PRIME MEDICAL SERVICES INC /TX/
DEF 14A, 1999-04-29
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 ss. 240.14a-11(C) or ss. 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 9, 1999


      Notice is hereby given that the Annual  Meeting of  Shareholders  of Prime
Medical Services, Inc., a Delaware corporation (the "Company"),  will be held at
Lakeway Inn  Conference  Resort,  101 Lakeway  Drive,  Austin,  Texas 78734,  on
Wednesday,  June 9,  1999 at 8:30  a.m.  Austin,  Texas  time for the  following
purposes:

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

      (b)      To  approve  an  amendment  to the  Company's  1993  Amended  and
               Restated 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 26, 1999, 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 10, 1999


<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 9, 1999

      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  Lakeway Inn
Conference Resort, 101 Lakeway Drive, Austin, Texas 78734, on Wednesday, June 9,
1999 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 10, 1999.

      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,  1998  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 26, 1999,  there were  outstanding  and
entitled to vote 17,105,567  shares of Common Stock. Only shareholders of record
at the close of  business  on April 26,  1999 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 26, 1999, 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.          2,464,803         14.4%
   1301 Capital of Texas Highway
   Austin, Texas 78746 ("APS")
The Goldman Sachs Group, L.P. and                1,156,600          6.8%
Goldman, Sachs & Co.
   85 Broad St.
   New York, New York 10004
SAFECO Common Stock Trust,                       1,383,750          8.1%
SAFECO Asset Management Company and
SAFECO Corporation
  SAFECO Plaza
  Seattle, WA 98185
Paul R. Butrus(1)                                  222,675          1.3%
Thomas J. Driber, Ph.D.(1)                          21,000          0.1%
William E. Foree, M.D.(1)                          230,074          1.3%
Joseph Jenkins, M.D.(1)                            149,773          0.9%
Stan Johnson(1)                                     11,000          0.1%
J.A. McEntire IV(1)                                 54,166          0.3%
William A. Searles(1)(2)                            81,766          0.5%
Kenneth S. Shifrin(1)(2)                           355,900          2.1%
Michael J. Spalding, M.D.(1)                        69,166          0.4%
Alan Terry(1)                                        8,500          0.0%
David Vela, M.D.(1)                                  5,304          0.0%
Cheryl Williams(1)                                 170,602          1.0%
All directors and executive 
   officers as a group (12 persons)              1,379,926          7.7%
- ------------
     (1) Includes  the  following  number of shares  subject to options that are
presently  exercisable or  exercisable  within 60 days after April 26, 1999: Mr.
Butrus,  77,500; Mr. Driber, 9,000; Dr. Foree, 77,500; Dr. Jenkins,  90,000; Mr.
Johnson,  11,000;  Mr.  McEntire,  44,166;  Mr.  Searles,  81,666;  Mr. Shifrin,
240,000;  Dr.  Spalding,  69,166;  Mr. Terry,  8,500;  Mr. Vela,  5,000; and Ms.
Williams, 147,833.
     (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>   

                                                                                                       Long-Term
                                                                                                     Compensation
                                                                             Annual                     Awards
                                                                         Compensation                 Securities
                                                                         ------------                 Underlying        All Other
             Name and Principal Position                  Year      Salary($)       Bonus($)(1)      Options(#)(2)   Compensation($)
             ---------------------------                  ----      ---------       -----------      -------------   ---------------
    Kenneth S. Shifrin - Chairman of the Board           1998        244,874              208,711     140,000
                                                         1997        183,336              327,000      25,000
                                                         1996        115,225              327,709     100,000

    Joseph Jenkins, M.D.(3) - President and              1998        325,000              105,824     125,000
        Chief Executive Officer                          1997        325,000              185,000      25,000
                                                         1996        243,750               90,000      75,000


    Cheryl Williams - Chief Financial Officer,           1998        123,730              143,740      65,000
        Vice President, Finance and Secretary            1997        100,000              150,000      25,000
                                                         1996         83,653              178,533      90,000

    Thomas J. Driber, Ph.D. - Vice President             1998        103,846               72,724      25,000
                                                         1997         98,962               73,108       2,500
                                                         1996         80,462               37,087       5,000

    Stan Johnson - Vice President                        1998        164,604               20,000      25,000
                                                         1997        165,006               17,500       5,000
                                                         1996        173,733                   --         --


    Alan Terry(3) - Vice President                       1998        165,000               20,000     25,000
                                                         1997        225,000                   --         --
                                                         1996        168,750                   --     15,000


    David Vela, M.D. - Vice President                    1998         99,828               30,000     25,000
                                                         1997         67,692               17,500     10,000
                                                         1996             --                   --         --


    Michael Madler (4) - Sr. Vice President, Operations  1998        148,014                   --     25,000
                                                         1997        150,000              180,900     25,000
                                                         1996        150,000              158,758     50,000
</TABLE>

- -----------
(1)  Reflects bonuses earned during the year.
(2)  Options to acquire common stock.
(3)  Reflects  compensation  for Dr. Jenkins and Mr. Terry since May 1, 1996,
     the beginning of their employment with the company. 
(4)  Mr. Madler's employment with the company ended as of October 31, 1998.




                                        3

<PAGE>



    Option Grants During 1998
    -------------------------

     The following table provides  information related to options granted to the
Named  Executives  during 1998. The company does not have any outstanding  stock
appreciation rights.
<TABLE>
<S>                                 <C>           <C>               <C>         <C>         <C>        <C>           <C>



                                                                                             Potential Realizable Value at Assumed
                                     Number of      Percent of                              Annual Rates of Stock Price Appreciation
                                     Securities   Total Options                                       for Option Term (a)
                                     Underlying     Granted to      Exercise                --------------------------------------
                                      Options      Employees in     Price (b)   Expiration    
                Name                Granted (#)    Fiscal Year       ($/Sh)        Date      0 % ($)    5 % ($)       10 % ($)
                ----                -----------    -----------       ------        ----     --------    --------      ---------
Kenneth S. Shifrin                     55,000         11.1 %         $9.656      06/10/05         --     216,203        503,845
     Chairman of the Board             85,000         17.2 %          7.5625     10/16/03         --     177,597        392,443

Joseph Jenkins, M.D.                   55,000         11.1 %         $9.656      06/10/05         --     216,203        503,845
     President and Chief               70,000         14.1 %          7.5625     10/16/03         --     146,257        323,189
         Executive Officer

Cheryl Williams                        25,000          5.1 %         $9.656      06/10/05         --      98,274        229,020
     Chief Financial Officer,          40,000          8.1 %          7.5625     10/16/03         --      83,575        184,679
         Vice President, Finance
            and Secretary
Thomas J. Driber, Ph.D.                 5,000          1.0 %         $9.656      06/10/05         --      19,655         45,804
     Vice President                    20,000          4.0 %          7.5625     10/16/03         --      41,788         92,340

Stan Johnson                            5,000          1.0 %         $9.656      06/10/05         --      19,655         45,804
     Vice President                    20,000          4.0 %          7.5625     10/16/03         --      41,788         92,340

Alan Terry                              5,000          1.0 %         $9.656      06/10/05         --      19,655         45,804
     Vice President                    20,000          4.0 %          7.5625     10/16/03         --      41,788         92,340

David Vela, M.D.                        5,000          1.0 %         $9.656      06/10/05         --      19,655         45,804
       Vice President                  20,000          4.0 %          7.5625     10/16/03         --      41,788         92,340

Mike Madler                            25,000          5.1%          $9.656      06/10/05         --      98,274        229,020
        Sr. Vice President,
          Operations

  All Employees as a Group            495,000         100.0%           (c)            (c)         --   2,592,296      5,181,072

- ----------------------------------------------

                                                                                                 0%         5%            10%
                                                                                                 --         --            ---

  Total potential stock price  appreciation  from June 11, 1998 to June 10, 2005
     for all stockholders at assumed rates of
     stock price appreciation.                                                                   --    $67,241,328    $156,700,889
  Potential actual realizable value of options granted to all employees,
     as a percentage of total potential stock price  appreciation  from June 11,
     1998 to June 10, 2005 for all stockholders at assumed
      rates of stock price appreciation.                                                         --        3.9%            3.3%
</TABLE>

- -------------------
(a)  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 of the Company's common stock
     appreciates  in value  from  the  date of  grant  at the 5% and 10%  annual
     appreciation  rates from the exercise price  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.
(b)  The exercise  price of the option was equal to the fair market value of the
     common stock on the date of the grant.
(c)  Options were granted under the Company's  stock option plan throughout 1998
     with various vesting  schedules and expiration dates through the year 2005.
     The average price of all options granted to employees in 1998 is $8.63.


                                        4

<PAGE>



Option Exercises During 1998 and Option Values at December 31, 1998
- -------------------------------------------------------------------

     The following table provides  information  related to options  exercised by
the Named  Executives  during 1998 and the value of options held at December 31,
1998. The Company does not have any outstanding stock appreciation rights.

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

<TABLE>
<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            ---               ---                 212,500      152,500           706,300                0
Joseph Jenkins, M.D           ---               ---                  50,000      175,000                 0                0
Cheryl Williams               ---               ---                 126,166      100,834           324,149                0
Thomas J. Driber, Ph.D.      8,000            73,000                  2,500       34,000                 0           17,252
Stan Johnson                 8,000            46,000                  9,000       45,000            10,584           21,168
Alan Terry                    ---               ---                   3,750       36,250                 0                0
David Vela, M.D.              ---               ---                   2,000       33,000                 0                0
Mike Madler(3)              60,000           258,750                 54,166       45,834                 0                0
</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, 1998
     ($7.31) and  multiplying  the  difference by the number of shares of common
     stock underlying the option.
(3)  Mr.  Madler's  unexercised  stock options were  cancelled as of January 28,
     1999.

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

     The Company has entered into  noncompetition  agreements  with Dr. Jenkins,
Mr.  Johnson,  and Mr.  Terry.  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.





                                        5

<PAGE>



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. McEntire,  Mr. Searles, and
Dr.  Spalding,  who are  directors of the  Company;  and Ms.  Williams,  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 1998, 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.  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 1998, 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 over the prior year.


                                        6

<PAGE>



     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 1998 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 $50,000 by the Company during
1998 for consulting services related to raising capital.

     Dr. Joseph Jenkins,  President and Chief Executive Officer,  currently owns
limited  partner  interests in ten of the  partnerships  managed by the Company.
During  1998,  Dr.  Jenkins  received  $63,491 in cash  distributions  from such
partnerships.

     Mr. Alan Terry, Vice President, currently owns limited partner interests in
ten of the partnerships managed by the Company.  During 1998, Mr. Terry received
$63,491 in cash contributions from such partnerships.

     The Company's principal executive office is located in Austin,  Texas in an
office  building  owned by APS.  The Company pays APS  approximately  $8,000 per
month,  which includes  rental payments for  approximately  5,600 square feet of
office space,  reception and telephone services,  and certain other services and
facilities. This lease expires in December, 1999.



                         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 1998, 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.  Dr.
Foree and

                                                         7

<PAGE>



     Dr.  Spalding  did not timely file Form 4's  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 26, 1999.


                              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 2000.  Such  shareholder  must deliver the
proposal to the executive offices of the Company no later than January 15, 2000,
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 2000 that are  submitted  in  writing  by any  shareholder  of the
Company prior to January 15, 2000.


                       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 six persons  for  election to the
Board of Directors;  (b) "FOR" the  amendment to the Company's  1993 Amended and
Restated  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

                                        8

<PAGE>



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 six and six  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 12 meetings  during the year ended  December 31, 1998,  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, except Mr. Butrus.

                                                                 Director of
         Name                         Age                       Company Since
         ----                         ---                       -------------

William E. Foree, M.D.                 67                             1993
Joseph Jenkins, M.D., J.D.             51                             1996
J.A. McEntire IV                       37                             1996
William A. Searles                     56                             1989
Kenneth S. Shifrin                     50                             1989
Michael J. Spalding, M.D.              58                             1993

     The Company pays Dr. Foree,  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.

     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.  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

                                                         9

<PAGE>



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 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.  McEntire  and Dr.  Foree serve on the
Audit  Committee,  which held one meeting  during  1998.  Dr.  Spalding  and Mr.
Searles serve on the  Compensation  Committee  which held three meetings  during
1998. Mr. Butrus and Mr. Searles serve on the Nominating  Committee,  which held
one meeting during 1998.


           The Board recommends a vote FOR each nominee for Director.

                                       10

<PAGE>



                                PROPOSAL TO AMEND
                 THE 1993 AMENDED AND RESTATED STOCK OPTION PLAN

    The Company's 1993 Amended and Restated 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 3,250,000.  As of
March 31, 1999, 2,857,500 shares had been issued pursuant to the Option Plan, of
which options covering  1,065,000 shares of common stock have been exercised and
options covering  1,792,500 shares of common stock were outstanding.  There were
392,500  shares  remaining  to be issued  under the  Option  Plan.  The Board of
Directors of the Company, on April 26, 1999, 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  400,000  to
3,650,000.  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, 1993  through
December 31, 1998. 

[GRAPHIC OMITTED]

                                                                  NASDAQ
                                            Total US              Health
December 31,             PRIME               NASDAQ              Services
- ------------             -----               ------              --------
   1993                   100                  100                   100
   1994                   112                   98                   107
   1995                   300                  138                   136
   1996                   362                  170                   136
   1997                   460                  209                   138
   1998                   244                  293                   119


                                       12

<PAGE>


RELATIONSHIP WITH INDEPENDENT PUBLIC ACCOUNTANTS

     The Board of Directors of the Company has selected KPMG LLP as  independent
auditors for the year ending December 31, 1998. KPMG 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 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 10, 1999

                                       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 09, 1999

     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 9, 1999, and the Proxy  Statement in connection therewith,  each dated
May 10, 1999, (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 26, 1999 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:
     William E. Foree, M.D., Joseph Jenkins,  M.D., 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 Amended and Restated 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: ________________, 1999

                                     ____________________________

                                     ____________________________

                                     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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