UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

x	QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
	EXCHANGE ACT OF 1934 FOR THE QUARTERLY PERIOD ENDED MARCH 31, 2009

Commission file number 000-30414

ALR TECHNOLOGIES INC.

(Exact name of registrant as specified in its charter)

NEVADA

(State or other jurisdiction of incorporation or organization)

3350 Riverwood Parkway, Suite 1900

Atlanta, Georgia 30339

(Address of principal executive offices, including zip code.)

(678) 881-0002

(telephone number, including area code)

Check whether the issuer (1) filed all reports required to be filed by Section 13 or 15(d) of the Exchange Act during the past 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the last 90 days. YES x    NO 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer, “accelerated filer,” “non-accelerated filer,” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.

	Large Accelerated Filer			Accelerated Filer	
	Non-accelerated Filer			Smaller Reporting Company	x

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). YES     NO x

State the number of shares outstanding of each of the issuer’s classes of common equity, as of the latest practicable date: 76,078,446 as of May 6, 2009.

PART I – FINANCIAL INFORMATION

ITEM 1.                      FINANCIAL STATEMENTS

ALR TECHNOLOGIES INC.
Interim Consolidated Balance Sheets
($ United States)
		March 31			December 31
		2009			2008
		(Unaudited)
Assets
Current assets:
Cash	$	1,380		$	7,901
Accounts receivable, net of allowance of $748		1,923			5,048
(December 31, 2008 - $748)
Inventories, net of reserves (note 3)		-			-
Prepaid expenses and deposits		77,235			57,536
Deferred interest expenses (note 5)		33,600			50,400
		114,138			120,885
Equipment, net of accumulated depreciation		5,676			6,109
(net of accumulated depreciation of $25,438;
December 31, 2008 - $25,005)
	$	119,814		$	126,994
Liabilities and Shareholders' Deficiency
Current liabilities:
Accounts payable and accrued liabilities	$	1,064,284		$	1,088,256
Payroll payable		18,050			18,050
Interest payable (note 5)		2,793,305			2,613,008
Advances payable (note 5)		2,408,193			2,289,982
Promissory notes payable (notes 5 and 7)		6,553,608			6,436,393
		12,837,440			12,445,689
Shareholders' deficiency
Capital stock (note 6)
350,000,000 common shares with a par
value of $0.001 per share authorized, 76,078,446 issued		76,078			76,078
Additional paid-in capital		13,360,849			13,300,827
Accumulated deficit		(26,154,553	)		(25,695,600	)
		(12,717,626	)		(12,318,695	)
	$	119,814		$	126,994

See accompanying Notes to Interim Consolidated Financial Statements

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ALR TECHNOLOGIES INC.
Interim Consolidated Statement of Loss
($ United States)
(Unaudited)
	Three Months Ended				Three Months Ended
		March 31			March 31
		2009			2008
Revenue
Sales	$	-		$	1,739
Cost of sales		-			28
		-			1,711
Expenses
Depreciation		433			306
Development costs		68,750			190,814
Foreign exchange (gain) loss		(8,051	)		(6,776	)
Interest		237,836			168,396
Professional fees		11,777			14,280
Rent		7,120			13,189
Selling, general and administration		141,088			147,709
		458,953			527,918
Net loss		(458,953	)		(526,207	)
Loss per share, basic and diluted	$	(0.01	)	$	(0.01	)
Weighted average shares outstanding,
- basic and diluted		76,078,446			76,078,446

See accompanying Notes to Interim Consolidated Financial Statements

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ALR TECHNOLOGIES INC.
Interim Consolidated Statement of Shareholders' Deficiency and Comprehensive Loss
($ United States)
	Capital Stock				Additional					Total
	Number				Paid in		Accumulated			Shareholders'
	of Shares		Amount		Capital		Deficit			Deficiency
Balance, December 31, 2007	76,078,446	$	76,078	$	12,951,235	$	(23,796,490	)	$	(10,769,177	)
Financing cost of stock options issued
in consideration of promissory notes
payable:
- relatives of directors	-		-		17,056		-			17,056
- non-related parties	-		-		104,535		-			104,535
Compensating cost of stock options
issued or vested for product
product development:
- directors and officers					189,888					189,888
- non-related parties					38,113					38,113
Loss and comprehensive loss	-		-		-		(1,899,110	)		(1,899,110	)
Balance, December 31, 2008	76,078,446		76,078		13,300,827		(25,695,600	)		(12,318,695	)
Financing cost of stock options issued
in consideration of promissory notes
payable:
- relatives of directors					37,772					37,772
Compensating cost of stock options
issued or vested for product
development:
- directors and officers					6,488					6,488
- non-related parties					15,762					15,762
Loss and comprehensive loss							(458,953	)		(458,953	)
Balance, March 31, 2009 (unaudited)	76,078,446	$	76,078	$	13,360,849	$	(26,154,553	)	$	(12,717,626	)

See accompanying Notes to Interim Consolidated Financial Statements

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ALR TECHNOLOGIES INC.
Interim Statement of Cash Flows
($ United States)
(Unaudited )
		Three Months Ended
		March 31
		2009			2008
Cash flows from operating activities:
Cash received from customers	$	3,125		$	907
Cash paid to suppliers and employees		(129,815	)		(59,701	)
Interest paid		(530	)		(3,766	)
Net cash provided by (used in) operating
activities		(127,220	)		(62,560	)
Cash flows from financing activities:
Promissory notes payable		120,699			60,000
Net cash provided by financing activities		120,699			60,000
		(6,521	)		(2,560	)
Cash, beginning of period		7,901			2,973
Cash, end of period	$	1,380		$	413
Non-cash operating activities:
Stock-based compensation
Financing costs	$	37,772		$	104,534
Compensation costs		22,250			143,791
	$	60,022		$	248,325

See accompanying Notes to Interim Consolidated Financial Statements

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ALR TECHNOLOGIES INC.

Notes to Interim Consolidated Financial Statements

($ United States)

Three Months Ended March 31, 2009 and 2008

(Unaudited)

1. Basis of presentation

ALR TECHNOLOGIES, INC. (the "Company") was incorporated under the laws of the State of Nevada on March 24, 1987 as Mo Betta Corp. On December 28, 1998, the Company changed its name from Mo Betta Corp. to ALR Technologies Inc. The Company has developed a line of medication compliance reminder devices and compliance monitoring systems that will assist people with taking their medications and treatments on time and allow for heath care professionals to remotely monitor and intervene as necessary if a person is noncompliant.

In April 2008, the Company incorporated a wholly-owned subsidiary in Canada and its activities have been included in the Company’s consolidated financial statements.

These financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America on a going concern basis which presumes the realization of assets and the discharge of liabilities and commitments in the normal course of operations for the foreseeable future.

Several adverse conditions cast substantial doubt on the validity of this assumption.  The Company has incurred significant operating losses over the past several fiscal years (Three months period ended March 31, 2009 - $458,953; 2008 - $1,899,110; 2007 - $1,579,506), is currently unable to self-finance operations, has working capital deficit of $12,723,302 as at March 31, 2009,  $12,324,804 as at December 31, 2008 (2007 - $10,773,657), a deficit of $26,154,553 as at March 31, 2009 , $25,695,600 as at December 31, 2008 (2007 - $23,796,490), limited resources, no source of operating cash flow and no assurances that sufficient funding will be available to conduct further product development and operations.

The Company's ability to continue as a going concern is dependent upon the continued financial support of its creditors and its ability to obtain financing to repay its current obligations and fund working capital and its ability to achieve profitable operations. All of the Company's debt financing is either due on demand or is overdue and now due on demand. The Company will seek to obtain creditors' consents to delay repayment of these outstanding promissory notes payable until it is able to replace this financing with funds generated by operations, replacement debt or from equity financings through private placements or the exercise of options and warrants. While the Company's creditors have agreed to extend repayment deadlines in the past, there is no assurance that they will continue to do so in the future. Management plans to obtain financing through the issuance of shares on the exercise of options and warrants and through future common share private placements. Management hopes to realize sufficient sales in future periods to achieve profitable operations. The resolution of the going concern issue is dependent upon the realization of management's plans. There can be no assurance provided that the Company will be able to raise sufficient debt or equity capital, from the sources described above, on satisfactory terms. If management is unsuccessful in obtaining financing or in achieving profitable operations, the Company will be required to cease operations. The outcome of these matters cannot be predicted at this time.  The Company is currently financed by loans from a relative of a director of the Company.

The financial statements do not give effect to any adjustments which could be necessary should the Company be unable to continue as a going concern and, therefore, be required to realize its assets and discharge its liabilities in other than the normal course of business and at amounts differing from those reflected in the financial statements.

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ALR TECHNOLOGIES INC.

Notes to Interim Consolidated Financial Statements

($ United States)

Three Months Ended March 31, 2009 and 2008

(Unaudited)

2. Significant accounting policies

The information included in the accompanying interim financial statements is unaudited and should be read in conjunction with the annual audited financial statements and notes thereto contained in the Company's Report on Form 10-K for the fiscal year ended December 31, 2008. In the opinion of management, all adjustments, consisting of normal recurring adjustments, necessary for fair presentation of the results of operations for the interim periods presented have been reflected herein. The results of operations for the interim periods presented are not necessarily indicative of the results to be expected for the entire fiscal year.

a) Stock-based compensation:

The Company follows the provisions of FASB No. 123R in accounting all its stock options issued.

b) Basic and diluted net loss per common share

Basic net loss per common share is calculated by dividing the net loss by the weighted average number of common shares outstanding during the year. Diluted net loss per common share is calculated by dividing the net loss by the sum of the weighted average number of common shares outstanding and the dilutive common equivalent shares outstanding during the year. Common equivalent shares consist of the shares issuable upon exercise of stock options and warrants calculated using the treasury stock method. Common equivalent shares are not included in the calculation of the weighted average number of shares outstanding for diluted net loss per common share when the effect would be anti-dilutive.

Statement of Financial Accounting Standards No. 128: Earnings per Share ("SFAS 128") replaces the presentation of primary earnings per share ("EPS") with a presentation of both basic and diluted EPS for all entities with complex capital structures including a reconciliation of each numerator and denominator. Basic EPS excludes dilutive securities and is computed by dividing income available to common stockholders by the weighted-average number of common shares outstanding for the year. Diluted EPS reflects the potential dilution that could occur if dilutive securities were converted into common stock and is computed similarly to fully-diluted EPS pursuant to previous accounting pronouncements. SFAS 128 applies equally to loss per share presentations.

c) Principles of consolidation

These consolidated financial statements include the accounts of the Company and its wholly-owned subsidiary, Canada ALRTech Health Systems Inc. (incorporated in British Columbia, Canada). All significant inter-company balances and transactions have been eliminated.

3. Inventories

		March 31			December 31
		2009			2008
		(Unaudited)
Inventories, at cost	$	263,520		$	263,520
Provision for decline of value		(263,520	)		(263,520	)
	$	Nil		$	Nil

The Company's inventories consists of product parts and finished goods inventories. The Company has expended significant efforts introducing its Human Prescription Reminders ("Med Reminders") to disease management companies, home care companies, pharmaceutical manufacturers, health management organizations, pharmacy benefits managers and certain clinics treating specific disease conditions. Sales to March 31, 2009 have not been sufficient for the Company to realize its investment in these inventories. Management plans to recover its investment in inventories through sales via the channels indicated above and through international markets. As of March 31, 2009, management had recorded a provision of $263,520 in respect of its Med Reminder inventory.

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ALR TECHNOLOGIES INC.

Notes to Interim Consolidated Financial Statements

($ United States)

Three Months Ended March 31, 2009 and 2008

(Unaudited)

4. Prepaid expenses and deposits

The Company's prepaid expenses includes $77,000 prepaid commission expenses, which is for future sales.

5. Promissory notes payable

During the three months ended March 31, 2009, the Company received a total of $120,699 from a relative of a director in exchange for promissory notes payable. The promissory note is due on demand with interest at 1.0% per month and is secured by a floating charge against assets of the Company. As further consideration, 483,000 options exercisable into common shares of the Company at an exercise price of $0.25 per share for a period of five years were issued.

During the year ended December 31, 2008, the Company entered into an agreement with a non-related party whereby the Company received a total $450,000 over a four-month period starting from March 2008 in exchange for promissory notes payable. The promissory note was due for repayment on September 30, 2009 with interest at 1.0% per month and is unsecured. As further consideration, 1,800,000 options exercisable into common shares of the Company at an exercise price of $0.25 per share until March 31, 2013 were issued. The stock-based compensation arising from this stock option has been estimated to be $104,534 using the Black-Scholes option pricing model and amortized as interest expenses over the loan period. As of March 31, 2009, the unamortized interest was $33,600.

During the three month period ended March 31, 2009, a promissory note repayable in Canadian dollars to a director decreased by $3,484 due to favorable exchange rate changes with the United States dollars.

		March 31		December 31
		2009		2008
		(Unaudited)
Interest payable to:
Relatives of directors	$	1,347,028	$	1,257,586
Companies controlled by directors		5,790		5,790
Directors		70,658		69,545
Non-related parties		1,369,829		1,280,087
	$	2,793,305	$	2,613,008
		March 31		December 31
		2009		2008
		(Unaudited)
Advances payable to:
Relatives of directors	$	15,468	$	19,335
Companies controlled by directors		1,155,047		1,089,663
Directors		1,237,678		1,180,984
	$	2,408,193	$	2,289,982

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ALR TECHNOLOGIES INC.
Notes to Interim Consolidated Financial Statements
($ United States)
Three Months Ended March 31, 2009 and 2008
(Unaudited)
	March 31			December 31
		2009		2008
		(Unaudited)
Promissory notes payable to relatives of directors:
Promissory notes payable to a relative of a director, secured by a general security
agreement bearing interest at the rate of 1% per month, due on demand	$	2,150,027	$	2,029,328
Promissory notes payable to a relative of a director, secured by a general security
agreement bearing interest at the rate of 1.25% per month, due on demand		251,347		251,347
Promissory notes payable to relatives of a director, secured by a general security
agreement bearing interest at the U.S. bank prime rate plus 1%, due on demand		500,000		500,000
Promissory notes payable, unsecured, from relatives of a director, bearing interest
at 0.625% per month, with $50,000 repayable on October 5, 2004 and $60,000
repayable on July 28, 2006, which did not occur; currently due on demand with
The same interest rate		110,000		110,000
Promissory notes payable, unsecured, from relatives of a director, bearing interest
at 1% per month, due on demand		295,000		295,000
		3,306,374		3,185,675
Promissory notes payable to directors:
Promissory notes payable to a director, unsecured, bearing interest at 1% per
month, due on demand (Cdn $151,000)		119,822		123,306
		119,822		123,306
Promissory notes payable to unrelated parties:
Promissory notes payable to, unsecured, bearing interest at 1% per month,
Repayable September 30, 2009.		450,000		450,000
$50,000 repayable on December 31, 2004, which did not occur; currently all due
on demand with the same interest rate		2,136,500		2,136,500
Promissory notes payable, unsecured, bearing interest at 0.625% per month, with
$40,000 repayable on December 31, 2004, which did not occur; currently all due
on demand with the same interest rate		40,000		40,000
Promissory notes payable, secured by a guarantee from a director and relative of a
director, bearing interest at 1% per month, with $200,000 repayable on July 31,
2003, which did not occur; currently all due on demand		230,000		230,000
Promissory note payable, unsecured, non-interest bearing , repayable on July 17,
2005, which did not occur: currently due on demand		270,912		270,912
		3,127,412		3,127,412
Total current promissory notes payable	$	6,553,608	$	6,436,393

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ALR TECHNOLOGIES INC.

Notes to Interim Consolidated Financial Statements

($ United States)

Three Months Ended March 31, 2009 and 2008

(Unaudited)

6. Capital stock

a) Authorized share capital:

350,000,000 common shares with a par value of $0.001 per share

b) Stock options:

The Company accounts for its employee stock-based compensation arrangements in accordance with provisions of SFAS No. 123R “Share Based Payments”.

During the three months ended March 31, 2009, the Company granted 483,000 options in consideration of providing $120,699 loan to the Company. Compensation cost related to these options, being the fair value of the options, has been estimated to be $54,572 and charged to interest expense. The weighted average per share fair value of these options issued in the period was $0.08. The fair value of the options was determined using the Black-Scholes option pricing model, using the expected life of the options of 5 years, volatility factors of 221%, risk-free interest rates of 1.67% and no assumed dividend rate. The Company apply zero forfeiture rate in calculating stock based compensation expenses.

During the year ended December 31, 2008, the Company granted 6,128,000 options. Of the total granted, 3,000,000 were granted with vesting conditions based on certain performance targets.  Even though a final measure of the value of compensation cost does not occur until performance is complete, the estimated fair value of these options was recognized as at December 31, 2008 in the amount of $84,210 and charged to product development costs.  This amount has been prorated based on the expected performance period.  In consideration of providing loan advances aggregating $569,328 to the Company, 2,278,000 options were granted and vested immediately. Compensation costs related to these options, being the fair value of the options, has been estimated to be $121,591 of which $71,191 has been charged to interest expense and $50,400 has been classified as deferred interest expenses. The balance of the 850,000 stock options were granted for services and vested immediately. Compensation costs related to these options, being the fair value of the options, have been estimated to be $143,791 and have been charged to product development costs. The weighted average per share fair value of options issued in the period was $0.13 per option. The fair value of the options was determined using the Black-Scholes option pricing model, using the expected life of the options of 5 years, volatility factors of 188%, risk-free interest rate of 2.72% and zero dividend rate. The Company applies zero forfeiture rate in calculating stock-based compensation expenses.

During the year ended December 31, 2008, the Company cancelled 9,500,000 stock options from a director and 1,000,000 stock options from non-employees, all of which were not vested nor recorded as stock-based compensation expense prior to cancellation.  The remaining 2,000,000 stock options that were vested immediately were cancelled as per settlement agreement with a former consultant.

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ALR TECHNOLOGIES INC.

Notes to Interim Consolidated Financial Statements

($ United States)

Three Months Ended March 31, 2009 and 2008

(Unaudited)

6. Capital stock (continued)

A summary of stock option activity is as follows:

	Three Months Ended				Year Ended
	March 31, 2009				December 31, 2008
	(Unaudited)
				Weighted				Weighted
				Average				Average
	Number of			Exercise	Number of			Exercise
	Shares			Price	Shares			Price
Outstanding, beginning of period	106,575,463		$	0.25	118,196,463		$	0.25
Granted	483,000			0.25	6,128,000			0.25
Cancelled	-			0.25	(12,500,000	)		0.25
Expired	(220,000	)		0.25	(5,249,000	)		0.25
Outstanding, end of period	106,838,463		$	0.25	106,575,463		$	0.25
Exercisable, end of period	89,813,463		$	0.25	89,550,463		$	0.25

As of March 31, 2009, none of the stock options outstanding was in-the-money.

Unvested options at March 31, 2009 consist of 17,025,000 options which will vest based on achieving certain sales and performance targets, including 9,750,000 to two directors and 250,000 to a relative of a director of the Company. Compensation cost related to the 17,025,000 unvested options granted between 2004 to 2009, which value is estimated to be $1,948,758 will be recorded in the period in which the sales or performance targets are achieved or probable of being achieved.

7. Contingencies

Accounts payable and accrued liabilities as of March 31, 2009 includes $180,666 (December 31, 2008 -$180,666) of amounts owing to a supplier, which the Company is in the process of disputing. The outcome of this matter cannot be determined at this time. The gain on settlement of the account payable, if any, will be recorded in the period that an agreement with the supplier is reached and the amount becomes determinable.

During the year ended December 31, 2008, a note payable creditor commenced legal action against the Company to enforce repayment of all outstanding notes payable and interest.  As of March 31, 2009, the total outstanding notes payable and interest payable was $42,000.  The Company has agreed to settle this balance and is currently awaiting for final approval by Superior Court Judge.  The payment on settlement will be recorded upon final approval.

During the period, two other notes payable creditors commenced legal action against the Company to enforce repayment of all outstanding notes payable and interest.  As of March 31, 2009, the total outstanding notes payable and interest payable to these two creditors were $1,019,036 and $894,949 respectively.

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ALR TECHNOLOGIES INC.

Notes to Interim Consolidated Financial Statements

($ United States)

Three Months Ended March 31, 2009 and 2008

(Unaudited)

8. Related party transactions

Related party transactions for the three months ended March 31, 2009 and 2008 included the following:

		2009		2008
		(Unaudited)
Product development costs
Directors and officers	$	15,000	$	15,000
Stock-based compensation in product development
Directors and officers		6,488		129,467
Interest expense
Directors and officers		3,839		4,686
Relatives of directors		89,442		86,246
Stock-based compensation in interest expense
Relatives of directors		37,772		-
Compensation
Directors and officers		79,950		79,950
Relatives of directors		9,000		9,000
	$	241,491	$	324,349

All transactions with related parties were incurred in the normal course of operations and measured at the exchange amount, which is the amount of considerations established and agreed upon by the transacting parties.

Interest on promissory notes payable to related parties, management compensation and compensation paid to a relative of a director have been recorded at the exchange amount, which is the amount agreed to by the parties. Options granted to related parties have been recorded at their estimated fair value as disclosed note 6(b).

9.   Commitments:

During 2000, the Company entered into three-year contracts with certain executive officers and directors providing the following annual compensation.

	Sidney Chan	$	144,000
	Stanley Cruitt	$	156,600
	Dr. Jaroslav Tichy	$	60,000

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ALR TECHNOLOGIES INC.

Notes to Interim Consolidated Financial Statements

($ United States)

Three Months Ended March 31, 2009 and 2008

(Unaudited)

9.   Commitments: (continued)

The contracts are automatically renewed annually after the initial three-year term, and may be terminated by the Company at any time, effective thirty days after delivery of notice, without any further compensation.

The terms of Mr. Chan's contract also provides for a commission of 1% of net sales during the term of the agreement as well as a bonus payment on commencement of commercial production of the Pet Reminder. In addition, if more than 50% of the Company's stock or assets are sold, Messrs. Chan, Cruitt and Tichy will be compensated for entering into non-compete agreements based on the selling price of the Company or its assets as follows:

2% of sales price up to $24,999,999 plus

3% of sales price between $25,000,000 and $49,999,999 plus

4% of sales price between $50,000,000 and $199,999,999 plus

5% of sales price in excess of $200,000,000

The terms of Mr. Cruitt's contract was amended in 2008 as a result of his resignation as President on June 16, 2008. Mr. Cruitt was originally entitled to 4,000,000 options with a five-year term exercisable at $0.25 per share of which 2,000,000 stock options vested immediately and the remaining 2,000,000 options subject to sales and performance targets were cancelled in 2008.

10.  Reconciliation of net loss to net cash used in operating activities
		Three Months Ended
	March 31
		2009			2008
		(Unaudited)
Net loss for the period	$	(458,953	)	$	(526,207	)
Add items not affecting cash:
Depreciation		433			306
Foreign exchange on notes payable		(3,484	)		(5,918	)
Stock-based compensation:
Product development		22,250			143,791
Interest		54,572			3,734
Non-cash working capital items:
Receivable and advances		3,125			(832	)
Inventories		-			(21,997	)
Prepaid expenses		(19,699	)		(100	)
Accounts payable and accrued liabilities		274,536			344,663
	$	(127,220	)	$	(62,560	)

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ALR TECHNOLOGIES INC.

Notes to Interim Consolidated Financial Statements

($ United States)

Three Months Ended March 31, 2009 and 2008

(Unaudited)

11.   Subsequent events

(a)           Subsequent to the period end, the Company’s board of directors approved a resolution to reduce the exercise price of all vested stock options from $0.25 to $0.05 per share provided the stock options are exercised on or before May 15, 2009.  If the stock options were not exercised, the original exercise price remains unchanged.

(b)           The Company’s board of directors also approved a resolution to sell a maximum of 50,000,000 common shares at the price of $0.05 per share with a minimum of 2,000,000 common shares which offer will expire on July 15, 2009.

(c)           The Company received a default judgment in favour of a creditor for a total amount of $177,844.87 which includes interest and disbursements.

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ITEM 2.                      MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

Forward Looking Statements

The following information must be read in conjunction with the unaudited Financial Statements and Notes thereto included in Item 1 of this Quarterly Report and the audited Consolidated Financial Statements and Notes thereto and Management's Discussion and Analysis or Plan of Operations contained in the Company's Annual Report on Form 10-KSB for the year ended December 31, 2008. Except for the description of historical facts contained herein, the Form 10Q contains certain forward-looking statements concerning future applications of the Company's technologies and the Company's proposed services and future prospects, that involve risk and uncertainties, including the possibility that the Company will: (i) be unable to commercialize services based on its technology, (ii) ever achieve profitable operations, or (iii) not receive additional financing as required to support future operations, as detailed herein and from time to time in the Company's future filings with the Securities and Exchange Commission and elsewhere. Such statements are based on management's current expectations and are subject to a number of factors and uncertainties that could cause actual results to differ materially from those described in the forward-looking statements.

Critical Accounting Policies

The preparation of our financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities as of the date of the financial statements and the reported amounts of revenues and expenses during the reported periods. Actual results may differ from these estimates under different assumptions or conditions. We believe the accounting polices that are most critical to our financial condition and results of operations and involve management's judgment and/or evaluation of inherent uncertain factors are as follows:

Basis of Presentation. The financial statements have been prepared on the going concern basis, which assumes the realization of assets and liquidation of liabilities in the normal course of operations. If the Company were not to continue as a going concern, it would likely not be able to realize on its assets at values comparable to the carrying value or the fair value estimates reflected in the balances set out in the preparation of the financial statements. As described in note 1 to the interim financial statements, at March 31, 2009, there are certain conditions that exist which raise substantial doubt about the validity of this assumption. The Company's ability to continue as a going concern is dependent upon continued financial support of its creditors and its ability to obtain financing to repay its current obligations and fund working capital and its ability to achieve profitable operations. The Company will seek to obtain creditors consent to delay repayment of its outstanding promissory notes payable until it is able to replace this financing with funds generated from operations, replacement debt or from equity financing through private placements or the exercise of options and warrants. While the Company's creditors have agreed to extend repayment deadlines in the past, there is no assurance that they will continue to do so in the future. Management plans to obtain financing through the issuance of additional debt, the issuance of shares on the exercise of options and warrants and through future common share private placements. Management hopes to realize sufficient sales in future years to achieve profitable operations. Failure to achieve management's plans may result in the Company curtailing operations or writing assets and liabilities down to liquidation values, or both.

Prepaid expenses and deposits. Prepaid expenses and deposits primarily consists of prepaid commission expenses for market development purposes.

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Inventories. Inventories are recorded at the lower of cost, determined on a weighted average cost basis, and net realizable value. Net realizable value reflects the current estimated net selling price or value in use of the item in inventory in a non-forced sale. The Company assesses the need for inventory write-downs based on its assessment of the estimated net realizable value using assumptions about future demand and market conditions. When the results of these assumptions differ from the Company's projections, an additional inventory write-down may be required.

Revenue recognition. The Company recognizes sales revenue at the time of delivery when title has transferred to the customer, persuasive evidence of an arrangement exists, the fee is fixed and determinable and the sales proceeds are collectible. Provisions are recorded for product returns based on historical experience. Sales revenue, in transactions for which the Company does not have sufficient historical experience, is recognized when the return privilege period has expired. Changes in sales terms could materially impact the extent and timing of revenue recognition.

Stock-Based Compensation. The Company follows the provisions of SFAS 123(R), “Share-Based Payment”. The fair value of options at the date of grant was estimated using the Black-Scholes option pricing model. The Company took into consideration guidance under SFAS 123(R) and SEC Staff Accounting Bulletin No. 107 (SAB 107) when reviewing and updating assumptions. The expected option life is derived from assumed exercise rates based upon historical exercise patterns and represents the period of time that options granted are expected to be outstanding. The expected volatility is based upon historical volatility of our shares using daily price observations over an observation period of five years. The risk-free rate is based on the U.S. treasury rate in effect at the time of grant for periods similar to the expected option life. Due to the Company’s history with respect to forfeitures of incentive stock options, the estimate of expired or cancelled options included in the above option valuation was zero.

Valuation of Long-lived Assets The Company assesses the potential impairment of long-lived tangible and intangible assets whenever events or changes in circumstances indicate that the carrying value may not be recoverable. Changes in the operating strategy can significantly reduce the estimated useful life of such assets.

Results of Operations

Management is focusing the majority of its efforts on introducing and marketing the HealthEConnect health management platform and its diabetes management system to the healthcare industry. A health services company based in Georgia has been signed on and has successfully gained customer commitments to implement the HealthEConnect diabetes management system. Corporations that are self-insured are being targeted due to the potential benefits they can achieve with the ALRT HealthEConnect and CHC system. Expected results are better health outcome with their employees and dependents along with lower cost of care for these targeted individuals with diabetes.

The Company is first targeting customers located in United States and in Canada. Pilot programs have been established in each and with pilot outcome results now becoming available, extensive selling activities are currently in process.

 Sales revenue for the three months ended March 31, 2009 was $Nil as compared to $1,739 for the same three month period last year. The decrease in sales was mainly due to the Company's new product is in the final stage of development and early stage of marketing campaign.  The Company is fine-tuning the HealthEConnect healthcare management software platform and coordination of software protocols from the various diagnostic equipment such as glucometers necessary for remote monitoring through the ALRT HealthEConnect.

Development costs were $68,750 for the quarter ended March 31, 2009 as compared with $190,814 for the quarter ended March 31, 2008. Development costs incurred during the first quarter of 2009 related to the allocation of additional programming resources required for the development of the ALRT500 LCD (Liquid Crystal Display) Med Reminders and the ALRT Interactive Response System (AIRS).

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Development costs for the three months ended March 31, 2009 and 2008 include $22,250 and $143,791, respectively, of stock-based compensation recognized in the period.

Interest expense was $237,836 for the quarter ended March 31, 2009 as compared with $168,396 for the quarter ended March 31, 2008. The amount for the current quarter included $54,572 relating to options issued in exchange for $120,699 loan received during the period which loans were repayable at demand secured by a floating charge against the Company’s assets.

 Professional fees were $11,777 for the quarter ended March 31, 2009 as compared with $14,280 for the quarter ended March 31, 2008. Fees were slightly lower due to less accounting and audit services obtained in the quarter.

 The selling, general and administrative expenses were $141,088 for the quarter ended March 31, 2009 as compared to $147,709 for the quarter ended March 31, 2008. The decrease relates primarily to lower compensation expenses incurred during the current quarter.

 Net loss of $458,953 for the quarter ended March 31, 2009 decreased from a loss of $526,207 for the same quarter in 2008 mainly due to decrease in product development costs as the produce development is close to maturing stage.

Liquidity and Capital Resources

The Company's ability to continue as a going concern is dependent upon the continued financial support of its creditors and its ability to obtain financing to repay its current obligations and fund working capital and its ability to achieve profitable operations. All of the Company's debt financing is either due on demand or is overdue and now due on demand. The Company will seek to obtain creditors' consents to delay repayment of these outstanding promissory notes payable until it is able to replace this financing with funds generated by operations, replacement debt or from equity financings through private placements or the exercise of options and warrants. While the Company's creditors have agreed to extend repayment deadlines in the past, there is no assurance that they will continue to do so in the future. Management plans to obtain financing through the issuance of shares on the exercise of options and warrants and through future common share private placements. Management hopes to realize sufficient sales in future periods to achieve profitable operations. The resolution of the going concern issue is dependent upon the realization of management's plans. There can be no assurance provided that the Company will be able to raise sufficient debt or equity capital, from the sources described above, on satisfactory terms. If management is unsuccessful in obtaining financing or in achieving profitable operations, the Company will be required to cease operations. The outcome of these matters cannot be predicted at this time.  The Company is currently financed by loans from a relative of a director of the Company.

Cash Balances and Working Capital

As of March 31, 2009, the Company's cash balance was $1,380 compared to $7,901 as of December 31, 2008. As of March 31 2009, the Company had a working capital deficiency of $12,756,902 as compared to a working capital deficiency of $12,375,204 as of December 31, 2008.

Short and Long Term Liquidity

As of March 31, 2009, the Company does not have the current financial resources and committed financing to enable it to meet its overheads, purchase commitments and debt obligations over the next 12 months.

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All of the Company's debt financing is either due on demand or has a maturity date of less than one year. The Company will seek to obtain creditors' consents to delay repayment of these loans until it is able to replace these financings with funds generated by operations, replacement debt or from equity financings through private placements or the exercise of options and warrants. While the Company's creditors have agreed to extend repayment deadlines in the past, there is no assurance that they will continue to do so in the future. Failure to obtain either replacement financing or creditor consent to delay the repayment of existing financing could result in the Company having to curtail operations.

Cash Provided by (Used in) Operating Activities

Cash used by the Company in operating activities during the quarter was $127,220 in comparison with $62,560 generated during the same quarter last year. The increase was mainly due to increased payments to suppliers during the current quarter.

Cash Proceeds from Financing Activities

During the quarter ended March 31, 2009, the Company received $120,699 loan from a relative of a director as compared to $60,000 from a non-related party in the three-month period of 2008.

Off Balance Sheet Arrangement

The Company has no off balance sheet financing arrangements that have or are reasonably likely to have a current or future effect on the Company’s financial condition, changes in financial condition, revenues or expenses, results of operations, liquidity, capital expenditures or capital resources, that is material to investors.

ITEM 3.                      QUANTITATIVE AND QUALITATIVE DISCLOSURE OF MARKET RISK

The Company is a smaller reporting company as defined by Rule 12b-2 of the Securities Exchange Act of 1934 and is not required to provide the information under this item.

ITEM 4.                      CONTROLS AND PROCEDURES.

Management’s Report on Internal Control Over Financial Reporting

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 Exchange Act. Internal control over financial reporting refers to the process designed by, or under the supervision of, our Chief Executive Officer and Chief Financial Officer, and effected by our Board of Directors, management and other personnel, 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, and 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 our assets;

(ii) provide reasonable assurauce that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures are being made only in accordance with authorizations of our management and directors; and

(iii) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use or disposition of our assets that could have a material effect on our financial statements.

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Management has used the framework set forth in the report entitled “Internal Control – Integrated Framework” published by the committee of Sponsoring Organizations of the Treadway commission to evaluate the effectiveness of our internal control over financial reporting.  Based on its evaluation, our management concluded that there is material weakness in our internal control over financial reporting.  A material weakness is a deficiency, or a combination of control deficiencies, in internal control over financial reporting such that there is reasonable possibility that a material misstatement of the company’s annual or interim financial statements will not be prevented or detected on a timely basis.

The Company’s material weakness in its internal control over financial reporting relates to the monitoring and review of work performed in the preparation of audit and financial statements, footnotes, and financial data provided to the Company’s registered public accounting firm in connection with the annual audit.  All of our financial reporting is carried out by the Chief Financial Officer and Controller.  The lack of accounting staff results in a lack of segregation of duties necessary for an effective system of internal control.  The material weakness identified did not result in the restatement of any previously reported financial statements for 2007 or any other related financial disclosure, nor does management believe that it had any effect on the accuracy of the Company’s financial statements for the current reporting period.

In order to mitigate this material weakness to the fullest extent possible, all quarterly and annual financial reports are reviewed by the Chief Executive Officer and the Audit Committee for reasonableness.  All unexpected results are investigated.  At any time, if it appears that any control can be implemented to continue to mitigate such weakness, it is immediately implemented.  We intend to implement appropriate procedures for monitoring and review of work performed by our Chief Financial Officer and Controller.

During the most recently completed fiscal quarter, there has been no change in our internal control over financial reporting that has materially affected or is reasonably likely to materially affect, our internal control over financial reporting.

This annual report does not include an attestation report of the Company’s independent registered public accounting firm regarding internal control over financial reporting, management’s report was not subject to attestation by the Company’s independent registered public accounting firm pursuant to temporary rules of Securities and Exchange Commission that permit the Company to provide only Management’s report in this annual report.

PART II

ITEM 1A.                   RISK FACTORS

The Company is a smaller reporting company as defined by Rule 12b-2 of the Securities Exchange Act of 1934 and is not required to provide the information under this item.

ITEM 6.                      EXHIBITS

The following Exhibits are attached hereto:

Exhibit No.	Description
31.1	Certification of Principal Executive and Principal Financial Officer pursuant Section 302
	of the Sarbanes-Oxley Act of 2002.
32.1	Certification of Chief Executive and Chief Financial Officer pursuant Section 906 of the
	Sarbanes-Oxley Act of 2002.

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SIGNATURES

In accordance with the requirements of the Exchange Act, the registrant caused this report to be signed on its behalf by the undersigned, thereunto duly authorized on this 15th day of May, 2009.

	ALR TECHNOLOGIES INC.
	(Registrant)
	BY:	SIDNEY CHAN
		Sidney Chan
		President, Chief Executive Officer,
		and a member of the Board of Directors

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EXHIBIT INDEX

Exhibit No.	Description
31.1	Certification of Principal Executive and Principal Financial Officer pursuant Section 302
	of the Sarbanes-Oxley Act of 2002.
32.1	Certification of Chief Executive and Chief Financial Officer pursuant Section 906 of the
	Sarbanes-Oxley Act of 2002.

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