Welcome to


PIEMONTANA Holding Ltd. is an investment and management partnership established 2014 in Zurich, Switzerland by three INSEAD classmates. Each founder brings a specific expertise as well as a varied and strong profile to the partnership. Since 2014, we have harnessed our experience, industry knowledge and network to acquire, transform and establish businesses in the health sector that reach over 30 countries worldwide.



Our interest lies in the health technology sector; our investments are typically part of owner succession solutions or strategic motivated divestments of non-core corporate subsidiaries. We define health technology as the application of organized knowledge and skills in the form of devices, medicines, vaccines, procedures, and systems developed to solve a health problem and improve quality of life.

Companies we invest in are typically local champions or global niche players with differentiated products and services which broadly include:

Medical devices Information technology
Biomedical engineering Healthcare services
Investment Criteria


We are looking for opportunities to take considerable ownership stakes in attractive companies with a focus on local champions and global niche players. As a dynamic management team, we are committed to playing an active role in building and expanding the companies and are focused on long-term value creation without the need for a defined exit horizon. These are some of the criteria we look for in businesses when we provide equity investments:

  • Medium-sized companies with annual revenues between CHF 10-30M
  • An established position as a local market leader or a global niche player with international revenue diversification
  • Differentiated products and services with a sustainable competitive advantage
  • Organic growth and/or buy-and-build potential
  • Headquartered in Europe, preferably in the D-A-CH region
  • Majority or full ownership

*Exits are not considered relevant as long as there is potential for further sustainable value creation.




The strength of our partnership stems from our diverse professional backgrounds, commitment to the success of the companies in our portfolio and a common goal of improving patient experience and quality of life. On an operational level, we can attribute our success to meticulous strategy, constant evolution of execution and ability to challenge the status quo. Find out more about each of our founders below.

Beat Braegger Fabio Fagagnini Lukas Gayler

Beat Braegger

Beat is a co-founder of PIEMONTANA which was established in 2014. Before taking over CFO roles in medium-sized companies and subsidiaries of international public cooperation’s, Beat was a management consultant at Bain & Company and worked in Wealth Management and Business Banking for a Swiss bank.

Beat Braegger holds a Master in Banking and Finance from University of St.Gallen in Switzerland and a Master in International Management from ESADE Business School in Barcelona. He also holds a Master of Business Administration (MBA) from INSEAD.

Beat enjoys spending time with his family and plays ice hockey. Furthermore, he actively supports a non-profit organization in Peru.

contact me Fabio Fagagnini

Fabio Fagagnini

Fabio is a co-founder of PIEMONTANA which was established in 2014. His experience includes several CEO roles in medium-sized companies as well as some general management positions at an international public corporation in the health technology sector.

Fabio holds a Master of Business Administration (MBA) from INSEAD in Singapore and Fontainebleau and a Bachelor of Biomedical/Medical Engineering from the University of Applied Sciences in Switzerland.

In addition to his social engagement in a local service club he is passionate about wines and cigars, thereby traveling internationally in search of unknown but fine vineyards and cigar manufactories.

contact me Lukas Gayler

Lukas Gayler

Lukas is a co-founder of PIEMONTANA which was established in 2014. He is a consultant and lawyer for medium-sized companies and owner of Gayler Legal & Consulting with experience in law firms and family offices with a main focus on direct investments into privately held companies.

Lukas holds a Master of Law from the University of St. Gallen HSD and a Master of Business Administration (MBA) from INSEAD in Singapore and Fontainebleau. In addition, he is admitted to the Bar in Switzerland.

Lukas likes sports of all kinds in the Swiss mountains. Whenever at home, he dedicates time to his family.

contact me

Contact me

If you would like further information about how we can provide you with growth equity or advice, or if you may have a business that meets our criteria, please do not hesitate to contact us

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PIEMONTANA is currently invested in the following brands:

Logo MIKRONA Logo Ortho WalkerSmile 365Smile 365

ICCO – Interdisciplinary Competence Center for Orthodontics

Transaction Type
Founding Partner

Transaction year

Founded in 2021, The Interdisciplinary Competence Center of Orthodontics is an independent, non-profit association of professionals in orthodontics. Its objective is the promotion and dissemination of knowledge in orthodontics and related fields. Members of the ICCO benefit from quality events, programmes and educational support that promise to enhance the profession and patient experience.


Mikrona – Swiss dental technology

Transaction Type
Management Buy-in (MBI)

Transaction year

Founded in 1959, Mikrona Technologie Ltd. develops, produces and sells innovative dental products that combine functionality, aesthetics and high quality. Specialized in orthodontics, the Swiss company with headquarters close to Zurich works with distributors in more than 30 countries. As a highly recognized brand, Mikrona focuses on innovation, agility and the constant optimization of its offerings.


Orthowalker – Your partner for orthodontics

Transaction Type
Management Buy-in (MBI)

Transaction year

Founded in 1988, Ortho-Walker Ltd. sells orthodontic supplies and general dentistry products of renowned manufacturers in Switzerland. Among others, the products of Forestadent, Henry Schein Orthodontics and Masel are offered exclusively. Ortho-Walker has steadily increased its market position with unsurpassed customer service, one-stop-shop solutions, a comprehensive product portfolio and a learning centre.



Transaction Type

Transaction year

Founded in 2021, Smile365 is a B2C E-Shop that targets the beauty and wellness consumer with a unique and innovative approach to a beautiful smile. In addition to consumer oral care solutions, Smile365 offers the beauty products needed for a flawless smile. Smile365 sets itself apart from its competitors with the most innovative, natural and sustainable offerings on the market.




Thank you for your interest in PIEMONTANA, we look forward to hearing from you.

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