Edgar Filing: American Caresource Holdings, Inc.

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington D.C. 20549

FORM 10-QSB

[ X ]	QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15 (d) OF
	THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended:

June 30, 2006

o	TRANSITION REPORT PURSUANT TO SECTION 13 OR 15 (d) OF
	THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from		to

Commission file number:	000-51603

American CareSource Holdings, Inc.

(Exact name of small business issuer as specified in its charter)

Delaware

20-0428586

(State or other jurisdiction of

(I.R.S. Employer Identification No.)

incorporation or organization)

8080 Tristar Drive, Irving, Texas

(Address of principal executive offices)

(214) 596-2400

(Issuer’s telephone number, including area code)

Check whether the issuer (1) filed all reports required to be filed by Section 13 or 15 (d) of the Exchange Act as of 1934 during the past 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the last 90 days.

Yes x

No o

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes oNo x

State the number of shares outstanding of each of the issuer’s classes of common equity, as of the latest practicable date: As of August 1, 2006, 14,472,248 shares of the Company’s common stock, par value $0.01 per share, were outstanding.

Transitional Small Business Disclosure Format (check one)

Yes o

No x

TABLE OF CONTENTS

AMERICAN CARESOURCE HOLDINGS, INC.

FORM 10-QSB QUARTER ENDED JUNE 30, 2006

Part I	Financial Information	3
Item 1.	Financial Statements	3
	Unaudited Consolidated Balance Sheets	3
	Unaudited Consolidated Statements of Operations	4
	Unaudited Statement of Stockholders’ Equity	6
	Unaudited Consolidated Statements of Cash Flows	7
	Unaudited Notes to Consolidated Financial Statements	8
Item 2.	Management’s Discussion and Analysis or Plan of Operation	16
Item 3.	Controls and Procedures	25
	Risk Factors	26
Part II	Other Information	31
Item 1.	Legal Proceedings	31
Item 5.	Other Information	31
Item 6.	Exhibits	32
Signatures		35

PART I. FINANCIAL INFORMATION

Item 1. Financial Statements

AMERICAN CARESOURCE HOLDINGS, INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS (UNAUDITED)

	As of
ASSETS	June 30, 2006	December 31, 2005
CURRENT ASSETS

Cash	$5,370,354	$23,399
Accounts Receivable	1,670,154	482,159
Other	114,349	30,151
Total Current Assets	7,154,857	535,709

Net Property, Plant, and Equipment	154,747	175,608

Intangible Assets	1,814,610	1,921,401
Goodwill	4,361,299	4,361,299
Total Assets	$13,485,513	$6,994,017

Liabilities and Stockholders' Equity

Current Liabilities
Due to Service Providers	$1,400,909	$386,217
Accounts Payable and Accrued Liabilities	560,570	352,383
Current Maturities of Long-Term Debt	346,933	20,231
Total Current Liabilities	2,308,412	758,831

Long-Term Debt	48,858	3,845,929

Total Liabilities	2,357,270	4,604,760

stockholders' Equity:

Common Stock-par value $0.01, 40,000,000 shares authorized and	144,521	123,713
14,452,071 and 12,371,309 shares issued and outstanding as of
June 30, 2006 and December 31, 2005 respectively
Preferred Stock-par value $0.01, 10,000,000 shares authorized and	0	0
none outstanding
Additional Paid in Capital	16,884,584	7,734,800
Deferred Debt Issuance Cost	(138,900)	(231,500)
Accumulated (Deficit)	(5,761,962)	(5,237,756)

Total Stockholders’ Equity	11,128,243	2,389,257

Total Liabilities and Equity	$13,485,513	$6,994,017

See notes to unaudited consolidated financial statements.

AMERICAN CARESOURCE HOLDINGS, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED)

	Three Months Ended
	June 30,
	2006	2005
REVENUES
Net Ancillary Health	$2,796,623	$1,005,014
Patient Claims Processing	33,318	33,803
Net Revenue	2,829,941	1,038,817

Total Cost of Revenues	2,169,835	1,090,913

Contribution Margin	660,106	(52,096)


Selling, General, and Administrative Expense	804,225	482,812
Depreciation and Amortization	80,099	83,912

Total Operating Expense	884,324	566,724

Operating (Loss)	(224,218)	(618,820)

Other (Income) Expense	34,754	(7,378)
Debt Issuance Cost	46,300	35,748
Net Interest and Finance Cost	(41,303)	31,563

Total Other Expense	39,751	59,933

Net (Loss) Before Income Tax	(263,969)	(678,753)
Income Tax Expense	0	0

Net (Loss)	$(263,969)	$(678,753)

NET LOSS PER SHARE – BASIC AND DILUTED	$(0.02)	$(0.05)

WEIGHTED AVERAGE COMMON SHARES	14,447,061	12,371,309

See notes to unaudited consolidated financial statements.

AMERICAN CARESOURCE HOLDINGS, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED)

	Six Months Ended
	June 30,
	2006	2005
REVENUES
Net Ancillary Health	$5,228,855	$2,213,876
Patient Claims Processing	65,467	134,125
Net Revenue	5,294,322	2,348,001

Total Cost of Revenues	4,215,309	2,352,552

Contribution Margin	1,079,013	(4,551)


Selling, General, and Administrative Expense	1,335,490	937,890
Depreciation and Amortization	158,347	160,426

Total Operating Expense	1,493,837	1,098,316

Operating (Loss)	(414,824)	(1,102,867)

Other (Income) Expense	37,386	(7,378)
Debt Issuance Cost	92,600	59,580
Net Interest and Finance Cost	(20,604)	42,180

Total Other Expense	109,382	94,382

Net (Loss) Before Income Tax	(524,206)	(1,197,249)
Income Tax Expense	0	0

Net (Loss)	$(524,206)	$(1,197,249)

NET LOSS PER SHARE – BASIC AND DILUTED	$(0.04)	$(0.10)

WEIGHTED AVERAGE COMMON SHARES	13,862,855	12,371,309

See notes to unaudited consolidated financial statements.

AMERICAN CARESOURCE HOLDINGS, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENT OF STOCKHOLDER'S EQUITY FOR THE SIX MONTHS ENDED JUNE 30, 2006 AND JUNE 30, 2005 (UNAUDITED)

				Deferred		Accum
	Shares	Amount	APIC	Debt		Deficit	Total
Balance December 31, 2004	12,371,309	$ 123,713	$7,158,154	$	-	$ (2,831,238)	$4,450,629
Issue & Amortization of Warrants			214,489	(154,909)			59,580
Net Loss						(1,197,249)	(1,197,249)

Balance June 30, 2005	12,371,309	$123,713	$7,372,643	$(154,909)		$ (4,028,487)	$3,312,960




Balance December 31, 2005	12,371,309	$ 123,713	$7,734,800	$(231,500)		$ (5,237,756)	$ 2,389,257
Issue of 1,999,400 Common Stock Shares	1,999,400	19,994	9,049,854				9,069,848
Exercise of 81,362 Stock Options	81,362	814	25,538				26,352
Option Compensation Expense			74,392				74,392
Amortization of Warrants Associated with Deferred Debt				92,600			92,600
Net Loss						(524,206)	(524,206)

Balance June 30, 2006	14,452,071	$144,521	$16,884,584	$ (138,900)		$ (5,761,962)	$11,128,243

AMERICAN CARESOURCE HOLDINGS, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)

	Six Months	Six Months
	Ended	Ended
	June 30, 2006	June 30, 2005

OPERATING ACTIVITIES:
Net loss	$(524,206)	$(1,197,249)
Adjustments to reconcile net loss to net cash used in operating activities:
Stock option compensation expense	74,392	-
Depreciation and amortization	158,347	160,426
Compensation expense related to warrants	92,600	59,580
(Gain) on Disposal of Assets	-	(7,378)
Changes in operating assets and liabilities:
(Increase) decrease in accounts receivable	(1,187,995)	23,769
(Increase) in other current assets	(84,198)	(39,598)
Increase in accounts payable and accrued liabilities	208,187	100,180
Increase (decrease) in amounts payable to service providers	1,014,692	(7,187)

Net cash used in operating activities	(248,181)	(907,457)

INVESTING ACTIVITIES:
Purchase of Property and equipment	(30,695)	(188,021)
Proceeds from the Sale of Equipment	-	31,656

Net cash used in investing activities	(30,695)	(156,365)

FINANCING ACTIVITIES:
Borrowings from line of credit	200,000	1,993,328
Payment on line of credit or long term debt	(3,670,369)	(43,256)
Net proceeds from the exercising of stock options	26,352	-
Net proceeds from the sale of capital stock	9,069,848	-
Net (payments) to parent company	-	(873,339)

Net cash provided by financing activities	$5,625,831	$1,076,733

NET INCREASE IN CASH AND CASH EQUIVALENTS	$5,346,955	$12,911

CASH AND CASH EQUIVALENTS AT BEGINNING OF PERIOD	23,399	16,749

CASH AND CASH EQUIVALENTS AT END OF PERIOD	$5,370,354	$29,660

Supplemental disclosures cash flow information
Cash paid for interest expense	$46,995	$41,133

See notes to unaudited consolidated financial statements.

AMERICAN CARESOURCE HOLDINGS, INC. AND SUBSIDIARIES

Notes to Unaudited Consolidated Financial Statements for the period ended June 30, 2006

Note 1. Summary of Significant Accounting Policies

Description of business: American CareSource Holdings, Inc. a Delaware corporation (the “Company”) and its subsidiaries are in the business of delivering ancillary healthcare services for employment groups through its national network of ancillary care providers. The Company markets its products to insurance companies, third party administrator and preferred provider organizations. The Company currently has three subsidiaries: Ancillary Care Services, Ancillary Care Medicare, and Ancillary Care Workers Comp. These subsidiaries currently do not have any financial or other activity for the three or six months ended June 30, 2006 and June 30, 2005.

The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with the interim reporting requirements of Form 10-QSB and Item 310(b) of Regulation S-B. Consequently, financial information and disclosures normally included in financial statements prepared annually in accordance with Generally Accepted Accounting Principals (GAAP) have been condensed or omitted. Readers of this report should therefore, refer to the consolidated financial statements and the notes included in our Annual Report on Form 10-KSB for the fiscal year ended December 31, 2005, filed with Securities and Exchange Commission on March 31, 2006.

In the opinion of management, all adjustments (consisting of normal recurring adjustments) which are necessary to fairly present our financial position and our results of operations as of and for these periods have been made.

Our interim results of operations are not necessarily indicative of results of operations that will be realized for the full fiscal year.

Use of estimates in the preparation of financial statements: The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual amounts could differ from those estimates.

Accounts receivable: Accounts receivable are reported at amounts expected to be received from third party payors and other customers. Each period, the Company estimates revenue based on claims processed and actual billed revenue. The Company recognizes a reserve each month to adjust billed revenue for co-pays and deductibles the Company will not be paid. This reserve offsets accounts receivables accordingly.

Because of the nature of the Company’s business, the majority of the receivable amounts are expected to be collected. Each quarter the Company reviews collections history and adjusts its revenue estimate accordingly.

Fair value of financial instruments: The Company’s financial instruments consist primarily of cash, accounts receivable, accounts payable, accrued expenses, a line of credit and long-term debt. The fair value of instruments is determined by reference to various market data and other valuation techniques, as appropriate. Unless otherwise disclosed, the fair value of short-term financial instruments approximates their recorded values due to the short-term nature of the instruments. Based on the borrowing rates currently available to the Company for bank loans with similar terms and average maturities, the fair value of long-term debt approximates its carrying value.

Property and equipment: Property and equipment are stated at cost less accumulated depreciation and amortization. Depreciation and amortization is computed over the estimated useful lives of the assets using the straight-line method for financial reporting purposes and on the straight-line and accelerated methods for tax purposes. Leasehold improvements are amortized using the straight-line method over their estimated useful lives or the lease term, whichever is shorter. Ordinary maintenance and repairs are charged to

operations. Expenditures that extend the physical or economic life of property and equipment are capitalized.

The estimated useful lives of property and equipment are as follows:

Leasehold improvements	5 years
Computer equipment	3 - 5 years
Furniture and fixtures	7 years
Software	3 - 5 years

The Company periodically reviews the carrying value of its long-lived assets for possible impairment. In management’s opinion, there is no impairment of such assets at June 30, 2006.

Revenue recognition: The Company evaluates its service provider contracts using the indicators of EITF No. 99-19 “Reporting Gross Revenue as a Principal vs. Net as an Agent” (EITF 99-19) to determine whether the Company is acting as a principal or an agent in the fulfillment of services to be rendered.

Revenues are recorded gross when services by providers have been authorized and performed and collections from third party payors are reasonably assured. The Company acts as principal under EITF 99-19 when settling claims for service providers through their contracted service provider network for the following reasons:

The Company negotiates contracts with service providers and also negotiates contracts with payors. Neither service providers nor payors can look through the Company and claim directly against the other party. Both contracts with these parties are separate and each only contracts with the Company. Each party deals directly with the Company and does not deal with each other directly.

The Company determines through negotiations which payor will be included or excluded in the network to be offered to each service provider, based on price, access, etc.

The Company does not earn a fixed dollar amount per customer transaction regardless of the amount billed to customers or earn a stated percentage of the amount billed to its customers.

The Company is responsible to the service provider for processing the claim and managing the claim their adjustor processes.

The Company sets prices to be settled with payors and separately negotiates the prices to be settled with the service providers.

The Company may realize a positive or negative margin represented by the difference between the negotiated fees received from the payor and the negotiated amount paid to the service providers.

When claims are recorded gross, the payor’s payment to the Company is recorded as revenue and the Company’s payment to the service provider is recorded as cost of revenue in the statement of operations. The Company does, however, record revenue on a net basis when an agency relationship exists. When the Company receives a fee for claims processing and there are no financial risks to the Company, then only the claims processing fee is recorded as revenue.

The Company does not have responsibility to collect co-payments to be made or co-insurance claims to be received. Accordingly, co-payments or co-insurance claims collected are not recorded as either revenue or cost of sales.

Costs of revenues: Costs of ancillary health revenues consist of expenses due to providers for providing employee (patient) services and the related direct labor and overhead of providing such services. The Company is not liable for costs incurred by independent contract service providers until payment is received by the Company from the payors. The Company recognizes actual or estimated liabilities to independent contract service providers as related revenues are recognized.

Costs of patient claims revenues consist of direct labor and overhead to administer the patient claims.

Issuance of Warrants: The Company has issued warrants to stockholders and directors in exchange for a guarantee of Company debt and as compensation to an outside investment bank for arranging equity financing. The warrants issued in exchange for the guarantee were valued at $376,646 as of the date of the grant using the fair value method. These deferred debt issuance costs are being amortized to expense over the life of the guarantee. The Company also issued warrants to purchase 159,952 shares of current stock as compensation to an investment bank for arranging a private placement during the first quarter of 2006. The warrants were valued at $463,409 as of the date of the grant using the fair value method. This amount has been offset against the capital raised.

Concentration of revenues: The Company has five customers that compromise the following approximate amounts of the Company’s revenue and accounts receivable:

	Six Months Ended June 30, 2006

	Accounts Receivable	Revenue	% of Total Revenue

Customer A	$ 741,000	$3,266,000	62%
Customer B	267,000	1,320,000	25%
Customer C	255,000	330,000	6%
Customer D	32,000	183,000	3%
Customer E	35,000	66,000	1%
	$1,330,000	$5,165,000	98%

Stock-Based Compensation: We have one stock-based compensation plan. The plan is administered by our compensation committee of the Board of Directors, which selects persons eligible to receive awards and determines the number of shares and/or options subject to each award, the terms, conditions, performance measures, and other provisions of the award. Readers should refer to Note 7 of our consolidated financial statements in our Annual Report on Form 10-KSB for the fiscal year ended December 31, 2005, for additional information related to the stocked-based compensation plan.

Effective January 1, 2006, the Company adopted SFAS No. 123 (revised), “Share-Based Payment” (SFAS 123(R)) utilizing the modified prospective approach. Prior to the adoption of SFAS 123(R) we accounted for stock option grants in accordance with APB Opinion No. 25, “Accounting for Stock Issued to Employees” (the intrinsic value method), and accordingly, recognized no compensation expense for stock option grants.

Under the modified prospective approach, SFAS 123(R) applies to new awards and to awards that were outstanding on January 1, 2006 that are subsequently modified, repurchased or cancelled. Under the modified prospective approach, compensation cost recognized in the first quarter of 2006 includes compensation cost for all share-based payments granted prior to, but not yet vested as of January 1, 2006, based on the grant-date fair value estimated in accordance with the original provisions of SFAS 123, and compensation cost for all share-based payments granted subsequent to January 1, 2006, based on the grant-date fair value estimated in accordance with the provisions of SFAS 123(R). Prior periods were not restated to reflect the impact of adopting the new standard.

As a result of adopting SFAS 123(R) on January 1, 2006, our income before taxes, net income and basic and diluted earnings per share for three months ended June 30, 2006, was approximately $52,162 less than if we had continued to account for stock-based compensation under APB Opinion No. 25 for our stock option grants. For the six months ended June 30, 2006, our income before taxes was reduced by $74,392.

We may receive a tax deduction for certain stock option exercises during the period the options are exercised, generally for the excess of the price at which the options are sold over the exercise prices of the options. Prior to adoption of SFAS 123(R), we reported all tax benefits resulting from the exercise of stock options as operating cash flows in our condensed consolidated statements of cash flows. In accordance with

SFAS 123(R), for the six months ended June 30, 2006, we revised our condensed consolidated statements of cash flow presentation to report the tax benefits from the exercise of stock options as financing cash flows. For the three months ended June 30, 2006, we are not recording a current tax benefit.

Net cash proceeds from the exercise of stock options were $26,352 for the six months ended June 30, 2006 and $5,355 for the three months ended June 30, 2006. There was no income tax benefit realized from stock options exercised as the Company is in a loss position and has recorded a valuation allowance related to any net deferred tax asset.

The following table illustrates the effect on operating results and per share information had the Company accounted for stock-based compensation in accordance with SFAS 123(R) for the three and six months ended June 30, 2005:

		Three Months Ended	Six Months Ended
		June 30, 2005
Net income:
	As reported	$ (678,753)	$ (1,197,249)
	Add: Stock-based employee compensation reported in net income, net of taxes	-	-
	Deduct: Stock-based employee compensation under the fair value method of all awards, net of taxes	(28,631)	(28,631)
	Pro forma	(707,384)	(1,225,880)
Basic and diluted net income per share:
	As reported	$ (0.05)	$ (0.10)
	Pro forma	$ (0.06)	$ (0.10)

Stock Options

We use the Black-Scholes option pricing model to estimate the fair value of stock-based awards with the following weighted-average assumptions for the indicated periods.

	Three Months Ended June 30,		Six Months Ended June 30,
	2006	2005	2006	2005
Dividend yield	0%	0%	0%	0%
Expected volatility	110%	60%	110%	60%
Risk-free interest rate	6.5%	4%	6.5%	4%
Expected life of options (in years)	6.5	6.5	6.5	6.5
Weighted-average grant-date fair value	$3.15	$0.19	$4.09	$0.19

The assumptions above are based on multiple factors, including historical exercise patterns of employees in relatively homogeneous groups with respect to exercise and post-vesting employment termination behaviors, expected future exercising patterns for these same homogeneous groups and the implied volatility of our stock price.

Earnings per common share: Basic earnings per share is computed by dividing net loss by the weighted average number of shares outstanding during each of the periods. Diluted earnings per share is the same amount because all outstanding stock options have been excluded from the calculation of diluted earnings per share since they are anti-dilutive.

The calculations for the basic and diluted loss per share were based upon loss attributable to common stockholders and a weighted average number of common shares outstanding for the periods ended June 30,

2006 and 2005. Amounts presented for share and per share data are shown after giving effect to the stock splits effected June 2, 2005 and November 14, 2005 as described in the following paragraph.

Stock split and change to authorized shares: On May 25, 2005, the Company amended its Certificate of Incorporation, increasing the number of authorized common shares to 40,000,000 shares and authorizing 10,000,000 preferred shares. On June 2, 2005, the Company effected a 110,000 for one stock split on the common shares outstanding at the time. On November 14, 2005, the Company effected a 1.1246645 for one stock split on the common shares outstanding at the time. After the stock splits, the Company had 12,371,309 shares outstanding. Amounts presented for share and per share data are shown after giving effect to the stock splits.

Sale of Capital Shares:

In March 2006, American CareSource Holdings completed a private placement of securities from which it received gross proceeds of approximately $10.0 million. Net proceeds after expenses and broker commissions was approximately $9.1 million. A portion of the proceeds from this transaction was used to repay the existing credit line with Wells Fargo Bank N.A. American CareSource Holdings paid an 8% fee to the placement agent and issued warrants to purchase up to 159,952 shares of common stock with an exercise price of $5.50, in connection with the financing, in addition to other costs.

Income taxes: Deferred taxes are provided on a liability method whereby deferred tax assets are recognized for deductible temporary differences and operating loss and tax credit carryforwards and deferred tax liabilities are recognized for taxable temporary differences. Temporary differences are the differences between the reported amounts of assets and liabilities and their tax bases. Deferred tax assets are reduced by a valuation allowance when, in the opinion of management it is more likely than not that some portion or all of the deferred tax assets will not be realized. Deferred tax assets and liabilities are adjusted for all the effects of changes in tax laws and rates on the date of enactment. Prior to December 16, 2005, the Company filed consolidated tax returns with Patient Infosystems. The Company recorded its tax expense using the separate company method.

New accounting pronouncements: In December 2004, the FASB issued SFAS No. 153, Exchanges of Nonmonetary Assets-an amendment of APB Opinion No. 29 (SFAS No. 153), addressing the measurement of exchanges of nonmonetary assets. SFAS No. 153 eliminates the exception from fair value measurement for nonmonetary exchanges of similar production assets in APB Opinion No. 29, Accounting for Nonmonetary Exchanges and replaces it with an exception for exchanges that do not have commercial substance. SFAS No. 153 is effective for nonmonetary asset exchanges occurring in fiscal periods beginning after June 15, 2005 with earlier application permitted.

The Company does not expect adoption of the provisions of SFAS No. 153 to have a material impact on the consolidated financial statement, results of operations or liquidity of American CareSource Holdings.

In June 2006, the FASB issued Interpretation No. 48 (“FIN48”), Accounting for Uncertainty in Income Taxes – an interpretation of FASB Statement No. 109, to clarify certain aspects of accounting for uncertain tax positions, including issues related to the recognition and measurement of those tax positions. This interpretation is effective for fiscal years beginning after December 15, 2006. The Company is in the process of evaluating the impact of this interpretation and believes that any entry will not have a material effect on the Company’s consolidated financial position or results of operations.

Note 2. Line of Credit and Long-Term Debt

In December 2004, American CareSource Holdings entered into a credit agreement with Wells Fargo Bank, N.A. establishing a line of credit of $300,000 guaranteed by John Pappajohn, a director of American CareSource Holdings. Mr. Pappajohn did not receive any remuneration in connection therewith.

On January 28, 2005, American CareSource Holdings amended its credit agreement with Wells Fargo Bank, N.A. extending the line of credit to $3,000,000. Derace Schaffer, a director of American CareSource Holdings, guaranteed the extension with Mr. Pappajohn. As compensation for the guarantees of Mr.

Pappajohn and Dr. Schaffer for the initial extension of credit, American CareSource Holdings issued warrants to purchase an aggregate of 1,096,491 shares to Mr. Pappajohn and Dr. Schaffer at an exercise price of $0.40 which was equal to the per share fair market value of American CareSource Holdings common stock established by American CareSource Holdings’ Board of Directors based upon an independent appraisal.

On August 9, 2005, the Company amended its credit agreement with Wells Fargo Bank, N.A. extending the line of credit to $4,000,000. Mr. Pappajohn and Dr. Schaffer guaranteed each increase in the credit line. In connection with the August 2005 increase in the credit line, American CareSource Holdings issued additional warrants to purchase an aggregate of 576,953 shares as compensation for the guarantee extension by Mr. Pappajohn and Dr. Schaffer. Mr. Pappajohn received warrants to purchase 432,715 shares of common stock and Dr. Schaffer received warrants to purchase 144,238 shares of common stock. In addition, American CareSource Holdings issued warrants to purchase 64,106 shares as compensation to Matthew Kinley, who also guaranteed the increased credit line. Matthew Kinley is an employee of a company owned by Mr. Pappajohn. These warrants were issued at a strike price of $0.49 based on current fair value of the stock.

In December 2005, American CareSource Holdings entered into a credit agreement with Wells Fargo Bank, N.A. increasing the line of credit to $5,000,000 and extending the maturity of the line to March 31, 2007, which was guaranteed by Mr. Pappajohn, a director of American CareSource Holdings. Mr. Pappajohn did not receive any remuneration in connection with the increase in the line or the extension of the maturity date. The line of credit bears interest at the bank’s prime index rate. The outstanding principal owed by American CareSource Holdings as of June 30, 2006 and December 31, 2005 was none and $3,450,000, respectively. The line remains open for future use through March 31, 2007, as needed.

Long-term debt consists of the following:

	June 30, 2006		December 31, 2005

Line of credit payable to Wells Fargo Bank, N.A. maturing March 2007	$	0	$	3,450,000

Note payable, due in monthly installments of approximately $800 including interest at 7.0%, maturing in April 2009		24,949		28,820

Note payable to Patient Infosystems, Inc. due February 2007 bearing interest at 6%. Payable to Patient Infosystems, Inc. was converted to note at time of distribution to stockholders.		325,792		336,277

Capital lease obligations		45,050		51,063
		395,791		3,866,160
Less current maturities		(346,933)		(20,231)
Long-term debt, less current maturities	$	48,858	$	3,845,929

The Company has entered into a new lease for its principal offices at 5429 LBJ Freeway in Dallas that will commence on September 1, 2006. The following are the estimated annual cash payments required under the lease:

2006

$27,811

2007

$21,833

2008

$94,530

2009

$186,062

2010

$190,096

2011

$196,329

2012

$196,329

2013

$32,722

Note 3. Stock Options and Warrants

American CareSource Holdings has an Employee Stock Option Plan (the “Stock Option Plan”) for the benefit of certain employees, non-employee directors, and key advisors. On May 16, 2005, the stockholders approved the Stock Option Plan which (i) authorized 2,249,329 (split adjusted ) options and (ii) established the class of eligible participants to include employees, nominees to the Board of Directors of American CareSource Holdings and consultants engaged by American CareSource Holdings, limited to 50,000 the number of shares of Common Stock underlying the one-time grant of a Non-Qualified Option to which non-employee directors or non-employee nominees of the Board of Directors may be entitled. The Company filed a Form S-8 registering 2,249,329 of the Stock Option Plan shares on April 7, 2006. Stock options granted under the Stock Option Plan may be of two types: (1) incentive stock options and (2) nonqualified stock options. The option price of such grants shall be determined by a Committee of the Board of Directors (the “Committee”), but shall not be less than the estimated fair market value of the common stock at the date the option is granted. The Committee shall fix the terms of the grants with no option term lasting longer than ten years. The ability to exercise such options shall be determined by the Committee when the options are granted.

A summary of stock option activity follows:

	Outstanding Options		Weighted-Average Exercise Price
Options outstanding at December 31, 2005	1,651,289		$	0.33
Options granted during the quarter ended March 31, 2006	100,000		$	5.60
Options forfeited by holders during the quarter ended March 31, 2006	(42,737	)	$	0.31
Options exercised during the quarter ended March 31, 2006	(64,106	)	$	0.31
Options outstanding at March 31, 2006	1,644,446		$	0.65

Options granted during the quarter ended June 30, 2006	50,000		$	3.85
Options forfeited by holders during the quarter ended June 30, 2006	(1,968	)	$	0.31
Options exercised during the quarter ended June 30, 2006	(17,256	)	$	0.31
Options outstanding at June 30, 2006	1,675,222		$	0.75
Options exercisable at June 30, 2006	587,591		$	0.39
Options available for grant at June 30, 2006	492,745

The following table summarizes information concerning outstanding and exercisable options at June 30, 2006:

	Options Outstanding			Options Exercisable
Range of Exercise Price	Number Outstanding	Weighted Average Remaining Contractual Life	Weighted Average Exercise Price	Number Exercisable	Weighted Average Exercise Price
$0.31 - $0.49	1,525,222	8.9	$0.33	579,258	$0.32
$5.60	100,000	9.6	$5.60	6,944	$5.60
$3.85	50,000	9.9	$3.85	1,389	$3.85

American CareSource has warrants outstanding and exercisable for the purchase of 1,897,502 shares of common stock at June 30, 2006. American CareSource valued the warrants using the Black Scholes method. The weighted average exercise price at June 30, 2006 was $0.86.

The total intrinsic value of options exercised during the quarter ended June 30, 2006, was $87,460.

A summary of the Company’s nonvested shares as of June 30, 2006, and changes during the quarter ended June 30, 2006, is presented below:

Nonvested Shares	Options		Weighted-Average Grant-Date Fair Value
Nonvested at March 31, 2006	1,075,769	$	0.81
Granted	50,000		3.85
Vested	(157,838)		0.49
Forfeited	1,968		0.31
Nonvested at June 30, 2006	1,087,631	$	0.71

As of June 30, 2006, there was approximately $656,282 of total unrecognized compensation cost related to nonvested share-based compensation arrangements granted under the Plan. That cost is expected to be recognized over a weighted-average period of 3.0 years. The total fair value of shares vested during the quarter ended June 30, 2006, was $54,458.

SPECIAL CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS

This filing contains many forward-looking statements that involve substantial risks and uncertainties. You can identify these statements by forward-looking words such as “may,” “will,” “expect,” “anticipate,” “believe,” “estimate” and “continue” or similar words. You should read statements that contain these words carefully because they discuss our future expectations, contain projections of our future operating results or of our financial condition or state other “forward-looking” information.

We believe that it is important to communicate our future expectations to our investors. However, we may be unable to accurately predict or control events in the future. The factors listed in the section captioned “Risk Factors,” as well as any other cautionary language in this filing, provide examples of risks, uncertainties and events that may cause our actual results to differ materially from the expectations we describe in our forward-looking statements. Before you invest in our common stock, you should be aware that the occurrence of certain of the events described in the Risk Factors section could seriously harm our business.

Item 2. Management’s Discussion and Analysis or Plan of Operations

Management’s discussion and analysis provides a review of American CareSource Holdings’ operating results for the quarter ended June 30, 2006 and its financial condition at June 30, 2006. The focus of this review is on the underlying business reasons for significant changes and trends affecting the revenues, net losses and financial condition of American CareSource Holdings. This review should be read in conjunction with the accompanying consolidated financial statements.

In an effort to give investors a well-rounded view of American CareSource Holdings’ current condition and future opportunities, this quarterly report may include forecasts by American CareSource Holdings’ management about future performance and results. Because they are forward-looking, these forecasts involve uncertainties. They include risks of market acceptance of, or preference for, American CareSource Holdings’ systems and services, competitive forces, the impact of, and changes in, government regulations, general economic factors in the healthcare industry, and other factors discussed in American CareSource Holdings’ filings with the Securities Exchange Commission. In evaluating such statements, investors should specifically consider the various factors identified in this 10-QSB, including the matters set forth under the caption “Risk Factors” which could cause actual results to differ materially from those indicated by such forward-looking statements. We disclaim any obligation to update information contained in any forward-looking statement.

Overview

American CareSource Holdings was incorporated in November 2003 under the laws of Delaware as a wholly-owned subsidiary of Patient Infosystems in order to facilitate its acquisition of substantially all of the assets of American CareSource Corporation. American CareSource Corporation had been in operation since 1997. The predecessor company to American CareSource Corporation, Physician’s Referral Network, had been operable since 1995. The business of American CareSource Holdings includes the previous business of American CareSource Corporation. Accordingly, all information provided herein with respect to American CareSource Holdings prior to December 31, 2003 is the historical information of American CareSource Corporation. As of December 23, 2005, American CareSource Holdings became an independent public company, after Patient Infosystems distributed by dividend all of its shares of American CareSource Holdings common stock to Patient Infosystems’ stockholders.

American CareSource Holdings has, since formation, maintained separate books, accounts and records. Further, American CareSource Holdings was allocated the Patient Infosystems corporate assets, liabilities and expenses related to Patient Infosystems’ ancillary health benefits management business based on an estimate of the proportion of such amounts allocable to American CareSource Holdings, utilizing such factors as total revenues, employee headcount and other relevant factors. American CareSource Holdings believes that these allocations have been made on a reasonable basis. American CareSource Holdings believes that all costs allocated to American CareSource Holdings are a reasonable representation

of the costs that American CareSource Holdings would have incurred if American CareSource Holdings had performed these functions as an independent company.

American CareSource Holdings recognizes revenues for ancillary services when services by providers have been authorized and performed and collections from payors are reasonably assured. Patient claims revenues are recognized by American CareSource Holdings as services are provided. Cost of revenues for ancillary services consist of expenses due to providers for providing patient services and American CareSource Holdings’ related direct labor and overhead of processing invoices, collections and payments. American CareSource Holdings is not liable for costs incurred by independent contract service providers until payment is received by American CareSource Holdings from the payors. American CareSource Holdings recognizes actual or estimated liabilities to independent contract service providers as the related revenues are recognized. Patient claim costs of revenue consist of amounts due the providers as well as American CareSource Holdings’ direct labor and overhead to administer the patient claims.

American CareSource Holdings has never operated at a profit, and will require significant growth in either claims volume from existing contracts, new contracts or both in order to generate sufficient operational margin to become profitable. No assurances can be given that sufficient sources of new revenue will be identified and other sources of capital may have to be secured by American CareSource Holdings to support these operations. If American CareSource Holdings in unable to generate enough working capital either from its own operations or through the sale of its equity securities, American CareSource Holdings may be required to curtail or cease operations.

Recent Events

American CareSource Holdings filed a registration statement on Form S-8 covering 2,249,329 shares of its Employee Stock Option Plan on April 7, 2006. Additionally, on May 11, 2006 the Securities and Exchange Commission declared effective American CareSource Holding’s Registration Statement on Form SB-2 covering 4,292,280 shares of common stock for the resale of such shares from time to time by certain selling stockholders listed therein. Of such shares, (i) 1,859,310 shares were issued pursuant to the distribution by dividend of American CareSource Holdings’ common stock by Patient Infosystems to investors in its October 2005 private offering; (ii) 273,618 shares were issued pursuant to the distribution by dividend of shares of American CareSource Holdings’ common stock by Patient Infosystems as payment of dividends in the October 2005 dividend distribution of Patient Infosystems’ common stock to its Series C and Series D preferred stockholders of Patient Infosystems; and (iii) 2,159,352 shares were issued by American CareSource Holdings in its March 2006 private placement. Of the above amounts, 313,470 shares are issuable upon exercise of certain common stock purchase warrants issued as compensation to Laidlaw & Company (UK) Ltd. for acting as the placement agent in connection with the March 2006 private placement.

On May 23, 2006, David A. George was elected to serve on the American CareSource Holdings Board of Directors. Mr. George serves as the Chairman of Compensation Committee and serves as a member on the Corporate Governance Committee. Also on May 23, 2006, American CareSource Holdings Board of Directors adopted a charter for its Governance and Nomination Committee and Compensation Committee.

On June 14, 2006, the Company entered into a new lease for 9,349 square feet of office space that will commence on September 1, 2006. The Company plans to use the new space as its primary office space and will vacate its existing office space.

Results of Operations

The three months ended June 30, 2006 compared to the three months ended June 30, 2005:

	American CareSource Holdings statement of operations for the quarters ended
	June 30, 2006	June 30, 2005

Net Revenue	$2,829,941	$1,038,817

Cost of revenue	2,169,835	1,090,913
Selling, general and administrative expense	804,225	482,812
Depreciation and amortization	80,099	83,912
Operating loss	(224,218)	(618,820)
Financing costs & other	39,752	59,933
Net loss	($263,969)	($678,753)

Revenues	June 30, 2006	June 30, 2005
Net Ancillary Health	$ 2,796,623	$ 1,005,014
Patient claims	33,318	33,803
Net Revenues	$2,829,941	$1,038,817

Revenues of American CareSource Holdings are comprised of revenues from ancillary service claims and processing of patient claims. Net ancillary health revenues increased to $2,796,623 from $1,005,014 during the quarter ended June 30, 2006 as compared to the quarter ended June 30, 2005. The majority of the increase is a result of a single new client that was implemented in December 2005. This represents an increase of $1,791,609 or 178%.

American CareSource Holdings expects to see growth in the number of client and payor relationships due to a shift in strategy, focusing on providing in-network services for its payors rather than out-of-network services in an effort to capture more claim activity. This should increase the volume of claims the Company can adjudicate as well as the volume of patients it can direct through its network. No assurances can be given that American CareSource Holdings can expand its provider or payor relationships, nor that any such expansion will result in an improvement in the results of operations of American CareSource Holdings.

The revenues for the processing of patient claims for the quarter ended June 30, 2006 was relatively constant at $33,318 versus $33,803 for the quarter ended June 30, 2005. American CareSource Holdings does not expect to increase its revenues from claims processing as it is shifting its focus to the ancillary health business.

Costs and Expenses

$2,169,835 for the quarter ended June 30, 2006. The increase in these costs primarily reflects an increase in amounts paid to providers for service as a result of our increase in revenue.

Selling, general and administrative expense increased to $804,225 for the quarter ended June 30, 2006 as compared to $482,812 for the quarter ended June 30, 2005. These costs consist primarily of salaries, related benefits and travel costs, commissions and management fees, sales materials, other marketing related expenses, costs of corporate operations, finance and accounting, human resources and other general operating expenses of American CareSource Holdings. The majority of the cost increase is related to the increased cost of operating as a public company, which includes the cost of expensing stock options, and the increased commissions and management fees associated with our higher sales.

Amortization and depreciation expense decreased to $80,099 in the quarter ended June 30, 2006 compared to $83,912 in the quarter ended June 30, 2005. These expenses include $53,395 of amortization of intangibles that includes $21,379 in amortization of certain software development costs and $32,016 in amortization of the capitalized value of provider contracts that were acquired as part of the acquisition of American CareSource assets by Patient Infosystems.

The on-going value of these acquired contracts are re-evaluated each quarter to test for any potential impairment to this asset. As of June 30, 2006, the Company’s analysis of its goodwill and related intangibles did not indicate any impairment.

Other Income/Expense is comprised of financing costs, interest expenses and other expenses. The totals are as follows:

	Quarters Ended
	June 30, 2006	June 30, 2005
Other Expense	34,754	(7,378)
Debt Issuance Cost	$46,300	$35,748
Net Interest (Income)	(41,303)	31,563
Total Other	$39,751	$59,933

Net interest income was $41,303 for the quarter ended June 30, 2006 as compared to an interest expense of $31,563 for the quarter ended June 30, 2005, due to the decrease in the line of credit and the invested cash balance. The increase in debt issuance cost is associated with the amortization cost of warrants and expenses related to the guarantees of the Company’s Wells Fargo Line of credit. Other expense represents an accrual for franchise taxes.

Taxes

American CareSource Holdings had no tax benefit in the quarter ended June 30, 2006 or the quarter ended June 30, 2005 due, in part, to recording a full valuation allowance to reduce its deferred tax assets. American CareSource Holdings’ deferred tax assets consist primarily of the tax benefit associated with its net operating loss carry forwards. At this time, management is continuing to record a full valuation allowance to reduce deferred tax benefit.

Management of American CareSource Holdings has evaluated the available evidence about future taxable income and other possible sources of realization of deferred tax assets. The valuation allowance reduces deferred tax assets to zero, which represents management’s best estimate of the amount of such deferred tax assets that more likely than not will be realized.

Loss

American CareSource Holdings reported a net loss of ($263,969) for the quarter ended June 30, 2006 as compared to $(678,753) for the quarter ended June 30, 2005. On a per share basis, the Company lost $0.02 per share for the quarter ending June 30, 2006 and $0.05 per share for the quarter ended June 30, 2005.

The six months ended June 30, 2006 compared to June 30, 2005:

	American CareSource Holdings, Inc. statement of operations for the six months ended
	June 30, 2006	June 30, 2005
Net Revenue	$5,294,322	$2,348,001

Cost of revenue	4,215,309	2,352,552
Selling, general and administrative expense	1,335,490	937,890
Depreciation and amortization	158,347	160,426
Operating loss	(414,824)	(1,102,867)
Financing costs & other	(109,382)	(94,382)
Net loss	($524,206)	($1,197,249)

Revenues	June 30, 2006	June 30, 2005
Net Ancillary health	$5,228,855	$2,213,876
Patient claims	65,467	134,125
Net Revenues	$5,294,322	$2,348,001

Revenues of American CareSource Holdings are comprised of revenues from ancillary service claims and processing of patient claims. Net revenues for ancillary health services increased to $5,228,855 from $2,213,876 during the six months ended June 30, 2006 as compared to the six months ended June 30, 2005, or 136%. The majority of the increase is a result of a new client that was implemented in December 2005.

The revenues for the processing of patient claims for the six months ended June 30, 2006 declined from $134,125 for the six months ended June 30, 2005 to $65,467 for the six months ended June 30, 2005. American CareSource Holdings expects to experience a continued decline in its revenues from claims processing as it is shifting its focus to the ancillary health business.

Costs and Expenses

Cost of revenue includes salaries and related benefits, services provided by third parties and our providers, and other expenses associated with the development of American CareSource Holdings’ ancillary health programs. Cost of revenue increased from $2,352,552 for the six months ended June 30, 2005 to $4,215,309 for the six months ended June 30, 2006 or 79%. The increase in these costs primarily reflects an increase in amounts expected to be paid to providers for service as a result of our increase in revenue.

Selling, general and administrative expense remained increased by $397,600 to $1,335,490 for the six months ended June 30, 2006 as compared to $937,890 for the six months ended June 30, 2005. These costs consist primarily of salaries, related benefits and travel costs, commissions and management fees, sales materials, other marketing related expenses, costs of corporate operations, finance and accounting, human resources and other general operating expenses of American CareSource Holdings. The majority of the cost increase is related to the increased cost of operating as a public Company, which includes the cost of expensing stock options, and the increased commissions and management fees associated with our higher sales.

Amortization and depreciation expense was $158,347 a decrease of $2,079 in the quarter ended June 30, 2006 compared to $160,426 in six months ended June 30, 2005. These expenses include $106,791 of amortization of intangibles that includes $42,758 in amortization of certain software development costs and $64,033 in amortization of the capitalized value of provider contracts that were acquired as part of the acquisition of American CareSource assets by Patient Infosystems.

It is anticipated that American CareSource Holdings will need to invest heavily in the sales and marketing process in future periods, and intends to do so as funds are available. To the extent that American CareSource Holdings has limited funds available for sales and marketing, or cannot leverage its marketing partnerships adequately, it will likely be unable to invest in the necessary marketing activities to generate substantially greater sales.

Other Income/Expense is comprised of financing costs, interest expenses and other expenses. The totals are as follows:

	Six Months Ended
		June 30, 2006	June 30, 2005
Other (Income)/Expense		37,386	(7,378)
Debt Issuance Cost		$92,600	$59,580
Net Interest (Income)/Expense		(20,604)	42,180
Total revenues		$(109,382)	$(94,382)

Interest income was $20,604 for the six months ended June 30, 2006 compared to expense of $42,180 for the six months ended June 30, 2005, due to the decrease in the line of credit and the invested cash balance. The increase in debt issuance cost is associated with the amortization cost of warrants and expenses related to the guarantees of the Company’s Wells Fargo Line of credit.

Taxes

American CareSource Holdings had no tax benefit in the six months ended June 30, 2006 or the six months ended June 30, 2005 due, in part, to recording a full valuation allowance to reduce its deferred tax assets. American CareSource Holdings’ deferred tax assets consist primarily of the tax benefit associated with its net operating loss carry forwards. At this time, management is continuing to record a full valuation allowance to reduce deferred tax benefit.

Loss

American CareSource Holdings reported a net loss of $(524,206) for the six months ended June 30, 2006 as compared to $(1,197,249) for the six months ended June 30, 2005. On a per share basis, the Company lost $0.04 per share for the six months ending June 30, 2006 and $0.10 per share for the six months ended June 30, 2005.

Liquidity and Capital Resources

As of June 30, 2006, American CareSource Holdings had a working capital surplus of $4,846,445 as compared to working capital deficit of ($223,122) at December 31, 2005. Since its inception, American CareSource Holdings has not generated positive cash flow from operations and has relied on external sources for its operational, working capital and capital expenditures needs.

Since the acquisition by Patient Infosystems in December 2003, American CareSource Holdings received funding of $3,201,288 from Patient Infosystems in the form of equity contributions and loans. The balance due to Patient Infosystems was $325,792 and $336,277 as of June 30, 2006 and December 31, 2005, respectively. The loan is due and payable on February 1, 2007.

American CareSource Holdings has a credit agreement in place with Wells Fargo Bank, NA providing for a $5,000,000 line of credit. The agreement is guaranteed by John Pappajohn, Derace Schafer, directors of American CareSource Holdings, and Matt Kinley, an employee of a company owned by Mr. Pappajohn. The line of credit bears interest at the bank’s prime index rate which is 8.25% as of June 30, 2006. The line of credit requires interest to be paid currently with the principal due on the expiration of the credit facility on March 31, 2007. The Company currently has no borrowing against the line of credit.

In March 2006 the Company completed a private placement of its common stock. The offering raised approximately $10.0 million at a price of $5.00 per share. In connection with such private placement, American CareSource relied upon the exemption from registration provided under Section 4(2) of the Securities Act and Rule 506 of Regulation D promulgated thereunder. The net proceeds from the transaction was approximately $9.1 million. Additionally, American CareSource Holdings granted the accredited investors certain registration rights pursuant to a registration rights agreement, in connection with this transaction. The registration rights agreement required the Company to file a registration statement following the final closing of the private placement covering the resale of all shares included therein, as well as the shares underlying the placement agent’s warrants. A registration statement registering such shares for resale was filed on April 7, 2006. On May 11, 2006, the Securities and Exchange Commission declared effective this registration statement.

A portion of the proceeds from the March 2006 transaction was used to re-pay the full balance of the Wells Fargo Bank, N.A. credit line. The outstanding principal retired by American CareSource Holdings was $3,650,000. The remainder of the proceeds will be used to fund working capital and other general corporate purposes. Although American CareSource Holdings paid in full all obligations outstanding under its credit agreement with Wells Fargo Bank, N.A, the line of credit remains fully available to American CareSource Holdings if needed. If there are any future drawings under the line of credit, American

CareSource Holdings believes it will be able to satisfy its cash requirements based on its current customer base and anticipated timing of new accounts, its existing service agreements, and available capital. Therefore, American CareSource Holdings does not anticipate the need to raise additional funds through 2006.

Inflation

Inflation did not have a significant impact on American CareSource Holdings’ costs during the quarters and six months ended June 30, 2006 and June 30, 2005. American CareSource Holdings continues to monitor the impact of inflation in order to minimize its effects through pricing strategies, productivity improvements and cost reductions.

Critical Accounting Policies

Critical accounting policies are those that require application of management’s most difficult, subjective or complex judgments, often as a result of the need to make estimates about the effect of matters that are inherently uncertain and may change in subsequent periods.

American CareSource Holdings’ significant accounting policies are described in Note 1 to the Financial Statements. Not all of these significant accounting policies require management to make difficult, subjective or complex judgments or estimates. However, the following accounting policies are deemed to be critical by American CareSource Holdings’ management.

Use of Estimates. In preparing the financial statements, American CareSource Holdings uses estimates in determining the economic useful lives and possible impairments of its assets, provisions for doubtful accounts, tax valuation allowances and various other recorded or disclosed amounts. Estimates require management to use its judgment. While American CareSource Holdings believes that its estimates for these matters are reasonable, if the actual amount is significantly different than the estimated amount, its assets, liabilities or results of operations may be overstated or understated.

Intangible Assets. The value of American CareSource Holdings’ intangible assets was derived from the allocation of the purchase price from the December 31, 2003 acquisition of the assets of American CareSource Corporation by Patient Infosystems. The allocation of purchase price was based on an independent appraisal of the acquired assets. The amounts assigned to each asset are being amortized on a straight line basis over the expected life of the asset, 5 years for software and 15 years for the provider contracts. The provider contracts do not have a specified contract period. Our experience to date demonstrates attrition of less than 2% per year, implying a greater than twenty year life, however we believe that 15 years represents a more realistic estimate. Accordingly, American CareSource Holdings has elected to amortize the value of these contracts over 15 years. The on going value of these acquired contracts are re-evaluated each quarter using the discounted cashflow method to test for any potential impairment to this asset that would result from either reduced cash flows or a shorter than anticipated useful life. The contracts are accounted for as a pool of contracts. There will be no additions to the capitalized amounts that were established at the time of the acquisition, the cost of adding additional providers is considered an ongoing operating expense.

Impairment of Long-Lived Assets. American CareSource Holdings records impairment losses on long-lived assets used in operations when events and circumstances indicate that the assets might be impaired and the undiscounted future cash flows estimated to be generated by those assets are less than the carrying amount of those assets. Recoverability of assets to be held and used is measured by a comparison of the carrying amount of the asset to future net cash flows expected to be generated by the asset. If the asset is considered to be impaired, the impairment to be recognized is measured by the amount by which the carrying amount of the asset exceeds the fair value of the asset. If the actual value is significantly less than the estimated value, American CareSource Holdings assets may be overstated.

Revenue recognition. American CareSource Holdings evaluates their service provider contracts using the indicators of EITF No. 99-19 “Reporting Gross Revenue as a Principal vs. Net as an Agent” (EITF 99-19) to determine whether American CareSource Holdings is acting as a principal or an agent in the fulfillment of services to be rendered.

Revenues are recorded gross when services by providers have been authorized and performed and collections from third party payors are reasonably assured. American CareSource Holdings acts as principal under EITF 99-19 when settling claims for service providers through their contracted service provider network for the following reasons:

•

American CareSource Holdings negotiates a contract with the service provider and also negotiates contracts with payors. Neither the service provider nor the payor can look through the Company and claim directly against the other party. Both contracts with these parties are separate and each only contracts with the Company. Each party deals directly with the Company and does not deal with each other directly.

•

American CareSource Holdings determines through negotiations which payor will be included or excluded in the network to be offered to the service provider, based on price, access, etc.

•

American CareSource Holdings does not earn a fixed dollar amount per customer transaction regardless of the amount billed to customers or earn a stated percentage of the amount billed to its customers.

•

American CareSource Holdings is responsible to the service provider for processing the claim and managing the claim their adjustor processes.

•

American CareSource Holdings sets prices to be settled with payors and separately negotiates the prices to be settled with the service providers.

•

American CareSource Holdings may realize a positive or negative margin represented by the difference between the negotiated fees received from the payor and the negotiated amount paid to the service providers.

•

When claims are recorded gross, the payor’s payment to American CareSource Holdings is recorded as revenue and the American CareSource Holdings’ payment to the service provider is recorded as cost of revenue in the statement of operations. American CareSource Holdings does, however, record revenue on a net basis when an agency relationship exists. When American CareSource Holdings receives a fee for claims processing and there are no financial risks to American CareSource Holdings, then only the claims processing fee is recorded as revenue.

•

American CareSource Holdings does not have responsibility to collect co-payments to be made or co-insurance claims to be received. Accordingly, co-payments or co-insurance claims collected are not recorded as either revenue or cost of sales.

Off-balance sheet arrangements

American CareSource Holdings does not have any material off-balance sheet arrangements at June 30, 2006 or June 30, 2005, or for the periods then ended.

Pending Accounting Pronouncements

In December 2004, the FASB issued SFAS No. 153, “Exchanges of Nonmonetary Assets-an amendment of APB Opinion No. 29” (“SFAS No. 153”), addressing the measurement of exchanges of nonmonetary assets. SFAS No. 153 eliminates the exception from fair value measurement for nonmonetary exchanges of similar production assets in APB Opinion No. 29 “Accounting for Nonmonetary Exchanges,” and replaces it with an exception for exchanges that do not have commercial substance. SFAS No. 153 is effective for nonmonetary asset exchanges occurring in fiscal periods beginning after June 15, 2005 with earlier application permitted. American CareSource Holdings does not expect adoption of the provisions of SFAS No. 153 to have material impact on the consolidated financial statement, results of operations or liquidity of American CareSource Holdings.

Item 3. Controls and Procedures

Evaluation of Disclosure Controls and Procedures. Our management, with the participation of our Chief Executive Officer, Chief Financial Officer, and Principal Accounting Officer, has evaluated the effectiveness of our disclosure controls and procedures as of June 30, 2006. Based upon this evaluation, our Chief Executive Officer, Chief Financial Officer, and Principal Accounting Officer concluded that our disclosure controls and procedures (as defined in Rules 130-15(e) and 15(d)-15(e) under the Securites and Exchange Act of 1934) are effective for the recording, processing, summarizing and reporting the information that American CareSource Holdings is required to disclose in the reports it files under the Securities Exchange Act of 1934, within the time periods specified in the SEC’s rules and forms.

Changes in Internal Controls. There were no significant changes in American CareSource Holdings’ internal controls or in other factors that could significantly affect these controls subsequent to the date of their evaluation, including any corrective actions with regard to significant deficiencies and material weaknesses.

RISK FACTORS

You should carefully consider each of the following risk factors and all of the other information in this report. The following risks relate principally to American CareSource Holdings’ business. If any of the following risks actually occur, the business, financial condition or results of operations of American CareSource Holdings could be materially adversely affected. As a result, the market price of shares of American CareSource Holdings common stock could decline significantly.

American CareSource Holdings has a history of losses, has never been profitable and will likely continue to lose money for the foreseeable future.

American CareSource Holdings has incurred net losses in each year since its inception in December 2003 and has an accumulated deficit of approximately $5.8 million as of June 30, 2006. Its predecessor never achieved profitability either. American CareSource Holdings will require significant growth in either claims volume for existing contracts, new contracts or both in order to generate sufficient operational margin to become profitable. No assurances can be given that American CareSource Holdings will be able to generate additional revenues or ever operate profitably in the future. American CareSource Holdings prospects must be considered in light of the numerous risks, expenses, delays and difficulties frequently encountered in an industry characterized by intense competition, as well as the risks inherent in the development of new programs and the commercialization of new services particularly given its failure to date to operate profitably.

American CareSource Holdings has faced working capital shortfalls and may need to identify additional sources of capital within 12 months to maintain its operations.

American CareSource Holdings has never earned profits. Based on American CareSource Holdings’ current plans, and as a result of the March 2006 private placement, the Company believes that it has sufficient funds to meet its operating expenses and capital requirements through 2006. If the Company is unable reach profitability within the year, it will need to raise additional funds to continue is operations following that period. No assurance can be given that American CareSource Holdings will be able to obtain financing, or successfully sell assets or stock, or, even if such transactions are possible, that they will be on terms reasonable to American CareSource Holdings or that such transactions will enable American CareSource Holdings to satisfy its cash requirements. If American CareSource Holdings does not obtain additional funds, American CareSource Holdings will likely be required to eliminate programs, delay development of its products, alter its business plans, or in the extreme situation, cease operations.

American CareSource Holdings is dependent on payments from third party payors who may reduce rates of reimbursement.

The profitability of American CareSource Holdings will depend on payments provided by third-party payors. Competition for patients, efforts by traditional third-party payors to contain or reduce healthcare costs and the increasing influence of managed care payors such as health maintenance organizations in recent years have resulted in reduced rates of reimbursement. If these trends continue, they could adversely affect American CareSource Holdings’ results of operations unless American CareSource Holdings can implement measures to offset the loss of revenues and decreased profitability. In addition, changes in reimbursement policies of private and governmental third-party payors, including policies relating to the Medicare and Medicaid programs, could reduce the amounts reimbursed to these customers for American CareSource Holdings’ services and consequently, the amount these customers would be willing to pay for the services.

American CareSource Holdings has a limited number of customers, a few of which account for a substantial portion of its business.

American CareSource Holdings’ five largest customers account for approximately 92% of its revenues quarter ending June 30, 2005 and 98% of its revenue during the quarter ended June 30, 2006. Significant declines in the level of use of American CareSource Holdings services by one or more of these customers could have a material adverse effect on American CareSource Holdings’ business and results of operations.

Additionally, an adverse change in the financial condition of any of these customers, including an adverse change as a result of a change in governmental or private reimbursement programs, could have a material adverse effect on its business. No assurance can be given that American CareSource Holdings will not lose additional substantial customers in the future.

American CareSource Holdings is dependent upon discounted rates made available by ancillary service providers which may be discontinued at any time.

American CareSource Holdings obtains revenue from cost savings that it is able to receive from the ancillary service providers and pass on to customers. Should the ancillary service providers not continue to provide a discount to American CareSource Holdings, American CareSource Holdings will be unable to recognize any gain from the sale of services to payors or networks. If American CareSource Holdings is unable to recognize these margins, it will be unable to continue its business as it is currently conducted.

American CareSource Holdings historically has not entered into any long-term contracts with any of its customers and failure to retain such customers could have a material adverse effect on American CareSource Holdings’ business and results of operations.

Generally, American CareSource Holdings does not have any long-term contracts with any of its customers. Currently, American CareSource Holdings only has one long-term contract with its customers that is set to extend beyond the next twelve months. In the aggregate, customer agreements that are set to expire within the next twelve months accounted for 60% of the revenues of American CareSource Holdings during the quarter ended June 30, 2006. There can be no assurance that customers will maintain their agreements with American CareSource Holdings or that customers will renew their contracts upon expiration, or on terms favorable to, American CareSource Holdings. Consequently, the failure to retain such customers could have a material adverse effect on American CareSource Holdings’ business and results of operations.

Changes in state and federal regulations could restrict American CareSource Holdings’ ability to conduct its business.

Numerous state and federal laws and regulations affect American CareSource Holdings’ business and operations. These laws and regulations include, but are not necessarily limited to:

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healthcare fraud and abuse laws and regulations, which prohibit illegal referral and other payments;

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Employee Retirement Income Security Act of 1974 and related regulations, which regulate many healthcare plans;

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mail pharmacy laws and regulations;

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privacy and confidentiality laws and regulations;

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consumer protection laws and regulations;

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legislation imposing benefit plan design restrictions;

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various licensure laws, such as managed care and third party administrator licensure laws;

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drug pricing legislation; and

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Medicare and Medicaid reimbursement regulations.

American CareSource Holdings believes it is operating its business in substantial compliance with all existing legal requirements material to the operation of its business. There are, however, significant uncertainties regarding the application of many of these legal requirements to its business, and there cannot be any assurance that a regulatory agency charged with enforcement of any of these laws or regulations will not interpret them differently or, if there is an enforcement action, that American CareSource Holdings’ interpretation would prevail. In addition, there are numerous proposed healthcare laws and regulations at the federal and state levels, many of which could materially affect American CareSource Holdings’ ability to conduct its business or adversely affect its results of operations.

If American CareSource Holdings fails to comply with the requirements of HIPAA, it could face sanctions and penalties.

HIPAA provides safeguards to ensure the integrity and confidentiality of such health information. Violation of the standards is punishable by fines and, in the case of wrongful disclosure of individually identifiable health information, imprisonment. Although American CareSource Holdings intends to comply with all applicable laws and regulations regarding medical information privacy, failure to do so could have an adverse effect on American CareSource Holdings’ business.

There are large competitors in the healthcare industry that could choose to compete against American CareSource Holdings, reducing American CareSource Holdings’ profit margins.

Traditional health insurance companies, preferred provider networks, and pharmacy benefit managers (“PBM’s”) are potential competitors of American CareSource Holdings. These companies include well-established companies which may have greater financial, marketing and technological resources than American CareSource Holdings, such as Merck-Medco, Express Scripts and Caremark Rx. Competition in the marketplace has caused many PBM’s to reduce the prices charged to clients for core services and share a larger portion of the formulary fees and related revenues received from drug manufacturers with clients. Increased price competition could reduce American CareSource Holdings’ profit margins and have a material adverse effect on its results of operations.

There are limited barriers to entry into the ancillary services market which could result in greater competition.

Although American CareSource Holdings is not aware of any organization or company that currently provides similar ancillary services management, there are limited barriers to entry into the ancillary services management market. Major benefit management companies and healthcare companies not presently offering ancillary services management may decide to enter the market. These companies may have greater financial, marketing and other resources than American CareSource Holdings. Competition from other companies may have a material adverse effect on American CareSource Holdings’ financial condition and results of operations.

American CareSource Holdings’ inability to react effectively to changes in the healthcare industry could adversely effect its operating results.

In recent years, the healthcare industry has undergone significant change driven by various efforts to reduce costs, including potential national healthcare reform, trends toward managed care, cuts in Medicare reimbursements, and horizontal and vertical consolidation within the healthcare industry. Proposed changes to the U.S. healthcare system may increase governmental involvement in healthcare and ancillary health services, and otherwise change the way payors, networks and providers conduct business. Healthcare organizations may react to these proposals and the uncertainty surrounding them by reducing or delaying purchases of cost control mechanisms and related services that American CareSource Holdings provides. Other legislative or market-driven changes in the healthcare system that American CareSource Holdings cannot anticipate could also materially adversely affect American CareSource Holdings’ business. American CareSource Holdings’ inability to react effectively to these and other changes in the healthcare industry could adversely affect its operating results. American CareSource Holdings cannot predict whether any healthcare reform efforts will be enacted and what effect any such reforms may have on American CareSource Holdings or its customers. The inability of American CareSource Holdings to react effectively to changes in the healthcare industry may result in a material adverse effect on its business.

The continued services and leadership of American CareSource Holdings’ senior management is critical to its ability to maintain growth and any loss of key personnel could adversely affect its business.

The future of the business of American CareSource Holdings depends to a significant degree on the skills and efforts of its senior executives, in particular, Wayne Schellhammer, its Chief Executive Officer and David Boone, its Chief Operating Officer and Chief Financial Officer. If American CareSource Holdings

loses the services of any of its senior executives, and especially if any of its executives joins a competitor or forms a competing company, American CareSource Holdings’ business and financial performance could be seriously harmed. American CareSource Holdings has employment agreements with Mr. Schellhammer and Mr. Boone. Mr. Schellhammer’s initial term under his employment agreement expired October 10, 2005, but was automatically renewed for a successive one year term. Mr. Boone’s initial term under his employment agreement expired April 30, 2006, but automatically renewed for a successive one year term. If, for any reason, we lose any of our executive officers’ skills, knowledge of the industry, contacts and expertise, it could result in a setback to the American CareSource Holdings operating plan.

American CareSource Holdings will incur additional costs as an independent public company and may be unable to operate profitably as a stand-alone company.

American CareSource Holdings will incur significant additional costs as a newly separate and independent public company. These costs include, among other things, additional legal and accounting costs incurred as a result of becoming a public company. Furthermore, American CareSource Holdings will need to put in place the financial, administrative and managerial structure necessary to operate as an independent public company, or the development of such structure may require a significant amount of management’s time and other resources including financial resources, which could hinder American CareSource Holdings’ ability to operate profitably.

American CareSource Holdings may be unsuccessful in the successful hiring and retention of skilled personnel.

The future growth of American CareSource Holdings’ business depends on successful hiring and retention of skilled personnel, and American CareSource Holdings may be unable to hire and retain the skilled personnel it needs to succeed. Qualified personnel are in great demand throughout the healthcare industry. The failure of American CareSource Holdings to attract and retain sufficient skilled personnel may limit the rate at which its business can grow, which will harm its financial performance.

The interruption of data processing capabilities and telecommunications will negatively impact American CareSource Holdings’ operating results.

The business of American CareSource Holdings is dependent upon its ability to store, retrieve, process and manage data and to maintain and upgrade its data processing capabilities. Interruption of data processing capabilities for any extended length of time, loss of stored data, programming errors, other computer problems or interruptions of telephone service could have a material adverse effect on its business.

Any inability to adequately protect its intellectual property could harm American CareSource Holdings’ competitive position.

American CareSource Holdings considers its methodologies, processes and know-how to be proprietary. American CareSource Holdings seeks to protect its proprietary information through confidentiality agreements with its employees. American CareSource Holdings’ policy is to have employees enter into confidentiality agreements containing provisions prohibiting the disclosure of confidential information to anyone outside of American CareSource Holdings, requiring employees to acknowledge, and, if requested, assist in confirming American CareSource Holdings’ ownership of new ideas, developments, discoveries or inventions conceived during employment, and requiring assignment to American CareSource Holdings of proprietary rights to such matters that are related to American CareSource Holdings’ business. There can be no assurance that the steps taken by American CareSource Holdings to protect its intellectual property will be successful. If American CareSource Holdings does not adequately protect its intellectual property, competitors may be able to use its technologies and erode or negate its competitive advantage.

Fluctuations in the number and types of claims processed could make it more difficult to predict American CareSource Holdings’ revenues from quarter to quarter.

Monthly fluctuations in the number of claims American CareSource Holdings processes and the types of claims they process will impact the quarterly and annual results of the Company. American CareSource

Holdings’ discount rate varies by type of service provided and the overall mix of these claims will impact profitability. Consequently, it will be difficult to predict the revenue for American CareSource Holdings from one quarter to another quarter.

Future sales of American CareSource Holdings common stock, or the perception that these sales may occur, could depress the price of American CareSource Holdings’ common stock.

Sales of substantial amounts of American CareSource Holdings common stock, or the perception in the public that such sales may occur, could cause the market price of American CareSource Holdings common stock to decline. This could also impair the ability of American CareSource Holdings to raise additional capital through the sale of equity securities. As of July 25, 2006, American CareSource Holdings has 14,472,248 shares of common stock outstanding. At July 25, 2006, there are outstanding warrants to purchase 1,897,502 shares of common stock and 2,249,329 shares are available for grant (1,809,442 shares have been granted and 1,675,222 options are outstanding as of July 25, 2006) under the American CareSource Holdings, Inc. 2005 Stock Option Plan. If all of the outstanding warrants are exercised and all options available under the American CareSource Holdings, Inc. 2005 Stock Option Plan are issued and exercised, there will be approximately 18,517,540 shares of common stock outstanding. Accordingly, American CareSource Holdings stockholders could experience significant dilution. In addition, American CareSource Holdings will file a registration statement that will register for resale substantially all of its restricted securities, the effect of which could have a depressive effect on the market price of the common stock.

Some of our existing stockholders can exert control over us and may not make decisions that further the best interests of all stockholders.

As of July 25, 2006, our officers, directors and principal stockholders (greater that 5% stockholders) together control beneficially approximately 45.9% of our outstanding common stock. As a result, these stockholders, if they act individually or together, may exert a significant degree of influence over our management and affairs and over matters requiring stockholder approval, including the election of directors and approval of significant corporate transactions. Furthermore, the interests of this concentration of ownership may not always coincide with our interests or the interests of other stockholders and accordingly, they could cause us to enter into transactions or agreements which we would not otherwise consider. In addition, this concentration of ownership may delay or prevent a merger or acquisition resulting in a change in control of us and might affect the market price of our common stock, even when such a change in control may be in the best interest of all stockholders.

Our common stock qualifies as a “penny stock” under Securities and Exchange Commission rules which may make it more difficult for our stockholders to resell their shares of our common stock.

American CareSource Holdings’ common stock trades on the OTC Bulletin Board. As a result, the holders of American CareSource Holdings common stock may find it more difficult to obtain accurate quotations concerning the market value of the stock. Stockholders also may experience greater difficulties in attempting to sell the stock than if it were listed on a stock exchange or quoted on the Nasdaq National Market or the Nasdaq Small-Cap Market. Because our common stock does not trade on a stock exchange or on the Nasdaq National Market or the Nasdaq Small-Cap Market, and the market price of the common stock is, at times, less than $5.00 per share, the common stock qualifies as a “penny stock.” SEC Rule 15g-9 under the Securities Exchange Act, of 1934, as amended (the “Exchange Act”) imposes additional sales practice requirements on broker-dealers that recommend the purchase or sale of penny stocks to persons other than those who qualify as an “established customer” or an “accredited investor.” This includes the requirement that a broker-dealer must make a determination on the appropriateness of investments in penny stocks for the customer and must make special disclosures to the customer concerning the risks of penny stocks. Application of the penny stock rules to our common stock could adversely affect the market liquidity of the shares, which in turn may affect the ability of holders of our common stock to resell the stock.

PART II. OTHER INFORMATION

Item 1. Legal Proceedings.

On March 1, 2006, Dayton Area Health Plan and CareSource Management Group, Co. Inc. (collectively “DAHP”), wrote a letter to American CareSource Holdings informing American CareSource Holdings that it believed American CareSource Holdings is infringing on the designation “CARESOURCE”. DAHP represented to the United States Patent and Trademark Office that it first used the “CARESOURCE” designation on August 25, 2000. American Caresource Holdings, which is the successor-in-interest to Physician’s Referral Network and Patient Infosystems had used the designation “AMERICAN CARESOURCE,” “CARESOURCE,” and other similar designations in connection with its ancillary care business since May 9, 1996. Accordingly, American Caresource Holdings, demanded that DAHP, cease and desist from all use of the “CARESOURCE” designation and related designations, and abandon its registrations of such mark and related marks. No assurance can be given that American CareSource Holdings will prevail or that it will not be required to cease use of the name itself or that it will not incur costs or expenses in connection with the action.

On April 24, 2006, Ancillary Care Management, Inc. (“ACM”) wrote a letter to American CareSource Holdings informing American CareSource Holdings that it believed that American CareSource Holdings’ wholly owned subsidiary Ancillary Care Services is infringing on ACM’s registered mark “ANCILLARY CARE MANAGEMENT”. ACM has asked American CareSource Holdings and Ancillary Care Services to cease and desist the use of the designations ANCILLARY CARE SERVICES, ANCILLARY CARE or any other designations similar to ANCILLARY CARE MANAGEMENT. American CareSource Holdings believes that the claim is without merit and that its use is valid. However, no assurance can be given that American CareSource Holdings will prevail or that it will not be required to cease use of the name itself or that it will not incur costs or expenses in connection with the action.

Item 5. Other Information.

American CareSource Holdings filed a registration statement on Form S-8 covering the 2,249,329 shares of its Employee Stock Option Plan on April 7, 2006. Additionally, on May 11, 2006 the Securities and Exchange Commission declared effective American CareSource Holding’s registration statement on Form SB-2 covering the resale of 4,292,280 shares of common stock from time to time by certain selling stockholders listed therein. Of such shares, (i) 1,859,310 shares were issued pursuant to the distribution by dividend of American CareSource Holdings’ common stock by Patient Infosystems to investors in its October 2005 private offering; (ii) 273,618 shares were issued pursuant to the distribution by dividend of shares of American CareSource Holdings’ common stock by Patient Infosystems as payment of dividends in the October 2005 dividend distribution of Patient Infosystems’ common stock to its Series C and Series D preferred stockholders of Patient Infosystems; and (iii) 2,159,352 shares were issued by American CareSource Holdings in its March 2006 private placement. Of the above amounts, 313,470 shares are issuable upon exercise of certain common stock purchase warrants issued as compensation to Laidlaw & Company (UK) Ltd. for acting as the placement agent in connection with the March 2006 private placement.

On May 23, 2006, David A. George was elected to serve on the American CareSource Holdings, Inc. Board of Directors. Mr. George serves as the chairman of the Compensation Committee and serves as a member of the Corporate Governance Committee. Also on May 23, 2006, American CareSource Holdings Board of Directors adopted a charter for its Governances and Nomination Committee and Compensation Committee.

Item 6. Exhibits.

Exhibit #	Description of Exhibits
3.1(2)	Certificate of Incorporation
3.2(2)	By-Laws
3.3(4)	Amendment to the Certificate of Incorporation, dated May 25, 2005.
3.4(4)	Amendment to the Certificate of Incorporation, dated June 2, 2005.
3.5(7)	Amendment to the Certificate of Incorporation, dated November 14, 2005.
3.6(10)	Certificate of Incorporation of Ancillary Care Services – Group Health, Inc.
3.7(10)	Certificate of Incorporation of Ancillary Care Services – Medicare, Inc.
3.8(10)	Certificate of Incorporation of Ancillary Care Services – Worker’s Compensation, Inc.
3.9(10)	Certificate of Incorporation of Ancillary Care Services, Inc.
4.1(2)	2005 Stock Option Plan.
4.2(3)	Specimen Stock Certificate.
10.01(3)	Employment Agreement, dated October 11, 2004 between the American CareSource Holdings and Wayne A. Schellhammer.
10.02(3)	Employment Agreement, dated May 1, 2005, between the American CareSource Holdings and David Boone.
10.03(2)	Commercial Lease, dated July 1, 1998, between Today Tristar, L.P. and American CareSource Corporation, as amended.
10.04(2)	Lease, dated July 1, 2002, between Madison Square Park, LLC and American CareSource Corporation.
10.05(2)	Credit Agreement, dated December 1, 2004, between Well Fargos Bank, National Association and American CareSource Holdings, Inc.
10.06(2)	Security Agreement, dated December 1, 2004, between Well Fargo Bank, National Association and American CareSource Holdings, Inc.
10.07(2)	First Addendum to Credit Agreement dated February 2, 2005 between Well Fargo Bank, National Association and American CareSource Holdings, Inc.
10.08(3)	Guaranty, dated January 26, 2005, by and between Wells Fargo Bank, National Association, American CareSource Holdings, Inc. and Derace L. Schaffer.
10.09(3)	Guaranty, dated January 26, 2005, by and between Wells Fargo Bank, National Association, American Caresource Holdings, Inc. and John Pappajohn.
10.10(3)	Stock Purchase Warrant, dated January 27, 2005, by and between American CareSource Holdings, Inc. and Derace L. Schaffer.
10.11(8)	Corrected Stock Purchase Warrant, dated January 27, 2005, by and between American CareSource Holdings, Inc. and John Pappajohn.
10.12(3)	Transitional Services Agreement, by and between Patient Infosystems, Inc. and American CareSource Holdings, Inc.
10.13(6)	Second Addendum to Credit Agreement dated August 9, 2005 between Wells Fargo Bank, National Association and American CareSource Holdings, Inc.
10.14(5)	Consent to Second Addendum to Credit Agreement, Ratification of Guaranty and Waiver of Claims, dated August 9, 2005 from John Pappajohn.

10.15(5)	Consent to Second Addendum to Credit Agreement, Ratification of Guaranty and Waiver of Claims, dated August 9, 2005 from Derace L. Schaffer.
10.16(5)	Consent to Second Addendum to Credit Agreement, Ratification of Guaranty and Waiver of Claims, dated August 9, 2005 from Matthew P. Kinley.
10.17(5)	Guaranty, dated August 9, 2005, by and among Wells Fargo Bank, National Association, American Caresource Holdings, Inc. and John Pappajohn.
10.18(5)	Guaranty, dated August 9, 2005, by and among Wells Fargo Bank, National Association, American CareSource Holdings, Inc. and Derace L. Schaffer.
10.19(5)	Guaranty, dated August 9, 2005, by and among Wells Fargo Bank, National Association, American CareSource Holdings, Inc. and Matthew P. Kinley.
10.20(5)	Guarantors’ Letter, dated August 9, 2005 by and among Wells Fargo Bank, National Association, John Pappajohn, Derace L. Schaffer and Matthew P. Kinley.
10.21(5)	Creditor Agreement, dated August 26, 2005 among American CareSource Holdings, Inc., John Pappajohn, Derace L. Schaffer and Matthew P. Kinley.
10.22(5)	Stock Purchase Warrant, dated August 15, 2005, by and among American CareSource Holdings, Inc. and John Pappajohn.
10.23(5)	Stock Purchase Warrant, dated August 15, 2005, by and among American Caresource Holdings, Inc. and Derace L. Schaffer.
10.24(5)	Stock Purchase Warrant, dated August 15, 2005, by and among American Caresource Holdings, Inc. and Matthew P. Kinley.
10.25(9)	Third Addendum to the Credit Agreement, dated December 28, 2005, by and between Wells Fargo Bank, National Association and American CareSource Holdings, Inc.
10.26(9)	Consent to Third Addendum to Credit Agreement, Ratification of Guaranty and Waiver of Claims, dated December 28, 2005 from John Pappajohn.
10.27(9)	Guaranty, dated December 28, 2005, by and among Wells Fargo Bank, National Association, American CareSource Holdings, Inc. and John Pappajohn.
10.28(10)	Form of Registration Rights Agreement used in March 2006 private placement.
10.29(10)	Form of Subscription Agreement used in March 2006 private placement.
10.30(10)	Amended and Restated Stock Purchase Warrant, dated March 30, 2006, by and between American CareSource Holdings, Inc. and John Pappajohn (amends Stock Purchase Warrant, dated January 27, 2005).
10.31(10)	Amended and Restated Stock Purchase Warrant, dated March 29, 2006, by and between American CareSource Holdings, Inc. and Derace L. Schaffer (amends Stock Purchase Warrant, dated January 27, 2005).
10.31(10)	Amended and Restated Stock Purchase Warrant, dated March 29, 2006, by and between American CareSource Holdings, Inc. and John Pappajohn (amends Stock Purchase Warrant, dated August 15, 2005).
10.32(10)	Amended and Restated Stock Purchase Warrant, dated March 29, 2006, by and between American CareSource Holdings, Inc. and Derace L. Schaffer (amends Stock Purchase Warrant, dated August 15, 2005).
10.33(10)	Amended and Restated Stock Purchase Warrant, dated March 30, 2006, by and between American CareSource Holdings, Inc. and Matthew P. Kinley (amends Stock Purchase Warrant, dated January 27, 2005).

10.34	Lease dated June 14, 2006 between American CareSource Holding and TR LBJ Campus Partners, L.P.
14.1(10)	Code of Ethics
20.1	Governance and Nomination Committee Charter
20.2	Audit Committee Charter
20.3	Compensation Committee Charter
31.1	Certification of the Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
31.2	Certification of the Chief Financial Officer and Chief Operating Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
31.3	Certification of the Principal Accounting Officer and Controller pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
32.1	Certification pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

(1)	Previously filed with the Securities and Exchange Commission as an Exhibit to the Form SB-2 filed on February 14, 2005 and incorporated herein by reference.

(2)	Previously filed with the Securities and Exchange Commission as an Exhibit to Amendment No. 1 to the Form SB-2 filed May 13, 2005 and incorporated herein by reference.

(3)	Previously filed with the Securities and Exchange Commission as an Exhibit to Amendment No. 2 to the Form SB-2 filed June 15, 2005 and incorporated herein by reference.

(4)	Previously filed with the Securities and Exchange Commission as an Exhibit to Amendment No. 5 to the Form SB-2 filed August 12, 2005 and incorporated herein by reference.

(5)	Previously filed with the Securities and Exchange Commission as an Exhibit to Amendment No. 6 to the Form SB-2 filed September 14, 2005 and incorporated herein by reference.

(6)	Previously filed with the Securities and Exchange Commission as an Exhibit to Amendment No. 7 to the Form SB-2 filed September 30, 2005 and incorporated herein by reference.

(7)	Previously filed with the Securities and Exchange Commission as an Exhibit to Amendment No. 8 to the Form SB-2 filed November 18, 2005 and incorporated herein by reference.

(8)	Previously filed with the Securities and Exchange Commission as an Exhibit to Amendment No. 9 to the Form SB-2 filed December 5, 2005 and incorporated herein by reference.

(9)	Previously filed with the Securities and Exchange Commission as an Exhibit to the Form 8-K/A filed January 13, 2006 and incorporated herein by reference.

(10)	Previously filed with the Securities and Exchange Commission as an Exhibit to the Form 10-KSB filed March 31, 2006 and incorporated herein by reference.

SIGNATURES

In accordance with the requirements of the Exchange Act of 1934, the registrant caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

			American CareSource Holdings, Inc.
Date:	August 11, 2006	By:	/s/ Wayne A. Schellhammer
			Wayne A. Schellhammer Chief Executive Officer

Date:	August 11, 2006	By:	/s/ David S. Boone
			David S. Boone Chief Operating Officer and Chief Financial Officer

Date:	August 11, 2006	By:	/s/ Steven M. Phillips
			Steven M. Phillips Controller and Principal Accounting Officer