AMERICAN MEDICAL ALERT CORP
10KSB, 2000-03-29
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, 1999

                                       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:  $ 9,225,240.


<PAGE>

         The aggregate  market value of the voting stock held by  non-affiliates
of the registrant,  as of MARCH 20, 2000, WAS $15,490,659  computed by reference
to the price at which such stock was sold, as reported on NASDAQ on that date.

        Aggregate  number of shares of Common Stock  outstanding as of March 20,
2000: 6,414,241.

                      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, 1999, are incorporated by reference into Part III of this report.




                                      -2-
<PAGE>




                                     PART I

ITEM I.  DESCRIPTION OF BUSINESS.
         ------------------------

A.       GENERAL
         -------

American Medical Alert Corp. ("AMAC" or the "Company"),  a company  incorporated
under the laws of the State of New York in 1981,  is engaged in the  business of
designing,  engineering,   marketing,  installing  and  monitoring  computerized
Personal  Emergency  Response Systems ("PERS"),  stand-alone and PERS integrated
medication   dispensers,   utilizing  proprietary  and  commercially   available
technologies.  As used herein,  the term ""AMAC" or "Company" means,  unless the
context requires  otherwise,  the Company and its wholly owned subsidiary,  Safe
Com, Inc.

The   Company  is  a  leading   provider   of  medical   response   and  24-hour
on-call-monitoring  services to assist the health care  community  in  providing
at-risk  patients  access to  assistance  from  trained,  caring  professionals.
Through a diversified  marketing and referral network, AMAC markets its products
to hospitals, homecare providers,  physicians, medical transportation companies,
medical  equipment  suppliers,  social  services  agencies,  health  maintenance
organizations, retirement facilities, and directly to consumers, amongst others.
A primary  corporate  goal is to  enhance  the use of  homecare  as  opposed  to
hospitalization  by making available cost effective  at-home patient  monitoring
services.

In addition to its PERS  business,  the  Company has entered  into an  exclusive
licensing  agreement  to market a  medication  dispenser  in the United  States,
Canada  and  Mexico.  The  device  is being  marketed  in  conjunction  with the
Company's  Personal  Emergency  Response Systems or as a stand-alone  medication
compliance unit.  Failure to comply with a medication regime  contributes to the
re-admittance  of  a  significant  number  of  patients,  increased  lengths  of
hospitalization and unnecessary emergency room and homecare visits.


                                      -3-
<PAGE>

B.       PRODUCTS AND SERVICES
         ---------------------

The Company's  core business has been and will continue to be the  generation of
recurring  monthly revenues (RMR) through the development,  marketing,  sale and
lease of high-tech PERS, homecare monitoring devices and complementary services.
For the year ended  December 31, 1999, and  historically,  most of the Company's
revenues have been generated from the sale and lease of the company's  PERS, and
from the related monitoring services. The Company's PERS VOICECARE(R), enables a
medically  at-risk,  elderly,  infirm or physically  challenged person to remain
independent,  enjoy the comforts of living at home,  and reduces costly hours of
safety supervision while giving family and caregivers peace of mind.

The Health Care  Financing  Administration's  (HCFA)  list of approved  homecare
monitored  services is  continuously  increasing.  AMAC believes that the use of
homecare as an  alternative to  institutionalization  will continue to increase,
thereby  making  available  the  opportunity  for broader  use of the  Company's
current and future products.

1.       PERSONAL EMERGENCY RESPONSE SYSTEMS
         -----------------------------------

VOICECARE(R)  Systems  are  designed  to  permit  two-way   (talk/listen)  voice
communications  between an individual  and  monitoring  personnel.  VOICECARE(R)
Systems are packaged as a tabletop or wall mounted system.  The tabletop systems
are primarily  utilized by private-pay  consumers,  hospitals,  home  healthcare
providers and government agencies.  The wall-mounted units are typically used in
new and  refurbished  senior  multi-housing  facilities  (i.e.,  assisted living
retirement settings).

Through the use of the Company's VOICECARE(R) System,  individuals,  such as the
medically  at-risk,  elderly,  infirm,  physically  challenged  and  home  bound
populations, in need of assistance are able to signal for help at the touch of a
button,  and engage in two-way voice  communication  to identify the appropriate
level of assistance required.

                                      -4-
<PAGE>

When the subscriber  initiates a call for help, the system  transmits an audible
tone and  flashes  a  light,  indicating  that the  system  is  alerting  AMAC's
Emergency Response Center (ERC). The Company's  VOICECARE(R)  System,  utilizing
the subscriber's  telephone,  permits hands-free voice communication between the
subscriber  and the ERC. The  equipment  includes a two-way  voice  communicator
connected to the  telephone  line in the  subscriber's  home and a personal help
activator,  which  is  worn or  carried  by the  subscriber.  In  addition,  the
VOICECARE(R)  System now features the Model 450 Smart  Activator,  which sends a
signal to the PERS when its battery  power is low. When the system is activated,
the  Company's   proprietary  software  acknowledges  the  incoming  signal  and
automatically  displays the subscriber's  personal information in the monitoring
center.  The subscriber and ERC personnel speak to each other, thus allowing the
ERC to  determine  the nature of the  emergency  and the type of help  required.
Appropriate assistance is dispatched in accordance with predetermined  protocols
and the assistance of the subscriber.

The Company's primary and back up ERCs are capable of handling multiple requests
for assistance simultaneously.  The Company believes that subscriber signals are
routinely  processed  by the ERC in less than one minute  from  initiation.  The
Company's backup monitoring  center,  located in Mt. Laurel, New Jersey provides
an additional safeguard to the reliability of AMAC's VOICECARE(R) Systems.

VOICECARE(R) systems can monitor a subscriber's  physical condition,  as well as
other conditions, including home intrusions and fire detection.

2.       MEDICAL DISPENSING DEVICE

MEDTIME(R),  the  Company's  newly  licensed  medication  dispenser and reminder
system,  is a compatible  addition to the Company's  products and services.  The
Company  believes  that  failure  to comply  with  medication  regime is a major
contributor  to  increased  medical  costs.  AMAC  believes  that a  significant
opportunity  exists to reduce the costs associated with subscriber's  failure to
comply with medication  regimes,  as well as to reduce the number of detrimental


                                      -5-
<PAGE>

outcomes/  effects of such  non-compliance.  MEDTIME(R)  is a valuable  asset to
visually  handicapped,  medically  or  mentally  challenged  patients as well as
patients  on  daily  medication  regimes.  The  product  can  be  utilized  as a
stand-alone  device or integrated with the Company's PERS to notify the ERC of a
non-compliant event.  MEDTIME(R) contains a tray with twenty eight compartments,
and at pre-programmed  times, one to four times a day, the dispenser reminds the
user to access and take their medication. The reminder signal remains active for
thirty  minutes or until the medication is removed from  MEDTIME(R).  Compliance
with the medication regime automatically resets the device.

Several states now provide for Medicaid reimbursement for the use of MEDTIME(R).
MEDTIME(R) is used in retirement  homes,  assisted living  facilities,  clinical
trials, and by private pay consumers.

3.       SILENT PARTNER(R)
         -----------------

         In July  1999 the  Company  formed  Safe  Com,  Inc.,  a  wholly  owned
subsidiary,  to  design  and  market a  multi-purpose,  commercial,  interactive
security  system  known as SILENT  PARTNER(R).  SILENT  PARTNER(R)  is a two way
interactive  security  system,  which allows the user to activate a silent alarm
signal which is received by the  Company's  ERC.  Once the alarm signal is sent,
SILENT PARTNER(R) provides two way voice communications  between the ERC and the
user.  Safe Com's SILENT  PARTNER(R)  device has been installed and is currently
being field  evaluated in over 35  commercial  applications.  AMAC believes that
SILENT  PARTNER(R)  will expand the Company's  core  monitoring  services,  thus
providing potentially significant recurring monthly revenue.


                                      -6-
<PAGE>

4.       MONITORING SERVICES
         -------------------

In addition to its voice communication systems, the Company makes available,  as
an  additional  and  integral  part of the  VOICECARE(R)  System,  a  monitoring
service.  Personnel  located at the Company's ERCs utilize  personal  computers,
arranged in a local area network,  to process all incoming signals.  Each of the
Company's  monitoring  personnel  is  trained  according  to  Emergency  Medical
Dispatcher  protocol.  All signals for  assistance  are programmed to access the
ERC's subscriber  database,  thus enabling  monitoring  personnel to immediately
take  pre-determined  actions,  such as alerting  family  members or  healthcare
providers, or sending emergency medical help. Relevant subscriber information is
displayed  on  a  monitor.  The  operator  interacts  with  the  subscriber  and
appropriate action is initiated on behalf of the subscriber. The system utilizes
digital  communicators,  radio frequency  devices and two-way voice  technology.
System  activation occurs from a host of ancillary  contacts,  switches or other
devices. In all applications, the Company provides toll-free telephone lines for
signal   transmission.   The  Company's  ERCs  are  capable  of   simultaneously
identifying  and  processing  a variety  of  signals  from a host of  activating
devices. The Company's back up ERC is located at its engineering facility in Mt.
Laurel, NJ.

5.       PRODUCTION/PURCHASING
         ---------------------

The Company  outsources its manufacturing and final assembly of its core product
lines, with exception of limited  production runs.  Sources are selected through
competitive bids, past performance and accessibility to the engineering process.
The Company has adopted a policy of creating  primary and back up  manufacturing
contractors  assuring  continuous  availability of finished  product,  parts and
materials. 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

                                      -7-
<PAGE>

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.

6.       MARKETING/CUSTOMERS
         -------------------

The  Company  markets  its  products  and  monitoring  services  to private  pay
consumers,   hospitals,   home  healthcare   providers,   government   agencies,
third-party   insurers,   developers  of  retirement   communities  and  limited
commercial applications, amongst others. The Company believes that these markets
offer the Company an opportunity to significantly  increase its subscriber base.
The  Company  is  focusing  its  efforts  on the  following  methods in order to
facilitate the growth of its core PERS business:

A.       Expansion of use of PERS in existing State Medicaid Programs.

B.       Expansion of current distribution channels through:

         1.       the addition of new healthcare service providers who will
                  provide the Company's PERS as a complementary service;

         2.       the expansion of marketing efforts into new geographic markets
                  throughout the U.S.;

         3.       the acquisition of local or nationally based PERS providers
                  that are mutually accretive;

         4.       the growth of the existing distributor network programs by
                  providing increased marketing support, new products and
                  services; and

C.   the promotion of the use of PERS in conjunction with MEDTIME(R), vital sign
     monitoring, and other call center applications.

Sales,  rentals and leases of the Company's products and monitoring services are
made  through  the efforts of its own sales  personnel,  service  providers  and
independent  distributors.  The Company

                                      -8-
<PAGE>

is an approved Medicaid provider in the States of New York, Georgia, Illinois,
Ohio, South Carolina, Colorado and Nevada.

Since 1983,  the Company has  provided  PERS  services to the City of New York's
Human Resources  Administration,  Homecare  Service  Program (HCSP).  During the
years ended December 31, 1999, 1998 and 1997, the Company had revenues from this
contract representing 41%, 47%, and 44%, respectively, of its total revenue. The
contract with HCSP expired on June 30, 1999 and the Company continues to service
HCSP under the terms and conditions of the expired contract.

In January 1999,  AMAC and many other companies  submitted  proposals to provide
PERS  services  on  behalf of the City of New York  through  June 30,  2003.  On
October 22, 1999, the Company was advised by HCSP that another  company had been
preliminarily recommended.  The Company's management reviewed HCSP's preliminary
recommendation  and  assessed  alternative  options  and  courses of action.  On
November 1, 1999, the Company  submitted a formal protest  pursuant to paragraph
4-04 of the  Rules of the  Procurement  Policy  Board of the City of New York to
contest the  preliminary  award.  As of March 20, 2000 the contract had not been
awarded.

If the  City  of New  York  HCSP  awards  the  contract  to  another  vendor,  a
significant  amount of the Company's  revenues would be lost,  having a material
adverse effect on operating results. With the potential loss of approximately 40
% of the  Company's  revenues,  cash flow  from  operations  would be  adversely
affected. In addition, it is possible that significant  adjustments to inventory
and fixed assets  associated with the contract would occur. It could be expected
that  revenues from HCSP would  continue on a diminishing  scale until all units
are removed and management is prepared to eliminate  significant personnel costs
and fixed overhead  associated with servicing the contract.  Even if the Company
does receive the renewal of the contract, management expects that the same level
of  revenues  will not be  sustained  due to the  competitive  nature of the bid
process,  including  factors  such as pricing  and number of  subscribers  to be
serviced.


                                      -9-
<PAGE>

In light  of the  possibility  that the  Company's  contract  with  HCSP may not
renewed, the Company's management has focused on, and will continue to build its
subscriber  base through  consumers,  healthcare  agencies,  health  maintenance
organizations,  durable medical  equipment  providers,  retirement  communities,
hospitals  and  other  governmental   agencies.  In  addition,  the  Company  is
continuing to invest in new products and services.

7.       NEW PRODUCTS AND SERVICES:
         --------------------------

The Company  continues to develop new healthcare and commercial  systems that it
plans to introduce during fiscal year 2000. The Company's subsidiary,  Safe Com,
Inc.,  has  installed  and is  currently  field  testing  its SILENT  PARTNER(R)
multi-purpose commercial security system in over 35 commercial applications.

A.       VITAL SIGN MONITORING:

                  AMAC is currently  developing a vital signs monitoring program
     which will utilize existing telehealth technologies.  Vital sign monitoring
     will allow  remote  monitoring,  through  the  Company's  ERCs,  of various
     physical indications which healthcare  professionals  utilize to evaluate a
     person's   physical   condition.   The  Company  believes  that  through  a
     comprehensive  and regularized vital signs monitoring  program,  vital sign
     monitoring will be particularly  useful in crisis  prevention and reduction
     of resultant  hospital  admissions.  The Company  believes  that it is well
     positioned to expand upon its core  business  through  liaisons  within its
     existing referral network.  The Company is currently  evaluating  strategic
     technological partners to establish vital sign monitoring service with.

B.       HEALTH ON-CALL LINK

                  Healthcare is a 24-hour  business that requires  practitioners
     and providers to be on-call all the time.  AMAC's ERCs offers  synergies of
     operation to health care providers seeking 24-hour coverage,  and can offer
     service  bundling  to its  existing  network of  providers.  The  Company's
     experienced personnel and infrastructure positioned to provide a foundation


                                      -10-
<PAGE>

     for  expansion  into   health-realted   on-call   answering   services  and
     communication networking services.

C.       H-LINK(R):

                  H-LINK(R) is a marketing  concept which the Company intends to
     utilize to facilitate the continuum of care through  managed care networks.
     The  Company  will  focus  its  efforts  on  making   H-LINK(R)  a  strong,
     identifiable  brand that the health care  community  will come to know as a
     trademark of health care at home.  The Company's  goal to become one of the
     main conduits for  communications  between  patients and providers  will be
     identified through the awareness of H-LINK(R).

D.       E- COMMERCE:

                  Information   technology   is  leading  the  way  to  a  great
     opportunity in health care management  through the world wide web.  Medical
     information retrieval is becoming an internet- driven business. The Company
     is  currently  developing  a service  whereby it will offer the health care
     community the ability to retrieve  patient/client  medical  information  of
     patients and clients stored by the Company via the internet, thus enhancing
     AMAC's core business.

8.       INSTALLATION AND SERVICES
         -------------------------

The Company  provides its own  personnel,  uses  independent  subcontractors  or
provides  training for customers'  personnel for installation and service of its
VOICECARE(R) and SILENT PARTNER(R) systems.

9.       SALES, LEASING, RENTAL AND MONITORING REVENUES
         ----------------------------------------------

The Company markets its products predominantly through rental agreements, making
available flexible terms for its distributors, subscribers and sub-contractors.


                                      -11-
<PAGE>

Monthly  monitoring  service is available for the Company's PERS and MEDTIME(R),
as  well  as  personal  emergency  response  systems   manufactured  by  others.
Healthcare  providers  have the option of using the Company's ERCs as primary or
back up monitoring  services.  Monitoring  fees are charged to  individuals  and
entities who utilize the  Company's  monitoring  services,  whether on a primary
basis or on a back-up basis.

10.      PATENTS AND TRADEMARKS
         ----------------------

The  Company   considers  its   proprietary   trademarks  with  respect  to  the
development,  manufacture  and marketing of its product to be a valuable  asset.
The Company  believes that  continued  development  of new services and products
with trademark protection is vital to maintaining a competitive  advantage.  The
Company's trademarks include  "VOICECARE(R)",  "VOICE OF HELP(R)", "THE VOICE OF
HELP(R)",  "MEDTIME(R)",  "H-LINK(R)",   "ACCUTROL(R)",  "MED  PASS(R)",  "ROOM
MATE(R)",  "SYSTEM-  one (R) " and  "HELPING  PEOPLE  LIVE  BETTER(R)",  "SILENT
PARTNER(R)",  "TELEFRIEND  (R)",  each of which is  registered  with the  United
States Patent and Trademark Office.

11.      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, 1999,  1998 and 1997 were $110,480,  $14,586,  and
$20,441,  respectively,  and are included in selling, general and administrative
expenses. In 1999 the Company refocused its research and development  activities
towards the  development of SILENT  PARTNER(R),  and the enhancement of its core
PERS products, as well as the development of new products and services.

12.      IMPACT OF GOVERNMENT REGULATIONS.
         ---------------------------------

The Company  derives  over 50% of its  revenues  from  Medicaid,  and from other
third-party payors. Government legislative initiatives, if enacted, could impose
pressures on the pricing

                                      -12-
<PAGE>

structures applicable to the Company's PERS services. Depending on the nature
and extent of any new laws and or regulations, or possible changes in the
interpretation of existing laws and/or regulations, any such changes could
affect revenue, operating margins, and profitability.

13.      COMPETITION.
         ------------

The Company's competition includes manufacturers,  distributors and providers of
personal emergency response equipment and services,  and a number of burglar and
fire alarm companies.  Some of the Company's competitors may have more extensive
manufacturing  and  marketing   capabilities  as  well  as  greater   financial,
technological and personnel  resources.  The Company's  competition  focuses its
marketing  and  sales  efforts  in  the  following  areas:  hospitals,  Homecare
providers,  physicians,  ambulance companies, medical equipment suppliers, state
social services  agencies,  health  maintenance  organizations,  and directly to
consumers.  The Company  believes that its  customers'  main  considerations  in
choosing a personal response service are the high quality of service and product
performance  and  reliability;   customer  support,  pricing  and  service;  and
reputation and experience in the industry.

14.      EMPLOYEES
         ---------

As of March 20, 2000, the Company employed 115 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.

                                      -13-
<PAGE>

ITEM 2.       DESCRIPTION OF PROPERTIES.
              --------------------------

The  Company's  executive  offices and primary ERC 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, CEO
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 rent 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 located in
an adjacent building owned by Add on Properties, LLC, owned by Howard M. Siegel.
The lease calls for an initial minimum annual rental of $36,000, subject to a 5%
annual increase plus  reimbursement  for real estate taxes. In November 1999, an
Addendum to the lease was entered into for an additional 2,200 square feet under
the same terms and conditions stated in the original lease. 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, 2000 and
provides  for a current  base annual  rental of $40,500 plus charges for certain
operating expenses.

The Company maintains a 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 $18,879,  pursuant
to a lease, which expires on April 30, 2001.

The Company  leases  approximately  1,500 square feet of space in Flushing,  New
York  pursuant to a three-year  lease,  which  expires on August 31,  2001,  for
office, warehouse,  storage, shipping and

                                      -14-
<PAGE>

receiving purposes. The lease provides for an annual rent of $15,281 during the
first year of the term, $16,045 during the second year of the term and $16,848
during the third year of the term.

The Company  maintains a 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 $16,000.

The Company has recently  opened a marketing  and  administrative  office in the
Denver, Colorado area.

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

                                      -15-
<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
                                           ----                       ---
    1998       First Quarter         $   3.0000                   $  2.1250
    ----
               Second Quarter            4.1250                      2.6250
               Third Quarter             3.1250                      2.3750
               Fourth Quarter            4.2500                      2.2500
    1999       First Quarter         $   3.9375                   $  2.5000
    ----
               Second Quarter            2.6250                      2.1250
               Third Quarter             2.6875                      2.0625
               Fourth Quarter            2.3125                      1.2500

As of March 20,  2000,  there were 397 record  holders of the  Company's  Common
Stock.

The Company did not pay dividends on its Common Stock during the two years ended
December 31, 1999 and does not anticipate  paying  dividends in the  foreseeable
future.

ITEM 6. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
- -------------------------------------------------------------------------------
OF OPERATIONS
- -------------

         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.


                                      -16-
<PAGE>

         This discussion contains forward-looking  statements within the meaning
of the Private  Securities  Litigation Reform Act of 1995 that involve risks and
uncertainties  which,  in addition to assuming a continuation  of the degree and
timing of  customer  utilization  and rate of  renewals  of  contracts  with the
Company at historical levels, are subject to a number of known and unknown risks
that,  in  addition  to  general   economic,   competitive  and  other  business
conditions,  could cause actual results,  performance and achievements to differ
materially  from those described or implied in the  forward-looking  statements.
Unless otherwise required by applicable  securities laws, the Company assumes no
obligation  to update  any such  forward-looking  statements,  or to update  the
reasons  why  actual   results   could  differ  from  those   projected  in  the
forward-looking statements.

A.       RESULTS OF OPERATIONS.
         ----------------------

The Company's gross revenues  increased from $8,297,208 in 1998 to $9,255,240 in
1999, an increase of 12%, and increased from $7,636,730 in 1997 to $8,297,208 in
1998,  an increase of 9%. The increase in gross  revenues  from 1998 to 1999 and
1997 to 1998 resulted from management's  emphasis on the continued growth of the
Company's recurring service revenue base.

In December 1998,  369,310  warrants to purchase shares of the Company's  Common
Stock at $3.50 per share were  exercised,  increasing  cash by  $1,292,586.  The
Company had sold units that contained warrants to purchase 850,000 shares of the
Company's  Common  Stock at $3.50  per share in  December  1983.  The  remaining
480,690 units that  contained  warrants to purchase the  Company's  Common Stock
expired on December 26, 1998.

Revenues  from  services  (recurring  monthly  revenues,   RMR)  increased  from
$7,812,571 in 1998 to $8,789,882 in 1999, an increase of 13%, and increased from
$ 6,757,594  in 1997 to  $7,812,571  in 1998,  an  increase of 16%.  The Company
continues to see strong results in the growth of RMR resulting  from  refocusing
its sales and  marketing  efforts  towards  the growth of the  subscriber  base,
rental income and service revenues.  Costs related to services,  as a percentage
of revenue,

                                      -17-
<PAGE>

for 1999, 1998 and 1997 were 39%, 36% and 38%, respectively. In 1999, costs as a
percentage of revenue increased due to increases in personnel costs in the
Company's monitoring center, amortization, and general operating costs. In 1998,
costs as a percentage of revenue decreased as a result of greater operational
efficiencies.

Revenues from product sales decreased from $484,637 in 1998 to $435,357 in 1999,
a decrease of 10%, and  decreased  from  $879,136 in 1997 to $484,637 in 1998, a
decrease of 45%.  Decreases in revenues from product sales from 1998 to 1999 and
1997 to 1998 were primarily a result of  management's  changing focus toward the
growth of its subscriber base, rental income and service revenues.  Gross profit
on product sales in 1999, 1998 and 1997 was 18%, 5% and 6%, respectively.  Gross
profit  on  product  sales  increased  in 1999 as a  result  of the  sale of the
Company's new Model 450 Smart  Activator and sales of the Company's  products to
retirement facilities, which are at higher profit margins.

Selling,  general and administrative  expenses increased from $3,268,739 in 1998
to $3,961,954 in 1999, an increase of 21%, and increased from $2,746,695 in 1997
to $3,268,739 in 1998, an increase of 19%.  Additional expenses incurred in 1999
and 1998 were the result of increased sales and marketing expenses, expansion of
the sales department and hiring of additional management personnel. In addition,
developmental  costs of  approximately  $70,000  associated with the start up of
Safe Com, Inc. contributed to increased costs in 1999.

Interest  expense for 1999,  1998 and 1997 was  $23,087,  $21,802,  and $46,705,
respectively.  Interest  expense  increased  in 1999 as a result  of  additional
capital  equipment  leases,  net of  reductions  in average  monthly  borrowing.
Interest  expense  decreased in 1998 due to improved cash flow and reductions in
average monthly borrowing.

The Company's income before provision for income taxes in 1999 was $1,518,915, a
decrease of $ 206,588 from 1998,  or 12%. The decrease in 1999  resulted from an
increase in the Company's operating and selling and administrative costs, offset
by an increase in service revenues.  Income before provision for income taxes in
1998 was $1,725,503,  an increase of $247,995 from 1997,

                                      -18-
<PAGE>

or 17%. The increase in 1998 resulted from an increase in the Company's RMR and
greater operational efficiencies.

B.       LIQUIDITY AND CAPITAL RESOURCES.
         --------------------------------

During 1999,  cash provided by operating  activities was $ 2,539,654 as compared
to  $1,511,320  in 1998.  Cash paid for  income  taxes in 1999 was  $765,569  as
compared to $695,809 in 1998.  Expenditures for fixed assets and medical devices
held for lease aggregated $ 3,190,535 in 1999, an increase from $1,711,996,  the
amount purchased in 1998.  During 1999, cash decreased by $466,108,  as compared
to an increase in cash of $1,115,103 in 1998.

The Company has a $2,000,000  Revolving Credit Facility (the "Credit  Facility")
with a  bank  (based  upon  75%  of  eligible  accounts  receivable  and  25% of
inventory, as defined) which was scheduled to expire on May 31, 2000. The Credit
Facility was extended  until May 31, 2001.  Borrowings  under the Facility  bear
interest  at the lower of prime rate or the LIBOR  Rate plus 2.50% (as  defined)
and is collateralized by the Company's  assets.  There is $ 300,000  outstanding
under the Credit  Facility as of March 20,  2000.  The  agreement  provides  for
negative  and  affirmative  covenants  including  those  related to tangible net
worth, working capital and other borrowings. At December 31, 1999, there were no
amounts outstanding.

The Company's working capital on December 31, 1999 was $3,853,000 as compared to
$4,787,083 on December 31, 1998.  During 2000, the Company  anticipates  that it
will make capital  investments of  approximately $ 2,500,000 for the enhancement
of its  management  information  systems,  and the  production  and  purchase of
additional  systems which the Company intends to rent. 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.

The Company derives a significant  portion of its revenue from one contract with
the City of New York's Medicaid  Homecare  Services  Program (HCSP).  During the
year ended  December  31,

                                      -19-
<PAGE>

1999 and 1998 and 1997, the Company had revenue from this contract , which
represented 41%, 47% and 44%, respectively, of total revenues for each period.
Leased medical devices in service relating to this contract represented 38% and
42%, respectively, of total leased medical devices at December 31, 1999 and
1998. Inventory relating to this contract represented approximately 20% and 25%
of total inventory on hand at December 31, 1999 and December 31, 1998,
respectively. The contract with HCSP expired on June 30, 1999 and the Company
continues to service New York City's Medicaid Homecare Services Program (HCSP)
under the terms and conditions of the contract that expired. In January 1999,
the Company submitted its proposal to the City of New York to renew and extend
the contract.

On October 22, 1999,  the Company was advised by HCSP that  another  company had
been  preliminarily  recommended.   The  Company's  management  reviewed  HCSP's
preliminary  recommendation  and  assessed  alternative  options  and courses of
action.  On November 1, 1999, the Company submitted a formal protest pursuant to
paragraph 4-04 of the Rules of the  Procurement  Policy Board of the City of New
York to contest the  preliminary  award.  As of March 20, 2000, the contract had
not been awarded.

If the  City  of New  York  HCSP  awards  the  contract  to  another  vendor,  a
significant  amount of the Company's  revenues would be lost,  having a material
adverse effect on operating results. With the potential loss of approximately 40
% of the  Company's  revenues,  cash flow  from  operations  would be  adversely
affected. In addition, it is possible that significant  adjustments to inventory
and fixed assets  associated with the contract would occur. It could be expected
that  revenues from HCSP would  continue on a diminishing  scale until all units
are removed and management is prepared to eliminate  significant personnel costs
and fixed overhead  associated with servicing the contract.  Even if the Company
does receive the renewal of the contract, management expects that the same level
of  revenues  will not be  sustained  due to the  competitive  nature of the bid
process,  including  factors  such as pricing  and number of  subscribers  to be
serviced.  The Company cannot assess the full financial  impact at this time, as
no  determination  can be made on how the  transition to another vendor would be
accomplished, and in what time frame the transition will be made.

                                      -20-
<PAGE>

In light of the  possibility  that the  Company's  contract with HCSP may not be
renewed the Company's  management has focused on, and will continue to build its
subscriber  base through  consumers,  healthcare  agencies,  health  maintenance
organizations,  durable medical  equipment  providers,  retirement  communities,
hospitals  and  other  governmental   agencies.  In  addition,  the  Company  is
continuing to invest in new products and services.

ITEM 7.    FINANCIAL STATEMENTS.
           ---------------------

The financial statements required hereby are located on pages F-1 through F-16.

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

None.



                                      -21-

<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 2000 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).

            3(c)*       Articles of Incorporation of Safe Com, Inc.

            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.

<PAGE>

                        (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).

            4(g)        Amendment,  dated  November  5,  1997,  to  the  Warrant
                        Agreement  between  the Company  and  Continental  Stock
                        Transfer & Trust Company  (Incorporated  by reference to
                        Exhibit 4(g) to the  Company's  Form 10-KSB for the year
                        ended December 31, 1997).

            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)(i)    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(c)(ii)*  Employment Agreement, dated March 26, 1999  between the
                        Company and Corey M. Aronin.

            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).


<PAGE>

            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 (Incorporated by
                        reference to Exhibit 10(g) to the Company's  Form 10-KSB
                        for the year ended December 31, 1997).

            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 (Incorporated by
                        reference to Exhibit 10(i) to the Company's  Form 10-KSB
                        for the year ended December 31, 1997).

            10(j)(i)    Lease for the premises located at 3255 Lawson Boulevard,
                        Oceanside,   New  York  (Incorporated  by  reference  to
                        Exhibit 10(j) to the Company's  Form 10-KSB for the year
                        ended December 31, 1997).

            10(j)(ii)*  Addendum  to lease for  premises  located at 3255 Lawson
                        Boulevard, Oceanside, New York.

            10(k)       Lease for the  premises  located at 910  Church  Street,
                        Decatur,  Georgia  (Incorporated by reference to Exhibit
                        10(k) to the  Company's  Form  10-KSB for the year ended
                        December 31, 1997).

            10(l)       Lease  for the  premises  located  at  169-10  Crocheron
                        Avenue,  Flushing,  New York dated  September 1, 1998 by
                        and between  the  Company and Roseann and Charles  Rojo.
                        (Incorporated  by  reference  to  Exhibit  10(l)  of the
                        Company's  form 10-KSB for the year ended  December  31,
                        1998).

            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  (Incorporated  by
                        reference to Exhibit 10(n) to the Company's  Form 10-KSB
                        for the year ended December 31, 1997).

            10(o)       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(p)       1997 Stock  Option Plan  (Incorporated  by  reference to
                        Exhibit 10(q) to the

<PAGE>

                        Company's  Form 10-KSB for the year ended  December  31,
                        1997).

            10(q)(i)    Agreement  between the Company and the City of New York,
                        (Incorporated  by  reference  to  Exhibit  10(o)  to the
                        Company's  Form 10-KSB for the year ended  December  31,
                        1996).

            10(r)(i)*   Purchase/Leaseback  Agreement  dated July 13,  1999 with
                        Celtic Leasing Corp.

            10(r)(ii)   Purchase/Leaseback Agreement dated January 13, 1998 with
                        Celtic  Leasing  Corp.  (Incorporated  by  reference  to
                        Exhibit 10(u)( to the Company's Form 10-KSB for the year
                        ended December 31, 1998.)

            10(s)       Financial Advisory and Investment Banking Agreement with
                        GKN  Securities  Corp.  dated  as  of  January  1,  1997
                        (Incorporated  by  reference  to  Exhibit  10(v)  to the
                        Company's  Form 10-KSB for the year ended  December  31,
                        1997).

            10(t)(i)    Loan Agreement dated as of April 27, 1998 by and between
                        the Company and European American Bank. (Incorporated by
                        reference to exhibit 10(w) to the Company's  Form 10-KSB
                        for the year ended December 31, 1998.)

            10(t)(ii)*  First  Amendment to Loan  Agreement  between the Company
                        and European American Bank,  extending such agreement to
                        May 31, 2001.

            10(u)       Assignment  of Rents and  Leases  dated  January 7, 1999
                        relating to the leased  premises  at 910 Church  Street,
                        Decatur,  Georgia  (Incorporated by reference to exhibit
                        10(x) to the  Company's  Form  10-KSB for the year ended
                        December 31, 1998).

            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.
<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
                                        ---------------------------------------
                                             Howard M. Siegel
                                             Chairman of the Board and President

Dated:  March 28, 2000


         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 28, 2000
- ---------------------------     President, Chief Executive
Howard M. Siegel                Officer and Director


/s/ Corey M. Aronin             Chief Financial Officer         March 28, 2000
- ---------------------------
Corey M. Aronin


/s/ Peter Breitsone             Director                        March 28, 2000
- ---------------------------
Peter Breitstone


/s/ Leonard Herz                Director                        March 28, 2000
- ---------------------------
Leonard Herz


/s/ Theodore Simon              Director                        March 28, 2000
- ---------------------------
Theodore Simon


/s/ Frederick Siegel            Director                        March 28, 2000
- ---------------------------
Frederick Siegel


<PAGE>
                          AMERICAN MEDICAL ALERT CORP.
                                 AND SUBSIDIARY








                        CONSOLIDATED FINANCIAL STATEMENTS
                  YEARS ENDED DECEMBER 31, 1999, 1998 AND 1997


<PAGE>

AMERICAN MEDICAL ALERT CORP. AND SUBSIDIARY

CONTENTS
- --------------------------------------------------------------------------------


REPORT OF INDEPENDENT ACCOUNTANTS                                    F-1


FINANCIAL STATEMENTS:

     Consolidated Balance Sheets                                     F-2

     Consolidated Statements of Income                               F-3

     Consolidated Statements of Shareholders' Equity                 F-4

     Consolidated Statements of Cash Flows                           F-5

     Notes to Consolidated Financial Statements                 F-6 - F-16


<PAGE>

REPORT OF INDEPENDENT ACCOUNTANTS

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


We have audited the accompanying consolidated balance sheets of American Medical
Alert Corp.  and  Subsidiary  as of  December  31, 1999 and 1998 and the related
consolidated statements of income,  shareholders' equity and cash flows for each
of the three years in the period ended  December 31,  1999.  These  consolidated
financial  statements are the  responsibility of the Company's  management.  Our
responsibility  is  to  express  an  opinion  on  these  consolidated  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 consolidated  financial statements referred to above present
fairly,  in all material  respects,  the financial  position of American Medical
Alert Corp.  and  Subsidiary as of December 31, 1999 and 1998 and the results of
their  operations and their cash flows for each of the three years in the period
ended  December 31, 1999,  in  conformity  with  generally  accepted  accounting
principles.

/s/ Margolin, Winer & Evens LLP
Margolin, Winer & Evens LLP
Garden City, New York

February 17, 2000



                                                                            F-1
<PAGE>

<TABLE>
<CAPTION>

AMERICAN MEDICAL ALERT CORP. AND SUBSIDIARY

CONSOLIDATED BALANCE SHEETS
- -----------------------------------------------------------------------------------------------------------------------

December 31,                                                                          1999                  1998
- -----------------------------------------------------------------------------------------------------------------------
ASSETS (NOTE 2)

CURRENT ASSETS:
<S>                                                                              <C>                  <C>
     Cash                                                                           $ 953,734           $ 1,419,842
     Accounts and notes receivable (net of allowance for
         doubtful accounts of $75,000 in 1999 and $60,000 in 1998)
         (Notes 1, 3 and 9)                                                         2,255,640             2,170,498

     Inventory (Note 1)                                                               791,572             1,329,526
     Prepaid expenses and taxes and other current assets
         (Notes 1 and 4)                                                              342,548               139,632
     Deferred income taxes (Notes 1 and 4)                                            156,000               121,000
                                                                           ------------------    ------------------

TOTAL CURRENT ASSETS                                                                4,499,494             5,180,498
                                                                           ------------------    ------------------


INVENTORY OF MEDICAL DEVICES HELD FOR LEASE - AT COST (NOTE 1)                        988,000                     -
                                                                           ------------------    ------------------



FIXED ASSETS - AT COST:
     Leased medical devices                                                         8,014,100             6,214,857
     Monitoring equipment                                                             863,632               561,033
     Furniture and equipment                                                          463,576               419,450
     Leasehold improvements                                                           217,600               214,638
     Automobiles                                                                       45,468                44,792
                                                                           ------------------    ------------------
                                                                                    9,604,376             7,454,770
     Less accumulated depreciation and amortization (Note 1)                        4,101,029             2,913,424
                                                                           ------------------    ------------------

                                                                                    5,503,347             4,541,346
                                                                           ------------------    ------------------

OTHER ASSETS
     Intangible assets (net of accumulated amortization
         of $57,100 in 1999 and $24,150 in 1998) (Note 1)                             250,605               167,350

     Other assets and deferred costs (Note 9)                                         143,075                35,002
                                                                           ------------------    ------------------


                                                                                      393,680               202,352
                                                                           ------------------    ------------------

TOTAL ASSETS                                                               $       11,384,521    $        9,924,196
                                                                           ==================    ==================


CONSOLIDATED BALANCE SHEETS
- -----------------------------------------------------------------------------------------------------------------------

December 31,                                                                        1999                  1998
- -----------------------------------------------------------------------------------------------------------------------

LIABILITIES AND SHAREHOLDERS' EQUITY

CURRENT LIABILITIES:
      Accounts payable                                                           $ 305,320             $ 185,394
      Accrued expenses                                                             242,373               142,342
      Income taxes payable                                                              -                 21,569
      Current portion of capital lease obligations (Note 5)                         98,801                44,110
                                                                        ------------------    ------------------

TOTAL CURRENT LIABILITIES                                                          646,494               393,415

DEFERRED INCOME TAX LIABILITY (NOTES 1 AND 4)                                      423,000               332,000


DEFERRED GAIN ON SALE OF EQUIPMENT (NOTE 1)                                         17,166                22,766


LONG-TERM PORTION OF CAPITAL LEASE OBLIGATIONS (NOTE 5)                            282,686               148,542
                                                                        ------------------    ------------------


TOTAL LIABILITIES                                                                1,369,346               896,723
                                                                        ------------------    ------------------


COMMITMENTS (NOTES 5, 6 AND 8)                                                          -                     -


SHAREHOLDERS' EQUITY (NOTES 6 AND 8):
      Preferred Stock, $.01 par value-
          authorized, 1,000,000 shares;
          none issued and outstanding
      Common stock, $.01 par value -
          authorized, 10,000,000 shares;
          issued 6,446,832 shares in 1999 and
          6,397,570 shares in 1998                                                  64,468                63,976
      Additional paid-in capital                                                 6,200,701             6,089,050

      Retained earnings                                                          3,856,038             2,980,479
                                                                        ------------------    ------------------
                                                                                10,121,207             9,133,505
      Less treasury stock, at cost (43,910 shares in 1999
          and 1998)                                                               (106,032)             (106,032)
                                                                        ------------------    ------------------


TOTAL SHAREHOLDERS' EQUITY                                                      10,015,175             9,027,473
                                                                        ------------------    ------------------

TOTAL LIABILITIES AND SHAREHOLDERS' EQUITY                                    $ 11,384,521           $ 9,924,196
                                                                        ==================    ==================
</TABLE>

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

                                                                            F-2
<PAGE>

AMERICAN MEDICAL ALERT CORP. AND SUBSIDIARY

CONSOLIDATED STATEMENTS OF INCOME
<TABLE>
<CAPTION>

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

Years Ended December 31,                                                   1999                   1998                  1997
- -----------------------------------------------------------------------------------------------------------------------------------
REVENUE (NOTES 1 AND 9):
<S>                                                            <C>                   <C>                   <C>
     Services                                                   $        8,789,882    $        7,812,571    $        6,757,594
     Product sales                                                         435,358               484,637               879,136
                                                                ------------------    ------------------    ------------------

                                                                         9,225,240             8,297,208             7,636,730
                                                                ------------------    ------------------    ------------------


COSTS AND EXPENSES (INCOME):
     Costs related to services                                           3,386,606             2,828,094             2,542,840
     Cost of products sold                                                 357,046               461,641               824,290
     Selling, general and
         administrative expenses                                         3,961,954             3,268,739             2,746,695
     Interest expense                                                       23,087                21,802                46,705
     Other income                                                          (22,012)               (8,571)               (1,308)
                                                                ------------------    ------------------    ------------------

                                                                         7,706,681             6,571,705             6,159,222
                                                                ------------------    ------------------    ------------------


INCOME BEFORE PROVISION FOR INCOME TAXES                                 1,518,559             1,725,503             1,477,508

PROVISION FOR INCOME TAXES (NOTES 1 AND 4)                                 643,000               739,000               673,000
                                                                ------------------    ------------------    ------------------

NET INCOME                                                      $          875,559    $          986,503    $          804,508
                                                                ==================    ==================    ==================



BASIC EARNINGS PER SHARE (NOTE 1)                                      $   .14               $    .17              $   .14
                                                                       =======               ========              =======

DILUTED EARNINGS PER SHARE (NOTE 1)                                    $   .14               $    .16              $   .14
                                                                       =======               ========              =======

</TABLE>

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

                                                                            F-3
<PAGE>
AMERICAN MEDICAL ALERT CORP. AND SUBSIDIARY

CONSOLIDATED STATEMENTS OF SHAREHOLDERS' EQUITY
<TABLE>
<CAPTION>
- -----------------------------------------------------------------------------------------------------------------------------------

Years Ended December 31, 1999, 1998 and 1997
- -----------------------------------------------------------------------------------------------------------------------------------
                                                                                       COMMON STOCK
                                                                               ---------------------------
                                                                               NUMBER                                ADDITIONAL
                                                                                 OF                                    PAID-IN
                                                                               SHARES               AMOUNT             CAPITAL
                                                                               ------               ------             -------
<S>                                                                           <C>             <C>                  <C>
BALANCE - JANUARY 1, 1997                                                       5,843,276      $        58,432      $     4,391,990

COMMON STOCK ISSUED                                                                 2,500                   25                3,803

EXERCISE OF STOCK OPTIONS (NOTE 6)                                                 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

EXERCISE OF STOCK OPTIONS (NOTE 6)                                                123,653                1,237              276,969

EXERCISE OF STOCK WARRANTS (NOTE 6)                                               369,310                3,694            1,288,892

NET INCOME FOR THE YEAR ENDED DECEMBER 31, 1998                                        -                    -                    -
                                                                          ---------------      ---------------      ---------------

BALANCE - DECEMBER 31, 1998                                                     6,397,570               63,976            6,089,050

EXERCISE OF STOCK OPTIONS (NOTE 6)                                                 24,262                  242               61,901

EXERCISE OF NON-EMPLOYEE STOCK OPTIONS (NOTE 6)                                    25,000                  250               49,750

NET INCOME FOR THE YEAR ENDED DECEMBER 31, 1999                                        -                    -                    -
                                                                          ---------------      ---------------      ---------------

BALANCE - DECEMBER 31, 1999                                                     6,446,832      $        64,468      $     6,200,701
                                                                          ===============      ===============      ===============
</TABLE>
<TABLE>
<CAPTION>
                                                                               RETAINED             TREASURY
                                                                               EARNINGS               STOCK               TOTAL
                                                                               --------               -----               -----
<S>                                                                       <C>                 <C>                 <C>
BALANCE - JANUARY 1, 1997                                                  $     1,189,468     $   (106,032)       $      5,533,858

COMMON STOCK ISSUED                                                                     -                -                    3,828

EXERCISE OF STOCK OPTIONS (NOTE 6)                                                      -                -                  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

EXERCISE OF STOCK OPTIONS (NOTE 6)                                                      -                -                  278,206

EXERCISE OF STOCK WARRANTS (NOTE 6)                                                     -                -                1,292,586

NET INCOME FOR THE YEAR ENDED DECEMBER 31, 1998                                    986,503               -                  986,503
                                                                           ---------------     ------------        ----------------

BALANCE - DECEMBER 31, 1998                                                      2,980,479         (106,032)              9,027,473

EXERCISE OF STOCK OPTIONS (NOTE 6)                                                      -                -                   62,143

EXERCISE OF NON-EMPLOYEE STOCK OPTIONS (NOTE 6)                                         -                -                   50,000

NET INCOME FOR THE YEAR ENDED DECEMBER 31, 1999                                    875,559               -                  875,559
                                                                           ---------------     ------------        ----------------

BALANCE - DECEMBER 31, 1999                                                $     3,856,038     $   (106,032)       $     10,015,175
                                                                           ===============     ============        ================
</TABLE>
The accompanying notes are an integral part of these financial statements.

                                                                            F-4
<PAGE>

AMERICAN MEDICAL ALERT CORP. AND SUBSIDIARY

CONSOLIDATED STATEMENTS OF CASH FLOWS

<TABLE>
<CAPTION>

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

Years Ended December 31,                                                      1999                   1998                 1997
- -----------------------------------------------------------------------------------------------------------------------------------
<S>                                                                  <C>                  <C>                    <C>
CASH FLOWS FROM OPERATING ACTIVITIES:

     Net income                                                       $       875,559       $       986,503       $       804,508

     Adjustments to reconcile net income
              to net cash provided by
              operating activities:

         Provision (credit) for
              deferred income taxes                                            56,000               (10,000)               17,000
         Provision for doubtful receivables                                    15,000                30,000                    -
         Gain on sale and leaseback of fixed assets                            (5,600)               (5,600)                   -
         Issuance of common stock in
              consideration for consulting services                                -                     -                  3,828
         Depreciation and amortization                                      1,273,484             1,050,327               780,280
         Decrease (increase) in:
              Accounts receivable                                            (100,142)             (625,760)             (230,983)
              Inventory                                                       537,954               (18,975)             (139,530)
              Prepaid expenses and taxes and
                  other current assets                                       (202,916)               57,358               (59,743)
              Other assets                                                   (108,073)                 (241)               (9,893)
         Increase (decrease) in:
              Accounts payable                                                119,926                23,599               (30,912)
              Accrued expenses                                                100,031                 2,540              (172,152)
              Income taxes payable                                            (21,569)               21,569               (16,464)
                                                                      ---------------       ---------------       ---------------

     Net Cash Provided by Operating Activities                              2,539,654             1,511,320               945,939
                                                                      ---------------       ---------------       ---------------

CASH FLOWS FROM INVESTING ACTIVITIES:
     Expenditures for fixed assets including
         inventory of medical devices held
         for lease in 1999                                                 (3,190,535)           (1,711,996)             (761,019)
     Proceeds from sale of equipment                                          250,000               128,719                    -
     Payment for account acquisitions and
         licensing agreement                                                 (116,205)             (191,500)                   -
                                                                      ---------------       ---------------       ---------------

     Net Cash Used in Investing Activities                                 (3,056,740)           (1,774,777)             (761,019)
                                                                      ---------------       ---------------       ---------------

CASH FLOWS FROM FINANCING ACTIVITIES:
     Net repayments on bank borrowings                                             -               (150,000)             (300,000)
     Principal payments under capital
         lease obligations                                                    (61,165)              (42,232)               (9,178)
     Proceeds upon exercise of stock options                                   62,143               278,206               127,984
     Proceeds upon exercise of non-employee
         stock options and stock warrants                                      50,000             1,292,586                    -
                                                                      ---------------       ---------------       ---------------

     Net Cash Provided by  (Used in)
         Financing Activities                                                  50,978             1,378,560              (181,194)
                                                                      ---------------       ---------------       ---------------


  NET (DECREASE) INCREASE IN CASH                                     $      (466,108)        $   1,115,103       $         3,726

  CASH - BEGINNING OF YEAR                                                  1,419,842               304,739               301,013
                                                                       --------------       ---------------       ---------------

  CASH - END OF YEAR                                                  $       953,734         $   1,419,842       $       304,739
                                                                       ==============       ===============       ===============


  SUPPLEMENTAL DISCLOSURE OF CASH FLOW
          INFORMATION -
      Cash paid during the year for:
          Interest                                                    $        23,087         $      21,802       $        46,705
          Income taxes                                                        765,569               695,809               704,254

  SUPPLEMENTAL SCHEDULE OF NONCASH INVESTING
          AND FINANCING ACTIVITIES:
      Fixed assets recorded under
          capital lease obligations                                   $      250,000         $     223,030*      $            -


      During 1999 and 1998, the Company sold and
      leased back various monitoring equipment
      which was placed in service during prior
      years.  A deferred gain of $28,366 was
      recorded on the 1998 transaction.  There was
      no gain or loss on the 1999 transaction.
      (Note 1)

  *   Includes $128,719 from the sale/leaseback.
</TABLE>

                                                                            F-5
The accompanying notes are an integral part of these financial statements.

<PAGE>

AMERICAN MEDICAL ALERT CORP. AND SUBSIDIARY

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
- --------------------------------------------------------------------------------

1.      SUMMARY OF              SCOPE OF BUSINESS - The  Company's  business is
        SIGNIFICANT             to sell,  rent,  install,  service  and monitor
        ACCOUNTING POLICIES     remote  communication   systems  with  personal
                                security and smoke/fire detection 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, and government agencies
                                across   the  United   States  and   individual
                                consumers. (See Note 9.)

                                CONSOLIDATION    POLICY   -   The   accompanying
                                consolidated  financial  statements  include the
                                accounts of American Medical Alert Corp. and its
                                wholly-owned  subsidiary,  Safe  Com,  Inc.  All
                                material inter-company balances and transactions
                                have been eliminated.

                                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, excluding
                                inventory  of  medical  devices  held for lease,
                                were  approximately  $631,000 and  $1,263,000 at
                                December  31, 1999 and 1998,  respectively,  and
                                the  remaining  inventory  consists of component
                                parts.  Inventory  of medical  devices  held for
                                lease  are  finished   goods  that  the  Company
                                intends  to place  in  service  as fixed  assets
                                under its rental program.

                                FIXED ASSETS -  Depreciation  is computed by the
                                straight-line   method  at  rates   adequate  to
                                allocate  the  cost of  applicable  assets  over
                                their expected useful lives as follows:

                                Leased medical devices               5-7 years
                                Monitoring equipment                   5 years
                                Furniture and equipment              5-7 years
                                Automobiles                            3 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.

                                Statement  of  Financial   Accounting  Standards
                                ("SFAS") No. 121, "Accounting for the Impairment
                                of Long-Lived  Assets and for Long-Lived  Assets
                                to be Disposed  Of",  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  during the three year  period  ending
                                December  31,  1999.  (See

                                                                            F-6
<PAGE>

AMERICAN MEDICAL ALERT CORP. AND SUBSIDIARY

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
- --------------------------------------------------------------------------------

                                Note 9.)

                                 INTANGIBLE   ASSETS   -   Intangible    assets,
                                 consisting  of  purchased  trade  accounts,   a
                                 related trade name, and a licensing  agreement,
                                 are amortized using the straight-line method at
                                 rates  adequate  to  allocate  the  cost of the
                                 assets over their  expected  useful lives.  The
                                 trade accounts and the licensing  agreement are
                                 amortized over five years and the trade name is
                                 amortized  over ten years.  It has been Company
                                 experience that trade accounts  purchased would
                                 have a life of at least  five  years  and would
                                 show   growth  even  net  of   attrition.   The
                                 licensing  agreement  and trade name  relate to
                                 recognized names in the Company's  industry and
                                 thus have  remaining  useful  lives of at least
                                 five and ten years, respectively.

                                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 differences  between
                                the financial  statement and tax bases 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.

                                DEFERRED  GAIN ON SALE OF  EQUIPMENT - Statement
                                of  Financial   Accounting   Standards  No.  28,
                                "Accounting   for   Sales   with    Leasebacks,"
                                generally requires profit or loss on the sale to
                                be deferred and amortized.  In April 1998 and in
                                October 1999, the Company financed approximately
                                $128,000  and  $250,000 of  computer  monitoring
                                equipment under sale-leaseback arrangements. The
                                April 1998 sale-leaseback  arrangement  resulted
                                in a gain  of  approximately  $28,000  which  is
                                being  amortized  over the five year lease term.
                                No gain or loss was recorded on the October 1999
                                arrangement. (See Note 5.)

                                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.

                                RESEARCH  AND  DEVELOPMENT  COSTS - Research and
                                development   costs,   which  are  expensed  and
                                included in selling,  general and administrative
                                expenses, were $110,480, $14,586 and $20,441 for
                                the years ended  December  31, 1999,  1998,  and
                                1997,  respectively.

                                INCOME  PER  SHARE  -  In  February  1997,  the
                                Financial  Accounting  Standards  Board  issued
                                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,  1999,  1998 and 1997 is presented
                                in
                                                                            F-7
<PAGE>
AMERICAN MEDICAL ALERT CORP. AND SUBSIDIARY

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
- --------------------------------------------------------------------------------
                                conformity with this pronouncement.

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

<TABLE>
<CAPTION>

                                            Income           Shares        Per-Share
                  1999                    (Numerator)     (Denominator)     Amounts
                  ----                  -------------     -------------  ------------
<S>                                    <C>               <C>             <C>
  BASIC EPS -
      Income available to
           common stockholders          $     875,559          6,375,803       $.14
                                                                               ====

  EFFECT OF DILUTIVE SECURITIES -
      Options and warrants                         -              73,430
                                        -------------     --------------

  DILUTED EPS -
      Income available to common
           Stockholders and
           assumed conversions          $     875,559          6,449,233       $.14
                                        =============     ==============       ====

                  1998

  BASIC EPS -
      Income available to
           common stockholders          $     986,503          5,938,900       $.17
                                                                               ====

  EFFECT OF DILUTIVE SECURITIES -
      Options and warrants                         -             122,993
                                        -------------     --------------

  DILUTED EPS -
      Income available to common
           Stockholders and
           assumed conversions          $     986,503          6,061,893       $.16
                                        =============     ==============       ====

                  1997

  BASIC EPS -
      Income available to
           common stockholders          $     804,508          5,839,450       $.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       $. 14
                                        =============     ==============       =====
</TABLE>

                                                                            F-8
<PAGE>

AMERICAN MEDICAL ALERT CORP. AND SUBSIDIARY

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
- --------------------------------------------------------------------------------


                                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.  In addition,
                                the Company  maintains  its cash in various bank
                                accounts  which at times  may  exceed  federally
                                insured limits. (See Note 9.)

                                RECLASSIFICATIONS  - Certain amounts in the 1998
                                and 1997 consolidated  financial statements have
                                been  reclassified  to  conform  with  the  1999
                                presentation.

                                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 all 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 and taxes 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.


2.      BANK LINE OF            The Company has a revolving credit line which
        CREDIT                  permits  maximum  borrowings  up  to $2,000,000
                                (based upon  75% of eligible accounts receivable
                                and  25% of  inventory, as defined).  Borrowings
                                under  the  line   bear interest at the lower of
                                the prime rate or LIBOR plus 2.50% (as  defined)
                                and are collateralized by the Company's


                                                                            F-9
<PAGE>

AMERICAN MEDICAL ALERT CORP. AND SUBSIDIARY

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
- --------------------------------------------------------------------------------


                                assets.  The credit line is available until May
                                31,  2001.  No  amounts  were   outstanding  at
                                December 31, 1999 and 1998.


                                The   agreement   provides   for   negative  and
                                affirmative covenants including those related to
                                tangible  net worth,  working  capital and other
                                borrowings.


3.      RELATED PARTY           A  director  of the  Company  has an  ownership
        TRANSACTIONS            interest  in  an  insurance   agency  that  has
                                written  policies for the Company with premiums
                                of  $148,168,  $147,924  and  $165,094 in 1999,
                                1998 and 1997, respectively.

                                Included in  accounts  and notes  receivable  at
                                December  31,  1999  and  1998 is  $110,787  and
                                $84,350,  respectively,  due from the  president
                                and principal  shareholder of the Company.  (See
                                Notes 5 and 6.)


4.      INCOME TAXES            The provision for income taxes consists of the
                                following:
<TABLE>
<CAPTION>

                                                               Years Ended December 31,
                                                         -------------------------------------
                                                            1999          1998           1997
                                                         ---------     ---------     ---------

                                Current:
                               <S>                  <C>            <C>            <C>
                                      Federal        $    411,000   $    542,000   $    452,000
                                      State               176,000        207,000        204,000
                                                     ------------   ------------   ------------

                                                          587,000        749,000        656,000
                                                     ------------   ------------   ------------

                                Deferred:
                                      Federal              45,000         (8,000)        14,000
                                      State                11,000         (2,000)         3,000
                                                     ------------   ------------   ------------

                                                           56,000        (10,000)        17,000
                                                     ------------   ------------   ------------

                                Total                $    643,000    $   739,000    $   673,000
                                                     ============    ===========    ===========

</TABLE>
                                The  following  is  a   reconciliation   of  the
                                statutory   federal  income  tax  rate  and  the
                                effective  rate  of  the  provision  for  income
                                taxes:
<TABLE>
<CAPTION>

                                                                                   Years Ended December 31,
                                                                           --------------------------------------
                                                                             1999            1998           1997
                                                                           --------        --------      --------
                                <S>                                        <C>            <C>           <C>
                                Statutory federal income tax rate              34%            34%            34%
                                State and local taxes                           8              8              9
</TABLE>


                                                                           F-10
<PAGE>

AMERICAN MEDICAL ALERT CORP. AND SUBSIDIARY

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
- --------------------------------------------------------------------------------
<TABLE>
<CAPTION>
                                <S>                                        <C>            <C>           <C>

                                Other                                           -              1              2
                                                                           ------         ------          -----

                                Effective income tax rate                      42%            43%            45%
                                                                           ======         ======          =====
</TABLE>
                                The tax effects of significant  items comprising
                                the  Company's  deferred  taxes at December  31,
                                1999 and 1998 are as follows:

<TABLE>
<CAPTION>

                                                                                                 December 31,
                                                                                      -------------------------------
                                                                                             1999             1998
                                                                                      -------------     -------------
                               <S>                                                   <C>               <C>
                                Deferred tax liabilities:
                                     Difference between book and tax bases
                                        of property                                   $    (423,000)    $    (332,000)
                                                                                      -------------     -------------

                                Deferred tax assets:
                                     Reserves not currently deductible                       95,000            75,000
                                     Capitalization of inventory                             54,000            46,000
                                     Other                                                    7,000                -
                                                                                      -------------     ------------

                                     Total                                                  156,000           121,000
                                                                                      -------------     -------------

                                Net deferred tax liabilities                          $    (267,000)    $    (211,000)
                                                                                      =============     =============
</TABLE>

5.      COMMITMENTS             CAPITAL LEASES - At December 31, 1999 and 1998,
                                the Company is obligated  under certain capital
                                lease  agreements for monitoring  equipment and
                                an  automobile  that expire at various dates in
                                2000 through  2003.  The amounts of  monitoring
                                equipment  and the  automobile  recorded  under
                                capital  leases and included in fixed assets at
                                December 31, 1999 and 1998 are as follows:
<TABLE>
<CAPTION>
                                                                                                 December 31,
                                                                                      -------------------------------
                                                                                            1999            1998
                                                                                      --------------    -------------
                                     <S>                                             <C>               <C>
                                      Monitoring equipment                            $      459,085    $     209,085
                                      Automobiles                                             14,336           14,336
                                      Less accumulated depreciation                          (85,229)         (23,008)
                                                                                      --------------    -------------
                                                                                      $      388,192    $     200,413
                                                                                      ==============    =============
</TABLE>
                                The  following  is a schedule by years of future
                                minimum  lease  payments  under  capital  leases
                                together  with  the  present  value  of the  net
                                minimum lease payments as of December 31, 1999:
<TABLE>
<CAPTION>
                                               Years ending December 31,
                                              <S>                                           <C>
                                                            2000                             $      123,797
                                                            2001                                    127,005
</TABLE>


                                                                           F-11
<PAGE>

AMERICAN MEDICAL ALERT CORP. AND SUBSIDIARY

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
- --------------------------------------------------------------------------------
<TABLE>
<CAPTION>
                                              <S>                                           <C>
                                                            2002                                    124,320
                                                            2003                                     67,829
                                                                                               ------------
                                               Total minimum lease payments                         442,951

                                               Less amounts representing interest                    61,464
                                                                                               ------------
                                               Present value of net minimum
                                                   lease payments                            $      381,487

                                               Less current portion                                  98,801

                                               Obligation under capital leases,
                                                   less current portion                      $      282,686
                                                                                             ==============
</TABLE>

                                OPERATING  LEASES - The  Company  leases  office
                                facilities from its principal  shareholder under
                                three separate  agreements,  all of which expire
                                in September  2007.  The leases call for minimum
                                annual rentals,  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  $271,010 in 1999,  $260,645 in 1998
                                and $197,887 in 1997,  which includes  $167,613,
                                $147,357,   $116,719,   respectively,   paid  in
                                connection  with the above noted leases with the
                                principal  shareholder.  The  aggregate  minimum
                                annual rental  commitments under  non-cancelable
                                operating leases are as follows:

                                 Years ending December 31,
                                         2000                 $        252,359
                                         2001                          195,066
                                         2002                          193,026
                                         2003                          202,677
                                         2004                          212,811
                                      Thereafter                       642,841
                                                              ----------------
                                                              $      1,698,780
                                                              ================

                                Approximately  95% of the minimum  annual rental
                                commitments  relate  to the above  noted  leases
                                with the principal shareholder.

                                EMPLOYMENT  AGREEMENTS  - On January 1, 1997 the
                                Company  entered  into a three  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,  provided  for  additional
                                compensation  which was  based on the  Company's
                                pre-tax income,  as defined.  The employee could
                                elect to  receive  the  additional  compensation
                                either  in cash or in the form of the  Company's
                                common

                                                                           F-12
<PAGE>

AMERICAN MEDICAL ALERT CORP. AND SUBSIDIARY

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
- --------------------------------------------------------------------------------


                                stock.   For  the  three  year  period   ending
                                December 31, 1999, no  additional  compensation
                                was earned.  The agreement  also provided for a
                                termination     payment,      under     certain
                                circumstances,  if  a  change  in  control  (as
                                defined)  occurred.   The  termination  payment
                                would  have been  equal to 2.99  times the base
                                amount, as defined.


                                The  Company  is  negotiating  a new three  year
                                employment  agreement with its president,  which
                                would  be  effective  January  1,  2000.  As  of
                                February 17,  2000,  the  agreement  has not yet
                                been finalized.


6.      COMMON                  The Company has two Stock Option Plans,  a 1991
        STOCK,                  Stock  Option  Plan ("1991  Plan"),  and a 1997
        WARRANTS AND            Stock Option Plan ("1997  Plan").  A maximum of
        OPTIONS                 750,000 options may be granted under each plan,
                                as amended,  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 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  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
                                stock options granted. Had compensation cost for
                                the Company's stock option plans been determined
                                based on the fair  value at the  grant  date for
                                awards in 1999,  1998 and 1997  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:
<TABLE>
<CAPTION>

                                                                          1999             1998           1997
                                                                    --------------    -------------  -------------
                               <S>                                 <C>               <C>               <C>

                                Pro forma net income                $      671,781    $     854,573     $     694,844

                                Pro forma basic earnings
                                      per share                     $      .11        $      .14        $     .12
</TABLE>

                                                                           F-13
<PAGE>

AMERICAN MEDICAL ALERT CORP. AND SUBSIDIARY

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
- --------------------------------------------------------------------------------

                                The  weighted  average  grant date fair value of
                                options  granted  in  1999,  1998  and  1997 was
                                $203,778, $131,930 and $109,664, respectively.

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

<TABLE>
<CAPTION>


                                                                       1999             1998             1997
                                                                   -----------       ------------    ----------
                               <S>                                 <C>              <C>             <C>
                                Expected life (years)                   2                2               2.24
                                Risk free interest rate                 5.13%            5.31%           5.97%
                                Expected volatility                    33.84%           27.66%          32.10%
                                Expected dividend yield                 -                -                 -
</TABLE>

                                Information with respect to options under plans
                                is as follows:
<TABLE>
<CAPTION>


                                                                                                          Weighted
                                                                                         Number            Average
                                                                                           of             Exercise
                                                                                         Shares             Price
                                                                                         ------             -----
                               <S>                                                  <C>                <C>

                                Balance - January 1, 1997                                 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
                                     Granted during 1998                                  238,774           2.75
                                     Forfeitures/expirations during 1998                  (48,597)          2.78
                                     Exercised during 1998                               (123,653)          2.25
                                                                                     ------------        -------

                                Balance - December 31, 1998                               669,700           2.68
                                     Granted during 1999                                  290,089           3.15
                                     Forfeitures/expirations during 1999                 (208,829)          2.55
                                     Exercised during 1999                                (24,262)          2.56
                                                                                     ------------        -------

                                Balance - December 31, 1999                               726,698        $  2.89
                                                                                     ============        =======
</TABLE>
                                At  December  31,  1999 and 1998,  726,698  and
                                669,700 options were exercisable, respectively.

                                The following table summarizes information about
                                the stock  options  outstanding  at December 31,
                                1999:
<TABLE>
<CAPTION>

                              Options Outstanding                                          Options Exercisable
                              -------------------                                          -------------------
                                             Weighted-
                                              Average            Weighted-                                Weighted-
       Range of                              Remaining            Average                                  Average
 <S>                                        <C>                 <C>                                      <C>
</TABLE>


                                                                           F-14

<PAGE>

<TABLE>
<CAPTION>



       Exercise             Number          Contractual           Exercise             Number             Exercise
       Prices             Outstanding           Life                Price           Exercisable              Price
       ------             -----------           ----                -----           -----------              -----

  <S>                    <C>               <C>                   <C>               <C>                   <C>
   $2.1875 -
    3.2500                   584,504            3.06                $2.66               584,504             $2.66
   $3.2501-
    4.1938                   142,194            3.94                 3.87               142,194              3.87
                        ------------        --------              -------               -------         ---------
                             726,698            3.23              $  2.89               726,698             $2.89
                        ============        ========              =======               =======         =========

</TABLE>
                                As of December  31,  1999,  192,296  options are
                                available for future grants under the 1997 Plan.
                                No future options will be granted under the 1991
                                Plan.

                                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. Additional options may
                                be granted  from time to time upon  approval  of
                                the  stock  option  committee.   To  the  extent
                                permitted  by law,  such options will be granted
                                as Incentive  Stock  Options.  Each  nonemployee
                                director will receive  options for 10,000 shares
                                of common stock in July.

                                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.
                                In December  1997,  the Company agreed to extend
                                the   expiration   date  of  the  warrants  from
                                December  27,  1997 to  December  26,  1998.  In
                                December  1998,  prior to the  December 26, 1998
                                expiration    date,    369,310   warrants   were
                                exercised.   The  remaining   480,690   warrants
                                expired on 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.  In  November  1999,  the options
                                were exercised.

7.      EMPLOYEE                Effective  January  1997,  the Company began to
        SAVINGS PLAN            sponsor  a  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. The Company contributed $17,703 and
                                $15,282 for the years ended  December  31, 1999
                                and 1998, respectively.

                                                                           F-15
<PAGE>

8.      CONSULTING              In December  1994,  the Company  entered into a
        AGREEMENT               financial   advisory  and  investment   banking
                                agreement.  In connection  with the  agreement,
                                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  and the
                                Company  granted the  consultant  an additional
                                50,000  warrants  exercisable  for a period  of
                                four years at an  exercise  price of $4.50.  In
                                December 1999 the 150,000  warrants  granted in
                                1994 expired.

                                In  June  1999,  the  Company   entered  into  a
                                consulting  agreement  whereby the consultant is
                                to render  advice to the Company with respect to
                                investor  relations.   In  connection  with  the
                                agreement,  the Company  granted the  consultant
                                50,000 stock options exercisable for a period of
                                five years,  at an  exercise  price of $2.75 per
                                share (the fair market  value at the date of the
                                grant). At December 31, 1999, all of the options
                                were fully vested. The fair value of the options
                                granted was not material.

9.      MAJOR                   The Company is an approved  Medicaid Provider in
        CUSTOMERS               the states of New York and  Georgia.  During the
                                years ended  December 31,  1999,  1998 and 1997,
                                the Company had revenue from one contract with a
                                municipality    in   New   York   State    which
                                represented,  respectively,  41%, 47% and 44% of
                                total   revenue  each  year.   The  contract  is
                                effective  through  June 30,  1999.  In  January
                                1999, the Company  submitted its proposal to the
                                municipality  to renew and extend the  contract.
                                Since June 30, 1999,  the Company has  continued
                                to  provide  service to the  municipality  while
                                awaiting its  selection  of a provider.  Even if
                                the  Company  does  receive  the  renewal of the
                                contract, management expects that the same level
                                of  revenues  will not be  sustained  due to the
                                competitive nature of the bid process, including
                                such   factors   as   pricing   and   number  of
                                subscribers to be serviced.  If the municipality
                                does  not  renew  the  contract,  a  significant
                                amount of the  Company's  revenue would be lost,
                                which  would have a material  adverse  effect on
                                operating results,  and in addition,  there most
                                likely would be a significant  write-down of the
                                Company's   leased  medical  devices  (and/or  a
                                reduction in their  remaining  useful lives) and
                                medical  devices  held for lease.  The extent of
                                the write down will be dependant upon the length
                                of the transition period to the new provider. As
                                of  December   31,   1999  and  1998,   accounts
                                receivable from the contract represented 62% and
                                67%,  respectively,  of accounts  receivable and
                                leased  medical  devices  in  service  under the
                                contract represented 38% and 42%,  respectively,
                                of  leased  medical  devices.  In  addition,   a
                                substantial  amount  of  the  Company's  medical
                                devices  held for lease at December 31, 1999 are
                                intended   primarily  for  this   contract.   At
                                December 31, 1999 the Company has incurred legal
                                and  other   fees  of   approximately   $100,000
                                relating to the contract  extension.  Such costs
                                have been  classified as deferred costs and will
                                be  amortized  over  the  new  contract  term or
                                written off if the contract is not renewed.

                                                                           F-16

<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).

            3(c)*       Articles of Incorporation of Safe Com, Inc.

            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.

<PAGE>

                        (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).

            4(g)        Amendment,  dated  November  5,  1997,  to  the  Warrant
                        Agreement  between  the Company  and  Continental  Stock
                        Transfer & Trust Company  (Incorporated  by reference to
                        Exhibit 4(g) to the  Company's  Form 10-KSB for the year
                        ended December 31, 1997).

            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)(i)    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(c)(ii)*  Employment Agreement, dated March 26, 1999  between  the
                        Company and Corey M. Aronin.

            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).


<PAGE>

            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 (Incorporated by
                        reference to Exhibit 10(g) to the Company's  Form 10-KSB
                        for the year ended December 31, 1997).

            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 (Incorporated by
                        reference to Exhibit 10(i) to the Company's  Form 10-KSB
                        for the year ended December 31, 1997).

            10(j)(i)    Lease for the premises located at 3255 Lawson Boulevard,
                        Oceanside,   New  York  (Incorporated  by  reference  to
                        Exhibit 10(j) to the Company's  Form 10-KSB for the year
                        ended December 31, 1997).

            10(j)(ii)*  Addendum  to lease for  premises  located at 3255 Lawson
                        Boulevard, Oceanside, New York.

            10(k)       Lease for the  premises  located at 910  Church  Street,
                        Decatur,  Georgia  (Incorporated by reference to Exhibit
                        10(k) to the  Company's  Form  10-KSB for the year ended
                        December 31, 1997).

            10(l)       Lease  for the  premises  located  at  169-10  Crocheron
                        Avenue,  Flushing,  New York dated  September 1, 1998 by
                        and between  the  Company and Roseann and Charles  Rojo.
                        (Incorporated  by  reference  to  Exhibit  10(l)  of the
                        Company's  form 10-KSB for the year ended  December  31,
                        1998).

            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  (Incorporated  by
                        reference to Exhibit 10(n) to the Company's  Form 10-KSB
                        for the year ended December 31, 1997).

            10(o)       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(p)       1997 Stock  Option Plan  (Incorporated  by  reference to
                        Exhibit 10(q) to the

<PAGE>

                        Company's  Form 10-KSB for the year ended  December  31,
                        1997).

            10(q)(i)    Agreement  between the Company and the City of New York,
                        (Incorporated  by  reference  to  Exhibit  10(o)  to the
                        Company's  Form 10-KSB for the year ended  December  31,
                        1996).

            10(r)(i)*   Purchase/Leaseback  Agreement  dated July 13,  1999 with
                        Celtic Leasing Corp.

            10(r)(ii)   Purchase/Leaseback Agreement dated January 13, 1998 with
                        Celtic  Leasing  Corp.  (Incorporated  by  reference  to
                        Exhibit 10(u)( to the Company's Form 10-KSB for the year
                        ended December 31, 1998.)

            10(s)       Financial Advisory and Investment Banking Agreement with
                        GKN  Securities  Corp.  dated  as  of  January  1,  1997
                        (Incorporated  by  reference  to  Exhibit  10(v)  to the
                        Company's  Form 10-KSB for the year ended  December  31,
                        1997).

            10(t)(i)    Loan Agreement dated as of April 27, 1998 by and between
                        the Company and European American Bank. (Incorporated by
                        reference to exhibit 10(w) to the Company's  Form 10-KSB
                        for the year ended December 31, 1998.)

            10(t)(ii)*  First  Amendment to Loan  Agreement  between the Company
                        and European American Bank,  extending such agreement to
                        May 31, 2001.

            10(u)       Assignment  of Rents and  Leases  dated  January 7, 1999
                        relating to the leased  premises  at 910 Church  Street,
                        Decatur,  Georgia  (Incorporated by reference to exhibit
                        10(x) to the  Company's  Form  10-KSB for the year ended
                        December 31, 1998).

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

            27*         Financial Data Schedule.

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



                                                                   Exhibit 3(c)

                          Certificate of Incorporation

                                       of
                                  SAFE COM INC.
             Pursuant to Section 402 of the Business Corporation Law

It Is Hereby Certified That:

1.      The name of the corporation is SAFE COM INC.

2.      The purposes for which the corporation is formed are:

To do any act or  activity  for  which  corporations  may be  formed  under  the
business  corporation law, provided that the corporation shall not engage in any
act or activity  which  requires  the  consent or approval of any state  office,
agency, board, department or any other body without first obtaining such consent
or approval.

For the accomplishment of the aforesaid  purposes,  and in furtherance  thereof,
the corporation  shall have and may exercise all of the powers  conferred by the
Business  Corporation Law upon corporations  formed  thereunder,  subject to any
limitations  contained  in  Article  2 of said  law or in  accordance  with  the
provisions of any other statute of the State of New York.

3.      The office of the corporation shall be located in the County of Nassau.

4.      The aggregate number of shares which the corporation shall be authorized
to issue is 1000 with no par value.

5.      The Secretary of State is hereby  designated as agent of the corporation
upon whom process against the corporation may be served. The Post Office address
to which the Secretary of State shall mail a copy of any such process is:

C/O KORN & SPIRN, ESQ. 5O CLINTON STREET HEMPSTEAD, NY  11550

6.      No  Director  of this  corporation  shall be  personally  liable  to the
corporation  or its  shareholders  for  damages  for any  breach of duty in such
capacity,  provided  that this  provision  shall not limit the  liability of any
director if a judgment or other final  adjudication  adverse to him  establishes
that his act or omissions were in bad faith or involved  intentional  misconduct
or a knowing  violation of law or that he personally  gained in fact a financial
profit or other advantage to which he was not legally  entitled or that his acts
violated Section 719 of the New York Business Corporation Law.


<PAGE>


In Witness Whereof, the undersigned  incorporator affirms under the penalties of
perjury that the statements contained herein are true.

Dated: 7/14/99

/s/ Mirtha Mercedes
- ----------------------------------
Mirtha Mercedes
30 East 40th Street, Ste. 605
New York, NY  10016



                                                               Exhibit 10(c)(ii)

                              EMPLOYMENT AGREEMENT

                  EMPLOYMENT AGREEMENT dated as of March 26,1999, by and between
AMERICAN  MEDICAL ALERT CORP.,  a New York  corporation  (the  "Company"),  with
offices  at 3265  Lawson  Boulevard,  Oceanside,  New York  11572,  and Corey M.
Aronin,  an individual  having an address at 3375 Fairway Road,  Oceanside,  New
York 11572 ("Employee").

                              W I T N E S S E T H:
                              - - - - - - - - - -

                  WHEREAS, Employee is currently employed by the Company; and

                  WHEREAS,  the Company  desires  that  Employee  continue to be
employed  by it and  render  services  to it, and  Employee  is willing to be so
employed  and to render  such  services to the  Company,  all upon the terms and
subject to the conditions contained herein.

                  NOW,  THEREFORE,  in  consideration  of the mutual  covenants,
conditions and promises contained herein, the parties hereby agree as follows:

                     1. Employment.  The Company hereby employs Employee for the
period  beginning  as of the date  hereof and ending on August 31,  2000  unless
earlier terminated pursuant hereto (the "Employment Period").

                     2.  Duties.  Subject  to  the  authority  of the  Board  of
Directors  of the Company,  Employee  shall be employed as the  Company's  Chief
Financial  Officer.  Employee  will  perform  such  duties  and  services  of an
executive nature,  commensurate with such position,  as may from time to time be
assigned to him by the Board of Directors.

                     3. Full Time.  Employee agrees that he will devote his full
time and attention to the business and affairs of the Company.  Employee further
agrees to use his best efforts to perform his duties hereunder.

                     4.  Compensation.   In  consideration  of  the  duties  and
services to be performed by Employee  hereunder,  the Company agrees to pay, and
Employee agrees to accept the amounts set forth below:

                     (1) A base  salary,  to be  paid  in  accordance  with  the
Company's normal payroll procedures, during the Employment Period.

                     a)     $ 120,000 09/01/98 through 08/31/99

                     b)     $ 130,000 09/01/99 through 08/31/00


                                      -1-
<PAGE>


                     (2)    Stock Options - As an inducement  for the Company to
                            continue Employee=s employment with the Company, the
                            Company   hereby  grants  to  the  Employee   15,000
                            Incentive Stock Stock Options  pursuant to the terms
                            of the  Company=s  1997 Stock  Option Plan as of the
                            date of this agreement.


                     (3)    Additional Compensation - as determined by the Board
                            of Directors.

                     (4)    The  compensation  provided  for herein  shall be in
                            addition   to  any   retirement,   profit   sharing,
                            insurance or similar  benefit  which may at any time
                            be  payable  to  Employee  pursuant  to any  plan or
                            policy of the  Company  relating  to such  benefits,
                            which additional benefits shall be made available to
                            Employee  on the same  basis  as they are  generally
                            made  available to other  executive  officers of the
                            Company.  Such compensation  shall be in addition to
                            any  options  which may be  granted  under any stock
                            option plan of the Company.

                     (5)    The Company shall  reimburse  Employee in accordance
                            with  the   Company's   normal   policies   for  all
                            reasonable  travel,  hotel,  meal and other expenses
                            properly  incurred by him in the  performance of his
                            duties hereunder.

                     (6)    The Company shall  provide  Employee with the use of
                            an automobile,  selected by Employee with consent of
                            the  Company  and  leased by the  Company,  with all
                            expenses of operation,  such as insurance,  gas, oil
                            and  repair,  paid for by the  Company  and having a
                            cost to the Company of up to $1,000.00 per month.

                     5. Vacation.  Employee shall be entitled to three (3) weeks
vacation each fiscal year, to be taken at such time as is mutually convenient to
the Company and Employee.

                     6. Death.  In the event of the death of Employee during the
Employment Period, this Agreement and the employment of Employee hereunder shall
terminate on the date of the death of Employee.  The estate of Employee (or such
person(s) as Employee shall  designate in writing) shall be entitled to receive,
and the Company  agrees to continue  to pay, in  accordance  with the normal pay
practice of the  Company,  the salary of  Employee  provided by Section 4, for a
period of one (1) year following the date of death of Employee.


                                      -2-



<PAGE>


                     7.  Disability.  In the event that Employee shall be unable
to perform his duties  hereunder  as a result of  physical or mental  illness or
incapacity for a period of one hundred and eighty (180)  consecutive  days or an
aggregate  period of more than one hundred and eighty (180) days in any 12-month
period,  the Company may terminate this  Agreement  after the expiration of such
period. Upon such termination,  Employee shall be entitled to receive the salary
in accordance with Section 4 hereof computed up to the date of termination.

                     8.   Non-Competition  and   Non-Disclosure.   (a)  Employee
covenants and agrees that,  throughout the Employment Period and for a period of
two (2) years  thereafter,  he will not,  directly or indirectly,  own,  manage,
operate or control,  or participate in the ownership,  management,  operation or
control of, any business competing directly in the United States of America with
the business  conducted by the Company or any  subsidiary  of the Company on the
date of termination hereof;  provided,  however,  that Employee may own not more
than 5% of the outstanding securities of any class of any corporation engaged in
any such  business,  if such  securities  are  listed on a  National  Securities
Exchange or  regularly  traded in the  over-the-counter  market by a member of a
National Securities Association.

                     (b)  Employee  covenants  and agrees that,  throughout  the
Employment  Period  and for a period  of two (2) years  thereafter,  he will not
directly or indirectly  solicit,  entice or induce any person who on the date of
termination  of  employment  of Employee  is, or within the last three months of
Employee's  employment  by the Company was,  associated  with or employed by the
Company or any subsidiary of the Company to leave the employ of or terminate his
association  with the Company,  or any  subsidiary  of the Company,  solicit the
employment  of any such  person  on his own  behalf  or on  behalf  of any other
business enterprise.

                     (c)  Employee  covenants  and agrees that,  throughout  the
Employment Period and at all times  thereafter,  he will not use, or disclose to
any third  party,  trade  secrets or  confidential  information  of the Company,
including,  but not  limited  to,  confidential  information  or  trade  secrets
belonging or relating to the Company,  its subsidiaries,  affiliates,  customers
and  clients  or  proprietary  processes  or  procedures  of  the  Company,  its
subsidiaries,  affiliates,  customers  and clients.  Proprietary  processes  and
procedures shall include,  but shall not be limited to, all information which is
known or intended to be known only to employees of the Company,  its  respective
subsidiaries  and affiliates or others in a confidential  relationship  with the
Company or its respective  subsidiaries and affiliates which relates to business
matters.

                     (d) If any term of this  Section  8 is  found by any  court
having  jurisdiction  to be too broad,  then and in that  case,  such term shall
nevertheless  remain effective,  but shall be considered amended (as to the time
or area or otherwise, as the case may be) to a point considered by said court as
reasonable, and as so amended shall be fully enforceable.

                     (e) In the event that Employee  shall violate any provision
of this  Agreement  (including but not limited to the provisions of this Section
8), then  Employee  hereby  consents to the granting of a temporary or permanent
injunction against him by a court of competent

                                      -3-


                                       2
<PAGE>

jurisdiction  prohibiting him from violating any provision of this Agreement. In
any  proceeding  for an  injunction  and  upon any  motion  for a  temporary  or
permanent  injunction,  Employee  agrees  that his  ability to answer in damages
shall not be a bar or interposed as a defense to the granting of such  temporary
or permanent  injunction  against  Employee.  Employee  further  agrees that the
Company  will not have an  adequate  remedy at law in the event of any breach by
Employee  hereunder  and that the  Company  will suffer  irreparable  damage and
injury if Employee breaches any of the provisions of this Agreement.

                     9.   Termination.   (a)  The  Company  may  terminate  this
Agreement  without liability (other than for the base salary provided in Section
4 accrued to the date of  termination)  in the event of (i) a material breach by
Employee of the provisions of this  Agreement,  which breach shall not have been
cured by Employee within sixty (60) days following written notice thereof by the
Company to Employee,  (ii) the  commission  of gross  negligence or bad faith by
Employee  in the course of his  employment  hereunder,  which  commission  has a
material  adverse  effect on the Company,  (iii) the commission by Employee of a
criminal  act of fraud,  theft or  dishonesty  causing  material  damages to the
Company or any of its  subsidiaries  or (iv) Employee  shall be convicted of (or
plead nolo contendere to) any felony,  or misdemeanor  involving moral turpitude
if  such  misdemeanor  results  in  material  financial  harm  to or  materially
adversely affects the goodwill of the Company.

                     (1) Employee may terminate this Agreement without liability
at any time upon at least three (3) months prior written notice.

                     (2) After a Change in Control (as hereinafter  defined) has
occurred,  Employee may terminate his employment at any time upon written notice
to the Company within six (6) months after he has obtained  actual  knowledge of
the occurrence of any of the following events:

                         (i)  Failure  to  elect  or  appoint,  or  re-elect  or
re-appoint, Employee to, or removal of Employee from, his office and/or position
with the  Company  as  constituted  prior to the  Change in  Control,  except in
connection  with the  termination of Employee's  employment  pursuant to Section
9(a) hereof;

                         (ii) A reduction  in  Employee's  overall  compensation
(including any reduction in pension or other benefit programs or perquisites) or
a material  adverse  change in the nature or scope of the  authorities,  powers,
functions or duties normally attached to Employee's position with the Company as
referred to in Section 2 hereof;

                         (iii) A  determination  by Employee  made in good faith
that, as a result of a Change in Control,  he is unable effectively to carry out
the authorities,  powers,  functions or duties attached to his position with the
Company as referred to in Section 2 hereof,  and the  situation  is not remedied
within  thirty  (30) days after  receipt by the  Company of written  notice from
Employee of such determination;


                                      -4-
<PAGE>

                         (iv) A breach by the Company of any  provision  of this
Agreement not covered by clauses (i), (ii) or (iii) of this Section 9(c),  which
is not remedied  within thirty (30) days after receipt by the Company of written
notice from Employee of such breach;

                         (v) A change in the location at which substantially all
of Employee's duties with the Company are to be performed to a location which is
not  within a 50-mile  radius of the  address  of the place  where  Employee  is
performing services prior to the date of the Change in Control; or

                         (vi)  failure by the  Company to obtain the  assumption
of, and the agreement to perform, this Agreement by any successor (pursuant to a
transfer described in Section 15).

                     An election by Employee to terminate his  employment  under
the provisions of this Section 9(c) shall not be deemed a voluntary  termination
of employment by Employee for the purpose of interpreting  the provisions of any
of the Company's employee benefit plans, programs or policies.  Employee's right
to terminate his employment  pursuant to this Section 9(c) shall not be affected
by his illness or  incapacity,  whether  physical or mental,  unless the Company
shall at the time be entitled to terminate  his  employment  under  Section 7 of
this Agreement.  Employee's continued employment with the Company for any period
of time  less  than  six (6)  months  after a Change  in  Control  shall  not be
considered  a  waiver  of any  right  he may have to  terminate  his  employment
pursuant to this Section 9(c).

                     (3) After a Change in Control  has  occurred,  if  Employee
terminates his employment with the Company pursuant to Section 9(c) hereof or if
Employee's  employment  is  terminated  by the Company for any reason other than
pursuant  to Section  9(a)  hereof,  Employee  (i) shall be entitled to his base
salary, the additional  compensation  determined in accordance with Section 4(b)
hereof, and any bonuses, awards,  perquisites and benefits,  including,  without
limitation,  benefits and awards under the Company's  stock option plans and the
Company's pension and retirement plans and programs,  through the date specified
in the notice of  termination  as the last day of  Employee's  employment by the
Company  (the  "Termination  Date")  and,  in  addition  thereto,  (ii) shall be
entitled to be paid in a lump-sum,  on the  Termination  Date, an amount of cash
(to be computed,  at the expense of the Company,  by the  independent  certified
public  accountants  utilized by the Company  immediately prior to the Change of
Control (the  "Accountants"),  whose computation shall be conclusive and binding
upon Employee and the Company)  equal to [1] times  Employee's  "base amount" as
defined in Section  280G(b)(3) of the Internal  Revenue Code of 1986, as amended
(the  "Code").   Such  lump-sum  payment  is  hereinafter  referred  to  as  the
"Termination Compensation."

                     (4)  Notwithstanding  anything  in  this  Agreement  to the
contrary,  Employee  shall  have the right,  prior to the  receipt by him of any
amounts due  hereunder,  to waive the  receipt  thereof  or,  subsequent  to the
receipt  by him of any  amounts  due  hereunder,  to  treat  some

                                      -5-

                                       4
<PAGE>

or all of such amounts as a loan from the Company which  Employee shall repay to
the Company,  within ninety (90) days from the date of receipt, with interest at
the rate  provided  in Section  7872 of the Code.  Notice of any such  waiver or
treatment  of  amounts  received  as a loan  shall be given by  Employee  to the
Company in writing and shall be binding upon the Company.

                     (5) It is intended that the "present value" of the payments
and benefits to Employee,  whether under this Agreement or otherwise,  which are
to be included in the  computation  of  "parachute  payments"  shall not, in the
aggregate,  exceed  [1] times the "base  amount"  (the  terms  "present  value",
"parachute  payments"  and "base amount"  being  determined  in accordance  with
Section  280G of the  Code).  Accordingly,  if  Employee  receives  payments  or
benefits  from the  Company  prior to  payment of the  Termination  Compensation
which, when added to the Termination Compensation,  would, in the opinion of the
Accountants,  subject any of the  payments or benefits to Employee to the excise
tax imposed by Section 4999 of the Code, the Termination  Compensation  shall be
reduced by the smallest amount necessary, in the opinion of the Accountants,  to
avoid such tax. In addition,  the Company  shall have no  obligation to make any
payment  or  provide  any  benefit  to  Employee  subsequent  to  payment of the
Termination Compensation which, in the opinion of the Accountants, would subject
any of the payments or benefits to Employee to the excise tax imposed by Section
4999 of the Code.  No reduction in  Termination  Compensation  or release of the
Company from any payment or benefit  obligation  in reliance  upon any aforesaid
opinion of the  Accountants  shall be  permitted  unless the Company  shall have
provided  to  Employee a copy of any such  opinion  that  specifically  entitles
Employee to rely thereon,  no later than the date otherwise required for payment
of the Termination Compensation or any such later payment or benefit.

                     (6)  "Change of Control"  as used in this  Agreement  shall
mean the occurrence of any of the following:

                         (i) any  "person" or "group" (as such terms are used in
Section 3(a)(9) and 13(d)(3) of the Securities  Exchange Act of 1934, as amended
(the  "Act")),  except  for an  employee  stock  ownership  trust (or any of the
trustees  thereof),  becomes a "beneficial  owner" (as such term in used in Rule
13d-3 promulgated under the Act), after the date hereof, directly or indirectly,
of securities  of the Company  representing  30% or more of the combined  voting
power of the Company's then outstanding securities;

                         (ii) a change in  "control" of the Company (as the term
"control" is defined in Rule 12b-2 or any successor rule  promulgated  under the
Act) shall have occurred;

                         (iii) the majority of the Board of  Directors,  as such
entire Board of Directors is composed at the date of this  Agreement,  no longer
serve as directors of the Company, except that there shall not be counted toward
such  majority who no longer serve as directors any director who ceased to serve
prior to the date of a Change in Control,  for any reason,  or at any other time
due to his death, disability or termination for cause;


                                      -6-

<PAGE>

                         (iv) the  shareholders of the Company approve a plan of
complete  liquidation of the Company or an agreement for the sale or disposition
by the Company of all or substantially all of the Company's assets; or




                         (v) the shareholders of the Company approve a merger or
consolidation  of the  Company  with any other  company,  other than a merger or
consolidation  which would result in the combined  voting power of the Company's
voting securities outstanding  immediately prior thereto continuing to represent
(either by remaining outstanding or by being converted into voting securities of
the surviving  entity) more than 70% of the combined  voting power of the voting
securities of the Company or such surviving entity outstanding immediately after
such merger or  consolidation.  Notwithstanding  the foregoing,  any transaction
involving a leveraged  buyout or other  acquisition  of the Company  which would
otherwise constitute a Change in Control, in which Employee  participates in the
surviving or successor  entity (other than solely as an employee or consultant),
shall not constitute a Change in Control.

                     10. No Impediments.  Employee  warrants and represents that
he is free to enter into this Agreement and to perform the services contemplated
thereby and that such actions will not constitute a breach of, or default under,
any existing agreement.

                         9. No Waiver.  The failure of any of the parties hereto
to enforce  any  provision  hereof on any  occasion  shall not be deemed to be a
waiver of any preceding or succeeding  breach of such  provision or of any other
provision.

                         10. Entire  Agreement.  This Agreement  constitutes the
entire  agreement  and  understanding  of the parties  hereto and no  amendment,
modification  or waiver of any  provision  herein shall be  effective  unless in
writing, executed by the party charged therewith.

                         11.  Governing Law. This Agreement  shall be construed,
interpreted and enforced in accordance with and shall be governed by the laws of
the State of New York  applicable to agreements to be wholly  performed  therein
without giving effect to principles of conflict or choice of law thereof.  . 12.
Binding  Effect.  This  Agreement  shall  bind and inure to the  benefit  of the
parties, their successors and assigns.

                         13. Assignment and Delegation of Duties. This Agreement
may not be assigned by the parties hereto except that the Company shall have the
right to assign this  Agreement to any  successor in  connection  with a sale or
transfer of all or substantially  all of its assets, a merger or  consolidation.
This Agreement is in the nature of a personal  services  contract and the duties
imposed hereby are non-delegable.

                                      -7-



<PAGE>

                         14. Section Headings.  The section headings herein have
been inserted for  convenience  of reference  only and shall in no way modify or
restrict any of the terms or provisions hereof.

                         15.  Notices.  Any notice under the  provisions of this
Agreement  shall be in  writing,  shall be sent by one of the  following  means,
directed to the address set forth on the first page of this Agreement or to such
other  address as shall be  designated  hereunder  by notice to the other party,
effective  upon  actual  receipt and shall be deemed  conclusively  to have been
given:  (i) on the first  business day  following  the day timely  deposited for
overnight delivery with Federal Express (or other equivalent  national overnight
courier  service)  or United  States  Express  Mail,  with the cost of  delivery
prepaid  or for the  account  of the  sender;  (ii) on the  fifth  business  day
following  the day duly sent by  certified  or  registered  United  States mail,
postage prepaid and return receipt  requested;  or (iii) when otherwise actually
received by the  addressee  on a business  day (or on the next  business  day if
received after the close of normal business hours or on any non-business day).

                         16. Unenforceability; Severability. If any provision of
this  Agreement  is found to be void or  unenforceable  by a court of  competent
jurisdiction, the remaining provisions of this Agreement shall, nevertheless, be
binding  upon  the  parties  with  the same  force  and  effect  as  though  the
unenforceable part has been severed and deleted.

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

                                            AMERICAN MEDICAL ALERT CORP.



                                            By:  /s/Howard M. Siegel
                                               ---------------------------------
                                                    Howard M. Siegel
                                                    President



                                            By    /s/Corey A. Aronin
                                               ---------------------------------
                                                     Corey M. Aronin
                                                     Chief Financial Officer


                                                              Exhibit 10(j)(ii)

                   ADDENDUM TO LEASE DATED SEPTEMBER 30, 1997
                   ------------------------------------------
                                     BETWEEN
                                     -------
                       ADD-ON PROPERTIES, LLC, as Landlord
                       -----------------------------------
                                       and
                                       ---
                     AMERICAN MEDICAL ALERT CORP., as Tenant
                     ---------------------------------------



            1. The  parties  hereto  hereby  enter  into  this  Addendum  to the
Original  Lease dated the 30th day of  September,  1997 to include the following
described premises:

            The entire first floor In the building known as 3255 Lawson Blvd.,
            Oceanside, New York.

            2. The rent  herein  shall be in the sum of  $39,690.00  per  annum,
payable  $3,307.50  per month,  commencing  as of the date  hereof  through  and
including September 30, 2007.  Thereafter,  the rent shall be as provided in the
Rider annexed to the original Lease.

            3. All terms,  covenants and  conditions of the original Lease dated
the 30th day of September,  1997 are hereby  incorporated and made a part hereof
so that the terms of the Addendum to Lease for the additional  space as provided
herein are  identical to the terms as provided in the original  Lease for second
floor of building known as 3255 Lawson Blvd., Oceanside, New York.

            4. The original  Lease is dated the 30th day of  September,  1997 by
and between Add-On Properties, LLC as Landlord and American Medical Alert Corp.,
as Tenant.

            5. It is agreed  that as of the date of this  Addendum,  the  Tenant
shall occupy the entire  first and second  floor of the  premises  known as 3255
Lawson Blvd., Oceanside, New York.

Dated: November 1, 1999

                                                   Add-On Properties, LLC.



                                                     By: /s/ Howard M. Siegel
                                                         -----------------------
                                                              Howard M. Siegel

                                                   American Medical Alert Corp.,



                                                     By: /s/ Corey M. Aronin
                                                         -----------------------
                                                              Corey Aronin



                                                              Exhibit 10(r)(i)
   [CELTIC]

         PURCHASE/LEASEBACK AGREEMENT AND BILL OF SALE

         RE: Lease No. CML-0572-A / Schedule No. 03

         CELTIC LEASING CORP.--Lessor/Purchaser

       2061 Business Center Drive, Suite 200 o Irvine, California 92612 o
                      (949) 263-3880 o FAX: (949) 263-1331

Lessee/Seller: AMERICAN MEDICAL ALERT CORP.

Corporate Address: 3265 Lawson Blvd., Oceanside, NY  11572

Contact: Corey M. Aronin   Title: Chief Financial OfficerPhone 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:
<TABLE>
<CAPTION>

- ----------------------------------------------------------------------------------------------------------------------
Equipment:
     ITEM             QTY                               DESCRIPTION                                   PRICE
<S>            <C>              <C>                                                         <C>
- --------------- ---------------- ----------------------------------------------------------- -------------------------

1.              Various          Miscellaneous computer equipment,  the vendors and cost of
                                 which are set forth in the attached three page summary.                $250,000.00
                                                                                             =========================

         NOTE:  The item(s) described above represent(s) Equipment Item(s) 1. to said Lease.

- ----------------------------------------------------------------------------------------------------------------------
</TABLE>

Purchaser  shall pay to Seller the  aggregate  price listed above on the closing
date.  The closing date is expected to occur on or about July 22,  1999.  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  for  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 no further
sales and for 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 fax  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.

<TABLE>
<CAPTION>

LESSEE/SELLER                                        LESSOR/PURCHASER
- -------------                                        ----------------
<S>                                                <C>
AMERICAN MEDICAL ALERT CORP.                         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            Title:            Vice President
                 -------------------------                            -------------------------
                           Date:    2/13/99                                Date:    7/13/99
                                    -------                                         -------
</TABLE>


                                                               Exhibit 10(t)(ii)
[EAB]
1 EAB Plaza
Uniondale, NY  11555
Phone (516) 296-5000

June 7, 1999

American Medical Alert Corp.
3265 Lawson Blvd.
Oceanside, NY  11572

RE: FIRST AMENDMENT TO LOAN AGREEMENT AND REVOLVING CREDIT NOTE

Dear Sirs:


We refer to the Loan  Agreement  dated as of April 27,  1998  (the  "Agreement")
between American Medical Alert Corp. (the "Company") and European  American Bank
(the "Bank") and the Revolving  Credit Note of like date from the Company to the
Bank in the amount of  $2,000,000.00  (the "Note").  Terms used in the Agreement
shall have their defined meanings when used herein.

The Company has  requested  that the Bank extend the Maturity Date of the Credit
Agreement and the Note and the Bank concurs with the Company's  request for such
amendment and in accordance therewith,  the Company and the Bank hereby agree as
follows:

    1. The  definition  of  "Maturity  Date"  set forth in  Section  1.01 of the
Agreement is hereby  amended to delete the date May 31, 2000 and to  substitute,
in lieu thereof, the date "May 31, 2001."

    2. The maturity  date "May 31, 2000" set forth on the first line of the Note
is hereby deleted and the date "May 31, 2001" is substituted in lieu thereof.

    3. The  definition  of  "Facility  Fee" set  forth  in  Section  2.12 of the
Agreement is hereby  amended to add the  following  sentence at the end thereof:
"The Borrower  further agrees to pay to the Bank a Facility Fee in the amount of
$5,000.00 on May 31. 2000."

    This First Amendment shall be limited  precisely as drafted and shall not be
deemed to be a consent to any  modification  or  amendment  of any other term or
condition of the  Agreement or of any term or  condition of the  instruments  or
agreements referred to therein.

    The Company confirms and reaffirms as of the date hereof each representation
and warranty made by the Company in the Agreement.

                                      -1-
<PAGE>

    This First  Amendment shall be governed by the laws of the State of New York
and may be executed by the parties hereto in any number of separate counterparts
and all of said  counterparts  taken  together shall be deemed to constitute one
and the same instrument.

    If this  First  Amendment  accurately  reflects  your  understanding  of our
agreement,  please so indicate by signing a copy of the letter and  returning it
to the Bank by June 21, 1999.


                                               EUROPEAN AMERICAN BANK



                                               By:      /s/ Douglas Schumacher
                                                   ----------------------------
                                                        Douglas Schumacher
                                                        Vice President


Agreed:

AMERICAN MEDICAL ALERT CORP.



By:      /s/ Corey M. Aronin
   -----------------------------
    Name:     Corey M. Aronin
    Title:    CFO

                                      -2-



                                                                   Exhibit 23(a)




                          INDEPENDENT AUDITORS' CONSENT








We consent to the  incorporation  by reference in  Registration  Statement  Nos.
33-48385,  33-91806,  and 33-53029 on Form S-8 and  Registration  Statement  No.
333-6159  on Form S-3 of  American  Medical  Alert  Corp.  of our  report  dated
February  17, 2000  appearing  in this Annual  Report on Form 10-KSB of American
Medical Alert Corp. for the year ended December 31, 1999.




/s/ Margolin, Winer & Evens LLP
Margolin, Winer & Evens LLP
Garden City, New York
March 29, 2000


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