exv4w1






Exhibit 4.1








	This Certifies that
is the owner of
FULLY PAID AND NONASSESSABLE SHARES OF COMMON STOCK, $0.01 PAR VALUE PER SHARE, OF
ACCRETIVE HEALTH, 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 is not valid until countersigned by the Transfer Agent and registered by the Registrar.
WITNESS the facsimile seal of the Corporation and the facsimile signatures of its duly authorized officers.
Dated
FOUNDER, PRESIDENT AND CHIEF EXECUTIVE OFFICER
AH
CUSIP 00438V 10 3
CHIEF FINANCIAL OFFICER AND TREASURER
INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE
DELAWARE
2003
ACCRETIVE HEALTH, INC.
ACCRETIVE HEALTH, INC.
COUNTERSIGNED AND REGISTERED:
AMERICAN STOCK TRANSFER & TRUST COMPANY. LLC
(New York, NY)
TRANSFER AGENT AND REGISTRAR
BY:
AUTHORIZED SIGNATURE
SEE REVERSE FOR CERTAIN DEFINITIONS
PRODUCTION COORDINATOR: DENISE LITTLE 931-490-1706
PROOF OF APRIL 8, 2010
ACCRETIVE HEALTH, INC.





 









 








     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
	 
	 

	 	 	 	 	 	 	 	 	 	 
	      TEN ENT

	 	—
	 	as tenants by the entireties	 	 	 	(Cust)	 	(Minor)
	      JT TEN	 	—	 	as joint tenants with right of	 	 	 	under Uniform Gifts to Minors

	 	 	 	 	survivorship and not as tenants in common	 	 	 	Act	 	 
	 	 	 	 	 	 	 	 	 	 	(State)







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
	 	 
	 	 	 
	 	 	 
	 	 	 
	 






 




(PLEASE 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                                                             




	 	 	 

	X

	 	 
	 

	 	 
	NOTICE:

	 	THE SIGNATURE(S) TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME(S) AS WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATEVER.






Signature(s) Guaranteed




	 	 	 	 	 

	By

	 	 
 

	 	 
	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.