Independence Holding Company Announces 2008 Third-Quarter and Nine-Month Results

Independence Holding Company (NYSE: IHC) today reported 2008 third-quarter and nine-month results. This press release contains both GAAP and non-GAAP financial information for which a reconciliation can be found on the final page.

Financial Results

Operating income1 per share increased to $.10 per share, diluted, or $1,577,000, for the three months ended September 30, 2008, compared to a loss of $.56 per share, diluted, or $8,571,000, for the three months ended September 30, 2007. Operating income per share increased to $.49 per share, diluted, or $7,534,000, for the nine months ended September 30, 2008, compared to a loss of $.02 per share, diluted, or $293,000, for the nine months ended September 30, 2007. Operating income is a non-GAAP measure and is defined as net income excluding net realized investment gains and losses and income from discontinued operations, both net of applicable taxes.

Net loss per share increased to $.57 per share, diluted, or $8,748,000, for the three months ended September 30, 2008, compared to $.55 per share, diluted, or $8,423,000, for the three months ended September 30, 2007. Included in the current quarters net loss is a charge for other-than-temporary impairments in investments of $10,136,000, or $.66 per share, diluted, net of tax that (net of gains) yielded a net realized loss of $11,033,000, or $.71 per share, diluted, net of tax. The Company recorded these losses during the quarter as a result of the continued turmoil in the credit markets.

Net income per share decreased to a loss of $.80 per share, diluted, or $12,369,000, for the nine months ended September 30, 2008, compared to income of $.01 per share, diluted, or $108,000, for the nine months ended September 30, 2007. Included in the net loss for the nine months is a charge for other-than-temporary impairments in investments of $21,334,000 or $1.39 per share, diluted, net of tax that (net of gains) yielded a net realized loss of $20,611,000, or $1.34 per share, diluted, net of tax.

Revenues decreased 18.5% to $81,934,000 for the three months ended September 30, 2008, compared to revenues for the three months ended September 30, 2007 of $100,565,000. Revenues decreased 9.2% to $275,670,000 for the nine months ended September 30, 2008, compared to revenues for the nine months ended September 30, 2007 of $303,501,000. The decrease in revenues is primarily the result of the realized losses in 2008.

Chief Executive Officers Comments

Roy Thung, Chief Executive Officer, commented, We are pleased with the significant increase in operating income from continuing operations during this quarter to $.10 per share, diluted, from a loss of $.56 per share, diluted, in the third quarter of 2007. Our operating focus continues to be on maintaining underwriting discipline in all business lines and improving our profit margins in the future. Due to the unprecedented turmoil in the capital markets, Independence Holding Company, like many insurance and other companies in the financial sector, recognized a loss in the third quarter and during the first nine months of 2008 for other-than-temporary impairments. These impairments were primarily on certain preferred stocks and AAA-rated Alt-A mortgages. The majority of these impairments relate to investment-grade preferred stocks issued by well-known financial institutions such as Goldman Sachs, Bank of America, US Bancorp, Merrill Lynch, Morgan Stanley and Banco Santander. At September 30, 2008, the Company had a carrying value of $31 million in preferred stocks of these financial institutions and $33 million in Alt-A mortgages, which amounted to 8% of our total investment portfolio of $804 million. Our fixed-maturity portfolio continues to be rated, on average, AA. As the Company carries all of its assets available for sale at fair value, we recorded a decrease in our book value per share from $13.92 at June 30, 2008 to $11.90 at September 30, 2008, primarily as a result of unrealized losses due to the turbulent global market. The Company expects to recover its temporary unrealized losses in fixed maturities recorded in book value as the securities mature.

Non-GAAP Financial Measures

The Company provides non-GAAP financial measures to complement its consolidated financial statements presented in accordance with GAAP. These non-GAAP financial measures are intended to supplement the user's overall understanding of the Company's current financial performance and its prospects for the future. Specifically, the Company believes the non-GAAP results provide useful information to both management and investors by excluding realized gains or losses, net of taxes that, when excluded from the GAAP results, may provide additional understanding of the Company's core operating results or business performance. However, these non-GAAP financial measures are not intended to supersede or replace the Company's GAAP results. A reconciliation of the non-GAAP results to the GAAP results is provided in the "Reconciliation of GAAP Income from Continuing Operations to Non-GAAP Income from Continuing Operations schedule below. Operating results reported on a non-GAAP basis exclude realized gains or losses net of applicable income taxes.

About Independence Holding Company

IHC is a holding company principally engaged in the life and health insurance business and the acquisition of blocks of policies through its insurance company subsidiaries (Standard Security Life Insurance Company of New York and Madison National Life Insurance Company, Inc.), its affiliate (American Independence Corp. (NASDAQ: AMIC)), and its managing general underwriters, third-party administrators, and marketing affiliates. Standard Security Life markets medical stop-loss, small group major medical, short-term medical, major medical for individuals and families, limited medical, group long and short-term disability and life, dental, vision and managed health care products. Madison Life sells group life and disability, employer medical stop-loss, small group major medical, major medical for individuals and families, short-term medical, dental, vision, and individual life insurance. AMIC is a holding company principally engaged in the insurance and reinsurance business through Independence American Insurance Company and its managing general underwriter division.

Certain statements in this news release may be considered forward-looking statements, such as statements relating to managements views with respect to future events and financial performance. Such forward-looking statements are subject to risks, uncertainties and other factors which could cause actual results to differ materially from historical experience or from future results expressed or implied by such forward-looking statements. Potential risks and uncertainties include, but are not limited to, economic conditions in the markets in which IHC operates, new federal or state governmental regulation, IHCs ability to effectively operate, integrate and leverage any past or future strategic acquisition, and other factors which can be found in IHCs other news releases and filings with the Securities and Exchange Commission.

1 Operating income excludes net realized investment gains (losses). The Company believes that the presentation of operating earnings may offer a better understanding of the core operating results of the Company. A reconciliation of net income to operating income is presented as an attachment to this press release.

INDEPENDENCE HOLDING COMPANY

THIRD QUARTER REPORT

September 30, 2008

(In Thousands, Except Per Share Data)

Three Months EndedNine Months Ended
September 30,September 30,
2008200720082007
REVENUES:
Premiums earned:
Health $ 67,676 $ 70,172 $ 212,188 $ 206,380
Life and annuity 9,256 8,085 28,082 25,607
Net investment income 11,887 11,002 33,688 35,118
Fee income 9,351 11,007 30,768 31,540
Net realized investment gains (losses) (17,138 ) 471 (32,111 ) 1,473
Equity income (loss) from AMIC 297 (696 ) 1,087 401
Other income 605 524 1,968 2,982
81,934 100,565 275,670 303,501
EXPENSES:
Insurance benefits, claims and reserves:
Health 46,883 62,124 145,189 156,078
Life and annuity 12,588 12,074 36,681 35,663
Selling, general and administrative expenses 35,436 36,738 108,146 103,517
Amortization of deferred acquisitions costs 1,419 1,676 4,828 4,594
Interest expense on debt 900 1,051 2,795 3,169
97,226 113,663 297,639 303,021

Income (loss) from continuing operations before income taxes

(15,292 ) (13,098 ) (21,969 ) 480
Income tax (benefits) (5,836 ) (4,820 ) (8,892 ) (182 )
Income (loss) from continuing operations (9,456 ) (8,278 ) (13,077 ) 662
Discontinued operations:
Income (loss) from discontinued operations 541 (145 ) 541 (554 )
Gain on disposition of discontinued operations 167 - 167 -
NET INCOME (LOSS) $ (8,748 ) $ (8,423 ) $ (12,369 ) $ 108
Basic income (loss) per common share:
Income (loss) from continuing operations $ (.61 ) $ (.54 ) $ (.85 ) $ .04
Income (loss) from discontinued operations .03 (.01 ) .04 (.03 )
Gain on disposition of discontinued operations .01 - .01 -
Basic income (loss) per common share $ (.57 ) $ (.55 ) $ (.80 ) $ .01
WEIGHTED AVERAGE SHARES OUTSTANDING 15,421 15,195 15,380 15,190
Diluted income (loss) per common share
Income (loss) from continuing operations $ (.61 ) $ (.54 ) $ (.85 ) $ .04
Income (loss) from discontinued operations .03 (.01 ) .04 (.03 )
Gain on disposition of discontinued operations .01 - .01 -
Diluted income (loss) per common share $ (.57 ) $ (.55 ) $ (.80 ) $ .01
WEIGHTED AVERAGE DILUTED SHARES OUTSTANDING 15,421 15,195 15,380 15,302

As of November 07, 2008, there were 15,401,234 common shares outstanding, net of treasury shares.

Certain amounts in prior years have been reclassified to reflect the results of discontinued operations.

RECONCILIATION OF GAAP INCOME FROM CONTINUING OPERATIONS

TO NON-GAAP INCOME FROM CONTINUING OPERATIONS

(In Thousands, Except Per Share Data)

Three Months EndedNine Months Ended
September 30,September 30,

2008

2007

2008

2007

Income (loss) from continuing operations $ (9,456 ) $ (8,278 ) $ (13,077 ) $ 662
Realized (gains) losses net of taxes 11,033 (293 ) 20,611 (955 )

Operating income (loss) from continuing operations

$ 1,577 $ (8,571 ) $ 7,534 $ (293 )
Non - GAAP basic income (loss) per common share:

Operating income (loss) from continuing operations

$ .10 $ (.56 ) $ .49 $ (.02 )
Non - GAAP diluted income (loss) per common share:
Operating income (loss) from continuing operations $ .10 $ (.56 ) $ .49 $ (.02 )

Included in realized losses net of taxes for the three months and nine months ended September 30, 2008 are $10,136,000 or $.66 per share, diluted, and $21,334,000 or $1.39 per share, diluted, respectively, from other than temporary impairments primarily due to the write down in value of preferred stocks of certain financial institutions, fixed maturities (primarily Alt-A securities) and common stocks.

Contacts:

Independence Holding Company
David T. Kettig, 212-355-4141 Ext. 3047
www.IHCGroup.com

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