" in our December 31, 2025 report on Form 10-K.

(5)

Non-operating income reflects proceeds of $1.0 million associated with the sale of the renewal rights related to our legal professional liability book of business to an unrelated third party in the second quarter of 2025 and a gain of $2.2 million associated with the sale of our Franklin, TN property to an unrelated third party in the first quarter of 2025. Additional information regarding the legal professional liability transaction is provided in Part I Item 1. Business under the heading "Specialty Property and Casualty Segment" in our December 31, 2025 report on Form 10-K. We are excluding these items as they do not reflect normal operating results and are unique and non-recurring in nature.

(6)

Non-core operations include the net underwriting results from operations that are currently in run-off but do not qualify for Discontinued Operations accounting treatment under GAAP. These operations include our Lloyd's Syndicates operations from our previous participation in Syndicate 1729 and Syndicate 6131 as well as our legal professional liability book of business. Net investment gains (losses) recognized in earnings associated with these operations are included in the adjustment for consolidated net investment gains (losses) as described in footnote 1.

(7)

Our statutory tax rate (21%) was applied to these items in calculating net income (loss). Changes in the contingent consideration liability are non-taxable and therefore have no associated income tax impact. The taxes associated with the net investment gains (losses) related to SPCs in our Segregated Portfolio Cell Reinsurance segment are paid by the individual SPCs and are not included in our consolidated tax provision or net income (loss); therefore, both the net investment gains (losses) from our Segregated Portfolio Cell Reinsurance segment and the adjustment to exclude the portion of net investment gains (losses) included in the SPC dividend expense (income) in the table above are not tax effected. There are no taxes associated with our Lloyd’s Syndicates operations in our consolidated tax provision due to the availability of net operating losses and the full valuation allowance recorded against the deferred tax assets. Accordingly, all adjustments related to our Lloyd's Syndicates operations in the table above are not tax effected. The portion of transaction-related costs that is tax deductible was tax effected at the statutory tax rate while the remaining non-deductible portion was not tax effected as there was no associated income tax benefit.

Non-GAAP Adjusted Key Ratios

Certain key performance ratios include the impact of certain before-tax effects of items that do not reflect normal operating results, as discussed in the previous table. We believe adjusting our key ratios for these items presents a useful view of the performance of our ongoing core insurance operations; however, it should be considered in conjunction with ratios computed in accordance with GAAP.

Our consolidated key ratios for the quarter and year ended December 31, 2025 and 2024 include the impact of net underwriting results related to non-core operations, guaranty fund assessments and transaction-related costs (see previous discussion on these items in the previous table). Non-core operations include an underwriting loss of $3.4 million and $8.1 million for the quarter and year ended December 31, 2025, respectively, associated with our Lloyd's Syndicates operations as compared to an underwriting loss of $6.3 million and $4.7 million for the same respective periods of 2024. Also included in non-core operations for the quarter and year ended December 2024 is a nominal amount of underwriting income associated with our legal professional liability book of business as compared to an underwriting loss of $1.9 million and $2.0 million for the same respective periods of 2024.

The following table is a reconciliation of our consolidated key ratios to Non-GAAP adjusted key ratios for the quarter and year ended December 31, 2025 and 2024:

 

Three Months Ended December 31

CONSOLIDATED

2025

 

2024

 

As Reported

Non-GAAP operating adjustments

Non-GAAP Adjusted Ratios

 

As Reported

Non-GAAP operating adjustments

Non-GAAP Adjusted Ratios

Current accident year net loss ratio

81.7

%

1.1 pts

82.8

%

 

80.4

%

0.6 pts

81.0

%

Effect of prior accident years’ reserve development

(26.0

%)

(2.7 pts)

(28.7

%)

 

(4.7

%)

(3.9 pts)

(8.6

%)

Net loss ratio

55.7

%

(1.6 pts)

54.1

%

 

75.7

%

(3.3 pts)

72.4

%

Underwriting expense ratio

36.6

%

(0.4 pts)

36.2

%

 

33.6

%

— pts

33.6

%

Combined ratio

92.3

%

(2.0 pts)

90.3

%

 

109.3

%

(3.3 pts)

106.0

%

Less: investment income ratio

17.3

%

— pts

17.3

%

 

15.3

%

0.2 pts

15.5

%

Operating ratio

75.0

%

(2.0 pts)

73.0

%

 

94.0

%

(3.5 pts)

90.5

%

 

 

 

 

 

 

 

 

 

Year Ended December 31

 

2025

 

2024

 

As Reported

Non-GAAP operating adjustments

Non-GAAP Adjusted Ratios

 

As Reported

Non-GAAP operating adjustments

Non-GAAP Adjusted Ratios

Current accident year net loss ratio

80.9

%

0.4 pts

81.3

%

 

80.5

%

0.6 pts

81.1

%

Effect of prior accident years’ reserve development

(9.7

%)

(1.2 pts)

(10.9

%)

 

(4.1

%)

(1.2 pts)

(5.3

%)

Net loss ratio

71.2

%

(0.8 pts)

70.4

%

 

76.4

%

(0.6 pts)

75.8

%

Underwriting expense ratio

35.4

%

(1.6 pts)

33.8

%

 

33.0

%

0.2 pts

33.2

%

Combined ratio

106.6

%

(2.4 pts)

104.2

%

 

109.4

%

(0.4 pts)

109.0

%

Less: investment income ratio

16.8

%

— pts

16.8

%

 

14.9

%

0.4 pts

15.3

%

Operating ratio

89.8

%

(2.4 pts)

87.4

%

 

94.5

%

(0.8 pts)

93.7

%

Our Specialty P&C segment key ratios for the quarter and year ended December 31, 2025 and 2024 include the impact of net underwriting results related to non-core operations, as previously discussed, and guaranty fund assessments.

The following table is a reconciliation of our Specialty P&C segment key ratios to Non-GAAP adjusted key ratios for the quarter and year ended December 31, 2025 and 2024:

 

Three Months Ended December 31

SPECIALTY P&C SEGMENT

2025

 

2024

 

Segment As Reported

Non-GAAP operating adjustments

Non-GAAP Adjusted Ratios

 

Segment As Reported

Non-GAAP operating adjustments

Non-GAAP Adjusted Ratios

Current accident year net loss ratio

82.9

%

1.5 pts

84.4

%

 

82.7

%

0.9 pts

83.6

%

Effect of prior accident years’ reserve development

(30.9

%)

(3.6 pts)

(34.5

%)

 

(5.2

%)

(5.1 pts)

(10.3

%)

Net loss ratio

52.0

%

(2.1 pts)

49.9

%

 

77.5

%

(4.2 pts)

73.3

%

Underwriting expense ratio

29.8

%

0.2 pts

30.0

%

 

26.9

%

(0.3 pts)

26.6

%

Combined ratio

81.8

%

(1.9 pts)

79.9

%

 

104.4

%

(4.5 pts)

99.9

%

 

 

 

 

 

 

 

 

 

Year Ended December 31

 

2025

 

2024

 

Segment As Reported

Non-GAAP operating adjustments

Non-GAAP Adjusted Ratios

 

Segment As Reported

Non-GAAP operating adjustments

Non-GAAP Adjusted Ratios

Current accident year net loss ratio

82.7

%

0.6 pts

83.3

%

 

82.3

%

0.8 pts

83.1

%

Effect of prior accident years’ reserve development

(11.0

%)

(1.7 pts)

(12.7

%)

 

(5.0

%)

(1.5 pts)

(6.5

%)

Net loss ratio

71.7

%

(1.1 pts)

70.6

%

 

77.3

%

(0.7 pts)

76.6

%

Underwriting expense ratio

27.7

%

— pts

27.7

%

 

27.3

%

— pts

27.3

%

Combined ratio

99.4

%

(1.1 pts)

98.3

%

 

104.6

%

(0.7 pts)

103.9

%

Non-GAAP Operating ROE

The following table is a reconciliation of ROE to Non-GAAP operating ROE for the quarter and year ended December 31, 2025 and 2024:

 

Three Months Ended

December 31

 

Year Ended

December 31

 

2025

 

2024

 

2025

 

2024

ROE(1)

10.1

%

 

5.3

%

 

4.0

%

 

4.6

%

Effect of items excluded in the calculation of Non-GAAP operating ROE

2.7

%

 

1.2

%

 

2.6

%

 

(0.2

%)

Non-GAAP operating ROE

12.8

%

 

6.5

%

 

6.6

%

 

4.4

%

(1)

Quarterly amounts are annualized. Refer to our December 31, 2025 report on Form 10-K under the heading “Non-GAAP Operating ROE” in the Executive Summary of Operations section for details on our calculation.

Non-GAAP Adjusted Book Value per Share

The following table is a reconciliation of our book value per share to Non-GAAP adjusted book value per share at December 31, 2025 and December 31, 2024:

 

Book Value Per Share

Book Value Per Share at December 31, 2024

$

23.49

 

Less: AOCI Per Share(1)

 

(3.37

)

Non-GAAP Adjusted Book Value Per Share at December 31, 2024

 

26.86

 

Increase (decrease) to Non-GAAP Adjusted Book Value Per Share during the year ended December 31, 2025 attributable to:

 

Net income (loss)

 

0.99

 

Other(2)

 

(0.03

)

Non-GAAP Adjusted Book Value Per Share at December 31, 2025

 

27.82

 

Add: AOCI Per Share(1)

 

(1.58

)

Book Value Per Share at December 31, 2025

$

26.24

 

(1)

Primarily the impact of accumulated unrealized investment gains (losses) on our available-for-sale fixed maturity investments. See Note 11 of the Notes to Consolidated Financial Statements in our December 31, 2025 report on Form 10-K for additional information.

(2)

Primarily the impact of an increase in common shares outstanding due to share-based compensation.

About ProAssurance

ProAssurance Corporation is an industry-leading specialty insurer with extensive expertise in medical professional liability and products liability for medical technology and life sciences. The Company also is a provider of workers’ compensation insurance in the eastern U.S. ProAssurance Group is rated “A” (Excellent) by AM Best.

For the latest on ProAssurance and its industry-leading suite of products and services, cutting-edge risk management and practice enhancement programs, visit our website at https://ProAssuranceGroup.com with investor content available at https://Investor.ProAssurance.com. Our YouTube channel regularly presents insightful videos that communicate effective practice management, patient safety and risk management strategies.

Forward-Looking Statements

The foregoing contains “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, or the Exchange Act. These statements are often identified by the use of words such as “anticipate,” “believe,” “continue,” “could,” “estimate,” “expect,” “intend,” “may,” “plan,” “hope,” “hopeful,” “likely,” "may," "optimistic," "possible," "potential," "preliminary," "project," "should," "will," “would” or the negative or plural of these words or similar expressions or variations. Forward-looking statements are made based upon management’s current expectations and beliefs and are not guarantees of future performance. Such forward-looking statements are subject to a number of risks, uncertainties, assumptions and other factors that could cause actual results and the timing of certain events to differ materially from future results expressed or implied by the forward-looking statements. These factors include, among others: (i) the completion of the proposed transaction on the anticipated terms and timing, (ii) the satisfaction of other conditions to the completion of the proposed transaction, including obtaining required shareholder and regulatory approvals; (iii) the risk that ProAssurance Corporation’s stock price may fluctuate during the pendency of the proposed transaction and may decline if the proposed transaction is not completed; (iv) potential litigation relating to the proposed transaction that could be instituted against ProAssurance Corporation or its directors, managers or officers, including the effects of any outcomes related thereto; (v) the risk that disruptions from the proposed transaction will harm ProAssurance Corporation’s business, including current plans and operations, including during the pendency of the proposed transaction; (vi) the ability of ProAssurance Corporation to retain and hire key personnel; (vii) the diversion of management’s time and attention from ordinary course business operations to completion of the proposed transaction and integration matters; (viii) potential adverse reactions or changes to business relationships resulting from the announcement or completion of the proposed transaction; (ix) legislative, regulatory and economic developments; (x) potential business uncertainty, including changes to existing business relationships, during the pendency of the proposed transaction that could affect ProAssurance Corporation’s financial performance; (xi) certain restrictions during the pendency of the proposed transaction that may impact ProAssurance Corporation’s ability to pursue certain business opportunities or strategic transactions; (xii) unpredictability and severity of catastrophic events, including but not limited to acts of terrorism, outbreaks of war or hostilities or global pandemics, as well as management’s response to any of the aforementioned factors; (xiii) the possibility that the proposed transaction may be more expensive to complete than anticipated, including as a result of unexpected factors or events; (xiv) unexpected costs, liabilities or delays associated with the transaction; (xv) the response of competitors to the transaction; (xvi) the occurrence of any event, change or other circumstance that could give rise to the termination of the proposed transaction, including in circumstances requiring ProAssurance Corporation to pay a termination fee ; and (xvii) other risks set forth under the heading “Risk Factors,” of our Annual Report on Form 10-K for the year ended December 31, 2024 and in our subsequent filings with the Securities and Exchange Commission. You should not rely upon forward-looking statements as predictions of future events. Our actual results could differ materially from the results described in or implied by such forward looking statements. Forward-looking statements speak only as of the date hereof, and, except as required by law, we undertake no obligation to update or revise these forward-looking statements.

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