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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549



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FORM 10-Q



(Mark One)



|x | QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE
|- | -------------------------------------------------------

SECURITIES EXCHANGE ACT OF 1934



For the
quarterly period ended SEPTEMBER 30, 2003



OR



| ̈ | TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE
|- | --------------------------------------------------------

SECURITIES EXCHANGE ACT OF 1934



For the transition period from  to



Commission File Number: 000-20997



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SRI/SURGICAL EXPRESS, INC.

(Exact name of Registrant as specified in its Charter)



|Florida                  |  | 59-3252632                          
|------------------------ |  | ------------------------------------
|(State of Incorporation) |  | (I.R.S. Employer Identification No.)



12425 Race Track
Road

Tampa, Florida 33626

(Address of Principal Executive Offices)



(813) 891-9550

(Registrants Telephone Number)



---



Indicate by check 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 whether the Registrant is an accelerated filer (as defined in Rule 12-b-2 of the Securities Exchange Act of 1934).    Yes ̈No  x



Number of outstanding shares of each class of Registrants Common Stock as of October 31, 2003:



Common Stock, par value $.001  6,263,024



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##### Table of Contents

INDEX



|           |  |                                                                                       |  | Page                                                                                                                                       
|---------- |  | ------------------------------------------------------------------------------------- |  | -------------------------------------------------------------------------------------------------------------------------------------------
|PART I     |  |                                                                                       |  | FINANCIAL INFORMATION                                                                                                                      
|           |  |                                                                                      
|Item 1     |  | Financial Statements                                                                  |  |                                                                                                                                            
|           |  |                                                                                       | 
|           |  |                                                                                       |  | Consolidated Statements of Operations for the three and nine months ended September 30, 2003 (unaudited) and September 30, 2002 (unaudited)
|           |  |                                                                                       | 
|           |  |                                                                                       |  | Consolidated Balance Sheets as of September 30, 2003 (unaudited) and December 31, 2002                                                     
|           |  |                                                                                       | 
|           |  |                                                                                       |  | Consolidated Statements of Cash Flows for the nine months ended September 30, 2003 (unaudited) and September 30, 2002 (unaudited)          
|           |  |                                                                                       | 
|           |  |                                                                                       |  | Notes to Consolidated Financial Statements (unaudited)                                                                                     
|           |  |                                                                                      
|Item 2     |  | Managements Discussion and Analysis of Financial Condition and Results of Operations |  | 9                                                                                                                                          
|           |  |                                                                                      
|Item 3     |  | Quantitative and Qualitative Disclosures About Market Risk                            |  | 13                                                                                                                                         
|           |  |                                                                                      
|Item 4     |  | Disclosure Controls and Procedures                                                    |  | 14                                                                                                                                         
|           |  |                                                                                       | 
|PART II    |  |                                                                                       |  | OTHER INFORMATION                                                                                                                          
|           |  |                                                                                      
|Item 1     |  | Legal Proceedings                                                                     |  | 16                                                                                                                                         
|           |  |                                                                                      
|Item 2     |  | Changes in Securities                                                                 |  | 16                                                                                                                                         
|           |  |                                                                                      
|Item 3     |  | Defaults Upon Senior Securities                                                       |  | 16                                                                                                                                         
|           |  |                                                                                      
|Item 4     |  | Submission of Matters to a Vote of Security Holders                                   |  | 16                                                                                                                                         
|           |  |                                                                                      
|Item 5     |  | Other Information                                                                     |  | 16                                                                                                                                         
|           |  |                                                                                      
|Item 6     |  | Exhibits and Reports on Form 8-K                                                      |  | 16                                                                                                                                         
|           | 
|SIGNATURES |  | 17                                                                                   





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##### Table of Contents

PART I  FINANCIAL INFORMATION



Item 1. Financial Statements



SRI/SURGICAL EXPRESS, INC.

CONSOLIDATED STATEMENTS OF OPERATIONS

(In thousands, except per share data)

(unaudited)



|                                            |  | Three Months EndedSeptember 30, |        | Nine Months EndedSeptember 30,
|------------------------------------------- |  | ------------------------------- | ------ | ------------------------------
|                                            |  | 2003                            |        |                               
|Revenues                                    |  | $                               | 21,666 |                               
|                                            |  |                                 |        |                               
|Cost of revenues                            |  |                                 | 16,517 |                               
|                                            |  |                                 |        |                               
|Gross profit                                |  |                                 | 5,149  |                               
|                                            |  |                                 |        |                               
|Distribution expenses                       |  |                                 | 1,456  |                               
|                                            |  |                                 |        |                               
|Selling and administrative expenses         |  |                                 | 3,678  |                               
|                                            |  |                                 |        |                               
|Income from operations                      |  |                                 | 15     |                               
|                                            |  |                                 |        |                               
|Unrealized gain on derivative instruments   |  |                                 |       |                               
|                                            |  |                                 |        |                               
|Interest expense, net                       |  |                                 | 262    |                               
|                                            |  |                                 |        |                               
|Income (loss) before income taxes           |  |                                 | (247   | )                             
|                                            |  |                                 |        |                               
|Income tax expense (benefit)                |  |                                 | (92    | )                             
|                                            |  |                                 |        |                               
|Net income (loss)                           |  | $                               | (155   | )                             
|                                            |  |                                 |        |                               
|                                            |  |                                 |        |                               
|Earnings (loss) per share:                  |  |                                 |        |                               
|                                            |  |                                 |        |                               
|Basic                                       |  | $                               | (0.02  | )                             
|                                            |  |                                 |        |                               
|Diluted                                     |  | $                               | (0.02  | )                             
|                                            |  |                                 |        |                               
|                                            |  |                                 |        |                               
|Weighted average common shares outstanding: |  |                                 |        |                               
|                                            |  |                                 |        |                               
|Basic                                       |  |                                 | 6,263  |                               
|                                            |  |                                 |        |                               
|Diluted                                     |  |                                 | 6,263  |                               
|                                            |  |                                 |        |                               



The accompanying notes
are an integral part of these consolidated financial statements.



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SRI/SURGICAL EXPRESS, INC.

CONSOLIDATED BALANCE SHEETS

(In thousands)



|                                                                                                                                                          |  | September 30,2003 |        | December 31,2002
|--------------------------------------------------------------------------------------------------------------------------------------------------------- |  | ----------------- | ------ | ----------------
|                                                                                                                                                          |  | (unaudited)       |        |                 
|ASSETS                                                                                                                                                    |  |                   |        |                 
|Cash and cash equivalents                                                                                                                                 |  | $                 | 578    |                 
|Accounts receivable, net                                                                                                                                  |  |                   | 11,013 |                 
|Inventories, net                                                                                                                                          |  |                   | 6,386  |                 
|Prepaid expenses and other assets, net                                                                                                                    |  |                   | 3,088  |                 
|Reusable surgical products, net                                                                                                                           |  |                   | 21,486 |                 
|Property, plant and equipment, net                                                                                                                        |  |                   | 38,251 |                 
|Goodwill, net                                                                                                                                             |  |                   | 5,244  |                 
|                                                                                                                                                          |  |                   |        |                 
|Total assets                                                                                                                                              |  | $                 | 86,046 |                 
|                                                                                                                                                          |  |                   |        |                 
|LIABILITIES AND SHAREHOLDERS EQUITY                                                                                                                      |  |                   |        |                 
|                                                                                                                                                          |  |                  
|Notes payable to bank                                                                                                                                     |  | $                 | 9,021  |                 
|Accounts payable                                                                                                                                          |  |                   | 5,551  |                 
|Employee related accrued expenses                                                                                                                         |  |                   | 1,225  |                 
|Other accrued expenses                                                                                                                                    |  |                   | 1,569  |                 
|Obligation under capital lease                                                                                                                            |  |                   | 4,546  |                 
|Bonds payable                                                                                                                                             |  |                   | 9,700  |                 
|Deferred tax liability, net                                                                                                                               |  |                   | 1,704  |                 
|                                                                                                                                                          |  |                   |        |                 
|Total liabilities                                                                                                                                         |  |                   | 33,316 |                 
|                                                                                                                                                          |  |                  
|Shareholders equity                                                                                                                                      |  |                   |        |                 
|                                                                                                                                                          |  |                  
|Preferred stock-authorized 5,000,000 shares of $0.001 par value; no shares issued and outstanding at September 30, 2003 and
December 31, 2002.            |  |                   |       |                 
|Common stock-authorized 30,000,000 shares of $0.001 par value; issued and outstanding 6,262,524 at September 30, 2003 and
6,268,877 at December 31, 2002. |  |                   | 6      |                 
|                                                                                                                                                          |  |                  
|Additional paid-in capital                                                                                                                                |  |                   | 29,389 |                 
|Retained earnings                                                                                                                                         |  |                   | 23,335 |                 
|                                                                                                                                                          |  |                   |        |                 
|Total shareholders equity                                                                                                                                |  |                   | 52,730 |                 
|                                                                                                                                                          |  |                   |        |                 
|Total liabilities and shareholders equity                                                                                                                |  | $                 | 86,046 |                 
|                                                                                                                                                          |  |                   |        |                 



The accompanying notes
are an integral part of these consolidated financial statements.



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SRI/SURGICAL EXPRESS, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands)

(unaudited)



|                                                                                  |  | Nine Months Ended |       
|--------------------------------------------------------------------------------- |  | ----------------- | ------
|                                                                                  |  | September 30,2003 |       
|Cash flows from operating activities                                              |  |                   |       
|Net income (loss)                                                                 |  | $                 | (80   
|Adjustments to reconcile net income to net cash provided by operating activities: |  |                   |       
|Depreciation and amortization                                                     |  |                   | 2,876 
|Amortization of reusable surgical products                                        |  |                   | 3,544 
|Provision for reusable surgical products shrinkage                                |  |                   | 1,460 
|Unrealized gain on derivative instruments                                         |  |                   |      
|Change in operating assets and liabilities:                                       |  |                   |       
|Accounts receivable, net                                                          |  |                   | (724  
|Inventories, net                                                                  |  |                   | 591   
|Prepaid expenses and other assets                                                 |  |                   | (135  
|Accounts payable                                                                  |  |                   | 122   
|Employee related and other accrued expenses                                       |  |                   | 473   
|                                                                                  |  |                   |       
|Net cash provided by operating activities                                         |  |                   | 8,127 
|                                                                                  |  |                   |       
|Cash flows from investing activities                                              |  |                   |       
|Purchases of property, plant and equipment                                        |  |                   | (684  
|Purchases of reusable surgical products                                           |  |                   | (848  
|                                                                                  |  |                   |       
|Net cash used in investing activities                                             |  |                   | (1,532
|                                                                                  |  |                   |       
|Cash flows from financing activities                                              |  |                   |       
|Net repayment on notes payable to bank                                            |  |                   | (6,431
|Repayment of derivative instrument                                                |  |                   |      
|Payments on obligation under capital lease                                        |  |                   | (88   
|(Repurchase) Issuance of common stock                                             |  |                   | (35   
|                                                                                  |  |                   |       
|Net cash used in financing activities                                             |  |                   | (6,554
|                                                                                  |  |                   |       
|Increase in cash and cash equivalents                                             |  |                   | 41    
|Cash and cash equivalents at beginning of period                                  |  |                   | 537   
|                                                                                  |  |                   |       
|Cash and cash equivalents at end of period                                        |  | $                 | 578   
|                                                                                  |  |                   |       
|Supplemental cash flow information                                                |  |                   |       
|Cash paid for interest                                                            |  | $                 | 571   
|                                                                                  |  |                   |       
|Cash paid for income taxes                                                        |  | $                 | 80    
|                                                                                  |  |                   |       
|Supplemental schedule of non-cash activities                                      |  |                   |       
|Assets acquired under capital lease                                               |  | $                 | 179   
|                                                                                  |  |                   |       
|Income tax benefit of stock options exercised                                     |  | $                 |      
|                                                                                  |  |                   |       



The accompanying notes
are an integral part of these consolidated financial statements.



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SRI/SURGICAL EXPRESS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(unaudited)



NOTE A  BASIS OF PRESENTATION



The accompanying unaudited consolidated financial statements of SRI/Surgical Express, Inc. (the Company) have been prepared in accordance with
accounting principles generally accepted in the United States of America for interim financial information and with the Securities and Exchange Commissions (the SEC) instructions to Form 10-Q and Article 10 of Regulation S-X.
Accordingly, they omit or condense footnotes and certain other information normally included in complete financial statements prepared in accordance with accounting principles generally accepted in the United States of America. In the opinion of
management, all adjustments of a normal recurring nature that are necessary to present fairly the financial information for the interim periods reported have been made. The accompanying unaudited consolidated financial statements should be read in
conjunction with the consolidated financial statements and notes included in the Companys Form 10-K for the year ended December 31, 2002, filed with the SEC. The results of operations for the three and nine months ended September 30, 2003, are
not necessarily indicative of the results that can be expected for the entire year ending December 28, 2003.



The Company operates on a 52-53 week fiscal year ending the Sunday nearest December 31. The unaudited consolidated financial statements are reflected as
of September 30, 2003 for presentation purposes. There are 39 weeks included for the nine-month periods ended September 28, 2003 and September 29, 2002. There are 13 weeks included for the three-month periods ended September 28, 2003 and September
29, 2002.



NOTE B  SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES



Consolidated Financial Statement Presentation



The consolidated financial statements include the accounts of the Company
and its wholly owned subsidiary, SRI Realty Trust, beginning in December 2002. All significant intercompany transactions and balances have been eliminated in consolidation.



Use of Estimates



The preparation of consolidated financial statements in conformity with accounting principles generally accepted in the United States of America requires
management to make estimates and assumptions that affect the amounts reported in the consolidated financial statements and accompanying notes. Actual results could differ from those estimates.



Cash and Cash Equivalents



The Company considers all highly liquid instruments with a maturity of three
months or less to be cash equivalents.



Accounts Receivable, Net



The Company has accounts receivable from hospitals and
surgery centers. The Company does not believe that there are substantial credit risks associated with those receivables. The Company does not require any form of collateral from the hospitals and surgery centers. The allowance for doubtful accounts
as of September 30, 2003, and December 31, 2002, was approximately $158,000 and $101,000, respectively. The Companys write-offs for uncollectible accounts have not been significant to the results of operations. The Company does not charge
interest on accounts receivable.



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Inventories, Net



Inventories, consisting principally of consumables, supplies, and disposable surgical products, are valued at the lower of cost or market, with cost being
determined on the first-in, first-out method. As of September 30, 2003 and December 31, 2002, inventory consisted of the following:



|Inventory Type          |  | September 30, 2003 |           |   | December 31, 2002 |  
|----------------------- |  | ------------------ | --------- | - | ----------------- | -
|Raw materials           |  | $                  | 3,077,595 |   |                   | $
|Work in progress        |  |                    | 146,439   |   |                   |  
|Finished goods          |  |                    | 3,404,655 |   |                   |  
|                        |  |                    |           |   |                   |  
|                        |  |                    | 6,628,689 |   |                   |  
|Less: Inventory reserve |  |                    | (242,876  | ) |                   |  
|                        |  |                    |           |   |                   |  
|                        |  | $                  | 6,385,813 |   |                   | $
|                        |  |                    |           |   |                   |  



Reusable Surgical Products, Net



Reusable surgical products, consisting principally of
gowns, towels and basins, are stated at cost. Amortization is computed on a basis similar to the units of production method. Estimated useful lives are based on the estimated total number of available uses for each product. The expected total
available usage for products using the three principal fabrics (accounting for 85% of the reusable surgical products) is 75, 100, and 125 uses, respectively, based on several factors, including our actual experience with these products. Accumulated
amortization as of September 30, 2003, and December 31, 2002, was approximately $12.2 million and $12.5 million, respectively.



As of September 30, 2003, and December 31, 2002, the Company had reserves for shrinkage and obsolescence of approximately $844,000 and $1.0 million,
respectively.



Property, Plant and Equipment, Net



Property, plant and equipment are stated at cost. Depreciation and
amortization are computed by the straight-line method with a half-year convention over the estimated useful lives of the assets, or for leasehold improvements, the term of the related lease.



Goodwill, Net



Goodwill of approximately $6.0 million arising from acquisitions is stated at cost, net of accumulated amortization of
approximately $774,000. Prior to January 1, 2002, goodwill had been amortized on a straight-line basis over periods ranging from twenty to thirty years.



On January 1, 2002, the Company adopted the provisions of Statement of Financial Accounting Standards (SFAS) No. 142, Goodwill and Other
Intangible Assets. SFAS 142 requires goodwill to be tested for impairment at least annually and more frequently when impairment indicators arise. Goodwill is no longer amortized, but must be written down when impaired.



Revenue Recognition



Revenues are recognized as the agreed upon products and services are delivered, generally daily.A signed and dated
packing slip and a randomly generated delivery confirmation number evidence confirmation of delivery. The Companys contractual relationships with its customers are primarily evidenced by purchase orders or service agreements with terms varying
from one to five years, which are generally cancelable by either party.



The Company owns substantially all of the reusable surgical products provided to customers. A third party agent provides to the Company for a fee certain reusable surgical instruments that are included in the comprehensive surgical
procedure-based delivery and retrieval service. In accordance with Emerging Issues



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Task Force (EITF) No. 99-19, Reporting Revenue Gross as a Principal versus Net as an Agent, the Company has concluded that it is acting as
a principal in this arrangement and has reported the revenue gross for the comprehensive surgical procedure-based delivery and retrieval service. The third party agent fee charged to the Company is included in cost of revenues in the consolidated
statements of operations.



Income Taxes



Income taxes have been provided using the liability method in accordance
with SFAS 109, Accounting for Income Taxes. In accordance with SFAS 109, deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of
existing assets and liabilities and their respective tax bases. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be
recovered or settled. The effect on deferred tax assets and liabilities of a change in the tax rate is recognized in operations in the period that includes the enactment date of the rate change.



Fair Value of Financial Instruments



The carrying amounts of cash and cash equivalents approximate fair value
because of their short-term nature. The fair value of notes payable to bank approximates carrying amount as the interest rates are based on market interest rates.



Earnings (Loss) per Share



Basic earnings (loss) per share is calculated by dividing net income (loss) available for common shareholders by the weighted average number of common
shares outstanding during the period. Diluted earnings (loss) per share is calculated by dividing net income (loss) by the weighted average number of common and potential common shares outstanding during the period. The number of potential common
shares takes into account the dilutive effect of outstanding options, calculated using the treasury stock method.



Recent Accounting Pronouncements



In June 2002, the Financial Accounting Standards Board (FASB) issued SFAS No. 146, Accounting for Costs Associated with Exit or Disposal
Activities. SFAS 146 relates to the accounting and reporting for costs associated with exit or disposal activities. The provisions of SFAS 146 affect the timing of the recognition of costs and liabilities resulting from exit or disposal
activities initiated after December 31, 2002. Liabilities for these costs are now generally recognized when incurred rather than on the date an entity commits to an exit plan. The Companys adoption of SFAS 146 on January 1, 2003 impacted the
timing of the recognition of costs and liabilities resulting from exit or disposal activities subsequent to January 1, 2003.



In December 2002, the FASB issued SFAS 148, Accounting for Stock-Based Compensation-Transition and Disclosure, which amends SFAS 123, Accounting
for Stock-Based Compensation. SFAS 148 provides alternative methods of transition for a voluntary change to the fair value based method of accounting for stock-based compensation. SFAS 148 also amends the disclosure requirements of SFAS 123 to
require more prominent and frequent disclosures in financial statements concerning the effects of stock-based compensation. SFAS 148 is effective for fiscal years ending after December 15, 2002, and applies to certain amendments to required
disclosures after that date related to stock-based compensation included in financial statements for interim periods. The Company records stock-based compensation expense on the date of grant only if the current market price of the underlying stock
exceeds the exercise price and does not plan to change to the SFAS 123 fair value based method of accounting in the foreseeable future. The adoption of SFAS 148 did not have a material impact on the Companys consolidated financial position,
results of operations, or cash flows.



Exit or Disposal Activities



During the quarter ended September 30, 2003, the Company
began consolidating the processing from its Detroit facility into its Cincinnati facility, leaving the Detroit facility as a service center that will continue to distribute products to our current customers. The Company recognized exit costs
totaling approximately



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$82,000 related to employee severance and benefit costs and equipment impairment in the third quarter of 2003. Approximately 50 production employees are
eligible for severance and benefits if they continue to work through the completion of the consolidation. The consolidation is expected to provide labor and other operational savings starting in 2004. The Company expects to complete the
consolidation, incur approximately $25,000 to $30,000 more in additional termination benefits, and pay the severance and benefits during the fourth quarter of 2003.



Stock Based Compensation



The Company accounts for stock-based compensation arrangements under the provisions of APB 25, Accounting for Stock Issued to Employees. In 1995,
the FASB issued SFAS 123, Accounting for Stock-Based Compensation. Under SFAS 123, the Company may elect to recognize stock-based compensation expense based on the fair value of the awards on the date of grant or continue to apply the
provisions of APB 25 and disclose the effects of SFAS 123 as if the recognition provisions were adopted.



The following table illustrates the effect on the Companys net income (loss) and earnings (loss) per share if the Company recognized compensation
expense based upon the fair value at the grant date for awards under its option plans consistent with the methodology prescribed by SFAS 123:



|                                            |  | Three  MonthsEnded September 30,                 |       |   | Nine  MonthsEndedSeptember 30, |  
|------------------------------------------- |  | ------------------------------------------------ | ----- | - | ------------------------------ | -
|                                            |  | 2003                                             |       |   | 2002                           |  
|                                            |  | (In thousands, except per share data)(unaudited) |      
|Reported net income (loss)                  |  | $                                                | (155  | ) |                                | $
|Compensation expense, net of tax            |  |                                                  | (174  | ) |                                |  
|                                            |  |                                                  |       |   |                                |  
|Pro forma net income (loss)                 |  | $                                                | (329  | ) |                                | $
|                                            |  |                                                  |       |   |                                |  
|Reported basic earnings (loss) per share    |  | $                                                | (0.02 | ) |                                | $
|Compensation expense, net of tax            |  |                                                  | (0.03 | ) |                                |  
|                                            |  |                                                  |       |   |                                |  
|Pro forma basic earnings (loss) per share   |  | $                                                | (0.05 | ) |                                | $
|                                            |  |                                                  |       |   |                                |  
|Reported diluted earnings (loss) per share  |  | $                                                | (0.02 | ) |                                | $
|Compensation expense, net of tax            |  |                                                  | (0.03 | ) |                                |  
|                                            |  |                                                  |       |   |                                |  
|Pro forma diluted earnings (loss) per share |  | $                                                | (0.05 | ) |                                | $
|                                            |  |                                                  |       |   |                                |  



Comprehensive Income



In June 1997, the FASB issued SFAS 130, Reporting
Comprehensive Income. SFAS 130 requires that total comprehensive income and comprehensive income per share be disclosed with the same prominence as net income and earnings per share. Comprehensive income is defined as changes in
shareholders equity exclusive of transactions with owners such as capital contributions and dividends and specifically excluded items such as deferred compensation. The Company does not have any items of other comprehensive income to report in
any of the periods presented.



Reclassifications



Certain 2002 employee salaries, benefits and related expenses have been
reclassified from cost of revenues into selling and administrative expenses in order to conform to the 2003 presentation.



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Line of Credit



On June 26, 2003, the Company renewed and amended its existing revolving credit with Wachovia Bank and SouthTrust Bank. Based on anticipated future needs,
the Company elected to decrease the facility amount from $45.0 million to $30.0 million. The Companys outstanding balances under the revolving credit facility were approximately $9.0 million and $15.5 million on September 30, 2003, and
December 31, 2002, respectively.



The credit facility is
secured by substantially all of the Companys assets and has a maturity date of June 30, 2006. The facilitys interest rate varies between 200 and 350 basis points over LIBOR (3.72% as of September 30, 2003), depending on the
Companys consolidated leverage ratio. The credit facility requires the Company to maintain (a) tangible net worth of not less than $45.0 million plus 75% of cumulative net income for each fiscal quarter beginning with the fiscal quarter ended
June 30, 2003; (b) a consolidated leverage ratio of not more than 2.5 to 1.0 measured as of the end of each fiscal quarter for the four fiscal quarters then ended; and (c) a funds flow coverage ratio of not less than 2.5 to 1.0 measured at the end
of each fiscal quarter. The credit facility restricts the Company from paying dividends, incurring additional indebtedness, encumbering its assets, and entering into merger, consolidation or liquidation transactions representing greater than 10% of
consolidated assets. The Company complied with all requirements of the credit facility as of September 30, 2003.



The credit facility allows the Company to repurchase up to $5.0 million of its stock through open market purchases at prevailing market prices. As of
September 30, 2003, the Company had repurchased 6,753 shares of its common stock, at an aggregate cost of approximately $37,000 during 2003. The Company repurchased 154,400 shares of its common stock, at an aggregate cost of approximately $948,500
during 2002.



NOTE C  EARNINGS PER SHARE



The following table sets forth the Companys computation of basic and diluted earnings
per share:



|                                                       |  | Three MonthsEnded September 30,       |       | Nine MonthsEndedSeptember 30,
|------------------------------------------------------ |  | ------------------------------------- | ----- | -----------------------------
|                                                       |  | 2003                                  |       |                              
|                                                       |  | (In thousands, except per share data)
|                                                       |  | (unaudited)                          
|Basic                                                  |  |                                       |       |                              
|Numerator:                                             |  |                                       |       |                              
|Net income (loss)                                      |  | $                                     | (155  | )                            
|                                                       |  |                                       |       |                              
|Denominator:                                           |  |                                       |       |                              
|Weighted average shares outstanding                    |  |                                       | 6,263 |                              
|                                                       |  |                                       |       |                              
|Earnings (loss) per common share, basic                |  | $                                     | (0.02 | )                            
|                                                       |  |                                       |       |                              
|Diluted                                                |  |                                       |       |                              
|Numerator:                                             |  |                                       |       |                              
|Net income (loss)                                      |  | $                                     | (155  | )                            
|                                                       |  |                                       |       |                              
|Denominator:                                           |  |                                       |       |                              
|Weighted average shares outstanding                    |  |                                       | 6,263 |                              
|Effect of dilutive securities - employee stock options |  |                                       |      |                              
|                                                       |  |                                       |       |                              
|                                                       |  |                                       | 6,263 |                              
|                                                       |  |                                       |       |                              
|Earnings (loss) per common share, diluted              |  | $                                     | (0.02 | )                            
|                                                       |  |                                       |       |                              



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Options to purchase 527,300 and 564,884 shares of common stock for the three-month periods ended
September 30, 2003, and September 30, 2002, respectively, were not included for all or a portion of the computation of diluted earnings per common share, because the options exercise prices were greater than the average market price of the
common shares, and therefore, the effect would be anti-dilutive. Options to purchase 733,800 and 382,900 shares of common stock for the nine-month periods ended September 30, 2003, and September 30, 2002, respectively, were not included for the same
reason. The dilutive effect of 454,900 options for the three-month period and 248,400 options for the nine-month period ended September 30, 2003, with an exercise price less than the average market price of the common shares were not included
because the effect would be anti-dilutive due to the Companys net loss for the same periods.



Item 2.   Managements Discussion and Analysis of Financial Condition and Results of Operations



Overview



The following discussion and analysis should be read in conjunction with our consolidated financial statements and the notes thereto included elsewhere in
this report. This discussion and analysis contains trend analysis and might contain forward-looking statements. These statements are based on current expectations, and actual results might differ materially. Among the factors that could cause actual
results to vary are those described in Critical Accounting Policies and Certain Considerations.



Our revenues are derived from providing hospitals and surgery centers with reusable gowns, towels, drapes, basins, and instruments for use in surgical
procedures through a daily comprehensive surgical procedure-based delivery and retrieval system, and also from the sale of disposable surgical products that supplement our reusable surgical product service. From 11 reprocessing facilities and one
disposable products facility, we collect, sort, clean, inspect, package, sterilize and deliver our reusable products on a just-in-time basis. We offer an integrated closed-loop reprocessing service that uses two of the most
technologically advanced reusable textiles: (i) a GORE®Surgical Barrier Fabric* for gowns
and drapes that is breathable yet liquid-proof and provides a viral/bacterial barrier, and (ii) an advanced microfiber polyester surgical fabric for gowns and drapes that is liquid and bacteria resistant. We also offer reusable laparoscopic
instruments from Aesculap, Inc., one of the oldest and largest worldwide suppliers of surgical instruments. The number of customers, the number and type of surgical procedures we service for each customer, and pricing for our various types of
surgical packs primarily affect our revenue growth.



In recent
years, we have made investments in staff, facility expansions, and additional reusable surgical products in anticipation of revenue growth. We are experiencing a period during which our results of operations have been adversely affected by the
competitive market for our products and services. Despite this factor, we continue to experience growth in the surgical instrument component of our business. Our revenue from this business increased by $3.7 million, or 68%, to $9.1 million for the
nine months ended September 30, 2003, compared to $5.4 million for the nine months ended September 30, 2002.



During the quarter ended September 30, 2003, we began consolidating the processing from our Detroit facility into its Cincinnati facility, leaving the
Detroit facility as a service center that will continue to distribute products to our current customers. We recognized exit costs totaling approximately $82,000 related to employee severance and benefit costs and equipment impairment in the third
quarter of 2003. Approximately 50 production employees are eligible for severance and benefits if they continue to work through the completion of the consolidation. The consolidation is expected to provide labor and other operational savings
starting in 2004. We expect to complete the consolidation, incur approximately $25,000 to $30,000 more in additional termination benefits, and pay the severance and benefits during the fourth quarter of 2003.

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|* | GORE®Surgical Barrier Fabric is a registered trademark of W.L. Gore & Associates, Inc.
|- | --------------------------------------------------------------------------------------





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Critical Accounting Policies



The preparation of consolidated financial statements and related disclosures in conformity with accounting principles
generally accepted in the United States of America requires management to make judgments, assumptions, and estimates that affect the amounts reported in our consolidated financial statements and accompanying notes. On an on-going basis, we evaluate
our estimates and assumptions based upon historical experience and various other factors and circumstances. Management believes that these estimates and assumptions are reasonable under the circumstances; however, actual results may vary from these
estimates and assumptions. Note B to our consolidated financial statements describes the significant accounting policies and methods that we use in preparing our consolidated financial statements. We have identified the following critical accounting
policies that are impacted significantly by judgments, assumptions and estimates used in the preparation of the consolidated financial statements:



Allowance for Doubtful Accounts.Our allowance for doubtful accounts is based on our assessment of the collectibility of specific customer accounts
and the overall aging of our accounts receivable. If a major customers creditworthiness deteriorates or actual defaults run at a rate higher than historical experience, we would be required to increase this allowance, which could adversely
affect our results of operation.



Amortization of Reusable
Products.We state our reusable surgical products at cost and compute amortization on a basis similar to the units of production method. We estimate the useful lives for each product based on our estimate of the total number of uses
for which the product will be available. We estimate that our products using the three principal fabrics (accounting for 85% of the reusable surgical products) will be available for 75, 100, and 125 uses, respectively, based on several factors,
including our actual experience with these products. If our actual use experience with these products is shorter than these assumptions, our amortization rates for reusable products would increase, which could adversely affect our results of
operation.



Reserves for Shrinkage and Obsolescence for
Reusable Surgical Products.We determine our reserves for shrinkage and obsolescence of our reusable products by tracking those products with our bar-coding system. Based on historical experience, we believe that any products not scanned by the
system for a 210-day period are lost. If actual losses exceed our estimates, our shrinkage reserve would increase, which could adversely affect our results of operation.



Reserves for Shrinkage and Obsolescence for Inventories. We determine our reserves for shrinkage and obsolescence of
our inventories based on historical results, including the results of cycle counts performed during the year and the evaluation of the aging of finished goods of reusable surgical products and disposable packs. If actual losses exceed our estimates
and assumptions, our inventory reserves would increase, which could adversely affect our results of operation.



Impairment of Goodwill and Other Intangible Assets.We adopted SFAS 142, Goodwill and Other Intangible Assets, on January 1, 2002. Pursuant
to SFAS 142, we are required to test our goodwill for impairment annually or more frequently if indicators of impairment arise using the process prescribed in SFAS 142. The impairment analysis is based on assumptions of future results made by
management, including revenues and cash flows. Circumstances that may lead to impairment of goodwill include unforeseen decreases in future performance or demand, or the restructuring of our operations as a result of a change in our strategy. Any
impairment could adversely affect our results of operations.



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Results of Operations



The following table sets forth for the periods shown the percentage of revenues represented by certain items reflected in
the statements of income of the Company:



|                                          |  | Three MonthsEndedSeptember 30, |    |  | Nine MonthsEndedSeptember 30, |  
|----------------------------------------- |  | ------------------------------ | -- |  | ----------------------------- | -
|                                          |  | 2003                           |    |  | 2002                          |  
|Revenues                                  |  | 100.0                          | %  |  | 100.0                         | %
|Cost of revenues                          |  | 76.2                           |    |  | 71.6                          |  
|                                          |  |                                |    |  |                               |  
|Gross profit                              |  | 23.8                           |    |  | 28.4                          |  
|                                          |  |                                |    | 
|Distribution expenses                     |  | 6.7                            |    |  | 6.6                           |  
|Selling and administrative expenses       |  | 17.0                           |    |  | 18.0                          |  
|                                          |  |                                |    |  |                               |  
|Income from operations                    |  | 0.1                            |    |  | 3.8                           |  
|                                          |  |                                |    | 
|Unrealized gain on derivative instruments |  | 0.0                            |    |  | 0.0                           |  
|Interest expense, net                     |  | 1.2                            |    |  | 1.2                           |  
|                                          |  |                                |    |  |                               |  
|Income (loss) before income taxes         |  | (1.1                           | )  |  | 2.6                           |  
|                                          |  |                                |    | 
|Income tax expense (benefit)              |  | (0.4                           | )  |  | 1.0                           |  
|                                          |  |                                |    |  |                               |  
|Net income (loss)                         |  | (0.7                           | )% |  | 1.6                           | %
|                                          |  |                                |    |  |                               |  



Three and Nine Months Ended
September 30, 2003 Compared to Three and Nine Months Ended September 30, 2002



Revenues. Revenues increased $479,000, or 2.3%, to $21.7 million for the three months ended September 30, 2003, from $21.2 million for the three months ended September 30, 2002. For the nine months ended
September 30, 2003, our revenues decreased $309,000, or 0.5%, to $64.5 million, from $64.8 million for the nine months ended September 30, 2002. Revenue decreases for the nine months ended September 30, 2003, are attributable to the competitive
market for our products and services, partially offset by continued growth in our instrument business.



Gross Profit. Gross profit decreased $870,000, or 14.5%, to $5.1 million for the three months ended September 30, 2003, from $6.0 million
for the three months ended September 30, 2002. For the nine months ended September 30, 2003, gross profit decreased $3.0 million, or 15.4%, to $16.3 million from $19.3 million for the nine months ended September 30, 2002. As a percentage of
revenues, gross profit decreased by 4.6% to 23.8% for the three months ended September 30, 2003, from 28.4% for the three months ended September 30, 2002. For the nine months ended September 30, 2003, gross profit decreased 4.5% to 25.3% from 29.8%
for the nine months ended September 30, 2002. The decrease in gross profit reflects the impact of competitive pricing pressures. Additionally, depreciation expense for the nine months ended September 30, 2003 increased approximately $477,000 over
the prior year due to the elimination in December 2002 of off balance sheet financing for two of our processing facilities. Also, we no longer recognized a reusable surgical products amortization credit of approximately $260,000 per quarter relating
to an acquisition in prior years, which expired December 31, 2002.



Distribution Expenses. Distribution expenses increased $49,000, or 3.5%, to $1.5 million for the three months ended September 30, 2003, from $1.4 million for the three months ended September 30, 2002. For the nine months ended
September 30, 2003, distribution expenses increased $223,000, or 5.3%, to $4.5



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million from $4.2 million for the nine months ended September 30, 2002. As a percentage of revenues, distribution expenses increased by 0.1% to 6.7% for the
three months ended September 30, 2003, from 6.6% for the three months ended September 30, 2002. For the nine months ended September 30, 2003, distribution expenses as a percentage of revenues increased by 0.4% to 6.9% from 6.5% for the nine months
ended September 30, 2002. The increased distribution expenses resulted primarily from higher vehicle lease and insurance expenses.



Selling and Administrative Expenses. Selling and administrative expenses decreased $131,000, or 3.4%, to $3.7 million for the three months
ended September 30, 2003, from $3.8 million for the three months ended September 30, 2002. As a percentage of revenues, selling and administrative expenses decreased 1.0% to 17.0% for the three months ended September 30, 2003, from 18.0% for the
three months ended September 30, 2002. For the nine months ended September 30, 2003, selling and administrative expenses as a percentage of revenues decreased 0.1% to 17.2% from 17.3% for the nine months ended September 30, 2002. The Companys
selling and administrative expenses decreased primarily due to a one-time severance payment made in 2002 and the settlement of pending legal proceedings.



Income from Operations. Income from operations decreased $788,000, or 98.1%, to $15,000 for the three months ended September 30, 2003, from
$803,000 for the three months ended September 30, 2002. For the nine months ended September 30, 2003, income from operations decreased $3.1 million, or 80.9%, to $745,000 from $3.9 million for the nine months ended September 30, 2002. As a
percentage of revenues, income from operations decreased 3.7% to 0.1% for the three months ended September 30, 2003, from 3.8% for the three months ended September 30, 2002. For the nine months ended September 30, 2003, income from operations as a
percentage of revenues decreased 4.8% to 1.2% from 6.0% for the nine months ended September 30, 2002.



Derivative Instruments. We guaranteed two interest rate swaps of a third party until April 2002, when those swaps were terminated. Pursuant
to SFAS 133, Accounting for Derivative Instruments and Hedging Activities, we recognized an unrealized gain of $101,000 in the nine months ended September 30, 2002.



Interest Expense, Net. Interest expense increased $17,000 to $262,000 for the three months ended September 30,
2003, from $245,000 in the three months ended September 30, 2002. Interest expense increased $133,000 to $874,000 for the nine months ended September 30, 2003, from $741,000 for the nine months ended September 30, 2002. The increase in interest
expense was primarily due to the elimination in December 2002 of off balance sheet financing for two of our processing facilities, which are now financed through bonds payable rather than as operating leases.



Income Tax Expense (Benefit). Income tax expense decreased
$301,000 to $92,000 for the three months ended September 30, 2003, compared to $209,000 for the three months ended September 30, 2002. For the nine months ended September 30, 2003, income tax expense decreased $1.3 million to a benefit of $49,000
from $1.2 million for the nine months ended September 30, 2002. Income tax expense is a function of our net income and effective tax rate, which is 37.5%.



Liquidity and Capital Resources



Our principal source of capital has been cash flows from operations.



We generated $8.2 million of cash from operating activities during the nine months ended September 30, 2003, compared to
$9.8 million generated during the nine months ended September 30, 2002. Our cash flow decreased during this time period in comparison to the prior period principally due to reduced net income and increases in accounts receivable, partially offset by
increases in accounts payable and accrued expenses.



Net cash
used in investing activities decreased $5.9 million for the nine months ended September 30, 2003 to $1.6 million from $7.5 million in the nine months ended September 30, 2002. The decrease is due to a reduction in purchases of property, plant and
equipment and reusable surgical products, because of an excess supply of reusable surgical products remaining from 2002.



We spent $684,000 and $2.4 million in the nine months ended September 30, 2003 and 2002, respectively, on purchases of property, plant and equipment. We
spent $927,000 and $5.1 million in the nine



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months ended September 30, 2003 and 2002, respectively, on purchases of reusable surgical products. We estimate that our expenditures for property, plant and
equipment and reusable surgical products will increase to approximately $10.0 to $11.0 million for the next twelve months as we resume normal purchases of reusable surgical products and capital expenditures in our facilities. This amount will
fluctuate depending on the growth of our business, however.



Our credit facility allows us to repurchase up to $5 million of our outstanding stock through open market purchases at prevailing market prices. As of September 30, 2003, we had repurchased 6,753 shares of our common stock at an aggregate
cost of approximately $37,000 during 2003. We repurchased 154,400 shares of our common stock at an aggregate cost of approximately $948,500 during 2002.



As of September 30, 2003, we had cash of $578,000, as well as additional amounts available under our revolving credit facility. Our outstanding balance
under the revolving credit facility was approximately $9.0 million and $15.5 million on September 30, 2003, and December 31, 2002, respectively. The credit facility matures on June 30, 2006 (see Note B of our Consolidated Financial
Statements). We believe that our cash flows from operating activities and funds available under our credit facility will be sufficient to fund our growth and anticipated capital requirements for the next twelve months.



Our contractual obligations for future minimum payments under our capital
lease, operating leases, bonds payable, and notes payable to bank as of September 30, 2003, are as follows:



|Contractual Obligations                      |  | Total |        | Less than 1 Year |   | 1 - 3 Years* |  | 4 - 5 Years |        | After 5 Years
|-------------------------------------------- |  | ----- | ------ | ---------------- | - | ------------ |  | ----------- | ------ | -------------
|Payments due by period (000s)               |  |       |        |                  |   |              |  |             |        |              
|Long-term debt and capital lease obligations |  | $     | 26,969 |                  | $ | 790          |  | $           | 11,256 |              
|                                             |  |       |        |                  |  
|Operating leases                             |  |       | 14,870 |                  |   | 3,009        |  |             | 5,037  |              
|                                             |  |       |        |                  |   |              |  |             |        |              
|Total contractual cash obligations           |  | $     | 41,839 |                  | $ | 3,799        |  | $           | 16,293 |              
|                                             |  |       |        |                  |   |              |  |             |        |              

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|* | Our Revolving Credit Facility is scheduled to mature on June 30, 2006.
|- | ----------------------------------------------------------------------



Item 3. Quantitative And Qualitative Disclosures About Market Risk



The outstanding balances under our $30.0 million revolving credit facility were approximately $9.0 million and $15.5 million on September 30, 2003 and
December 31, 2002, respectively. The credit facilitys interest rate varies between 200 and 350 basis points over LIBOR (3.72% as of September 30, 2003), depending on our leverage ratio (earnings coverage of debt). We are subject to changes in
our interest expense on this facility based on fluctuations in interest rates. Assuming an outstanding balance of this facility of $9.0 million, if LIBOR were to increase (decrease) by 100 basis points, our interest payments would increase
(decrease) by $22,500 per quarter.



Interest on our bonds that
financed two of our facilities is at a rate that approximates LIBOR. We are subject to changes in our interest expense on these bonds based on fluctuations in interest rates. Assuming an outstanding balance of these bonds of $9.7 million, if LIBOR
were to increase (decrease) by 100 basis points, our interest payments would increase (decrease) by $24,250 per quarter.



We do not have any other material market risk sensitive instruments.



Certain Considerations



This report, other documents that are publicly disseminated by the Company, and oral statements that are made on behalf of the Company contain or might
contain both statements of historical fact and forward-looking statements. Examples of forward-looking statements include: (a) projections of revenue, earnings, capital structure, and other financial items, (b) statements of the plans and objectives
of the Company and its management, (c) statements of future economic performance, and (d) assumptions underlying statements regarding the Company or its business. The cautionary statements set forth below discuss important factors that could cause
actual results to differ materially from any forward-looking statements. The Company assumes no obligation to update these forward-looking statements.



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Sales Process and Market Acceptance of Products and Services. Our future performance
depends on our ability to increase revenues to new and existing customers. Our sales process to acquire new customers is typically between six and eighteen months in duration from initial contact to purchase commitment, due to industry factors such
as the complicated approval process within hospitals for purchases from new suppliers, the long duration of existing supply contracts, and implementation delays pending termination of a hospitals previous supply relationships.. Our future
performance also depends on market acceptance of our product and service offerings, which emphasize the delivery and retrieval of reusable surgical products to a market that predominantly uses disposable products. We are also regularly developing
new instrument processing programs. We are subject to a risk that the market will not broadly accept our reusable product offerings or our new instrument processing programs.



Need for Capital. Our business is capital intensive and requires annual capital expenditures for
additional surgical products and equipment to achieve our operating plans. Our inability to obtain adequate capital could have a material adverse effect on us. See  Liquidity and Capital Resources.



Dependence on Suppliers. We rely on Aesculap, Inc. as
our major source of supply of instruments for our Instrument Express program. Our Joint Marketing Agreement with Aesculap provides for Aesculap to furnish instruments to us until 2013, subject to terms and conditions stated in the agreement. Any
failure of Aesculap to furnish instruments for any reason would materially and adversely affect our ability to service this program until we secured one or more alternative suppliers. We also have a procurement agreement with Standard Textile Co.,
Inc. as our supply source for our reusable surgical products through August 2008. If Standard Textile were unable to perform under this agreement, we would be materially and adversely affected until we could secure alternative suppliers.



Dependence on Significant Customers and Market
Consolidation. During the nine months ended September 30, 2003, Novation, HPG, and Premier, Inc. hospitals accounted for approximately 34%, 15%, and 10% of our sales, compared to 34%, 14%, and 12%, respectively, for the nine months
ended September 30, 2002,respectively. No single hospital accounts for more than 7% of our sales. Although each Novation, HPG, and Premier hospital currently makes its purchasing decisions on an individual basis, the loss of a substantial
portion of the Novation, HPG, or Premier hospitals business would have a material adverse effect on us.



Competition. Our business is highly competitive. Competitors include a number of distributors and manufacturers, as well as the in-house
reprocessing operations of hospitals. Certain of our existing and potential competitors possess substantially greater resources than us. Some of our competitors, including Allegiance Corporation (a subsidiary of Cardinal Health, Inc.) and Medline
Industries, Inc., serve as the sole supplier of a wide assortment of products to a significant number of hospitals. While we have a substantial array of surgical products, many of our competitors have more products for the entire hospital, which in
some instances is a competitive disadvantage for us. There is no assurance that we will be able to compete effectively with existing or potential competitors.



Government Regulation. Significant aspects of our businesses are subject to state and federal statutes and regulations governing,
among other things, medical waste-disposal and workplace health and safety. In addition, most of the products furnished or sold by us are subject to regulation as medical devices by the U.S. Food and Drug Administration (FDA), as well as by other
federal and state agencies. Our facilities are subject to quality systems inspections by FDA officials. The FDA has the power to enjoin future violations, seize adulterated or misbranded devices, and require the manufacturer to remove products from
the market, and publicize relevant facts. Federal or state governments might impose additional restrictions or adopt interpretations of existing laws that could materially adversely affect us.



Item 4. Disclosure Controls and Procedures



Under the supervision and with the participation of our management, including the Chief Executive Officer and Chief Financial Officer, we have evaluated the effectiveness of the design and operation of our disclosure
controls and procedures. Based on that evaluation, the Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures are effective in timely alerting them to material information required to be included in
our filings with the SEC.



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We have also evaluated our internal controls for financial reporting, and there have been no significant
changes in our internal controls or in other factors that are reasonably likely to significantly affect internal controls subsequent to the date we carried out our evaluation.



Any system of disclosure controls and internal controls, even if well-conceived, is inherently limited in detecting and
preventing all errors and fraud and provides reasonable, not absolute, assurance that its objectives are met. Further, the design of a control system must reflect resource constraints, and we must consider benefits of controls relative to their
costs. Inherent limitations include the potential for faulty judgments in decision-making ,breakdowns because of simple error or mistake, and circumvention of controls by individual acts, collusion of two or more people, or management override of
the controls. We included certifications of our Chief Executive Officer and Chief Financial Officer as exhibits to this report as required by Section 302 of the Sarbanes-Oxley Act of 2002. The foregoing information concerning our evaluation of
disclosure controls referenced in the Section 302 certifications should be read with the Section 302 certifications to more completely understand them.



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PART II  OTHER INFORMATION



Item 1. Legal Proceedings



Class Action Litigation. We have entered into a Memorandum of Understanding for the settlement and release of claims that were asserted in a Consolidated Amended Class Action Complaint filed on June 4, 2002, in the United States
District Court for the Middle District of Florida. This litigation consolidated substantially similar shareholders lawsuits filed against the Company and certain of its former officers beginning on November 30, 2001, following the restatement of our
financial results for the 2001 third quarter. The settlement remains subject to court approval.



We become involved from time to time in other litigation incidental to our business.



Item 2. Changes in Securities



None.



Item 3. Defaults Upon Senior Securities



None.



Item 4. Submission of Matters to a Vote of Security Holders



None.



Item 5. Other Information



None.



Item 6. Exhibits and Reports on Form 8-K





|ExhibitNumber |  | Exhibit Description                                                                                                                                                                                                                                                                            
|------------- |  | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
|              | 
|10.58         |  | First Amended Employment Agreement dated as of April 1, 2002, between the Company and Charles L. Pope.                                                                                                                                                                                         
|              | 
|31            |  | Certifications by the Chief Executive Officer (CEO) and the Chief Financial Officer (CFO) of the Company pursuant to Rule 13a-14 under the Securities Exchange Act of 1934 (the
Exchange Act) in accordance with Section 302 of the Sarbanes-Oxley Act of 2002 (the Section 302 Certification).
|              | 
|32            |  | Certification by the CEO and CFO of the Company pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. (Not deemed to be filed with the Securities and Exchange
Commission).                                                                                                             



Reports on Form 8-K



On July 28, 2003, we filed a report on Form 8-K
announcing our results of operation for the quarter ended June 30, 2003.



On August 5, 2003, we filed a report on Form 8-K announcing that the Securities and Exchange Commission had approved a settlement with respect to the Commissions investigation of the Company.



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SIGNATURES



Pursuant to
the requirements of the Securities and Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned, thereunto duly authorized.



|                        |  |  |  | SRI/SURGICAL EXPRESS, INC.
|----------------------- |  |  |  | --------------------------
|                        |  |  | 
|Date: November 12, 2003 |  |  |  | By:                       
|                        |  |  |  |                           
|                        |  |  | 
|Date: November 12, 2003 |  |  |  | By:                       
|                        |  |  |  |                           



17