By 2005, Netsmart was the largest information technology provider within the behavioral health care sector, with revenues of around $50 million. That year it acquired its biggest competitor, CMHC Systems of Ohio, which was especially strong in community mental health centers, for $18 million. Conway remained CEO of the merged entity. At this point the Creative Socio-Medics and CMHC names were retired and the company operated solely as Netsmart. By the end of 2005 its profitability streak had reached 30 quarters in a row.
