Independent EMR profile
Netsmart
by Netsmart Technologies, Inc.
#1 Behavioral Health enterprise EHR (Black Book 2026) serving community mental health, addiction treatment, and post-acute care organizations.
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Decision IntelligenceComposite 45/100
Scores from 5 proprietary frameworks with cited data sources.
Our Methodology →- Pricing
- See product pricing and terms
- Pricing model
- Quote-based / not publicly disclosed for general commercial list pricing. Official Netsmart ONC mandatory-cost disclosures state subscription pricing bases but publish no dollar rates: myAvatar and myUnity core subscriptions are priced by average daily census; NIAM by number of users plus one-time hosting setup; OrderConnect by number of prescribers plus one-time implementation; myHealthPointe by average daily census (no implementation fee); CareConnect Inbox and Care Pathways require subscriptions plus one-time implementation; CareConnect FHIR requires a subscription. No per-user/provider/site/month list rate, annual commercial rate, bed rate, transaction fee, collections percentage, minimum, free trial, or free tier was disclosed in the opened official sources.
- Product source
- Review pending
Markets: Community mental health centers · Behavioral health organizations · Addiction treatment facilities · Human services agencies · Post-acute care
Deployment: cloud · on-premise
Catalog review date not recorded. Confirm current product details with the vendor.
Founder & CEO
Product pricing, fees, and source notes
From pricing research supplied to MedicalRecords.com. The dates below are the source-review dates recorded in that research. Confirm current availability and a written quote with the vendor.
myAvatar / myUnity (including myUnity Senior Living; certified 2023 editions; current marketing pages also present both products)
Netsmart Technologies · Review dated
No official public commercial price sheet found; therefore general pricing is Quote-based / not publicly disclosed and no estimate is made. One authoritative public-sector exception is Tennessee TDMHSAS's negotiated sole-source Netsmart AVATAR contract (July 1, 2024–June 30, 2027; maximum liability $9,584,184; annual allocations FY2025 $4,430,450, FY2026 $2,515,923, FY2027 $2,637,811). It is explicitly a negotiated contract for four Regional Mental Health Institutes, optional modules, and support/maintenance—not a general list price or representative enterprise rate. Its annual payment schedule publishes: Avatar SaaS concurrent 400 users (PM/MPI/client banking/CFMS/CWS/DSS/RADplus modeling bundle) $291,229 / $308,703 / $327,225 for contract years 1/2/3; Avatar eMAR SaaS 400 users $2,714 / $2,877 / $3,050; Avatar HL7 unidirectional interface SaaS $7,086 / $7,511 / $7,962; Avatar Order Entry SaaS $2,714 / $2,877 / $3,050; RxConnect ADM interface SaaS $1,327 / $1,407 / $1,491; RxConnect Browser SaaS $20,983 / $22,242 / $23,577; Plexus Cloud hosting-Pyxis ES ADM $16,500 / $17,490 / $18,540; RxScan NDC translator $5,535 / $5,867.10 / $6,219.13; Avatar incident tracking $1,277 / $1,353.62 / $1,434.84; ICD-10/DSM-5 diagnosis content $2,163 / $2,292.78 / $2,430.35; Plexus Cloud hosting-Perceptive $20,828.92 / $22,078.65 / $23,403.37; POS/batch scanning maintenance $5,430 / $5,755.80 / $6,101.15; Ultimedex Suite subscription $7,979 / $8,457.74 / $8,965.20; Crystal Reports developer maintenance $38 / $40.28 / $42.70; Wiley content libraries $2,406.70 / $2,551.10 / $2,704.17; Bed Board $1,968.75 / $2,086.88 / $2,212.09; CareConnect ADT $2,552.51 / $2,705.66 / $2,868; CareConnect Lab Orders outbound (1,000+ users) $3,062.97 / $3,246.74 / $3,441.55; CareConnect Lab Results inbound (1,000+ users) same; CareConnect Inbox named user $16,080.75 / $17,045.60 / $18,068.33; OrderConnect full-suite prescriber subscription $24,262.20 / $25,475.31 / $26,749.08; OrderConnect non-prescriber (EPCS/non-prescriber/DCOD/Ultimedex) $9,955.05 / $10,552.35 / $11,185.49; OrderConnect base plus 3 additional root-system codes $1,402.74 / $1,486.90 / $1,576.12; diagnosis content on demand $30.24 / $32.05 / $33.98; AMA CPT code subscription (1,103 users) $6,219.53 / $6,592.70 / $6,988.26. One-time contract amounts: OrderConnect implementation $55,000; ePCS tokens $3,750; CareQuality implementation $39,375; clinical and billing health checks $95,000 each; Bells AI implementation $16,200; KPI dashboards implementation $32,400; eMAR NX/Task List/Flowsheet implementation $60,000; professional services $225/hour x 667 hours ($150,075). Optional items Bells AI subscription $39,189 / $41,540.34 / $44,032.76 and KPI dashboards subscription $4,365.64 / $4,627.57 / $4,905.23. Contract says invoices no more frequently than monthly, but listed rates are annual contract-year schedule amounts; no minimum purchase guaranteed.
- Billing model
- Quote-based / not publicly disclosed for general commercial list pricing. Official Netsmart ONC mandatory-cost disclosures state subscription pricing bases but publish no dollar rates: myAvatar and myUnity core subscriptions are priced by average daily census; NIAM by number of users plus one-time hosting setup; OrderConnect by number of prescribers plus one-time implementation; myHealthPointe by average daily census (no implementation fee); CareConnect Inbox and Care Pathways require subscriptions plus one-time implementation; CareConnect FHIR requires a subscription. No per-user/provider/site/month list rate, annual commercial rate, bed rate, transaction fee, collections percentage, minimum, free trial, or free tier was disclosed in the opened official sources.
- Fees and add-ons
- Official disclosures confirm implementation/migration/training/RCM/telehealth details are not numerically priced in the opened materials. They do disclose one-time implementation fees for core certified capabilities, OrderConnect, CareConnect Inbox and Care Pathways; NIAM one-time hosting setup; myHealthPointe no implementation fee. Product/capability inclusions named by Netsmart include clinical/financial/operational EHR capabilities, e-prescribing and medication/lab/radiology orders through OrderConnect, identity/MFA through NIAM, patient portal/view-download-transmit through myHealthPointe, transitions/direct messaging through CareConnect Inbox, quality measures through Care Pathways, and FHIR/API access through CareConnect FHIR. The Tennessee contract documents enterprise support, maintenance, hosting, training, implementation/professional services, e-prescribing/EPCS, eMAR, pharmacy/RxConnect, HL7, CareQuality, lab interfaces, referral/HIE connectivity, billing/claims, and optional AI/KPI modules. No official dollar price for telehealth, RCM, migration/data conversion, general training, or a commercial interface was found; do not infer inclusion or exclusion beyond the named disclosures. No free trial/tier or promotional rate found.
- Availability and public pricing
- Current/marketed: official Netsmart pages titled Behavioral Health EHR | myAvatar and Post-Acute EHR | myUnity were opened successfully and retain Request a Demo pathways; official navigation/capability pages also list both. The opened cost PDFs are dated June 25, 2024 (myUnity/myUnity Senior Living) and December 31, 2023 (myAvatar 2023 Certified Edition), so their certification/version-specific disclosures may be stale for newer editions even though product marketing is current. Tennessee AVATAR contract is current for its stated 2024–2027 term but is historical/contract-specific and not a list price.
- Qualifications
- All dollar amounts above are only the opened Tennessee public-sector negotiated schedule and are explicitly not general Netsmart list prices. The official Netsmart disclosures state pricing bases and required fees but omit amounts, billing cadence, minimums, trials, and commercial contract terms. Certification PDFs identify myAvatar 2023, myUnity 2023 and myUnity Senior Living 2023; flag as version-specific/stale risk. No third-party price aggregators or search snippets were used as evidence.
View cited sources (8)
- https://www.ntst.com/offerings/myavatar
- https://www.ntst.com/offerings/myunity
- https://www.ntst.com/solutions/by-capability/electronic-health-records
- https://www.ntst.com/lp/certifications
- https://www.ntst.com/-/media/pdfs/certifications/myavatar-certification-status-letter--mandatory-costsdisclosures-12312023.pdf?la=en&hash=94B3D5C0E7785EA6882C31B3431453B9
- https://www.ntst.com/-/media/pdfs/certifications/myunity-certification-status-letter_mandatory-costs-disclosures_06252024.pdf
- https://ntst.com/-/media/pdfs/certifications/myunity-senior-living-certification-status-letter_mandatory-costs-disclosures_06252024.pdf
- http://capitol.tn.gov/Archives/Joint/committees/fiscal-review/contracts/2024/06-12-24/06.%20Mental%20Health%20(Netsmart%20Technologies%20Inc.)%20-%20Redacted.pdf
Netsmart is an entity. #1 Behavioral Health enterprise EHR (Black Book 2026) serving community mental health, addiction treatment, and post-acute care organizations.
Pricing
Pricing model
Product source
Platform Overview
What is Netsmart?
Netsmart is the leading enterprise EHR for behavioral health and human services organizations. Ranked #1 by Black Book Research in 2026 for Behavioral Health Enterprise EHR, Netsmart serves over 700,000 users across community mental health centers, addiction treatment facilities, and post-acute care organizations.
The myEvolv platform is Netsmart's flagship cloud-based EHR, offering full clinical documentation, treatment planning, outcomes tracking, and billing for behavioral health. The platform supports both outpatient and residential behavioral health programs.
Netsmart emphasizes whole-person care, integrating behavioral health with physical health and social determinants to support complex patient populations.
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Capabilities
Netsmart Features
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Ecosystem
Products & Solutions
myEvolv
Cloud-based behavioral health EHR
CareManager
Population health for behavioral health
myInsight
Analytics and reporting
myHealthPointe
Consumer engagement portal
Connectivity
Integrations
Pharmacy
Health Information Exchange
Payer
Decision Intelligence
Implementation & Cost Analysis
Implementation Difficulty
small practice
How we calculate Implementation Difficulty Index
| Component | Weight |
|---|---|
| Implementation Duration | 25% |
| Training Required | 15% |
| Data Migration | 20% |
| Workflow Disruption | 15% |
| Consultant Dependency | 10% |
| Go-Live Risk | 15% |
Methodology: idi-v1
Last computed: 10/13/2026
Decision intelligence scores are editorial estimates based on publicly available data, vendor documentation, and industry research. Scores are not guarantees of vendor performance.
Total cost of ownership data not yet available
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Decision Intelligence
Vendor Lock-In Assessment
Vendor Lock-In Risk
Moderate RiskRed Flags
- ⚠Behavioral health niche limits alternatives
How we calculate Vendor Lock-In Risk Rating
| Component | Weight |
|---|---|
| Contract Length | 15% |
| Data Export Quality | 25% |
| API Openness | 20% |
| FHIR Readiness | 15% |
| Termination Penalty | 10% |
| Switching Pain | 15% |
Methodology: vlrr-v1
Last computed: 10/13/2026
Decision intelligence scores are editorial estimates based on publicly available data, vendor documentation, and industry research. Scores are not guarantees of vendor performance.
Common Questions
Frequently Asked Questions
What is Netsmart myEvolv?
myEvolv is Netsmart's flagship cloud-based EHR platform for behavioral health organizations. It provides clinical documentation, treatment planning, outcomes tracking, billing, and compliance reporting designed for community mental health, substance abuse treatment, and human services.
Is Netsmart only for behavioral health?
While Netsmart primarily serves behavioral health and human services, the platform also supports post-acute care, intellectual/developmental disabilities, and integrated care organizations that combine behavioral and physical health.
Does Netsmart support 42 CFR Part 2?
Yes, Netsmart has strong 42 CFR Part 2 compliance capabilities for substance use disorder records. The platform segments these records and manages consent requirements as mandated by federal regulations.
How does Netsmart compare to general EHRs for behavioral health?
Netsmart is purpose-built for behavioral health with specialized treatment planning, outcomes measurement, and regulatory compliance features that general EHRs lack. For large behavioral health organizations, Netsmart typically outperforms general ambulatory EHRs significantly.
Vendor Information
- Company
- Netsmart Technologies, Inc.
- Website
- Visit Website →
- Pricing Model
- Quote-based / not publicly disclosed for general commercial list pricing. Official Netsmart ONC mandatory-cost disclosures state subscription pricing bases but publish no dollar rates: myAvatar and myUnity core subscriptions are priced by average daily census; NIAM by number of users plus one-time hosting setup; OrderConnect by number of prescribers plus one-time implementation; myHealthPointe by average daily census (no implementation fee); CareConnect Inbox and Care Pathways require subscriptions plus one-time implementation; CareConnect FHIR requires a subscription. No per-user/provider/site/month list rate, annual commercial rate, bed rate, transaction fee, collections percentage, minimum, free trial, or free tier was disclosed in the opened official sources.
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Security & Data Breach History
Breaches reported at facilities using Netsmart
No matched breaches found
No data breaches in the HHS breach portal have been matched to facilities tracked as using Netsmart (0 facilities tracked).
Source: HHS Breach Portal | Matched via hospital EMR records
HHS Breach PortalBreach matching is based on hospital-EMR assignments in our database. A breach at a facility using Netsmart does not imply the EMR system was the cause. Breaches can result from many factors including human error, phishing, and physical theft.
Recent Health IT Regulatory Updates
Federal healthcare regulation updates from eCFR
Updated ONC certification criteria for health IT systems including new interoperability requirements under the 21st Century Cures Act.
What this means for you: EHR vendors must meet updated certification criteria. Practices should verify their EMR vendor's compliance status.
Civil monetary penalties for information blocking by health IT developers, health information networks, and health information exchanges are now enforceable under the 21st Century Cures Act.
What this means for you: EHR vendors and health networks can no longer restrict patient access to health data without a qualifying exception. Patients can report suspected information blocking to ONC.
Source: eCFR (Electronic Code of Federal Regulations) | Last updated: 3/24/2026
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