AMERICAN MEDICAL ALERT CORP
10KSB, 1998-03-31
MISCELLANEOUS BUSINESS SERVICES
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                     U.S. SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549
                                   FORM 10-KSB

[X]        ANNUAL  REPORT UNDER SECTION 13 OR 15(d) OF THE  SECURITIES  EXCHANGE
           ACT OF 1934

For the fiscal year ended December 31, 1997
                                       OR

[_]        TRANSITION  REPORT  UNDER  SECTION  13 OR  15(d)  OF  THE  SECURITIES
           EXCHANGE ACT OF 1934

For the transition period from ____________ to ____________

                          Commission file number 1-8635

                          AMERICAN MEDICAL ALERT CORP.
                          ----------------------------
                 (Name of Small Business Issuer in Its Charter)

          NEW YORK                                               11-2571221
          --------                                               ----------
(State or Other Jurisdiction of                               (I.R.S. Employer
Incorporation or Organization)                               Identification No.)

3265 LAWSON BOULEVARD, OCEANSIDE, NEW YORK                          11572
 ----------------------------------------                        ----------
 (Address of Principal Executive Offices)                        (Zip Code)

                                 (516) 536-5850
                                 --------------
                (Issuer's Telephone Number, Including Area Code)

Securities registered under Section 12(b) of the Exchange Act:  NONE

Securities registered under Section 12(g) of the Exchange Act:

                          Common Stock, $.01 per share
                          ----------------------------
                                (Title of Class)

            Check whether the issuer: (1) filed all reports required to be filed
by  Section  13 or 15(d) of the  Exchange  Act during the past 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 [_]

            Check if there is no disclosure of delinquent  filers in response to
Item 405 of  Regulation  S-B contained in this form,  and no disclosure  will be
contained,  to the  best of  registrant's  knowledge,  in  definitive  proxy  or
information statements incorporated by reference in Part III of this Form 10-KSB
or any amendment to this Form 10-KSB.

            The issuer's revenues for its most recent fiscal year:  $7,636,730.

            The   aggregate   market   value  of  the   voting   stock  held  by
non-affiliates of the registrant, as of March 25, 1998, was $17,221,882 computed
by  reference  to the  average  closing  bid and asked  prices of such  stock as
reported on NASDAQ on that date.

            The  aggregate  number of shares of Common Stock  outstanding  as of
March 25, 1998: 5,925,809



DOCUMENTS INCORPORATED BY REFERENCE:

            Portions of the definitive Proxy Statement of the registrant,  to be
filed  within  120 days  after the end of the  registrant's  fiscal  year  ended
December 31, 1997, are incorporated by reference into Part III of this report.



<PAGE>



                                     PART I

ITEM 1.     DESCRIPTION OF BUSINESS

GENERAL
- -------

            American  Medical  Alert Corp.  (the  "Company")  is a  corporation,
formed  under  the laws of the State of New York in 1981 and is  engaged  in the
business of designing,  engineering,  fabricating,  marketing,  installing,  and
monitoring  computerized  Personal  Emergency  Response  Systems  ("PERS") using
proprietary  and  commercially  available  technology.  The  Company  markets to
private-pay  clients,  not for  profit  consumer  agencies,  health  maintenance
organizations,  long-term care providers, retirement communities,  hospitals and
government  agencies.  Part  of  the  Company's  strategy  is to  capitalize  on
opportunities  created by new federal  policies  affecting  the delivery of home
healthcare  services by HMOs and managed  care  groups.  In order to achieve its
goals,  the  Company  is  participating  in a study to prove the cost  effective
benefits of PERS in home healthcare programs. During 1997, the Company finalized
plans with a national  provider of geriatric  services to offer its PERS through
their network of agencies, and launch its Model 700 (described below).

            Several  of the  systems  the  Company  markets  enable  PERS  to be
provided  to a wide  range of  individuals  including;  the  medically  at-risk,
isolated and infirm,  elderly,  disabled as well as persons  receiving home care
services and their families, retirement and college campus sites, security/staff
personnel who maintain health  facilities and places of internment  (referred to
individually  as  the  "Subscriber"  and  collectively  as  "Subscribers").  The
Company's monitoring centers are designed to simultaneously process signals from
different systems.

PRODUCTS AND SERVICES
- ---------------------

            The  Company's  core  business is the  development  and marketing of
high-tech  effective  PERS,  primarily used by the senior  population.  VOICE OF
HELP(R) Systems enable a person to remain  independent and continue to enjoy the
comforts of living at home.

      MODELS 500, 700 AND 1000 PERSONAL EMERGENCY RESPONSE SYSTEMS
      ------------------------------------------------------------

            VOICE OF  HELP(R)  Systems  have been  designed  to  permit  two-way
(talk/listen)  voice   communications   between  an  individual  and  monitoring
personnel located at the Company's  Monitoring  Center (the "Center").  VOICE OF
HELP(R) Systems are currently available in two  configurations.  The stand alone
Models 500 and 700  (launched  in 1997) are utilized by  private-pay  consumers,
hospitals, home healthcare providers, government agencies, third-party insurers,
developers of retirement communities and certain commercial applications,  among
others.  The  flush  mounted  Model  1000  is  used  in  new  and  rehabilitated
multi-housing facilities.


                                       -2-

<PAGE>



            The usual protocol associated with the use of the Company's VOICE OF
HELP(R) System is as follows:

            (1)   The Subscriber activates the VOICE OF HELP(R) System by either
pressing a button located on the home unit or from a portable  activator.  There
is no need for the Subscriber to touch the telephone.

            (2)   When the VOICE OF HELP(R) System is activated,  the Subscriber
hears a signal tone and sees a signal  light on the home unit,  indicating  that
the System is processing the signal to the Center.  The home unit,  coupled with
the proper telephone  connection,  permits hands free communication  between the
Subscriber and the Center.  After the telephone connection has been established,
a monitor at the Center automatically displays relevant Subscriber  information,
including:

            (i)   the telephone  numbers of the  Subscriber's  physician,  local
                  police and fire departments, relatives and neighbors, etc.;

            (ii)  the   Subscriber's   vital   medical   history   and   current
                  prescriptions (if provided); and

            (iii) other  pertinent  information  that should  assist in securing
                  appropriate action on behalf of the Subscriber.

            The Company's  Centers are capable of handling multiple requests for
assistance at any given time. The Company  believes,  based on its experience to
date,  that each  request for  assistance  is accepted  within one minute of its
initiation.  The Company makes  available  and believes that its back-up  Center
provides a significant  additional  safeguard to the  operations of its VOICE OF
HELP(R) Systems.

            (3)   After  the  Subscriber's  personal  data  is  displayed,   the
Company's  monitoring  personnel and the  Subscriber can talk and listen to each
other.  The Subscriber need not touch the telephone.  If no overriding  noise or
physical  sound  barrier  is present  between  the  Subscriber  and the VOICE OF
HELP(R)  System home unit,  the parties will normally be able to talk and listen
to each other.

            (4)   Monitoring  personnel  at the Center will attempt to determine
from the  Subscriber  what aid is  required.  If the  Subscriber  is  unable  to
communicate,  monitoring  personnel will take actions pursuant to pre-designated
instructions.

            (5)   VOICE OF HELP(R)  Systems can monitor  proprietary and certain
commercially available intrusion, fire detection and other similar devices.



                                       -3-

<PAGE>



MONITORING
- ----------

            In addition to its voice systems, the Company makes available, as an
additional and integral part of the VOICE OF HELP(R) System, a unique monitoring
service.  Personnel located at the Company's  Monitoring Center utilize personal
computers,  arranged in a local area  network,  to process  alerts.  Each of the
Company's  monitoring  personnel are certified as Emergency Medical Dispatchers.
All signals for assistance are programmed to access the Center's Subscriber data
base which enables monitoring personnel to take pre-determined  actions quickly.
Relevant  information  concerning  the  Subscriber  is  displayed  on a monitor.
Monitoring  personnel  are trained to take  appropriate  action on behalf of all
Subscribers.  The technology  includes  digital  communicators,  radio frequency
devices and two-way voice circuits.  System  activation may occur from a host of
ancillary contacts,  switches or other devices. In most applications the Company
provides long distance, toll-free telephone lines for signal transmission.

PRODUCTION/PURCHASING
- ---------------------

            The Company utilizes subcontractors to assemble its products.  These
services are generally  provided through verbal  arrangements and Company issued
purchase orders. The Company has several principal subcontractors.  Although the
Company currently maintains favorable relationships with its subcontractors, the
Company believes that in the event any such  relationship were to be terminated,
the Company  would be able to engage the  services of  additional  or  different
subcontractors  as would be required to fulfill its needs  without any  material
adverse effect to the Company's operations.

            With the  exception  of several  proprietary  components,  which are
manufactured to the Company's specifications, the manufacturing of the Company's
product lines requires the use of generally available electronic  components and
hardware.

MARKETING/CUSTOMERS
- -------------------

            The  Company  markets  its  products  and  monitoring   services  to
consumers,   hospitals,   home  healthcare   providers,   government   agencies,
third-party  insurers,  developers  of  retirement  communities  and  commercial
applications,  among others.  The Company  believes that these markets offer the
Company an opportunity for significant growth.

            Sales and leases of the Company's  products and monitoring  services
are  made  through  the  efforts  of its  own  sales  personnel,  manufacturers'
representatives and independent  distributors.  The Company markets its products
through  sales and  various  rental  arrangements.  The  Company is an  approved
Medicaid Provider in the States of New York, Georgia,  Illinois, South Carolina,
and Nevada. During the years ended December 31, 1997, 1996 and 1995, the Company
had revenues  from one contract  with a  municipality  located in New York which
represented 44%, 44% and 44%,  respectively,  of its total revenue.  In February
1998,  the Company  was  notified by the  municipality  that they are  currently
processing  the renewal of the Company's  contract which would extend it through
June 30, 1999.



                                       -4-

<PAGE>



            The Company continues  development on new healthcare systems that it
plans to continue testing during 1998. Examples include:

            a.    MED  PASS(R):  The  product  will be  used by home  healthcare
patients for the purpose of insuring that  prescribed  medications  are taken in
accordance with physicians' orders.

            b.    REMOTE PAGING

            c.    VITAL SIGN MONITORING

            d.    INTERACTIVE TELEPHONE MONITORING

            The Company  continues to seek new  applications for its interactive
voice technology.

INSTALLATION AND SERVICES
- -------------------------

            The  Company  currently  provides  its  own  personnel  or  provides
training for customers' personnel for installation and servicing of its VOICE OF
HELP(R) Systems. In addition,  telephone interconnect companies install VOICE OF
HELP(R) Systems for the Company in some areas.

SALES, LEASING AND MONITORING REVENUES
- --------------------------------------

            The Company  markets its products  through sales and various  rental
arrangements.  The  Company  also  offers  VOICE OF HELP(R)  Systems,  including
monitoring center equipment for on-site  monitoring,  using similar purchase and
lease  arrangements.  The Company is an approved Medicaid Provider in the States
of Georgia,  Illinois,  New York,  Nevada and South  Carolina  and  continues to
develop similar relationships in several other states.

            The  Company  offers  monitoring  service  for its  own,  as well as
personal  emergency  response  systems  manufactured  by others on a monthly fee
basis.  Multi-user  providers have the option of using the Company's  monitoring
services,  either as a primary or back-up center. The majority of customers have
selected the Company's Monitoring Center in Oceanside, NY to provide primary and
back-up  monitoring on behalf of their clients.  Monitoring  fees are charged to
individuals and entities who utilize the Company's monitoring services,  whether
on a primary basis in the case of individuals or on a back-up basis with respect
to those who purchase or lease  complete VOICE OF HELP(R)  Systems,  electing to
provide their own on-site primary monitoring.

PATENTS AND TRADEMARKS
- ----------------------

            The Company  considers its trademarks to be an important  element of
its marketing program. The Company's trademarks include "VOICE OF HELP(R)", "THE
VOICE OF HELP(R)", "ACCUTROL(R)", "MED PASS(R)", "ROOM MATE(R)", "VOICECARE(R)",
"SYSTEM-one(R)" and "HELPING PEOPLE LIVE BETTER(R)", each of which is registered
with the United States Patent and Trademark Office.



                                       -5-

<PAGE>



COMPETITION
- -----------

            The Company's competition includes  manufacturers,  distributors and
providers of personal emergency  response equipment and services,  and a limited
number of burglar and fire alarm companies. Certain of the Company's competitors
have more extensive manufacturing and marketing capabilities, as well as greater
financial,   technological  and  personnel  resources,  than  the  Company.  The
Company's  competition  focuses its  marketing and sales efforts in two distinct
areas;   hospital/private-pay,   and  multi-housing  applications.  The  Company
believes that its experience and expertise give it a significant  advantage over
its competitors.

RESEARCH AND DEVELOPMENT
- ------------------------

            In a continuing  effort by the Company to maintain  state-of-the-art
technology,  the Company conducts  research and development  through the ongoing
efforts of its employees and consulting  groups.  Expenditures  for research and
development  for the years ended December 31, 1997,  1996 and 1995 were $20,441,
$24,339 and $32,874, respectively.

EMPLOYEES
- ---------

            As of March 25,  1998,  the Company  employed 82 persons who perform
functions  on behalf of the Company in the areas of  administration,  marketing,
sales,  engineering,  finance,  purchasing,   operations,  quality  control  and
research. The Company is not a party to any collective bargaining agreement with
its  employees.  The Company  considers its  relations  with its employees to be
good.

ITEM 2.     DESCRIPTION OF PROPERTIES

            The Company's  executive  offices and primary  monitoring Center are
located in a 5,600 square foot facility at 3265 Lawson Boulevard, Oceanside, New
York. On January 1, 1995, the Company  entered into a five year operating  lease
with Howard M. Siegel,  Chairman and President.  In February, 1998 the lease for
this space and the  adjoining  8,000 square foot parking lot was extended  until
September 30, 2007 (the "1995 Lease"). The 1995 Lease provides for a base annual
rental of $74,600,  subject to a 5% annual increase plus reimbursements for real
estate taxes and other operating expenses.  In October 1997, the Company entered
into a separate ten year operating lease for an additional  2,200 square feet of
office space owned by Howard M. Siegel, Chairman and President.  The lease calls
for an initial minimum annual rental of $36,000, subject to a 5% annual increase
plus reimbursement for real estate taxes. The Company believes that the terms of
this lease are no less  favorable  than could be obtained  from an  unaffiliated
third party.

            The  Company  houses  its  Engineering,  Research  and  Development,
Quality Control,  Testing and Back-up  Monitoring  Departments in a 5,400 square
foot facility located in Mt. Laurel, New Jersey. The Company occupies this space
pursuant to a lease with an  unaffiliated  party.  The lease expires on December
31, 1998 and provided for a current base annual rental, net of certain operating
expenses, of $40,500.


                                       -6-

<PAGE>



            The  Company  maintains  a satellite  marketing  and  administrative
office in Decatur,  Georgia.  The Company leases approximately 1,200 square feet
of space from an unaffiliated party at an annual rental,  plus certain operating
charges, of $17,980, pursuant to a lease which expires on April 30, 1999.

            The  Company  leases  approximately  1,500  square  feet of space in
Flushing,  New York,  pursuant to a three-year  lease which  expires on June 30,
1998, for office, warehouse, storage, shipping and receiving purposes. The lease
provides  for an annual  rent of  $13,200  during  the  first  year of the term,
$13,860  during the second year of the term and $14,553 during the third year of
the term.

            The  Company  maintains  a satellite  marketing  and  administrative
office in Countryside,  Illinois.  The Company leases approximately 1,200 square
feet of space from an  unaffiliated  party  pursuant to a lease which expires on
July 1, 2000. The lease provides for an annual rent of approximately $15,000.

            The Company  believes that these  properties  are suitable for their
intended  uses and are  adequate to meet its current  requirements.  The Company
does not own any property.

ITEM 3.     LEGAL PROCEEDINGS

            Although  the  Company  is a party to  certain  routine  litigations
incidental  to its  business,  the Company  believes  that there are no material
pending legal  proceedings  to which it is a party or any of its  properties are
the subject.

ITEM 4.     SUBMISSION OF MATTERS TO A VOTE OF SECURITY-HOLDERS

            No matters  were  submitted,  during the fourth  quarter of the year
covered  by  this  report,  to a  vote  of  the  security  holders  through  the
solicitation of proxies or otherwise.




                                       -7-

<PAGE>




                                     PART II

ITEM 5.     MARKET FOR COMMON EQUITY AND RELATED STOCKHOLDER MATTERS

            The Company's  Common Stock is traded on NASDAQ (Symbol:  AMAC). The
high and low bid prices for the Common Stock, as furnished by NASDAQ,  are shown
for the fiscal years  indicated.  The  quotations set forth below do not include
retail  markups,   markdowns  or  commissions  and  may  not  represent   actual
transactions.

                                                    HIGH                LOW

          1996           First Quarter          $ 3 1/8             $ 2 1/8
                         Second Quarter           3                   2
                         Third Quarter            4 1/16              2 5/16
                         Fourth Quarter           4 3/16              2 9/16

          1997           First Quarter          $ 3 7/16            $ 2 1/16
                         Second Quarter           3 7/16              2 5/16
                         Third Quarter            3 9/16              2 9/16
                         Fourth Quarter           3                   2

            As of March  25,  1998,  there  were  475  recorded  holders  of the
Company's Common Stock.

            The Company did not pay dividends on its Common Stock during the two
years ended  December 31, 1997 and does not anticipate  paying  dividends in the
foreseeable future.

Recent Sales of Unregistered Securities
- ---------------------------------------

            The Company  granted a Warrant to purchase  50,000  shares of Common
Stock to GKN Securities Corp. ("GKN") as of January 1, 1997 in connection with a
Financial Advisory and Investment Banking Agreement with GKN dated as of January
1, 1997 (the  "GKN  Warrant"),  pursuant  to which  GKN will  provide  financial
consulting services to the Company for a period of one (1) year. The GKN Warrant
is immediately exercisable at an exercise price of $4.50 per share.

                                       -8-

<PAGE>



ITEM 6.     MANAGEMENTS'S DISCUSSION AND ANALYSIS OR PLAN OF OPERATION

            The following  discussion and analysis  provides  information  which
management  believes is  relevant  to an  assessment  and  understanding  of the
Company's results of operations and financial condition.  This discussion should
be read in conjunction with the financial statements and notes hereto.

RESULTS OF OPERATIONS
- ---------------------

            The Company's  gross revenues  increased from  $7,255,842 in 1996 to
$7,636,730 in 1997, an increase of 5%, and increased from  $6,177,302 in 1995 to
$7,255,842 in 1996, an increase of 17%. The increase in gross revenues from 1996
to 1997 and 1995 to 1996 resulted  from the emphasis on the continued  growth of
the Company's recurring revenue base.

            Revenues  from  services   increased  from  $6,119,946  in  1996  to
$6,757,594 in 1997, an increase of 10%, and increased from $5,288,046 in 1995 to
$6,119,946 in 1997, an increase of 16%. These increases  resulted from continued
expansion of the  Company's  customer  base for monthly  monitoring  and leasing
services.  Costs related to services for 1997,  1996, and 1995 were 38%, 34% and
35%,  respectively.  In 1997, costs as a percentage of revenue  increased due to
increased reserves for obsolescence of equipment and amortization.

            Revenues from product  sales  decreased  from  $1,135,896 in 1996 to
$879,136 in 1997,  a decrease of 23%,  and  increased  from  $889,256 in 1995 to
$1,135,896 in 1996, an increase of 28%. These decreases in revenues from product
sales from 1996 to 1997 were  primarily  due to decreases in sales to retirement
facilities  and  distributors.  Gross profit on product sales in 1997,  1996 and
1995 was 4%, 30% and 39%  respectively.  Gross profit on product sales decreased
in 1997 in part due to sales  incentives  given to introduce  the Model 700 PERS
and  associated  start up  production  costs.  Gross  profit  on  product  sales
decreased in 1996, in part, due to sales  incentives  given to large  retirement
communities.

            Selling,   general  and   administrative   expenses  increased  from
$2,705,525 in 1996 to $2,726,254 in 1997, and increased from  $2,422,972 in 1995
to $2,705,525 in 1996, an increase of 12%.  Expenses in 1997 did not increase as
a result of greater  operational  efficiencies.  Additional expenses incurred in
1996  were  the  result  of  increased  sales  and  marketing  expenses,   radio
advertising  campaigns,  expansion of sales  department and hiring of additional
management personnel.

            Interest  expense for 1997,  1996 and 1995 was $46,705,  $46,965 and
$55,694,  respectively.  Interest expense decreased in 1997 due to improved cash
flow and  decreases  in  average  monthly  borrowing.  Interest  expense in 1996
decreased for similar reasons.

            The Company's  income before  provision for income taxes in 1997 was
$1,477,508,  a decrease  of $161,385  from 1996,  or 10%.  The  decrease in 1997
resulted from a decrease in the Company's  product sales revenues and associated
decreases in gross profit.  Income before provision for income taxes in 1996 was
$1,638,893,  an increase of $311,157  from 1995,  or 23%.  The  increase in 1996
resulted  from an  increase  in the  Company's  residual  revenues  and  greater
operational efficiencies.


                                       -9-

<PAGE>



LIQUIDITY AND CAPITAL RESOURCES
- -------------------------------

            During 1997, cash provided by operating activities was $945,939,  as
compared to $1,319,517 in 1996.  Cash paid for income taxes in 1997 was $704,254
as  compared  to $594,036  in 1996.  Expenditures  for fixed  assets and medical
devices held for lease aggregated  $761,019 in 1997, a decrease from $1,535,703,
the amount purchased in 1996. During 1997, cash increased by $3,726, as compared
to a decrease in cash of $18,976 in 1996.

            On December 1, 1995, the Company  renegotiated its $1,500,000 credit
facility (based upon 75% of eligible  accounts  receivable and 25% of inventory,
as defined) and extended it until April 30, 1998 (the "Credit Facility").  As of
March 25, 1998, there was no outstanding balance under the Credit Facility.  The
Company  is  currently  negotiating  to extend or replace  the Credit  Facility.
Although the Company believes that it will successfully negotiate such extension
or replacement on terms and conditions at least as favorable as those  presently
in effect, there can be no assurance that the Company will be able to do so. The
Company's  working  capital on December 31, 1997 was  $3,023,365  as compared to
$2,460,773 on December 31, 1996.  During 1998, the Company  anticipates  that it
will make capital investments of approximately $1,200,000 for the production and
purchase of additional  systems which the Company intends to rent and to enhance
management information systems for compliance with Year 2000 issues. Enhancement
and Year 2000  compliance of the accounting  management  information  system has
been  completed.  Completion  of  enhancements  for  Year  2000  compliance  for
remaining management information systems is anticipated during 1998. The Company
believes  that its present  cash and working  capital  position,  its  borrowing
availability and future  anticipated  income will be sufficient to meet its cash
and working capital needs for the foreseeable future.

ITEM 7.     FINANCIAL STATEMENTS

            The financial  statements  required  hereby are located on pages F-1
through F-18.

ITEM 8.     CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND
            FINANCIAL DISCLOSURE

            None.



                                      -10-

<PAGE>



                                    PART III

            The  information  called  for by Part III (Items 9, 10, 11 and 12 of
Form 10-KSB) is  incorporated  herein by reference to the  Company's  definitive
Proxy  Statement  to be  filed  pursuant  to  Regulation  14A of the  Securities
Exchange  Act of 1934 with  respect  to the  Company's  1998  Annual  Meeting of
Shareholders.

ITEM 13.    EXHIBITS AND REPORTS ON FORM 8-K

(a)   EXHIBITS

      Exhibit No.       Identification of Exhibit
      -----------       -------------------------

            3(a)        Articles  of  Incorporation  of  Company,   as  amended.
                        (Incorporated  by  reference  to  Exhibit  3(a)  to  the
                        Company's  Form S-1  Registration  Statement  under  the
                        Securities  Act of 1933,  filed on September  30, 1983 -
                        File No. 2-86862).

            3(b)        Amended and Restated  By-Laws of Company.  (Incorporated
                        by reference to Exhibit 4(b) to the  Company's  Form S-3
                        Registration Statement under the Securities Act of 1933,
                        Commission File No. 333-6159).

            4(a)        Warrant  Agreement  between the Company and  Continental
                        Stock Transfer & Trust Company,  the Company's  transfer
                        agent,  with the Company's  form of Warrant  Certificate
                        attached thereto.  (Incorporated by reference to Exhibit
                        4(a) to the Company's  Form S-1  Registration  Statement
                        under the Securities Act of 1933, filed on September 30,
                        1983 - File No. 2-86862).

            4(b)        Amendment,  dated  December  22,  1988,  to the  Warrant
                        Agreement  between  the Company  and  Continental  Stock
                        Transfer & Trust Company.  (Incorporated by reference to
                        Exhibit  4(c) to the  Company's  Form  10-K for the year
                        ended December 31, 1988).

            4(c)        Amendment,  dated  October  26,  1990,  to  the  Warrant
                        Agreement  between  the Company  and  Continental  Stock
                        Transfer & Trust Company.  (Incorporated by reference to
                        Exhibit  4(c) to the  Company's  Form  10-K for the year
                        ended December 31, 1990).

            4(d)        Amendment,  dated  November  30,  1994,  to the  Warrant
                        Agreement  between  the Company  and  Continental  Stock
                        Transfer & Trust Company.  (Incorporated by reference to
                        Exhibit 4(d) to the  Company's  Form 10-KSB for the year
                        ended December 31, 1994).



                                      -11-

<PAGE>


      Exhibit No.       Identification of Exhibit
      -----------       -------------------------


            4(e)        Amendment,  dated  November  20,  1995,  to the  Warrant
                        Agreement  between  the Company  and  Continental  Stock
                        Transfer & Trust Company.  (Incorporated by reference to
                        Exhibit 4(e) to the  Company's  Form 10-KSB for the year
                        ended December 31, 1995).

            4(f)        Amendment,  dated  December  20,  1996,  to the  Warrant
                        Agreement  between  the Company  and  Continental  Stock
                        Transfer & Trust Company.  (Incorporated by reference to
                        Exhibit 4(h) to the Company's  Registration Statement on
                        Form S-3, Commission File No. 333-6159).

            4(g)*       Amendment,  dated  November  5,  1997,  to  the  Warrant
                        Agreement  between  the Company  and  Continental  Stock
                        Transfer & Trust Company.

            10(a)       Employment Agreement,  dated January 1, 1997 between the
                        Company and Howard M. Siegel. (Incorporated by reference
                        to Exhibit  10(a) to the  Company's  Form 10-KSB for the
                        year ended December 31, 1996).

            10(b)       Employment Agreement,  dated August 28, 1989 between the
                        Company and John Lesher.  (Incorporated  by reference to
                        Exhibit  10(c) to the  Company's  Form 10-K for the year
                        ended December 31, 1990).

            10(c)       Amendment,  dated  March  4,  1992,  to  the  Employment
                        Agreement   between  the   Company   and  John   Lesher.
                        (Incorporated  by  reference  to  Exhibit  10(d)  to the
                        Company's  Form  10-K for the year  ended  December  31,
                        1991).

            10(d)       Lease for the premises  located at 520 Fellowship  Road,
                        Suite C301, Mt. Laurel, New Jersey ("Mt. Laurel Lease").
                        (Incorporated  by  reference  to  Exhibit  10(e)  to the
                        Company's  Form  10-K for the year  ended  December  31,
                        1991).

            10(e)       First  Amendment to the Mt. Laurel Lease.  (Incorporated
                        by  reference  to Exhibit  10(f) to the  Company's  Form
                        10-KSB for the year ended December 31, 1993).

            10(f)       Second Amendment to the Mt. Laurel Lease.  (Incorporated
                        by  reference  to Exhibit  10(f) to the  Company's  Form
                        10-KSB for the year ended December 31, 1996).

            10(g)*      Third Amendment to the Mt. Laurel Lease.



                                      -12-

<PAGE>


      Exhibit No.       Identification of Exhibit
      -----------       -------------------------

            10(h)       Lease for the premises located at 3265 Lawson Boulevard,
                        Oceanside,  New  York.  (Incorporated  by  reference  to
                        Exhibit 10(h) to the Company's  Form 10-KSB for the year
                        ended December 31, 1994).

            10(i)*      Amendment  to Lease  for the  premises  located  at 3265
                        Lawson Boulevard, Oceanside, New York.

            10(j)*      Lease for the premises located at 3255 Lawson Boulevard,
                        Oceanside, New York.

            10(k)*      Lease for the  premises  located at 910  Church  Street,
                        Decatur, Georgia.

            10(l)       Lease  for the  premises  located  at  169-10  Crocheron
                        Avenue,  Flushing, New York.  (Incorporated by reference
                        to Exhibit 10(j) to the  Company's  Form 10- KSB for the
                        year ended December 31, 1995.)

            10(m)       Lease for the premises  located at 475 West 55th Street,
                        Countryside,  Illinois.  (Incorporated  by  reference to
                        Exhibit 10(k) to the Company's  Form 10-KSB for the year
                        ended December 31, 1995.)

            10(n)*      Amendment to Lease for the premises  located at 475 West
                        55th Street, Countryside, Illinois.

            10(o)       1984   Incentive   Stock   Option   Plan,   as  amended.
                        (Incorporated  by  reference  to  Exhibit  10(e)  to the
                        Company's  Form  10-K for the year  ended  December  31,
                        1990).

            10(p)       Amended  1991  Stock  Option  Plan.   (Incorporated   by
                        reference to Exhibit 10(l) to the Company's  Form 10-KSB
                        for the year ended December 31, 1994).

            10(q)*      1997 Stock Option Plan.

            10(r)       Restated  and Amended  Revolving  Credit Note with North
                        Fork Bank, dated December 1, 1995 (the "Revolving Credit
                        Note").  (Incorporated  by reference to Exhibit 10(n) to
                        the  Company's  Form 10-KSB for the year ended  December
                        31, 1996).

            10(s)       Letter  from North  Fork Bank  extending  the  Revolving
                        Credit  Note  until  April 30,  1998.  (Incorporated  by
                        reference to Exhibit 10(n) to the Company's  Form 10-KSB
                        for the year ended December 31, 1996).



                                      -13-

<PAGE>



      Exhibit No.       Identification of Exhibit
      -----------       -------------------------

            10(t)       Agreement  between the Company and the City of New York,
                        as extended through February 28, 1998.  (Incorporated by
                        reference to Exhibit 10(o) to the Company's  Form 10-KSB
                        for the year ended December 31, 1996).

            10(u)*      Purchase/Leaseback Agreement dated January 13, 1998 with
                        Celtic Leasing Corp.

            10(v)*      Financial Advisory and Investment Banking Agreement with
                        GKN Securities Corp. dated as of January 1, 1997.

            23(a)*      Consent of Margolin, Winer & Evens LLP.

            27*         Financial Data Schedule.

            -------------------
            *   Filed herewith.

(b)         REPORTS ON FORM 8-K

            The  Company  did not file any  reports  on Form 8-K during the last
            quarter of the period covered by this report.


                                      -14-

<PAGE>



















                          AMERICAN MEDICAL ALERT CORP.





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

                        FINANCIAL STATEMENTS
                        Years Ended December 31, 1997, 1996 and 1995



<PAGE>



AMERICAN MEDICAL ALERT CORP.

CONTENTS
================================================================================




Report of Independent Accountants                                       F-1


Financial Statements:

            Balance Sheets                                              F-2

            Statements of Income                                        F-4

            Statements of Shareholders' Equity                          F-5

            Statements of Cash Flows                                    F-7

            Notes to Financial Statements                       F-9 to F-18





<PAGE>



REPORT OF INDEPENDENT ACCOUNTANTS


Board of Directors and Shareholders
American Medical Alert Corp.
Oceanside, New York


We have audited the accompanying  balance sheets of American Medical Alert Corp.
as of  December  31,  1997  and  1996  and the  related  statements  of  income,
shareholders'  equity and cash  flows for each of the three  years in the period
ended December 31, 1997. These financial  statements are the  responsibility  of
the Company's  management.  Our responsibility is to express an opinion on these
financial statements based on our audits.

We  conducted  our  audits  in  accordance  with  generally   accepted  auditing
standards.  Those standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are free of material
misstatement.  An audit includes examining, on a test basis, evidence supporting
the amounts and disclosures in the financial statements.  An audit also includes
assessing the  accounting  principles  used and  significant  estimates  made by
management, as well as evaluating the overall financial statement presentation.
We believe that our audits provide a reasonable basis for our opinion.

In our opinion,  the financial  statements  referred to above present fairly, in
all material respects, the financial position of American Medical Alert Corp. as
of December  31, 1997 and 1996 and the  results of its  operations  and its cash
flows for each of the three years in the period  ended  December  31,  1997,  in
conformity with generally accepted accounting principles.




/s/ Margolin, Winer & Evens LLP

Margolin, Winer & Evens LLP
Garden City, New York

February 20, 1998



                                       F-1

<PAGE>



AMERICAN MEDICAL ALERT CORP.

BALANCE SHEETS
================================================================================


<TABLE>
<CAPTION>


December 31,                                                       1997         1996
- --------------------------------------------------------------------------------------
<S>                                                            <C>          <C>       
ASSETS (Note 3)

Current Assets:
     Cash                                                      $  304,739   $  301,013
     Accounts and notes receivable (net of allowance for
          doubtful accounts of $30,000 in 1997 and 1996)
          (Notes 1, 2, 5 and 11)                                1,574,738    1,327,799
     Inventory (Note 1)                                         1,310,551    1,171,021
     Prepaid expenses and taxes and other current assets
          (Notes 1 and 6)                                         196,990      137,247
     Deferred income taxes (Notes 1 and 6)                         97,000       54,000
                                                               ----------   ----------

Total Current Assets                                            3,484,018    2,991,080
                                                               ----------   ----------


Inventory of Medical Devices Held for Lease - at cost                --        637,000
                                                               ----------   ----------

Notes Receivable (Notes 2 and 8)                                     --         15,956
                                                               ----------   ----------


Fixed Assets - at cost:
     Leased medical devices                                     5,152,258    4,985,543
     Monitoring equipment                                         308,563      192,290
     Furniture and equipment                                      338,044      263,711
     Leasehold improvements                                       197,680      151,825
     Automobiles                                                   36,302       27,182
                                                               ----------   ----------
                                                                6,032,847    5,620,551
     Less accumulated depreciation and amortization (Note 1)    2,299,998    2,505,441
                                                               ----------   ----------

                                                                3,732,849    3,115,110
                                                               ----------   ----------


Other Assets                                                       34,761       24,868
                                                               ----------   ----------


Total Assets                                                   $7,251,628   $6,784,014
                                                               ==========   ==========

</TABLE>

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


                                       F-2

<PAGE>



AMERICAN MEDICAL ALERT CORP.

BALANCE SHEETS
================================================================================


<TABLE>
<CAPTION>


December 31,                                                     1997           1996
- --------------------------------------------------------------------------------------
<S>                                                         <C>            <C>      
LIABILITIES AND SHAREHOLDERS' EQUITY

Current Liabilities:
      Notes payable - bank (Note 3)                         $   150,000    $      --
      Accounts payable                                          161,795        192,707
      Accrued expenses                                          139,802        311,954
      Taxes payable                                                --           16,464
      Current portion of long-term debt (Note 4)                  9,056          9,182
                                                            -----------    -----------

Total Current Liabilities                                       460,653        530,307

Deferred Income Tax Liability (Notes 1 and 6)                   318,000        258,000

Notes Payable - Bank (Note 3)                                      --          450,000

Long-Term Debt - Less Current Maturities (Note 4)                 2,797         11,849
                                                            -----------    -----------

Total Liabilities                                               781,450      1,250,156
                                                            -----------    -----------

Commitments (Notes 7, 8 and 10)                                    --             --

Shareholders' Equity (Notes 8 and 10):
      Common stock, $.01 par value -
         authorized, 10,000,000 shares;
         issued 5,904,607 shares in 1997 and
         5,843,276 shares in 1996                                59,045         58,432
      Additional paid-in capital                              4,523,189      4,391,990
      Retained earnings                                       1,993,976      1,189,468
                                                            -----------    -----------
                                                              6,576,210      5,639,890
      Less treasury stock, at cost (43,910 shares in 1997
         and 1996)                                             (106,032)      (106,032)
                                                            -----------    -----------

Total Shareholders' Equity                                    6,470,178      5,533,858
                                                            -----------    -----------


Total Liabilities and Shareholders' Equity                  $ 7,251,628    $ 6,784,014
                                                            ===========    ===========
</TABLE>


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


                                       F-3

<PAGE>



AMERICAN MEDICAL ALERT CORP.

STATEMENTS OF INCOME
================================================================================

<TABLE>
<CAPTION>


Years Ended December 31,                         1997           1996           1995
- --------------------------------------------------------------------------------------
<S>                                          <C>            <C>            <C>        
Revenue (Notes 1 and 11):
      Services                               $ 6,757,594    $ 6,119,946    $ 5,288,046
      Product sales                              879,136      1,135,896        889,256
                                             -----------    -----------    -----------

                                               7,636,730      7,255,842      6,177,302
                                             -----------    -----------    -----------


Costs and Expenses (Income):
      Costs related to services                2,542,840      2,075,819      1,826,036
      Cost of products sold (Note 1)             844,731        789,878        545,231
      Selling, general and
          administrative expenses              2,726,254      2,705,525      2,422,972
      Interest expense                            46,705         46,965         55,694
      Other income                                (1,308)        (1,238)          (367)
                                             -----------    -----------    -----------

                                               6,159,222      5,616,949      4,849,566
                                             -----------    -----------    -----------


Income Before Provision for Income Taxes       1,477,508      1,638,893      1,327,736

Provision for Income Taxes (Notes 1 and 6)       673,000        720,000        586,000
                                             -----------    -----------    -----------

Net Income                                   $   804,508    $   918,893    $   741,736
                                             ===========    ===========    ===========


Basic Earnings Per Share (Note 1)            $       .14    $       .16    $       .14
                                             ===========    ===========    ===========

Diluted Earnings Per Share (Note 1)          $       .14    $       .16    $       .13
                                             ===========    ===========    ===========
</TABLE>


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


                                       F-4

<PAGE>



AMERICAN MEDICAL ALERT CORP.

STATEMENTS OF SHAREHOLDERS' EQUITY
================================================================================



Years Ended December 31, 1997, 1996 and 1995
- --------------------------------------------------------------------------------

<TABLE>
<CAPTION>
                                                       COMMON STOCK
                                                  -----------------------
                                                    NUMBER                  ADDITIONAL
                                                      OF                     PAID-IN
                                                    SHARES       AMOUNT      CAPITAL
                                                  ----------   ----------   ----------
<S>                                                <C>         <C>          <C>       
Balance - January 1, 1995                          5,462,712   $   54,627   $4,069,384

Exercise of Stock Options (Note 8)                    42,029          420       18,828

Net Income for the Year Ended December 31, 1995         --           --           --
                                                  ----------   ----------   ----------

Balance - December 31, 1995                        5,504,741       55,047    4,088,212

Exercise of Stock Options (Note 8)                   338,535        3,385      303,778

Net Income for the Year Ended December 31, 1996         --           --           --
                                                  ----------   ----------   ----------

Balance - December 31, 1996                        5,843,276       58,432    4,391,990

Common Stock Issued                                    2,500           25        3,803

Exercise of Stock Options (Note 8)                    58,831          588      127,396

Net Income for the Year Ended December 31, 1997         --           --           --
                                                  ----------   ----------   ----------

Balance - December 31, 1997                        5,904,607   $   59,045   $4,523,189
                                                  ==========   ==========   ==========
</TABLE>



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


                                       F-5

<PAGE>



AMERICAN MEDICAL ALERT CORP.

STATEMENTS OF SHAREHOLDERS' EQUITY
================================================================================


Years Ended December 31, 1997, 1996 and 1995
- --------------------------------------------------------------------------------

<TABLE>
<CAPTION>
                                                    RETAINED
                                                    EARNINGS      TREASURY
                                                    (DEFICIT)       STOCK          TOTAL
                                                  -----------    -----------    -----------
<S>                                               <C>            <C>            <C>        
Balance - January 1, 1995                         $  (471,161)   $    (6,484)   $ 3,646,366

Exercise of Stock Options (Note 8)                       --             --           19,248

Net Income for the Year Ended December 31, 1995       741,736           --          741,736
                                                  -----------    -----------    -----------

Balance - December 31, 1995                           270,575         (6,484)     4,407,350

Exercise of Stock Options (Note 8)                       --          (99,548)       207,615

Net Income for the Year Ended December 31, 1996       918,893           --          918,893
                                                  -----------    -----------    -----------

Balance - December 31, 1996                         1,189,468       (106,032)     5,533,858

Common Stock Issued                                      --             --            3,828

Exercise of Stock Options (Note 8)                       --             --          127,984

Net Income for the Year Ended December 31, 1997       804,508           --          804,508
                                                  -----------    -----------    -----------

Balance - December 31, 1997                       $ 1,993,976    $  (106,032)   $ 6,470,178
                                                  ===========    ===========    ===========

</TABLE>


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


                                       F-6

<PAGE>



AMERICAN MEDICAL ALERT CORP.

STATEMENTS OF CASH FLOWS
================================================================================

<TABLE>
<CAPTION>

Years Ended December 31,                                    1997           1996           1995
- --------------------------------------------------------------------------------------------------
<S>                                                     <C>            <C>            <C>        
Cash Flows from Operating Activities:
      Net income                                        $   804,508    $   918,893    $   741,736

      Adjustments to  reconcile  net income to net
            cash  provided  by  operating activities:
      Provision for deferred income taxes                    17,000         63,000        234,000
      Issuance of common stock in
            consideration for consulting services             3,828           --             --
      Depreciation and amortization                         780,280        646,838        542,914
      Changes in operating assets and liabilities:
            (Increase) decrease in receivables             (230,983)      (106,817)        60,520
            Increase in inventory                          (139,530)       (54,211)       (32,425)
            (Increase) decrease in prepaid
                expenses and taxes and other assets         (69,636)        12,081       (109,963)
      Decrease in accounts payable, accrued
                expenses and taxes payable                 (219,528)      (160,267)        (3,197)
                                                        -----------    -----------    -----------

      Net Cash Provided by Operating Activities             945,939      1,319,517      1,433,585
                                                        -----------    -----------    -----------


Cash Flows from Investing Activities:
      Expenditures for fixed assets, including
      inventory of medical devices held for lease in
      1996                                                 (761,019)    (1,535,703)    (1,184,141)
                                                        -----------    -----------    -----------



      Net Cash Used in Investing Activities                (761,019)    (1,535,703)    (1,184,141)
                                                        -----------    -----------    -----------


Cash Flows from Financing Activities:
      Net repayments on bank borrowings                    (300,000)          --         (100,000)
      Proceeds of loans payable                                --             --            3,805
      Repayments of loans payable                            (9,178)       (10,405)        (9,943)
      Proceeds upon exercise of stock options               127,984        207,615         19,248
                                                        -----------    -----------    -----------

      Net Cash (Used in) Provided by
            Financing Activities                           (181,194)       197,210        (86,890)
                                                        -----------    -----------    -----------
</TABLE>



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


                                       F-7

<PAGE>



AMERICAN MEDICAL ALERT CORP.

STATEMENTS OF CASH FLOWS
================================================================================

<TABLE>
<CAPTION>

Years Ended December 31,                          1997        1996         1995
- ---------------------------------------------------------------------------------
<S>                                            <C>         <C>          <C>      
Net Increase (Decrease) In Cash                $   3,726   $ (18,976)   $ 162,554

Cash - beginning of year                         301,013     319,989      157,435
                                               ---------   ---------    ---------

Cash - end of year                             $ 304,739   $ 301,013    $ 319,989
                                               =========   =========    =========


SUPPLEMENTAL DISCLOSURE OF CASH FLOW
    INFORMATION-
    CASH PAID DURING THE YEAR FOR:
            Interest                           $  46,705   $  46,965    $  55,694
            Income taxes                         704,254     594,036      457,284


SUPPLEMENTAL SCHEDULE OF NONCASH INVESTING
      AND FINANCING ACTIVITIES:
      Fixed assets purchased under notes and
            loans payable and capital lease    $    --     $  15,136    $    --
            obligations

      During 1996, an employee satisfied the 
            exercise  price of certain  stock
            options by exchanging shares already
            owned with a fair value of $99,548.  
            The fair value of the shares received
            was recorded as treasury stock.
</TABLE>





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


                                       F-8

<PAGE>


AMERICAN MEDICAL ALERT CORP.

NOTES TO FINANCIAL STATEMENTS
================================================================================

1.    SUMMARY OF        SCOPE OF BUSINESS - The  Company's  business is to sell,
      SIGNIFICANT       rent, install,  service and monitor remote communication
      ACCOUNTING        systems with personal security and smoke/fire  detection
      POLICIES          capabilities, linked to an emergency response monitoring
                        center.  The Company  markets its products  primarily to
                        institutional   customers,   including   long-term  care
                        providers, retirement communities, hospitals, government
                        agencies   across  the  United  States  and   individual
                        consumers. (See Note 11.)                             

                        INVENTORY  VALUATION - Inventory,  consisting of medical
                        alert  devices  and  component  parts,  is valued at the
                        lower of cost (first-in,  first-out) or market. Finished
                        goods were  approximately  $1,155,610  and $1,531,000 at
                        December  31,  1997  and  1996,  respectively,  and  the
                        remaining inventory consists of component parts.

                        FIXED ASSETS -  Depreciation  is computed by accelerated
                        and straight-line  methods at rates adequate to allocate
                        the cost of applicable assets over their expected useful
                        lives.  Leased  medical  devices  are  depreciated  on a
                        straight  line basis over seven years.  Amortization  of
                        leasehold  improvements  is provided on a  straight-line
                        basis over the  shorter of the useful  life of the asset
                        or the term of the lease.

                        On January 1, 1996,  the Company  adopted the accounting
                        requirements   of  Statement  of  Financial   Accounting
                        Standards  No. 121,  "Accounting  for the  Impairment of
                        Long-Lived  Assets  and  for  Long-Lived  Assets  to  be
                        Disposed Of" (SFAS No. 121).  SFAS No. 121 requires that
                        long-lived assets and certain  identifiable  intangibles
                        be reviewed for impairment whenever events or changes in
                        circumstances  indicate  that the carrying  amount of an
                        asset  may  not  be  recoverable.   Measurement  of  the
                        impairment  loss,  if any, is based on the fair value of
                        the asset.  The  statement  also  requires  that certain
                        long-lived assets and identifiable  intangibles that are
                        to be  disposed  of be  reported  at the  lower of their
                        carrying  amount or fair  value  less cost to sell.  The
                        application  of SFAS No. 121 did not have a  significant
                        impact  on  the  Company's   results  of  operations  or
                        financial condition.

                        INCOME TAXES - The Company  accounts for income taxes in
                        accordance   with  Statement  of  Financial   Accounting
                        Standards  No.  109,   "Accounting  for  Income  Taxes,"
                        pursuant to which deferred taxes are determined based on
                        the difference  between the financial  statement and tax
                        basis of  assets  and  liabilities,  using  enacted  tax
                        rates,  as well as any net operating  loss or tax credit
                        carryforwards expected to reduce taxes payable in future
                        years.

                        REVENUE  RECOGNITION  - Revenue from the sale of medical
                        alert devices is recognized upon delivery.  Revenue from
                        renting,   installation   and  monitoring   services  is
                        recognized upon performance of such services.


                                       F-9

<PAGE>


AMERICAN MEDICAL ALERT CORP.

NOTES TO FINANCIAL STATEMENTS
================================================================================


                        RESEARCH   AND   DEVELOPMENT   COSTS  -   Research   and
                        development  costs,  which are  expensed and included in
                        cost of products sold, were $20,441, $24,339 and $32,874
                        for the years ended  December 31, 1997,  1996, and 1995,
                        respectively.

                        INCOME  PER  SHARE - In  February  1997,  the  Financial
                        Accounting Standards Board issued Statement of Financial
                        Accounting  Standards  ("SFAS") No. 128,  "Earnings  per
                        Share"  which  changes the  methodology  of  calculating
                        earnings per share. SFAS No. 128 requires the disclosure
                        of  diluted   earnings  per  share   regardless  of  its
                        difference  from basic  earnings per share.  The Company
                        adopted  SFAS No. 128 in  December  1997.  Earnings  per
                        share data for the years ended  December 31, 1997,  1996
                        and  1995  have  been  restated  to  conform  with  this
                        pronouncement.

                        The  following   table  is  a   reconciliation   of  the
                        numerators and  denominators  in computing  earnings per
                        share:

                                          INCOME          SHARES     PER-SHARE
                          1997          (NUMERATOR)   (DENOMINATOR)   AMOUNTS
                          ----           ---------     -----------   --------
Basic EPS -                                                                    
                                                                               
Income available to
common stockholders                     $ 804,508      5,839,450      $  0.14
                                                                      =======
Effect of dilutive securities -                                      
      Options and warrants                   --           92,168     
                                        ---------      ---------     
Diluted EPS -                                                        
      Income available to common                                     
                  stockholders and                                   
                  assumed conversions   $ 804,508      5,931,618      $  0.14
                                        =========      =========      =======
                          1996                                       
                          ----                                       
Basic EPS -                                                          
                                                                     
      Income available to                                            
                  common stockholders   $ 918,893      5,683,880      $  0.16
                                                                      =======
Effect of dilutive securities -                                      
      Options and warrants                   --          168,673     
                                        ---------      ---------     
Diluted EPS -                                                        
                                                                     
      Income available to common                                     
                  stockholders and                                   
                  assumed conversions   $ 918,893      5,852,553      $  0.16
                                        =========      =========      =======

                                      F-11
<PAGE>

AMERICAN MEDICAL ALERT CORP.

NOTES TO FINANCIAL STATEMENTS
================================================================================


                                                                     
                          1995                                       
                          ----                                       
Basic EPS -                                                          
                                                                     
      Income available to                                            
                  common                                             
                  stockholders          $ 741,736      5,484,353      $  0.14
                                                                      =======
Effect of dilutive securities -                                      
      Options and warrants                   --          383,202     
                                        ---------      ---------     
Diluted EPS -                                                        
                                                                     
      Income available to common                                     
                  stockholders and                                   
                  assumed                                            
                  conversions           $ 741,736      5,867,555      $  0.13
                                        =========      =========      =======
                                                                  
CONCENTRATION OF CREDIT RISK - Financial  instruments which potentially  subject
the  Company to  concentration  of credit risk  principally  consist of accounts
receivable from state and local  government  agencies.  The risk is mitigated by
the  Company's  procedures  for  extending  credit,  follow-up  of disputes  and
receivable collection procedures.

ESTIMATES - The preparation of financial statements in conformity with generally
accepted  accounting  principles  requires  management  to  make  estimates  and
assumptions  that  affect the  reported  amounts of assets and  liabilities  and
disclosure of  contingent  assets and  liabilities  at the date of the financial
statements and the reported amounts of revenue and expenses during the reporting
period. Actual results could differ from those estimates.

FAIR  VALUE  OF  FINANCIAL  INSTRUMENTS  -  Statement  of  Financial  Accounting
Standards  No. 107,  "Disclosures  about Fair Value of  Financial  Instruments,"
requires  ail  entities  to  disclose  the  fair  value  of  certain   financial
instruments in their financial  statements.  The Company estimates that the fair
value of its cash,  accounts and notes  receivable,  accounts  payable,  accrued
expenses,  taxes payable and notes payable  approximates  their carrying amounts
due to the short maturity of these instruments.

ACCOUNTING  FOR  STOCK-BASED  COMPENSATION  - As  permitted  by  SFAS  No.  123,
"Accounting for Stock-Based  Compensation,"  the Company has elected to continue
to account for employee stock options under Accounting  Principles Board Opinion
No. 25,  "Accounting for Stock Issued to Employees."  Accordingly,  compensation
cost for stock  options is measured as the excess,  if any, of the quoted market
price of the  Company's  stock at the date of grant over the amount an  employee
must pay to acquire the stock.


                                      F-11

<PAGE>


AMERICAN MEDICAL ALERT CORP.

NOTES TO FINANCIAL STATEMENTS


2.    NOTES             In November 1993 an employee borrowed $30,000 and issued
      RECEIVABLE        a promissory note to the Company originally scheduled to
                        mature during 1996.  The note,  as amended  during 1996,
                        bears  interest  at 7.5% per annum  and the  outstanding
                        balance at  December  31,  1996 of $18,687 is payable in
                        monthly  installments  of $337 (principal and interest),
                        with a final  installment  of $15,241 due April 1, 1998.
                        At December 31, 1997, the outstanding balance of $15,956
                        is  included in accounts  and notes  receivable.  In the
                        event that the employee defaults on the promissory note,
                        certain  options  granted to the employee will terminate
                        (see Note 8). 

3. Notes Payable -      At December 31, 1996, the Company had a revolving credit
   Bank                 line which permitted maximum borrowings up to $1,500,000
                        (based on 75% of eligible accounts receivable and 25% of
                        inventory,  as defined).  The note bore  interest at the
                        prime  rate  (8.25% at  December  31,  1996) plus 1% per
                        annum and was collateralized by the Company's assets. In
                        addition,  the note required an unused commitment fee of
                        1/2 of 1% per  annum  on the  daily  average  amount  of
                        unused  commitment.  At December 31, 1996,  $450,000 was
                        outstanding. On March 27, 1997, the maturity date of the
                        revolving  credit line was  extended  through  April 30,
                        1998,  and the interest  rate was reduced to prime (8.5%
                        at December 31, 1997) plus 3/4 of 1%.                   
                        
                        The  agreement  provides for  negative  and  affirmative
                        covenants including those related to tangible net worth,
                        working capital and other borrowings.                   
                        
4.   LONG-TERM          Long-term  debt at  December  31,  1997  consists  of an
     DEBT               automobile  loan and two loans financing the purchase of
                        equipment.  The  outstanding  balance on these  loans at
                        December 31, 1997 was $11,853.                          
                        
                        Long-term  debt matures in each of the years  subsequent
                        to December 31, 1997 as follows:

                         Year ending December 31,

                                  1998                       $ 9,056
                                  1999                         2,797
                                                             -------
                                                             $11,853
                                                             =======

5.   RELATED PARTY      A Director of the Company has an  ownership  interest in
     TRANSACTIONS       an  insurance  agency that has written  policies for the
                        Company with premiums of $165,094, $153,856 and $155,432
                        in fiscal 1997, 1996 and 1995, respectively. Included in
                        accounts  and notes  receivable  is $65,204 due from the
                        president and principal shareholder of the Company. (See
                        Notes 7 and 8.)                                         



                                      F-12

<PAGE>


AMERICAN MEDICAL ALERT CORP.

NOTES TO FINANCIAL STATEMENTS
================================================================================

6.   INCOME TAXES       The   provision   for  income  taxes   consists  of  the
                        following:


                                YEARS ENDED DECEMBER 31,
                                ------------------------
                            1997           1996        1995
                            ----           ----        ----

         Current:
            Federal      $ 452,000      $ 469,000   $ 222,000
            State          204,000        188,000     130,000
                           656,000        657,000     352,000
                         ---------      ---------   ---------
         Deferred:
            Federal         14,000         54,000     219,000
            State            3,000          9,000      15,000
                         ---------      ---------   ---------
                            17,000         63,000     234,000
                         ---------      ---------   ---------
            Total        $ 673,000      $ 720,000   $ 586,000
                         =========      =========   =========
                                                             

                        The  following  is a  reconciliation  of  the  statutory
                        federal  income tax rate and the  effective  rate of the
                        provision for income taxes:

                                                     YEARS ENDED DECEMBER 31,
                                                     ------------------------
                                                   1997        1996       1995
                                                  ------      ------     ------

            Statutory federal income tax rate       34.0%       34.0%      34.0%
            State and local taxes                    9.0         8.0        8.0
            Other                                    2.0         2.0        2.0
                                                  ------      ------     ------

            Effective income tax rate               45.0%       44.0%      44.0%
                                                  ======      ======     ======

                        The tax  effects of  significant  items  comprising  the
                        Company's  deferred  taxes at December 31, 1997 and 1996
                        are as follows:


                                                              DECEMBER 31,
                                                              ------------
                                                            1997         1996
                                                            ----         ----
Deferred tax liabilities:
            Difference between book and tax bases
                of property                              $(318,000)   $(258,000)
                                                         ---------    ---------
Deferred tax assets:
            Reserves not currently deductible               54,000       13,000
          Capitalization of inventory                       43,000       41,000
                                                         ---------    ---------
            Total                                           97,000       54,000
                                                         ---------    ---------
Net deferred tax liabilities                             $(221,000)   $(204,000)
                                                         =========    =========

                        For  the  year  ended  December  31,  1995  the  Company
                        utilized net  operating  loss  carryforward  benefits of
                        $121,000.

                                      F-13

<PAGE>


AMERICAN MEDICAL ALERT CORP.

NOTES TO FINANCIAL STATEMENTS
================================================================================


7.   COMMITMENTS        On January 1, 1995, the Company entered into a five year
                        operating  lease  for  offices  owned  by its  principal
                        shareholder.  The  lease  calls for an  initial  minimum
                        annual  rental  of  $74,600,  subject  to  a  5%  annual
                        increase plus  reimbursements  for real estate taxes and
                        other  operating  expenses.  In February 1998, the lease
                        was extended until  September 30, 2007. In October 1997,
                        the Company  entered into a separate ten year  operating
                        lease for additional office space owned by its principal
                        shareholder.  The  lease  calls for an  initial  minimum
                        annual  rental  of  $36,000,  subject  to  a  5%  annual
                        increase plus  reimbursement  for real estate taxes. The
                        Company has also entered into  various  other  operating
                        leases for warehouse  and office space in Flushing,  New
                        York,  Mt.  Laurel,  New  Jersey,  Decatur,  Georgia and
                        Countryside,  Illinois.  Rent  expense  was  $197,887 in
                        1997,  $182,179  in 1996 and  $169,824  in  1995,  which
                        includes $116,719,  $100,835 and $94,969,  respectively,
                        paid in connection  with the above noted leases with the
                        principal shareholder.

                        The aggregate  minimum annual rental  commitments  under
                        noncancelable operating leases are as follows:

                            Year ending December 31,
                                  1998                           $   204,740
                                  1999                               191,594
                                  2000                               183,707
                                  2001                               141,636
                                  2002                               148,717
                            Thereafter                               813,397
                                                                 -----------
                                                                 $ 1,683,791
                                                                 ===========

                        On January 1, 1997 the Company  entered into a four year
                        employment agreement with its president (who is also the
                        principal  shareholder).  In  addition to an annual base
                        salary starting at $200,000, the agreement,  among other
                        things,  provides for additional  compensation  which is
                        based on the Company's pre-tax income,  as defined.  The
                        employee   may   elect   to   receive   the   additional
                        compensation  either  in  cash  or in  the  form  of the
                        Company's  common stock. The agreement also provides for
                        a termination payment, under certain circumstances, if a
                        change in control (as defined)  occurs.  The termination
                        payment  is equal to 2.99  times  the  base  amount,  as
                        defined.

8.   COMMON STOCK,      The Company has three Stock Option  Plans,  an Incentive
     WARRANTS AND       Stock  Option Plan ("l984  Plan"),  a 1991 Stock  Option
     OPTIONS            Plan ("1991 Plan"),  and a 1997 Stock Option Plan ("1997
                        Plan").  Under these  plans,  as  amended,  a maximum of
                        500,000, 750,000 and 750,000 options,  respectively, may
                        be  granted  as  either   Incentive   Stock  Options  or
                        Nonstatutory Stock Options.  Stock options granted under
                        the plans vest  immediately  and have a term not greater
                        than ten years  from the date the  option is  granted or
                        five  years  for a  holder  of  more  than  10%  of  the
                        Company's common stock. Incentive Stock Options may be  
                        
                        
                        
                                      F-14

<PAGE>


AMERICAN MEDICAL ALERT CORP.

NOTES TO FINANCIAL STATEMENTS
================================================================================


                        granted  at an  exercise  price  not less  than the fair
                        market  value of the  underlying  shares  at the date of
                        grant subject to certain other limitations  specified in
                        Section 422 of the Internal  Revenue Code. The per share
                        price  of   Nonstatutory   Stock   Options   granted  to
                        Non-Insiders  (as defined)  shall be  determined  by the
                        Board of Directors or the Stock Option  Committee of the
                        Board.  All  options  under  the above  plans  have been
                        granted  at  exercise  prices  equal to the fair  market
                        value of the underlying common shares at the date of the
                        grant. The 1984 Plan term expired in May 1994.

                        The Company has adopted the  disclosure-only  provisions
                        of Statement of Financial  Accounting  Standards  (SFAS)
                        No.  123,  "Accounting  for Stock  Based  Compensation."
                        Accordingly, no compensation expense has been recognized
                        for the stock option plan. Had compensation cost for the
                        Company's stock option plan been determined based on the
                        fair value at the grant  date for  awards in 1997,  1996
                        and 1995 consistent with the provisions of SFAS No. 123,
                        the  Company's  net income and  earnings per share would
                        have been  reduced  to the pro forma  amounts  indicated
                        below:

                                       1997       1996          1995
                                    ---------   --------   -----------

         Pro forma net income       $ 694,844   $744,700   $   579,180
         Pro forma basic earnings
                per share           $     .12   $    .13   $       .11

                        The  weighted  average  grant date fair value of options
                        granted in 1997,  1996 and 1995 was  $109,664,  $174,193
                        and $162,556, respectively.

                        The fair value of options at date of grant was estimated
                        using  the   Black-Scholes   model  with  the  following
                        weighted average assumptions:


                                            1997       1996       1995
                                          -------    -------    -------
            Expected life (years)           2.24       4          4
            Risk free interest rate         5.97%      5.69%      7.17%
            Expected volatility            32.1%      52.6%      52.6%
            Expected dividend yield         --         --         --


                                      F-15

<PAGE>


AMERICAN MEDICAL ALERT CORP.

NOTES TO FINANCIAL STATEMENTS
================================================================================

                        Information  with  respect to options  under plans is as
                        follows:


                                                                  Weighted
                                                     Number        Average
                                                       of         Exercise
                                                     Shares         Price
                                                     ------         -----

           Balance - January 1, 1995                 773,725    $   1.65
              Granted during 1995                     89,513        2.90
              Forfeitures/expirations during 1995    (14,422)       2.48
              Exercised during 1995                  (42,029)        .46
                                                    --------

           Balance - December 31, 1995               806,787        1.84
              Granted during 1996                    120,220        2.45
              Forfeitures/expirations during 1996    (14,115)       2.24
              Exercised during 1996                 (338,535)        .91
                                                    --------

           Balance - December 31, 1996               574,357        2.50
              Granted during 1997                    160,917        2.70
              Forfeitures/expirations during 1997    (73,267)       2.38
              Exercised during 1997                  (58,831)       2.18
                                                    --------    --------

           Balance - December 31, 1997               603,176    $   2.57
                                                    ========    ========

                        564,886 and 529,480 options were exercisable at December
                        31, 1997 and 1996, respectively.

                        The following  table  summarizes  information  about the
                        stock options outstanding at December 31, 1997:


                         OPTIONS OUTSTANDING               OPTIONS EXERCISABLE
                ------------------------------------     -----------------------
                               Weighted-
                                Average     Weighted-                  Weighted-
 Range of                      Remaining     Average                    Average
 Exercise          Number     Contractual    Exercise       Number      Exercise
  Prices        Outstanding       Life         Life      Exercisable     Price
 --------       -----------      ------       ------     -----------    ------
$1.9375 -
$2.8875           545,821      1.83 years     $2.52        507,531       $2.53
$2.9563 -          57,355      2.14 years     $3.09         57,355       $3.09
$3.4375


As of December 31, 1997,  633,364  options have been exercised  under both plans
and 672,548 and 330 options are  available  for future grants under the 1997 and
1991 Plan, respectively.


                                      F-16

<PAGE>


AMERICAN MEDICAL ALERT CORP.

NOTES TO FINANCIAL STATEMENTS
================================================================================

                        The  Company   has  agreed  to  grant   options  to  its
                        management  and  employees  in January  and July of each
                        year. The number of options to be granted is equal to 5%
                        of the  dollar  amount of  compensation  during  the two
                        calendar  quarters  preceding  the  grant  date.  To the
                        extent permitted by law, such options will be granted as
                        Incentive Stock Options. Each non-employee director will
                        receive options for 2,500 shares of common stock on each
                        grant date.

                        In December  1983, the Company sold units that contained
                        warrants to  purchase  850,000  shares of the  Company's
                        common stock at $3.50 per share. The Company may, at its
                        option,  upon not less  than 90 days  written  notice to
                        warrant  holders,  terminate  all  outstanding  warrants
                        without payment, provided the market price of the common
                        stock exceeds $7.00 per share during any 20  consecutive
                        trading days. The warrants expired on December 27, 1997.
                        The Company  has agreed to extend  their  expiration  to
                        December 26, 1998.

                        In November 1994,  the Company  granted to legal counsel
                        options to  purchase  25,000  shares of common  stock at
                        $2.00 per share  (the fair  market  value at the date of
                        grant),  such options being  exercisable for a period of
                        five years from the date of grant.

9.   EMPLOYEE           Effective  January 1997,  the Company began to sponsor a
     SAVINGS PLAN       401(k)  savings  plan which is available to all eligible
                        employees.  Participants  may elect to defer  from 1% to
                        15%  of  their   compensation,   subject  to  an  annual
                        limitation provided by the Internal Revenue Service. The
                        Company  may  make  matching   and/or   profit   sharing
                        contributions  to the  plan at its  discretion.  For the
                        year ended  December  31, 1997 the  Company  contributed
                        $14,978.                         
                        
10.   CONSULTING        On  December  1,  1994,  the  Company   entered  into  a
      AGREEMENT         financial advisory and investment banking agreement. The
                        Company will receive advice  regarding  certain internal
                        operating matters,  as well as certain corporate finance
                        issues.  In  addition,  the Company may pay certain fees
                        (as defined) for transactions consummated by the Company
                        that are  either  originated  by the  consultant  or the
                        Company.  The  agreement,  which  is  for a  term  of 24
                        months,  has annual fees of $30,000.  In  addition,  the
                        Company  granted  150,000  warrants  exercisable  for  a
                        period of four years  commencing  one year from the date
                        of the agreement at an exercise price of $2.00 per share
                        (the fair market value at the date of grant). On January
                        1, 1997,  the agreement was renewed for a term of twelve
                        months.  In addition to the annual fees of $30,000,  the
                        Company has granted to the  Consultant  50,000  warrants
                        exercisable  for a period of four  years at an  exercise
                        price of $4.50.  In July 1997,  the  companies  mutually
                        agreed  that  the  monthly  payments  of  $2,500  to the
                        consultant would be suspended.                          
                        
                        
                        
                                      F-17

<PAGE>


AMERICAN MEDICAL ALERT CORP.

NOTES TO FINANCIAL STATEMENTS
================================================================================


11.   MAJOR             The  Company is an  approved  Medicaid  Provider  in the
      CUSTOMERS         states of New York and  Georgia.  During the years ended
                        December  31,  1997,  1996 and  1995,  the  Company  had
                        revenue from one  contract  with a  municipality  in New
                        York State which  represented  44% of total revenue each
                        year.  This contract is effective  through  February 28,
                        1998. In February  1998, the Company was notified by the
                        municipality  that  they are  currently  processing  the
                        renewal of the Company's  contract which would extend it
                        through June 30, 1999.  During the years ended  December
                        31,  1997,  1996 and 1995,  the Company had revenue from
                        the State of  Georgia  which  represents  5%, 5% and 6%,
                        respectively,  of total revenue. As of December 31, 1997
                        and  1996,  accounts  receivable  from the one  contract
                        referred to above represented 46% and 39%, respectively,
                        of accounts receivable.                                 
                        
                        
                        



                                      F-18

<PAGE>



                                   SIGNATURES

            In  accordance  with  Section 13 or 15(d) of the  Exchange  Act, the
registrant  caused  this  report to be signed on its behalf by the  undersigned,
thereunto duly authorized.

                                                  AMERICAN MEDICAL ALERT CORP.



                                                  By: /s/ Howard M. Siegel
                                                     ------------------------
Dated: March 27, 1998                                 Howard M. Siegel
                                                      Chairman of the Board and 
                                                      President

            In  accordance  with the Exchange  Act,  this report has been signed
below by the following persons on behalf of the registrant and in the capacities
and on the dates indicated.


/S/ HOWARD M. SIEGEL               Chairman of the Board,         March 27, 1998
- -----------------------------      President, Chief Executive
Howard M. Siegel                   Officer, and Director
                                   (Principal Executive Officer)


/S/ COREY M. ARONIN                Chief Financial Officer        March 27, 1998
- -----------------------------
Corey M. Aronin


/S/ PETER BREITSTONE               Director                       March 27, 1998
- -----------------------------
Peter Breitstone


/S/ LEONARD HERZ                   Director                       March 27, 1998
- -----------------------------
Leonard Herz








<PAGE>




                                  EXHIBIT INDEX


            EXHIBIT NO.             IDENTIFICATION OF EXHIBIT

            3(a)        Articles  of  Incorporation  of  Company,   as  amended.
                        (Incorporated  by  reference  to  Exhibit  3(a)  to  the
                        Company's  Form S-1  Registration  Statement  under  the
                        Securities  Act of 1933,  filed on September  30, 1983 -
                        File No. 2-86862).

            3(b)        Amended and Restated  By-Laws of Company.  (Incorporated
                        by reference to Exhibit 4(b) to the  Company's  Form S-3
                        Registration Statement under the Securities Act of 1933,
                        Commission File No. 333-6159).

            4(a)        Warrant  Agreement  between the Company and  Continental
                        Stock Transfer & Trust Company,  the Company's  transfer
                        agent,  with the Company's  form of Warrant  Certificate
                        attached thereto.  (Incorporated by reference to Exhibit
                        4(a) to the Company's  Form S-1  Registration  Statement
                        under the Securities Act of 1933, filed on September 30,
                        1983 - File No. 2-86862).

            4(b)        Amendment,  dated  December  22,  1988,  to the  Warrant
                        Agreement  between  the Company  and  Continental  Stock
                        Transfer & Trust Company.  (Incorporated by reference to
                        Exhibit  4(c) to the  Company's  Form  10-K for the year
                        ended December 31, 1988).

            4(c)        Amendment,  dated  October  26,  1990,  to  the  Warrant
                        Agreement  between  the Company  and  Continental  Stock
                        Transfer & Trust Company.  (Incorporated by reference to
                        Exhibit  4(c) to the  Company's  Form  10-K for the year
                        ended December 31, 1990).

            4(d)        Amendment,  dated  November  30,  1994,  to the  Warrant
                        Agreement  between  the Company  and  Continental  Stock
                        Transfer & Trust Company.  (Incorporated by reference to
                        Exhibit 4(d) to the  Company's  Form 10-KSB for the year
                        ended December 31, 1994).

            4(e)        Amendment,  dated  November  20,  1995,  to the  Warrant
                        Agreement  between  the Company  and  Continental  Stock
                        Transfer & Trust Company.  (Incorporated by reference to
                        Exhibit 4(e) to the  Company's  Form 10-KSB for the year
                        ended December 31, 1995).

            4(f)        Amendment,  dated  December  20,  1996,  to the  Warrant
                        Agreement  between  the Company  and  Continental  Stock
                        Transfer & Trust Company.  (Incorporated by reference to
                        Exhibit 4(h) to the Company's  Registration Statement on
                        Form S-3, Commission File No. 333-6159).




<PAGE>


            EXHIBIT NO.             IDENTIFICATION OF EXHIBIT

            4(g)*       Amendment,  dated  November  5,  1997,  to  the  Warrant
                        Agreement  between  the Company  and  Continental  Stock
                        Transfer & Trust Company.

            10(a)       Employment Agreement,  dated January 1, 1997 between the
                        Company and Howard M. Siegel. (Incorporated by reference
                        to Exhibit  10(a) to the  Company's  Form 10-KSB for the
                        year ended December 31, 1996).

            10(b)       Employment Agreement,  dated August 28, 1989 between the
                        Company and John Lesher.  (Incorporated  by reference to
                        Exhibit  10(c) to the  Company's  Form 10-K for the year
                        ended December 31, 1990).

            10(c)       Amendment,  dated  March  4,  1992,  to  the  Employment
                        Agreement   between  the   Company   and  John   Lesher.
                        (Incorporated  by  reference  to  Exhibit  10(d)  to the
                        Company's  Form  10-K for the year  ended  December  31,
                        1991).

            10(d)       Lease for the premises  located at 520 Fellowship  Road,
                        Suite C301, Mt. Laurel, New Jersey ("Mt. Laurel Lease").
                        (Incorporated  by  reference  to  Exhibit  10(e)  to the
                        Company's  Form  10-K for the year  ended  December  31,
                        1991).

            10(e)       First  Amendment to the Mt. Laurel Lease.  (Incorporated
                        by  reference  to Exhibit  10(f) to the  Company's  Form
                        10-KSB for the year ended December 31, 1993).

            10(f)       Second Amendment to the Mt. Laurel Lease.  (Incorporated
                        by  reference  to Exhibit  10(f) to the  Company's  Form
                        10-KSB for the year ended December 31, 1996).

            10(g)*      Third Amendment to the Mt. Laurel Lease.

            10(h)       Lease for the premises located at 3265 Lawson Boulevard,
                        Oceanside,  New  York.  (Incorporated  by  reference  to
                        Exhibit 10(h) to the Company's  Form 10-KSB for the year
                        ended December 31, 1994).

            10(i)*      Amendment  to Lease  for the  premises  located  at 3265
                        Lawson Boulevard, Oceanside, New York.

            10(j)*      Lease for the premises located at 3255 Lawson Boulevard,
                        Oceanside, New York.

            10(k)*      Lease for the  premises  located at 910  Church  Street,
                        Decatur, Georgia.



<PAGE>


            EXHIBIT NO.             IDENTIFICATION OF EXHIBIT

            10(l)       Lease  for the  premises  located  at  169-10  Crocheron
                        Avenue,  Flushing, New York.  (Incorporated by reference
                        to Exhibit  10(j) to the  Company's  Form 10-KSB for the
                        year ended December 31, 1995.)

            10(m)       Lease for the premises  located at 475 West 55th Street,
                        Countryside,  Illinois.  (Incorporated  by  reference to
                        Exhibit 10(k) to the Company's  Form 10-KSB for the year
                        ended December 31, 1995.)

            10(n)*      Amendment to Lease for the premises  located at 475 West
                        55th Street, Countryside, Illinois.

            10(o)       1984   Incentive   Stock   Option   Plan,   as  amended.
                        (Incorporated  by ref  erence  to  Exhibit  10(e) to the
                        Company's  Form  10-K for the year  ended  December  31,
                        1990).

            10(p)       Amended  1991  Stock  Option  Plan.   (Incorporated   by
                        reference to Exhibit 10(l) to the Company's  Form 10-KSB
                        for the year ended December 31, 1994).

            10(q)*      1997 Stock Option Plan.

            10(r)       Restated  and Amended  Revolving  Credit Note with North
                        Fork Bank, dated December 1, 1995 (the "Revolving Credit
                        Note").  (Incorporated  by reference to Exhibit 10(n) to
                        the  Company's  Form 10-KSB for the year ended  December
                        31, 1996).

            10(s)       Letter  from North  Fork Bank  extending  the  Revolving
                        Credit  Note  until  April 30,  1998.  (Incorporated  by
                        reference to Exhibit 10(n) to the Company's  Form 10-KSB
                        for the year ended December 31, 1996).

            10(t)       Agreement  between the Company and the City of New York,
                        as extended through February 28, 1998.  (Incorporated by
                        reference to Exhibit 10(o) to the Company's  Form 10-KSB
                        for the year ended December 31, 1996).

            10(u)*      Purchase/Leaseback Agreement dated January 13, 1998 with
                        Celtic Leasing Corp.

            10(v)*      Financial Advisory and Investment Banking Agreement with
                        GKN Securities Corp. dated as of January 1, 1997.



<PAGE>


            EXHIBIT NO.             IDENTIFICATION OF EXHIBIT

            23(a)*      Consent of Margolin, Winer & Evens LLP.

            27*         Financial Data Schedule.

            -------------------
            *   Filed herewith.









                    [American Medical Alert Corp. Letterhead]


November 5, 1997


Mr. William F. Seegraber, Vice President                    VIA FAX 212 509-5150
Continental Stock Transfer & Trust Company                   HARD COPY TO FOLLOW
2 Broadway
New York, NY  10004

Gentlemen:

Reference is made to that certain Warrant  Agreement  between  American  Medical
Alert Corp. (the "Company") and Continental  Stock Transfer & Trust Company (the
"Warrant Agreement"),  dated September 23, 1992, with regard to the Common Share
Purchase Warrants issued by the Company (the "Warrants").

The Warrant  Agreement is hereby amended to provide that the expiration  date of
the Warrants is extended from December 27, 1997 until December 26, 1998.

                                            Very truly yours,
                                            AMERICAN MEDICAL ALERT CORP.



                                            By: /s/ HOWARD M. SIEGEL
                                               -----------------------
                                                        Howard M. Siegel
                                                        President/CEO

Agreed to:

CONTINENTAL STOCK TRANSFER & TRUST CO.



By: /S/ WILLIAM SEEGRABER
   ------------------------
   William F. Seegraber, Vice President

cc:  Corey Aronin, AMAC
     Parker Chapin Flattau & Klimpl






                            THIRD AMENDMENT TO LEASE
                             DATED DECEMBER 30, 1997
                                     BETWEEN
                      FELLOWSHIP BUSINESS CENTER (LANDLORD)
                                       AND
                   AMERICAN MEDICAL ALERT CORPORATION (TENANT)
          -------------------------------------------------------------

            PURSUANT  to a Lease  dated  April 8, 1991 for 2,100  square feet of
space known as 520 Fellowship  Road, Suite C-301,  Mt. Laurel,  New Jersey;  and
First Amendment to Lease dated November 18, 1993  (relocating to Suite A-106/107
and a total of 5,400 SF);  Second  Amendment  to Lease dated  January 15,  1997;
between the aforementioned parties, the following changes shall be made:

            1.  TERM:             The term of the Lease shall be extended for
                                  an additional three (3) years commencing
                                  January 1, 1998 and terminating December
                                  31, 2000.

            2.  RENTAL:           $40,500.00 per year, net;
                                  $ 3,375.00 per month, net.



            All other terms and  conditions of the original Lease and subsequent
Letters of Amendment will remain in full force and effect.


                                          FELLOWSHIP BUSINESS CENTER, (Landlord)

                                           /s/ STEVEN BLOOM
                                           -------------------------------------
                                           By: Steven Bloom


                                           AMERICAN MEDICAL ALERT
                                           CORPORATION, (Tenant)

                                           /s/ JOHN LESHER
                                           -------------------------------------
                                           By: John Lesher
                                           Title: Vice President of Engineering





                               EXTENSION OF LEASE

            It is hereby agreed by and between HOWARD SIEGEL,  as Landlord,  and
AMERICAN MEDICAL ALERT CORP., as Tenant, as follows:

            1.    The  parties  previously  entered  into  a  written  lease  of
premises 3265 Lawson Blvd., Oceanside, New York, on December 31, 1994 for a term
commencing on January 1, 1995 and ending on December 31, 1999.

            2.    It is hereby agreed that the term of the aforementioned  Lease
is hereby  extended for a term  commencing on January 1, 2000 and terminating on
September 30, 2007.

            3.    It is hereby agreed that the annual rent shall be increased by
an amount  equal to five (5%)  percent of the prior  years  annual  rent.  As of
January 1, 2000,  the annual rent shall be an amount equal to the annual rent in
effect for the calendar year 1999,  plus an increase  equal to five (5%) percent
of said annual rent. Thereafter, on January 1 of each succeeding year the annual
rent shall be  increased  by an amount  equal to five (5%)  percent of the prior
years rental. All rents shall be paid in equal monthly installments.

            4.    Except as hereinabove  set forth,  the terms and provisions of
the aforementioned Lease executed by and between the parties hereto shall remain
in full force and effect.

Dated:      February 9, 1998


                                                  /s/ HOWARD SIEGEL
                                                  ------------------------------
                                                  HOWARD SIEGEL, Landlord



                                                  AMERICAN MEDICAL ALERT CORP.

                                                  By: /s/ COREY M. ARONIN, CFO
                                                    ----------------------------
                                                  Tenant










            THIS  LEASE  made the 30th day of  September  1997,  between  ADD-ON
PROPERTIES,  LLC with  offices at 3255  Lawson  Boulevard,  Oceanside,  New York
11572,  hereinafter  referred to as LANDLORD,  and AMERICAN  MEDICAL ALERT CORP.
with offices at 3265 Lawson Boulevard,  Oceanside,  New York 11572,  hereinafter
jointly, severally and collectively referred to as TENANT.

            WITNESSETH,  that the Landlord hereby leases to the Tenant,  and the
Tenant  hereby hires and takes from the  Landlord in the building  known as 3255
Lawson  Boulevard,  Oceanside,  New York  11572 to be used and  occupied  by the
Tenant  for  offices,  storage,  monitoring  services,  assembly  and any  other
services and functions  performed by the Tenant American Medical Alert Corp. and
for no other  purpose,  for a term to commence on October 1, 1997, and to end on
September 30, 2007,  unless sooner  terminated as hereinafter  provided,  at the
ANNUAL  RENT of  $36,000.00  per annum for the  first 12 months  and  thereafter
pursuant to Rider  annexed  hereto all payable in equal monthly  instalments  in
advance  on the first day of each and every  calendar  month  during  said term,
except the first instalment, which shall be paid upon the execution hereof.

            THE TENANT JOINTLY AND SEVERALLY COVENANTS:

                              FIRST.-That  the Tenant will pay the rent as above
                        provided.

REPAIRS                       SECOND.-That, throughout said term the tenant will
                        take good care of the  demised  premises,  fixtures  and
                        appurtenances,   and  all  alterations,   additions  and
                        improvements  to either;  make all  repairs in and about
                        the same  necessary  to preserve  them in good order and
                        condition, which repairs shall be, in quality and class,
                        equal to the original work;  promptly pay the expense of
                        such  repairs;  suffer no waste or injury;  give  prompt
                        notice  to the  Landlord  of any fire  that  may  occur;
ORDINANCES AND          execute  and  comply  with  all  laws,  rules,   orders,
VIOLATIONS              ordinances  and  regulations  at any time  issued  or in
                        force (except those requiring  structural  alterations),
                        applicable  to the demised  premises or to the  Tenant's
                        occupation  thereof,  of the  Federal,  State  and Local
                        Governments,  and of each and every  department,  bureau
                        and official thereof,  and of the New York Board of Fire
                        Underwriters;  permit at all times during usual business
                        hours, the Landlord and  representatives of the Landlord
                        to  enter  the  demised  premises  for  the  purpose  of
ENTRY                   inspection,  and to exhibit them for purposes of sale or
                        rental;  suffer the  Landlord to erect,  use,  maintain,
                        repair and  replace  pipes and  conduits  in the demised
                        premises  and to the  floors  above and  below;  forever
                        indemnify and save harmless the Landlord for and against
                        any and all liability,  penalties, damages, expenses and
                        judgments arising from injury during said term to person
                        or property of any nature,  occasioned wholly or in part
                        by any act or acts,  omissions of the Tenant,  or of the
INDEMNIFY               employees,  guests,  agents,  assigns or undertenants of
LANDLORD                the Tenant and also for any matter or thing  growing out
                        of the  occupation  of the  demised  premises  or of the
                        streets,  sidewalks or vaults adjacent thereto;  permit,
                        during the six months  next prior to the  expiration  of
                        the term the usual  notice  "To Let" to be placed and to
                        remain  unmolested  in  a  conspicuous  place  upon  the
                        exterior of the demised  premises;  repair, at or before
                        the end of the term, all injury done by the installation
                        or removal of furniture and property;  and at the end of
                        the term,  to quit and  surrender  the demised  premises
                        with all alterations, additions and improvements in good
                        order and condition.


<PAGE>



MOVING INJURY                 THIRD.-That  the  Tenant  will  not  disfigure  or
SURRENDER               deface any part of the  building,  or suffer the same to
                        be done, except so far as may be necessary to affix such
                        trade  fixtures  as  are  herein  consented  to  by  the
                        Landlord;  the Tenant will not  obstruct,  or permit the
                        obstruction  of  the  street  or the  sidewalk  adjacent
                        thereto;  will not do anything, or suffer anything to be
                        done upon the demised  premises  which will increase the
NEGATIVE                rate of fire  insurance  upon the building or any of its
COVENANTS               contents,  or be  liable to cause  structural  injury to
                        said building; will not permit the accumulation of waste
                        or refuse  matter,  and will not,  without  the  written
                        consent of the  Landlord  first  obtained  in each case,
                        either sell,  assign,  mortgage or transfer  this lease,
OBSTRUCTION             underlet  the  demised  premises  or any  part  thereof,
SIGNS                   permit the same of any part  thereof to be  occupied  by
                        anybody   other  than  the   Tenant  and  the   Tenant's
                        employees, make any alterations in the demised premises,
                        use the  demised  premises  or any part  thereof for any
                        purpose  other than the one first above  stipulated,  or
                        for any purpose  deemed  extra  hazardous  on account of
                        fire risk,  nor in  violation  of any law or  ordinance.
AIR CONDITIONING        That  the  Tenant  will  not   obstruct  or  permit  the
                        obstruction of the light,  halls,  stairway or entrances
                        to the  building,  and will not  erect or  inscribe  any
                        sign,  signals  or  advertisements  unless and until the
                        style and  location  thereof  have been  approved by the
                        Landlord;  and if any be  erected or  inscribed  without
                        such  approval,  the  Landlord  may remove the same.  No
                        water cooler,  air conditioning  unit or system or other
                        apparatus  shall be  installed or used without the prior
                        written consent of Landlord.                            
                        
                        
      IT IS MUTUALLY COVENANTED AND AGREED, THAT

FIRE CLAUSE                   FOURTH.-If the demised premises shall be partially
                        damaged  by fire or other  cause  without  the  fault or
                        neglect of Tenant, Tenant's servants, employees, agents,
                        visitors or licensees,  the damages shall be repaired by
                        and at the expense of  Landlord  and the rent until such
                        repairs shall be made shall be apportioned  according to
                        the part of the  demised  premises  which is  usable  by
                        Tenant.  But if such partial  damage is due to the fault
                        or negligent of Tenant,  Tenant's  servants,  employees,
                        agents, visitors or licensees,  without prejudice to any
                        other  rights  and  remedies  of  Landlord  and  without
                        prejudice  to the rights of  subrogation  of  Landlord's
                        insurer,  the damages  shall be repaired by Landlord but
                        there shall be no apportionment or abatement of rent. No
                        penalty  shall  accrue for  reasonable  delay  which may
                        arise by reason of  adjustment  of insurance on the part
                        of Landlord and/or Tenant,  and for reasonable  delay on
                        account of "labor  troubles",  or any other cause beyond
                        Landlord's  control. If the demised premises are totally
                        damaged or are rendered  wholly  untenantable by fire or
                        other cause, and if Landlord shall decide not to restore
                        or not to rebuild the same, or if the building  shall be
                        so damaged that Landlord  shall decide to demolish it or
                        to rebuild it,  then or in any of such  events  Landlord
                        may,  within  ninety (90) days after such fire, or other
                        cause, give Tenant a notice in writing of such decision,
                        which  notice  shall  be given  as in  Paragraph  Twelve
                        hereof  provided,  and  thereupon the term of this lease
                        shall  expire  by lapse of time upon the third day after
                        such notice is given, and Tenant shall vacate the demise
                        premises and surrender  the same to Landlord.  If Tenant
                        shall not be in default under this lease then,  upon the
                        termination of this lease under the conditions  provided
                        for  in the  sentence  immediately  preceding,  Tenant's
                        liability  for rent shall cease as of the day  following
                        the casualty. Tenant hereby expressly

                                        2

<PAGE>



                        waives  the  provisions  of  Section  227  of  the  Real
                        Property Law and agrees that the foregoing provisions of
                        this Article  shall govern and control in lieu  thereof.
                        If the  damage  or  destruction  be due to the  fault or
                        neglect of Tenant the debris shall be removed by, and at
                        the expense of, Tenant.

EMINENT DOMAIN                FIFTH.-If  the  whole or any part of the  premises
                        hereby  demise  shall  be  taken  or  condemned  by  any
                        competent  authority  for any public use or purpose then
                        the term hereby  granted  shall cease from the time when
                        possession  of the part so taken shall be  required  for
                        such public purpose and without  apportionment of award,
                        the Tenant  hereby  assigning  to the Landlord all right
                        and claim to any such award, the current rent,  however,
                        in such case to be apportioned.                         
                        

LEASE NOT IN                  SIXTH.-If,  before the  commencement  of the term,
EFFECT                  the Tenant be adjudicated a bankrupt, or make a "general
                        assignment,"  or take the benefit of any insolvent  act,
                        or  if a  Receiver  or  Trustee  be  appointed  for  the
                        Tenant's property, or if this lease or the estate of the
                        Tenant  hereunder be  transferred  or pass to or devolve
                        upon any other person or  corporation,  or if the tenant
                        shall default in the performance of any agreement by the
                        Tenant contained in any other lease to the Tenant by the
                        Landlord  or by any  corporation  of which an officer of
DEFAULTS                the Landlord is a Director, this lease shall thereby, at
                        the option of the Landlord,  be  terminated  and in that
                        case,  neither the Tenant nor anybody claiming under the
                        Tenant  shall be entitled to go into  possession  of the
                        demised premises. If after the commencement of the term,
                        any of the events  mentioned  above in this  subdivision
                        shall  occur,   or  if  Tenant  shall  make  default  in
                        fulfilling  any of the  covenants  of this lease,  other
TEN DAY NOTICE          than  the   covenants   for  the   payment  of  rent  of
                        "additional  rent"  or if the  demised  premises  become
                        vacant or deserted,  the Landlord may give to the Tenant
                        ten days'  notice of  intention  to end the term of this
                        lease, and thereupon at the expiration of said ten days'
                        (if said  condition  which was the basis of said  notice
                        shall continue to exist) the term under this lease shall
                        expire as fully and  completely  as if that day were the
                        date herein  definitely  fixed for the expiration of the
                        term and the  Tenant  will then quit and  surrender  the
                        demised  premises to the Landlord,  but the Tenant shall
                        remain liable as hereinafter provided.                  

RE POSSESSION                 If the Tenant shall make default in the payment of
BY LANDLORD             the rent reserved hereunder,  or any item of "additional
                        rent"  herein  mentioned,  or any part of  either  or in
                        making any other payment herein  provided for, or if the
                        notice last above provided for shall have been given and
                        if the  condition  which  was the  basis of said  notice
                        shall exist at the  expiration of said ten days' period,
                        the Landlord may immediately, or at any time thereafter,
                        re-enter the demised premises and remove all persons and
                        all  or  any  property  therefrom,   either  by  summary
RE-LETTING              disposess  proceedings,  or by any  suitable  action  or
                        proceeding  at law,  or by force or  otherwise,  without
                        being  liable  to  indictment,  prosecution  or  damages
                        therefor,   and   re-possess  and  enjoy  said  premises
                        together   with   all   additions,    alterations    and
                        improvements. In any such case or in the event that this
                        lease be  "terminated"  before the  commencement  of the
                        term, as above  provided,  the Landlord ma either re-let
                        the demised  premises  or any part or parts  thereof for
WAIVER BY TENANT        the  Landlord's  own account,  or may, at the Landlord's
                        option, re-let the demised premises or any part or parts
                        thereof as the agent of the                             
                        
                        
                                        3

<PAGE>


                        Tenant,  and receive the rents  therefor,  applying  the
                        same  first  to the  payment  of  such  expenses  as the
                        Landlord may have incurred,  and then to the fulfillment
                        of the covenants of the Tenant herein,  and the balance,
                        if  any,  at the  expiration  of the  term  first  above
                        provided for, shall be paid to the Tenant.  Landlord may
                        rent the premises for a term  extending  beyond the term
                        hereby  granted  without   releasing   Tenant  from  any
                        liability.  In the  event  that the  term of this  lease
                        shall  expire  as  above  in  this  subdivision  "Sixth"
                        provided,   or  terminate  by  summary   proceedings  or
                        otherwise,  and if the  Landlord  shall not  re-let  the
                        demised  premises for the Landlord's own account,  then,
                        whether or not the premises be re-let,  the Tenant shall
                        remain  liable for, and the Tenant  hereby agrees to pay
                        to the  Landlord,  until the time when this lease  would
                        have expired but for such termination or expiration, the
                        equivalent  of  the  amount  of  all  of  the  rent  and
                        "additional  rent" reserved  herein,  less the avails of
                        reletting, if any, and the same shall be due and payable
                        by the Tenant to the  Landlord on the several  rent days
                        above  specified,  that is,  upon each of such rent days
                        the  Tenant  shall  pay to the  Landlord  the  amount of
                        deficiency  then existing.  The Tenant hereby  expressly
                        waives  any and all  right  of  redemption  in case  the
                        Tenant shall be  dispossessed  by judgment or warrant of
                        any court or judge, and the Tenant waives and will waive
                        all  right to trial by jury in any  summary  proceedings
                        hereafter  instituted by the Landlord against the Tenant
                        in respect to the demised premises.  The words "re-enter
                        and  "re-entry" as used in this lease are not restricted
                        to their technical legal meaning.

REMEDIES ARE                  In the event or a breach of  threatened  breach by
CUMULATIVE              the Tenant of any of the covenants or provisions hereof,
                        the Landlord  shall have the right of injunction and the
                        right to invoke any remedy  allowed at law or in equity,
                        as if re-entry,  summary  proceedings and other remedies
                        were not herein provided for.                           
                        

LANDLORD MAY                  SEVENTH.-If  the Tenant  shall make default in the
PERFORM                 performance  of  any  covenant  herein  contained,   the
                        Landlord  may  immediately,  or at any time  thereafter,
                        without notice,  preform the same for the account of the
                        Tenant.  If a notice of mechanic's lien be filed against
                        the demised  premises  or against  premises of which the
                        demised premises are part, for, or purporting to be for,
                        labor or material alleged to have been furnished,  or to
                        be  furnished  to or  for  the  Tenant  at  the  demised
                        premises,  and if the  Tenant  shall  fail to take  such
                        action as shall cause such lien to be discharged  within
                        fifteen  days  after  the  filing  of such  notice,  the
                        Landlord  may pay the  amount of such lien or  discharge
                        the same by deposit or by  bonding  proceedings,  and in
                        the event of such  deposit or bonding  proceedings,  the
                        Landlord   may  require  the  lienor  to   prosecute  an
                        appropriate  action to enforce the  lienor's  claim.  In
                        such case,  the Landlord may pay any judgment  recovered
                        on such claim.  Any amount  paid or expense  incurred by
ADDITIONAL RENT         the  Landlord  as in  this  subdivision  of  this  lease
                        provided, and any amount as to which the Tenant shall at
                        any time be in  default  for or in respect to the use of
                        water,   electric   current  or  sprinkler   supervisory
                        service,  and any expense  incurred or sum of money paid
                        by the  Landlord  by reason of the failure of the Tenant
                        to comply with any provision hereof, or in defending any
                        such action, shall be deemed to be "additional rent" for
                        the  demised  premises,  and shall be due and payable by
                        the Tenant to the  Landlord on the first day of the next
                        following month,  or, at the option of the Landlord,  on
                        the first day of a succeeding  month. The receipt by the
                        Landlord of any instalment of the regular               
                        
                        
                                        4

<PAGE>



                        stipulated  rent  hereunder  or any of said  "additional
                        rent"  shall not be a waiver  of any  other  "additional
                        rent" then due.

AS TO WAIVERS                 EIGHTH.-The  failure of the Landlord to insist, in
                        any one or more instances  upon a strict  performance of
                        any of the  covenants of this lease,  or to exercise any
                        option  herein  contained,  shall not be  construed as a
                        waiver  or a  relinquishment  for  the  future  of  such
                        covenant  or  option,  but the same shall  continue  and
                        remain in full  force and  effect.  The  receipt  by the
                        Landlord of rent,  with  knowledge  of the breach of any
                        covenant  hereof,  shall  not be deemed a waiver of such
                        breach and no waiver by the  landlord  or any  provision
                        hereof   shall  be  deemed  to  have  been  made  unless
                        expressed  in writing and signed by the  Landlord.  Even
                        though  the  Landlord  shall  consent  to an  assignment
                        hereof  no  further  assignment  shall  be made  without
                        express consent in writing by the Landlord.

COLLECTION OF                 NINTH.-If this lease  assigned,  or if the demised
RENT FROM OTHERS        premises or any part  thereof be underlet or occupied by
                        anybody  other than the Tenant the  Landlord may collect
                        rent from the assignee,  under-tenant  or occupant,  and
                        apply  the  net  amount  collected  to the  rent  herein
                        reserved,  and no such  collection  shall  be  deemed  a
                        waiver of the covenant  herein  against  assignment  and
                        underletting,   or  the   acceptance  of  the  assignee,
                        under-tenant or occupant as tenant,  or a release of the
                        Tenant from the further performance by the Tenant of the
                        covenants herein contained on the part of the Tenant.   
                        
MORTGAGES                     TENTH.-This lease shall be subject and subordinate
                        at all times,  to the lien of the  mortgages  now on the
                        demised premises,  and to all advances made or hereafter
                        to be made upon the  security  thereof,  and subject and
                        subordinate  to the lien of any  mortgage  or  mortgages
                        which at any time may be made a lien upon the  premises.
                        The  Tenant  will   execute  and  deliver  such  further
                        instrument or  instruments  subordinating  this lease to
                        the lien of any such  mortgage or  mortgages as shall be
                        desired by any  mortgagee  or  proposed  mortgagee.  The
                        Tenant hereby appoints the Landlord the attorney-in-fact
                        of the  Tenant,  irrevocable,  to execute ad deliver any
                        such instrument or instruments for the Tenant.

IMPROVEMENTS                  ELEVENTH.-All  improvements  made by the Tenant to
                        or  upon  the  demised   premises,   except  said  trade
                        fixtures,  shall  when  made,  at once be  deemed  to be
                        attached to the freehold, and become the property of the
                        Landlord,  and at the  end or  other  expiration  of the
                        term,  shall be  surrendered  to the Landlord in as good
                        order  and  condition  as  they  were  when   installed,
                        reasonable wear and damages by the elements excepted.

NOTICES                       TWELFTH.-Any  notice  or  demand  which  under the
                        terms of this lease or under any statute  must or may be
                        given or made by the parties  hereto shall be in writing
                        and  shall  be  given  or made by  mailing  the  same by
                        certified or registered mail addressed to the respective
                        parties at the addresses set forth in this lease.

NO LIABILITY                  THIRTEENTH.-the  Landlord  shall not be liable for
                        any  failure  of water  supply  or  electrical  current,
                        sprinkler damages, or failure of sprinkler service,  nor
                        for injury or damages  to person or  property  caused by
                        the elements or by


                                        5

<PAGE>



                        other tenants or persons in said building,  or resulting
                        from steam, gas, electricity, water, rain or snow, which
                        may leak or flow  from any  part of said  buildings,  or
                        from the  pipes,  appliances  or  plumbing  works of the
                        same,  or from the  street or  sub-surface,  or from any
                        other place,  nor for  interference  with light or other
                        incorporeal  hereditaments  by  anybody  other  than the
                        Landlord, or caused by operations by or for a government
                        authority in  construction of any public or quasi-public
                        works,  neither  shall the  Landlord  be liable  for any
                        latent defect in the building.

NO ABATEMENT                  FOURTEENTH.-No  diminution  or abatement orf rent,
                        or other  compensation  shall be claimed or allowed  for
                        inconvenience  or discomfort  arising from the making of
                        repairs  or  improvements  to  the  building  or to  its
                        appliances,  nor for any space  taken to comply with any
                        law, ordinance or other of a governmental  authority. In
                        respect  to  the  various  "services,"  if  any,  herein
                        expressly  or  impliedly  agreed to be  furnished by the
                        Landlord to the Tenant, it is agreed that there shall be
                        no diminution or abatement of or impliedly  agreed to be
                        furnished  by the  Landlord to the Tenant,  it is agreed
                        that there shall be no  diminution  or  abatement of the
                        rent, or any other  compensation,  for  interruption  or
                        curtailment of such "service" when such  interruption or
                        curtailment  shall be due to  accident,  alterations  or
                        repairs   desirable  or  necessary  to  be  made  or  to
                        inability or  difficulty  in securing  supplies or labor
                        for the  maintenance  of such "service" or to some other
                        cause, not gross negligence on the part of the Landlord.
                        No  such   interruption   or  curtailment  of  any  such
                        "service" shall be deemed a constructive  eviction.  The
                        Landlord  shall  not be  required  to  furnish,  and the
                        Tenant  shall not be entitled  to  receive,  any of such
                        "services" during any period wherein the Tenant shall be
                        in default in  respect to the  payment of rent.  Neither
                        shall  there  be any  abatement  or  diminution  of rent
                        because   of  making   of   repairs,   improvements   or
                        decorations to the demised premises after the date above
                        fixed  for  the  commencement  of  the  term,  it  being
                        understood  that rent shall,  in any event,  commence to
                        run at such date so above fixed.

RULES, ETC.                   FIFTEENTH.-The Landlord may prescribe and regulate
                        the   placing  of  safes,   machinery,   quantities   of
                        merchandise  and other  things.  The  Landlord  may also
                        prescribe and regulate which elevator ad entrances shall
                        be used by the Tenant's employees,  and for the Tenant's
                        shipping.  The  Landlord may make such other and further
                        rules and  regulations  as, in the Landlord's  judgment,
                        may from time to time be needful for the safety, care or
                        cleanliness of the building, and for the preservation of
                        good order  therein.  The Tenant and the  employees  and
                        agents of the Tenant  will  observe  and  conform to all
                        such rules and regulations.

SHORING                       SIXTEENTH.-In  the event that an excavation  shall
OF WALLS                be  made  for  building  or  other  purposes  upon  land
                        adjacent   to  the   demised   premises   or   shall  be
                        contemplated  to be made, the Tenant shall afford to the
                        person or persons  causing or to cause such  excavation,
                        license  to enter  upon  the  demised  premises  for the
                        purpose  of doing  such work as said  person or  persons
                        shall  deem to be  necessary  to  preserve  the  wall or
                        walls, structure or structures upon the demised premises
                        from   injury  and  to   support   the  same  by  proper
                        foundations.                                            

VAULT SPACE                   SEVENTEENTH.-No  vaults  or space not  within  the
                        property line of the


                                        6

<PAGE>



                        building  are  leased   hereunder.   Landlord  makes  no
                        representation  as to the location of the property  line
                        of the  building.  Such vaults or space as Tenant may be
                        permitted  to use or occupy  are to be used or  occupied
                        under a revocable license and if such license be revoked
                        by the  Landlord  as to the  use of  part  or all of the
                        vaults or space  Landlord  shall not be  subject  to any
                        liability;   Tenant   shall  not  be   entitled  to  any
                        compensation  or  reduction  in rent nor  shall  this be
                        deemed constructive or actual eviction.  Any tax, fee or
                        charge of municipal or other authorities for such vaults
                        or space  shall be paid by the  Tenant for the period of
                        the Tenant's use or occupancy thereof.

ENTRY                         EIGHTEENTH.-That  during seven months prior to the
                        expiration of the term hereby granted,  applicants shall
                        be admitted at all  reasonable  hours of the day to view
                        the  premises  until  rented;  and the  Landlord and the
                        Landlord's  agents shall be permitted at any time during
                        the term to visit  and  examine  them at any  reasonable
                        hour of the day, and workmen may enter at any time, when
                        authorized b the Landlord or the Landlord's  agents,  to
                        make or facilitate  repairs in any part of the building;
                        and if the said Tenant shall not be  personally  present
                        to open and permit an entry into said  premises,  at any
                        time,  when for any  reason  an entry  therein  shall be
                        necessary or permissible hereunder,  the Landlord or the
                        Landlord's  agents may  forcibly  enter the same without
                        rendering  the  Landlord  or such  agents  liable to any
                        claim or cause of action for  damages by reason  thereof
                        (if  during  such  entry  the   Landlord   shall  accord
                        reasonable care to the Tenant's property) and without in
                        any manner  affecting the  obligations  and covenants of
                        this lease;  it is, however,  expressly  understood that
                        the  right  and  authority  hereby  reserved,  does  not
                        impose, nor does the Landlord assume, by reason thereof,
                        any responsibility or liability  whatsoever for the care
                        or supervision  of said  premises,  or any of the pipes,
                        fixtures,  appliances or appliances therein contained or
                        therewith in any manner connected.

NO                            NINETEENTH    -   The   Landlord   has   made   no
REPRESENTATIONS         representations  or promises in respect to said building
                        or to the demise premises except those contained herein,
                        and   those,   if  any,   contained   in  some   written
                        communication  to the  Tenant,  signed by the  Landlord.
                        This instrument may not be changed, modified, discharged
                        or terminated orally.                                   

ATTORNEY'S FEES               TWENTIETH.-If  the Tenant  shall at any time be in
                        default  hereunder,  and if the Landlord shall institute
                        an action or summary proceeding against the Tenant based
                        upon such  default,  then the Tenant will  reimburse the
                        Landlord  for  the  expense  of   attorneys'   fees  and
                        disbursements hereby incurred by the Landlord, so far as
                        the same are  reasonable in amount.  Also so long as the
                        Tenant  shall be a tenant  hereunder  the amount of such
                        expenses  shall  be  deemed  to  be  "additional   rent"
                        hereunder and as the Tenant shall be a tenant  hereunder
                        the amount of such expenses shall be  "additional  rent"
                        hereunder  and  shall  be due  from  the  Tenant  to the
                        Landlord  on the first day of the  month  following  the
                        incurring of such respective expenses.

POSSESSION                    TWENTY-FIRST.-Landlord  shall  not be  liable  for
                        failure  to  give   possession   of  the  premises  upon
                        commencement  date by reason  of the fact that  premises
                        are not ready for  occupancy,  or due to a prior  Tenant
                        wrongfully  holding over or any other person  wrongfully
                        in possession or for any other


                                        7

<PAGE>



                        reason:  in such event the rent shall not commence until
                        possession is given or is available, but the term herein
                        shall not be extended. 

THE TENANT FURTHER COVENANTS:

IF A FIRST FLOOR              TWENTY-SECOND.-If the demised premises or any part
                        thereof  consist of a store,  or of a first floor, or of
                        any part thereof,  the Tenant will keep the sidewalk and
                        curb in front  thereof  clean at all times and free from
                        snow and  ice,  and will  keep  insured  in favor of the
                        Landlord,  all  plate  glass  therein  and  furnish  the
                        Landlord with policies of insurance covering the same.

INCREASED FIRE                TWENTY-THIRD.-If by reason of the conduct upon the
INSURANCE RATE          demised premises of a business not herein permitted,  or
                        if by reason of the improper or careless  conduct of any
                        business upon or use of the demised  premises,  the fire
                        insurance  rate  shall  at a  time  be  higher  than  it
                        otherwise  would be, then the Tenant will  reimburse the
                        Landlord, as additional rent hereunder, for that part of
                        all fire  insurance  premiums  hereafter paid out by the
                        Landlord  which shall have been  charged  because of the
                        conduct of such business not so permitted, or because of
                        the improper or careless conduct of any business upon or
                        use  of  the  demised  premises,   and  will  make  such
                        reimbursement  upon the first day of the month following
                        such outlay by the Landlord; but this covenant shall not
                        apply to a premium for any period beyond the  expiration
                        date of this lease, first above specified. In any action
                        or  proceeding  wherein  the  Landlord  and  Tenant  are
                        parties,  a  schedule  or  "make  up" of  rate  for  the
                        building on the demise premises, purporting to have been
                        issued by New York  Fire  Insurance  Exchange,  or other
                        body  making  fire  insurance   rates  for  the  demised
                        premises,  shall be prima  facie  evidence  of the facts
                        therein  stated  and of the  several  items and  charges
                        included in the fire insurance  rate then  applicable to
                        the demised premises.                                   

WATER RENT                    TWENTY-FOURTH.-If   a  separate   water  meter  be
                        installed for the demised premises, or any part thereof,
                        the  Tenant  will  keep the same in  repair  and pay the
                        charges made by the municipality or water supply company
                        for or in respect to the  consumption  of water,  as and
                        when  bills  therefor  are  rendered.   If  the  demised
                        premises,  or any part  thereof,  be supplied with water
                        through  a meter  which  supplies  other  premises,  the
                        Tenant will pay to the  Landlord,  as and when bills are
                        rendered  therefor,  the Tenant's  proportionate part of
                        all  charges  which  the  municipality  or water  supply
                        company shall make for all water  consumed  through said
                        meter,  as indicated by said meter.  Such  proportionate
                        part  shall  be  fixed by  apportioning  the  respective
SEWER                   charge  according  to  floor  area  against  all  of the
                        rentable  floor area in the building  (exclusive  of the
                        basement)  which  shall  have been  occupied  during the
                        period of the  respective  charges,  taking into account
                        the  period  that each  part of such area was  occupied.
                        Tenant  agrees to pay as  additional  rent the  Tenant's
                        proportionate part determined as aforesaid, of the sewer
                        rent or charge  imposed or assessed upon the building of
                        which the premises are a part.                          

ELECTRIC CURRENT              TWENTY-FIFTH.-That  the Tenant will  purchase from
                        the  Landlord,  if the  Landlord  shall so  desire,  all
                        electric current that the Tenant requires at the demised
                        premises, and will pay the Landlord for the same, as the
                        amount of


                                        8

<PAGE>



                        consumption  shall be indicated  by the meter  furnished
                        therefor.  The price for said current  shall be the same
                        as that charged for  consumption  similar to that of the
                        Tenant by the company supplying  electricity in the same
                        community. Payments shall be due as and when bills shall
                        be  rendered.  The Tenant  shall comply with like rules,
                        regulations and contract  provisions as those prescribed
                        by sad company for a consumption  similar to that of the
                        Tenant.

SPRINKLER SYSTEM              TWENTY-SIXTH.-If   there   now  is  or   shall  be
                        installed  in said  building a  "sprinkler  system"  the
                        Tenant  agrees  to keep  the  appliance  thereto  in the
                        demised  premises in repair and good working  condition,
                        and if the New York  Board of Fire  Underwriters  or the
                        New  York  Fire   Insurance   Exchange  or  any  bureau,
                        department or official of the State or local  government
                        requires or recommends that any changes,  modifications,
                        alterations  or  additional  sprinkler  heads  or  other
                        equipment  be made or supplied by reason of the Tenant's
                        business, or the location of partitions, trade fixtures,
                        or other  contents of the demised  premises,  or if such
                        changes,    modifications,    alterations,    additional
                        sprinkler  heads  or  other  equipment  in  the  demised
                        premises are  necessary to prevent the  imposition  of a
                        penalty  or  charge  against  the full  allowance  for a
                        sprinkler  system in the fire insurance rate as fixed by
                        said  Exchange,  or by any Fire Insurance  Company,  the
                        Tenant will at the Tenant's own expense,  promptly  make
                        and supply  such  changes,  modifications,  alterations,
                        additional  sprinkler  heads  or  other  equipment.   As
                        additional  rent  hereunder  the Tenant  will pay to the
                        Landlord,  annually  in  advance,  throughout  the  term
                        $______________________  toward the  contract  price for
                        sprinkler supervisory service.

SECURITY                      TWENTY-SEVENTH.-The    sum   of    Six    thousand
                        ($6,000.00)  Dollars is deposited  by the Tenant  herein
                        with the  Landlord  herein as security  for the faithful
                        performance  of all the covenants and  conditions of the
                        lease  by the  said  Tenant.  If the  Tenant  faithfully
                        performs all the covenants and conditions on his part to
                        be performed,  then the sum deposited  shall be returned
                        to said Tenant.

NUISANCE                      TWENTY-EIGHTH.-This  lease is granted and accepted
                        on the especially  understood and agreed  condition that
                        the Tenant will  conduct his  business in such a manner,
                        both as regards noise and kindred nuisances,  as will in
                        no wise  interfere  with,  annoy,  or disturb  any other
                        tenants,  in the conduct of the several  businesses,  or
                        the landlord in the  management of the  building;  under
                        penalty of  forfeiture  of this lease and  consequential
                        damages.

BROKERS                       TWENTY-NINTH.-The   Landlord   hereby   recognizes
COMMISSIONS             ___________________  as the  broker who  negotiated  and
                        consummated  this  lease  with the  Tenant  herein,  and
                        agrees  that if, as and when the  Tenant  exercises  the
                        option, if any, contained herein to renew this lease, or
                        fails to exercise the option, if any,  contained therein
                        to cancel  this  lease,  the  Landlord  will pay to said
                        broker a further commission in accordance with the rules
                        and  commission  rates of the Real  Estate  Board in the
                        community. A sale, transfer, or other disposition of the
                        Landlord's  interest  in said lease shall not operate to
                        defeat  the  Landlord's   obligation  to  pay  the  said
                        commission to the said broker.  The Tenant herein hereby
                        represents to the Landlord that the said broker is the  

                                        9

<PAGE>



                        sole and only broker who negotiated and consummated this
                        lease with the Tenant.

WINDOW CLEANING               THIRTIETH.-The  Tenant  agrees  that it  will  not
                        require,  permit,  suffer, nor allow the cleaning of any
                        window,  or windows,  in the demised  premises  from the
                        outside  (within  the meaning of Section 22 of the Labor
                        Law) unless the equipment and safety devices required by
                        law, ordinance,  regulation or rule, including,  without
                        limitation,  Section 202 of the New York labor Law,  are
                        provided  and  used,  and  unless  the  rules,   or  any
                        supplemental  rules of the Industrial Board of the State
                        of New York are  fully  complied  with;  and the  Tenant
                        hereby agrees to indemnify the Landlord,  Owner,  Agent,
                        Manager  and/or  Superintendent,  as  a  result  of  the
                        Tenant's requiring,  permitting,  suffering, or allowing
                        any  window,  or windows in the  demised  premises to be
                        cleaned   from  the   outside   in   violation   of  the
                        requirements   of  the   aforesaid   laws,   ordinances,
                        regulations and/or rules.

VALIDITY                      THIRTY-FIRST.-The  validity or unenforceability of
                        any  provision  of this lease shall in no way affect the
                        validity  or   enforceability  of  any  other  provision
                        hereof.

EXECUTION &                   THIRTY-SECOND.-In order to avoid delay, this lease
DELIVERY OF LEASE       has  been  prepared  and  submitted  to the  Tenant  for
                        signature with the understanding  that it shall not bind
                        the  Landlord  unless  and  until  it  is  executed  and
                        delivered by the Landlord.                              

EXTERIOR OF                   THIRTY-THIRD.-The   Tenant  will  keep  clean  and
PREMISES                polished all metal, trim, marble and stonework which are
                        a part  of the  exterior  of the  premises,  using  such
                        materials and methods as the Landlord may direct, and if
                        the Tenant shall fail to comply with the  provisions  of
                        this  paragraph,  the Landlord may cause such work to be
                        done at the expense of the Tenant.                      

PLATE GLASS                   THIRTY-FOURTH.-The  Landlord  shall replace at the
                        expense of the  Tenant  any and all broken  glass in the
                        skylights,  doors and  walls in and  about  the  demised
                        premises.  The  Landlord may insure and keep insured all
                        plate  glass in the  skylights,  doors  and walls in the
                        demised  premises,  for and in the name of the  Landlord
                        and bills for the premiums therefor shall be rendered by
                        the Landlord to the Tenant at such times as the Landlord
                        may  elect,  and  shall be due from and  payable  by the
                        Tenant when  rendered,  and the amount  thereof shall be
                        deemed to be, and shall be paid as, additional rent.

WAR EMERGENCY                 THIRTY-FIFTH.-This  lease  and the  obligation  of
                        Tenant  to pay rent  hereunder  and  perform  all of the
                        other  covenants  and  agreements  hereunder  on part of
                        Tenant to be  performed  shall in  nowise  be  affected,
                        impaired or excused because Landlord is unable to supply
                        or is delayed in  supplying  any  service  expressly  or
                        impliedly  to be  supplied  or is unable to make,  or is
                        delayed in making any repairs, additions, alterations or
                        decorations  or is unable to  supply  or is  delayed  in
                        supplying  any  equipment  or  fixtures  if  Landlord is
                        prevented   or  delayed  from  so  doing  by  reason  of
                        governmental  preemption in  connection  with a National
                        Emergency declared by the President of the United States
                        or in connection  with any rule,  order or regulation of
                        any department or subdivision  thereof of any government
                        agency  or by  reason of the  conditions  of supply  and
                        demand  which have been or are  affected by war or other
                        emergency.

                                       10

<PAGE>



THE LANDLORD COVENANTS

QUIET POSSESSION              FIRST.-That  if and so long as the Tenant pays the
                        rent and "additional rent" reserved hereby, and performs
                        and observes the covenants and  provisions  hereof,  the
                        Tenant  shall  quietly   enjoy  the  demised   premises,
                        subject, however, to the terms of this lease, and to the
                        mortgages above mentioned,  provided however,  that this
                        covenant  shall be  conditioned  upon the  retention  of
                        title to the premises by Landlord.

ELEVATOR                      SECOND.-Subject  to the  provisions  of  Paragraph
                        "Fourteenth"   above  the  Landlord   will  furnish  the
                        following respective services:  (a) Elevator service, if
                        the building shall contain an elevator or elevators,  on
                        all days except Sundays and holidays, from _____ A.M. to
                        _____ P.M.  and on  Saturdays  from _____ A.M.  to _____
HEAT                    P.M.;  (b) Heat,  during the same hours on the same days
                        in the cold  season  in each  year.  

See Rider annexed hereto and made a part hereof.

      And it is mutually understood and agreed that the covenants and agreements
contained in the within lease shall be binding upon the parties  hereto and upon
their respective successors, heirs, executors and administrators.

      IN WITNESS WHEREOF,  the Landlord and Tenant have respectively  signed and
sealed these presents the day and year first above written.

                                    ADD-ON PROPERTIES, LLC


In presence of:                     /S/ HOWARD M. SIEGEL                 [L.S.]
                                    --------------------------------------------
                                    By: Howard M. Siegel               Landlord


                                    AMERICAN MEDICAL ALERT CORP.


                                    /S/ COREY M. ARONIN                  [L.S.]
                                    --------------------------------------------
                                    By: Corey M. Aronin                  Tenant


                                       11

<PAGE>



                                 RIDER TO LEASE

                                     BETWEEN

                       ADD-ON PROPERTIES, LLC, as Landlord

                                       and
                     AMERICAN MEDICAL ALERT CORP., as Tenant

                                    PREMISES:

                   3255 Lawson Boulevard, Oceanside, New York
                              =====================

1.AThe  Tenant  shall not  permit or allow the  placing  of  garbage  or garbage
receptacles,  containers or  otherwise,  in front of the premises or in the rear
thereof,  and agrees that any garbage,  debris or other matter or think which is
required to be removed from the  premises  shall be picked up and removed at the
Tenant's  expense.  Tenant will comply with all sanitation  requirements  of the
Town of Hempstead regarding the removal of garbage rubbish.

1.BIt  is  expressly  understood  and  agreed  that  any  and  all  alterations,
improvements,  additions  or changes  which shall be made by the Tenant shall be
done at the Tenant's own cost and expense and in full  compliance  with all laws
and ordinances,  whether federal,  state,  municipal,  local or otherwise. It is
further  understood  that the Tenant will not make any  structural  alterations,
additions or  Improvements  without the written  consent of the Landlord,  which
will not be unreasonably withheld or delayed.

1.CIt is agreed that the Tenant shall be responsible for the payment of all real
estate taxes,  including County,  Town and School affecting the subject premises
in the proportion of said premises that is occupied by the Tenant.  It is agreed
that as of the date of this Lease,  the Tenant  will  occupy  __________________
(_____%)  percent of said total premises.  The Landlord shall provide the Tenant
with copies of tax bills  received  by the  Landlord  and the Tenant  shall make
payment of said taxes within 30 days after written demand by Landlord.

1.DNotwithstanding  anything  to the  contrary  hereinbefore  set  forth,  it is
understood and agreed that the Tenant,  at its own cost and expense,  shall make
any and all repairs of any nature  whatsoever to the premises with the exception
that the Landlord  shall make  structural  repairs,  if necessary.  However,  if
structural  repairs are required by reason of the act or omission of the Tenant,
then in such  event  the  Tenant  shall  make said  repairs  at its own cost and
expense.  Tenant shall be obligated to replace, at its own cost and expense, any
window or plate glass which shall be damaged or broken in the demised  premises.
Tenant  shall  be  responsible  for  the  maintenance  and  repair  of  the  air
conditioning units and system, heating unit, lighting fixtures and plumbing, and
all other repairs unless structural and as set forth above.


<PAGE>



1.EIt is understood and agreed that the Tenant has inspected the premises herein
involved and that same are being on the part of the Landlord. At commencement of
Lease, premises will be in a state of good repair.

1.FTenant shall, at its own cost and expense, furnish heat, water, gas, electric
and all other utilities, and it is further understood and agreed that the Tenant
shall  pay the  cost  of any  meters  installed  for the  purpose  of  measuring
consumption. In the event additional electric lines and/or equipment is required
by the Tenant for its business  purposes,  the Tenant shall pay the cost of said
installation.

1.GNotwithstanding  anything  hereinbefore  contained  to the  contrary,  Tenant
agrees,  at its own cost and  expense,  to  comply  with  all of the  rules  and
regulations of the Fire Insurance Rating  Organization having  jurisdiction,  or
any similar body and the insurance  company  insuring the  premises.  If, at any
time or from time to time, as a result of or in  connection  with any failure by
Tenant to comply with the foregoing, or any act or omission or commission by the
Tenant, its employees, agents, contractors or licensees, or as a result of or in
connection  with  the use to  which  the  demised  premises  are put by  Tenant,
(notwithstanding that such use may be for the purpose hereinbefore  permitted or
that such use may have been consented to by Landlord),  the fire insurance rates
applicable to the demised  premises,  or the building in which same are located,
or to any other  premise in said  building,  shall be higher than which would be
applicable  for the present type of business,  Tenant agrees that it will pay to
the Landlord,  on demand,  as additional  rent, such portion of the premiums for
all fire  insurance  policies in force with respect to the aforesaid  properties
and the contents of any occupant thereof as shall be attributable to such higher
rates. If Tenant  installs any electrical  equipment that overloads the lines in
the demised  premises or the building in which the demised premises are located,
Tenant shall, at its own cost and expense,  make whatever  changes are necessary
to comply with the  requirements of the Board of Fire Insurance  Underwriters or
any similar body and any governmental authority having jurisdiction thereof. For
the purposes of this  paragraph,  any finding or schedule of the Fire  Insurance
Rating  Organization   having  jurisdiction   thereof  shall  be  deemed  to  be
conclusive.  Tenant shall not be required to make structural  repairs or capital
Improvements unless it relates to its operation of his business as a restaurant.

1.HThe  Tenant,  at its  own  cost  and  expense,  shall  provide  and  maintain
throughout the term of this Lease a comprehensive  general public  liability and
property damage insurance  policy naming the Landlord as an insured  thereunder,
which said policy will be in standard form  insuring  against any and all liens,
liability, damage or claim to persons and/or property and death or injury to any
persons by reason of negligence or otherwise, arising or occurring in any manner
out of the manner of use on or with respect to the premises or any appurtenances
thereto in an amount not less than  $500,000.00  in respect to injury to any one
person;  $1,000,000.00  in respect to any one  occurrence;  and  $50,000.00  for
property damage. Such policy or certificate of insurance shall be deposited with
Landlord  with proof of payment of  premiums  or  financing  arrangements.  Such
insurance  policy shall contain the standard  waiver of subrogation  provisions,
waiving  any  rights of the  insured  as against  the  Landlord  and any and all
negligence of Landlord and such insurance  shall further provide that it may not
be canceled except upon ten (10) days prior written notice to the Landlord.

1.ITenant shall remove snow and/or ice or premises and sidewalks when same exist
and  shall not in any way  obstruct  or  encumber  the  sidewalk  or rear of the
premises. Tenant shall also maintain the

                                        2

<PAGE>



sidewalk and premises free and clear of any debris or obstructions. Tenant shall
also provide at its own cost and expense professional exterminating service on a
regular basis not less than monthly.

1.JTenant,  at its own cost and expense, agrees and covenants to comply with all
laws, regulations,  notices,  ordinances and violations of the Labor Department,
and any other governmental agency having jurisdiction over the demised premises.
Any failure on the part of the Tenant's part to comply with the aforesaid  shall
be deemed a breach of a material  covenant  of this Lease.  Tenant  shall not be
compelled  to make  structural  repairs  unless  relating to its  operation as a
restaurant.

1.KNotwithstanding  anything to the contrary herein set forth,  the Tenant shall
not be  permitted  to assign  this Lease or sublet all or a part of the  demised
premises   without  the  written  consent  of  the  Landlord,   which  will  not
unreasonably be withheld. In the event the Landlord consents to an assignment or
sublease,  it is understood that the proposed  assignee or sub-lessee shall be a
reputable party of reasonable  financial worth and credit  reputation;  that the
proposed assignee or sub-lessee shall enter into an assumption agreement whereby
he  will  assume  the  terms  and  provisions  of  the  Lease  herein  on  forms
satisfactory to the Landlord; and the Tenant herein shall remain liable pursuant
to all  terms and  provisions  of this  Lease  until  the  termination  thereof,
including  payment of all rent and additional rent due and to become due dnd for
the performance of all covenants,  conditions,  agreement and terms contained in
this Lease.

1.LThe  Tenant  shall not  permit or allow any  Mechanic's  Lien or other  lien,
charge,  or order that may be filed against the premises being demised  pursuant
to this  Lease,  and in the event any such lien is filed or recorded as a result
of the actions of the Tenant,  its agents,  servants,  employees or  independent
contractors  retained by the Tenant, then in such event the Tenant shall, at its
own cost and expense,  cause said liens to be discharged of record within thirty
(30) days after notice to Tenant of the filing  thereof,  and the Tenant  herein
shall  indemnify  and save the  Landlord  harmless  against  and from all costs,
liabilities,  suits, penalties, claims and demands, including reasonable counsel
fees, resulting therefrom.

1.MAll notices to be given pursuant to this Lease shall be in writing, deposited
in the United States mail,  certified or  registered,  with postage  prepaid and
addressed to the Tenant at premises 3265 Lawson Boulevard,  Oceanside,  New York
11572 and to the Landlord at 3255 Lawson Boulevard,  Oceanside,  New York 11572,
and also to Landlord's  attorney,  Korn & Spirn,  Esqs.,  at 50 Clinton  Street,
Hempstead, New York 11550.

1.NFrom and after the date hereof,  the Tenant shall be  responsible  for curing
any violations,  of any governmental  municipality that may arise as a result of
the operation of the Tenant's business,  and shall also be responsible to obtain
any permits,  licenses, zoning variances or certificates that may be required as
a result of the conduct of Tenant's  business  at the  subject  premises.  It is
specifically  understood  and agreed that the Landlord shall not be obligated to
incur any expense in obtaining the aforesaid.

1.ONotwithstanding the provisions of Paragraph "5th" of the within Lease, in the
event  that  damage  by fire or other  elements  is so  extensive  as to  amount
practically to a total  destruction  of the building,  the Landlord may elect to
rebuild,  and this Lease shall  remain in full force and effect,  provided  such
rebuilding shall be substantially completed and the building shall be tenantable
within 120 days from

                                        3

<PAGE>



the date of such  destruction,  and  provided  further  that the  rent,  and any
additional  rent shall be abated during such period pending such  rebuilding and
completion.  Such period to rebuild shall be extended for such time during which
construction  is  delayed  because  of  adjustment  of  Tenant's  or  Landlord's
insurance or to any other delay  attributable to the Tenant,  but not beyond 180
days from such  destruction.  Notice of intention  to rebuild  shall be given by
Landlord by registered mail, return receipt  requested,  within thirty (30) days
following the date of such damage.  In the event that Landlord elects to rebuild
pursuant hereto, it shall reconstruct  building in substantially the same manner
and to the same state of  completion  that said  building was at the time of the
commencement  of this Lease and only including  items  furnished or installed by
the  Landlord  pursuant to this Lease or existing in the building as of the date
of commencement of this Lease.

1.PUpon the expiration or other  termination  of the term of this Lease,  Tenant
shall quit and surrender to the Landlord the demised  premises  broom-clean,  in
good order and condition,  reasonable  wear and tear expected,  and Tenant shall
remove all of its property from the premises. Tenant's obligation to observe and
perform his covenant  shall survive the  expiration or other  termination of the
term of this Lease.

1.QIt is hereby  expressly  understood  and agreed by and  between  the  parties
hereto, that the Tenant shall not be entitled to any abatement of rent or rental
value or  diminution  of rent in any action or summary  proceeding  between  the
parties  hereto  for  the  non-payment  of  rent  or in  any  other  actions  or
proceedings  by reason of any breach by the Landlord or any covenants  contained
in this  Lease  on its part to be  performed;  and any such  action  or  summary
proceedings  or in any other action or  proceedings  for the breach by Tenant of
any  covenant  contained  in this Lease,  the Tenant shall not have the right to
set-off by way of damages,  recoupment or counterclaim for any damages which the
Tenant may have sustained by reason of the Landlord's  failure to perform any of
the terms,  covenants and  conditions  contained in this Lease on its part to be
performed,  or for any other cause, but the said Tenant shall be relegated to an
independent action for damages and such independent action shall not at any time
be tried jointly or  consolidated  with any action or proceedings  instituted by
the Landlord.

1.RShould  the demised  premises  become  infested with vermin or rodents to the
annoyance  of  other  occupants  of the  building  or  adjoining  buildings,  or
otherwise,  as a result of Tenant's use of the premises, the same shall be cured
by the  Tenant  ten (10) days  after  notice  and  demand.  Upon the  failure or
omission  of the Tenant to remedy such  condition,  the  Landlord  may do so and
charge the cost thereof to the Tenant as additional rent.

1.SThe Tenant and Landlord agree at any time and from time to time upon not less
than ten (10) days prior written notice by the other to execute, acknowledge and
deliver to the other a statement  in writing  certifying  (a) that this Lease is
unmodified  and in full force and  effect or if there  have been  modifications,
that  the  same  is in full  force  and  effect  as  modified  and  stating  the
modifications;  (b)  whether  or not  there are then  existing  any  effects  or
defenses  against the  enforcement of any of the terms,  covenants or conditions
hereof  upon the part of the other to be perform  (and,  if so,  specifying  the
same);  and (c) the dates to which the basic  rent and other  charges  have been
paid in advance,  this paragraph may be relied upon by any prospective purchaser
or  mortgagee  of the fee of the demised  premises  or any  assignee of any such
mortgage.


                                        4

<PAGE>



1.TThe Landlord is exempt from any and all liability for any damage or injury to
person or property caused by or resulting from steam,  electricity,  gas, water,
rain, ice or snow, or any leak or flow from or into any part of said building or
from any damage or injury resulting or arising from any other cause or happening
whatsoever,  unless  said  damage  or  injury  be  caused  by or be  due  to the
negligence of the Landlord.

1.UIn the event of default by the Tenant  under any of the terms of this  Lease,
if the  Landlord  shall  engage  counsel  for the  purpose  of  effectuating  at
dispossess  or  enforcing  compliance  by the  Tenant  with any of the  Tenant's
obligations  under the terms of this Lease,  the  Landlord  shall be entitled to
recover  and  the  Tenant  shall  pay  as  additional  rent a sum  equal  to the
reasonable attorney's fees incurred by the Landlord,  provided Landlord prevails
in enforcing compliance by the Tenant.

1.VIn the event any  payment  of rent or extra rent is not paid on or before the
10th day of the month when due, Tenant shall pay as an additional  charge, a sum
equal to two (2%)  percent  of the amount  which  became due on the first day of
that month.  This is in no way to constitute  authorization to a Tenant to remit
payments otherwise than when due, but shall be applicable only in the event that
the Landlord shall accept late payment.

1.WCommencing  on October 1, 1998,  the annual  rental  shall be increased by an
amount equal to five (5%) percent of the prior year's annual rent. Thereafter on
October 1st of each succeeding  year, the annual rental shall be increased by an
amount equal to five (5%) percent above the prior year's rental.
All rents shall be paid in monthly installments.

Dated:  September 30, 1997

                                         ADD-ON PROPERTIES, LLC, Landlord


                                         By:   /S/ HOWARD M. SIEGEL
                                              HOWARD M. SIEGEL, President


                                         AMERICAN MEDICAL ALERT CORP., Tenant


                                         By: _______________________________


                                        5






STANDARD COMMERCIAL LEASE CONTRACT                               [LA VISTA LOGO]
- ----------------------------------

            THIS LEASE, made this 7th day of April,  1997, by and between Steven
E. Marcus,  first party,  (hereinafter called "Landlord");  and American Medical
Alert Corp.,  second party,  (hereinafter  called "Tenant");  and LaVista Realty
Co., Inc., third party, (hereinafter called "Agent");

                              W I T N E S S E T H :

Premises                1. The Landlord,  for and in consideration of the rents,
                  covenants, agreements, and stipulations hereinafter mentioned,
                  reserved, and contained, to be paid, kept and performed by the
                  Tenant,  has leased and  rented,  and by these  presents  does
                  lease and rent,  unto the said Tenant,  and said Tenant hereby
                  agrees to lease and take upon the terms and  conditions  which
                  hereinafter   appear,   the   following   described   property
                  (hereinafter  called  premises),  to wit  Office  space on the
                  second floor of 910 Church  Street,  Decatur,  DeKalb  County,
                  Georgia, now known as Suite Suite 203 per sketch attached. and
                  being known as  _______________.  No easement for light or air
                  is included in the premises.

Term                    2.  To  have  and  to  hold  the  same  for  a  term  of
                  twenty-four  (24) months beginning on the 1st day of May, 1997
                  and ending on the 30th day of April, 1999, at midnight, unless
                  sooner terminated as hereinafter provided.

Rental                  3. Tenant agrees to pay Landlord, by payments to LaVista
                  Realty Co., Inc. Agent of Landlord, who negotiated this lease,
                  at office of Agent in Atlanta,  Georgia, promptly on the first
                  day of each month in advance, during the term of this lease, a
                  monthly rental of one thousand four hundred  ninety-eight  and
                  33/100 dollars payable in advance.

Agent's Commission      4. The  commission  to be paid in  connection  with this
                  transaction has been negotiated between Landlord and Agent and
                  Landlord  agrees to pay Agent,  as  compensation  for services
                  rendered in procuring  this lease,  6% of rent,  and Landlord,
                  with  consent of  Tenant,  hereby  assigns to Agent  aforesaid
                  commission.  If the term of this lease is extended,  or if new
                  lease is entered  into between  Landlord  and Tenant  covering
                  leased  premises or any part  thereof,  or covering  any other
                  premises as an expansion of, or  substitute  for, the premises
                  herein  leased,  then in either of said events,  Landlord,  in
                  consideration  of Agent's having  procured  Tenant  hereunder,
                  agrees to pay Agent six (6)% under such extension,  amendment,
                  or new lease.  Agent agrees that, in the event  Landlord sells
                  leased premises,  and upon Landlord's furnishing Agent with an
                  agreement signed by Purchaser assuming Landlord's  obligations
                  to  Agent  under  this  lease,  Agent  will  release  original
                  Landlord  from any  further  obligations  to Agent  hereunder.
                  Tenant  agrees  that if this lease is validly  assigned by him
                  that he will secure from  assignee an  agreement in writing by
                  assignee recognizing  assignment held by Agent and agreeing to
                  pay rental to Agent herein named during the term of this



<PAGE>



                  lease.  Agent  is a party  to  this  contract  solely  for the
                  purpose of enforcing his rights under this paragraph and it is
                  understood  by all parties  hereto that Agent is acting solely
                  in the  capacity  as agent for  Landlord,  to whom Tenant must
                  look as  regards  all  covenants,  agreements  and  warranties
                  herein  contained,  and that  Agent  shall  never be liable to
                  Tenant in regard  to any  matter  which may arise by virtue of
                  this  lease.  Voluntary  cancellation  of this lease shall not
                  nullify  Agent's right to collect the  commission  due for the
                  remaining  term of this lease.  In the event that the premises
                  is  condemned,  or  sold  under  threat  of  and  in  lieu  of
                  condemnation,  Agent shall, on the date of receipt by Landlord
                  of the  condemnation  award or sale proceeds,  be paid Agent's
                  commission,  reduced  to its  present  cash  value at the then
                  existing legal rate of Interest,  which would otherwise be due
                  to end the term contracted for under paragraph 2 above.

Purchase of             5. In the event that tenant acquires title to the leased
Property by       premises  at any  time  during  the  term of this  lease,  any
Tenant            renewals thereof, or within six months after the expiration of
                  the term hereof or the  extended  term hereof,  then  Landlord
                  shall pay Agent a  commission  on the sale of the  property of
                  the  Landlord in lieu of any  additional  rental  commissions.
                  Such sales commission, as negotiated between parties, is to be
                  N/A.                                                          
                  
Use of Premises         7.  Premises  shall be used  for  Medical  Alert  Center
                  purposes  and no  other.  Premises  shall  not be used for any
                  illegal purposes;  nor in any manner to create any nuisance or
                  trespass;  nor any manner to vitiate the insurance or increase
                  the rate of insurance on premises.

Abandonment             8.  Tenant  agrees  not  to  abandon  or  vacate  leased
of Leased         premises  during the period of this  lease,  and agrees to use
Premises          said premises for purpose  herein leased until the  expiration
                  hereof.                                                       

Repairs by              9.  Landlord  agrees  to keep in good  repair  the roof,
Landlord          foundations,  and exterior walls of the premises (exclusive of
                  all  glass  and   exclusive  of  all  exterior   doors),   and
                  underground utility and sewer pipes outside the exterior walls
                  of the Building;  except,  repairs  rendered  necessary by the
                  negligence  of Tenant,  is  agents,  employees,  or  invitees.
                  Landlord  gives to Tenant  exclusive  control of premises  and
                  shall be under no obligation to inspect said premises.  Tenant
                  shall  promptly  report in writing to Landlord  any  defective
                  condition  known to it which  Landlord  is required to repair,
                  and  failure  to so report  such  defects  shall  make  Tenant
                  responsible to landlord for any liability incurred by Landlord
                  by reason of such defects.                                    
                  
Repairs by              10. Tenant accepts the leased  premises in their present
Tenant            condition  and as  suited  for the uses  intended  by  Tenant.
                  Tenant  shall,  throughout  the initial term of this lease and
                  all renewals thereof,  at its expense,  maintain in good order
                  and repair the leased  premises,  including  the  building and
                  other  improvements  located  thereon,  except  those  repairs
                  expressly  required  to be made  by  Landlord,  including  the
                  mowing  of  grass,   paving,   care  of  shrubs  and   general
                  landscaping.                                                  
                  

                                        2

<PAGE>



                  Tenant  agrees to return  said  premises  to  Landlord  at the
                  expiation,  or prior to termination,  of this lease in as good
                  condition and repair as when first received,  natural wear and
                  tear,  damage by storm,  fire  lightning,  earthquake or other
                  casualty alone excepted.

                        Elevators,  (if  any),  are  accepted  by  Tenant  as in
                  satisfactory  operating condition on this date, and Tenant, at
                  his  own  expense,  shall  maintain  said  elevators  in  good
                  operating  condition  during  the term of this  lease,  or any
                  extension thereof.

Destruction of,         12. If premises are totally  destroyed  by storm,  fire,
or Damage to      lightning,  earthquake  or other  casualty,  this lease  shall
Premises          terminate as of the date of such destruction, and rental shall
                  be  accounted  for as  between  Landlord  and Tenant as of the
                  date. If premises are damaged but not wholly  destroyed by any
                  such casualties,  rental shall abate in such proportion as sue
                  of premises has been  destroyed,  and Landlord  shall  restore
                  premises to substantially  the same condition as before damage
                  as  speedily  as  practicable,  whereupon  full  rental  shall
                  recommence.                                                   

Indemnity               13.  Tenant  agrees to indemnify  and save  harmless the
                  Landlord against all claims for damages to persons or property
                  by reason of the use or occupancy of the leased premises,  and
                  all expenses  incurred by Landlord because thereof,  including
                  attorneys' fees and court costs.

Governmental            14.  Tenant  agrees,  at his own  expense,  to  promptly
Orders            comply with all requirements of any legally constituted public
                  authority  made  necessary by reason of Tenant's  occupancy of
                  said  premises.  Landlord  agrees to promptly  comply with any
                  such  requirements if not made necessary by reason of Tenant's
                  occupancy.  It is mutually agreed,  however,  between Landlord
                  and Tenant, that if in order to comply with such requirements,
                  the cost to the Landlord or Tenant,  as the case may be, shall
                  exceed a sum equal to one year's rent, then Landlord or Tenant
                  who  is  obligated  to  comply  with  such   requirements   is
                  privileged to terminate this lease by giving written notice of
                  termination  to the other party,  by  registered  mail,  which
                  termination  shall  become  effective  sixty  (60) days  after
                  receipt  of such  notice,  and which  notice  shall  eliminate
                  necessity of compliance with such  requirement by party giving
                  such notice unless party  receiving such notice of termination
                  shall,  before  termination  becomes  effective,  pay to party
                  giving  notice all cost of  compliance in excess of one year's
                  rent, or secure payment of said sum in manner  satisfactory to
                  party giving notice.                                          

Condemnation            15. If the whole of the leased premises, or such portion
                  thereof as will make premises unusable for the purposes herein
                  leased, be condemned by any legally constituted  authority for
                  any public use or  purpose,  then in either of said events the
                  term hereby granted shall cease from the date when  possession
                  thereof is taken by public  authorities,  and rental  shall be
                  accounted for as between  Landlord and Tenant as of said date.
                  Such termination, however, shall be

                                        3

<PAGE>



                  without  prejudice to the rights of either Landlord and Tenant
                  to recover compensation and damage caused by condemnation from
                  the  condemnor.  It is  further  understood  and  agreed  that
                  neither the Tenant nor  Landlord  shall have any rights in any
                  award  made  to  the  other  by  an   condemnation   authority
                  notwithstanding   the  termination  of  the  lease  as  herein
                  provided. Landlord agrees to pay to Agent, from the award made
                  to  Landlord   under   condemnation,   the  balance  of  lease
                  commissions,  reduced to then present cash value,  as provided
                  in  paragraph  4 hereof,  and agent may  become a party to the
                  condemnation proceeding of the purpose of enforcing its rights
                  under this paragraph.

Assignment              16. Tenant may sublease  portions of the leased premises
and Subletting    to others provided such sublessee's operation is a part of the
                  general  operation  of Tenant  and under the  supervision  and
                  control of Tenant,  and provided such  operation is within the
                  purposes  for which  said  premises  shall be used.  Except as
                  provided in preceding sentence,  Tenant shall not, without the
                  prior written consent of Landlord endorsed hereon, assign this
                  lease or any  interest  hereunder,  or sublet  premises or any
                  part thereof, or permit the use of premises by any party other
                  than Tenant.  Consent to any  assignment or sublease shall not
                  destroy this provision, and all later assignments or subleases
                  shall be made likewise  only on the prior  written  consent of
                  Landlord.  Assignee of Tenant,  at option of  Landlord,  shall
                  become  directly  liable to Landlord  for all  obligations  of
                  Tenant  hereunder,  but no  sublease or  assignment  by Tenant
                  shall relieve Tenant of any liability hereunder.              

Removal of              17.  Tenant may (if not in default  hereunder)  prior to
Fixtures          the expiration of this lease, or any extension thereof, remove
                  all  fixtures and  equipment  which he has placed in premises,
                  provided  Tenant repairs all damage to premises caused by such
                  removal.                                                      

Cancellation            18. It is  mutually  agreed that in the event the Tenant
of Lease by       shall  default in the  payment of rent,  including  additional
Landlord          rent,  herein  reserved,  when  due,  and  fails to cure  said
                  default  within five(5) days after written notice thereof from
                  Landlord;  or if Tenant shall be in default in performing  any
                  of the  terms  or  provisions  of this  lease  other  than the
                  provision  requiring  the  payment of rent;  and fails to cure
                  such default within thirty (30) days after the date of receipt
                  of written  notice of default from  Landlord;  or if Tenant is
                  adjudicated  bankrupt; or if a permanent receiver is appointed
                  for Tenant's  property and such receiver is not removed within
                  sixty days after  written  notice  form  Landlord to Tenant to
                  obtain  such   removal;   or  if,   whether   voluntarily   or
                  involuntarily,  Tenant takes  advantage  of any debtor  relief
                  proceedings  under any present or future law, whereby the rent
                  or any part  thereof  is, or is  proposed  to be,  reduced  or
                  payment thereof deferred; or if Tenant makes an assignment for
                  benefit of creditors;  or if Tenant's effects should be levied
                  upon or attached under process against  Tenant,  not satisfied
                  or dissolved within thirty (30) days after written notice from
                  Landlord to Tenant to obtain satisfaction  thereof;  then, and
                  in any of said events,  Landlord at his option may at once, or
                  within six (6) months thereafter (but only during             

                                        4

<PAGE>



                  continuance  of such  default or  condition),  terminate  this
                  lease by written notice to Tenant;  whereupon this lease shall
                  end.  After an  authorized  assignment  or  subletting  of the
                  entire premises covered by this lease, the occurring of any of
                  the foregoing  defaults or events shall affect this lease only
                  if caused by, or happening to, the assignee or sublessee.  Any
                  notice provided in this paragraph may be given by Landlord, or
                  his attorney,  or Agent herein named. Upon such termination by
                  Landlord,  Tenant  will at once  surrender  possession  of the
                  premises  to  Landlord  and  remove  all  of  Tenant's  effect
                  therefrom;  and Landlord may  forthwith  re-enter the premises
                  and  repossess  himself  thereof,  and remove all  persons and
                  effects  therefrom,  using  such  force  as may  be  necessary
                  without being guilty of trespass,  forcible  entry or detainer
                  or other tort.

Reletting by            19.  Landlord,  as Tenant's agent,  without  terminating
Landlord          this lease,  upon Tenant's  breaching  this  contract,  may at
                  Landlord's  option  enter upon and rent  premises  at the best
                  price obtainable by reasonable  effort with advertising and by
                  private  negotiations  and for any  term  the  Landlord  deems
                  proper. Tenant shall be liable to Landlord for the deficiency,
                  if any, between Tenant's rent hereunder and the price obtained
                  by Landlord on reletting.                                     
                 
Exterior Signs          20.  Tenant shall place no signs upon the outside  walls
                  or roof of the leased premises except with the written consent
                  of the Landlord. Any and all signs placed on the within leased
                  premises by Tenant  shall be  maintained  in  compliance  with
                  rules and  regulations  governing  such  signs and the  Tenant
                  shall be  responsible  to  Landlord  for any damage  caused by
                  installation,  use, or maintenance  of said signs,  and Tenant
                  agrees  upon  removal  of said  signs  to  repair  all  damage
                  incident to such removal.

Entry for               21.  Landlord may card premises "For Rent" or "For Sale"
Carding, etc.     thirty  (30)  days  before  the  termination  of  this  lease.
                  Landlord may enter the premises at reasonable hours to exhibit
                  same to prospective  purchasers or tenants and to make repairs
                  required  of  Landlord  under  the  terms  hereof,  or to make
                  repairs to Landlord's adjoining property, if any.             

Effect of               22. No  termination  of this  lease  prior to the normal
Termination of    ending  thereof,  by lapse of time or otherwise,  shall affect
Lease             Landlord's  right  to  collect  rent for the  period  prior to
                  termination thereof.                                          

Mortgagee's             23.  Tenant's  rights  shall be subject to any bona fide
Rights            mortgage or deed to secure debt which is now, or may hereafter
                  be, placed upon the premises by Landlord.                     

No Estate In            24.  This  contract  shall  create the  relationship  of
Land              Landlord  and Tenant  between  the parties  hereto;  no estate
                  shall pass out of  Landlord.  Tenant has only a usufruct,  not
                  subject to levy and sale,  and not assignable by Tenant except
                  by Landlord's Consent.                                        


                                        5

<PAGE>



Holding Over            25. If Tenant  remains in possession  of premises  after
                  expiration of the term hereof,  with  Landlord's  acquiescence
                  and without any express agreement of parties,  Tenant shall be
                  a tenant at will at rental rate in effect at end of lease; and
                  there shall be no renewal of this lease by operation law.

Attorney's Fees         26. If any rent owing under this lease is  collected  by
and Homestead     or  through  an  attorney  at law,  Tenant  agrees  to apy ten
                  percent (10%) thereof as  attorneys'  fees.  Tenant waives all
                  homestead  rights and  exemptions  which he may have under any
                  law as against any obligation  owing under this lease.  Tenant
                  hereby assigns to Landlord his homestead and exemption.       

Rights                  27.  All  rights,   powers  and   privileges   conferred
Cumulative        hereunder  upon  parties  hereto shall be  cumulative  but not
                  restrictive to those given by law.                            

Service of              28.  Tenant  hereby  appoints  as his  agent to  receive
Notice            service of dispossessory or distraint  proceedings and notices
                  hereunder,  and all notices  required  under this  lease,  the
                  person in charge of leased  premises at the time, or occupying
                  said premises;  and if no person is in charge of, or occupying
                  said  premises,  then such  service  or notice  may be made by
                  attaching  the same on the main entrance to said  premises.  A
                  copy of all  notices  under this  lease  shall also be sent to
                  Tenant's last known address, if different from said premises. 

Waiver of               29. No failure of Landlord  to exercise  any power given
Rights            Landlord  hereunder,  or to insist upon strict  compliance  by
                  Tenant  with  his  obligations  hereunder,  and no  custom  or
                  practice  of the  parties at  variance  with the terms  hereof
                  shall  constitute a waiver of Landlord's right to demand exact
                  compliance with the terms hereof.                             

Time of                 30. Time is of the essence of this agreement.
Essence

Definitions             31. "Landlord" as used in this lease shall include first
                  party, his heirs,  representatives,  assigns and successors in
                  title to premises.  "Tenant" shall include  second party,  his
                  heirs and representatives,  and if this lease shall be validly
                  assigned or sublet,  shall  include  also Tenant  assignees or
                  sublessees,  as to  premises  covered  by such  assignment  or
                  sublease.  "Agent" shall include third party,  his successors,
                  assigns, heirs, and representatives. "Landlord", "Tenant", and
                  "Agent",   include  male  and  female,  singular  and  plural,
                  corporation,   partnership  or  individual,  as  may  fit  the
                  particular parties.

Special                 In so far as the  following  stipulations  conflict with
Stipulations      any of the foregoing provisions, the following shall control: 

                        32.  Landlord  shall  furnish,  at no expense to Tenant,
                  lights, electricity,  gas, hall and stair alarm and janitorial
                  service as presently furnished in the building. Landlord shall
                  maintain heating and air conditioning units.

                                        6

<PAGE>




            This lease  contains the entire  agreement of the parties hereto and
no  representationss,  inducements,  promises or agreements,  oral or otherwise,
between the parties, not embodied herein, shall be of any force or effect.

            IN WITNESS WHEREOF, the parties herein have hereunto set their hands
and seals, in triplicate, the day and year first above written.

Signed, sealed and delivered as 
to Landlord, in the presence of:

                                          /S/ STEVEN E. MARCUS            (Seal)
- ----------------------------              ------------------------------------
                                          (Landlord) Steven E. Marcus

                                                                          (Seal)
- ----------------------------              ------------------------------------
       Notary Public                      (Landlord)


Signed, sealed and delivered as
to Tenant, in the presence of:            American Medical Alert Corp.

                                          By:/S/COREY M. ARONIN           (Seal)
- ----------------------------              ------------------------------------
                                          (Tenant)  Chief Financial Officer


                                                                          (Seal)
- ----------------------------              ------------------------------------
      Notary Public                       (Tenant)


Signed, sealed and delivered as
to Tenant, in the presence of:            ------------------------------------
                                          La Vista Realty Co., Inc.

                                          By:                             (Seal)
- ----------------------------              ------------------------------------
                                               Agent


                                        7



<PAGE>


                                TRANSFER OF LEASE

            For, and in consideration of the sum of One Dollar ($1.00),  each to
the other  paid,  receipt of which is hereby  acknowledged,  and other  valuable
considerations,   ______________________   hereby   transfers   and  assigns  to
___________________________  all  _______________________  rights  and  benefits
under   a    written    lease    from________________________________________to,
___________________________________,  dated  _______________,  19____,  covering
premises    knows    as    _____________________,    Atlanta,    Georgia,    and
___________________________________  hereby accepts said transfer and assignment
and agrees to comply with all of Landlord's  covenants and agreements under said
lease with both Tenant and Agent therein named.

            In WITNESS  WHEREOF,  the undersigned  have hereunto set their hands
and seals, in triplicate, this day of _________________, 19____

Signed, sealed and delivered as 
to Seller, in the presence of:


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

                                                                          (Seal)
- ----------------------------------       ---------------------------------
           Notary Public                 (Seller)

                                                                          (Seal)
                                         ---------------------------------      
                                         (Seller)                               


Signed, sealed and delivered as to 
Purchaser, in the presence of:


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

                                                                          (Seal)
- ----------------------------------       ---------------------------------
           Notary Public                 (Seller)

                                                                          (Seal)
                                         ---------------------------------      
                                         (Seller)                               


                                        8

<PAGE>



                                RELEASE BY AGENT

GEORGIA,                           COUNTY

            In   consideration   of   ________________________   having  assumed
_____________________     obligation     to    Agent     under     lease    from
________________________ to _____________________  dated  _____________________,
19____,  covering  premises located at  ____________________  Atlanta,  Georgia,
Agent   hereby   releases    ________________________   from   _________________
obligations to Agent under said lease.

            IN WITNESS WHEREOF, said Agent has hereunto set his hand and affixed
his seal, in triplicate, this day of _____________________, 19______.

Signed, sealed and delivered in the presence 
of:


                                                                          (Seal)
- ----------------------------------       ---------------------------------
                                         Agent)


- ----------------------------------
Notary Public



                                        9







                         AMENDMENT TO THE ORIGINAL LEASE
                         -------------------------------



To          -           American Medical Alert Corporation


The new lease is in affect  as of July 1st,  1997,  for a period of (3) years to
June 30, 2000.

The new rent will be $1,386.00 per month.




Lessee                                          Lessor


- ---------------------------                     -----------------------------
American Medical Alert Corp.                    Bank One as trustee under
Chief Financial Officer                         trust # 4812







                                                           
                             1997 STOCK OPTION PLAN
                                       of
                          AMERICAN MEDICAL ALERT CORP.

1.  PURPOSES OF THE PLAN.  This stock  option  plan (the  "Plan") is designed to
provide an incentive to key employees  (including directors and officers who are
key  employees)  and to  consultants  and  directors  who are not  employees  of
American Medical Alert Corp., a New York corporation (the "Company"),  or any of
its  Subsidiaries  (as such term is defined in  Paragraph  19),  and to offer an
additional  inducement in obtaining the services of such  individuals.  The Plan
provides for the grant of "incentive stock options"  ("ISOs") within the meaning
of Section 422 of the Internal  Revenue Code of 1986,  as amended (the  "Code"),
and  nonqualified  stock  options  which do not qualify as ISOs  ("NQSOs").  The
Company  makes no  representation  or  warranty,  express or implied,  as to the
qualification of any option as an "incentive stock option" under the Code.

2. STOCK  SUBJECT TO THE PLAN.  Subject to the  provisions  of Paragraph 12, the
aggregate  number of shares of Common  Stock,  $.01 par value per share,  of the
Company  ("Common  Stock") for which options may be granted under the Plan shall
not exceed  750,000.  Such shares of Common Stock may, in the  discretion of the
Board of Directors of the Company (the "Board of Directors"),  consist either in
whole or in part of authorized but unissued  shares of Common Stock or shares of
Common Stock held in the treasury of the Company.  Subject to the  provisions of
Paragraph  13, any  shares of Common  Stock  subject to an option  which for any
reason expires, is canceled or is terminated unexercised or which ceases for any
reason to be  exercisable  shall  again  become  available  for the  granting of
options  under the Plan.  The Company  shall at all times during the term of the
Plan reserve and keep available such number of shares of Common Stock as will be
sufficient to satisfy the requirements of the Plan.

3.  ADMINISTRATION  OF THE PLAN. The Plan shall be  administered by the Board of
Directors or a committee of the Board of Directors (the "Committee")  consisting
of not  less  than  three  directors,  each of  whom  shall  be a  "non-employee
director"  within the  meaning of Rule 16b-3  promulgated  under the  Securities
Exchange Act of 1934,  as amended (as the same may be in effect and  interpreted
from time to time, "Rule 16b-3").  Unless  otherwise  provided in the By-Laws of
the  Company or by  resolution  of the Board of  Directors,  a  majority  of the
members of the Committee shall  constitute a quorum,  and the acts of a majority
of the members present at any meeting at which a quorum is present, and any acts
approved in writing by all members  without a meeting,  shall be the acts of the
Committee.

            Subject to the express  provisions of the Plan, the Committee  shall
have the authority,  in its sole discretion,  to determine the persons who shall
be granted options; the times when they shall receive options; whether an option
granted to an employee shall be an ISO or a NQSO; the number


<PAGE>



of shares of Common Stock to be subject to each option; the term of each option;
the date each  option  shall  become  exercisable;  whether  an option  shall be
exercisable in whole or in installments,  and, if in installments, the number of
shares  of  Common  Stock  to  be  subject  to  each  installment;  whether  the
installments  shall  be  cumulative;  the date  each  installment  shall  become
exercisable and the term of each installment;  whether to accelerate the date of
exercise of any option or  installment;  whether  shares of Common  Stock may be
issued upon the exercise of an option as partly paid, and, if so, the dates when
future  installments  of the exercise  price shall become due and the amounts of
such installments; the exercise price of each option; the form of payment of the
exercise  price;  the fair market value of a share of Common Stock;  whether and
under what conditions to restrict the sale or other disposition of the shares of
Common Stock  acquired  upon the  exercise of an option and, if so,  whether and
under what  conditions  to waive any such  restriction;  whether  and under what
conditions  to subject  the  exercise  of all or any portion of an option to the
fulfillment  of  certain  restrictions  or  contingencies  as  specified  in the
contract  referred  to in  Paragraph  11  (the  "Contract"),  including  without
limitation,  restrictions or contingencies  relating to entering into a covenant
not to  compete  with the  Company,  its  Parent  (as such  term is  defined  in
Paragraph 19) and Subsidiaries,  to financial objectives for the Company, any of
its  Subsidiaries,  a division,  a product  line or other  category,  and/or the
period of continued  employment  of the optionee  with the Company or any of its
Subsidiaries,  and to determine whether such restrictions or contingencies  have
been met;  the  amount,  if any,  necessary  to satisfy  the  obligation  of the
Company, any of its Subsidiaries or a Parent to withhold taxes or other amounts;
whether an optionee is Disabled (as such term is defined in Paragraph  19); with
the consent of the  optionee,  to cancel or modify an option,  PROVIDED that the
modified  provision is permitted to be included in an option  granted  under the
Plan on the date of the modification,  and PROVIDED FURTHER, that in the case of
a  modification  (within the  meaning of Section  424(h) of the Code) of an ISO,
such option as  modified  would be  permitted  to be granted on the date of such
modification  under the terms of the Plan; to construe the respective  Contracts
and the Plan; to prescribe,  amend and rescind rules and regulations relating to
the Plan; to approve any  provision of the Plan or any option  granted under the
Plan or any amendment to either which,  under Rule 16b- 3, requires the approval
of the  Board  of  Directors,  a  committee  of  non-employee  directors  or the
shareholders to be exempt (unless otherwise  specifically  provided herein); and
to make all other  determinations  necessary or advisable for  administering the
Plan.  Any  controversy  or claim  arising out of or  relating to the Plan,  any
option granted under the Plan or any Contract  shall be determined  unilaterally
by the Committee in its sole discretion.  The determinations of the Committee on
the matters  referred to in this  Paragraph 3 shall be conclusive and binding on
the parties.

            No member or former member of the Committee  shall be liable for any
action or  determination  made in good  faith  with  respect  to the Plan or any
option  granted  hereunder.  In addition,  each member and former  member of the
Committee shall be indemnified and held harmless by the Company from and against
any liability,  claim for damages and expenses in connection therewith by reason
of any action or failure to act under or in connection with the Plan, any option
granted  hereunder or any Contract to the fullest extent  permitted with respect
to directors  under the  Company's  certificate  of  incorporation,  By-Laws and
applicable law.

4.  ELIGIBILITY.  The  Committee  may  from  time to time,  consistent  with the
purposes of the Plan,  grant options to such key employees  (including  officers
and directors who are key employees)  of, or consultants  to, the Company or any
of its  Subsidiaries,  and to such  directors of the Company who, at the time of
grant, are not common law employees of the Company or of any of its


<PAGE>



Subsidiaries,  as the  Committee  may  determine  in its sole  discretion.  Such
options  granted  shall  cover  such  number of  shares  of Common  Stock as the
Committee  may determine in its sole  discretion;  PROVIDED,  HOWEVER,  that the
maximum  number of shares subject to options that may be granted to any employee
during any calendar  year under the Plan shall be 250,000  shares;  and PROVIDED
FURTHER that the aggregate  market value  (determined  at the time the option is
granted) of the shares of Common  Stock for which any  eligible  employee may be
granted ISOs under the Plan or any other plan of the Company,  or of a Parent or
a Subsidiary of the Company,  which are  exercisable  for the first time by such
optionee  during any calendar year shall not exceed  $100,000.  The $100,000 ISO
limitation  shall be applied by taking  ISOs into  account in the order in which
they were granted. Any option (or the portion thereof) granted in excess of such
ISO limitation amount shall be treated as a NQSO to the extent of such excess.

5. EXERCISE  PRICE.  The exercise price of the shares of Common Stock under each
option shall be determined by the  Committee in its sole  discretion;  PROVIDED,
HOWEVER,  that the  exercise  price of an ISO  shall  not be less  than the fair
market  value of the Common  Stock  subject to such option on the date of grant;
and PROVIDED  FURTHER that if, at the time an ISO is granted,  the optionee owns
(or is deemed to own under  Section  424(d) of the Code) stock  possessing  more
than 10% of the  total  combined  voting  power of all  classes  of stock of the
Company,  of any of its Subsidiaries or of a Parent,  the exercise price of such
ISO shall not be less than 110% of the fair  market  value of the  Common  Stock
subject to such ISO on the date of grant.

            The fair market value of a share of Common Stock on any day shall be
(a) if the  principal  market  for the  Common  Stock is a  national  securities
exchange,  the average of the highest and lowest  sales  prices per share of the
Common Stock on such day as reported by such exchange or on a consolidated  tape
reflecting  transactions on such exchange,  (b) if the principal  market for the
Common  Stock is not a national  securities  exchange  and the  Common  Stock is
quoted on the Nasdaq  Stock  Market  ("Nasdaq"),  and (i) if actual  sales price
information  is available  with respect to the Common Stock,  the average of the
highest  and lowest  sales  prices per share of the Common  Stock on such day on
Nasdaq, or (ii) if such information is not available, the average of the highest
bid and the lowest  asked  prices per share for the Common  Stock on such day on
Nasdaq,  or (c) if the  principal  market for the Common Stock is not a national
securities exchange and the Common Stock is not quoted on Nasdaq, the average of
the highest bid and lowest  asked  prices per share for the Common Stock on such
day as  reported on the OTC  Bulletin  Board  Service or by  National  Quotation
Bureau,  Incorporated or a comparable service; PROVIDED that if clauses (a), (b)
and (c) of this Paragraph are all  inapplicable,  or if no trades have been made
or no quotes are  available  for such day,  the fair market  value of a share of
Common Stock shall be determined by the Committee by any method  consistent with
applicable  regulations  adopted by the  Treasury  Department  relating to stock
options.

6. TERM.  Each option granted  pursuant to the Plan shall be for such term as is
established by the Committee, in its sole discretion, at or before the time such
option is granted; PROVIDED, HOWEVER, that the term of each ISO granted pursuant
to the Plan shall be for a period not  exceeding 10 years from the date of grant
thereof,  and  PROVIDED  FURTHER  that if,  at the time an ISO is  granted,  the
optionee  owns (or is  deemed  to own under  Section  424(d) of the Code)  stock
possessing  more than 10% of the total  combined  voting power of all classes of
stock of the Company, of any of its Subsidiaries or


<PAGE>



of a Parent,  the term of the ISO shall be for a period not exceeding five years
from the date of grant.  Options  shall be  subject to  earlier  termination  as
hereinafter provided.

7.  EXERCISE.  An  option  (or any  installment  thereof),  to the  extent  then
exercisable,  shall be exercised by giving  written notice to the Company at its
principal office stating which option is being exercised,  specifying the number
of  shares of  Common  Stock as to which  such  option  is being  exercised  and
accompanied by payment in full of the aggregate  exercise price therefor (or the
amount due on exercise if the applicable Contract permits installment  payments)
(a) in cash  and/or  by  certified  check or (b) with the  authorization  of the
Committee,  with cash, a certified check and/or with previously  acquired shares
of Common Stock, having an aggregate fair market value (determined in accordance
with  Paragraph  5), on the date of exercise,  equal to the  aggregate  exercise
price of all options being  exercised;  PROVIDED,  HOWEVER,  that in no case may
shares be tendered if such  tender  would  require the Company to incur a charge
against its earnings for financial accounting purposes.

            The Committee  may, in its sole  discretion,  permit  payment of the
exercise  price of an option by delivery by the optionee of a properly  executed
notice,  together  with  a copy  of his  irrevocable  instructions  to a  broker
acceptable  to the  Committee  to deliver  promptly to the Company the amount of
sale or loan  proceeds  sufficient  to pay such  exercise  price.  In connection
therewith, the Company may enter into agreements for coordinated procedures with
one or more brokerage firms.

            An optionee shall not have the rights of a shareholder  with respect
to such  shares of Common  Stock to be received  upon the  exercise of an option
until the date of issuance of a stock  certificate to him for such shares or, in
the case of uncertificated  shares, until the date an entry is made on the books
of the Company's  transfer agent  representing such shares;  PROVIDED,  HOWEVER,
that until such  stock  certificate  is issued or until such book entry is made,
any optionee using  previously  acquired shares of Common Stock in payment of an
option  exercise price shall  continue to have the rights of a shareholder  with
respect to such previously acquired shares.

            In no case may a fraction of a share of Common Stock be purchased or
issued under the Plan.

8. TERMINATION OF RELATIONSHIP. Except as may otherwise be expressly provided in
the  applicable   Contract,   any  optionee   whose   employment  or  consulting
relationship  with the Company (and its Parent and  Subsidiaries) has terminated
for any reason other than the death or  Disability  of the optionee may exercise
any  option  granted  to  him  as an  employee  or  consultant,  to  the  extent
exercisable  on the date of such  termination,  at any time within  three months
after the date of termination, but not thereafter and in no event after the date
the  option  would  otherwise  have  expired;  PROVIDED,  HOWEVER,  that if such
relationship  is terminated  either (a) for cause, or (b) without the consent of
the Company, such option shall terminate immediately. Except as may otherwise be
expressly provided in the applicable Contract, options granted under the Plan to
an employee or consultant of the Company or any of its Subsidiaries shall not be
affected by any change in the status of the holder so long as he continues to be
an  employee  or a  consultant  of  the  Company,  its  Parent  or  any  of  the
Subsidiaries  (regardless  of a change in status from one to the other or having
been transferred from one corporation to another).



<PAGE>



            For the purposes of the Plan,  an employment  relationship  shall be
deemed to exist between an individual  and a corporation  if, at the time of the
determination,  the individual was an employee of such  corporation for purposes
of Section  422(a) of the Code. As a result,  an  individual  on military,  sick
leave or other bona fide leave of absence  shall  continue to be  considered  an
employee  for  purposes of the Plan during such leave if the period of the leave
does not exceed 90 days,  or, if longer,  so long as the  individual's  right to
reemployment  with the  corporation,  any of its  Subsidiaries  or a  Parent  is
guaranteed  either by statute or by contract.  If the period of leave exceeds 90
days and the individual's  right to reemployment is not guaranteed by statute or
by contract,  the employment  relationship shall be deemed to have terminated on
the 91st day of such leave.

            Except as may  otherwise  be  expressly  provided in the  applicable
Contract, an optionee whose directorship with the Company has terminated for any
reason other than his death or  Disability  may exercise the options  granted to
him as a director who was not an employee of or consultant to the Company or any
of its Subsidiaries,  to the extent exercisable on the date of such termination,
at any  time  within  three  months  after  the  date  of  termination,  but not
thereafter  and in no event  after  the date the  option  would  otherwise  have
expired;  PROVIDED,  HOWEVER,  that if his directorship is terminated for cause,
such option shall terminate immediately.

            Nothing  in the Plan or in any option  granted  under the Plan shall
confer on any person any right to continue in the employ or as a  consultant  of
the  Company,  its Parent or any of its  Subsidiaries,  or as a director  of the
Company,  or interfere  in any way with any right of the Company,  its Parent or
any of its  Subsidiaries  to  terminate  such  relationship  at any time for any
reason  whatsoever  without  liability to the Company,  its Parent or any of its
Subsidiaries.

9. DEATH OR  DISABILITY  OF AN  OPTIONEE.  Except as may  otherwise be expressly
provided  in the  applicable  Contract,  if an  optionee  dies  (a)  while he is
employed  by,  or a  consultant  to,  the  Company,  its  Parent  or  any of its
Subsidiaries, (b) within three months after the termination of his employment or
consulting  relationship  with the  Company,  its  Parent  and its  Subsidiaries
(unless such termination was for cause or without the consent of the Company) or
(c) within one year following the  termination of such  employment or consulting
relationship  by reason of his  Disability,  the  options  granted  to him as an
employee of, or consultant  to, the Company or any of its  Subsidiaries,  may be
exercised,  to the extent  exercisable  on the date of his  death,  by his Legal
Representative (as such term is defined in Paragraph 19), at any time within one
year after death,  but not  thereafter and in no event after the date the option
would otherwise have expired.  Except as may otherwise be expressly  provided in
the  applicable   Contract,   any  optionee   whose   employment  or  consulting
relationship with the Company, its Parent and its Subsidiaries has terminated by
reason of his  Disability may exercise such options,  to the extent  exercisable
upon the effective date of such  termination,  at any time within one year after
such date,  but not  thereafter  and in no event after the date the option would
otherwise have expired.

            Except as may  otherwise  be  expressly  provided in the  applicable
Contract,  if an optionee  dies (a) while he is a director of the  Company,  (b)
within three months after the termination of his  directorship  with the Company
(unless  such  termination  was for  cause)  or (c)  within  one year  after the
termination of his directorship by reason of his Disability, the options granted
to him as a director who was not an employee of or  consultant to the Company or
any of its Subsidiaries, may be exercised, to the extent exercisable on the date
of his death, by his Legal Representative at any

<PAGE>



time within one year after death,  but not  thereafter and in no event after the
date the  option  would  otherwise  have  expired.  Except as may  otherwise  be
expressly  provided in the applicable  Contract,  an optionee whose directorship
with the Company has  terminated  by reason of  Disability,  may  exercise  such
options, to the extent exercisable on the effective date of such termination, at
any time  within one year after such date,  but not  thereafter  and in no event
after the date the option would otherwise have expired.

10.  COMPLIANCE WITH  SECURITIES  LAWS. It is a condition to the exercise of any
option that either (a) a  Registration  Statement  under the  Securities  Act of
1933, as amended (the  "Securities  Act"),  with respect to the shares of Common
Stock to be issued upon such exercise shall be effective and current at the time
of exercise, or (b) there is an exemption from registration under the Securities
Act for the issuance of the shares of Common Stock upon such  exercise.  Nothing
herein shall be construed as requiring the Company to register shares subject to
any  option  under  the  Securities  Act or to keep any  Registration  Statement
effective or current.

            The Committee may require, in its sole discretion, as a condition to
the grant or exercise of an option, that the optionee execute and deliver to the
Company  his  representations  and  warranties,  in form,  substance  and  scope
satisfactory  to the Committee,  which the Committee  determines is necessary or
convenient to facilitate the  perfection of an exemption  from the  registration
requirements of the Securities Act,  applicable  state  securities laws or other
legal requirement,  including without limitation,  that (a) the shares of Common
Stock to be  issued  upon  exercise  of the  option  are being  acquired  by the
optionee for his own  account,  for  investment  only and not with a view to the
resale or distribution thereof, and (b) any subsequent resale or distribution of
shares of Common  Stock by such  optionee  will be made only  pursuant  to (i) a
Registration  Statement  under the Securities Act which is effective and current
with  respect  to the  shares of Common  Stock  being  sold,  or (ii) a specific
exemption  from the  registration  requirements  of the  Securities  Act, but in
claiming such  exemption,  the  optionee,  prior to any offer of sale or sale of
such shares of Common Stock,  shall provide the Company with a favorable written
opinion of counsel  satisfactory  to the Company,  in form,  substance and scope
satisfactory to the Company,  as to the  applicability  of such exemption to the
proposed sale or distribution.

            In addition,  if at any time the Committee  shall determine that the
listing or qualification of the shares of Common Stock subject to such option on
any securities exchange, Nasdaq or under any applicable law, or that the consent
or approval of any  governmental  agency or  regulatory  body,  is  necessary or
desirable as a condition to, or in connection with, the granting of an option or
the  issuance  of shares of Common  Stock  thereunder,  such  option  may not be
granted  or  exercised  in  whole or in part,  as the case may be,  unless  such
listing, qualification, consent or approval shall have been effected or obtained
free of any conditions not acceptable to the Committee.

11. STOCK  OPTION  CONTRACTS.  Each option shall be evidenced by an  appropriate
Contract  which shall be duly  executed by the  Company and the  optionee.  Such
Contract shall contain such terms,  provisions  and conditions not  inconsistent
herewith as may be determined by the Committee in its sole discretion. The terms
of each option and Contract need not be identical.

12.  ADJUSTMENTS  UPON  CHANGES  IN  COMMON  STOCK.  Notwithstanding  any  other
provision  of the Plan,  in the event of any  change in the  outstanding  Common
Stock by reason of a


<PAGE>



stock dividend,  recapitalization,  merger in which the Company is the surviving
corporation,  spinoff,  split-up,  combination or exchange of shares or the like
which  results in a change in the number or kind of shares of Common Stock which
is outstanding immediately prior to such event, the aggregate number and kind of
shares subject to the Plan,  the aggregate  number and kind of shares subject to
each outstanding  option and the exercise price thereof,  and the maximum number
of shares subject to options that may be granted to any employee in any calendar
year,  shall  be  appropriately  adjusted  by  the  Board  of  Directors,  whose
determination  shall be  conclusive  and  binding on all parties  thereto.  Such
adjustment  may  provide for the  elimination  of  fractional  shares that might
otherwise be subject to options without payment therefor.

            In the event of (a) the  liquidation  or dissolution of the Company,
(b) a  merger  in  which  the  Company  is not the  surviving  corporation  or a
consolidation,  or (c) any  transaction (or series of related  transactions)  in
which  (i) more  than 50% of the  outstanding  Common  Stock is  transferred  or
exchanged  for other  consideration  or (ii) shares of Common Stock in excess of
the  number of shares of Common  Stock  outstanding  immediately  preceding  the
transaction  are issued (other than to  shareholders of the Company with respect
to  their  shares  of stock  in the  Company),  any  outstanding  options  shall
terminate  upon the earliest of any such event,  unless other  provision is made
therefor in the transaction.

13. AMENDMENTS AND TERMINATION OF THE PLAN. The Plan was adopted by the Board of
Directors on April 4, 1997.  No option may be granted under the Plan after April
3, 2007.  The Board of  Directors,  without  further  approval of the  Company's
shareholders,  may at any time  suspend or  terminate  the Plan,  in whole or in
part, or amend it from time to time in such  respects as it may deem  advisable,
including  without  limitation,  in order that ISOs granted  hereunder  meet the
requirements  for  "incentive  stock options" under the Code, to comply with the
provisions of Rule 16b-3  promulgated  the Exchange Act or Section 162(m) of the
Code or any change in applicable law or regulation,  ruling or interpretation of
any governmental agency or regulatory body; PROVIDED, HOWEVER, that no amendment
shall  be  effective  without  the  requisite  prior or  subsequent  shareholder
approval which would (a) except as  contemplated  in Paragraph 12,  increase the
maximum  number of shares of Common Stock for which options may be granted under
the Plan or change the maximum number of shares for which options may be granted
to employees in any calendar year, (b) change the eligibility  requirements  for
individuals  entitled to receive  options  hereunder  or (c) make any change for
which  applicable  law or any  governmental  agency or regulatory  body requires
shareholder approval. No termination,  suspension or amendment of the Plan shall
adversely  affect the rights of an optionee  under any option  granted under the
Plan without such optionee's consent. The power of the Committee to construe and
administer  any  option  granted  under  the Plan  prior to the  termination  or
suspension  of the Plan shall  continue  after such  termination  or during such
suspension.

14. NON  TRANSFERABILITY  OF OPTIONS.  No option granted under the Plan shall be
transferable  other than by will or the laws of descent  and  distribution,  and
options  may be  exercised,  during the  lifetime of the  optionee,  only by the
optionee  or his Legal  Representatives.  Except to the extent  provided  above,
options may not be assigned,  transferred,  pledged, hypothecated or disposed of
in any way (whether by operation of law or  otherwise)  and shall not be subject
to execution,  attachment or similar process, and any such attempted assignment,
transfer, pledge,  hypothecation or disposition shall be null and void AB INITIO
and of no force or effect.



<PAGE>



15. WITHHOLDING TAXES. The Company,  or its Subsidiary or Parent, as applicable,
may withhold (a) cash or (b) with the consent of the Committee, shares of Common
Stock to be issued  upon  exercise  of an option  or a  combination  of cash and
shares,  having an aggregate fair market value  (determined  in accordance  with
Paragraph 5) equal to the amount which the Committee  determines is necessary to
satisfy  the  obligation  of the  Company,  a  Subsidiary  or Parent to withhold
Federal, state and local income taxes or other amounts incurred by reason of the
grant,  vesting,  exercise or disposition of an option or the disposition of the
underlying  shares of Common Stock.  Alternatively,  the Company may require the
optionee to pay to the Company such amount, in cash,  promptly upon demand.  The
Company  shall not be required to issue any shares of Common  Stock  pursuant to
any such option until all required payments have been made.

16. LEGENDS; PAYMENT OF EXPENSES. The Company may endorse such legend or legends
upon the  certificates  for shares of Common  Stock  issued upon  exercise of an
option  under the Plan and may issue such "stop  transfer"  instructions  to its
transfer  agent  in  respect  of  such  shares  as it  determines,  in its  sole
discretion,  to be necessary or appropriate to (a) prevent a violation of, or to
perfect an exemption from, the registration  requirements of the Securities Act,
applicable state securities laws or other legal requirements,  (b) implement the
provisions  of the Plan or any  agreement  between the Company and the  optionee
with  respect to such  shares of Common  Stock,  or (c)  permit  the  Company to
determine  the  occurrence  of a  "disqualifying  disposition,"  as described in
Section 421(b) of the Code, of the shares of Common Stock  transferred  upon the
exercise of an ISO granted under the Plan.

            The  Company  shall  pay all  issuance  taxes  with  respect  to the
issuance of shares of Common Stock upon the exercise of an option  granted under
the Plan, as well as all fees and expenses incurred by the Company in connection
with such issuance.

17. USE OF PROCEEDS.  The cash  proceeds to be received  upon the exercise of an
option  under the Plan shall be added to the  general  funds of the  Company and
used for such corporate purposes as the Board of Directors may determine, in its
sole discretion.

18.   SUBSTITUTIONS   AND   ASSUMPTIONS   OF  OPTIONS  OF  CERTAIN   CONSTITUENT
CORPORATIONS.  Anything in this Plan to the contrary notwithstanding,  the Board
of Directors may, without further approval by the  shareholders,  substitute new
options for prior options of a Constituent  Corporation (as such term is defined
in Paragraph 19) or assume the prior options of such Constituent Corporation.

19. DEFINITIONS.

      1.    "Constituent  Corporation"  shall mean any corporation which engages
            with the Company,  its Parent or any  Subsidiary in a transaction to
            which  Section  424(a) of the Code  applies  (or would  apply if the
            option  assumed or  substituted  were an ISO),  or any Parent or any
            Subsidiary of such corporation.

      2.    "Disability"  shall mean a permanent and total disability within the
            meaning of Section 22(e)(3) of the Code.



<PAGE>



      3.    "Legal  Representative"  shall mean the executor,  administrator  or
            other  person who at the time is  entitled  by law to  exercise  the
            rights of a deceased or  incapacitated  optionee  with respect to an
            option granted under the Plan.

      4.    "Parent" shall have the same  definition as "parent  corporation" in
            Section 424(e) of the Code.

      5.    "Subsidiary"   shall  have  the  same   definition  as   "subsidiary
            corporation" in Section 424(f) of the Code.

20.  GOVERNING  LAW.  The Plan,  such options as may be granted  hereunder,  the
Contracts  and all  related  matters  shall be  governed  by, and  construed  in
accordance  with, the laws of the State of New York,  without regard to conflict
of  law  provisions  that  would  defer  to  the  substantive  laws  of  another
jurisdiction.

      Neither the Plan nor any Contract shall be construed or  interpreted  with
any presumption against the Company by reason of the Company causing the Plan or
Contract to be drafted.  Whenever from the context it appears  appropriate,  any
term stated in either the  singular or plural  shall  include the  singular  and
plural,  and any term stated in the  masculine,  feminine or neuter gender shall
include the masculine, feminine and neuter.

21. PARTIAL  INVALIDITY.  The invalidity,  illegality or unenforceability of any
provision  in the Plan,  any option or Contract  shall not affect the  validity,
legality or enforceability of any other provision,  all of which shall be valid,
legal and enforceable to the fullest extent permitted by applicable law.

22. SHAREHOLDER APPROVAL. The Plan shall be subject to approval by a majority of
the votes of all  outstanding  shares  entitled  to vote hereon at the next duly
held  meeting of the  Company's  shareholders  at which a quorum is present.  No
options granted hereunder may be exercised prior to such approval, PROVIDED that
the date of grant of any option shall be  determined as if the Plan had not been
subject to such  approval.  Notwithstanding  the  foregoing,  if the Plan is not
approved by a vote of the  shareholders  of the  Company on or before  March 25,
1998, the Plan and any options granted hereunder shall terminate.








CELTIC          PURCHASE/LEASEBACK AGREEMENT and BILL OF SALE
                Re: Lease No.  CML-0572-A/ Schedule No. 01
                CELTIC LEASING CORP. - Lessor/Purchaser
                2061 Business Center Drive, Suite 200
                o  Irvine, California 92616  
                o  (714) 263-3880 
                o  Fax (714) 263-1331

Lessee/Seller: AMERICAN MEDICAL ALERT CORPORATION
               -----------------------------------------------------------------

Corporate Address: 3265 LAWSON BOULEVARD, OCEANSIDE NY 11572
                   -------------------------------------------------------------

Contact: COREY M. ARONIN   Title: CHIEF FINANCIAL OFFICER  Phone No.516-536-5850
         ---------------          -----------------------           ------------

Equipment Location: SAME
                    ------------------------------------------------------------

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

This Agreement is to acknowledge  that it has been the intent of the above named
Lessee/Seller (herein referred to as "Lessee" or as "Seller") at all times since
prior to delivery of the below listed equipment (the  "Equipment") to lease said
Equipment. However, out of convenience, the Equipment was billed to and paid for
by Lessee.  Therefore,  Seller agrees to sell and Celtic  Leasing Corp.  (herein
referred to as  "Lessor" or as  "Purchaser")  agrees to purchase  the  following
Equipment  which is  subject to the above  referenced  lease and  schedule  (the
"Lease") by and between Seller and Purchaser as Lessee and Lessor, respectively:


- --------------------------------------------------------------------------------
Equipment:

ITEM        QTY                  DESCRIPTION                               PRICE
- ----        ---      -------------------------------------------           -----

       VENDOR: VARIOUS (SEE ATTACHED)/ AMERICAN MEDICAL ALERT CORPORATION

1.15           Various  Miscellaneous   computer  equipment  including  personal
               computers,   software,   related  hardware  and  accessories  and
               attachments thereto, the vendors and costs of which are set forth
               in the attached twelve page summary.

                                                                $  128,719.35
                                                                =============

            Note: The items described above represents Equipment Items 1. to 15.
            to said Lease.

- --------------------------------------------------------------------------------
Purchaser  shall pay to Seller the  aggregate  price listed above on the closing
date.  The  closing  date is expected to occur on or about  FEBRUARY  06,  1998.
Seller  represents and warrants that it has good and  merchantable  title to the
Equipment  free and clear of all  adverse  liens  and  encumbrances  and  Seller
covenants  and agrees to defend  same  against  any and all  adverse  claims and
demands.  Lessee  further  represents  and warrants  that it elected to remit up
front all applicable  sales and use tax with respect to its initial purchase fro
convenience and planned subsequent  purchase/leaseback  of the Equipment and has
thus remitted same to the applicable  Equipment vendor(s) and/or directly to the
appropriate sales and use tax authorities and also represents and warrants that


<PAGE>



no further sales and/or use tax will be due pursuant to this Purchase  Agreement
or said Lease.  However,  should any appropriate  sales and or use tax authority
make a sales tax  assessment at any time relating to this Purchase  Agreement or
said Lease,  then Lessee agrees to assume all liability for any such assessment,
including penalties and interest, if any, and agrees at its own cost and expense
to indemnify lessor.

FOR  VALUABLE  CONSIDERATION,  receipt of which is hereby  acknowledged,  Seller
hereby sells,  transfers,  grants  bargains,  sets over,  assigns,  delivers and
conveys all of its right, title and interest in and to the Equipment (except for
those rights and interests granted under said Lease) to Purchaser.

LESSEE/SELLER                                 LESSOR/PURCHASER                  
American Medical Alert Corporation            Celtic Leasing Corp.              
                                                                                
Signature:/S/ COREY M. ARONIN                 Signature:/S/ TODD R. MEYER       
Name: COREY M. ARONIN                         Name:TODD R. MEYER                
Title:CHIEF FINANCIAL OFFICER Date:1/18/98    Title:VICE PRESIDENT Date:01/13/98
                                                  




               FINANCIAL ADVISORY AND INVESTMENT BANKING AGREEMENT

            This Agreement is made and entered into as of the 1st day of January
1997  between GKN  Securities  Corp.  ("GKN" or the  "Consultant")  and American
Medical Alert Corporation (the "Company").

            In  consideration  of the mutual  promises made herein and for other
good valuable  consideration,  the receipt and  sufficiency  of which are hereby
acknowledged, the parties hereto agree as follows:

            1. The Company hereby  engages  Consultant for the term specified in
Paragraph 2 hereof to render  consulting  advice to the Company as an investment
banker  relating to financial and similar  matters upon the terms and conditions
set forth herein.

            2. This Agreement  shall commence as of January 1, 1997 and continue
for a term of twelve (12) months.

            3. During the term of this Agreement,  Consultant  shall provide the
Company  with such  regular and  customary  consulting  advice as is  reasonably
requested  by the Company,  provided  that  Consultant  shall not be required to
undertake  duties not reasonably  within the scope of the financial  advisory or
investment banking services contemplated by this Agreement. It is understood and
acknowledged by the parties that the value of Consultant's advice is not readily
quantifiable,  and that although  Consultant shall be obligated to render advice
contemplated  by this agreement upon the reasonable  request of the Company,  in
good faith,  Consultant  shall not be obligated to spend any specific  amount of
time in so doing.  Consultant's duties may include,  but will not necessarily be
limited to,  providing  recommendations  concerning the following  financial and
related matters:

                  A.   Disseminating   information  about  the  Company  to  the
            investment community at large;

                  B.  Rendering  advice and  assistance in  connection  with the
            preparation of annual and interim reports and press releases;

                  C. Assisting in the Company's financial public relations;

                  D. Arranging,  on behalf of the Company, at appropriate times,
            meetings with securities analysts;

                  E.  Rendering  advice  with  regard  to  internal  operations,
            including:

                        1.    the   formation  of  corporate   goals  and  their
                              implementation;


<PAGE>



                        2.    the   Company's   financial   structure   and  its
                              divisions or subsidiaries;

                        3.    securing,  when  and if  necessary  and  possible,
                              additional    financing   through   banks   and/or
                              insurance companies; and

                        4.    corporate organization and personnel; and

                  F.  Rendering  advice  with  regard  to any  of the  following
            corporate finance

                        1.    changes in the capitalization of the Company;

                        2.    changes in the Company's corporate structure;

                        3.    redistribution  of  shareholdings of the Company's
                              stock;

                        4.    offerings of securities in public transactions;

                        5.    sales of securities in private transactions;

                        6.    alternative uses of corporate assets;

                        7.    structure and use of debt; and

                        8.    sales of stock by insiders pursuant to Rule 144 or
                              otherwise.

            In addition to the foregoing, Consultant agrees to furnish advice to
the Company in  connection  with (i) the  acquisition  and/or  merger of or with
companies,  divestiture  or any other  similar  transaction,  or the sale of the
Company itself (or any significant  percentage),  or any material portion of its
assets,  or any wholly or  partially  owned  subsidiaries  thereof  (hereinafter
referred to as a "Transaction"), and (ii) bank financings or any other financing
from  financial  institutions,  including  but not  limited  to lines of credit,
performance  bonds,  letters of credit,  loans or other financings  (hereinafter
referred to as a "Bank Financing").

            Consultant shall render such other financial advisory and investment
and/or  investment  banking  services as may from time to time be agreed upon by
Consultant and the Company.

            4. In consideration  for the services  rendered by Consultant to the
Company pursuant to this Agreement (and in addition to the expenses provided for
in Paragraph 5 hereof), the Company shall compensate Consultant as follows:

                        (a) The  Company  shall pay GKN an annual fee of $30,000
in monthly  installments of $2,500,  the first payment due upon the execution of
this Agreement.



<PAGE>



                        (b) Upon  execution  of this  Agreement,  the Company is
issuing to GKN (or its designees)  50,000  warrants  exercisable for a period of
four years  commencing  one year from the date  hereof at an  exercise  price of
$4.50 per share ("Warrants").  GKN and its designees shall have unlimited "piggy
bank" rights at the Company's  cost. The Warrants will be evidenced by a warrant
agreement(s) in the form of Exhibit A hereto.

            5. In addition to the above,

                        (a) In the event that any Transaction consummated by the
Company is  originated  by  Consultant  during the term of this  Agreement,  the
Company shall pay fees to Consultant as follows:


Consideration                          Fee
- -------------                          ---
$        -0- to $500,000               Minimum fee of $25,000
$  500,000 to $5,000,000               5% of Consideration
$      5,000,000 or more               $250,000 plus 2-1/2% of the
                                       Consideration in excess of $5,000,000
                         
            If the  Company  identifies  the other  party to such a  Transaction
during the term of this  Agreement,  the Company shall pay fees to Consultant to
be mutually agreed upon, but in any event not less than $25,000.

            For the purposes of this Agreement,  "Consideration"  shall mean the
total  market  value on the day of closing of the  Transaction  of stock,  cash,
assets and all other property (real or personal)  exchanged or received or paid,
directly  or  indirectly,  by the  Company  or any of its  security  holders  in
connection with any Transaction,  including without  limitation any amounts paid
by the Company or any person or entity to holders of  warrants,  stock  purchase
rights,  straight or  convertible  securities  of the  Company or any  affiliate
thereof,  options  or stock  appreciation  rights  issued by the  Company or any
affiliate thereof, whether or not vested, and to holders of any other securities
of any kind whatsoever of the Company, or pursuant to any employment  agreement,
royalty,  consulting agreement,  covenant not to compete,  earnout or contingent
payment right or similar arrangement,  agreement or understanding,  whether oral
or written; provided, however, that Consideration shall not include that portion
of the monies paid under any employment or consulting  agreement or covenant not
to compete  which  represents  the fair  market  value of the  services to be so
provided  thereunder.  Any  co-broker  retained by  Consultant  shall be paid by
Consultant.

                        (b) In the event Consultant originates a Bank Financing,
the Company and Consultant  will mutually  agree on a  satisfactory  fee and the
terms of payment of such fee.

                        (c) In  the  event  Consultant  directly  or  indirectly
introduces the Company to a joint venture  partner or customer and sales develop
as a result of the introduction,  the Company agrees to pay a fee of two percent
(2%) of net cash revenues generated  directly from this introduction  during the
first two years following the date of the first sale, or such other


<PAGE>



compensation as shall be mutually agreed to.  Commission  payments shall be paid
on the 15th day of each month  following the receipt of customers'  payment.  In
the event any  adjustments are made to the total sales after the commissions has
been paid,  the Company  shall be entitled  to an  appropriate  refund or credit
against future payments due under this Agreement.

                        (d) If Consultant  acts as an  underwriter  or placement
agent in the sale or  distribution of securities by the Company to the public or
in a private transaction, Consultant shall receive, as compensation for services
rendered,  such  compensation  as may be  agreed  upon  by the  Company  and the
Consultant.

                        (e) In the event the Company  engages the  Consultant to
act as its  agent  for  the  solicitation  of the  exercise  of its  outstanding
Warrants,  the Company will,  subject to the rules and  regulations of the NASD,
pay GKN a commission equal to 5% of the exercise price for each Warrant exercise
if the exercise was  solicited by GKN. The Company and GKN may enter into a more
formal  warrant  solicitation  agreement if both determine it is necessary to do
so.

                        (f) Fees and expenses  payable to Consultant with regard
to fairness  opinions and valuations  will be determined by mutual  agreement at
such time as the nature and terms of such financing are affirmed.

            All fees to be paid pursuant to this Agreement,  except as otherwise
specified,  are due and payable to Consultant in cash at the closing or closings
of any transaction  specified in Paragraph 5 hereof, except when the Company has
not actually  received the Consideration  (i.e.,  payment is deferred because of
the terms of a note,  or is not paid because of a  contingency  or earnout),  in
which case the Consultant  shall be paid when and if the Company is paid. In the
event that this  Agreement  shall not be renewed or if it is terminated  for any
reason,  then  notwithstanding  any such non-renewal or termination,  Consultant
shall be  entitled  to a full fee  (payable  in  accordance  with the  preceding
sentence) as provided under  Paragraph 5 hereof,  for any  transaction for which
the  discussions  or  introductions  were  initiated  during  the  term  of this
Agreement and which was consummated  within 12 months of the termination of this
Agreement.

            6. In addition to the fees payable hereunder, and regardless whether
any transaction set forth in Paragraph 5 hereof is proposed or consummated,  the
Company shall reimburse  Consultant for all reasonable  travel and out-of-pocket
expenses  incurred in  connection  with the  services  performed  by  Consultant
pursuant to this Agreement;  provided,  however,  that Consultant shall incur no
expense in excess of $250 without Company's consent.

            7.  (a) The  Company  acknowledges  that  all  opinions  and  advice
(written or oral) given by  Consultant  to the  Company in  connection  with the
Consultant's  engagement  are  intended  solely for the  benefit  and use of the
Company in considering  the  transaction  to which they relate,  and the Company
agrees that no person or entity other than the Company shall be entitled to make
use of or rely upon the advice of Consultant to be given hereunder,  and no such
opinion or advice  shall be used for any manner or purpose,  nor may the Company
make any public references to the Consultant or use any of Consultant's names in
any annual  reports or any other  reports or  releases  of the  Company  without
Consultant's  prior written consent,  which shall not be unreasonably  withheld.
Notwithstanding the foregoing, the Company man, to the extent counsel


<PAGE>



advises  it that it is  legally  required  to do so,  disclose  GKN's name and a
description of this Agreement in the Company's  press releases and  governmental
filings.

                        (b) The Company  acknowledges  that Consultant  makes no
commitment  whatsoever as to making a market in the  Company's  securities or to
recommending  or  advising  its clients to purchase  the  Company's  securities.
Research reports or corporate  finance reports  ("Reports") that may be prepared
by  Consultant  will,  when and if  prepared,  be done  solely on the  merits or
judgment of analysis of Consultant or any senior  corporate  finance or research
personnel  of  Consultant.  Any such  Reports  will be  delivered to the Company
before public dissemination. The Company will be given an opportunity to correct
any errors in such Reports.

            8. Consultant will hold in confidence any  confidential  information
which the Company  provides to  Consultant  pursuant to this  Agreement and will
return all such  confidential  information  promptly after the Company's request
for same.  Notwithstanding  the foregoing,  Consultant  shall not be required to
maintain  confidentiality  with respect to  information  (i) which is or becomes
part of the public domain not due to the breach of this Agreement by Consultant;
(ii) of which it had  independent  knowledge  prior to  disclosure;  (iii) which
comes into the  possession of Consultant in the normal and routine course of its
own business from and through independent  non-confidential  sources; (iv) which
is required to be disclosed  by  Consultant  by laws,  rules or  regulators.  If
Consultant  is  requested  or  required  (by  oral  questions,  interrogatories,
requests for information or document subpoenas,  civil investigative demands, or
similar process) to disclose any confidential  information supplied to it by the
Company,  or the existence of other  negotiations  in the course of its dealings
with the Company or its representatives,  Consultant shall, unless prohibited by
law, promptly notify the Company of such request(s) so that the Company may seek
an appropriate  protective  order.  This paragraph shall survive  termination of
this Agreement.

            9. The Company acknowledges that Consultant or its affiliates are in
the business of providing  financial  services and consulting  advice to others.
Nothing  herein  contained  shall be construed to limit or resist  Consultant in
conducting such business with respect to others,  or in rendering such advice to
others.  Notwithstanding  the foregoing,  if GKN is engaged in any capacity by a
company whose primary business is providing  personal emergency response systems
services ("Competitor"), GKN will promptly notify the Company of such engagement
and the Company shall have the right to terminate  this Agreement upon five days
notice to GKN ("Competitive Termination").  GKN represents and warrants that, as
of the date hereof,  it has not been  engaged by (nor  entered into  discussions
with respect to such engagement with) any Competitor.

            10. The Company  recognizes  and  confirms  that,  in  advising  the
Company and in fulfilling its engagement hereunder, Consultant will use and rely
on data, material and other information  furnished to Consultant by the Company.
The Company  acknowledges  and agrees that in performing its services under this
engagement,  Consultant may rely upon the data,  material and other  information
supplied  by  the  Company   without   independently   verifying  the  accuracy,
completeness or veracity of same.

            11. The Company  agrees to  indemnify  and hold  harmless  GKN,  its
employees,  agents,  representatives  and controlling persons (and the officers,
directors, employees, agents,


<PAGE>



representatives  and  controlling  persons of each of them) from and against any
and all losses, claims, damages, liabilities, reasonable costs and expenses (and
all actions, suits, proceedings or claims in respect thereof) and any reasonable
legal or other expenses in giving testimony or furnishing  documents in response
to a subpoena or otherwise (including,  without limitation,  reasonable attorney
fees and the cost of  investigating,  preparing  or  defending  any such action,
suit,  proceeding or claim,  whether or not in connection with any action, suit,
proceeding or claim in which GKN is a party), as and when incurred,  directly or
indirectly  caused by,  relating to, based upon or arising out of GKN's services
pursuant to this  Agreement so long as GKN shall not have engaged in intentional
or willful  misconduct,  or shall have acted grossly  negligent ("GKN Acts"), in
connection  with the  services  provided  which  form the basis of the claim for
indemnification.  GKN agrees to indemnify and hold harmless the Company from all
GKN  Acts on the  same  terms  as the  Company's  indemnification  of GKN.  This
paragraph shall survive the termination of this Agreement.

            12.   Consultant   shall  perform  its  services   hereunder  as  an
independent  contractor  and not as an employee  of the Company or an  affiliate
thereof.  It is expressly  understood  and agreed to by the parties  hereto that
Consultant shall have no authority to act for,  represent or bind the Company or
any affiliate thereof in any manner, except as may be agreed to expressly by the
Company in writing from time to time.

                        (a) This  Agreement  between the Company and  Consultant
constitutes the entire agreement between the parties with respect to the subject
matter hereof.

                        (b) No  provision  of  this  Agreement  may be  amended,
modified or waived, except in writing signed by all of the parties hereto.

                        (c) This  Agreement  shall be binding  upon and inure to
the benefit of each of the parties hereto and their respective successors, legal
representatives and assigns.

                        (d) This  Agreement  may be  executed  in any  number of
counterparts,  each of which together shall constitute one and the same original
documents.

                        (e) In the event of any  dispute  under this  Agreement,
then and in such  event,  each  party  hereto  agrees  that  the  same  shall be
submitted to the American  Arbitration  Association in the City of New York, for
its decision and determination in accordance with its rules and regulations then
in effect. Each of the parties agrees that the decision and/or award made by the
Association  may be entered as judgement of the Courts or the State of New York,
and shall be enforceable as such.

                        (f) This  Agreement  shall be construed  and enforced in
accordance  with the laws of the State of New  York,  without  giving  effect to
conflict of laws.



<PAGE>




            IN WITNESS WHEREOF, the parties hereto have caused this Agreement to
be duly executed, as of the day and year first above written.

GKN SECURITIES CORP.                     AMERICAN MEDICAL ALERT CORP.


By: /S/LESTER ROSENKRANTZ                By: /S/HOWARD M. SIEGEL
   ----------------------------             ----------------------------
   Lester Rosenkrantz                       Howard M. Siegel
   Executive Vice President                 Chairman and Chief Executive Officer
                            





                                                       

                          Independent Auditor's Consent

We consent to the  incorporation  by reference in  Registration  Statement  Nos.
33-48385,  33-91806  and  33-48297 on Form S-8 and  Registration  Statement  No.
333-6159  on Form S-3 of  American  Medical  Alert  Corp.  of our  report  dated
February  20, 1998  appearing  in this Annual  Report on Form 10-KSB of American
Medical Alert Corp. for the year ended December 31, 1997.




/S/ MARGOLIN, WINER & EVENS LLP
- -------------------------------
MARGOLIN, WINER & EVENS LLP


Garden City, New York

March 25, 1998





<TABLE> <S> <C>


<ARTICLE>                     5
<CIK>                         0000700721
<NAME>                        AMERICAN MEDICAL ALERT CORP.
       
<S>                             <C>
<PERIOD-TYPE>                     12-MOS
<FISCAL-YEAR-END>              DEC-31-1998
<PERIOD-START>                 JAN-01-1997
<PERIOD-END>                   DEC-31-1997
<CASH>                           304,739
<SECURITIES>                           0
<RECEIVABLES>                  1,604,738
<ALLOWANCES>                      30,000
<INVENTORY>                    1,310,551
<CURRENT-ASSETS>               3,484,018
<PP&E>                         6,032,847
<DEPRECIATION>                 2,299,998
<TOTAL-ASSETS>                 7,251,628
<CURRENT-LIABILITIES>            460,653
<BONDS>                                0
                  0
                            0
<COMMON>                          59,045
<OTHER-SE>                     6,411,133
<TOTAL-LIABILITY-AND-EQUITY>   7,251,628
<SALES>                          879,136
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