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_______________________________________________________

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

_____________________________

FORM 10-Q

[X] Quarterly Report Pursuant to Section 13 or 15(d) of
the Securities Exchange Act of 1934
For the quarterly period ended March 31, 2004
OR
[ ] Transition Report Pursuant to Section 13 or 15(d) of
the Securities and Exchange Act of 1934
For the transition period from
______ to ______


Commission File Number: 0-22392


Prime Medical Services, Inc.
(Exact name of registrant as specified in its charter)


  DELAWARE     74-2652727
  (State or other jurisdiction
of incorporation or organization)
    (IRS Employer
Identification No.)



1301 Capitol of Texas Highway Suite 200B, Austin, Texas 78746
           (Address of principal executive offices)                (Zip Code)

(512) 328-2892
(Registrant’s telephone number, including area code)

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.

YES   X  NO     


Indicate by check mark whether the registrant is an accelerated filer (as described in Rule 12b-2 of the Exchange Act).

YES   X  NO     

Indicate the number of shares outstanding of each of the issuer's classes of common stock, as of the latest practicable date.


 
Title of Each Class
     Common Stock, $.01 par value
  Number of Shares Outstanding at
April 30, 2004

20,729,877








PART I

ITEM 1 — FINANCIAL INFORMATION












2



PRIME MEDICAL SERVICES, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited)
  Three Months Ended
March 31,
($ in thousands, except per share data)

2004
  2003
 
Revenue:            
     Lithotripsy   $ 16,219   $ 14,994  
     Manufacturing    23,757    25,595  
     Other    237    263  


         Total revenue    40,213    40,852  


Cost of services and general and  
     administrative expenses:  
     Lithotripsy    6,997    6,432  
     Manufacturing    21,704    23,048  
     Corporate    976    645  


     29,677    30,125  
Depreciation and amortization    1,620    1,820  


     31,297    31,945  


Operating income    8,916    8,907  
 
Other income (expenses):  
     Interest and dividends    88    106  
     Interest expense    (2,289 )  (2,096 )
     Other, net    40    (75 )


     (2,161 )  (2,065 )


Income before provision for income  
     taxes and minority interests    6,755    6,842  
Minority interest in consolidated income    4,891    4,009  
Provision for income taxes    683    1,006  


Net income   $ 1,181   $ 1,827  


Basic earnings per share:  
     Net income   $ 0.06   $ 0.11  


     Weighted average shares outstanding    18,670    17,074  


Diluted earnings per share:  
     Net income   $ 0.06   $ 0.11  


     Weighted average shares outstanding    18,873    17,223  



See accompanying notes to consolidated financial statements.


-3-



PRIME MEDICAL SERVICES, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS



($ in thousands)


March 31,
2004
(Unaudited)


 
 
 
 
December 31,
2003
(Audited)

 
ASSETS            
 
Current assets:  
     Cash and cash equivalents   $ 13,425   $ 9,780  
     Accounts receivable, less allowance for doubtful  
         accounts of $1,127 in 2004 and $512 in 2003    20,756    27,245  
     Other receivables    1,336    795  
     Deferred income taxes    12,269    8,385  
     Prepaid expenses and other current assets    3,059    1,617  
     Inventory    26,947    21,288  


         Total current assets    77,792    69,110  


Property and equipment:  
     Equipment, furniture and fixtures    42,302    40,161  
     Building and leasehold improvements    11,943    11,235  


     54,245    51,396  
     Less accumulated depreciation and amortization    (26,158 )  (27,440 )


         Property and equipment, net    28,087    23,956  


Other investments    2,963    3,088  
Goodwill, at cost, net of accumulated amortization    184,683    177,974  
Other noncurrent assets    7,405    5,840  


    $ 300,930   $ 279,968  




See accompanying notes to consolidated financial statements.



-4-



PRIME MEDICAL SERVICES, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS (continued)

($ in thousands, except share data)

March 31,
2004
(Unaudited)


 
 
 
 
December 31,
2003
(Audited)

 
LIABILITIES            
 
Current liabilities:  
     Current portion of long-term debt   $ 3,211   $ 3,345  
     Accounts payable    9,814    8,617  
     Accrued distributions to minority interests    5,655    6,908  
     Accrued expenses    15,119    10,137  
     Customer deposits    6,325    6,259  


         Total current liabilities    40,124    35,266  
 
Long-term debt, net of current portion    108,111    111,728  
Other long term obligations    1,833    1,397  
Deferred income taxes    18,404    17,889  


         Total liabilities    168,472    166,280  
 
Minority interest    6,991    7,077  
 
STOCKHOLDERS' EQUITY  
 
Preferred stock, $.01 par value; 1,000,000 shares authorized; none outstanding    --    --  
Common stock, $0.01 par value; 40,000,000 shares authorized; 21,045,643 issued  
     in 2004 and 17,324,585 issued in 2003; 20,729,877 outstanding in 2004 and    210    173  
     17,081,869 outstanding in 2003  
Capital in excess of par value    88,863    70,813  
Accumulated earnings    38,020    36,839  
Treasury stock, at cost, 315,766 shares in 2004 and 242,716 in 2003    (1,626 )  (1,214 )


         Total stockholders' equity    125,467    106,611  


    $ 300,930   $ 279,968  




See accompanying notes to consolidated financial statements.



-5-



PRIME MEDICAL SERVICES, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited)



 
 
Three Months Ended March 31,


($ in thousands)

2004
  2003
 
CASH FLOWS FROM OPERATING ACTIVITIES:            
     Fee and other revenue collected   $ 50,222   $ 44,552  
     Cash paid to employees, suppliers of goods and others    (37,584 )  (35,333 )
     Interest received    88    105  
     Interest paid    (151 )  (367 )
     Taxes refunded (paid)    161    (48 )


         Net cash provided by operating activities    12,736    8,909  


CASH FLOWS FROM INVESTING ACTIVITIES:  
     Purchase of entities, net of cash acquired    3,843    (10,302 )
     Escrow deposits    --    (3,492 )
     Purchases of equipment and leasehold improvements    (3,381 )  (2,281 )
     Distributions from investments    143    135  
     Proceeds from sales of equipment    197    5  
     Other    3    --  


         Net cash provided by (used in) investing activities    805    (15,935 )


CASH FLOWS FROM FINANCING ACTIVITIES:  
     Borrowings on notes payable    722    9,605  
     Payments on notes payable, exclusive of interest    (3,921 )  (4,485 )
     Distributions to minority interest    (7,163 )  (8,316 )
     Contributions by minority interest, net of buyouts    343    (842 )
     Exercise of stock options    123    --  


         Net cash used in financing activities    (9,896 )  (4,038 )


NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS    3,645    (11,064 )
 
Cash and cash equivalents, beginning of period    9,780    20,174  


Cash and cash equivalents, end of period   $ 13,425   $ 9,110  




See accompanying notes to consolidated financial statements.




-6-



PRIME MEDICAL SERVICES, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS (continued)
(Unaudited)



 
 
Three Months Ended March 31,


($ in thousands)

2004
  2003
 
Reconciliation of net income to net cash provided by operating activities:            
     Net income   $ 1,181   $ 1,827  
     Adjustments to reconcile net income  
          to net cash provided by operating activities  
         Minority interest in consolidated income    4,891    4,009  
         Depreciation and amortization    1,620    1,820  
         Provision for uncollectible accounts    (34 )  92  
         Provision for deferred income taxes    9    1,614  
         Equity in (earnings) loss of affiliates    (22 )  35  
         Stock buyback agreements    (322 )  --  
         Other    (293 )  137  
 
     Changes in operating assets and liabilities,  
          net of effect of purchase transactions  
         Accounts receivable    9,152    2,659  
         Other receivables    (530 )  47  
         Other assets    (3,048 )  (731 )
         Accounts payable    (1,757 )  (157 )
         Accrued expenses    1,889    (2,443 )


     Total adjustments    11,555    7,082  


Net cash provided by operating activities   $ 12,736   $ 8,909  




See accompanying notes to consolidated financial statements.




-7-



PRIME MEDICAL SERVICES, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
March 31, 2004
(Unaudited)


1. General

The accompanying unaudited consolidated financial statements have been prepared in conformity with the accounting principles for interim financial statements and with the instructions to Form 10-Q and Rule 10-01 of Regulation S-X. These consolidated financial statements reflect all adjustments which are, in our opinion, necessary for a fair presentation of the statement of the financial position as of March 31, 2004 and the results of operations and cash flows for the periods presented. These statements have not been audited by our independent certified public accountants. The operating results for the interim periods are not necessarily indicative of results for the full fiscal year.


The notes to consolidated financial statements appearing in our Annual Report on Form 10-K for the year ended December 31, 2003 filed with the Securities Exchange Commission should be read in conjunction with this Quarterly Report on Form 10-Q. There have been no significant changes in the information reported in those notes other than from normal business activities.


2. Earnings per share

Basic EPS is based on weighted average shares outstanding without any dilutive effects considered. Diluted EPS reflects dilution from all contingently issuable shares, including options and warrants. A reconciliation of such EPS data is as follows:




($ in thousands, except per share data)
Basic
earnings
per share
Diluted
earnings
per share
           
Three Months Ended March 31, 2004            
           
Net income   $ 1,181   $ 1,181  


Weighted average shares outstanding    18,670    18,670  
Effect of dilutive securities    --    203  


     Shares for EPS calculation    18,670    18,873  


Net income per share   $ 0.06   $ 0.06