Voting Agreement dated June 11, 2004


 Exhibit 10.3 
  
 PRIME MEDICAL SERVICES, INC. VOTING AGREEMENT 
  
 PRIME MEDICAL SERVICES, INC. VOTING AGREEMENT (this “Agreement”) dated as of June 11, 2004, by and
among Prime Medical Services, Inc., a Delaware corporation (“Prime”), HealthTronics Surgical Services, Inc., a Georgia corporation (“HealthTronics”), and the other parties signatory hereto (each a
“Stockholder” and collectively, the “Stockholders”). 
  
 WHEREAS, Prime and HealthTronics entered into that certain Agreement and Plan of Merger dated as of June 11, 2004 (the “Merger
Agreement”; capitalized terms used but not defined herein shall have the meanings set forth in the Merger Agreement) providing for the merger of Prime with and into HealthTronics upon the terms and subject to the conditions set forth in
the Merger Agreement; 
  
 WHEREAS, each Stockholder and Prime are
executing this Agreement to assist HealthTronics with the consummation of the Merger; and 
  
 WHEREAS, concurrently with the execution and delivery of this Agreement, HealthTronics and Prime are entering into a voting agreement with certain HealthTronics stockholders (the “HealthTronics
Stockholders”) under which such HealthTronics Stockholders have, among other things, agreed to support the Merger upon the terms and conditions set forth therein. 
  
 NOW, THEREFORE, in consideration of Prime’s continued actions in furtherance of consummation of the Merger and the
mutual covenants, conditions and agreements contained herein and therein, the parties agree as follows: 
  
 1. Representations and Warranties. 
  
 (a) Each Stockholder severally represents and warrants to HealthTronics as follows: 
  
 (i) Such Stockholder is the record and beneficial owner of, or in the case of a Stockholder that is a trust
(a “Trust Stockholder”), such Trust Stockholder is the record holder of, and its beneficiaries are the beneficial owners of, the number of shares of common stock, par value $0.01 per share, of Prime (the “Common
Stock”) set forth opposite such Stockholder’s name on Schedule A hereto (such shares of Common Stock, together with any other shares of Common Stock or other capital stock of Prime acquired after the date hereof (including
through the exercise of any stock options, warrants or similar instruments) being collectively referred to herein as the “Subject Shares”). The Subject Shares constitute the only shares, with respect to which such Stockholder
is the record or beneficial owner, of Common Stock or other capital stock of Prime or options, warrants or other rights (whether or not contingent) to acquire such shares of capital stock of Prime that are or may be entitled to vote on the Merger or
the Merger Agreement at any meeting of stockholders of Prime called to vote upon the Merger or the Merger Agreement. Such Stockholder has the sole right to vote and Transfer (as defined below in Section 3(a)) the Subject Shares set forth
opposite its name on Schedule A hereto, and none of such Subject Shares is subject to any voting trust or other agreement, arrangement or restriction with respect to the voting or the Transfer of the Subject Shares, 






 except as provided by this Agreement (it being understood that any pledge of the Pledged Shares (as
defined below) shall not be a breach of this representation). Such Stockholder has all requisite power and authority, and, if such Stockholder is a natural person, the legal capacity, to enter into this Agreement and to perform its obligations
hereunder. To the extent that such Stockholder is an entity and not an individual, such Stockholder is duly organized, validly existing and in good standing under the laws of its jurisdiction of organization. The execution and delivery of this
Agreement by such Stockholder and the performance by such Stockholder of its obligations hereunder have been duly authorized by all necessary action on the part of such Stockholder. This Agreement has been duly executed and delivered by, and
constitutes a valid and binding agreement of, such Stockholder, enforceable against such Stockholder in accordance with its terms, except as enforcement may be limited by bankruptcy, insolvency, moratorium or other similar laws and except that the
availability of equitable remedies, including specific performance, is subject to the discretion of the court before which any proceeding for such remedy may be brought (collectively, the “Enforceability Exceptions”).

  
 (ii) Neither the execution and delivery of
this Agreement nor the performance by such Stockholder of its obligations hereunder will result in a violation of, or a default under, or conflict with, (A) if such Stockholder is an entity, any provision of its certificate of incorporation, bylaws,
partnership agreement, limited liability company agreement or similar organizational documents, (B) any contract, trust, commitment, agreement, understanding, arrangement or restriction of any kind (other than as may relate to the Pledged Shares but
subject to the proviso set forth in (iii) or (iv) below) to which such Stockholder is a party or bound or to which the Subject Shares are subject, except, in the case of clause (B) above, as would not prevent, delay or otherwise materially impair
such Stockholder’s ability to perform its obligations hereunder. Execution, delivery and performance of this Agreement by such Stockholder will not reasonably be expected to violate, or require any consent, approval or notice under, any
provision of any judgment, order, decree, statute, law, rule or regulation applicable to such Stockholder or the Subject Shares, except (x) for any reports under Sections 13(d) and 16 of the Exchange Act as may be required in connection with this
Agreement and the transactions contemplated hereby or (y) as would not reasonably be expected to prevent, delay or otherwise materially impair such Stockholder’s ability to perform its obligations hereunder. 
  
 (iii) If the Stockholder is a married natural person and the
Subject Shares of the Stockholder constitute community property or spousal approval is otherwise required for this Agreement to be legal, valid and binding, then, to the extent so required, this Agreement has been duly authorized, executed and
delivered by, and constitutes a valid and binding agreement of, the Stockholder’s spouse, enforceable against such spouse in accordance with its terms, subject to the Enforceability Exceptions. No Trust Stockholder requires the consent of any
beneficiary to the execution and delivery of this Agreement or to the performance by such Trust Stockholder of its obligations hereunder, except for any consents duly obtained as of the date hereof and which will remain in full force and effect at
such time or times as may be necessary to duly consent to such Trust Stockholder’s performance of its obligations hereunder. 
  

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 (iv) The Subject Shares and the certificates representing such Subject Shares are held by
such Stockholder, or by a nominee or custodian for the benefit of such Stockholder, free and clear of all liens, claims, security interests, proxies, voting trusts or agreements, understandings or arrangements or any other encumbrances whatsoever,
except (A) any encumbrances arising hereunder or, with respect to a Trust Stockholder, under the existing terms of the trust governing such Trust Stockholder or (B) any such encumbrances arising pursuant to the pledge of any Subject Shares by such
Stockholder prior to the date hereof to a financial institution or a brokerage firm (the “Pledged Shares”); provided, however, that such Stockholder represents that any such arrangement regarding such Pledged Shares
shall not prevent, delay or otherwise materially impair such Stockholder’s ability to execute and deliver this Agreement or perform its obligations hereunder and such Stockholder shall use its reasonable efforts to obtain an acknowledgment by
the pledgee of the terms of this Agreement and such pledgee’s agreement to vote the Pledged Shares (if and to the extent the voting power of the Pledged Shares is being or to be exercised by pledgee) in accordance with Section 2 hereof.

  
 (v) No broker, investment banker, financial
advisor or other person is entitled to any broker’s, finder’s, financial advisor’s or other similar fee or commission based upon arrangements made by or on behalf of such Stockholder in connection with its entering into this
Agreement. 
  
 (b) HealthTronics represents and warrants to each
Stockholder that the execution and delivery of this Agreement by HealthTronics and the consummation by HealthTronics of the transactions contemplated hereby have been duly authorized by all necessary action on the part of HealthTronics. 

 
 2. Voting Agreements. Each Stockholder severally agrees with, and
covenants to, HealthTronics that, during the Term (as defined below) of this Agreement, at any meeting of stockholders of Prime or at any adjournment thereof or in any other circumstances upon which a vote, consent or other approval (including by
written consent) is sought, such Stockholder shall, including by executing a written consent solicitation if requested by HealthTronics, vote (or cause to be voted) the Subject Shares with respect to the following matters: (a) in favor of the
Merger, the adoption by Prime of the Merger Agreement, the approval of the terms thereof, and each of the other transactions expressly contemplated by the Merger Agreement and (b) against any transaction, agreement, matter or Prime Acquisition
Proposal that would impede, interfere with, delay, postpone or attempt to discourage the Merger or the Merger Agreement. 
  
 3. Other Covenants. Each Stockholder severally agrees with, and covenants to, HealthTronics during the Term (as herein defined) of this Agreement
as follows: 
  
 (a) such Stockholder shall not after the date
hereof (i) sell, transfer, pledge, assign or otherwise dispose of (including by gift) (collectively, “Transfer”), or consent to any Transfer of, any Subject Shares or any interest therein, except pursuant to the Merger, (ii)
enter into any contract, option or other agreement with respect to any Transfer of any or all of the Subject Shares or any interest therein, (iii) grant any proxy, power-of-attorney or other authorization in or with respect to the Subject Shares,
except for this Agreement or (iv) deposit the Subject Shares 
  

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 into a voting trust or enter into a voting agreement or voting arrangement with respect to the Subject Shares;
provided, that any such Stockholder may Transfer any of the Subject Shares to any other Stockholder who is on the date hereof a party to this Agreement, or to any other person or entity that, prior to or coincident with such Transfer,
executes an agreement to vote such Subject Shares in accordance with Section 2; provided, further, that the restrictions in this Section 3 shall not be deemed violated by any Transfer of Subject Shares pursuant to a cashless
exercise of stock options. 
  
 (b) Such Stockholder hereby waives
any rights of appraisal, or rights to dissent from the Merger, that such Stockholder may have. 
  
 (c) Such Stockholder shall not take any action prohibited by Section 7.2 of the Merger Agreement. 
  
 4. Certain Events. Each Stockholder agrees that this Agreement and the obligations hereunder shall attach to such Stockholder’s Subject Shares
and shall be binding upon any person or entity to which legal or beneficial ownership of such Subject Shares shall pass, whether by operation of law or otherwise, including without limitation such Stockholder’s heirs, guardians, administrators
or successors. In the event of any stock split, stock dividend, merger, reorganization, recapitalization or other change in the capital structure of Prime affecting the Common Stock, or the acquisition of additional shares of Common Stock or other
voting securities of Prime by any Stockholder, the number of Shares listed on Schedule A beside the name of such Stockholder shall be adjusted appropriately and this Agreement and the obligations hereunder shall attach to any additional
shares of Common Stock or other voting securities of Prime issued to or acquired by such Stockholder. 
  
 5. Stop Transfer. Prime agrees with, and covenants to, HealthTronics that Prime shall not register the transfer of any certificate representing any
Subject Shares, unless such transfer is made to HealthTronics or otherwise in compliance with this Agreement. 
  
 6. Stockholder Capacity. No person executing this Agreement who is or becomes during the Term a director of Prime makes any agreement or
understanding herein in his or her capacity as such director. Each Stockholder signs solely in his or her capacity as the record and beneficial owner of, or the trustee of a trust whose beneficiaries are the beneficial owners of, such
Stockholder’s Subject Shares. 
  
 7. Further
Assurances. Each Stockholder shall, upon request of HealthTronics, execute and deliver any additional documents and take such further actions as may reasonably be deemed by HealthTronics to be necessary or desirable to carry out the provisions
hereof. 
  
 8. Termination. This Agreement, and all rights
and obligations of the parties hereunder, shall terminate upon (and shall only be effective from the date hereof until) the first to occur of (the “Term”) (a) the Effective Time of the Merger, (b) the date upon which the
Merger Agreement is terminated in accordance with its terms, (c) December 31, 2004 or (d) the amendment of the Merger Agreement unless such amendment has been consented to by the Stockholders in writing prior to or simultaneously with such
amendment; provided, however, that (x) Section 9 shall survive any termination of this Agreement and (y) termination of this Agreement pursuant to clause (b) above shall not relieve any party hereto from liability for any willful and
knowing breach hereof prior to such termination. 
  

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 9. Miscellaneous. 
  
 (a) All notices, requests, claims, demands and other communications under this Agreement shall be in writing and shall be
deemed given if delivered personally or sent by overnight courier (providing proof of delivery) to the parties at the following addresses (or at such other address for a party as shall be specified by like notice): (i) if to Prime or HealthTronics,
to the appropriate address set forth in Section 11.1 of the Merger Agreement; and (ii) if to a Stockholder, to the appropriate address set forth on Schedule A hereto. 
  
 (b) The headings contained in this Agreement are for reference purposes only and shall not affect in any way the meaning or
interpretation of this Agreement. 
  
 (c) This Agreement may be
executed in two or more counterparts, all of which shall be considered one and the same agreement and shall become effective as to any Stockholder when one or more counterparts have been signed by each of Prime, HealthTronics and such Stockholder
and delivered to Prime, HealthTronics and such Stockholder. 
  
 (d) This Agreement (including the documents and instruments referred to herein) constitutes the entire agreement, and supersedes all prior agreements and understandings, both written and oral, among the parties with respect to the subject
matter hereof, and this Agreement is not intended to confer upon any other person (other than HealthTronics) any rights or remedies hereunder. 
  
 (e) This Agreement shall be governed by, and construed in accordance with, the laws of the State of Delaware, regardless of the laws that might otherwise
govern under applicable principles of conflicts of laws thereof. 
  
 (f) Neither this Agreement nor any of the rights, interests or obligations under this Agreement shall be assigned, in whole or in part, by operation of law or otherwise, by any of the parties without the prior written consent of the other
parties, except by laws of descent or as expressly provided by Section 3(a). Any assignment in violation of the foregoing shall be void. 
  
 (g) As between any Stockholder and HealthTronics, each of such parties agrees that irreparable damage to the other, non-breaching party would occur and
that such non-breaching party would not have any adequate remedy at law in the event that any of the provisions of this Agreement were not performed in accordance with their specific terms or were otherwise breached. It is accordingly agreed that
the non-breaching party shall be entitled to an injunction or injunctions to prevent breaches by the other party of this Agreement and to enforce specifically the terms and provisions of this Agreement, this being in addition to any other remedy to
which it may be entitled at law or in equity. 
  
 (h) If any term,
provision, covenant or restriction herein, or the application thereof to any circumstance, shall, to any extent, be held by a court of competent jurisdiction to be invalid, void or unenforceable, the remainder of the terms, provisions, covenants and
restrictions herein and the application thereof to any other circumstances shall remain in full force and effect, shall not in any way be affected, impaired or invalidated, and shall be enforced to the fullest extent permitted by law. 
  

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 (i) No amendment, modification or waiver in respect of this Agreement shall be effective against any
party unless it shall be in writing and signed by such party. 
  
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 IN WITNESS WHEREOF, Prime, HealthTronics and the Stockholders party hereto have caused this Agreement to
be duly executed and delivered as of the date first written above. 
  

			
	 PRIME MEDICAL SERVICES, INC.

		
	 By:
	 	 /s/ Brad A. Hummel


	 	 	 Brad A. Hummel, President and
 Chief Executive Officer

	
	 HEALTHTRONICS SURGICAL SERVICES, INC.

		
	 By:
	 	 /s/ Argil J. Wheelock


	 	 	 Argil J. Wheelock, Chairman of the Board and
 Chief Executive Officer

	
	 STOCKHOLDERS:

		
	 By:
	 	 /s/ Kenneth S. Shifrin


	 	 	 Kenneth S. Shifrin



  

 S-1 







 SCHEDULE A 
  


			
	 Stockholder
 Name and
Address

	  	 Shares of Prime Common Stock Beneficially
 Owned


	 Kenneth S. Shifrin
 1301 Capital of Texas Highway
 Suite B-200
 Austin, Texas 78746
	  	517,270