Netsmart Technologies Again Named to Fortune Small Business 100 List of America’s Fastest-Growing Small Public Companies

Cross-Industry Ranking Places Netsmart in Select Group of Companies Based on Financial Performance

Great River, New York (June 27, 2006) –

Netsmart Technologies, Inc. (NASDAQ SC: NTST), a leading provider of enterprise-wide software for health and human services organizations, today announced that it has been named to the FORTUNE Small Business 100 List of America’s Fastest-Growing Small Public Companies for the third consecutive year.

Netsmart is ranked 100 on the list, which appears in the July/August issue of FORTUNE Small Business magazine and is available at www.fsb.com.

“We are pleased to once again be ranked in the Fortune Small Business 100,” said James L. Conway, chairman and chief executive officer of Netsmart Technologies. “Our continued growth and financial strength provides us with a strong foundation to serve our customers as a long-term, solid technology partner.”

To compile the sixth annual list, FORTUNE Small Business asked financial research firm Zacks to rank public companies with revenues less than $200 million and a stock price of more than $1, based on their percentage growth in earnings, revenue, and stock performance over the past three years. Banks and real estate firms were excluded.

For more information about Netsmart Technologies solutions, call 1-800-421-7503 or visit www.ntst.com

About Netsmart Technologies, Inc.
Netsmart Technologies, Inc., based in Great River, N.Y., is an established, leading supplier of enterprise-wide software solutions for health and human services providers, with more than 1,250 clients, including more than 30 systems with state agencies. Netsmart’s clients include health and human services organizations, public health agencies, mental health and substance abuse clinics, psychiatric hospitals, and managed care organizations. Netsmart’s 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 either Netsmart’s or FORTUNE’s website does not constitute a part of this release.

Source: Netsmart