Document:

[LOGO] Wells Fargo Bank,
       National Association                                    Personal Guaranty

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Wells Fargo Bank, National Association        American CareSource Holdings, Inc.
666 Walnut Street, PO Box 837                 8080 Tristar Drive, Suite 100
Des Moines, Iowa 50304-0837                   Irving, TX 75063
(the "Bank")                                  (the "Borrower")

Dated: December 28, 2005

      FOR VALUABLE CONSIDERATION, and to induce the Bank in its sole discretion
to make loans or extend other accommodations to or for the account of the
Borrower, the undersigned gives this Personal Guaranty (the "Guaranty"), and
absolutely and unconditionally guarantees to the Bank the full and prompt
payment of each and every debt, liability or obligation of the Borrower to the
Bank relating to or arising out of the Credit Agreement between Borrower and
Bank with an effective date of December 1, 2004, as amended from time to time,
together with any deposit account related overdrafts of the Borrower. (All such
obligations, including but not limited to every promissory note, instrument, or
other agreement given by the Borrower evidencing any such obligations, and any
extensions, renewals, replacements or refinancings of same, to collectively be
referred to as the "Indebtedness".)

      This Guaranty is an absolute, unconditional and continuing guaranty of
payment of the Indebtedness and shall continue to be binding upon the
undersigned, whether or not all Indebtedness is paid in full, until this
Guaranty is revoked prospectively in writing as to future transactions. Such
revocation shall not be effective until actually received in writing by the Bank
and then shall not be effective as to Indebtedness existing or committed to at
the time of revocation, and shall not be effective as to renewals, extensions,
or refinancings of existing Indebtedness, whether such Indebtedness is renewed
before or after receipt of such notice of revocation. The death or incompetence
of the undersigned shall not revoke this Guaranty until written notice of such
death or incompetence is actually received by the Bank, and then only
prospectively as to future transactions as set forth above.

      Notwithstanding the preceding paragraphs, the liability of the undersigned
under this Guaranty shall be limited to a principal amount of $3,925,000.00,
plus accrued interest on the full amount of the Indebtedness and all attorneys'
fees, collection costs and enforcement expenses incurred by the Bank in
collecting on and enforcing its rights under the Indebtedness and incurred in
connection with the protection, defense or enforcement or this Guaranty in any
litigation or bankruptcy proceedings. The Indebtedness may be created and
continued in any amount, whether or not in excess of such principal amount,
without reducing or impairing the liability of the undersigned under this
Guaranty. Any payment made by the undersigned under this Guaranty shall be
effective to reduce or discharge the undersigned's liability only if accompanied
by a written transmittal document, received by the Bank and advising it that
such payment is made under this Guaranty for such purpose.

      The undersigned further acknowledges and agrees with Bank that:

1. No act or event need occur to establish the liability of the undersigned
under this Guaranty, and no act or event, except full payment and discharge of
all Indebtedness, shall exonerate and discharge the liability of the undersigned
under this Guaranty.

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2. If the undersigned dies or becomes insolvent (however defined) then the Bank
may declare immediately due and payable the obligations of the undersigned under
this Guaranty, and the undersigned shall immediately pay to the Bank the full
amount of all Indebtedness, whether due and payable or unmatured. If the
undersigned voluntarily commences or there is commenced involuntarily against
the undersigned a case under the United States Bankruptcy Code, the obligations
of the undersigned under this Guaranty shall immediately be due and payable
without the necessity of demand or notice.

3. The undersigned will not exercise or enforce any right of contribution,
reimbursement, recourse or subrogation available to the undersigned against the
Borrower or any person liable for payment of the Indebtedness, or as to any
collateral securing the Indebtedness, unless and until all of the Indebtedness
shall have first been fully paid and discharged.

4. The Bank may in its discretion enter into transactions resulting in the
creation or continuance of Indebtedness, without notice to or the consent or
approval of the undersigned, regardless of whether or not any existing
relationship between the Borrower and the undersigned has been revoked and
regardless of whether this Guaranty has been revoked.

5. The liability of the undersigned shall not be reduced or impaired by any of
the following acts or events (which the Bank, after advance notification to the
Undersigned, is expressly authorized to do, omit or suffer from time to time,
both before and after revocation of this Guaranty, without the consent or
approval of the undersigned): (a) any acceptance of collateral security,
guarantors, accommodation parties or sureties for any or all of the
Indebtedness; (b) any one or more extensions or renewals of Indebtedness
(whether or not for a period longer than the original period) or any
modification of the interest rate, maturity or other contractual terms
applicable to all or part of the Indebtedness; (c) any waiver or indulgence
granted to Borrower, any delay or lack of diligence in the enforcement of the
Indebtedness, or any failure to institute proceedings, file a claim, give any
required notices or otherwise protect any of the Indebtedness; (d) any full or
partial release of, settlement with, or agreement not to sue, Borrower or any
other guarantor or other person liable with respect to any of the Indebtedness;
(e) any discharge of any evidence of Indebtedness or the acceptance of any
instrument renewing or refinancing the Indebtedness; (f) any failure to obtain
collateral security (including rights of setoff) for the indebtedness, or to
assure its proper or sufficient creation, perfection, or priority, or to
protect, insure, or enforce any collateral security; or any modification,
substitution, discharge, impairment, or loss of such collateral security; (g)
any foreclosure or enforcement of any collateral security by the Bank or any
other creditor of the Borrower with a security interest in the collateral
security; (h) any assignment or transfer of any Indebtedness or documentation
evidencing the Indebtedness; (i) any order of application of any payments or
credits upon the Indebtedness from the Borrower, the undersigned, or any other
person; and (j) any election by the Bank under ss.1111(b)(2) of the United
States Bankruptcy Code.

6. The undersigned waives any and all defenses, claims and discharges of
Borrower, or any other obligor, pertaining to the Indebtedness, except the
defense of discharge by payment in full. Without limiting the generality of the
preceding sentence, the undersigned will not assert, plead or enforce against
the Bank any defense of waiver, release, discharge in bankruptcy, statute of
limitations, res judicata, statute of frauds, anti-deficiency statute,
misrepresentation or fraud, incapacity, minority, usury, illegality or
unenforceability which may be available to Borrower or any other party liable
for payment of any of the Indebtedness, or any setoff available against the Bank
to Borrower or any such other person, whether or not on account of a related
transaction. The undersigned shall be liable for any deficiency remaining after
foreclosure of any mortgage; deed of trust or security interest securing the
lndebtedness, whether or not the liability of the Borrower or any other obligor
for such deficiency is discharged pursuant to statute or judicial decision.

7. The Bank may in its sole discretion demand that the undersigned discharge its
obligations under this Guaranty at any time, whether at the time of the
scheduled or accelerated maturity of the Indebtedness or at any earlier or later
time, and regardless of whether there has

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been a default with respect to the Indebtedness. The Bank shall not be required
to first resort for payment of the Indebtedness to the Borrower or to any other
person or their properties, or to first enforce, realize upon, or exhaust any
collateral security given to secure the Indebtedness before enforcing this
Guaranty. The undersigned waives presentment, demand for payment, notice of
dishonor or nonpayment, and protest of any instrument evidencing part or all of
the Indebtedness.

8. If any payment applied by the Bank to the Indebtedness is later set aside,
recovered, rescinded or required to be returned for any reason (including,
without limitation, the bankruptcy, insolvency or reorganization of the Borrower
or any other obligor), the Indebtedness to which such payment was applied shall
for the purposes of this Guaranty be deemed to have continued in existence,
notwithstanding such application, and this Guaranty shall be enforceable as to
such Indebtedness as fully as if such application had never been made.

9. The liability of the undersigned under this Guaranty is in addition to and
cumulative with all other liabilities of the undersigned to the Bank as a
guarantor or otherwise; without limitation as to amount, unless the instrument
or agreement evidencing or creating such other liability specifically provides
to the contrary.

10. This Guaranty shall be enforceable regardless of the failure of other
persons to sign other guaranties of the Indebtedness. This Guaranty shall be
effective upon delivery to the Bank, without further act, condition or
acceptance by the Bank, shall be binding upon the undersigned and the heirs,
representatives, successors and assigns of the undersigned for the benefit of
the Bank and its participants, successors and assigns. Any invalidity or
unenforceability of any provision or application shall not affect other lawful
provisions and applications of this Guaranty, which is severable. This Guaranty
may not be waived, modified, amended, terminated, released or otherwise changed
except by a writing signed by both the undersigned and the Bank. This Guaranty
is issued in and shall be governed by the laws of the State of Iowa.

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                        WAIVER OF RIGHT TO TRIAL BY JURY

The undersigned hereby waives the right to a trial by jury in any action
relating to this Guaranty
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      IN WITNESS WHEREOF, this Guaranty has been duly executed on the above date
by the undersigned. Undersigned acknowledges receipt of a copy of this
agreement.

                                                  /s/ John Pappajohn
                                                  ------------------------------
                                                  John Pappajohn

                                                  Address:
                                                  2116 Financial Center
                                                  666 Walnut Street
                                                  Des Moines, IA 50309

                                        3Cognos Ex 10.32 71415

Exhibit 10.32 

COGNOS 

EMPLOYEE STOCK PURCHASE
PLAN 

TERMS AND CONDITIONS 

	 	
(Amendment
approved by Cognos Board of Directors on May 10, 2002 approved by its Shareholders on July
2, 2002, and approved by the TSX on September 4, 2002. Amendment approved by
Cognos Board of Directors on April 7, 2005 and approved by its Shareholders on June 23,
2005 and by the TSX, Amendment approved by Cognos Board of Directors on November 21,
2005.)

	1.	 	PURPOSE
	 	 	 
	 	 	
Participation
in the Cognos Employee Stock Purchase Plan (the “Plan”) is being extended to all
full-time and part-time permanent employees of the Cognos group of companies (the
“Corporation”). An employee can enroll in the Plan at any time between December
1, 1993 and November 30, 2008. The Plan is intended to provide a further incentive for
employees to promote the best interests of the Corporation and an additional opportunity
to participate in its economic progress. The stock subject to this Plan shall be shares of
the Corporation’s authorized but unissued common stock, no par value. The aggregate
number of shares which may be issued pursuant to the Plan is 3,000,000 (1,500,000
pre-split common shares). 
	 	 	 
	2.	 	PAYROLL DEDUCTION
	 	 	 
	 	 	
Under
the Plan each participating employee (the “Employee”) can elect to have the
Corporation deduct an amount per pay period not to exceed 5% of his/her annual target
salary divided by the number of pay periods per year provided such amount is greater than
$10.00 per month. Commencing on December 1, 1993, the Corporation shall accumulate in its
general fund on behalf of each Employee the deductions made in each of the
Corporation’s fiscal quarters (a “Purchase Period”). An Employee may elect
to change the amount deducted at any time to become effective at the beginning of the next
Purchase Period. 
	 	 	 
	3.	 	DATE OF ACQUISITION
	 	 	 
	 	 	
On
the first trading day after the end of each Purchase Period (the “Date of
Acquisition”) (i.e., March 1, 1994, June 1, 1994, September 1, 1994 and December 1,
1994 etc. through to November 30, 2008) each Employee’s cumulative deductions shall
be applied towards the purchase of common shares of Cognos Incorporated (the “Common
Shares”). 
	 	 	 
	4.	 	PRICE OF ACQUISITION
	 	 	 
	 	 	
The
purchase price per share shall be at a 10% discount from the lesser of the simple average
of the average of the high and low prices of the Common Shares on The Toronto Stock
Exchange (T.S.E.) on each of (a) the first trading day of the Purchase Period and the last
four trading days of the immediately preceding Purchase Period or (b) the last five trading days of the
Purchase Period. 

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	5.	 	RECORD OF ACQUISITION
	 	 	 
	 	 	
Within
one month after each Date of Acquisition, each Employee shall be furnished with a record
of the shares purchased, the purchase price per share, and the balance remaining in
his/her account along with the stock certificate covering the shares purchased. No partial
shares shall be issued. Amounts remaining in an Employee’s account which are
insufficient to purchase a whole share shall form the opening balance for the subsequent
Purchase Period. 
	 	 	 
	6.	 	TAX CONSEQUENCES
	 	 	 
	 	 	
Because
the Plan is available to employees of all of the Cognos group of companies worldwide, no
attempt has been made to determine the many special provisions which could be applicable
to a particular situation. Employees should consult their own tax advisors to determine
the specific tax consequences to them. 
	 	 	 
	7.	 	TRANSFERABILITY OF
SHARES
	 	 	 
	 	 	
The
Common Shares issued will be freely transferable on the T.S.E. and in the over-the-counter
market in the United States, subject to the requirement that any resales by
“affiliates” of the Corporation must be made pursuant to Rule 144 of the United
States Securities Act. 
	 	 	 
	8.	 	WITHDRAWAL AND
TERMINATION
	 	 	 
	 	 	
An
employee may withdraw from the Plan at any time by providing written notice to the
attention of: 
	 	 	 
	 	 	
                                                           The Corporate Secretary

                                                             Cognos Incorporated

                                                                P.O. Box 9707

                                                             3755 Riverside Drive

                                                               Ottawa, Ontario

                                                                   K1G 4K9
	 	 	 
	 	 	
Upon
withdrawal all deducted amounts which have not been applied to the purchase of shares
shall be returned to the Employee. No interest will be payable to any Employee in respect
of deductions made under the Plan. 
	 	 	 
	 	 	
Termination
of employment for whatever cause shall constitute withdrawal from the Plan. On termination
all outstanding deductions which have not been applied to the purchase of shares shall be
immediately returned to the Employee. 

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	9.	 	ADMINISTRATION
	 	 	 
	 	 	
Rights
under the Plan are not transferable by an Employee to any other person. All funds received
by the Corporation under the Plan shall be included in the general fund of the
Corporation. This Plan will be administered by the Corporate Secretary whose decisions
with regard thereto shall be final and conclusive. The Plan shall be governed by the laws
of the Province of Ontario. 
	 	 	 
	10.	 	ELECTION TO
PARTICIPATE
	 	 	 
	 	 	
In
order to participate in the Plan an employee must complete the attached Election to
Participate form by filling in the date deductions are to commence and the amount of money
per pay period which he/she desires to have withheld. The form must then be dated, signed
and returned to the Corporate Secretary. An Employee’s participation in the Plan will commence at
 the beginning of the next Purchase Period.
	 	 	 
	 	 	
If
you have any questions, please contact the Coordinator Shareholder Relations at the
Ottawa-Riverside office (738-1338 ext. 3392). 
	 	 	 
	11.	 	RESTRICTION ON
PURCHASES
	 	 	 
	 	 	
No
employee of the Corporation may purchase Common Shares under the Plan that, together with
all of the Corporation’s previously established or proposed share compensation
arrangements, could result, at any time, in:

(a)    the number of Common Shares purchased or
reserved for issuance to such persons exceeding ten per cent (10%) of the number of Common
Shares outstanding on a non-diluted basis at such time (“outstanding issue”);

(b)    the purchase or issue to such persons, within a one-year period, of more than ten per
cent (10%) of the outstanding issue of Common Shares; or

(c)    the purchase or issue to any
one of such persons, within a one-year period, of more than five per cent of the
outstanding issue of Common Shares.

The
foregoing limits will be adjusted to reflect any adjustments in the capital of the
Corporation. 

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ELECTION TO PARTICIPATE 

	TO:  	   	COGNOS
 INCORPORATED and its subsidiaries and affiliates (the “Corporation”) 

I, the undersigned, acknowledge having
received and read the Cognos Employee Stock Purchase Plan (the “Plan”) and agree
to the terms contained therein. I hereby authorize the Corporation in accordance with the
terms of the Plan commencing on the first pay period of the next fiscal quarter of the
Corporation, to withhold by way of payroll deduction the following amount:
      
            
            
       per pay period. 

(NOTE:  The amount indicated
may not exceed 5% of your target salary divided by the number of pay periods per year).

Unless given notice of any withdrawal
from the Plan, I further authorize and direct the Corporation on my behalf to apply the
proceeds from such deductions towards purchase of Common Shares of Cognos Incorporated on
the first trading day after the end of each Purchase Period. 

I recognize and agree that purchase of
such shares is conditional upon my being a full-time employee of the Corporation at the
time of purchase. I acknowledge and agree that termination of employment for whatever
cause shall render my participation in the Plan null and void and all deductions made on
my behalf since the end of the fiscal quarter which preceded my termination shall be
returned to me in full. 

	 	 	Signature:	 	_________________________________ 	 
		 
		 
	 	 	Name:	 	_________________________________	 
	 	 	(Please Print)	 		 
		 
	 	 	Date:	 	_________________________________	 
		 
	 	 	Home Address:	 	_________________________________	 
		 
	 	 		 	_________________________________	 

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