ProAssurance, a nationwide medical malpractice insurer with 57,000 insureds that is based in Birmingham, has a growing presence in Tennessee. It has done very well the last few years.
In 2005 it had pre-tax income of $109M, about 17% of revenues. In 2009 pre-tax income was $319M, about 52% of revenues. Not bad. Not bad at all. Read more here.
The return on equity in 2009 was 14.2%, and shareholder book value has grown by 278% in the last ten years.