Exhibit 4.1

                                 SIMIONE CENTRAL
                                 Holdings, Inc.


NUMBER                                                          SHARES
SC





INCORPORATED UNDER THE LAWS                  SEE REVERSE FOR CERTAIN DEFINITIONS
OF THE STATE OF DELAWARE                                       CUSIP 14166Y 10 6

NEW COMMON STOCK


THIS CERTIFIES THAT


is the owner of


            FULLY PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK,
                          PAR VALUE $.001 PER SHARE, OF


                         SIMIONE CENTRAL HOLDINGS, INC.
                       NAME CHANGED TO: CARECENTRIC, INC.


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  and the shares  represented  hereby are issued and
shall  be  held  subject  to  all  of  the  provisions  of  the  Certificate  of
Incorporation of the Corporation and all the amendments thereto, to all of which
the holder of this certificate assents by his acceptance hereof.

This certificate not valid unless  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.

Dated

/s/                                           /s/
-----------------------                      -----------------------------------
SECRETARY                   CORPORATE         PRESIDENT
                               SEAL

COUNTERSIGNED AND REGISTERED:
CONTINENTAL STOCK TRANSFER & TRUST COMPANY
(Jersey City, NJ)
TRANSFER AGENT
AND REGISTRAR
BY
AUTHORIZED OFFICER


<PAGE>


                         SIMIONE CENTRAL HOLDINGS, INC.


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;
<TABLE>
<CAPTION>
<S>                                                <C>
TEN COM    -  as tenants in common                 UNIF GIFT MIN ACT- ________  Custodian _________
TEN ENT    -  as tenants by the entireties                             (Cust)              (Minor)
JT TEN     -  as joint tenants with right                             under Uniform Gifts to Minors
              of survivorship and not as                              Act _________________________
              tenants in common                                                   (State)
</TABLE>

     Additional abbreviations may also be used though not in the above list.

     For value  received,  _________________________  hereby  sell,  assign  and
transfer unto

PLEASE INSERT SOCIAL SECURITY OR OTHER
IDENTIFYING NUMBER OF ASSIGNEE

__________________________________________


________________________________________________________________________________
(PLEAE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING 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 ____________________________________




                                    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:
                                    ____________________________________________
                                    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.


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