DALLAS, TX today announced record financial and operational results for the fourth quarter and year ended December 31, 2007. Highlights include:

-- Reported a quarterly profit of $319 thousand in net income, or $0.02 per share -- the largest profit in the Company's history.

-- Achieved $10.1 million in revenue for the quarter, a record 260% rise in revenues for Q4 2007 compared to Q4 2006.

-- Achieved $23.5 million in revenue for the year, a 106% increase in revenues for 2007 compared to 2006.

-- Generated EBITDA, as adjusted, of $222 thousand for the quarter and $(85) thousand for the year.

     --  EBITDA, as adjusted, (a non-GAAP measure) is defined as income
         (loss) from operations less depreciation and amortization,
         non-cash warrant and option compensation expense and executive
         severance. EBITDA, as adjusted, should be considered in addition
         to, but not in lieu of, income (loss) from operations reported
         under generally accepted accounting principles (GAAP).

-- The Company finished the year with $4.3 million in cash on hand and generated $687 thousand in cash from operating activities in the fourth quarter.

-- Claims volume increased to 51,039 for Q4 2007, up 243% over Q4 2006.

-- Recent key executive additions:

     --  Cornelia Outten appointed to Vice President of Network Development
     --  Rost A. Ginevich named Chief Information Officer

Commenting on today's announcement, David S. Boone, Chief Executive Officer of American CareSource, stated, "We are delighted to report such strong financial results for the fourth quarter and year ended December 31, 2007. We worked diligently during the past year to make the transition from a network provider to an ancillary services provider that works in true partnership with its clients, and I am pleased to say that we achieved this goal. As a result, we were successful in adding new clients while expanding many of our existing client relationships. This has translated into a greater than tripling of revenues for the fourth quarter of 2007 compared to 2006 and a substantial increase in claims volume for the period.

"Our continued growth has necessitated an expansion of the management team. In February 2008, Cornelia Outten was appointed to the position of Vice President of Network Development and, just recently, Rost Ginevich joined the Company in the newly created position of Chief Information Officer. Cornelia and Rost each bring to American CareSource over 20 years of experience in their fields of expertise and are already contributing greatly to our growth goals."

Revenues for the fourth quarter of 2007 rose 260% to $10.1 million compared to $2.8 million in the fourth quarter of 2006. For the year ended December 31, 2007, the Company reported revenues of $23.5 million, a 106% increase compared to revenues of $11.4 million in the same period of 2006.

The Company reported net income of $319 thousand, or $0.02 per share, for the fourth quarter of 2007, compared to a net loss of $673 thousand, or $0.04 per share, in the same period last year. Factors affecting positive current quarter results include increases in revenue from Texas True Choice and HealthSmart, and the implementation of American Administrative Group (AAG) and two other clients.

For the year ended December 31, 2007, the Company reported a net loss of $820 thousand, or $0.06 per share, compared to a net loss of $1.3 million, or $0.09 per share, for the same period in 2006. Excluding the one time charge for the departure of the Company's former Chief Executive Officer, the net loss for the year ended December 31, 2007 was $490 thousand.

Cash provided by operations was $687 thousand in the fourth quarter of 2007 versus $38 thousand in the fourth quarter of 2006. At December 31, 2007, the Company had $4.3 million in cash and cash equivalents compared to $5.0 million at December 31, 2006.

Conference Call

As previously announced, American CareSource will hold a conference call to discuss financial results of the fourth quarter ended December 31, 2007 as follows:

Date: Monday, March 31, 2008
Time: 11:00 AM ET/10:00 AM CT
Dial-in numbers: 877-627-6544 (U.S. & Canada) or 719-325-4918
Live webcast: www.anci-care.com, under "News and Events"

The teleconference replay will be available two hours after completion through Monday, April 7, 2008 at 888-203-1112 (U.S. only) or 719-457-0820. The replay pass code is 6401182. The archived webcast will be available for one year on the Company's investor website, www.anci-care.com, under "News and Events."

About American CareSource Holdings, Inc.

American CareSource Holdings, the first national, publicly traded ancillary care network services company, offers a comprehensive national network of more than 25,000 ancillary provider sites. Through its product offerings, American CareSource helps its clients reduce the cost of ancillary services rendered through its network of providers in more than 30 service categories. The Company's ancillary network and management provides a complete outsourced solution for a wide variety of healthcare payors and plan sponsors including self-insured employers, indemnity insurers, PPOs, HMOs, third party administrators and both federal and local governments.

Safe Harbor Statement Under the Private Securities Litigation Reform Act of 1995:

Any statements that are not historical facts contained in this release are forward-looking statements. It is possible that the assumptions made by American CareSource Holdings, Inc. for purposes of such statements may not materialize. Actual results may differ materially from those projected or implied in any forward-looking statements. Such statements may involve further risks and uncertainties, including but not limited to those relating to product demand, pricing, market acceptance, the effect of economic conditions, and intellectual property rights, and the outcome of competitive products, risks in product development, the ability to complete transactions, and other risks identified in this release, and the Securities and Exchange Commission filings of American CareSource Holdings, Inc.

                    AMERICAN CARESOURCE HOLDINGS, INC.
                        CONSOLIDATED BALANCE SHEETS
                        DECEMBER 31, 2007 AND 2006


                                                December 31,  December 31,
                                                    2007          2006
                                                ------------  ------------

ASSETS

CURRENT ASSETS
Cash and cash equivalents                       $  4,272,498  $  5,025,380
Accounts receivable                                3,651,203     1,334,950
Prepaid and other current assets                     409,445        33,515
                                                ------------  ------------

Total current assets                               8,333,146     6,393,845

NET PROPERTY AND EQUIPMENT                           332,450       266,555

OTHER ASSETS
Certificate of deposit restricted                    145,000       145,000
Deferred taxes                                       255,731             -
Other non-current assets                             237,246             -
Net intangible assets                              1,494,238     1,707,819
Goodwill                                           4,361,299     4,361,299
                                                ------------  ------------

Total other assets                                 6,493,514     6,214,118

Total assets                                    $ 15,159,110  $ 12,874,518
                                                ============  ============

LIABILITIES AND STOCKHOLDERS' EQUITY

CURRENT LIABILITIES
Due to service providers                        $  3,344,278  $  1,077,174
Accounts payable and other accrued liabilities     1,320,036       761,926
Current maturities of long-term debt                  55,697       352,718
                                                ------------  ------------

Total current liabilities                          4,720,011     2,191,818
                                                ------------  ------------

LONG-TERM DEBT                                        50,348       101,541
                                                ------------  ------------

Total liabilities                                  4,770,359     2,293,359
                                                ------------  ------------

STOCKHOLDERS' EQUITY

Common stock, par value $0.01, 40,000,000
 shares authorized and 14,668,416 and
 14,484,115 issued and outstanding as of
 December 31, 2007 and December 31, 2006,
 respectively                                        146,684       144,841

Preferred stock, par value .01, 10,000,000
 shares authorized and none outstanding as of
 December 31, 2007 and 2006                                -             -

Additional paid-in-capital                        17,613,880    17,034,201
Deferred debt issuance cost                                -       (46,300)
Accumulated (deficit)                             (7,371,813)   (6,551,583)
                                                ------------  ------------

Total stockholders' equity                        10,388,751    10,581,159
                                                ------------  ------------

Total liabilities and stockholder's equity      $ 15,159,110  $ 12,874,518
                                                ============  ============


                    AMERICAN CARESOURCE HOLDINGS, INC.
                  CONSOLIDATED STATEMENTS OF OPERATIONS
          FOR THE THREE MONTHS ENDED DECEMBER 31, 2007 AND 2006


                                                    2007          2006
                                                ------------  ------------

Revenues:
Ancillary health                                $ 10,124,555  $  2,810,792
Patient claims processing                                  -             -
                                                ------------  ------------

Total revenues                                    10,124,555     2,810,792

Total costs of revenues                            8,929,876     2,442,147
                                                ------------  ------------

Contribution margin                                1,194,679       368,645
                                                ------------  ------------

Selling, general and administrative expense        1,076,255       966,522
Depreciation and amortization                         80,679        80,686
                                                ------------  ------------

Total operating expenses                           1,156,934     1,047,208
                                                ------------  ------------

Operating income/(loss)                               37,745      (678,563)
                                                ------------  ------------

Financing (income) expenses:

Interest (income)                                    (49,657)      (61,344)
Interest expense                                       1,414         9,724
Debt issuance cost                                         -        46,300
                                                ------------  ------------

Total financing (income)/expenses                    (48,243)       (5,320)
                                                ------------  ------------

Net income/(loss) before income taxes                 85,988      (673,243)
Income tax benefit                                  (232,754)            -
                                                ------------  ------------

Net Income/(Loss)                               $    318,742  $   (673,243)
                                                ============  ============

Net Income/(Loss) per share - basic             $       0.02  $      (0.04)
Weighted Average Shares Outstanding - basic       14,659,757    14,478,990

Net Income/(Loss) per share - diluted           $       0.02  $      (0.04)
Weighted Average Shares Outstanding - diluted     17,253,245    14,478,990

Reconciliation of Income (Loss) from Operations
  To EBITDA, as adjusted:

Operating Income/(Loss)                               37,745      (678,563)
Depreciation and Amortization                         80,679        80,686
                                                ------------  ------------

EBITDA                                               118,424      (597,877)

Executive severance                                   (8,029)            -
Non-cash Option/Warrant Compensation Expense         111,321        75,964
                                                ------------  ------------
EBITDA, as adjusted                                  221,716      (521,913)


                    AMERICAN CARESOURCE HOLDINGS, INC.
                  CONSOLIDATED STATEMENTS OF OPERATIONS
              FOR THE YEARS ENDED DECEMBER 31, 2007 AND 2006



                                                    2007          2006
                                                ------------  ------------

Revenues:
Ancillary health                                $ 23,487,911  $ 11,323,217
Patient claims processing                                  -        95,337
                                                ------------  ------------

Total revenues                                    23,487,911    11,418,554

Total costs of revenues                           20,601,600     9,346,927
                                                ------------  ------------

Contribution margin                                2,886,311     2,071,627
                                                ------------  ------------

Selling, general and administrative expense        3,754,175     3,005,241
Depreciation and amortization                        328,839       316,304
                                                ------------  ------------

Total operating expenses                           4,083,014     3,321,545
                                                ------------  ------------

Operating (loss)                                  (1,196,703)   (1,249,918)
                                                ------------  ------------

Financing (income) expenses:

Interest (income)                                   (200,719)     (194,097)
Interest expense                                      10,700        72,806
Debt issuance cost                                    46,300       185,200
                                                ------------  ------------

Total financing (income)/expenses                   (143,719)       63,909
                                                ------------  ------------

Net (loss) before income taxes                    (1,052,984)   (1,313,827)
Income tax benefit                                  (232,754)            -
                                                ------------  ------------

Net (Loss)                                      $   (820,230) $ (1,313,827)
                                                ============  ============

Net (Loss) per share - basic and diluted        $      (0.06) $      (0.09)
Weighted Average Shares Outstanding - basic and
 diluted                                          14,546,796    14,129,762


Reconciliation of Income (Loss) from Operations
  To EBITDA, as adjusted:

Operating Income/(Loss)                           (1,196,703)   (1,249,918)
Depreciation and Amortization                        328,839       316,304
                                                ------------  ------------

EBITDA                                              (867,863)     (933,604)

Executive severance                                  329,981             -
Non-cash Option/Warrant Compensation Expense         453,333       213,579
                                                ------------  ------------
EBITDA, as adjusted                                  (84,549)     (720,035)



                    AMERICAN CARESOURCE HOLDINGS, INC.
                  CONSOLIDATED STATEMENTS OF CASH FLOWS
              FOR THE YEARS ENDED DECEMBER 31, 2007 AND 2006



                                                    2007          2006
                                                ------------  ------------

Cash Flows From Operating Activities
Net (loss)                                      $   (820,230) $ (1,313,827)

Adjustments to reconcile net loss to net cash
 (used in) operating activities
   Depreciation and amortization                     328,839       316,304
   Compensation expense related to warrants           46,300       185,200
   Stock option compensation                         418,058       213,579
   Client management fee expense related to
    warrants                                          35,276             -
   Deferred taxes                                   (255,731)            -
   Gain on disposal of assets                              -       (32,755)
   Changes in operating assets and liabilities
     Accounts receivable                          (2,316,253)     (852,791)
     Prepaid and other assets                       (542,626)       (3,364)
     Due to service providers                      2,267,104       690,957
     Accounts payable and other accrued
      liabilities                                    558,110       409,543
                                                ------------  ------------
Net cash used in operating activities               (281,153)     (387,154)
                                                ------------  ------------

CASH FLOWS FROM INVESTING ACTIVITIES
Purchase of property and equipment                  (181,153)     (234,376)
Proceeds from sales of equipment                           -        73,462
Purchase of Certificate of Deposit                         -      (145,000)
                                                ------------  ------------
Net cash used in investing activities               (181,153)     (305,914)
                                                ------------  ------------


CASH FLOWS FROM FINANCING ACTIVITIES
Payments on line of credit, net                            -    (3,450,000)
Proceeds from long term debt                               -       135,000
Payments on long term debt                          (348,215)      (96,901)
Net proceeds from the sale of capital stock                -     9,069,848
Net proceeds from the exercise of stock options       57,639        37,102

                                                ------------  ------------
Net cash provided by (used in) financing
 activities                                         (290,576)    5,695,049
                                                ------------  ------------

Net increase (decrease) in cash and cash
 equivalents                                        (752,882)    5,001,981


Cash and cash equivalents at beginning of year     5,025,380        23,399
                                                ------------  ------------
Cash and cash equivalents at end of year        $  4,272,498  $  5,025,380
                                                ============  ============

Supplemental Cash flow Information, cash paid
 for interest                                   $     30,101  $     52,532

SUPPLEMENTAL DISCLOSURE OF NON-CASH OPERATING
 AND FINANCIAL ACTIVITIES
  Warrants issued in payment of client
   management fees                                   105,825             -
  Warrants issued for stock issuance                       -       463,861

Contact: David S. Boone Chief Executive Officer American CareSource Holdings, Inc. Tel: 972-308-6830

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