NETSMART TECHNOLOGIES INC
S-3/A, 1999-12-29
COMPUTER PROCESSING & DATA PREPARATION
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<TABLE>

    As filed with the Securities and Exchange Commission on December 28, 1999
                           Registration No. 333-91907
- --------------------------------------------------------------------------------

                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

                                 AMENDMENT NO. 1
                                       TO
                                    FORM S-3
             REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933
                           NETSMART TECHNOLOGIES, INC.
             (Exact name of registrant as specified in its charter)

                      Delaware                                13-3680154
   (State or other jurisdiction             (I.R.S. Employer Identification No.)
    of incorporation or organization)

                      146 Nassau Avenue,  Islip,  New York, 11751 (516) 968-2000
   (Address,  including zip code, and telephone number of registrant's principal
   executive offices)

                             Asher S. Levitsky P.C.
                        Esanu Katsky Korins & Siger, LLP
                                605 Third Avenue
                            New York, New York 10158
                                 (212) 953-6000
                               Fax: (212) 953-6899
 (Name, address and telephone number, including area code, of agent for service)

                                   Copies to:
           Mr. James L. Conway, President and Chief Executive Officer
                           Netsmart Technologies, Inc.
                                146 Nassau Avenue
                              Islip, New York 11751
                                 (516) 968-2000
                               Fax: (516) 968-2123

                         CALCULATION OF REGISTRATION FEE
<S>                    <C>                 <C>                   <C>                  <C>
                                                 Proposed              Proposed
 Title of securities                             maximum                maximum
        to be             Amount to be        offering price           aggregate            Amount of
     registered            registered           per unit(1)         offering price(1)     registration fee
- ----------------------------------------------------------------------------------------------------------
Common Stock, par         808,026 shares(2)       $9.03             $7,296,474.78          $1,926.27
value $.01 per share

(1)     Estimated solely for the purpose of calculating the registration fee, in
        accordance  with  Rule  457(c)  under  the  Securities  Act of 1933,  as
        amended,  on the basis of the average  exercise  price of warrants.  All
        shares of common stock are issuable pursuant to the warrants.

(2)     Pursuant  to Rule 416,  there are also being  registered  such number of
        additional  shares of common  stock as may be  required  pursuant to the
        antidilution provisions of the warrants.

        The Registrant hereby amends this Registration Statement on such date or
dates as may be necessary to delay its effectiveness  until the Registrant shall
file a further  amendment  which  specifically  states  that  this  Registration
Statement shall  thereafter  become effective in accordance with Section 8(a) of
the  Securities  Act of 1933 or until the  Registration  Statement  shall become
effective  on such  date  as the  Securities  and  Exchange  Commission,  acting
pursuant to Section 8(a), may determine.

- --------------------------------------------------------------------------------
</TABLE>
<PAGE>



PROSPECTUS

                                 808,026 Shares
                           NETSMART TECHNOLOGIES, INC.
                                  Common Stock

                   Nasdaq SmallCap Market Trading Symbol: NTST

        The selling  stockholders  may sell up to 808,026 shares of common stock
from time to time. These selling stockholders may sell their shares

        *      On the Nasdaq SmallCap Market.
        *      To a broker-dealer, including a market maker, who purchases the
               shares for its own account.
        *      In private transactions or by gift.

The selling stockholders may also:

        *      pledge their shares from time to time, and the lender may sell
               the shares upon foreclosure.
        *      sell their warrants in a private transaction or transfer them as
               a gift, and the purchasers of the warrants may exercise the
               warrants and sell the underlying shares of common stock.

        The  shares  are  being  offered  by the  selling  stockholders  and are
issuable upon exercise of outstanding warrants held by the selling stockholders.
We will only  receive  proceed from the  exercise of the  warrants.  We will not
receive any proceeds from the sale by the selling  stockholders  of their shares
of common stock.  We will pay the cost of the  preparation  of this  prospectus,
which is estimated at $10,000.

                                    --------

        Investing in shares of our common stock  involves a high degree of risk.
You  should  purchase  the  shares  only if you can  afford to lose your  entire
investment. See "Risk Factors," which begins on page 2.

                                    --------

        Neither the Securities and Exchange  Commission nor any state securities
commission has approved or disapproved  these  securities or determined  whether
this prospectus is truthful or complete. Any representation to the contrary is a
criminal offense.

                      The date of this prospectus is , 2000

<PAGE>



                                TABLE OF CONTENTS


                                                                Page
                                                                ----
Risk Factors                                                      2
Use of Proceeds                                                   4
Selling Stockholders                                              4
Plan of Distribution                                              6
Available Information                                             6
Incorporation of Certain Documents by Reference                   7
Legal Matters                                                     7
Experts                                                           7


                                  RISK FACTORS

        This prospectus contains statements that plan or anticipate the future.
Forward-looking  statements  include  statements about our future business plans
and  strategies and the market for our products and most other  statements  that
are not historical in nature. In this prospectus, forward-looking statements are
generally  identified by the words  "anticipate,"  "plan," "believe,"  "expect,"
"estimate" and similar words. Because forward-looking  statements involve future
risks and  uncertainties,  there are factors that could cause actual  results to
differ  materially from those expressed or implied,  including,  but not limited
to, those  identified  under "Risk  Factors" in this  prospectus and in our Form
10-K for 1998,  those  described  in  Management's  Discussion  and  Analysis of
Financial Conditions and Results of Operations in our Form 10-K for 1998 and our
Form 10-Q for the quarter ended  September 30, 1999, and those  described and in
any other filings which are  incorporated  by reference in this  prospectus,  as
well as general economic conditions.

        An  investment in our common stock  involves a high degree of risk.  You
should  consider  carefully,  along with other factors,  the following risks and
should consult with your own legal, tax and financial advisors.

        If we are  unable to obtain  additional  capital,  we may not be able to
develop  our  business  and  perform our  contract  obligations.  We had working
capital of $1.4 million at September 30, 1999. Our cash position  decreased from
$199,000  at December  31, 1998 to $80,000 at  September  30,  1999.  We require
substantial  additional  capital in order to expand and develop our business and
perform our  obligations  under our agreements and purchase  orders.  We have no
commitments  from any person to provide us with any such  capital.  Our business
may suffer significantly if we do not obtain the capital when it is required.

        Because we are dependent upon government contracts,  our business may be
impaired by  policies  relating to  entitlement  programs.  We market our health
information  systems  principally to behavioral health care facilities,  many of
which are  operated by  government  entities and include  entitlement  programs.
During 1998,  we generated  52% of our revenue from  contracts  with  government
agencies,  as  compared  with 35% in 1997 and 31% in 1996.  Government  agencies
generally have the right to cancel contracts at their convenience.  In addition,
we may lose  business if  government  agencies  reduce  funding for  entitlement
programs.

        Our business is based on providing systems relating to behavioral health
organizations,  and changes in government regulation of health care industry may
affect the market for our systems.  We derive  substantially  all of our revenue
from our  health  information  systems  and  services.  The  federal  and  state
governments  have  adopted  numerous  regulations  relating  to the health  care
industry,  including  regulations  relating  to  the  payments  to  health  care
providers  for  various  services,  and our  systems  are  designed  to  provide
information  based on these  requirements.  The adoption of new  regulations can
have a  significant  effect  upon  the  operations  of  health  care  providers,
particularly  those operated by state agencies.  We cannot predict the effect on
our  business of future  regulations  by  governments  and payment  practices by
government  agencies.  Furthermore,  changes in  regulations  in the health care
field may force us to modify  our  health  information  systems  to meet any new
record-keeping  or other  requirements.  If that happens,  we may not be able to
generate revenues sufficient to cover the costs of developing the modifications.

        If we are not able to take  advantage  of  technological  advances,  our
business may suffer. Our customers require software which enables them to store,
retrieve  and process  very large  quantities  of data and to provide  them with
instantaneous communications among the various data bases. Our business requires
us to take advantage of recent advances in software, computer and communications
technology.  This technology has been developing at rapid rates in recent years,
and our future may be  dependent  upon our  ability to use and develop or obtain
rights to products  utilizing such  technology.  New technology may develop in a
manner which may make our software obsolete. Our inability to use new technology
would have a significant adverse effect upon our business.



                                      - 2 -

<PAGE>



        Because  of our  size,  we may have  difficulty  competing  with  larger
companies  that offer  similar  services.  Our  customers in the human  services
market include entitlement programs, managed care organizations,  specialty care
facilities and other major  information  technology  users which have a need for
access to information over a distributed data network.  The software industry in
general, and the health information software business in particular,  are highly
competitive. Other companies have the staff and resources to develop competitive
systems. We may not be able to compete  successfully with such competitors.  The
health information systems business is served by a number of major companies and
a larger  number of smaller  companies,  many of which are  better  capitalized,
better known and have better  marketing  staffs than we have,  and we may not be
able  to  compete  effectively  with  such  companies.  We  believe  that  price
competition  is a  significant  factor  in our  ability  to  market  our  health
information systems and services.

        Because we are  dependent on our  management,  the loss of key executive
officers  could harm our business.  Our business is largely  dependent  upon our
senior  executive  officers,  Messrs.  James  L.  Conway,  president  and  chief
executive  officer,  Anthony  F.  Grisanti,  chief  financial  officer,  John F.
Philips, vice president -- marketing,  and Gerald O. Koop, vice president of the
Company  and chief  executive  officer  of our  operating  subsidiary,  Creative
Socio-Medics Corp. Although we have employment  agreements with Messrs.  Conway,
Grisanti,  Phillips and Koop, these agreement do not guarantee that the officers
will continue with us. Our business may be adversely  affected if any of our key
management personnel or other key employees left our employ.

        Because we lack patent protection, we cannot assure you that others will
not be able to use our proprietary  information in competition  with us. We have
no patent or copyright protection for our proprietary  software,  and we rely on
non-disclosure  agreements  with our employees.  Since our business is dependent
upon our  proprietary  products,  the  unauthorized  use or  disclosure  of this
information could harm our business.

        Our growth may be limited if we cannot make  acquisitions.  An important
part of our growth  strategy is to acquire other  businesses that are related to
our current business.  Such acquisitions may be made with cash or our securities
or a combination of cash and securities.  To the extent that we require cash, we
may have to borrow the funds or issue equity.  We have no  commitments  from any
financing  source and we may not be able to raise any cash necessary to complete
an acquisition.  If we fail to make any  acquisitions,  our future growth may be
limited.  As of the date of this  prospectus,  we do not have any  agreement  or
understanding, either formal or informal, as to any acquisition.

        If we make any acquisitions,  they may disrupt or have a negative impact
on our business. If we make acquisitions,  we could have difficulty  integrating
the acquired companies' personnel and operations with our own. In addition,  the
key  personnel  of the  acquired  business may not be willing to work for us. We
cannot predict the affect expansion may have on our core business. Regardless of
whether we are  successful  in making an  acquisition,  the  negotiations  could
disrupt our ongoing business, distract our management and employees and increase
our expenses.

        We do not anticipate  paying dividends on our common stock. We presently
intend to retain future  earnings,  if any, in order to provide funds for use in
the  operation  and  expansion  of  our  business  and,  accordingly,  we do not
anticipate paying cash dividends on our Common Stock in the foreseeable future.

        The  rights of the  holders  of  common  stock  may be  impaired  by the
potential  issuance of preferred stock.  Our certificate of incorporation  gives
our board of directors the right to create new series of preferred  stock.  As a
result,  the  board  of  directors  may,  without  stockholder  approval,  issue
Preferred Stock with voting, dividend,  conversion,  liquidation or other rights
which could adversely affect the voting power and equity interest of the holders
of common stock.  The preferred  stock,  which could be issued with the right to
more than one vote per share,  could be  utilized  as a method of  discouraging,
delaying or  preventing  a change of control.  The  possible  impact on takeover
attempts could adversely affect the price of our common stock.  Although we have
no present  intention to issue any  additional  shares of preferred  stock or to
create any series of preferred stock, we may issue such shares in the future. If
we issue  preferred  stock in a manner  which  dilutes the voting  rights of the
holders of the common stock,  our listing on The Nasdaq  SmallCap  Market may be
impaired.

        Shares may be issued  pursuant  to  options  which may affect the market
price of our common  stock.  We may issue stock upon the  exercise of options to
purchase  up to an  aggregate  799,192  shares of common  stock  pursuant to our
long-term incentive plans.

                                 USE OF PROCEEDS

        We intend to utilize any net proceeds  received from the exercise of the
warrants for working capital and other corporate purposes.  We cannot assure you
that any warrants will be exercised. We believe that the net proceeds are likely
to range from zero to  approximately  $2.5 million.  This estimate  assumes that
warrants  to  purchase  488,563  shares at $12.00  per  share,  which  expire on
February 29, 2000,  expire  unexercised.  If any  warrants  are  exercised,  our
management will have broad discretion to determine the use the proceeds.



                                      - 3 -

<PAGE>
<TABLE>

                              SELLING STOCKHOLDERS

        The following table and discussion sets forth:

*       the name of each selling stockholder,
*       the nature of any position,  office or other material  relationship,  if
        any,  which  the  selling  stockholder  has  had  with  us or any of our
        affiliates within the last three years,
*       the number of shares of common stock owned by each selling  stockholder
        as of December  31,  1999,
*       the number of shares of common  stock offered  for each selling
        stockholder's  account,  and
*       the percentage  owned  by each  selling stockholder after completion of
        the offering.

        The shares of common stock being sold  pursuant to this  prospectus  are
issuable  upon the  exercise of  outstanding  warrants.  Except for the warrants
issued to Dominick & Dominick LLC and Emerging Technology Ventures,  Inc., which
are  described  below,  the  warrants  expire  on  February  29,  2000  and  are
exercisable at $6.00 per share as to 287,491 shares,  and $12.00 per share as to
448,535  shares.  In December  1999,  we extended the  expiration  date of these
warrants from December 31, 1999 to February 29, 2000.

        The following table includes,  under the column headed "Number of Shares
Owned Prior to Offering"  the shares of common stock  issuable  upon exercise of
the warrants held by such person as well as any other options or warrants  which
are  exercisable  on  December  31,  1999 or become  exercisable  on or prior to
February 29, 2000.  The number of shares listed in the column headed  "Number of
Shares  Offered For  Account of Selling  Stockholder"  represents  the number of
shares of common stock issuable upon exercise of the warrants.

<S>                                  <C>            <C>                   <C>              <C>

                                             Number             Number of
                                          of Shares        Shares Offered        Number of      Percentage
                                        Owned Prior        For Account of     Shares Owned           Owned
       Selling Stockholder              to Offering   Selling Stockholder   After Offering  After Offering
       -------------------              -----------  --------------------   --------------  --------------
Lewis S. Schiller                           105,553               105,553                0              --
Storm R. Morgan                              88,166                87,500              666               *
Barbara Dyson                                 1,916                 1,916                0              --
Kennan Kroll                                  1,000                 1,000                0              --
Mike Libbee and Cindy Libbee                 10,555                10,555                0              --
Raj R. Doodnauth                              6,749                 6,749                0              --
William Giblin                                1,916                 1,916                0              --
Bettyjean Kroll                               2,166                 2,166                0              --
James L. Conway                             199,582                51,333          124,333            4.1%
Geraldine Conway                            199,582                23,916          124,333            4.1%
James L. Conway, Jr.                          5,000                 5,000               --              --
Teresa Conway McTigue                         5,000                 5,000               --              --
Joanna Flecken                                1,666                 1,666               --              --
John Avena                                    1,196                   666              530               *
Leonard M. Luttinger                         52,083                52,083               --              --
Thomas L. Evans                              12,500                12,500               --              --
Joel Brown                                   38,888                38,888               --              --
E. Gerald Kay                                38,888                38,888               --              --
DLB, Inc.                                    41,319                41,319               --              --
Norman Hoskin                                19,444                19,444               --              --
Martin Hodas                                 35,444                19,444           16,000               *
Grazyna B. Wnuk                              19,444                19,444               --              --
The Trinity Group - I, Inc.                   8,333                 8,333               --              --
Ronald Feldstein                             14,166                14,166               --              --
Elliot Davis, Inc.                           14,166                14,166               --              --
Harold Halperin                                 833                   833               --              --
Saggi Capital Corp.                          78,958                78,958               --              --
SMACS Holdings, Inc.                         38,541                38,541               --              --
Bridge Ventures, Inc.                        40,416                40,416               --              --



                                      - 4 -
</TABLE>
<PAGE>
<TABLE>

<S>                                 <C>             <C>                   <C>               <C>
                                             Number             Number of
                                          of Shares        Shares Offered        Number of        Percentage
                                        Owned Prior        For Account of     Shares Owned             Owned
       Selling Stockholder              to Offering   Selling Stockholder   After Offering    After Offering
       -------------------              -----------   -------------------   --------------    --------------
Henry Uffmann                                 2,333                 2,000              333               *
Dominick & Dominick LLC                      60,000                60,000               --              --
Emerging Technology Ventures, Inc.           12,000                12,000               --              --

- ----------
*       Less than 1%.

        Mr. Lewis S. Schiller was our chairman of the board and chief executive
prior to April 1998.  In connection with his resignation, we exchanged general
releases with Mr. Schiller.  The shares owned by The Trinity Group-I, Inc. are
deemed to be beneficially owned by Mr. Schiller.  Mr. Schiller is the chairman
of the board of The Trinity Group -I.  For more than five years prior to April
1998, Mr. Schiller was also chairman of the board and chief executive officer of
Consolidated Technology Group Ltd., now known as The Sagemark Companies Ltd.,
which, through a subsidiary was our largest stockholder.

        Mr. Storm R. Morgan was a director from 1996 until June 1998.  We had an
informal consulting agreement with SMI, Inc., a corporation of which Mr. Morgan
was the sole stockholder and an officer and director.  In June 1998, we sold
our CarteSmart business to a corporation formed by Mr. Morgan and Mr. Leonard M.
Luttinger.

        Mr. James L. Conway has been our president and a director since January
1996 and our chief executive officer since April 1998. From 1993 until April
1998, he was president of S-Tech, which, until April 1998, was a wholly-owned
subsidiary of Sagemark Companies Ltd.  Shares owned by Mr. Conway and Geraldine
Conway, Mr. Conway's wife, include (a) 70,000 shares of Common Stock issuable
upon exercise of options owned by Mr. Conway, (b) 51,333 shares of common
stock issuable upon exercise of the warrants held by Mr. Conway, and (c) 23,916
shares of common stock issuable upon exercise of warrants held by Mrs. Conway.
Mr. and Mrs. Conway each disclaims beneficial interest in the securities owned
by the other.  Shares included under the heading "Number of Shares Offered for
the Account of Selling Stockholder" include only the shares held by Mr. or
Mrs. Conway, as the case may be.

        Mr. Leonard M. Luttinger was a director and executive officer until June
1998.  In June 1998, we sold our CarteSmart business to a corporation formed by
Mr. Luttinger and Mr. Storm R. Morgan.

        Messrs. E. Gerald Kay and Norman Hoskin were members of our board of
directors prior to April 1998.  In connection with their resignation we
exchanged general releases with them.

        DLB, Inc. is controlled by Ms. Carol Schiller.  Ms. Schiller is the wife
of Mr. Lewis S. Schiller, and Mr. Schiller disclaims any beneficial interest in
DLB or in securities owned by DLB.

        Saggi Capital Corp. is controlled by Ms. Sharon Will.

        SMACS Holdings, Inc. and Bridge Ventures, Inc. are controlled by Mr.
        Harris Freedman.

        The shares  being sold by  Dominick &  Dominick  LLC are  issuable  upon
exercise of warrants issued pursuant to an financial  advisory agreement we have
with  Dominick & Dominick.  Warrants to purchase a maximum of 100,000  shares of
common stock are issuable  pursuant to that  agreement.  The shares  included in
this prospectus reflect the shares issuable upon exercise of those warrants that
are outstanding as of January 5, 2000. The warrants are exercisable at $5.45 per
share  until  October 4, 2004.  The shares  owned by  Dominick & Dominick do not
include any shares  which that firm may own in its  capacity as a market  maker.
See "Plan of Distribution." Mr. Paul Kennedy is the president of Dominick.

        The shares being sold by Emerging Technology Ventures, Inc. are issuable
upon exercise of warrants  issued pursuant to an agreement we have with Emerging
Technology  Ventures.  Warrants to purchase a maximum of 20,000 shares of common
stock are  issuable  pursuant  to that  agreement.  The shares  included in this
prospectus  reflect the shares issuable upon exercise of those warrants that are
outstanding  as of January 5, 2000.  The warrants are  exercisable  at $4.20 per
share until  October 4, 2004.  Mr.  Francis X. Murphy is  president  of Emerging
Technology Ventures.


                                      - 5 -
</TABLE>

<PAGE>

                              PLAN OF DISTRIBUTION

        The selling stockholders named under the caption "Selling  Stockholders"
may sell up to 808,026  shares of common stock from time to time.  These selling
stockholders may sell their shares

        *      On the Nasdaq SmallCap Market.
        *      To a broker-dealer, including a market maker, who purchases the
               shares for its own account.
        *      In private transactions or by gift.

        The selling stockholders may also:

        *      pledge their shares from time to time, and the lender may sell
               the shares upon foreclosure.
        *      sell their warrants in a private transaction or transfer them as
               a gift, and the purchasers of the warrants may exercise the
               warrants and sell the underlying shares of common stock.

        The shares of common  stock  offered  by the  selling  stockholders  are
issuable  upon exercise of warrants  held by the selling  stockholders.  None of
such warrants have been exercised as of the date of this prospectus.

        The selling stockholders may sell the shares at a negotiated price or at
the market price or both.  They may sell their shares directly to the purchasers
or they may use brokers. If they use a broker, the selling  stockholders may pay
a  brokerage  fee or  commission  or they may sell the shares to the broker at a
discount  from the market  price.  The  purchasers  of the shares may also pay a
brokerage fee or other charge.  The  compensation to a particular  broker-dealer
may exceed customary  commissions.  We do not know of any arrangements by any of
the selling stockholders for the sale of any of their shares.

        The  selling   stockholders  and  broker-dealers,   if  any,  acting  in
connection  with  sales  by  the  selling  stockholders  may  be  deemed  to  be
"underwriters"  within the meaning of Section 2(11) of the  Securities  Act, and
any  commission  received  by them and any  profit on the  resale by them of the
securities may be deemed to be underwriting  discounts and commissions under the
Securities Act.

        Dominick  &  Dominick  LLC,  one  of  the  selling  stockholders,  is  a
registered  broker-dealer  and presently makes a market in our stock.  This firm
may continue to make a market in our stock.  However,  as long as a distribution
is taking place and to the extent that  Dominick & Dominick  continues to make a
market in our stock,  Dominick & Dominick  will  designate  itself as a "passive
market  maker" under  Regulation M of the Exchange Act and will limit its market
making activities in accordance with applicable regulations.

        We have  advised the  selling  stockholders  that the  anti-manipulative
rules under the Exchange Act,  which are set forth in Regulation M, may apply to
their sales in the market.  We have  furnished the selling  stockholders  with a
copy of Regulation M, and we have informed them that they should  deliver a copy
of this prospectus when they sell any shares.

                              AVAILABLE INFORMATION

        We file annual, quarter and periodic reports, proxy statements and other
information with the Securities and Exchange  Commission using the EDGAR system.
You may read and copy any  material  we file  with the SEC at the  SEC's  Public
Reference Room at 450 Fifth Street, N.W., Washington, D.C. 20549. You may obtain
information on the operation of the Public  Reference Room by calling the SEC at
1-800-SEC-0330.  The SEC maintains an Internet site that contains reports, proxy
and  information  statements and other  information  regarding  issues that file
electronically with the SEC. The address of such site is http//www.sec.gov.

        We have filed a  registration  statement  with the SEC  relating  to the
offering of the shares. The registration statement contains information which is
not  included  in this  prospectus.  You may  inspect  or copy the  registration
statement at the SEC's Public Reference Room or its Internet site.

        We furnish our  stockholders  with  annual  reports  containing  audited
financial  statements  and with such other  periodic  reports as we from time to
time deem  appropriate or as may be required by law. We use the calendar year as
our fiscal year.

        You should rely only on the information contained in this prospectus and
the information  that we have referred you to. We have not authorized any person
to provide you with any information that is different.


                 INCORPORATION OF CERTAIN DOCUMENTS BY REFERENCE



                                      - 6 -

<PAGE>



        We have filed the following documents with the SEC. We are incorporating
these documents in this prospectus, and they are a part of this prospectus.

        (1)    Our Annual  Report on Form 10-K for the year ended  December  31,
               1998, which we amended by three amendments on Form 10-K/A;

        (2)    Our Quarterly Reports on Form 10-Q for the quarters ended
               March 31, 1999, June 30, 1999 and September 30, 1999;

        (3)    Our Proxy Statement for our 1999 Annual Meeting of Stockholders;

        (4)    Our Current Report on Form 8-K, dated March 25, 1999, which we
               filed with the SEC on March 30, 1999; and

        (5)    Our  registration  statement on Form 8-A, which became  effective
               on August 13, 1996.

        We are also  incorporating by reference in this prospectus all documents
which we file  pursuant  to Section  13(a),  13(c),  14 or 15 of the  Securities
Exchange  Act of 1934,  as  amended,  after  the date of this  prospectus.  Such
documents are  incorporated  by reference in this prospectus and are a part this
prospectus from the date we file the documents with the SEC.

        If we file with the SEC any document that contains  information which is
different from the information  contained in this prospectus,  you may rely only
on the most recent information which we have filed with the SEC.

        We will provide a copy of the documents referred to above without charge
if you request the information from us. However,  we may charge you for the cost
of  providing  any  exhibits to any of these  documents  unless we  specifically
incorporate the exhibits in this  prospectus.  You should contact Mr. Anthony F.
Grisanti,  Chief  Financial  Officer,  Netsmart  Technologies,  Inc., 146 Nassau
Avenue, Islip, New York 11751,  telephone (516) 968-2000, if you wish to receive
any of such material.


                                  LEGAL MATTERS

        The validity of the common stock offered  hereby has been passed upon by
our counsel,  Esanu Katsky Korins & Siger, LLP. An attorney who is of counsel at
such firm and the defined  benefit  plan for such  attorney own a total of 4,000
shares of common stock.

                                     EXPERTS

        The consolidated financial statements  incorporated by reference in this
prospectus  to the extent and for the periods  indicated  in their  reports have
been audited by Richard A. Eisner & Company, LLP , independent  certified public
accountants, and Moore Stephens, P.C., independent certified public accountants,
and are included  herein in reliance upon the authority of such firms as experts
in accounting and auditing in giving such reports.


                                      - 7 -

<PAGE>

                                     PART II

               INFORMATION REQUESTED IN THE REGISTRATION STATEMENT

Item 14.       Other Expenses of Issuance and Distribution.
               -------------------------------------------

        The  Registrant  estimates  that the legal,  accounting  and filing fees
relating to this Registration Statement will be approximately $10,000.

Item 15.       Indemnification of Officers and Directors.
               -----------------------------------------

        Under the Delaware General  Corporation Law, a corporation may indemnify
any director,  officer,  employee or agent against expense (including attorneys'
fees),  judgments,  fines and amounts paid in settlement in connection  with any
specified threatened,  pending or completed action, suit or proceeding,  whether
civil, criminal,  administrative or investigative (other than an action by or in
the right of the corporation) if such person acted in good faith and in a manner
such person reasonably believed to be in or not opposed to the best interests of
the corporation, and, with respect to any criminal proceeding, had no reasonable
cause to believe that his or her conduct was unlawful.

         Article   EIGHTH   of  the   Registrant's   Restated   Certificate   of
Incorporation  provide for  indemnification  of  directors  and  officers of the
Registrant to the fullest extent permitted by the Delaware  General  Corporaiton
Law.

        We also  maintain  directors  and  officers  liability  insurance.  This
insurance  covers any person who has been or is an officer or  director of us or
any  of  our  subsidiaries  for  all  expense,  liability  and  loss  (including
attorneys' fees,  investigation costs,  judgments,  fines, penalties and amounts
paid or to be paid in  settlement)  actually  and  reasonably  incurred  by such
person  in  connection  with  such  action,  suit  or  proceeding,  net  of  the
deductible.

        Insofar as indemnification  for liabilities arising under the Securities
Act may be  permitted  to  directors,  officers  or  controlling  persons of the
Registrant,  pursuant to the foregoing provisions,  or otherwise, the Registrant
has been advised that, in the opinion of the Securities and Exchange Commission,
such  indemnification  is against  public policy as expressed in the  Securities
Act,  and  is,  therefore,   unenforceable.  In  the  event  that  a  claim  for
indemnification  against  such  liabilities  (other  than  the  payment  by  the
Registrant of expenses  incurred or paid by a director,  officer or  controlling
person of the  Registrant  in the  successful  defense  of any  action,  suit or
proceeding)  is  asserted by such  director,  officer or  controlling  person in
connection with the securities being registered hereunder,  the registrant will,
unless in the opinion of its counsel the matter has been settled by  controlling
precedent,  submit to a court of appropriate  jurisdiction  the question whether
such  indemnification  by it is  against  public  policy  as  expressed  in  the
Securities Act and will be governed by the final adjudication of such issue.

Item 16.       Exhibits
               --------

          5.1  Opinion of Esanu  Katsky  Korins & Siger,  LLP(1)
         23.1  Consent of Richard A. Eisner & Company, LLP(2)
         23.2  Consent of Moore Stephens, P.C.(2)
         23.3  Consent of Esanu Katsky Korins & Siger, LLP
               (contained in Exhibit 5.1)
         24.1  Power of Attorney(2)
- ----------
(1)      Filed herewith
(2)      Previously filed.

Item 17.       Undertakings.
               ------------

        (a)    The undersigned registrant hereby undertakes:

               (1)    To file,  during any  period in which  offers or sales are
                      being   made,   a   post-effective   amendment   to   this
                      Registration Statement:

                      (i)    To  include  any  prospectus  required  by  Section
                             10(a)(3) of the  Securities Act of 1933, as amended
                             (the "Securities Act");

                      (ii)   To  reflect in the  prospectus  any facts or events
                             arising   after   the   effective   date   of   the
                             Registration   Statement   (or  the   most   recent
                             post-effective     amendment     thereof)    which,
                             individually  or  in  the  aggregate,  represent  a
                             fundamental  change in the information set forth in
                             the  Registration  Statement.  Notwithstanding  the
                             foregoing, any increase or

                                      II-1
<PAGE>



                             decrease  in volume of  securities  offered (if the
                             total dollar value of securities  offered would not
                             exceed that which was registered) and any deviation
                             from the low or high end of the  estimated  maximum
                             offering  range  may be  reflected  in the  form of
                             prospectus  filed with the  Commission  pursuant to
                             Rule  424(b) if, in the  aggregate,  the changes in
                             volume  and  price  represent  no  more  than a 20%
                             change in the maximum aggregate  offering price set
                             forth  in the  "Calculation  of  Registration  Fee"
                             table in the effective registration statement;

                      (iii)  To include any material information with respect to
                             the plan of distribution  not previously  disclosed
                             in  the  registration  statement  or  any  material
                             change  to  such  information  in the  registration
                             statement;

                      provided,   however,   that   paragraphs   (a)(1)(i)   and
                      (a)(1)(ii) do not apply if the information  required to be
                      included in a post-effective amendment by those paragraphs
                      is contained in periodic  reports  filed with or furnished
                      to the Commission by the Registrant pursuant to Section 13
                      or Section 15(d) of the Exchange Act that are incorporated
                      by reference in the registration statement.

               (2)    That, for the purpose of determining  any liability  under
                      the  Securities  Act, each such  post-effective  amendment
                      shall  be  deemed  to  be  a  new  registration  statement
                      relating  to  the  securities  offered  therein,  and  the
                      offering of such  securities  at that time shall be deemed
                      to be the initial bona fide offering thereof.

               (3)    To remove from  registration by means of a  post-effective
                      amendment any of the  securities  being  registered  which
                      remain unsold at the termination of the offering.

        (b)    The undersigned  registrant  hereby undertakes that, for purposes
               of  determining  any  liability  under the  Securities  Act, each
               filing of the  registrant's  annual  report  pursuant  to Section
               13(a)  or  Section   15(d)  of  the  Exchange  Act  (and,   where
               applicable,  each filing of an  employee  benefit  plan's  annual
               report  pursuant to Section  15(d) of the  Exchange  Act) that is
               incorporated by reference in the registration  statement shall be
               deemed  to  be a  new  registration  statement  relating  to  the
               securities  offered therein,  and the offering of such securities
               at that time shall be deemed to be the initial bona fide offering
               thereof.

        (h)    Insofar as indemnification for liabilities arising under the
               Securities Act may be permitted to directors, officers and
               controlling persons of the registrant pursuant to the foregoing
               provisions, or otherwise, the registrant has been advised that in
               the opinion of the Commission such indemnification is against
               public policy as expressed in the Securities Act and is,
               therefore, unenforceable.  In the event that a claim for
               indemnification against such liabilities (other than the payment
               by the registrant of expenses incurred or paid by a director,
               officer or controlling person of the registrant in the successful
               defense of any action, suit or proceeding) is asserted by such
               director, officer or controlling person in connection with the
               securities being registered, the registrant will, unless in the
               opinion of its counsel the matter has been settled by controlling
               precedent, submit to a court of appropriate jurisdiction the
               question whether such indemnification by it is against public
               policy as expressed in the Securities Act and will be governed by
               the final adjudication of such issue.


                                      II-2

<PAGE>


                                   SIGNATURES

        Pursuant to the  requirements of the Securities Act of 1933, as amended,
the Registrant certifies that it has reasonable grounds to believe that it meets
all the  requirements  for filing on Form S-3 and has duly caused this Amendment
to this  Registration  Statement to be signed on its behalf by the  undersigned,
thereunto duly authorized,  in the Town of Islip, State of New York on this 28th
day of December, 1999.

                                            NETSMART TECHNOLOGIES, INC.


                                            By: James L. Conway
                                                ---------------------
                                                James L. Conway, President and
                                                Chief Executive Officer

        Pursuant to the  requirements of the Securities Act of 1933, as amended,
this amendment to this  registration  statement has been signed by the following
persons  on  behalf of the  registrant  and in the  capacities  and on the dates
indicated.

Signature                          Title                      Date
- ---------                          -----                      ----
s/ James L. Conway*             President,
- -------------------             Chief Executive Officer  December 28, 1999
James L. Conway                 and Director
 (Principal Executive Officer)


s/Anthony F. Grisanti*          Chief Financial Officer  December 28, 1999
- ----------------------
Anthony F. Grisanti
 (Principal Financial
 and Accounting Officer)
                                                            *By James L. Conway
                                                             ------------------
                                                             James L. Conway
s/Edward D. Bright*              Director                    Attorney-in-Fact
- ---------------------
Edward D. Bright

s/John F. Phillips*              Director                December 28, 1999
- ---------------------
John F. Philips

s/ Gerald O. Koop*               Director                December 28, 1999
- ----------------------
Gerald O. Koop

s/Joseph G. Sicinski             Director                December 28, 1999
- ----------------------
Joseph G. Sicinski



                                      II-3



Securities and Exchange Commission
December 7, 1999
Page 1

                                                                    Exhibit 5.1
                        Esanu Katsky Korins & Siger, LLP
                                605 Third Avenue
                            New York, New York 10158
                            Telephone: (212) 953-6000
                               Fax: (212) 953-6899

                                December 28, 1999


Securities and Exchange Commission                                    13146-002
450 Fifth Street, NW
Washington, D.C. 20549

               Re:    Netsmart Technologies, Inc.; File No. 333-91907

Ladies and Gentlemen:

        We refer to the registration  statement on Form S-3, File. No. 333-91907
(the  "Registration  Statement"),  under the  Securities Act of 1933, as amended
(the "Act"), filed by Netsmart  Technologies,  Inc., a Delaware corporation (the
"Company"),  with the Securities and Exchange  Commission.  Terms defined in the
Registration  Statement and not otherwise defined in this opinion shall have the
same meanings in this opinion as in the Registration Statement.

        We have examined the  originals or  photocopies  or certified  copies of
such records of the Company,  certificates of officers of the Company and public
officials,  and other  documents as we have deemed  relevant and  necessary as a
basis  for the  opinion  hereinafter  expressed.  In such  examination,  we have
assumed the  genuineness of all  signatures,  the  authenticity of all documents
submitted to us as certified  copies or photocopies and the  authenticity of the
originals of such latter documents.

        Based on our examination mentioned above, we are of the opinion that the
shares of common stock registered  pursuant to the  Registration  Statement have
been duly  authorized and when issued upon exercise of the warrants as described
in  the   Registration   Statement,   will  be  duly  issued,   fully  paid  and
non-assessable.

        Please note that Asher S. Levitsky, who is of counsel to this firm, and
the Asher S. Levitsky P.C. Defined Benefit Plan, of which Mr. Levitsky is the
trustee and beneficiary, are stockholders of the Company.

        We hereby  consent to the filing of this  opinion as Exhibit  5.1 to the
Registration Statement and to the reference to our firm under "Legal Matters" in
the related Prospectus.  In giving the foregoing consent, we do not hereby admit
that we are in the category of persons whose consent is required under Section 7
of the  Act  or the  rules  and  regulations  of  the  Securities  and  Exchange
Commission.

                                            Very truly yours,


                                            ESANU KATSKY KORINS & SIGER, LLP


<TABLE> <S> <C>


<ARTICLE>                     5
<LEGEND>
     THIS SCHEDULE CONTAINS SUMMARY FINANCIAL INFORMATION EXTRACTED FROM THE
     CONSOLIDATED BALANCE SHEET AND THE CONSOLIDATED STATEMENT OF OPERATIONS
     FILED AS PART OF THE QUARTERLY REPORT ON FORM 10-Q AND IS QUALIFIED IN
     ITS ENTIRETY BY REFERENCE TO SUCH QUARTERLY REPORT ON FORM 10-Q.
</LEGEND>

<S>                             <C>
<PERIOD-TYPE>                   9-MOS
<FISCAL-YEAR-END>                              DEC-31-1998
<PERIOD-END>                                   SEP-30-1999
<CASH>                                             80,104
<SECURITIES>                                            0
<RECEIVABLES>                                   5,480,832
<ALLOWANCES>                                            0
<INVENTORY>                                             0
<CURRENT-ASSETS>                                9,644,873
<PP&E>                                            523,046
<DEPRECIATION>                                          0
<TOTAL-ASSETS>                                 12,946,041
<CURRENT-LIABILITIES>                                   0
<BONDS>                                                 0
                                   0
                                             0
<COMMON>                                           29,816
<OTHER-SE>                                      4,550,622
<TOTAL-LIABILITY-AND-EQUITY>                   12,946,041
<SALES>                                                 0
<TOTAL-REVENUES>                               16,046,521
<CGS>                                          10,435,275
<TOTAL-COSTS>                                           0
<OTHER-EXPENSES>                                4,240,098
<LOSS-PROVISION>                                        0
<INTEREST-EXPENSE>                                187,332
<INCOME-PRETAX>                                 1,183,816
<INCOME-TAX>                                            0
<INCOME-CONTINUING>                             1,183,816
<DISCONTINUED>                                          0
<EXTRAORDINARY>                                         0
<CHANGES>                                               0
<NET-INCOME>                                    1,183,816
<EPS-BASIC>                                         .41
<EPS-DILUTED>                                         .34



</TABLE>


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