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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-K

ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF

THE SECURITIES EXCHANGE ACT OF 1934

For the year ended December 31, 2004

Commission File Number 0-13617

LIFELINE SYSTEMS, INC.

(Exact name of registrant as specified in its charter)

(508) 988-1000

(Registrant’s telephone number, including area code)

Securities registered pursuant to Section 12(b) of the Act: NONE

Securities registered pursuant to Section 12(g) of the Act:

Common Stock, $0.02 par value (including associated Preferred Stock Purchase Rights)

(Title of Class)

Indicate by check mark whether the registrant (i) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (ii) has been subject to such filing requirements for the past 90 days.    Yes  x    No  ¨

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not 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-K or any amendment to this Form 10-K.  x

Indicate by check mark whether the registrant is an accelerated filer    Yes  x    No  ¨

As of February 28, 2005, 13,853,640 shares of the Registrant’s Common Stock were outstanding and the aggregate market value of such Common Stock held by non-affiliates of the Registrant (based on the closing price of the Common Stock on the Nasdaq National Market on June 30, 2004) was approximately $288,383,000.

Exhibit index is located on pages 69 through 72 of this Report.

DOCUMENTS INCORPORATED BY REFERENCE

The information called for by Part III is incorporated by reference to specified portions of the Registrant’s definitive Proxy Statement to be issued in conjunction with the Registrant’s 2005 Annual Meeting of Shareholders, which is expected to be filed not later than 120 days after the Registrant’s fiscal year ended December 31, 2004.

PART I

ITEM 1. BUSINESS

Our Company

Lifeline Systems, Inc. provides 24-hour personal emergency response monitoring services and related products to subscribers, primarily elderly individuals with medical or age-related conditions, who wish to continue to live independently in their home. We were instrumental in pioneering the industry in 1974 and are the leading provider of these services in the United States and Canada. Our products and services consist principally of a home communicator connected to the telephone and a wireless personal help button which, when activated, initiates an automated digital telephone signal to one of our centralized monitoring facilities. Our monitoring technology platform retrieves the subscriber’s record from our centralized database and routes the call to one of our highly-trained monitoring professionals. Our monitoring professionals follow a prescribed response protocol to quickly assess the nature of the call and provide a prompt, appropriate response in a respectful and compassionate manner, which may consist of contacting local ambulance, police or fire services or family, friends and neighbors.

We also offer to our senior living customers a Lifeline emergency call system, which utilizes our call button pendants, two-way voice or non-voice communicators and software, allowing the facility to locally monitor their residents.

We generate revenue through recurring monthly service fees and from product sales to our customers. Our personal emergency response customers consist of approximately 2,500 community hospitals and other health care providers in the United States and Canada. These customers typically offer our services to their patients and clients, whom we refer to as subscribers, through a co-branded name that demonstrates their affiliation with us. As of December 31, 2004, we were monitoring approximately 423,000 subscribers on our 24-hour centralized monitoring platforms located in Framingham, Massachusetts, Toronto, Ontario and Montreal, Quebec. Approximately 75,000 additional individuals are monitored independently by community hospitals and other health care providers on monitoring platforms purchased from us.

The personal emergency response services, or PERS, industry provides emergency response assistance on a 24-hour basis for seniors and disabled persons who wish to live independently in their home. PERS users wear a personal help button, typically around the neck or on the wrist, which communicates with a two-way, voice-to-voice communications system located in the user’s home, which is connected to a 24-hour monitoring facility. When the personal help button is pressed, a wireless signal is sent from the button to a communicator, which initiates a telephone call from the user’s home to the monitoring facility. A monitor, through speakerphone communications, determines the nature of the call and initiates an appropriate response. A response may consist of contacting one or more of the following: local emergency services, including ambulance, police and fire departments, or family, friends or neighbors. A response may also involve simply assuring subscribers that we are available for them at any time, if needed.

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Initially, the PERS industry was primarily an equipment business predicated on selling personal help buttons, communicators and monitoring platforms to community hospitals and other health care providers seeking to operate a local PERS program for their patients. These health care providers established their own sales and marketing activities, purchased the monitoring equipment from the PERS provider and performed all monitoring and administrative tasks. During the 1990’s, spending cutbacks and increased administrative costs, coupled with reduced Medicare and Medicaid reimbursement for hospital services generally, resulted in the inability of many hospitals and health care providers to efficiently manage the growing demand of their PERS programs. This trend created demand among many hospitals and health care providers for outsourced PERS monitoring services. In order to keep pace with this trend, PERS providers were required to make capital expenditures to support these new responsibilities, including establishing centralized monitoring facilities, developing sales, marketing and subscriber service infrastructure and supporting the purchase, installation, refurbishing and maintenance of PERS equipment. Currently, PERS products and services are offered through health care providers or directly to subscribers for a monthly fee, typically paid on a “private pay” basis, in some states, or through Medicaid programs.

Our Products and Services

PERS Service Offerings

Our PERS offerings utilize a home communicator, which is primarily either the Lifeline CarePartner Telephone 9500 with Reminders or Lifeline CarePartner 6700 Communicator, which connects to the telephone line in a subscriber’s home and a wireless personal help button worn by the subscriber around the neck or on the wrist. By pressing the personal help button, the subscriber initiates an automated digital telephone signal to one of our centralized monitoring facilities or, in some cases, a monitoring facility maintained by one of our customers. These calls are answered by a monitoring professional through immediate voice-to-voice communication with the subscriber.

We offer four service offerings allowing our customers to choose their level of financial investment in, and resource commitment to, their Lifeline program. These service offerings are described in the following table:

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Lifeline OneSource. This is our full-service offering which allows community hospitals and other health care providers that do not have the resources or desire to provide the services and administrative functions associated with a PERS program to offer the complete Lifeline program to their patients and clients. In a Lifeline OneSource offering, we directly provide subscribers with a comprehensive service offering, which includes monitoring and the use of a Lifeline-owned home communicator for a single monthly fee. In addition, we manage the day-to-day administrative tasks of our service for the customer, including managing referrals, sales and marketing efforts, subscriber inquiries, subscriber enrollment, service installation and billing and collections. Our average monthly revenue per Lifeline OneSource subscriber is approximately three times larger than the average monthly revenue per subscriber for our Lifeline Monitoring Service. Lifeline OneSource subscribers pay a single monthly fee directly to us that includes use of the home communicator and the monitoring service.

Lifeline Monitoring Services. This offering provides our customers’ monitoring services for their subscribers through our monitoring facilities, and our customers typically retain all other responsibilities for the operation of the Lifeline program. The customer typically purchases home communicators and personal help buttons from us which it then rents to subscribers. We charge the customer a monthly per-subscriber fee for the monitoring service, which is then passed on by the customer to the subscriber. Monthly fees charged to the subscriber are determined by the individual health care customer.

Lifeline Product and Service Fee. This offering is a variation of our Lifeline Monitoring Services program and is designed for customers that want a convenient way to offer our service, but do not have the funds available to purchase home communicator equipment or replace existing outdated equipment. Under this program, we provide all of the services associated with the Lifeline Monitoring Services offering; however, the home communicator and personal help button are rented, rather than sold, to the customer in exchange for a monthly fee.

Lifeline Site Monitoring. This offering is tailored to customers who choose to monitor their own subscribers locally, rather than through our centralized monitoring facilities. For these customers, we sell monitoring platforms, which consist of one or more personal computers with preloaded software that is designed to answer calls from our home communicators, as well as personal help buttons and home communicators.

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Senior Living Offering

Our senior living products are installed in senior living facilities and include the following:

Our senior living offering consists primarily of product sales. We have established a senior living division with a dedicated sales and marketing team, engineering group and technical support and installation organization to implement our senior living strategy.

Centralized Monitoring Facilities

We have two monitoring facilities located in Framingham, Massachusetts to service our U.S. subscribers and monitoring facilities located in Montreal, Quebec and Toronto, Ontario to service our Canadian subscribers. We believe the centralized location of these facilities is critical to our ability to control, review and assess the quality of our monitoring services as well as hire and train monitoring professionals.

Our monitoring facilities utilize a sophisticated, customized and scalable computer and telecommunications hardware and software platform to identify, track, route and respond to subscriber calls. Our technology platform receives incoming calls from our subscribers’ home communicators, matches and retrieves the appropriate subscriber record from our centralized database and routes both the subscriber call and the related record to one of our highly-trained monitoring professionals. Our monitoring capabilities are based on a redundant architecture so as to substantially reduce the likelihood of total system failure and to enable us to efficiently transfer incoming calls to one facility in the event of an interruption of service at another facility. Further redundancy is achieved by equipping each of our monitoring facilities with back-up power generators. We respond to an average call volume of approximately 30,000 calls per day.

Our monitoring platform creates comprehensive call logs and records, providing valuable data, such as the frequency and nature of subscriber calls, as well as the peak times when our call capacity will be most tested. These data allow us to tailor our training programs to those subscriber calls a monitoring professional will most likely receive and develop efficient and

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effective response protocols. In addition, these data better enable us to manage and staff our monitoring facilities, reducing the likelihood of over-staffing in off-peak hours, resulting in lower labor and overall operating costs of the monitoring facility.

Sales and Marketing

We employ over 200 sales and marketing professionals located at our corporate offices in Framingham, Massachusetts, and at our offices in Toronto, Denver, Houston and Atlanta, as well as out of home offices across the United States and Canada.

Our sales and marketing team trains customers to manage their Lifeline program, develop and implement effective marketing plans, and improve customer service skills and referral market development. Typical marketing plans address the introduction of our services to the prospective customer’s key decision makers and the development of local referral networks of elder care and other service organizations to position our services as part of a continued care plan. Our personnel also provide continuing operational support, ongoing consultation, and program evaluations.

Customers

As of December 31, 2004, our PERS customer base included approximately 2,500 community hospitals, health care providers and other large national organizations serving the needs of seniors, each of which co-brands with us to offer our service directly to subscribers.

In addition, approximately 10% of our services revenue is derived from PERS subscribers whose service is paid for, in full or in part, directly by state Medicaid programs.

As we further expand our senior living division and penetrate that industry, we anticipate our customer base to include increasing numbers of senior and assisted living facilities offering our service directly to their residents. These facilities range in size from smaller, locally-managed group homes, to larger, nationally-managed continuing care retirement communities. As of December 31, 2004, our senior living products were installed in approximately 1,200 senior living facilities throughout the United States and Canada.

Manufacturing and Suppliers

We design, develop, manufacture, assemble and/or customize our own products and software, including our personal help buttons, home communicators, U.S. monitoring software and our products sold to senior living facilities, at our headquarters located in Framingham, Massachusetts. We believe manufacturing our own products and developing our own monitoring software enables us to consistently offer a service meeting rigorous quality and reliability standards. We offer a two-year warranty on our home communicators and a three-year warranty on our personal help buttons.

We also rely on outside vendors for some of our components, including the plastic casings for our home communicators and personal help button, circuit boards, batteries and software applications used in our Lifeline Site Monitoring and senior living offerings. All of our PERS

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vendors are required to adhere to our rigorous manufacturing quality standards and, from time to time, are subject to onsite inspections from our manufacturing team. Although we believe our components may be purchased from a number of qualified vendors, we may be subject to manufacturing delays if the vendors are unable to provide us with necessary components as a result of process difficulties, component shortages or for other reasons. Any such delay could have a material adverse effect on our business and, in particular, our manufacturing capabilities.

Product Engineering and Development

We design our own equipment, including the home communicators and personal help buttons, at our facility located in Framingham, Massachusetts. Our product engineering and development efforts are primarily focused on developing new products and enhancing existing PERS products, such as improvements to our personal help buttons and increasing the range of communication between our home communicator and personal help button.

In addition, we also focus substantial product engineering and development efforts on our initiatives in the senior living industry. These efforts include integration of our existing technologies with acquired technologies, in particular acquired technologies from March Networks Corporation and Protect Emergency Response Systems.

Product engineering and development expenses were $2,114,000, $1,816,000 and $1,642,000 for the years ended December 31, 2004, 2003 and 2002, respectively.

Competition

We are the leading provider of PERS programs in the United States and Canada. As of December 31, 2004, we monitored approximately 423,000 subscribers. We estimate that approximately 25 to 30 companies, operating primarily on a local or regional basis, are providers of PERS products and services competitive with those offered by us. We believe these competitors service, in the aggregate, approximately 400,000 subscribers of a total estimated served subscriber base of 850,000. In addition, there are a number of other companies providing non-PERS monitoring and other related services to their customers. If these or other companies enter the PERS industry, they may have a competitive advantage by having greater financial, sales and marketing, engineering and manufacturing resources, a larger installed base of existing customers and economies of scale not available to us.

We believe the competitive factors our customers and subscribers consider when choosing a PERS provider include the quality of the monitoring service, product performance and reliability, customer support and service, value and reputation and experience in the industry. We believe we compete favorably with regard to each of these factors.

Patents, Licenses and Trademarks

We consider our proprietary know-how with respect to the development and marketing of our PERS products and providing our service to be a valuable asset. We believe continued development of new services and products and the improvement of existing services and products are important in maintaining a competitive advantage.

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Although we own numerous patents and patent applications in the United States and Canada, we do not believe our business as a whole is or will be materially dependent upon the protection afforded by our patents.

Our Lifeline trademark and servicemark are registered by the United States Patent and Trademark Office and in some foreign countries. We also have a number of other trademarks for our products.

Government Regulation

Our products have received an equipment authorization from the Federal Communication Commission, or FCC, and comply with FCC regulations pertaining to radio frequency devices (Part 15) connected to the telephone system (Part 68). Our equipment has also been certified by Industry Canada. As new models are developed, they are submitted to appropriate agencies for registration or certification as required. Our services are not required to be licensed under any FCC regulations or the Communications Act in the United States or any Industry Canada regulations or the Radio Communication Act in Canada. We rely on unlicensed spectrum for communications between the personal help button and the home communicator, and communications between the subscriber and the monitoring facility take place over the subscriber’s pre-existing telephone line. Our home communicator products are registered with the Food and Drug Administration or FDA.

In the United States, collection, use and disclosure of individually identifiable health information is regulated under laws such as HIPAA, which impose health care transaction, data privacy and data security regulatory standards and similar state laws. Similarly, federal and provincial laws in Canada regulate our collection, use and disclosure of personal information. As a recipient of reimbursement payments under state government-funded health care programs such as Medicaid, our relationships with health care providers, institutions and other businesses are affected by these programs’ eligibility, coverage and payment policies and are subject to fraud and abuse, anti-referral and anti-kickback laws and regulations. In addition, much of our business is conducted under contractual service arrangements with hospitals and other health care providers that are, in turn, required by HIPAA or other applicable laws or regulations to impose certain privacy, security and transaction requirements through their contracts with us. We continue to invest in our HIPAA-compliant data entry, billing, subscriber management and cash application system, which is fully integrated in our monitoring platform.

Our contracts with government-administered programs may be subject to termination at the election of the government or unilateral changes in coverage policies and payment rates.

Employees

As of December 31, 2004, we had 717 full-time employees and 155 part-time employees. None of our employees is represented by a collective bargaining unit, and we believe our relations with our employees are good.

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Backlog/Seasonality

Because of the nature of the industry in which we operate, we endeavor to minimize the time that elapses from the receipt of a purchase order to the date of delivery of our products and services. Accordingly, our backlog as of the end of any period represents only a small portion of our expected sales for the succeeding period and is not significant in understanding our business. We do not believe the industry in which we operate is seasonal.

General

Our wholly-owned subsidiary, Lifeline Systems Company, was organized in Massachusetts in 1974. In December 2004 we completed an internal corporate reorganization for purposes of creating a holding company structure. As a result, holders of the common stock of Lifeline Systems Company exchanged their shares for shares of our common stock. Our principal offices are located at 111 Lawrence Street, Framingham, Massachusetts 01702. Our corporate Internet address is www.lifelinesys.com and copies of our Annual Report on Form 10-K, Quarterly Reports on Form 10-Q and Current Reports on Form 8-K, and amendments to these reports, are made available through our website, free of charge, as soon as reasonably practicable following our electronic filing or furnishing of such materials to the Securities and Exchange Commission.

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MANAGEMENT

The following table lists our current directors and executive officers:

Mr. Shapiro has been chairman of the board of Lifeline Systems since 1978 and was chief executive officer and treasurer of Lifeline Systems from 1978 through December 1988.

Mr. Feinstein has been president and chief executive officer of Lifeline Systems since January 1993. From August 1992 to January 1993, Mr. Feinstein served as executive vice president and chief operating officer of Lifeline Systems. He has served as a director of Lifeline Systems since 1985.

Mr. Baldwin has served as a director of Lifeline Systems since 1991. Mr. Baldwin served as president and chief executive officer of Welch Foods, Inc. from August 1982 to August 1995, and as a director of Welch Foods from August 1982 to December 1995. Mr. Baldwin retired from Welch Foods in 1995.

Dr. Casscells has served as a director of Lifeline Systems since 2002. Dr. Casscells has served as vice president for biotechnology and a professor of public health at the University of Texas Health Science Center at Houston since 2001 and 2002, respectively, and has held the John Edward Tyson Distinguished Professorship of Medicine since 2000. From 1993 to 2001, he was the specialist in cardiovascular medicine and chief of cardiology at the University of Texas.

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Ms. Feingold has served as a director of Lifeline Systems since 2003. Ms. Feingold has been president of Boston-based Jewish Community Housing for the Elderly since 1981. Ms. Feingold has served in a number of appointed and elected positions, most recently appointed as co-chair of the U.S. Commission on Affordable Housing and Health Facility Needs for Seniors in the 21st Century.

Mr. Kasputys has served as a director of Lifeline Systems since 1985. Mr. Kasputys founded and has been chairman, president and chief executive officer of Global Insight, Inc. since March 2001. Through its acquired companies, Global Insight provides economic and financial information and forecasts to clients in government, finance and industry. Prior to that, Mr. Kasputys was chairman of Thomson Financial, a two billion dollar division of The Thomson Corporation, from September 2000 to December 2000. He was chairman, president and chief executive officer of Primark Corporation, an international company traded on the NYSE primarily engaged in the information industry, from June 1987 to September 2000, when Primark Corporation was acquired by The Thomson Corporation.

Ms. Roberts has served as a director of Lifeline Systems since 1994. Ms. Roberts has served as president of Connors/Roberts Associates, a health care management consulting firm, since June 2004, where she also served as secretary and treasurer from July 2000 to June 2004. In addition, Ms. Roberts has served as chief executive officer emerita of Copley Health Systems, Inc., a health services provider, since October 2000, where she also served as president and chief executive officer from 1982 to October 2000. Ms. Roberts has served as a Health Policy Advisor for Senator James Jeffords of Vermont and a consultant to the Joint Commission for Health Care Accreditation on whose Board of Commissioners she served from 1996 through 2002, during which time she also served on the board of directors of Joint Commission Resources and Joint Commission International. Ms. Roberts served on the board of trustees of the American Hospital Association from 1990 to 1997, was chair of the Board in 1994 and, from 1991 to 1996, was a member of its executive committee.

Dr. Vineyard has served as a director of Lifeline Systems since 1985. Dr. Vineyard retired from active medical practice in March 2000 and currently serves as president and chairman of the Board of Massachusetts Health Data Consortium. He served as the surgeon-in-chief of Harvard Vanguard Medical Associates and director of Surgical Specialties and Radiology from 1991 to May 1999 when he became interim chief executive officer. Dr. Vineyard was chief of surgery of Harvard Vanguard Medical Associates from 1980 to 1991. He was also associate clinical professor of surgery at the Harvard Medical School.

Ms. Berezin joined Lifeline Systems in March 2001 as vice president, human resources. From July 1997 to March 2001, Ms. Berezin worked at Harvard Vanguard Medical Associates, a physician group practice based in Massachusetts, where she served as vice president, human resources. From November 1995 to June 1997, Ms. Berezin was vice president of Healthsource Massachusetts, a New Hampshire-based HMO.

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Mr. Beucler joined Lifeline Systems as vice president, finance and corporate controller in April 2002 and became vice president, finance, chief financial officer and treasurer in May 2003. Before joining Lifeline Systems, Mr. Beucler served as senior vice president, corporate controller for Thomson Financial. He joined Thomson Financial in 2000 when The Thompson Corporation, the parent company of Thompson Financial, acquired Primark Corporation, a publicly held NYSE-listed company where he served as corporate controller since January 1998 and as director of finance from 1997 to January 1998. From 1995 through 1997, Mr. Beucler was with The Gillette Company. Mr. Beucler is a certified public accountant and previously was an audit manager at Deloitte and Touche.

Mr. Bolesky has been senior vice president, customer care since joining Lifeline Systems in May 2002. Prior to joining Lifeline Systems, Mr. Bolesky worked for 20 years at New England Business Service, Inc., or NEBS, an international direct marketing and manufacturing organization serving small business customers with printed checks and forms, personalized apparel, retail and shipping supplies and payroll services. Mr. Bolesky held a variety of positions at NEBS, most recently as senior vice president/president-NEBS direct marketing.

Mr. Reich has been the senior vice president, chief information officer of Lifeline Systems since June 2000. He became vice president, chief information officer in September 1999. He had been vice president, technology and advanced services since August 1994. From June 1990 to August 1994, Mr. Reich had served as vice president, product planning and development. He had held the position of vice president, engineering when he joined Lifeline Systems in April 1986.

Mr. Strange has been senior vice president, sales of Lifeline Systems since June 2000. He was vice president, sales and marketing from December 1996 to June 2000. He joined Lifeline Systems in February 1993 as vice president, sales.

Mr. Wechsler has been president of Lifeline Systems Canada and vice president of Lifeline Systems since September 2000. He joined Lifeline Systems in July 1996 as president of Lifeline Systems Canada when Lifeline Systems purchased CareTel, Inc. CareTel provided monitoring services similar to those offered by Lifeline Systems.

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ITEM 2. Properties

Our corporate headquarters is located in Framingham, Massachusetts and consists of an 84,000 square foot facility. This facility houses our management team as well as our primary monitoring center for U.S.-based subscribers. We lease this facility under a fifteen-year lease expiring in 2013, with two five-year renewal options. Our average base rental payments under this lease are approximately $941,000 per year.

We lease a second facility in Framingham, Massachusetts, consisting of 35,000 square feet, which houses our second U.S. monitoring facility, some of our marketing personnel, and the Lifeline Learning and Development Center. Our lease expires in 2012 and has two five-year renewal options. Our average base rental payments under this lease are approximately $251,000 per year.

We also lease facilities in other locations to support our field and Canadian operations.

ITEM 3. Legal Proceedings

We are not a party to any material legal proceedings.

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

We held a special meeting of shareholders on December 8, 2004 to approve an agreement and plan of share exchange for purposes of creating a holding company structure. Shareholders approved the agreement and plan of share exchange. Shareholders representing a total of 9,853,016 shares of common stock voted in favor of the proposal, holders of 1,923,758 shares of common stock voted against the proposal and holders of 54,600 shares of common stock abstained from voting.

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PART II

ITEM 5. Market for the Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities

Our common stock is traded on the Nasdaq National Market under the symbol “LIFE.” On February 28, 2005, we had 471 registered shareholders.

The following table sets forth the high and low sales prices of our common stock for each quarter during the last two full fiscal years, as adjusted to reflect a two-for-one stock split, in the form of a stock dividend of one additional share for each share held, effected by us on December 17, 2003:

During the periods presented, we have not paid or declared any cash dividends on our common stock. While the payment of dividends is within the discretion of our Board of Directors, we presently expect to retain all of our earnings for use in financing our future growth.

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ITEM 6. Selected Financial Data

All share and per share amounts have been adjusted to reflect a two-for-one stock split, in the form of a stock dividend of one additional shares for each share held, effected by us on December 17, 2003.

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ITEM 7. Management’s Discussion and Analysis of Results of Operations and Financial Condition

This Annual Report on Form 10-K may contain forward-looking statements within the meaning of Section 21E of the Securities Exchange Act of 1934, as amended, with respect to, among other things, our future revenues, operating income, or earnings per share. Without limiting the foregoing, the words “believes,” “anticipates,” “plans,” “expects” and similar expressions are intended to identify forward-looking statements. There are a number of factors that may cause our actual results to vary materially from those forecast or projected in any such forward-looking statement. These factors include, without limitation, those set forth below under the caption “Certain Factors That May Affect Future Results.” Our failure to successfully address any of these factors could have a material adverse effect on our future results of operations.

Executive Overview

We provide 24-hour personal emergency response monitoring services and related products to subscribers, primarily elderly individuals with medical or age-related conditions, who wish to continue to live independently in their home. We were instrumental in pioneering the PERS industry with our inception in 1974 and have been the leading provider of PERS products and services for the past 30 years. Initially, we were primarily an equipment business predicated on selling PERS products to community hospitals and other health care providers seeking to operate local PERS programs for their patients. Due to industry trends primarily relating to economic pressures on these hospitals to reduce costs, our business evolved into primarily a services-based business, providing packaged PERS products and monitoring services.

Our PERS products and services consist principally of a home communicator connected to the telephone and a wireless personal help button which, when activated, initiates an automated digital telephone signal to one of our centralized monitoring facilities. Our monitoring technology platform retrieves the subscriber’s record from our centralized database and routes the call to one of our highly-trained monitoring professionals. Our monitoring professionals follow a prescribed response protocol to quickly assess the nature of the call through immediate two-way, voice-to-voice communication and provide a prompt, appropriate response in a respectful and compassionate manner. This response may consist of contacting local ambulance, police or fire services or family, friends and neighbors. As of December 31, 2004, we monitored approximately 423,000 PERS subscribers in the United States and Canada. Approximately 75,000 additional individuals are monitored independently by hospitals and other health care providers on monitoring platforms purchased from us.

In 2003, we formed our senior living division to provide complementary PERS products to assisted living and other senior living facilities as a replacement for, or upgrade from, existing emergency call systems. We believe our senior living products are superior to existing call systems in these facilities, which are typically operated by a pull-cord and do not allow for immediate two-way, voice-to-voice communication. Our senior living products include a personal help button, home communicator and monitoring platform with preloaded, customized monitoring software for use by the facility. As of December 31, 2004, our senior living products were installed in approximately 1200 senior living facilities in 40 states, which monitored approximately 100,000 residents.

We generate revenue through recurring monthly fees by billing subscribers or their families who receive our Lifeline OneSource offering, or by billing customers that outsource their monitoring activities to us. In addition, we generate revenue from product sales in connection with our other PERS offerings, as well as product sales to senior living facilities. We typically receive payment for our products and services

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from our health care provider customers or, in some instances, directly from the subscriber or state Medicaid programs. Our PERS offerings are generally “private pay” offerings and are not covered by private insurance or federal Medicare programs.

Historically, we have grown our PERS business through sales and marketing efforts focused on educating health care professionals about the benefits of PERS programs to their organizations and the patients they serve. In addition, we have grown our subscriber base by acquiring other PERS providers, some of which were former customers. We are growing our senior living division through direct sales and marketing efforts and strategic acquisitions of products and technology. In July 2003, we acquired the emergency response systems business unit of March Networks Corporation and, in June 2004, we acquired Protect Emergency Response Systems. We plan to continually evaluate potential acquisition candidates that fit within our growth strategy.

RESULTS OF OPERATIONS

2004 Compared with 2003

Total revenues for the year ended December 31, 2004 increased approximately 12% to $130.5 million, from $116.2 million recorded in 2003.

Services Revenue

We continued to increase our services revenues, which we consider a key metric of our performance. Services revenues increased approximately 14% to $103.2 million for the year ended December 31, 2004 compared to $90.7 million for the year ended December 31, 2003. The increase in our services revenues is mainly a result of the growth of our monitored subscriber base by 10% to approximately 423,000 subscribers as of December 31, 2004 from approximately 386,000 subscribers as of December 31, 2003 and our continued success acquiring the Lifeline programs of our customers and transitioning the subscribers to our higher revenue producing service offering, Lifeline OneSource (“OneSource”).

Our ability to sustain this level of services revenue growth depends on our ability to continue with enhancements in service delivery, retain subscribers for longer periods of time, develop and implement strategies to increase the revenue each subscriber generates, expand the market for our personal response services and focus on health care channel initiatives to help our customers grow their subscriber base. We believe that the high quality of our services, quality of our equipment and our commitment to providing caring and rapid response to the at-risk elderly will be factors in meeting our growth objective.

Net Product Sales

We experienced a 10% increase in net product sales to $26.5 million for the year ended December 31, 2004, from $24.2 million in the prior year. The increase is primarily attributable to the 67% growth in product revenue we generated from our senior living initiative, principally representing sales of wireless emergency call systems for the senior living industry following our acquisition of suppliers of these systems in June 2004 and July 2003. These results more than offset our anticipated decline in our product sales of the PERS products. We believe that sales to our senior living customers may continue to mitigate or exceed some of the otherwise expected decline in PERS equipment sales in periods subsequent to December 31, 2004.

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Finance Income

Finance income, representing income earned from our portfolio of sales-type leases decreased 33% to $0.9 million for the year ended December 31, 2004 as compared to $1.3 million for the year ended December 31, 2003.

In December 2003, we entered into a program agreement with a third party to underwrite new equipment leases for customers of our senior living division and our PERS equipment business. In the initial transaction under this agreement, we assigned approximately $1.5 million of our lease-portfolio net investment to the third party for approximately $1.6 million in cash. The net investment of the assigned portfolio remains with us with an offsetting liability which will be amortized over the remaining terms of the leases, as paid. We also recorded deferred finance income on the assignment that will be recognized as part of finance income as the leases expire.

In December 2004, we entered into a second agreement to assign our remaining $4.0 million lease-portfolio net investment to the aforementioned third party for approximately $4.0 million in cash. Similar to the December 2003 transaction, the net investment of the assigned portfolio remains with us with an offsetting liability which will be amortized over the remaining terms of the leases, as paid. We also recorded deferred finance income on the assignment that will be recognized as part of finance income as the leases expire.

With the program agreement with the third party, by which the third party will underwrite future leases for our customers, we expect finance income to decline in future periods.

Cost of Services

We believe that service gross margin (service revenue less cost of services) is a key factor of our profitability. We have focused on continued improvement in our service gross margin in part by undertaking cost reduction initiatives. These initiatives include improved productivity in our monitoring facilities, greater efficiency of subscriber enrollment and leveraging the capabilities of our CareSystem monitoring platform.

Cost of services, as a percentage of service revenues, improved 4% to 48% for the year ended December 31, 2004 from 52% for the year ended December 31, 2003. On a dollar basis, cost of services increased by approximately $1.8 million for the year ended December 31, 2004 as compared to the prior year due to the following factors: 1) the growth in the number of subscribers serviced under our OneSource offering resulted in an increase in related expenses such as depreciation of Company-owned home communicators rented to OneSource subscribers, certain operational costs including data entry, customer service, sales and support and certain integration costs associated with an acquisition of a small regional service provider; and 2) our costs incurred from a full year of operations of our second U.S. monitoring facility increased approximately 55% and included such items as depreciation of leasehold improvements and other fixed assets associated with the facility. We have been successful in leveraging these increased costs as evidenced by the improvement in our service margins and we expect to continue with our service gross margin initiatives in periods subsequent to 2004.

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Cost of Product Sales

For the year ended December 31, 2004, cost of product sales, as a percentage of net product sales, was 35% as compared to 33% for the year ended December 31, 2003. The percentage increase was mainly due to increased sales of wireless emergency call systems to senior living facilities following our acquisition of suppliers of these systems in June 2004 and July 2003. Since the products associated with these sales have higher costs as a percentage of product sales than our PERS product sales, we expect that we may experience an increase in cost of product sales as a percentage of net product sales for the year ending December 31, 2005 as we continue with our senior living initiative.

Selling, General and Administrative Expenses (“SG&A”)

SG&A expenses were 39% of total revenues for the years ended December 31, 2004 compared to 37% for the year ended December 31, 2003, and equated to a dollar increase of approximately $8.0 million to $50.9 million for the year ended December 31, 2004.

Costs incurred for our compliance efforts with the Sarbanes-Oxley Act of 2002 and costs for our holding company reorganization contributed over $1.0 million towards the increase. Increased expenses for our senior living initiative, including approximately $1.2 million of incremental operational costs associated with our June 2004 acquisition, also contributed to the increase. We incurred approximately $1.5 million of increased expenditures associated with our business and marketing initiatives, including the ongoing investment in our health care direct marketing campaign and costs associated with the introduction of a new communicator in the second quarter of 2004. We experienced increased information technology costs related to these business and marketing initiatives, including additional personnel and higher maintenance and licensing fees for our computer systems. We expect that SG&A expenses as a percentage of total revenues will remain constant or may increase as a percentage of total revenues for 2005 as we continue with our business initiatives.

Research and Development Expenses

Research and development expenses represented approximately 2% of our total revenues in 2004 and 2003. Research and development efforts are focused on ongoing product improvements and developments, such as our new communicator introduced in the second quarter of 2004. We expect to maintain these expenses, as a percentage of total revenues, at a relatively consistent level.

Non-Recurring Item

On May 1, 2003, we reached an agreement with one of our former vendors related to our previously announced erroneous low-battery signal in some of our personal help buttons. The vendor paid us $0.7 million in exchange for a mutual release of claims, and we recorded this settlement as an other non-recurring item. The payment reimbursed us for some of the costs we incurred in addressing this matter.

Taxes

Our effective tax rate was 36% for the year ended December 31, 2004 as compared to 40% for the year ended December 31, 2003. The lower effective tax rate was primarily due to holding company reorganization, which contributed a 3.5% reduction in our effective tax rate for the year ended December 31, 2004. We expect our normalized effective tax rate, as a result of transforming our primary business into a Massachusetts business trust, to be approximately 39% in 2005, compared with 41% if we had not reorganized.

We are currently under state income tax audit or inquiries for prior tax years. We believe that we have provided sufficiently for all additional tax exposures. A favorable settlement of these matters may result in a reduction of future tax provisions, which could be significant. Any such benefit would be recorded upon final resolution with the related taxing authorities.

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On October 22, 2004, President Bush signed the American Jobs Creation Act of 2004 (the “Act”) into law. We have reviewed the Act and determined it will not have a material impact on our financial statements.

2003 Compared with 2002

Total revenues for the year ended December 31, 2003 increased approximately 11% to $116.2 million, from $105.0 million recorded in 2002.

Services Revenue

Services revenue increased by approximately 16% to $90.7 million for the year ended December 31, 2003 compared to $78.0 million for the prior year. The increase in our services revenues, which represented approximately 78% of total revenues for the year ended December 31, 2003, up from 74% for the prior year, was a result of our pricing strategies, the organic growth we experienced in our monitored subscriber base and the conversion of hospital programs to our higher revenue service offerings, such as our Lifeline OneSource offering. These strategies enabled us to grow our monitored subscriber base by just under 6% to approximately 386,000 subscribers at December 31, 2003 from approximately 366,000 subscribers at December 31, 2002.

Net Product Sales

We experienced an anticipated decrease in net product sales of 6% to $24.2 million for the year ended December 31, 2003, from $25.6 million in the prior year. The expected decline was a result of a lower volume of home communicator sales by us to our hospital channel for the year ended December 31, 2003 as compared to the year ended December 31, 2002, which reflected the continuing trend of our health care channel to convert to our Lifeline OneSource offering. Many of our hospital customers also experienced capital constraints, which limited their ability to purchase new home communicators. This decline in volume was mitigated in part by growth we experienced with sales to our senior living facility customers as a result of our senior living focus in 2003.

Finance Income

Finance income, representing income earned from our portfolio of sales-type leases, decreased 6% to $1.3 million for the year ended December 31, 2003 as compared to $1.4 million for the year ended December 31, 2002.

In December 2003, we entered into a program agreement with a third party to underwrite new equipment leases for customers of our senior living division and our PERS equipment business. In the initial transaction under this agreement, we assigned approximately $1.5 million of our lease-portfolio net investment to the third party for approximately $1.6 million in cash. The net investment of the assigned portfolio remained with us with an offsetting liability which is being amortized over the remaining terms of the leases, as paid. We also recorded deferred finance income on the assignment that is being recognized as part of finance income as the leases expire.

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Cost of Services

Cost of services, as a percentage of services revenues, improved 3% to 52% for the year ended December 31, 2003 from 55% for the year ended December 31, 2002. On a dollar basis, cost of services increased by approximately $4.3 million for the year ended December 31, 2003 as compared to the prior year. The increase was partially attributable to expenditures associated with our new back-up U.S. monitoring facility, including rent and building operating costs that we did not incur during 2002. Also, the growth in the number of subscribers serviced under our Lifeline OneSource offering resulted in an increase in related expenses such as depreciation of the cost of home communicators provided to Lifeline OneSource subscribers and certain operational costs including data entry, customer service and information technology operations.

Cost of Product Sales

For the year ended December 31, 2003 cost of product sales, as a percentage of net product sales, was 33% as compared to 32% for the year ended December 31, 2002. The percentage increase was mainly due to increased sales of emergency call systems to senior living facilities following our acquisition of a supplier of these systems in July 2003. The products associated with these sales had higher costs as percentages of product sales than our PERS product sales.

Selling, General and Administrative Expenses

SG&A expenses were 37% of total revenues for the years ended December 31, 2003 and 2002, despite a dollar increase of approximately $4.3 million to $42.9 million for the year ended December 31, 2003. The percentage consistency was attributed to growth in our year-over-year revenues coupled with our focus on controlling SG&A expenses.

We incurred increased expenditures associated with the first full year of our direct marketing campaigns and other marketing initiatives. We also continued to experience the impact of increases in insurance and health care benefit costs as we did in 2002. For 2003, we incurred increased expenses in support of our senior living initiative, as well as operational costs associated with our July 2003 senior living acquisition.

During 2002, we were audited by Revenue Canada asserting deficiencies in goods and services tax and sales tax for our 1993 to 1999 tax years. In 2002, we paid an assessment of CAN$523,000 (approximately US$333,000 based on exchange rates at December 31, 2002). During 2003, we successfully appealed the assessment and, in May 2003, we received a refund of approximately CAN$386,000 (approximately US$290,000 based on exchange rates at December 31, 2003) as a result of the successful appeal. We recorded this refund in SG&A expenses.

Research and Development Expenses

Research and development expenses represented approximately 2% of total revenues in 2003 and 2002. Research and development efforts were focused on ongoing product improvements and developments.

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Non-Recurring Item

On May 1, 2003, we reached an agreement with one of our former vendors related to our previously announced erroneous low-battery signal in some of our personal help buttons. The vendor paid us $0.7 million in exchange for a mutual release of claims, and we recorded this settlement as an other non-recurring item. The payment reimburses us for some of the costs we incurred in addressing this matter.

Taxes

Our effective tax rate was 40% for the years ended December 31, 2003 and 2002. Our relatively high effective tax rate is mainly a result of our improved operating income performance, which is taxed at a higher rate.

LIQUIDITY AND CAPITAL RESOURCES

During the year ended December 31, 2004, our portfolio of cash and cash equivalents increased approximately $21.1 million to $42.4 million from $21.4 million at December 31, 2003. The majority of the increase is a direct result of cash provided by operating activities of $35.1 million, resulting from the growth in our profitability coupled with an increase of approximately $5.4 million in cash primarily as a result of the timing of income tax payments and/or potential refunds. We experienced an improvement in our inventory turns, which resulted in a $1.5 million reduction of our inventory balance. In addition to proceeds provided by operating activities, proceeds from stock option exercises of $5.4 million and cash received of $4.0 million for the assignment of our remaining lease portfolio to a third party also contributed to the increase.

Offsetting these increases was approximately $9.9 million used for purchases of property and equipment in the ordinary course of business, including approximately $5.8 million for Company–owned equipment rented to customers and subscribers under our OneSource and Product and Service Fee (“PSF”) offerings. We also spent a total of $8.9 million during 2004 of which $0.6 million was spent for provider agreements for Lifeline Monitoring Services (“LMS”) and PSF offerings and $8.3 million was spent for business acquisitions, including the acquisition of a supplier of wireless emergency call systems for the senior living industry, the acquisition of regional service providers and acquisitions of Lifeline OneSource businesses.

We have a $30.0 million credit facility with Citizens Bank of Massachusetts that expires in July 2007. This revolving agreement matures in July 2007 and, as of December 31, 2004, we did not have any debt outstanding under this facility.

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The following table summarizes our existing contractual obligations as of December 31, 2004 and the effect such obligations are expected to have on our liquidity and cash flows in future periods:

We expect that funding requirements for operations and future growth are expected to be met primarily from operating cash flow, existing cash and short-term investment balances and, if necessary, our line of credit. We expect these sources will be sufficient to finance our operating cash needs through the next twelve months. These needs include continued investments in our response center platform and our back-up U.S. monitoring facility and other investments in support of our current business and potential acquisitions. We may also consider alternative financing vehicles, including potential equity issuances.

CRITICAL ACCOUNTING POLICIES

The discussion and analysis of financial condition and results of operations are based upon our consolidated financial statements. The preparation of these consolidated financial statements 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 revenues and expenses during the reporting periods. Actual results could differ from those estimates. We have identified the following accounting policies as critical to understanding the preparation of our consolidated financial statements and results of operations.

Revenue Recognition

We record monitoring service revenue in the month service is provided under our OneSource, PSF and LMS service offerings. Under the OneSource and PSF offerings, the monitoring service can be cancelled without penalty at any time by the subscriber and no product revenue is recognized because the subscriber does not acquire title to any product. However, customers who choose our LMS service offering purchase the home communicators from us which the customer then provides to its subscribers. In this instance, we record product revenue upon shipment, as title to the equipment passes to the customer at that time.

Under our LMS and PSF offerings, we charge the customer a nominal fee for one-time administrative set up and data entry of new subscribers. Under our OneSource offering, we charge subscribers a nominal fee for installation of the personal response devices, including a one-time administrative set-up fee for data entry of the new subscribers. Since incremental direct costs related to the installation and

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administrative tasks associated with new subscribers exceed installation and one-time administrative set-up revenue, we expense these costs in the period incurred. We review our installation and one-time administrative set-up revenue quarterly and have not experienced situations where this revenue exceeds incremental direct costs.

We also record deferred revenue. A portion of our deferred revenue relates to situations where we contract with our customers to install our personal response products in their facilities (i.e., senior living customers). Rather than record product revenue upon shipment, we defer our product revenue until the installation of the equipment is complete. We also record deferred revenue related to billings to customers for annual service contracts for which revenue has not been recognized because the service has not yet been provided. Service contract revenues are recognized ratably over the contractual period.

While we do not have a specific right of return policy, we do record a provision for an estimated amount of future returns based on historical experience. Such returns have historically been immaterial to our total product revenue, and we do not foresee any change that would have a material adverse impact on our operating results.

Goodwill and intangible assets

Acquisition accounting requires extensive use of estimates and judgments to allocate the purchase price to the fair market value of the assets and liabilities purchased. The cost of acquisitions is allocated first to their identifiable tangible assets based on estimated fair values at the date of acquisition. Costs are then allocated to identifiable intangible assets and are amortized on a straight-line basis over the estimated useful lives of the assets. The excess of the purchase price over the fair value of identifiable assets acquired, net of liabilities assumed, is recorded as goodwill.

During the year ended December 31, 2004, we entered into a variety of LMS and PSF provider agreements and purchased several OneSource businesses. We used accounting estimates and judgments to determine the fair value of assets and liabilities, if any. We did not record any cost in excess of net asset value (i.e., goodwill) as a result of the acquisition accounting for these arrangements; however, we did record intangible assets related to the specific arrangements and we are amortizing these costs over the expected lives of the identified intangible assets, which range from five to 15 years. Any change in assumptions could either result in a decrease or increase in the estimated life. A decrease in estimated life would reduce our net income and an increase in estimated life would increase our net income.

During the year ended December 31, 2004, we acquired several regional service providers and one supplier of wireless emergency call systems for the senior living industry. We completed the purchase price allocation for two regional service providers during 2004 and, accordingly, we recorded approximately $0.5 million of goodwill and $2.8 million of other intangible assets, the majority of which we will amortize over an estimated life of 15 years. In accordance with our assessment of the fair value of assets acquired from our July 2003 senior living acquisition, we recorded approximately $0.3 million of additional goodwill as a result of a payment for certain earnout provisions associated with the agreement.

In measuring whether goodwill or other intangible assets are impaired, we use an estimate of our future undiscounted net cash flows of the business over the estimated remaining life. If our expectation of future undiscounted net cash flows indicates an impairment, we would write down the appropriate assets to their estimated realizable values, based on discounted cash flows.

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Allowance for doubtful accounts

We maintain an allowance for doubtful accounts for estimated losses resulting from the failure of our customers to make required payments. We estimate the allowance based upon historical collection experience, analysis of accounts receivable by aging categories, customer credit quality and analytics. If the financial condition of our customers were to deteriorate, resulting in an impairment of their ability to make payments, additional allowances may be required. Based on our experience, we have historically maintained reasonable estimates of our allowance for doubtful accounts.

Inventories

We value our inventories at the lower of cost or market, as determined by the first-in, first-out method. We regularly review inventory quantities on hand and record a provision for excess or obsolete inventory based upon our estimated forecast of product demand. If actual future demand is less than the projections made by management, then additional provisions may be required. Based on our experience, we have historically maintained reasonable provisions for our inventory.

Warranty

Our products are generally under warranty against defects in material and workmanship. We provide an accrual for estimated warranty costs at the time of sale of the related products based upon historical return rates and repair costs at the time of the sale. A significant increase in product return rates could have a material adverse effect on our results of operations. Based on our experience, we have historically adequately provided for our warranty accrual.

Net investment in sales-type leases

We considered the requirements of Statement of Financial Accounting Standards No. 140, “Accounting for Transfers and Servicing of Financial Assets and Extinguishment of Liabilities” (“SFAS 140”) when considering the accounting treatment associated with the assignment of approximately $4.0 million of our lease-portfolio net investment to a third party. Paragraph 9 of SFAS 140 outlines the conditions that are required to be met for specific accounting treatment to be applied to this assignment. Similar to the assignment of $1.5 million of our lease-portfolio net investment in December 2003, we concluded that the appropriate accounting treatment was for the net investment of the assigned portfolio to remain on our books with an offsetting liability which will be amortized over the remaining terms of the leases. We also recorded deferred finance income on the assignment that will be recognized as part of finance income as the leases expire.

Taxes

We record liabilities for income tax contingencies based on our best estimate of the underlying exposures. We are currently under state income tax audit or inquiries for prior tax years. We believe that we have provided sufficiently for all additional tax exposures. A favorable settlement of these matters may result in a reduction of future tax provisions, which could be significant. Any such benefit would be recorded upon final resolution with the related taxing authorities.

NEWLY ISSUED ACCOUNTING STANDARDS

In December 2004, the Financial Accounting Standards Board (“FASB”) issued Statement of Financial Accounting Standards No. 123 (revised 2004), “Share Based Payment” (“SFAS 123R”). SFAS 123R is a revision of FASB Statement No. 123, “Accounting for Stock-Based Compensation,” supersedes Accounting Principles Board Opinion No. 25, “Accounting for Stock Issued to Employees” (“APB 25”), and amends FASB Statement No. 95 “Statement of Cash Flows.” SFAS 123R requires all share-based

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payments to employees, including grants of employee stock options, to be recognized in the financial statements based on their fair values. SFAS 123R is applicable for all interim and fiscal periods beginning after June 15, 2005. Early adoption is permitted. We are currently completing our evaluation of the adoption of SFAS 123R and the impact that this statement will have on our results of operations.

In November 2004, the FASB issued FASB Statement No. 151, “Inventory Costs, an Amendment of ARB No. 43 Chapter 4” (“SFAS 151”). SFAS 151 is applicable for inventory costs incurred during fiscal years beginning after June 15, 2005. SFAS 151 requires that items such as idle facility expense, excessive spoilage, double freight and rehandling be recognized as current-period charges rather than being included in inventory regardless of whether the costs meet the criterion of abnormal as defined in ARB 43. We are in the process of evaluating the impact of SFAS 151 and do not believe the adoption of the standard will have a material impact on us upon adoption in fiscal 2006.

CERTAIN FACTORS THAT MAY AFFECT FUTURE RESULTS

The following important factors, among others, could cause actual results to differ materially from those indicated by forward-looking statements made in this Annual Report on Form 10-K and presented elsewhere by management from time to time.

If our recent marketing initiatives are not effective, we may not grow as we anticipate.

We have recently launched a number of marketing initiatives to increase our service and other revenue, including a direct marketing campaign directed at health care providers likely to refer our services to their patients, a direct-to-subscriber campaign to target caregivers as purchasers of our service on behalf of their parents and other relatives, and a recent initiative focused on the senior living industry. We have allocated, and expect to continue to allocate, significant resources and capital expenditures to support these efforts and anticipate that our future growth will depend, in part, on the success of these initiatives. If these marketing efforts are unsuccessful, we may not grow as anticipated, or at all, and our results of operations may be harmed.

If our customers do not successfully manage and grow their local Lifeline programs, or if we are unable to maintain and build these customer relationships, the distribution of our products and services will be materially and adversely affected and we could experience decreased sales or slower than expected growth in revenues.

We rely primarily on community hospitals and other health care providers to sell and distribute our products and services to subscribers. These customers may not seek to grow their Lifeline subscriber bases as actively as we might if we were selling our service directly to subscribers due to their limited resources or because our customers, which are often non-profit institutions, may have reasons for implementing a Lifeline program that could be different from ours. Limited or ineffective marketing of our products and services by our customers could lead to decreased sales or slower than expected growth in revenues.

If we fail to maintain our leadership position in the PERS industry, our sales and competitive position will suffer and our results of operations will be harmed.

Our future success will depend in large part on our ability to maintain our leadership position in the PERS industry. We must continue to enhance our current product and service offerings, achieve greater market penetration among our target subscribers and expand into complementary businesses such as the senior living industry. If we fail in these endeavors, our revenues may not grow as we anticipate or may decline.

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Our future growth is dependent, in part, on acquiring other PERS providers and businesses strategic to us. If we are unable to identify and acquire suitable acquisition candidates, our future growth may be curtailed.

One of our principal growth strategies is to expand our business through acquisitions of PERS providers and other complementary businesses that we believe are strategic, such as businesses providing products and services to the senior living industry. If we are unable to continue to identify, attract and close future acquisitions, our growth may slow, and our subscriber base and revenues may decline. In addition, negotiations for acquisitions could result in significant diversion of management time, as well as substantial out-of-pocket costs.

If we acquire other businesses, we may be unable to effectively integrate them with our business, or we may not realize the anticipated financial and strategic goals for any such transactions.

Even if we are successful in identifying and acquiring businesses strategic to us, these activities involve a number of risks, including:

These and other factors could have a material adverse effect on our results of operations, particularly in the case of a larger acquisition or multiple acquisitions in a short period of time. Acquisitions may also have a negative effect on our earnings per share. If we were to proceed with one or more significant acquisitions or investments in which the consideration included cash, we could be required to use a substantial portion of our available cash to consummate any acquisition or investment. To the extent we issue shares of capital stock or other rights to purchase capital stock, including options, stock appreciation

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rights and warrants, existing shareholders may be diluted and earnings per share may decrease. In addition, acquisitions and investments may result in the incurrence of debt, large one-time write-offs, such as of acquired in-process research and development costs, and restructuring charges. They may also result in goodwill and other intangible assets that are subject to impairment tests, which could result in future impairment charges.

Our Canadian operations subject us to risks that could harm our business.

Our Canadian operations, which represented approximately 11% of our total revenues for the year ended December 31, 2004, subject us to risks, including:

Failure to adequately address any of these risks could adversely affect our ability to operate our Canadian facilities.

If we fail to adapt our products and services to changes in technology or in the marketplace, we could lose existing customers and subscribers and be unable to attract new business.

Our business depends, in part, on our ability to enhance our current products and to develop new services and products that keep pace with continuing technological changes, evolving industry standards, changing customer and subscriber preferences and new service and product introductions by our competitors. Although we believe the introduction of products utilizing new, non-telephony-based communications may be limited by the availability of such communications technologies in the homes of our target market, others may be successful in introducing monitoring services through other communications technologies. If we are not successful in developing, marketing and selling new services and products that meet changing demands, our business may be harmed.

We currently face and expect to continue to face competition in our industry.

Although we believe we are the leader in the PERS industry, there are a large number of smaller providers, primarily at the local or regional level, who we compete with for customers and subscribers. In addition, there are a number of other companies providing non-PERS monitoring and other related services to their customers. If these or other companies enter the PERS industry, they may have a competitive advantage by having greater financial, sales and marketing, engineering and manufacturing resources, a larger installed based of existing customers and economies of scale not available to us.

We derive a portion of our revenue from government-funded health care programs such as Medicaid. If these programs tighten eligibility standards or coverage policies or if current reimbursement rates are reduced, we may lose subscribers and our revenues may decline.

As of December 31, 2004, less than 10% of our Lifeline OneSource subscribers were under state Medicaid programs, representing less than 10% of our total revenue for year then ended. As we pursue our acquisition strategy, we anticipate that the proportion of our revenues from Medicaid programs may increase over time due to the large number of Medicaid subscribers associated with the smaller locally-operated PERS providers that are acquisition prospects. If government-funded health care programs

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tighten their program eligibility standards, impose new coverage restrictions or reduce or eliminate payments for our services, these subscribers may not have the financial resources to continue our service. In addition, it is typically more difficult to collect accounts receivable from sales to Medicaid programs than from private payors.

Our business is subject to U.S. state and federal government regulation, as well as Canadian regulation, and may be subject to additional regulations in the future. If we fail to comply with applicable regulations, our revenue, operating margin and profitability could suffer.

Our monitoring equipment is registered with the FCC and the FDA in the United States and certified by Industry Canada in Canada. Our revenue, operating margin and profitability could be adversely affected by new laws and/or regulations, changes in the interpretation of existing laws and/or regulations, reductions in funding or imposition of additional limits on reimbursements. Furthermore, as a provider of services under government-funded health care programs, we are subject to fraud and abuse, anti-referral and anti-kickback laws and regulations that impose stringent limitations on our compensation, consulting, marketing and other business relationships with health care providers and other businesses.

In addition, our business is affected by the Health Insurance Portability and Accountability Act of 1996, or HIPAA, which imposed comprehensive national standards for privacy, security and electronic transactions involving individually identifiable health information. Since our government services business conducts electronic health claim transactions relating to the coordination of health care treatment for individual persons, it may be covered by the HIPAA privacy, security and transaction standards. Much of our business is conducted under contractual service arrangements with hospitals and other health care providers that are, in turn, required by HIPAA to impose certain privacy, security and transaction requirements through their contracts with us. The HIPAA regulations define minimum national standards, but individual states are permitted to adopt and enforce more stringent health data privacy and security rules.

Because we are engaged in commercial activities in Canada, our business is subject to Canadian privacy legislation. In addition, we must comply with provincial health information legislation as a result of the individually identifiable health information of our subscribers that we maintain. These federal and provincial laws require us to obtain consent to collect, use and disclose personal information and to implement procedures to keep this information secure

Variation in regulatory requirements among different jurisdictions may cause us to incur significant compliance costs. Violations of these laws by us could have a material and adverse impact on our business and may subject us to substantial fines and penalties.

If we lose the services of one or more members of our executive management team or other key employees, we may not be able to execute our business strategy.

Our future success depends to a significant extent upon the continued service of our executive management team and other key employees. The loss of the services of one or more of these individuals, could harm our business and our ability to execute on our business strategy.

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If we are unable to attract, train and retain qualified monitoring personnel, our ability to provide high quality monitoring services and continue to develop and successfully market our service could be harmed.

We believe our business depends, in part, on the talents and efforts of our monitoring personnel, who are key to delivering high quality, caring monitoring services. As a result, our future growth is dependent on our ability to identify, attract, train, retain and motivate these persons. Any of our current employees may terminate their employment with us at any time. We may not be able to hire or retain the personnel necessary to fulfill our monitoring function. The loss of a significant portion of our monitoring personnel would materially and adversely affect our business and ability to deliver high-quality monitoring services to our subscribers.

If our monitoring products fail or contain design or other defects, or if our monitoring personnel do not appropriately respond to a call, our reputation may be damaged, we may lose subscribers and we may have significant damage claims against us.

Subscribers rely on our monitoring equipment and services in emergency situations. Our monitoring products may contain design defects or fail to operate or transmit in an emergency situation. In 2000, we experienced erroneous low-battery signals in some of our personal help buttons, which, although it did not affect the operation of the buttons, resulted in a non-recurring charge of $2.7 million for material and mailing costs for exchanging the buttons, providing hospital programs with higher inventory levels for the exchange and the cost of installer visits to subscriber homes to replace the buttons. In addition, after a subscriber pushes their personal help button, we rely on wireless signals to initiate the call from the home communicator attached to the subscriber’s telephone. The wireless signals that we use may be subject to interference and the frequencies may become congested over time. Additionally, although our monitoring professionals are highly trained in emergency response and are required to follow a response protocol established by us, these employees must exercise judgment about how best to respond to each particular emergency. In the event our products fail to operate or transmit properly, or if our monitoring personnel do not appropriately respond to a call, such as by failing to send an appropriate responder to the subscriber’s home, especially in an emergency situation, we may suffer significant adverse consequences, including:

If we experience interruptions or failures in our centralized monitoring facilities, we may lose subscribers or have significant damage claims against us.

We have two monitoring centers located in Framingham, Massachusetts to service U.S. subscribers, as well as two additional monitoring centers, in Toronto, Ontario and Montreal, Quebec, to service Canadian subscribers. We believe that our fully-redundant second U.S. monitoring facility adds

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significantly to our disaster recovery capabilities as it equips us with the stability, redundancy and scalability to maintain a high level of fault tolerance. Although we chose to locate our two U.S. monitoring centers close to one another after analysis as to the likely causes of center failure, the close proximity of these two centers may mean that failures caused by regional emergencies, such as an earthquake, storm or electrical outage, may cause both of our U.S. monitoring facilities to fail. In the event that one or more of these monitoring centers fails, we may not be able to respond to subscriber emergencies, possibly for an extended period of time. Failure of our ability to answer subscribers’ calls during an emergency could expose us to significant liability claims, negative publicity and loss of subscribers.

We have from time to time been named as a defendant in lawsuits alleging damages based on our response to subscriber calls. We seek to manage our product liability risk through contractual limits on liability and damages, and by carrying comprehensive liability insurance. However, the contractual limits may not be enforceable in all jurisdictions or circumstances. A successful claim may be made for damages which exceeds the coverage under any insurance policy. In the future, our insurance costs may become more expensive and, as a result, additional insurance may not be available on acceptable terms, or at all.

If there is an unauthorized disclosure of customer data, whether through a breach of our computer systems or otherwise, we could be exposed to costly litigation or we could lose customers.

We store sensitive subscriber data on our computer networks, including names, addresses and health information. If our network security is compromised by a third party, or such data are otherwise misappropriated, we could be subject to civil liability claims, regulatory enforcement actions under laws such as HIPAA or similar state laws, loss of reputation and loss of customers.

Our holding company structure may adversely affect our ability to meet future obligations.

Substantially all of our consolidated assets are held through direct or indirect wholly-owned subsidiaries. Accordingly, our cash flow depends on the results of operations of our subsidiaries and upon the ability of our subsidiaries to provide us with cash, whether in the form of dividends, loans or otherwise, and on our ability to pay amounts due on any future obligations, including under our credit facility. Our subsidiaries are separate and distinct legal entities and have no obligation, contingent or otherwise, to make payments on our future obligations or to make any funds available for such purpose. In addition, dividends, loans or other distributions from our subsidiaries to us may be subject to contractual and other restrictions and are subject to other business considerations.

ITEM 7A. Quantitative and Qualitative Disclosures about Market Risk

We have considered the provisions of Financial Reporting Release No. 48, “Disclosure of Accounting Policies for Derivative Financial Instruments and Derivative Commodity Instruments, and Disclosure of Quantitative and Qualitative Information about Market Risk Inherent in Derivative Financial Instruments, Other Financial Instruments and Derivative Commodity Instruments.” We have no holdings of derivative financial or commodity-based instruments or other market risk sensitive instruments entered into for trading purposes at December 31, 2004. We believe that we currently have no material exposure to interest rate and foreign currency exchange rate risks in our instruments entered into for other than trading purposes.

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Interest rates

Our balance sheet may from time to time include an outstanding balance associated with a revolving credit facility that is subject to interest rate risk. We have the ability to obtain a revolving credit loan with an interest rate based on LIBOR or a revolving credit loan with an interest rate based on the lender’s prime interest rate. As a result of these factors, at any given time, a change in interest rates could result in either an increase or decrease in our interest expense. As of December 31, 2004, we did not have any outstanding balances associated with our credit facility and, therefore, our consolidated financial position, results of operations and cash flows would not be affected by near-term changes in interest rates.

Foreign currency exchange rates

Our earnings are affected by fluctuations in the value of the U.S. dollar as compared to the Canadian dollar as a result of the sale of our products and services in Canada and translation adjustments associated with the conversion of our Canadian subsidiary’s currency into the reporting currency (U.S. dollar). As such, our exposure to changes in Canadian exchange rates could impact our consolidated financial position, results of operations and cash flows. We performed a sensitivity analysis as of December 31, 2004 to assess the potential effect of a 10% increase or decrease in Canadian foreign exchange rates and concluded that short-term changes in Canadian exchange rates would not materially affect our consolidated financial position, results of operations or cash flows. Our sensitivity analysis of the effects of changes in foreign currency exchange rates in such magnitude did not factor in a potential change in sales levels or local prices for our services/products as a result of the currency fluctuations or otherwise.

ITEM 8. Financial Statements and Supplementary Data

Management’s Report on Internal Control Over Financial Reporting

The Company’s management is responsible for establishing and maintaining adequate internal control over financial reporting as defined in Rules 13a-15(f) and 15d-15(f) under the Securities Exchange Act of 1934. The Company’s internal control over financial reporting is designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. The Company’s internal control over financial reporting includes those policies and procedures that:

Because of inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

Management assessed the effectiveness of the Company’s internal control over financial reporting as of December 31, 2004. In making this assessment, management used the criteria set forth by the Committee of Sponsoring Organizations of the Treadway Commission (COSO) in Internal Control-Integrated Framework.

Based on this assessment and those criteria, management has concluded that the Company maintained effective internal control over financial reporting as of December 31, 2004.

Management’s assessment of the effectiveness of the Company’s internal control over financial reporting as of December 31, 2004 has been audited by PricewaterhouseCoopers LLP, an independent registered public accounting firm, as stated in their report which appears in this Annual Report on Form 10-K.

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Index to Consolidated Financial Statements and Schedule

The following consolidated financial statements of the Company and its subsidiaries required to be included in Item 8 are listed below:

The following financial statement schedule of the Company is filed herewith on the page listed below:

All other schedules are omitted because they are not applicable, not required, or because the required information is included in the financial statements or notes thereto.

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Report of Independent Registered Public Accounting Firm

To the Board of Directors and Shareholders of Lifeline Systems, Inc.

We have completed an integrated audit of Lifeline Systems, Inc.’s 2004 consolidated financial statements and of its internal control over financial reporting as of December 31, 2004 and audits of its 2003 and 2002 consolidated financial statements in accordance with the standards of the Public Company Accounting Oversight Board (United States). Our opinions, based on our audits, are presented below.

Consolidated financial statements and financial statement schedule

In our opinion, the consolidated financial statements listed in the accompanying index, present fairly, in all material respects, the financial position of Lifeline Systems, Inc. and subsidiaries (the “Company”) at December 31, 2004 and 2003, and the results of their operations and their cash flows for each of the three years in the period ended December 31, 2004 in conformity with accounting principles generally accepted in the United States of America. In addition, in our opinion, the financial statement schedule listed in the accompanying index presents fairly, in all material respects, the information set forth therein when read in conjunction with the related consolidated financial statements. These financial statements and financial statement schedule are the responsibility of the Company’s management. Our responsibility is to express an opinion on these financial statements and financial statement schedule based on our audits. We conducted our audits of these statements in accordance with the standards of the Public Company Accounting Oversight Board (United States). 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 of financial statements includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements, assessing the accounting principles used and significant estimates made by management, and evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.

Internal control over financial reporting

Also, in our opinion, management’s assessment, included in “Management’s Report on Internal Control Over Financial Reporting” appearing under Item 9A, that the Company maintained effective internal control over financial reporting as of December 31, 2004 based on criteria established in Internal Control - Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO), is fairly stated, in all material respects, based on those criteria. Furthermore, in our opinion, the Company maintained, in all material respects, effective internal control over financial reporting as of December 31, 2004, based on criteria established in Internal Control - Integrated Framework issued by the COSO. The Company’s management is responsible for maintaining effective internal control over financial reporting and for its assessment of the effectiveness of internal control over financial reporting. Our responsibility is to express opinions on management’s assessment and on the effectiveness of the Company’s internal control over financial reporting based on our audit. We conducted our audit of internal control over financial reporting in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether effective internal control over financial reporting was maintained in all material respects. An audit of internal control over financial reporting includes obtaining an understanding of internal control over financial reporting, evaluating management’s assessment, testing and evaluating the design and operating effectiveness of internal control, and performing such other procedures as we consider necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinions.

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A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. A company’s internal control over financial reporting includes those policies and procedures that (i) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (ii) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and (iii) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company’s assets that could have a material effect on the financial statements.

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

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LIFELINE SYSTEMS, INC.

CONSOLIDATED BALANCE SHEETS

December 31, 2004 and 2003

(Dollars in thousands, except par value)

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

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LIFELINE SYSTEMS, INC.

CONSOLIDATED STATEMENTS OF INCOME

AND COMPREHENSIVE INCOME

For the years ended December 31, 2004, 2003 and 2002

(In thousands except for per share data)

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

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LIFELINE SYSTEMS, INC.

CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY

For the years ended December 31, 2004, 2003 and 2002

(Dollars in thousands)

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

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LIFELINE SYSTEMS, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

For the years ended December 31, 2004, 2003, and 2002

(Dollars in thousands)