UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                            WASHINGTON, D.C.  20549

                                   SCHEDULE 13G

                    Under the Securities Exchange Act of 1934
(Amendment No. 2)

American CareSource Holdings, Inc.
                                 (Name of Issuer)

Common Stock
                        (Title and Class of Securities)

                                     02505A103
                                 (CUSIP Number)

                                December 31, 2008
               (Date of Event which Requires Filing of this
Statement)

Check the appropriate box to designate the rule pursuant to which
this
Schedule is filed:

     [X]  Rule 13d-1(b)

     [_]  Rule 13d-1(c)

     [_]  Rule 13d-1(d)

*The remainder of this cover page shall be filled out for a
reporting person's
initial filing on this form with respect to the subject class of
securities, and
for any subsequent amendment containing information which would
alter
disclosures provided in a prior cover page.

The information required on the remainder of this cover page shall
not be deemed
to be "filed" for the purpose of Section 18 of the Securities
Exchange Act of
1934 ("Act") or otherwise subject to the liabilities of that
section of the Act
but shall be subject to all other provisions of the Act (however,
see the
Notes).














CUSIP No.                         02505A103
Page 2

1    NAMES OF REPORTING PERSONS

          Principal Life Insurance Company

2    CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See
Instructions)

          (a)
          (b)

3    SEC USE ONLY

4    CITIZENSHIP OR PLACE OF ORGANIZATION

          Iowa


NUMBER OF           5    SOLE VOTING POWER                 0
SHARES
BENEFICIALLY        6    SHARED VOTING POWER
1,806,385
OWNED BY
EACH                7    SOLE DISPOSITIVE POWER            0
REPORTING
PERSON WITH         8    SHARED DISPOSITIVE POWER
1,806,385


9    AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

          1,806,385

10   CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN
     SHARES (See Instructions)

11   PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

          11.86

12   TYPE OF REPORTING PERSON (See Instructions)

          IC
















CUSIP No.                         02505A103
Page 3

1    NAMES OF REPORTING PERSONS

          Principal Financial Group, Inc.

2    CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See
Instructions)

          (a)
          (b)

3    SEC USE ONLY

4    CITIZENSHIP OR PLACE OF ORGANIZATION

          Delaware


NUMBER OF           5    SOLE VOTING POWER                   0
SHARES
BENEFICIALLY        6    SHARED VOTING POWER
1,806,385
OWNED BY
EACH                7    SOLE DISPOSITIVE POWER              0
REPORTING
PERSON WITH         8    SHARED DISPOSITIVE POWER
1,806,385


9    AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

          1,806,385

10   CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN
     SHARES (See Instructions)

11   PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

          11.86

12   TYPE OF REPORTING PERSON (See Instructions)

          HC












CUSIP No.                         02505A103
Page 4

Item 1(a).  Name of Issuer:

	American CareSource Holdings, Inc.


Item 1(b).  Address of Issuer's Principal Executive Offices:

5429 Lyndon B. Johnson Freeway
Suite 700
Dallas, TX  75240

Item 2(a).  Name of Person Filing:

By virtue of its ultimate ownership and control of Principal
Life Insurance Company (PLIC), Principal Financial Group,
Inc. (PFG) has the ultimate voting and dispositive power
with respect to the shares of American CareSource Holdings
Common Stock held by PLIC and may be deemed indirect
beneficial owners of all the shares of American CareSource
Holdings Common Stock owned by PLIC within the meaning of
Rule 13d-3(a) under the Securities Exchange Act of 1934, as
amended (the Act).

Item 2(b).  Address of Principal Business Office, or, if None,
Residence:

     Principal Life Insurance Company
     711 High Street
     Des Moines, IA  50392-0088

     Principal Financial Group, Inc.
     711 High Street
     Des Moines, IA  50392-0088

Item 2(c).  Citizenship:

     Principal Life Insurance Company - State of Iowa
     Principal Financial Group, Inc. - State of Delaware

Item 2(d).  Title of Class of Securities:

     Common Stock

Item 2(e).  CUSIP Numbers:

     02505A103

Item 3.  If this statement is filed pursuant to section 240.13d-
1(b) or 240.13d
         2(b) or (c), check whether the person filing is a:

     (c) [X] Insurance company as defined in section 3(a)(19) of
the Act
          (15 U.S.C. 78c)
     (g) [X] A parent holding company or control person in
accordance with
          section 240.13d-1(b)(1)(ii)(G)

Item 4.  Ownership:

     (a) Amount Beneficially Owned

1,806,385 Shares Common Stock presently held by Principal Life
Insurance Company
1,806,385 Shares Common Stock presently held by Principal
Financial Group, Inc.


CUSIP No.                         02505A103
Page 5

     (b) Percent of Class

          11.86 Principal Life Insurance Company
          11.86 Principal Financial Group, Inc.

     (c) Number of shares as to which the person has:

          (i) Sole Power to Vote or Direct the Vote

               0 Principal Life Insurance Company
               0 Principal Financial Group, Inc.

          (ii) Shared Power to Vote or Direct the Vote

1,806,385 Shares Common Stock presently held by
Principal Life Insurance Company
1,806,385 Shares Common Stock presently held by
Principal Financial Group, Inc.

          (iii) Sole Power to Dispose or to Direct the Disposition
of

               0 Principal Life Insurance Company
               0 Principal Financial Group, Inc.

          (iv) Shared Power to Dispose or to Direct the
Disposition of

1,806,385 Shares Common Stock presently held by
Principal Life Insurance Company
1,806,385 Shares Common Stock presently held by
Principal Financial Group, Inc.

Item 5.  Ownership of Five Percent or Less of a Class:

     [ ]

Item 6.  Ownership of More than Five Percent on Behalf of Another
Person

     Not applicable

Item 7.  Identification and Classification of the Subsidiary Which
Acquired the
         Security Being Reported on By the Parent Holding Company

     See exhibit attached







CUSIP No.                         02505A103
Page 6

Item 8.  Identification and Classification of Members of the Group

     Not applicable

Item 9.  Notice of Dissolution of Group

     Not applicable

Item 10(a).  Certification

     By signing below I certify, to the best of my knowledge and
belief, the
     securities referred to above were acquired and are held in
the ordinary
     course of business and were not acquired and are not held for
the purpose
     of or with the effect of changing or influencing the control
of the issuer
     of the securities and were not acquired and are not held in
connection with
     or as a participant in any transaction having that purpose or
effect.

Signature

After reasonable inquiry and to the best of my knowledge and
belief, I certify
that the information set forth in this statement is true, complete
and correct.

Principal Life Insurance Company

By /s/ Joyce Hoffman
Joyce Hoffman, Senior Vice President and Corporate Secretary

Principal Financial Group, Inc.

By /s/ Joyce N. Hoffman
Joyce N. Hoffman, Senior Vice President and Corporate Secretary

Dated February 17, 2009



EXHIBIT 99.1

Principal Life Insurance Company
Item 3 Classification:
(c) [X] Insurance company as defined in section 3(a)(19) of the
Act
          (15 U.S.C. 78c)

Principal Financial Group, Inc.
Item 3 Classification:
(g) A parent holding company or control person in accordance with
    section 240.13d-1(b)(1)(ii)(G)