NETSMART TECHNOLOGIES INC
8-K/A, 1998-07-28
COMPUTER PROCESSING & DATA PREPARATION
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                         SECURITIES AND EXCHANGE COMMISSION

                                Washington, DC 20549



                                    Form 8-K/A-1

                                  Amendment No. 1

                                   Current Report

       Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934


          Date of Report (Date of earliest event reported): June 30, 1998


                            Netsmart Technologies, Inc.
               (Exact name of Registrant as Specified in its Charter)

            Delaware                  0-21177                13-3680154
      (State or other jurisdiction  (Commission             (IRS Employer
             of incorporation         File No.)             Identification No.)



                         146 Nassau Avenue, Islip, NY 11751
                       (Address of Principal Executive Office)


         Registrant's telephone number, including area code:  (516) 968-2000




                                       - 0 -

<PAGE>



Item 4.  Changes in Registrant's Certifying Accountants

      On June 30,  1998,  the Board of  Directors  selected  Richard A. Eisner &
Company,  LLP to serve as the Company's  independent  public  accountant for the
year ending  December 31, 1998.  The selection of such firm will be presented to
stockholders for their approval at the 1998 Annual Meeting of  Stockholders.  In
the event  stockholder  approval of the  selection of such firm is not obtained,
the selection of the  independent  auditors will be reconsidered by the Board of
Directors.

      Prior to June 1994, when the Company,  through an affiliate,  acquired the
assets of Creative Socio- Medics Corp. ("CSM"), Richard A. Eisner & Company, was
the  independent  public  accountant  for  CSM.  Since  June  1994,  except  for
incidental services relating to CSM's financial  statements for periods prior to
June 1994, Richard A. Eisner & Company, LLP did not perform any services for the
Company or CSM. At no time since its engagement has Richard A. Eisner & Company,
LLP had any direct or indirect  financial interest in or any connection with the
Company or any of its subsidiaries other than as independent accountant.

      The Company's  financial  statements for the years ended December 31, 1997
and 1996 were audited by Moore  Stephens,  P.C.,  whose report on such financial
statements  did not  include  any  qualification,  disclaimer,  modification  or
explanatory  paragraph.  There were no disagreements  with Moore Stephens,  P.C.
during the years ended December 31, 1997 or 1996 or during the period subsequent
to  December  31,  1997 on any matter of  accounting  principles  or  practices,
financial statement  disclosure or auditing scope or procedure.  The decision to
dismiss Moore  Stephens,  P.C. and engage  Richard A. Eisner & Company,  LLP was
made by the Board of Directors on June 30, 1998.

Item 7.  Financial Statements and Exhibits.

      (c)   Exhibits.

            16.1 Letter from Moore Stephens, P.C.



                                       - 1 -

<PAGE>



                                      SIGNATURE


      Pursuant to the  requirements of the Securities  Exchange Act of 1934, the
registrant  has duly  caused  this  report  to be  signed  on its  behalf by the
undersigned hereunto duly authorized.

                                    NETSMART TECHNOLOGIES, INC.

                                    s/ James L. Conway
Date: July 28, 1998                 James L. Conway
                                    President




                                       - 2 -




July 28, 1998



Securities and Exchange Commission
Mail Stop 9-5
450 5th Street, N.W.
Washington, DC 20549

RE: Commission File No. 0-21177

Ladies and Gentlemen:

We have read and agree with the comments in Item 4 of Form 8-K/A  (Amendment #1)
of Netsmart Technologies, Inc., dated June 30, 1998.

Very truly yours,


/s/ Moore Stephens, P.C.
Moore Stephens, P.C.

/rs



                                      



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