Principle Health Systems Acquires St. Louis Mobile Imaging Assets to Add Bedside X-Ray, Ultrasound and EKG

Principle Health Systems acquired select assets from a mobile diagnostic imaging company serving the greater St. Louis, Missouri area, the company announced October 30, 2026. PR Newswire carried the announcement. The price was undisclosed. Principle Health Systems provides mobile laboratory and diagnostic services to long-term care facilities across the Southern and Central United States. The seller is a mobile diagnostic imaging company serving St. Louis and surrounding areas.

What the St. Louis Asset Deal Adds

Principle said the transaction extends its portable imaging services into a new metropolitan market and adds bedside X-ray, ultrasound and EKG capabilities for long-term care partners across the region. The acquisition brings experienced imaging technologists, mobile equipment and established facility relationships into Principle's operations, according to the announcement.

Facilities in the area can expect continuity of the bedside service they rely on today, now backed by Principle's scheduling, reporting and support infrastructure. Principle said keeping diagnostic imaging inside the facility lets care teams act on results sooner, avoid unnecessary resident transports and keep diagnostic workflows simple for facility staff.

James Dieter, CEO of Principle Health Systems, said: "This acquisition gives us a strong presence in the Missouri and Illinois areas and brings on a team of technologists who already know these facilities and the residents they serve. Our first priority is a seamless transition, with no interruption in care for our partners."

Principle said the acquisition advances its role as a single-source diagnostic partner for long-term care. In addition to portable imaging, the company provides mobile laboratory services, so facilities can rely on one team for both laboratory and imaging needs. Principle described the transaction as part of its strategy to expand into new markets, broaden service capabilities and build a mobile diagnostics platform.

Principle's Acquisition Record

Principle Health Systems was founded in 2016 and is headquartered in Houston, with a headcount range of 101-250, according to akta.pro company records. The same records list a revenue estimate of $50 million-$100 million and a valuation estimate of $100 million-$250 million. The records show a June 2026 acquisition of select assets from a mobile diagnostic services company to strengthen its mobile laboratory and diagnostic service capabilities across its Southern and Central US footprint. They also list a January 2023 private equity round led by Platform Partners.