EP 23 - From Startup to 12 States: The Principle Health Systems Story

What does it take to build a healthcare company from the ground up and grow it across 12 states?

In this episode of Our Purpose Podcast, Kip Kruger sits down with James Dieter, CEO of Principle Health Systems, and Chris Light, COO, to unpack the origin story behind Principle Health Systems and how the company grew from an independent lab startup into one of the largest mobile lab and imaging providers serving long-term care.

They talk about the early days of the business, the unexpected shift into skilled nursing, the challenges of scaling across multiple states, and why communication, trust, innovation, and patient outcomes remain at the center of everything they do.

This conversation also dives into:
 • how Principle entered the long-term care space
 • the challenges of mobile lab and imaging in skilled nursing
 • building culture in a fast-growing healthcare company
 • leadership lessons from scaling a people-driven business
 • why transparency and accountability matter in patient care
 • how technology and AI may shape the future of diagnostics in LTC

If you work in skilled nursing, long-term care, post-acute care, lab services, or healthcare operations, this episode gives you a behind-the-scenes look at the leadership, mission, and vision driving one of the fastest-growing companies in the space.

If you enjoyed this episode, be sure to like, subscribe, and share it with someone in the LTC industry.
EP 23 - From Startup to 12 States: The Principle Health Systems Story
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