|   |                            |                                     |                |   |
|--------|---------------------------------|------------------------------------------|---------------------|--------|
|   | DELAWARE                        |                                     | 20-0428568          |   |
|   | (State or other jurisdiction of |                                     | (I.R.S. employer    |   |
|   | incorporation or organization)  |                                     | identification no.) |   |
|   |                            |                                     |                |   |
|   |                            | 5429 LYNDON B. JOHNSON FREEWAY           |                |   |
|   |                            | SUITE 850                                |                |   |
|   |                            | DALLAS, TEXAS                            |                |   |
|   |                            | 75240                                    |                |   |
|   |                            | (Address of principal executive offices) |                |   |
|   |                            | (Zip code)                               |                |   |

|                                                                         |                        |
|------------------------------------------------------------------------------|-----------------------------|
| Large accelerated filer o                                                    | Non-accelerated filer o     |
| Accelerated filer  o (do not check if a smaller reporting company) | Smaller Reporting Company x |

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| ITEM 6.    Exhibits |
|-----------------------------------------|

|                 |                                                                                                                                                                                                                                                                                         |
|----------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Exhibit 10.19 * | Provider Services Agreement, dated as of August 1, 2002, by and among the Company, HealthSmart Holdings, Inc. and HealthSmart Preferred Care II, L.P, and Amendment No. 1, 2, 3 and 4 thereto, dated September 1, 2005, January 1, 2007, July 31, 2007, and December 20, 2008, respectively. |
|                 |                                                                                                                                                                                                                                                                                         |
| Exhibit 10.21 * | Ancillary Care Services Network Access Agreement, dated as of July 2, 2007, by and between the Company and Texas True Choice, Inc. and its subsidiaries, and Amendment thereto, dated December 31, 2009.                                                                                     |
|                 |                                                                                                                                                                                                                                                                                         |
| Exhibit 31.1         | Certification Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002                                                                                                                                                                                                                      |
|                 |                                                                                                                                                                                                                                                                                         |
| Exhibit 31.2         | Certification Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002                                                                                                                                                                                                                      |

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|   |   |                                     |                                                  |
|--------|--------|------------------------------------------|-------------------------------------------------------|
|   |   | AMERICAN CARESOURCE HOLDINGS, INC.  |
|   |   |                                     |                                                  |
|   |   | By:                                      | /s/ David S. Boone                                    |
|   |   |                                     | David S. Boone                                        |
|   |   |                                     | Chief Executive Officer (Principal Executive Officer) |

|   |         |   |                                                                                   |
|--------|--------------|--------|----------------------------------------------------------------------------------------|
|   |         | By:    | /s/ Matthew D. Thompson                                                                |
|   |         |   | Matthew D. Thompson                                                                    |
|   |         |   | Chief Financial Officer (Principal Financial Officer and Principal Accounting Officer) |
| Date:  | July 8, 2011 |   |                                                                                   |