Pros
Both a pro and a con. It’s a large company, so it’s easy to hide, do very little actual work, and get away with it for a long time. The downside is that if you are someone who actually works, you will end up doing significantly more to compensate for those who don’t.
Cons
Poor overall company outlook. Many clients are clearly dissatisfied based on ongoing support issues and off-track leadership priorities. Sales and leadership are far more focused on securing new clients than taking care of existing ones; current client support issues, bugs, and feature requests often go ignored in favor of “shiny sticker” features meant to attract large new clients. The vast majority of Netsmart’s clients are acquired through acquisitions. Migrating off a healthcare IT platform is costly and difficult, and many acquired clients, often small-to-medium-sized businesses, do not have the resources to do this quickly. This results in a slow bleed of existing customers while failing to secure enough new ones. Despite being advertised as a Healthcare Tech company, leadership has explicitly stated that it operates as an acquisition-focused company. During the acquisition announcement for my company, an EVP stated “Netsmart is not really a technology company, we are an acquisition company”. Wages are below or far below market. There are no bonuses unless you are a Director or higher. Pay increases are effectively meaningless, “exceeding expectations” is treated the same as “meeting expectations”, and annual raises are typically 1–2%. There are strict, non-negotiable increase caps regardless of circumstance. I received a promotion and was capped, leaving me roughly $40k below others in the same role. There are far too many levels of management. If you are low in the organization, upward mobility is extremely limited because leadership primarily hires externally and individual contributors have little to no visibility. “Unlimited PTO” exists in name only. Employees are guilted out of using it, and time-off requests are frequently discouraged or denied.