PRIME MEDICAL SERVICES INC /TX/
DEF 14A, 2000-05-01
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, TX 78746

                    NOTICE OF ANNUAL MEETING OF SHAREHOLDERS

                            To Be Held June 14, 2000

     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 14,  2000 at 8:30 a.m.  Austin,  Texas  time for the  following
purposes:

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

b)   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, 2000,  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, 2000

<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 14, 2000

     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
14, 2000 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 Company will pay the cost of solicitation
of proxies.  This Proxy  Statement was first mailed to  shareholders on or about
May 10, 2000.

     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,  1999  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, 2000,  there were  outstanding  and
entitled to vote 16,215,034  shares of Common Stock. Only shareholders of record
at the close of  business  on April 27,  2000 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,  2000,  with  respect to (a) each person who is
known by the Company to be the beneficial owner of more than five percent of the
outstanding  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
                                               --------------------

                                              Number of
Name                                           Shares        Percent
- ----                                          ---------      -------

American Physicians Service Group, Inc.       2,343,803      14.5%
   1301 Capital of Texas Highway
   Austin, Texas 78746 ("APS")
Goldman, Sachs Asset Management               1,338,900       8.3%
 .  New York Plaza
   New York, New York 10004
SAFECO Common Stock Trust,                    1,545,150       9.5%
SAFECO Asset Management Company and
SAFECO Corporation
   SAFECO Plaza
   Seattle, WA 98185

Joseph Jenkins, M.D. (1)                        299,773       1.8%
Stan Johnson (1)                                 19,667          *
J.A. McEntire IV (1)                            110,000          *
William A. Searles (1)(2)                       165,100       1.0%
Kenneth S. Shifrin (1)(2)                       500,900       3.0%
Michael J. Spalding, M.D. (1)                   130,000          *
Alan Terry (1)                                   19,917          *
David Vela, M.D. (1)                             14,971          *
Cheryl Williams (1)                             221,435       1.3%
All directors and executive officers
 as a group (15 persons)                      1,489,387       8.5%

 *    Less than 1%

(1)  Includes  the  following  number  of shares  subject  to  options  that are
     presently  exercisable or exercisable  within 60 days after April 27, 2000:
     Dr. Jenkins,  240,000;  Mr. Johnson,  19,667;  Mr. McEntire,  110,000;  Mr.
     Searles, 165,000; Mr. Shifrin,  385,000; Dr. Spalding,  130,000; Mr. Terry,
     19,917; Dr. Vela, 14,667; and Ms. Williams, 198,666.

(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>
                                                                                            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         1999         325,272      162,500        175,000
                                                   1998         244,874      208,711        140,000
                                                   1997         183,336      327,000         25,000


Joseph Jenkins, M.D.  President and                1999         325,000      138,125        175,000
   Chief Executive Officer                         1998         325,000      105,824        125,000
                                                   1997         325,000      185,000         25,000


Cheryl Williams - Chief Financial Officer,         1999         150,096       75,000         60,000
    Sr. Vice President, Finance and Secretary      1998         123,730      143,740         65,000
                                                   1997         100,000      150,000         25,000

Thomas J. Driber, Ph.D. - Vice President (3)       1999         154,992           --             --
                                                   1998         103,846       72,724         25,000
                                                   1997          98,962       73,108          2,500


Stan Johnson - Vice President                      1999         172,391       35,000             --
                                                   1998         164,604       20,000         25,000
                                                   1997         165,006       17,500          5,000


Alan Terry - Vice President                        1999         165,960       25,000             --
                                                   1998         165,000       20,000         25,000
                                                   1997         225,000           --             --

David Vela, M.D. - Vice President                  1999         115,422       25,000             --
                                                   1998          99,828       30,000         25,000
                                                   1997          67,692       17,500         10,000

</TABLE>

(1)      Reflects bonuses earned during the year.
(2)      Options to acquire Common Stock.
(3)      Mr. Driber's employment with the Company ended March 3, 2000.


                                       3
<PAGE>






Option Grants During 1999
- -------------------------

The following table provides information related to options granted to the Named
Executives  during  1999.  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 for
                            Securities    Total Options                                            Option Term (a)
                            Underlying     Granted to     Exercise                 --------------------------------------------
                             Options      Employees in    Price (b)   Expiration     0 %  ($)        5 %  ($)         10 % ($)
Name                        Granted (#)    Fiscal Year     ($/Sh)        Date
- ----                        -----------   -------------   ---------   ----------   ----------       ----------       ----------

Kenneth S. Shifrin          175,000           24.6%         $7.25      06/10/04         --            350,532         774,585
   Chairman of the Board

Joseph Jenkins, M.D.        175,000           24.6%         $7.25      06/10/04         --            350,532         774,585
   President and Chief
   Executive Officer

Cheryl Williams              60,000            8.5%         $7.25      06/10/04         --            120,182         265,572
   Chief Financial Officer,
   Sr. Vice President,
   Finance and Secretary

Thomas J. Driber, Ph.D.
   Vice President                --             --            --           --           --                --              --

Stan Johnson                     --             --            --           --           --                --              --
   Vice President

Alan Terry                       --             --            --           --           --                --              --
   Vice President

David Vela, M.D                  --             --            --           --           --                --              --
   Vice President


All Employees as a Group    710,000          100.0%          (c)         (c)            --          1,489,613       3,291,655

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

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

Total potential stock price appreciation from June 11, 1999 to June 10, 2004 for
   all shareholders at assumed rates of stock price appreciation.                       --           $32,677,350       $72,208,397
Potential actual realizable value of options granted to all employees,
   as a percentage of total  potential  stock price  appreciation  from June 11,
   1999 to June 10, 2004 for all shareholders at assumed rates of stock price
   appreciation.                                                                        --                4.6%            4.6%
</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 as 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  calculation  does not take into
account any taxes or other expenses, which might be owed.

(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 1999 with various vesting  schedules and
expiration dates through the year 2004. The average price of all options granted
to employees in 1999 is $7.59.

                                       4
<PAGE>

Option Exercises During 1999 and Option Values at December 31, 1999
- -------------------------------------------------------------------

     The following table provides  information  related to options  exercised by
the Named  Executives  during 1999 and the value of options held at December 31,
1999. 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/SAR 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               --          --          270,000          245,000          953,906          394,531

Joseph Jenkins, M.D.             --          --          112,500          262,500           54,688          382,813

Cheryl Williams                  --          --          155,333          106,667          443,375          145,625

Thomas J. Driber, Ph.D.       4,000      18,250           15,667           20,833           34,917           20,833

Stan Johnson                  8,000      32,000           17,667           28,333           35,497           45,913

Alan Terry                       --          --           15,167           24,833           10,417           20,833

David Vela, M.D.                 --          --           11,667           23,333           10,417           20,833

</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, 1999
     ($9.125) and  multiplying  the difference by the number of shares of Common
     Stock underlying the option.

(3)  Subsequent  to  December  31,  1999,  Mr.  Shifrin,  Dr.  Jenkins,  and Ms.
     Williams, surrendered for cancellation, options for 25,000 shares each.



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

     The Company 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 its officers and
directors.  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  indemnifications and 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 1999, 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 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 shareholders since the value of an options bears a direct relationship
to the Company's stock price.

     For 1999, the Company's  executive  compensation  program consisted of base
salary and a bonus based upon the achievement of specific goals.

                                       6
<PAGE>

     The Company's  objective is 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 1999 adequately  reflect the Company's  compensation
goals and policies.

                             Compensation Committee:  Michael Spalding M.D. and
                                                      William A. Searles

                 CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS

     Dr. Joseph Jenkins,  President and Chief Executive Officer,  currently owns
limited partner interests in eleven of the partnerships  managed by the Company.
During  1999,  Dr.  Jenkins  received  $65,357 in cash  distributions  from such
partnerships.

     Mr. Alan Terry, Vice President, currently owns limited partner interests in
eleven of the  partnerships  managed by the  Company.  During  1999,  Mr.  Terry
received $65,357 in cash distributions from such partnerships.

     David Dulaney,  M.D., a nominee for election as a director,  is an owner in
two  separate  entities  that  own  a 40%  interest  in  two  of  the  Company's
subsidiaries.

     The Company's principal executive office is located in Austin,  Texas in an
office  building  owned by APS. The Company pays APS  approximately  $16,700 per
month,  which includes  rental payments for  approximately  8,100 square feet of
office space,  reception and telephone services,  and certain other services and
facilities.  This lease expires in December 2002. Brad A. Hummel,  the Company's
Chief Operating Officer, is a Director of APS.

                         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 1999, 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.

                                       7
<PAGE>

                                 QUORUM; VOTING

     The  presence,  in person or by proxy,  of the holder 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, 2000.

                              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 2001.  Such  shareholder  must deliver the
proposal to the executive offices of the Company no later than January 15, 2001,
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 2001 that are  submitted  in  writing  by any  shareholder  of the
Company prior to January 15, 2001.

                       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  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 seven  persons for election to the
Board of Directors;  and (b) 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.

                                       8
<PAGE>

                              ELECTION OF DIRECTORS

     Pursuant  to  the  Company's  Bylaws,   the  Board  of  Directors  has,  by
resolution,  fixed the number of directors at seven and seven  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,  except Dr.
Dulaney.  The Board of Directors held 8 meetings  during the year ended December
31, 1999,  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
- ----                                 ---                       -------------

David Dulaney, M.D.                   63                             N/A
Joseph Jenkins, M.D., J.D.            52                            1996
J.A. McEntire IV                      38                            1996
William A. Searles                    57                            1989
Kenneth S. Shifrin                    51                            1989
Michael J. Spalding, M.D.             59                            1993
James M. Usdan                        50                            2000

     The Company pays Dr. Dulaney, Mr. McEntire,  Mr. Searles, Dr. Spalding, and
Mr. Usdan 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.

     David  D.  Dulaney,  M.D.  is a  graduate  of  Jefferson  Medical  College,
Philadelphia,  Pennsylvania  and was a  resident  in  ophthalmology  at the Mayo
Clinic,  Rochester,  Minnesota.  He has been a Board  Certified  Ophthalmologist
since 1972, and has been in practice in the Phoenix area since 1975. Dr. Dulaney
is  an  internationally  recognized  lecturer  on  Refractive  Surgery.  He is a
Founding Member of the American Society of Cataract and Refractive  Surgery.  He
served on the board of Laser Link.Net Inc., which was recently acquired by Covad
Communications  Group,  Inc.  From  1998 to  1999 he  served  as a  Director  of
Physicians Resource Group, a publicly traded company.

     Dr. Jenkins has been President and Chief  Executive  Officer and a Director
of the Company since April 1996.  From May 1990 until 1996,  Dr.  Jenkins was an
officer of  Lithotripters,  Inc.,  which became a wholly owned subsidiary of the
Company  in April  1996.  Most  recently,  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.

                                       9
<PAGE>

     Mr.  McEntire has been a Director of the Company since  September 1996. Mr.
McEntire  is  currently  CEO of  Protrader  Group,  LP.  From 1996 to 1999,  Mr.
McEntire  was a  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.,  and oil and gas  exploration  company.  Prior  to  1994,  Mr.
McEntire spent 10 years in commercial banking and corporate finance.

     Mr.  Usdan has been a Director of the Company  since March 2000.  Mr. Usdan
has been President,  CEO, and a Director of NextCARE  Hospitals,  Inc. since May
1998.  From 1990 to 1998 he was  President,  CEO,  and a Director  of  RehabCare
Group, Inc., a publicly traded company.

     Mr.  Searles has been a Director of the Company  since October 1989. He has
been an independent  business  consultant  since 1989. Prior to that he spent 25
years  with  various  Wall  Street  firms,  the last ten of which were with Bear
Stearns (an investment banking firm) as an Associate  Director/Limited  Partner.
He has served as a Director of APS since July 1989,  as Chairman of the Board of
APS  Investment  Services  since May 1998,  as a Director of Uncommon Care since
September 1998, and as an Advisory Director of Probex Corp, a re-refiner,  which
converts waste oil into premium quality base oil, since December 1999.

     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, a Director,  and Chief Executive  Officer of APS. Mr.
Shifrin is a member of the World Presidents' Organization.

     Dr.  Spalding has been a Director since October 1993. Dr. Spalding has been
a practicing  urologist  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  or  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 Options Plan. The
Nominating  Committee  has primary  responsibility  for  nominating  persons for
election to the Board of  Directors.  Mr.  McEntire  and Mr.  Usdan serve on the
Audit  Committee,  which held one meeting  during  1999.  Dr.  Spalding  and Mr.
Searles serve on the Compensation Committee, which held one meeting during 1999.
Mr.  McEntire and Mr. Searles serve on the Nominating  Committee,  which held no
meetings during 1999.

           The Board recommends a vote FOR each nominee for Director.

                                       10
<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, 1994
through December 31, 1999.

[GRAPHIC OMITTED]

                                                         NASDAQ
                                       Total US          Health
December 31             PRIME           NASDAQ          Services
- -----------             -----          --------         --------
   1994                 100.0            100.0            100.0
   1995                 266.7            141.3            126.8
   1996                 322.2            173.9            126.6
   1997                 409.3            213.1            129.0
   1998                 216.7            300.2            109.3
   1999                 270.4            542.4             90.3





                                       11
<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, 1999. KPMG LLP has advised the Company
that,  in  accordance  with  professional  standards,  it will not  perform  any
non-audit  service that 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 that 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, 2000


                                       12


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