Netsmart Technologies Named One of Fortune Small Business Magazine's Top 100 Fastest Growing Companies

Netsmart Technologies Named One of Fortune Small Business
Magazine's Top 100 Fastest Growing Companies
Netsmart Ranked #70 of Companies With Revenues Under $200 Million 


GREAT RIVER, N.Y., June 22  /PRNewswire-FirstCall/ -- Netsmart Technologies,
Inc. (NASDAQ:NTST), a leading supplier of enterprise-wide software for health
and human services providers, today announced that it has been ranked 70th in
the FORTUNE Small Business Magazine list of the top 100 fastest growing
companies with revenues under $200 million.

To compile the list, FORTUNE Small Business ranked public companies with annual
revenue of less than $200 million and a stock price of more than $1 (to
eliminate penny stocks), based on earnings growth, revenue growth, and stock
performance over the past three years.

James Conway, CEO of Netsmart Technologies stated, "We are extremely pleased to
be independently recognized by FORTUNE Small Business magazine."

To be published in the July/August 2004 issue of FORTUNE Small Business
Magazine.

About Netsmart Technologies, Inc.

Netsmart Technologies, Inc. of Great River, N.Y., through Creative Socio-
Medics, is an established, leading supplier of enterprise-wide software
solutions for health and human services providers with over 600 clients,
including 26 systems with state agencies.  Creative's clients include health
and human services organizations: public health agencies, mental health and
substance abuse clinics, psychiatric hospitals, and managed care organizations.
 Avatar Practice Management and the Avatar Clinician Work Station, Creative's
core products, are full-featured information systems that operate on a variety
of operating systems, hardware platforms, and mobile devices and offer
unlimited scalability.

Statement on Behalf of Netsmart Technologies, Inc.

Statements in this press release may be "forward-looking statements" within the
meaning of the Private Securities Litigation Reform Act of 1995. Words such as
"anticipate", "believe," "estimate," "expect," "intend" and similar
expressions, as they relate to the company or its management, identify
forward-looking statements.  These statements are based on current
expectations, estimates and projections about the company's business based, in
part, on assumptions made by management.  These statements are not guarantees
of future performance and involve risks, uncertainties and assumptions that are
difficult to predict.  Therefore, actual outcomes and results may, and probably
will, differ materially from what is expressed or forecasted in such
forward-looking statements due to numerous factors, including those described
above and those risks discussed from time to time in Netsmart's filings with
the Securities and Exchange Commission.  In addition, such statements could be
affected by risks and uncertainties related to product demand, market and
customer acceptance, competition, pricing and development difficulties, as well
as general industry and market conditions and growth rates, and general
economic conditions.  Any forward-looking statements speak only as of the date
on which they are made, and the company does not undertake any obligation to
update any forward-looking statement to reflect events or circumstances after
the date of this release.  Information on Netsmart's or Creative's website do
not constitute a part of this release. 

DATASOURCE: Netsmart Technologies, Inc.



CONTACT:  Ron Marge of Netsmart Technologies, 1-800-421-7503, ext. 2026,

; or Stuart Fine of Carpe DM, Inc., [phone],

, for Netsmart Technologies, Inc.



Web site:  http://www.netsmartech.com/ 

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