EXHIBIT 4.1

INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE SEE REVERSE SIDE FOR CERTAIN DEFINITIONS CUSIP 20741M 10 3 THIS CERTIFIES THAT is the owner of FULLY PAID AND NON-ASSESSABLE COMMON SHARES, $.0001 PAR VALUE, OF transferable on the books of the Corporation by the holder hereof in person or by Attorney upon surrender of this certificate properly endorsed. This certificate is not valid until
countersigned and registered by the Transfer Agent and Registrar. IN WITNESS WHEREOF, the said Corporation has caused this certificate to be signed by facsimile signatures of its duly author- ized
officers and the Corporate Seal to be hereunto affixed. Dated: TREASURER, SECRETARY AND CHIEF FINANCIAL OFFICER CHM AMERICAN FINANCIAL PRINTING INCORPORATED  MINNEAPOLIS SEAL CHIEF EXECUTIVE OFFICER CONMED HEALTHCARE MANAGEMENT, INC.


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|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:
|                                                                                                                                                                                                         |   |                                               | UTMA
   | ______________ Custodian
  _______________      
|TEN COM                                                                                                                                                                                                  |  | as tenants in common                          |          | (Cust)                                   (Minor)
|TEN ENT                                                                                                                                                                                                  |  | as tenants by entireties                      |          | under
  Uniform Transfers to Minors             
|                                                                                                                                                                                                         |   |                                               |          |                                                 
|JT TEN                                                                                                                                                                                                   |  | as joint tenants with right
  of survivorship |          | Act
  ___________________________________       
|                                                                                                                                                                                                         |   | and not as tenants in
  common                |          | (State)                                         
|Additional
  abbreviations may also be used though not in above list.                                                                                                                                   
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|For
  value received_____hereby sell, assign, and transfer unto                                                                                                                                                                                                                                                                                                 
|                                                                                                                                                                                                                                                                                                                                                                 | 
|PLEASE
  INSERT SOCIAL SECURITY OR OTHER
  IDENTIFYING NUMBER OF ASSIGNEE                                                                                                                                                                                                                                                                                        | 
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|                                                                                                                                                                                                                                                                                                                                                                 | 
|(PLEASE
  PRINT OR TYPEWRITE NAME AND ADDRESS INCLUDING ZIP CODE OF ASSIGNEE)                                                                                                                                                                                                                                                                                   
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|                                                                                                                                                                                                                                                                                                                                                                
|______________________________________________________________________________________________Shares                                                                                                                                                                                                                                                            
|of the
  capital 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.

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|Dated________________ | X                                                                                                                                                                                                     
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|                      | X                                                                                                                                                                                                     
|                      | 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.

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|SIGNATURE GUARANTEED                                                                                                                                                                                                                                                                                                                                                                | 
|ALL GUARANTEES MUST BE MADE
  BY A FINANCIAL INSTITUTION (SUCH AS A BANK OR BROKER) WHICH IS A PARTICIPANT
  IN THE SECURITIES TRANSFER AGENTS MEDALLION PROGRAM (STAMP), THE NEW YORK
  STOCK EXCHANGE, INC. MEDALLION SIGNATURE PROGRAM (MSP), OR THE STOCK
  EXCHANGES MEDALLION PROGRAM (SEMP) AND MUST NOT BE DATED. GUARANTEES BY A
  NOTARY PUBLIC ARE NOT ACCEPTABLE. | 

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