Sarnova, a portfolio company of Water Street Healthcare Partners, has acquired Progressive Medical International. Based in Vista, CA, PMI distributes new and refurbished EMS equipment and supplies like defibrillators, ventilators, airways, first aid equipment, I.V. and diagnostic systems. The acquisition expands Sarnova's portfolio of EMS supplies and advances its position in the refurbished medical equipment market. Sarnova, based in Dublin, OH, distributes healthcare products in the EMS and acute care markets. PMI marks its sixth acquisition since Water Street invested in the company in 2008.