Exhibit 4.1



 Exhibit 4.1 
 

 
  
 QuadraMed®

 Quality Care. Financial Health. 
 PO BOX 43004, Providence, RI 02940-3004 
 MR A SAMPLE 
 DESIGNATION (IF ANY) 
 ADD 1 ADD 2 ADD 3 ADD 4 
 CUSIP XXXXXX XX X 
 Holder ID XXXXXXXXXX 
 Insurance Value 1,000,000.00 
 Number of Shares 123456 
 DTC 12345678 123456789012345 
 Certificate Numbers 
 1234567890/1234567890 
 1234567890/1234567890 
 1234567890/1234567890 
 1234567890/1234567890 
 1234567890/1234567890 
 1234567890/1234567890 
 Total Transaction 
 Num/No. 123456 
 Denom. 123456 
 Total 1234567 
 016570| 003590|127C|RESTRICTED||4|057-423 
 COMMON STOCK 
 PAR VALUE $0.01 
 COMMON STOCK 
 THIS CERTIFICATE IS TRANSFERABLE IN CANTON, MA AND JERSEY CITY, NJ 
 QuadraMed® 
 Quality Care. Financial Health. 
 Certificate Number ZQ 000000 
 Shares 
 * *
600620* * * * * * 
 * * * 600620* * * * * 
 * * * * 600620* * * * 
 * * * * * 600620* * * 
 * * * * * * 600620* * 
 QUADRAMED CORPORATION 
 INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE 
 THIS CERTIFIES THAT 
 MR. SAMPLE & MRS. SAMPLE & MR. SAMPLE & MRS. SAMPLE 
 CUSIP 74730W 50 7 
 SEE REVERSE FOR CERTAIN DEFINITIONS 
 is the owner of 
 * * * SIX HUNDRED THOUSAND 
 SIX HUNDRED AND TWENTY* * * 
 FULLY-PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK, $0.01 PAR VALUE PER SHARE, OF 
 QuadraMed
Corporation transferable on the books of the Corporation by the holder hereof in person or by duly authorized attorney upon surrender of this Certificate properly endorsed. This Certificate is not valid until countersigned and registered by the
Transfer Agent and Registrar. 
 Witness the facsimile seal of the Corporation and the facsimile signatures of its duly
authorized officers. 
 President & Chief Executive Officer 
 Secretary & Treasurer 
 QUADRAMED CORPORATION DELAWARE 
 CORPORATE SEAL MAY 9, 1996 
 DATED <<Month Day, Year>> 
 COUNTERSIGNED AND REGISTERED: 
 COMPUTERSHARE TRUST COMPANY, N.A. 
 TRANSFER AGENT AND REGISTRAR, 
 By AUTHORIZED SIGNATURE 
 SECURITY INSTRUCTIONS ON REVERSE 
 1234567 







 

 
  
 QUADRAMED
CORPORATION 
 A STATEMENT OF THE POWERS, DESIGNATIONS, PREFERENCES AND RELATIVE, PARTICIPATING, OPTIONAL OR OTHER SPECIAL
RIGHTS OF EACH CLASS OF STOCK OR SERIES THEREOF AND THE QUALIFICATIONS, LIMITATIONS OR RESTRICTIONS OF SUCH PREFERENCES AND/OR RIGHTS AS ESTABLISHED, FROM TIME TO TIME, BY THE CERTIFICATE OF INCORPORATION OF THE CORPORATION AND BY ANY CERTIFICATE OF
DETERMINATION, THE NUMBER OF SHARES CONSTITUTING EACH CLASS AND SERIES, AND THE DESIGNATIONS THEREOF, MAY BE OBTAINED BY THE HOLDER HEREOF UPON REQUEST AND WITHOUT CHARGE AT THE PRINCIPAL OFFICE OF THE CORPORATION. 
 The following abbreviations, when used in the inscription on the face of this certificate, shall be construed as though they were written
out in full according to applicable laws or regulations: 
 TEN COM - as tenants in common 
 UNIF GIFT MIN ACT- Custodian (Cust) (Minor) 
 TEN ENT - as tenants by the entireties under Uniform Gifts to Minors Act (State) 
 JT TEN - as joint tenants with right of survivorship and not as tenants in common UNIF TRF MIN ACT Custodian (until age). (Cust) (Minor) 
 under Uniform Transfers to Minors Act. (State) 
 Additional abbreviations may
also be used though not in the above list. 
 PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE

 For value received, hereby sell, assign and transfer unto 
 (PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING POSTAL ZIP CODE, OF ASSIGNEE) 
 Shares of the common stock represented by the within Certificate, and do hereby irrevocably constitute and appoint 
 Attorney to transfer the said stock on the books of the within-named Corporation with full power of substitution in the premises.

 Dated: 20 
 Signature: 
 Signature: Notice: The signature to this assignment must correspond with the name as written
upon the face of the certificate, in every particular, without alteration or enlargement, or any change whatever. 
 Signature(s) Guaranteed: Medallion Guarantee Stamp 
 THE SIGNATURE(S) SHOULD BE GUARANTEED BY AN ELIGIBLE
GUARANTOR INSTITUTION (Banks, Stockbrokers, Savings and Loan Associations and Credit Unions) WITH MEMBERSHIP IN AN APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM, PURSUANT TO S.E.C. RULE 17Ad-15. 
 SECURITY INSTRUCTIONS 
 THIS IS WATERMARKED PAPER, DO NOT ACCEPT WITHOUT NOTING WATERMARK. HOLD TO LIGHT TO VERIFY WATERMARK. 
 1234567