X0304 4 2011-12-21 0 0001316645 American Caresource Holdings, Inc. ANCI 0000897464 PAPPAJOHN JOHN C/O AMERICAN CARESOURCE HOLDINGS, INC. 5429 LYNDON B JOHNSON FREEWAY DALLAS TX 75240 1 0 0 0 Common Stock, $0.01 par value per share 2011-12-21 4 P 0 35000 .43 A 5047059 D Common Stock, $0.01 par value per share 65375 I See Footnote Common Stock, $0.01 par value per share 30000 I See Footnote Includes 3,333 restricted stock units, not all of which have vested. Held by entities solely owned by the Reporting Person. Held by Reporting Person's spouse and entity solely owned by Reporting Peron's spouse. /s/ John Pappajohn 2011-12-22