PRIME MEDICAL SERVICES INC /TX/
DEF 14A, 1998-04-29
MISC HEALTH & ALLIED SERVICES, NEC
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                            SCHEDULE 14A INFORMATION
Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934
                               (Amendment No. __)

Filed by the Registrant [x]
Filed by a Party other than the Registrant 
Check the appropriate box:
     Preliminary Proxy Statement
     Confidential, for use of the Commission only
          (as permitted by Rule 14a-6(e)(2))
|X|  Definitive Proxy Statement
     Definitive Additional Materials
     Soliciting Material Pursuant to Section 240.14a-11(c) or Section 240.14a-12

                          Prime Medical Services, Inc.

                (Name of Registrant as Specified In Its Charter)


    (Name of Persons(s) Filing Proxy Statement, if other than the Registrant)

Payment of Filing Fee (Check the appropriate box):

|X|  No fee required.
     $500 per each party to the controversy pursuant to Exchange Act
          Rule 14a-6(I)(3).
     Fee computed on table below per Exchange Act Rules 14a-6(I)(4) and 0-11.

         1)  Title of each class of securities to which transaction applies:
                                                                               


         2)  Aggregate number of securities to which transaction applies:
                                                                               


         3)  Per unit price or other underlying value of transaction computed 
             pursuant to Exchange Act Rule 0-11 (set forth the amount on which 
             the filing fee is calculated and state how it was determined:
                                                                               


         4)  Proposed maximum aggregate value of transaction:
                                                                               

         5)  Total fee paid:
         _______________________________________________

         Fee paid previously with preliminary materials.

     Check box if any part of the fee is  offset as  provided  by  Exchange  Act
Rule 0-11(a)(2)  and identify the filing for which the  offsetting  fee was paid
previously.  Identify the previous filing by registration  statement  number, or
the Form or Schedule and the date of its filing.

         1)  Amount Previously Paid:
                                                                               


         2)  Form, Schedule or Registration Statement No.:
                                                                               


         3)  Filing Party:
                                                                               


         4)  Date Filed:
                                                                               

<PAGE>



                          PRIME MEDICAL SERVICES, INC.
                        1301 S. Capital of Texas Highway
                                   Suite C-300
                               Austin, Texas 78746

                    NOTICE OF ANNUAL MEETING OF SHAREHOLDERS
                            To Be Held June 10, 1998


     Notice is hereby  given that the Annual  Meeting of  Shareholders  of Prime
Medical Services, Inc., a Delaware corporation (the "Company"),  will be held at
Barton  Creek  Country  Club,  8212 Barton Club Dr.,  Austin,  Texas  78735,  on
Wednesday,  June 10,  1998 at 8:30 a.m.  Austin,  Texas  time for the  following
purposes:

      (a) To elect eight directors to serve on the Board of Directors;

      (b) To approve an amendment to the Company's 1993 Stock Option Plan; and

      (c) To transact such other business as may properly come before the 
          meeting or any adjournment(s) thereof.

     The accompanying Proxy Statement contains information regarding, and a more
complete description of, the items of business to be considered at the meeting.

     The close of business on April 27, 1998,  has been fixed as the record date
for the determination of Shareholders entitled to receive notice of, and to vote
at, the Annual Meeting of Shareholders or any adjournment(s) thereof.

     You are cordially  invited and urged to attend the meeting,  but if you are
unable  to  attend  the  meeting,  you  are  requested  to  sign  and  date  the
accompanying  proxy  and  return  it  promptly  in the  enclosed  self-addressed
envelope.  If you  attend  the  meeting,  you may vote in  person,  if you wish,
whether  or not you have  returned  your  proxy.  In any  event,  a proxy may be
revoked at any time before it is exercised.

                                            By Order of the Board of Directors


                                            /s/ CHERYL L. WILLIAMS
                                            ----------------------
                                            CHERYL L. WILLIAMS, Secretary


Austin, Texas
May 8, 1998

<PAGE>

                          PRIME MEDICAL SERVICES, INC.
                        1301 S. Capital of Texas Highway
                                   Suite C-300
                               Austin, Texas 78746


                                 PROXY STATEMENT
                                       for
                         ANNUAL MEETING OF SHAREHOLDERS
                            To Be Held June 10, 1998

     This Proxy  Statement is sent to  shareholders  of Prime Medical  Services,
Inc.,  a  Delaware   corporation  (the   "Company"),   in  connection  with  the
solicitation  of proxies by the Board of Directors of the Company for use at the
Annual  Meeting of  Shareholders  of the Company to be held at the Barton  Creek
Country Club, 8212 Barton Club Dr., Austin, Texas 78735, on Wednesday,  June 10,
1998 at 8:30 a.m. Austin,  Texas time and any  adjournment(s)  thereof,  for the
purposes set forth in the accompanying Notice of Annual Meeting of Shareholders.
Solicitation of proxies may be made in person or by mail, telephone, or telecopy
by directors,  officers,  and regular employees of the Company.  The Company may
also request banking institutions,  brokerage firms,  custodians,  nominees, and
fiduciaries to forward solicitation  material to the beneficial owners of common
stock of the  Company  held of  record by such  persons,  and the  Company  will
reimburse the forwarding  expenses.  The cost of solicitation of proxies will be
paid by the Company. This Proxy Statement was first mailed to shareholders on or
about May 8, 1998.

     Unless the context indicates  otherwise,  "Prime" or the "Company" includes
the Company and all of the other direct and indirect  wholly-owned  subsidiaries
of the Company on a consolidated basis.

                                  ANNUAL REPORT

     Enclosed is an Annual Report to  Shareholders  for the year ended  December
31,  1997  including  audited  financial  statements.   Such  Annual  Report  to
Shareholders  does not form any part of the  material  for the  solicitation  of
proxies.

                               REVOCATION OF PROXY

     Any shareholder  returning the accompanying  proxy may revoke such proxy at
any time prior to its exercise by (a) giving  written notice to the Secretary of
the  Company of such  revocation,  (b) voting in person at the  meeting,  or (c)
executing and delivering to the Secretary of the Company a later dated proxy.



                                        1
<PAGE>

                                 
                 OUTSTANDING COMMON STOCK; CERTAIN SHAREHOLDERS

     The voting  securities of the Company are shares of its common stock,  $.01
par value per share  (the  "Common  Stock"),  each share of which  entitles  the
holder  thereof to one vote. As of April 27, 1998,  there were  outstanding  and
entitled to vote 19,168,267  shares of Common Stock. Only shareholders of record
at the close of  business  on April 27,  1998 are  entitled to notice of, and to
vote at, the Annual Meeting of Shareholders and any adjournment(s) thereof.

     The following table sets forth certain information regarding certain owners
of Common  Stock as of April 27,  1998,  with  respect to (a) each person who is
known by the Company to be the beneficial owner of more than five percent of the
shares of Common  Stock,  (b) each  director  and  nominee  for  director of the
Company, (c) certain officers of the Company, and (d) all executive officers and
directors of the Company as a group.  Unless  otherwise  indicated,  the Company
believes  that each person or entity named below has sole voting and  investment
power with respect to all shares shown as  beneficially  owned by such person or
entity,  subject to community property laws where applicable and the information
set forth in the footnotes to the table below.

                                                 Beneficial Ownership
                                                 --------------------
Name                                           Number of 
                                                Shares         Percent 
                                                ------         ------- 
American Physicians Service Group, Inc.        3,064,503        16.0%
  1301 Capital of Texas Highway
  Austin, Texas 78746 ("APS")
Paul R. Butrus(1)                                182,675         1.0%
William E. Foree, M.D.(1)                        225,760         1.2%
Joseph Jenkins, M.D.(1)                           82,273          .4%
Stan Johnson(1)                                    1,000          --
Irwin Katz(1)                                     42,600          .2%
Michael Madler(1)                                 72,666          .4%
John McEntire(1)                                  18,333          .1%
Dan Myers, M.D.(1)                                72,841          .4%
William A. Searles(1)(2)                          20,933          .1%
Kenneth S. Shifrin(1)(2)                         272,400         1.4%
Michael J. Spalding, M.D.(1)                      68,998          .4%
Cheryl Williams(1)                               111,235          .6%
All directors and executive officers 
     as a group (12 persons)                   1,171,714         6.0%
- ---------------------------                              
     (1) Includes  the  following  number of shares  subject to options that are
presently  exercisable or  exercisable  within 60 days after April 27, 1998: Mr.
Butrus, 37,500; Dr. Foree, 25,000; Dr. Jenkins,  25,000; Mr. Johnson, 1,000; Mr.
Katz, 37,500; Mr. Madler,  69,166; Mr. McEntire,  8,333; Dr. Myers,  18,750; Mr.
Searles, 20,833; Mr. Shifrin,  162,500; Dr. Spalding,  20,833; and Ms. Williams,
93,666. 
     (2) Mr.  Searles and Mr.  Shifrin are each  directors of APS and,  together
with the other  officers  and  directors  of APS,  may share in the  voting  and
investment power with respect to the shares of common stock of the Company owned
by APS.  Each of such persons  disclaims  the  beneficial  ownership of any such
shares.

                                        2

<PAGE>

                             MANAGEMENT COMPENSATION

    Summary Compensation Table
    --------------------------

     Set forth  below is  information  concerning  aggregate  compensation  paid
during each of the  Company's  last three  fiscal years to the  Company's  Chief
Executive  Officer  and each of the  Company's  other  most  highly  compensated
executive  officers  who  received  in excess of  $100,000 in salary and bonuses
during  any  of  the  last  three  fiscal  years   (collectively,   the  ''Named
Executives'').

<TABLE>
    <S>                                            <C>       <C>            <C>              <C>               <C>


                                                                                             
                                                                                            
                                                                                               
                                                                     Annual                   Long-Term           
                                                                  Compensation               Compensation 
                                                                  ------------                  Awards                  
                                                                                              Securities
                                                                                              Underlying             All Other
        Name and Principal Position                Year      Salary($)      Bonus($)(1)      Options(#)(2)     Compensation($)(3)  
       ---------------------------                 ----      ---------      -----------      -------------     ------------------  
    Kenneth S. Shifrin..................           1997        183,336          327,709          25,000                696
        Chairman of the Board                      1996        115,225          178,947         100,000                696
                                                   1995        112,500           68,425             --                 696

    Joseph Jenkins, M.D.(4).............           1997        325,000           90,000          25,000              4,750
        President and Chief Executive Officer      1996        243,750              --           75,000                --

    Michael Madler......................           1997        150,000          158,758          25,000              5,014
        Sr. Vice President-Operations              1996        150,000          178,947          50,000              2,268
                                                   1995        150,000           68,425             --              37,081

    Dan Myers, M.D.(4) .................           1997        180,000           50,000          25,000              4,750
        Sr. Vice President-Development             1996        135,000              --           50,000                --

    Cheryl Williams.....................           1997        100,000          178,533          25,000              5,272
        Chief Financial Officer,                   1996         83,653          178,947          90,000              2,407
        Vice President-Finance and Secretary       1995         80,736           68,425             --                 228

    Stan Johnson........................           1997        165,006              --            5,000              4,750
        Vice President                             1996        173,733              --              --               5,029
</TABLE>
                                  
    (1)  Reflects bonuses paid during the year.
    (2)  Options to acquire common stock.
    (3)  Consists of life insurance premiums paid during the fiscal year.
         Also reflects moving expenses reimbursed to Mr. Madler in the
         amount of $36,905.
    (4)  Reflects compensation for Dr. Jenkins and Dr. Myers since May 1, 1996,
         the beginning of their employment with the company.

                                        3

<PAGE>

   
    Option Grants During 1997 
    ------------------------- 

     The following table provides  information related to options granted to the
Named  Executives  during 1997. The company does not have any outstanding  stock
appreciation rights.
<TABLE>
<S>                                         <C>          <C>            <C>             <C>               <C>          <C>

                                                                                                           Potential Realizable
                                            Number of      Percent of                                     Value at Assumed Annual
                                            Securities   Total Options                                     Rates of Stock Price
                                            Underlying    Granted to                                      Appreciation for Option
                                              Options    Employees in   Exercise Price                           Term (1)
                      Name                  Granted (#)   Fiscal Year    (2) ($/Sh)     Expiration Date    5 % ($)     10 % ($)
                      ----                  -----------   -----------    ----------     ---------------    -------     --------
Kenneth S. Shifrin........................     25,000          6 %          $10.50          07/01/02        72,524      160,259
     Chairman of the Board
Joseph Jenkins, M.D.......................     25,000          6 %          $10.50          07/01/02        72,524      160,259
     President and Chief Executive Officer
Michael Madler............................     25,000          6 %          $14.31          09/11/02        98,840      218,410
     Sr. Vice President , Operations
Dan Myers, M.D............................     25,000          6 %          $14.31          09/11/02        98,840      218,410
     Sr. Vice President, Development
Cheryl Williams...........................     25,000          6 %          $14.31          09/11/02        98,840      218,410
     Chief Financial Officer,
     Vice President, Finance and Secretary
Stan Johnson..............................      5,000          1 %          $10.50          03/19/03        14,505       32,052
     Vice President
</TABLE>
__________________
     (1) The dollar  amounts in these  columns  represent  potential  value that
might  be  realized  upon  exercise  of the  options  immediately  prior  to the
expiration of their term,  assuming that the market price on the date the option
is granted (or exercise  price) of the  Company's  common stock  appreciates  in
value  from  the  date of  grant  at the 5% and 10%  annual  appreciation  rates
prescribed  by the  regulations,  and  therefore  are not  intended  to forecast
possible  future  appreciation,  if any,  of the price of the  Company's  common
stock.  The potential  realizable  values are based on the exercise price of the
option,  not the current  market price of the Company's  common  stock.
     (2) The exercise  price of the option was equal to the fair market value of
the common stock on the date of the grant.


    Option Exercises During 1997 and Option Values at December 31, 1997 
    ------------------------------------------------------------------- 

     The following table provides  information  related to options  exercised by
the Named  Executives  during 1997 and the value of options held at December 31,
1997. The Company does not have any outstanding stock appreciation rights.


                                        4
                                

<PAGE>
<TABLE>

               Aggregated Option/SAR Exercises In Last Fiscal Year
                        and Fiscal Year-End Option Values

<S>                         <C>             <C>        <C>             <C>                 <C>            <C>

                                                             Number of Securities
                                                            Underlying Unexercised          Value of Unexercised In-
                               Shares         Value        Options/ SARs at Fiscal           the-Money Options/SARs
                            Acquired on     Realized             Year-End                  at Fiscal Year-End ($) (2)
      Name                  Exercise (#)     ($) (1)   Exercisable (#) Unexercisable (#)   Exercisable    Unexercisable
      ----                  ------------     -------   --------------- -----------------   -----------    -------------
Kenneth S. Shifrin......         ---            ---          150,000       75,000            1,387,500          118,750
Joseph Jenkins, M.D.....         ---            ---           12,500       87,500               12,500           93,750
Stan Johnson............       8,000         57,500            8,000       29,000               62,080          202,490
Michael Madler..........         ---            ---           60,833       74,167              417,500          215,000
Dan Myers, M.D..........         ---            ---           12,500       62,500               12,500           12,500
Cheryl Williams.........         ---            ---           85,333       76,667              694,788           92,150
</TABLE>
_____________________

     (1)  Calculated by  subtracting  the per share exercise price of the option
from the closing  price for the  Company's  common stock on the date of exercise
and multiplying the difference by the number of shares of common stock purchased
upon the exercise of the option.
     (2)  Calculated by  subtracting  the per share exercise price of the option
from the closing  price for the  Company's  common  stock on  December  31, 1997
($13.75) and  multiplying the difference by the number of shares of common stock
underlying the option.


     Employment Agreements 
     --------------------- 

     The Company has entered into  employment  agreements  with Joseph  Jenkins,
M.D.,  President and Chief Executive Officer of the Company and Stan D. Johnson,
a Vice President of the Company. Dr. Jenkins is currently paid $325,000 per year
and Mr. Johnson is currently paid $165,000 per year under such agreements.  Each
of  these  agreements   provides  for  the  payment  of  basic  salary  amounts,
performance  bonuses  and other  customary  benefits.  Dr.  Jenkins'  employment
agreement  provides for his  employment  through April 30, 1998.  Mr.  Johnson's
employment agreement provides for his employment through September 30, 1998. The
Company  currently  anticipates that Dr. Jenkins will remain with the Company in
the same capacity and at the same compensation level after the expiration of his
employment agreement. Each of the agreements entitles such individual to receive
severance  payments  if the  Company  terminates  such  individual's  employment
without  cause.  In any such  event,  Dr.  Jenkins  would be entitled to receive
compensation  for the remainder of the term of his  employment  agreement at the
highest  annual rate of cash salary that he received  from the Company  prior to
such  termination.  Mr.  Johnson would be entitled to receive an amount equal to
the lesser of $165,000 or the amount of salary otherwise  payable to Mr. Johnson
through  September 30, 1998.  Dr.  Jenkins and Mr.  Johnson may terminate  their
employment  agreements with the Company with or without cause by providing sixty
days prior written notice to the Board of Directors.


                                        5
<PAGE>

 Noncompetition Agreements 
 ------------------------- 

     The Company has entered into  noncompetition  agreements  with Dr. Jenkins,
Mr. Johnson,  Dr. Foree,  Dr. Spalding,  and Dr. Myers.  While the terms of such
agreements vary, they generally provide that each such person, during the period
specified in his  agreement,  will not own,  manage or control any business that
competes  with the  Company  and will not advise a customer  or  supplier of the
Company to cancel or curtail its dealings with, or influence any employee of the
Company to terminate his or her employment with, the Company.

Indemnity Agreements 
- -------------------- 

     The Company has entered into indemnity  agreements with a number of persons
who either are or have been officers, directors or key employees of the Company,
including  Mr.  Shifrin,  who is  Chairman  of the Board and a  director  of the
Company;  Dr.  Jenkins,  who is  President  and Chief  Executive  Officer  and a
director of the Company;  Mr. Butrus,  Dr. Foree,  Mr. Katz, Mr.  McEntire,  Mr.
Searles,  and Dr. Spalding,  who are directors of the Company; and Ms. Williams,
Mr.  Madler,  Dr. Myers,  and Mr.  Johnson who are officers of the Company.  The
agreements  generally  provide that, to the extent permitted by law, the Company
must indemnify each such person for judgments,  expenses,  fines,  penalties and
amounts paid in  settlement of claims that result from the fact that such person
was an officer,  director or employee of the Company. In addition, the Company's
and  certain of its  subsidiaries'  certificates  of  incorporation  provide for
certain limitations on director liability.


                      REPORT OF THE COMPENSATION COMMITTEE
                                     OF THE
                               BOARD OF DIRECTORS

     The business the Company is engaged in is highly  competitive.  In order to
succeed,  the  Company  believes  that it must be  able to  attract  and  retain
qualified executives.  To achieve this objective,  the Company has structured an
executive  compensation  system tied to operating  performance  that the Company
believes has enabled it to attract and retain key executives.

     During 1997, the Compensation  Committee was comprised of Michael Spalding,
M.D. and William A. Searles, both of whom are outside directors.

     The  Compensation  Committee  has primary  responsibility  for  determining
executive  compensation levels. The Board as a whole maintains a philosophy that
compensation of executive officers,  specifically including that of the Chairman
and President, should be linked to both operating and stock price performance. A
portion of the management  compensation has been comprised of bonuses,  based on
operating  and  stock  price  performance,  with a  particular  emphasis  on the
attainment of planned  objectives.  Accordingly,  in years in which  performance
goals are achieved or exceeded,  executive  compensation tends to be higher than
in years in which performance is below expectations.
                                        6

<PAGE>


     In  addition,  the Company has  utilized  stock  options to link  executive
compensation to stock price performance. The Committee feels that options are an
effective  incentive  for  managers to create value for  stockholders  since the
value of an option bears a direct relationship to the Company's stock price.

     For 1997, the Company's  executive  compensation  program consisted of base
salary  and  a  bonus  based  upon  the  achievement  of  specific   performance
measurements,  including the increase in earnings and stock price over the prior
year.

     The Company's objective is to obtain a financial  performance that achieves
several goals over time, including earnings-per-share growth, stock price growth
and a proper  diversification  of business  risks.  The Committee  believes that
compensation  levels during 1997 adequately  reflect the Company's  compensation
goals and policies.
                             Compensation Committee: Michael Spalding, M.D. and
                                                     William A. Searles



                 CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS


     Mr.  William  Searles,  a Director,  was paid $75,000 by the Company during
1997 for consulting services related to raising capital.

     Dr. Joseph Jenkins,  President and Chief Executive Officer,  currently owns
limited partner interests in nine of the partnerships managed by the Company. In
conjunction  with the limited  partner  buyout  program during 1997, the Company
acquired  all of the limited  partner  interests  owned by Dr.  Jenkins in five
partnerships for a total purchase price of $410,315.  Additionally,  Dr. Jenkins
received  $104,602  in cash  distributions  from  partnerships  in  which he had
ownership interests during 1997.

     Dr. Dan Myers, Sr. Vice President, currently owns limited partner interests
in eleven of the  partnerships  managed by the Company.  In conjunction with the
limited  partner buyout  program  during 1997,  the Company  acquired all of the
limited partner  interests owned by Dr. Myers in seven  partnerships for a total
purchase price of $654,315.  Additionally,  Dr. Myers received  $170,915 in cash
distributions from partnerships in which he had ownership interests during 1997.

     The Company's principal executive office is located in Austin,  Texas in an
office  building  owned by APS.  The Company pays APS  approximately  $7,500 per
month,  which includes  rental payments for  approximately  5,575 square feet of
office space,  reception and telephone services,  and certain other services and
facilities. This lease expires in December, 1998.




                                        7
<PAGE>
                       


                         SECTION 16 FILING REQUIREMENTS

     Section 16(a) of the Securities Exchange Act of 1934, as amended,  requires
the Company's  directors  and  officers,  and persons who own more than 10% of a
registered class of the Company's equity securities,  to file initial reports of
ownership and reports of changes in ownership  with the  Securities and Exchange
Commission (the "SEC") and the NASDAQ National Market. Such persons are required
by SEC regulation to furnish the Company with copies of all Section 16(a)  forms
they file.

     Based solely on its review of the copies of such forms  received by it with
respect to 1997, or written  representations from certain reporting persons, the
Company  believes  that all filing  requirements  applicable  to its  directors,
officers  and  persons  who own  more  than  10% of a  registered  class  of the
Company's  equity  securities  have been complied with,  except as follows.  Mr.
Searles and Dr.  Spalding did not timely file a Form 4 relating to a disposition
of shares. Each of such Forms were subsequently filed by these persons.


                                 QUORUM; VOTING

     The  presence,  in person or by proxy,  of the holders of a majority of the
outstanding shares of Common Stock entitled to vote is necessary to constitute a
quorum at the meeting. If a quorum is not present or represented at the meeting,
the shareholders  entitled to vote thereat,  present in person or represented by
proxy,  have the power to adjourn the meeting from time to time,  without notice
other  than an  announcement  at the  meeting,  until a  quorum  is  present  or
represented.  At any such  adjourned  meeting  at which a quorum is  present  or
represented,  any business may be transacted  that might have been transacted at
the meeting as originally notified.

     Cumulative  voting is not  permitted  in the  election of  directors of the
Company. On all matters (including election of directors) submitted to a vote of
the shareholders at the meeting or any  adjournment(s)  thereof,  each holder of
Common  Stock will be entitled to one vote for each share of Common  Stock owned
of record by such shareholder at the close of business on April 27, 1998.

                              SHAREHOLDER PROPOSALS

     Any  shareholder of the Company meeting certain minimum stock ownership and
holding  period  requirements  may  present a proposal  for action at the annual
meeting of shareholders to be held in 1999.  Such  shareholder  must deliver the
proposal to the executive offices of the Company no later than January 15, 1999,
unless the Company  notifies the  shareholders  otherwise.  Only those proposals
that are proper for shareholder  action and otherwise  proper may be included in
the Company's proxy statement.  The Board of Directors will consider nominations
for directors of the Company to be elected at the Annual Meeting of Shareholders
to be held in 1999 that are  submitted  in  writing  by any  shareholder  of the
Company prior to January 15, 1999.


                                        8

<PAGE>

                       ACTION TO BE TAKEN UNDER THE PROXY

     Proxies in the accompanying  form which are properly  executed and returned
will be voted at the meeting and any adjournment(s) thereof and will be voted in
accordance with the instructions  thereon.  Any proxy upon which no instructions
have been indicated with respect to a specified  matter will be voted as follows
with respect to such  matters:  (a) "FOR" the eight  persons for election to the
Board of Directors;  (b) "FOR" the amendment to the Company's  1993 Stock Option
Plan (the "Option  Plan") and (c) in the  transaction  of such other business as
may properly come before the meeting or any adjournment(s) thereof. The Board of
Directors  knows of no matters,  other than those stated above,  to be presented
for  consideration  at the meeting.  If,  however,  other matters  properly come
before the meeting or any  adjournment(s)  thereof,  it is the  intention of the
persons named in the  accompanying  proxy to vote such proxy in accordance  with
their judgment on any such matters.  The persons named in the accompanying proxy
may also,  if it is deemed to be  advisable,  vote  such  proxy to  adjourn  the
meeting from time to time.

                              ELECTION OF DIRECTORS

     Pursuant  to  the  Company's  Bylaws,   the  Board  of  Directors  has,  by
resolution,  fixed the number of directors at eight and eight  directors will be
elected.  All  nominees  will be elected to hold  office  until the next  annual
meeting of  shareholders  of the Company or until his  successor  is elected and
qualified.  Each nominee is  presently a director of the  Company.  The Board of
Directors  held six meetings  during the year ended  December 31, 1997, and each
director  attended  at least 75% of the  aggregate  of (a) the  total  number of
meetings of the Board of Directors held during the period for which he served as
a director and (b) the total number of meetings  held by all  committees  of the
board on which he served.


                                                               Director of
         Name                       Age                       Company Since
         ----                       ---                       -------------
Paul Butrus                          57                             1992
William E. Foree, M.D.               66                             1993
Joseph Jenkins, M.D., J.D.           50                             1996
Irwin Katz                           78                             1986
J.A. McEntire IV                     36                             1996
William A. Searles                   55                             1989
Kenneth S. Shifrin                   49                             1989
Michael J. Spalding, M.D.            57                             1993

     The Company pays Dr. Foree,  Mr. Katz,  Mr.  McEntire,  Mr. Searles and Dr.
Spalding a monthly fee of $1,250 for serving as a director of the  Company.  The
Company's  directors are also eligible to receive stock options under the Option
Plan.  The  Company's  directors  receive  reimbursement  of  all  ordinary  and
necessary  expenses  incurred in attending any meeting of the Board of Directors
or any committee of the Board of Directors.

                                        9
<PAGE>

     Mr. Butrus has been a Director of the Company since  September,  1992.  Mr.
Butrus is also an Executive Vice President and a director of MAIC Holdings, Inc.
("MAIC") and its subsidiary, Mutual Assurance, Inc. ("Mutual Assurance") and has
served in such positions since 1991. Mutual Assurance is a property and casualty
insurance company.

     Dr. Foree has been a Director of the Company since October 1993.  Dr. Foree
is a board certified urologist and has been practicing medicine since 1965.

     Dr. Jenkins has been President and Chief  Executive  Officer and a Director
of the Company since April 1996.  From May 1990 until December 1991, Dr. Jenkins
was a Vice  President  of  Lithotripters,  Inc.,  which  became  a  wholly-owned
subsidiary of the Company in April 1996.  Since January  1992,  Dr.  Jenkins has
been President of Lithotripters, Inc. Dr. Jenkins is a board certified urologist
and is a founding  member,  a past  president  and  currently  a director of the
American Lithotripsy Society.

     Mr. Katz has been a Director of the Company since 1986. From 1952 until his
retirement  in January 1987,  Mr. Katz was a partner with Katz,  Sapper & Miller
(certified  public  accountants).  

     Mr.  McEntire has been a Director of the Company since  September 1996. Mr.
McEntire is currently managing partner of M2 Capital Partners,  a private equity
investment  firm.  From August,  1994 to December,  1996, Mr. McEntire served as
Vice President of Strategic  Planning and Corporate  Development  for Parker and
Parsley Petroleum,  Inc., an oil and gas exploration company. Prior to 1994, Mr.
McEntire spent 10 years in commercial banking and corporate finance.

     Mr. Searles has been a Director of the Company since October 1989. He is an
independent  business consultant and from 1981 to 1989 was associated with Bear,
Stearns & Co., Inc., an investment  banking firm,  most recently as an Associate
Director/Limited Partner. He currently serves as a Director of APS.

     Mr.  Shifrin has been Chairman of the Board since October 1989. Mr. Shifrin
has served in various  capacities with APS since February 1985, and is currently
the Chairman of the Board and Chief  Executive  Officer of APS. Mr. Shifrin is a
Director of APS. Mr. Shifrin is a member of the Young Presidents' Organization.

     Dr.  Spalding has been a Director  since  October 1993.  Dr.  Spalding is a
board  certified  urologist and has been  practicing  medicine  since 1973.  Dr.
Spalding was the Chairman of Tennessee Valley Lithotripters,  which was acquired
by the Company in 1993.

     No family  relationships  exist  among the  officers  or  directors  of the
Company.  Except as indicated above, no Director of the Company is a director of
any company with a class of securities  registered pursuant to Section 12 of the
Exchange Act, or subject to the requirements of Section

                                       10
<PAGE>

15(d) of the Exchange Act or any company registered as an investment company 
under the Investment Company Act of 1940.

     Should any nominee named herein for the office of director become unwilling
or unable to accept  nomination  of  election,  it is intended  that the persons
acting under the proxy will vote for the election,  in his stead,  of such other
persons as the Board of  Directors  of the Company may  recommend.  The Board of
Directors  has no  reason  to  believe  that any  nominee  named  above  will be
unwilling or unable to serve.

     The Board of Directors of the Company has established an Audit Committee, a
Compensation  Committee  and  a  Nominating  Committee.  The  Audit  Committee's
functions  include  recommending to the Board of Directors the engagement of the
Company's  independent public  accountants,  reviewing with such accountants the
plans for and the results  and scope of their  auditing  engagement  and certain
other  matters  relating to their  services to the  Company,  including  matters
relating to the independence of such  accountants.  The  Compensation  Committee
makes recommendations to the Board of Directors with respect to the compensation
of executive officers,  including issuance of options under the Option Plan. The
Nominating  Committee  has primary  responsibility  for  nominating  persons for
election to the Board of  Directors.  Mr. Katz and Dr.  Foree serve on the Audit
Committee,  which held one meeting  during 1997.  Dr.  Spalding and Mr.  Searles
serve on the  Compensation  Committee  which held one meeting  during 1997.  Mr.
Katz, Mr. Butrus and Mr. Searles serve on the Nominating  Committee,  which held
one meeting during 1997.


           The Board recommends a vote FOR each nominee for Director.


                                PROPOSAL TO AMEND
                           THE 1993 STOCK OPTION PLAN

     The Company's 1993 Stock Option Plan currently  provides that the aggregate
number of shares of Common  Stock that may be issued  upon the  exercise  of all
options under the Option Plan shall not exceed 2,500,000.  As of March 31, 1998,
2,347,500  shares had been issued  pursuant to the Option Plan, of which options
covering 984,000 shares of common stock have been exercised and options covering
1,363,500  shares of common stock were  outstanding.  There were 152,500  shares
remaining  to be issued  on the  Option  Plan.  The  Board of  Directors  of the
Company,  on March 26,  1998,  subject  to  stockholder  approval  at the Annual
Meeting,  approved an  amendment  to the Option Plan to increase  the  aggregate
number of shares  that may be issued  thereunder  by 750,000 to  3,250,000.  The
Company  has in the past  utilized  stock  options as a  significant  element of
compensation to officers, key employees and directors and intends to continue to
do so. The Board of Directors believes that the effect of this amendment will be
to  preserve the benefits  to the  Company of the Option Plan by  ensuring  that
officers, directors and other key employees continue to receive options.

        The Board recommends a vote FOR the amendment to the Option Plan.


                                       11
<PAGE>

                                Performance Graph

     The following  graph compares the Company's  cumulative  total  stockholder
return with the cumulative total stockholder  returns of the NASDAQ Market Index
and the NASDAQ  Health  Secondary  Index,  for the period from  January 1,  1992
through December 31, 1997.

[GRAPHIC OMITTED]                                                
                                                                  NASDAQ
                                            Total US              Health
December 31,             PRIME               NASDAQ              Services
- ------------             -----               ------              --------
   1992                   100                  100                   100
   1993                    75                  115                   115
   1994                    84                  112                   124
   1995                   225                  159                   157
   1996                   272                  195                   157
   1997                   345                  240                   160


                                       12
<PAGE>

                RELATIONSHIP WITH INDEPENDENT PUBLIC ACCOUNTANTS

     The Board of Directors of the Company has selected KPMG Peat Marwick LLP as
independent  auditors for the year ending  December 31, 1997.  KPMG Peat Marwick
LLP has advised the Company that, in accordance with professional  standards, it
will not perform any non-audit  service which would impair its  independence for
purposes of  expressing  an opinion on the  Company's  financial  statements.  A
representative  of KPMG  Peat  Marwick  LLP will  attend  the  meeting  with the
opportunity to make a statement if such representative desires to do so and will
be available to respond to appropriate questions.



                                  OTHER MATTERS

     The Board of  Directors  of the Company  does not intend to bring any other
matters  before  the  meeting  and does not know of any  matters  which  will be
brought  before the meeting by others.  However,  if any other matters  properly
come  before  the  meeting,  it is the  intention  of the  persons  named in the
accompanying  proxy to vote such proxy in accordance with their judgment on such
matters.

                                            By Order of the Board of Directors

                                            /s/ CHERYL L. WILLIAMS 
                                            -----------------------
                                            CHERYL L. WILLIAMS, Secretary


Austin, Texas
May 8, 1998

                                       13

<PAGE>


                          PRIME MEDICAL SERVICES, INC.

          PROXY SOLICITED ON BEHALF OF THE BOARD OF DIRECTORS FOR THE
            ANNUAL MEETING OF SHAREHOLDERS TO BE HELD JUNE 10, 1998

     The  undersigned  hereby (a)  acknowledges  receipt of the Notice of Annual
Meeting of  Shareholders of Prime Medical  Services,  Inc. (the "Company") to be
held June 10, 1998, and the Proxy Statement in connection therewith,  each dated
May 8, 1998, (b) appoints  Kenneth S. Shifrin and Cheryl L. Williams,  or either
of them, as Proxies, each with the power to appoint a substitute, (c) authorizes
the Proxies to represent them and vote, as designated  below,  all the shares of
Common Stock of Prime Medical  Services,  Inc. held of record by the undersigned
on April 27, 1998 at such annual meeting and at any  adjournment(s)  thereof and
(d) revokes any proxies heretofore given.

1.   Election of Directors: 
     / /  FOR all nominees listed below 
          (except as marked to the contrary below).

     / /  WITHHOLD AUTHORITY to vote for all nominees listed below.

Nominees:
     Paul Butrus, William E. Foree, M.D., Joseph Jenkins, M.D., Irwin Katz, J.A.
McEntire IV,  William A. Searles,  Kenneth S. Shifrin and Michael J.  Spalding,
M.D.

INSTRUCTION:  To withhold  authority to vote for any  individual  nominee, write
the    nominee's    name    on    the    space     provided     below.)
______________________________________________________________________________

2.   To Approve an amendment to the 1993 Stock Option Plan.
     / /  FOR
     / /  AGAINST
     / /  ABSTAIN

3.   In their discretion,  the Proxies are authorized to vote upon such other
business as may properly come before the meeting or any adjournment(s) thereof.


     THIS PROXY WILL BE VOTED AS SPECIFIED.  IF NO  SPECIFICATION  IS INDICATED,
THIS  PROXY  WILL BE VOTED FOR THE  ELECTION  TO THE BOARD OF  DIRECTORS  OF THE
NOMINEES  LISTED ON THIS PROXY AND, IN THE  DISCRETION  OF THE  PROXIES,  ON ANY
OTHER BUSINESS.

                                     Date: ________________, 1998

                                     ____________________________

                                     ____________________________

                                     Please sign exactly and as fully
                                     as your name appears on your certificate,
                                     date, and return promptly.  When
                                     signing on behalf of a corporation,
                                     partnership, estate, trust, or in
                                     any other representative capacity,
                                     please sign name and title.  For
                                     joint accounts, each joint owner
                                     must sign.


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