We work with you to maximize business value

We’ve done this before and at high exit multiples
Our experienced team has built and exited multiple platform businesses in the healthcare industry over the last 20 years, totaling over $1.5 billion.


Dr. Apgar is board-certified by the American Board of Obstetrics and Gynecology and is a Fellow of the American College of Obstetrics and Gynecology.
Born and raised in the Pacific Northwest, Dr. Apgar graduated from the Honors Program at Washington State University, then attended Penn State University for medical school. She moved to Western Howard County in 2000 after completing her residency in OBGYN at Penn State University, Milton S. Hershey Medical Center.
After caring for so many women with skin and hair complaints, Dr. Apgar decided to fill an obvious void in the community by expanding into aesthetics. PuraVida was born in 2008 and Dr. Apgar became the sole owner and medical director in 2013. She retired from her career in minimally invasive gynecologic surgery in 2017 to focus on her new roles as Medical Director for her award-winning medical spa as well as Medical Director at Greenhouse Wellness, a medical cannabis dispensary she co-founded, and Founder of Blissiva, a medical cannabis product company designed specifically for women. Dr. Apgar is extremely passionate about education and lifting up women wherever she goes. Her goals for her patients are to create natural beauty by utilizing cutting edge technologies as well as focusing on health and wellness from within. She currently continues to educates fellow physicians on aesthetic technologies, business strategies and on the ever expanding world of endocannabinoid medicine.
Embracing the work-life balance, you can find her spending as much time with her twenty-something age kids as they will tolerate and traveling wherever and whenever she can, but mostly, she is loving every moment with her horse, Figaro.


Dr. Marc Estes is a Stanford trained, board-certified emergency medicine physician. He has been practicing in Lafayette for over 25 years. Dr. Estes has years of experience caring for the sickest patients and uses both his knowledge and his hands to help save countless lives. Dr Estes is a national speaker on the topic of aesthetic energy devices and regenerative aesthetics, speaking multiple times a year around the country. Dr. Estes has also spent over a decade pursuing health, fitness and wellness for himself. He has competed in many Ironman triathlons, ultramarathons and different other strength and endurance events like CrossFit and Ruck racing. His true passion is helping people feel and look better, all while extending both their health span and life span.


Suzanne Jagger, DNP, CRNA, MBA, is the founder and clinical director of Aura Aesthetics, a top-rated medical spa in Portland specializing in injectables, lasers, and regenerative aesthetics. With over 20 years of experience and advanced degrees from Johns Hopkins, Samuel Merritt, the University of Alabama, and LSU, she brings unmatched clinical expertise and a results-driven, full-body approach to aesthetic care.
Aura Aesthetics has become a cornerstone of the Portland market, with 400+ 5-star Google reviews and countless media features including NBC Select, Daily Mail, Authority Magazine, The Manuel, and more.
A passionate educator and co-founder of Injectables EDU, Suzanne has trained hundreds of medical professionals nationwide while continuing to give back through local philanthropy and mentorship.


Dr. Rickin Shah is board-certified by the American College of Osteopathic Emergency Physicians. He was born in Chicago, Illinois where he spent most of his childhood. He attended University of Illinois at Urbana-Champaign for his undergraduate degree and thereafter attended Midwestern University for medical school where he developed a love for the fast-paced environment of the emergency department. He decided to stay in his hometown for his emergency medicine residency rotating between some of the most demanding and challenging inner-city hospitals throughout Chicago. Doing residency in underserved communities, often filled with acute trauma, he developed a passion for helping others on their worst days.
Shortly after completing his residency Dr. Shah moved out of the city to practice in central Indiana where he still maintains his ER credentials and works shifts at multiple Indiana University Health hospitals. He continued his career becoming a partner in a private Emergency Medicine group which led him to take on medical director roles for both hospital ER’s and various EMS services. After years of working with patients in the acute emergency care setting, Dr. Shah became interested in other avenues of wellness, preventative medicine, and self-care. As a Doctor of Osteopathic Medicine, he believes in a holistic approach, understanding how lifestyles and environmental factors can impact one’s well-being.
In 2021, Dr. Shah along with his good friend and colleague Dr. Marc Estes co-founded PURE Regenerative Medicine. Filling gaps in the wellness and regenerative aesthetics space, PURE quickly expanded as a leading practice in hormone replacement, medical weight loss, PRP therapy and aesthetic services. As a Key Opinion Leader, Dr. Shah speaks at aesthetic conferences around the country helping growing practices develop their niche in an ever-evolving industry. In addition, Dr. Shah trains providers looking to grow within the wellness and aesthetics space. Collaboration has been the cornerstone of success for PURE and he is excited to continue to share his experiences with others to further progress this industry.
Dr. Shah and his wife had triplets in 2017. Between the kids and their dogs, they keep him busy outside of work. In the middle of raising a young family he stays active playing sports, exercising, antiquing, and spending as much time as possible at a small lake cabin in Northern Indiana.


Dan is a co-founder and managing partner of DuneGlass Capital, a healthcare services-focused independent sponsor that was founded to help independent healthcare practices realize their full potential.
Dan leverages his experience investing in and managing nine different PPM platforms and completing 50+ tuck-in acquisitions to lead DGC’s investment strategy. He has a particular focus on building management teams to execute the firm’s investments. In addition to chairing Aviva Aesthetics’ board of directors, Dan is CEO and co-founder of Aviva Aesthetics’ sister company in oral and maxillofacial surgery, Allied OMS.
Prior to founding DuneGlass Capital, Dan co-managed healthcare investing for Sterling Partners’ series of institutional funds, where he personally oversaw $250 million of equity transactions and ultimately $1 billion+ of returned capital. Before that, Dan co-founded three companies, raised $3 million of venture capital, and patented a technology product.
Dan earned his MBA from the Kellogg Graduate School of Management at Northwestern and his BA in Biochemistry from Rice University.


Tyler brings extensive experience in building, advising and investing in private companies. He has held executive leadership roles while building and investing in high growth companies in the health and wellness and consumer spaces. Tyler is a strategic leader focused on building long-term value for all stakeholders.
Throughout his career, Tyler has been focused on building great teams and culture. He enjoys building relationships and is constantly looking to learn more. Tyler is very excited to bring the Entrepreneur Equity™ model to the medical aesthetics space and help med spa owners achieve their full potential.
Tyler has an MBA from The Wharton School of The University of Pennsylvania and a BS in Finance from The Robert H. Smith School of Business at University of Maryland. When he is not working he enjoys spending time with friends and family, playing sports and traveling the world.


Audrey Neff serves as Chief Marketing Officer of Aviva Aesthetics, where she leads all marketing strategy and business development for the platform. She brings more than 12 years of experience in the medical aesthetics industry, with a passion for helping practices build stronger brands, scale sustainably, and achieve long-term success.
A seasoned marketing strategist and global speaker, Audrey has lectured in nine countries across North America, South America, Europe, the Middle East, and Asia, and has held faculty positions for 30+ medical aesthetic associations worldwide. Her thought leadership has been featured in numerous industry publications, including PRIME Journal (International Journal of Aesthetic and Anti-Ageing Medicine), The Aesthetic Guide, Medical Insight Strategic Market Research Reports, and PAN Journal — the official peer-reviewed journal of the International Society of Plastic & Aesthetic Nurses (ISPAN).
Audrey is a GAIN Business Trainer for Galderma and has been invited to speak and educate on behalf of leading brands including Merz Aesthetics, Obagi Medical, Sinclair, and Artemis. She was also one of four speakers personally selected by Merz Aesthetics to help launch its MAX Business Platform across Europe and the Middle East.
A passionate advocate for the growth of the industry, Audrey is the creator and host of True to Form, a top 3% podcast worldwide featuring candid conversations with the entrepreneurs, executives, physicians, and innovators shaping the future of medical aesthetics.
Audrey holds a Bachelor’s degree in Management from the University of Central Florida. She is an avid health and fitness enthusiast and enjoys skiing with family and friends in her spare time.


Nathalie Futrell serves as Vice President of Operations at Aviva Aesthetics, bringing extensive experience in scaling high-growth organizations within healthcare services and the medical aesthetics industry.
With a proven track record of building structured, repeatable systems that support rapid expansion, Nathalie most recently led operations for a prominent, national brand, where she scaled the company from one location to over 30 units, established standardized processes for site selection, build-out, training, and launch, and consistently exceeded revenue and profitability targets.
Earlier roles include directing multi-site operations for other enterprise healthcare brands, as well as national and regional leadership positions at Sona MedSpa International, where she developed consistent policies, training programs, and operational frameworks across corporate and franchise locations in the medical aesthetics space.
Known for creating collaborative cultures, reducing turnover through targeted development programs, and driving operational efficiency, Nathalie excels at translating strategic vision into scalable execution while maintaining a strong focus on team engagement, compliance, and sustainable growth.
She holds a Bachelor of Science in American Studies with a concentration in Marine Biology from the University of Southern Mississippi. Nathalie lives in Texas with her husband, Mark.


Susan Sarich is a seasoned entrepreneur and board member with decades of experience building and scaling highly successful, multi-location, consumer-facing businesses. She is the founder and CEO of SusieCakes, a nationally recognized brand that grew to more than 30 locations through a relentless focus on customer experience, culture, and operational excellence.
Throughout her career, Susan has been known for her ability to scale businesses while preserving brand integrity, customer loyalty, and strong unit-level economics — expertise that directly supports Aviva Aesthetics’ rapidly expanding medical spa platform. Her background includes leadership roles with premier hospitality and consumer brands, as well as extensive experience in multi-site operations, brand development, and people-first culture building.
Sarich is a passionate advocate for female-powered businesses with an 80 percent female employee base at SusieCakes — a natural alignment with the medical aesthetics industry, which is predominantly driven by women entrepreneurs. Her leadership and perspective add valuable depth to Aviva’s Board as the platform continues to scale while remaining firmly entrepreneur-controlled.She is a recipient of numerous accolades recognizing her entrepreneurial leadership and impact, including honors from Forbes, EY, and Inc., and has served on multiple industry and non-profit boards.


Emily utilizes her 10+ years of marketing, branding and identity, and strategic graphic design experience to help grow DuneGlass Capital’s platforms.
Emily is an expert in visual storying telling and has a passion for building strong brand identities and crafting innovative, tailored marketing campaigns and materials across the DuneGlass portfolio. Her work not only ensures market distinction but also drives the achievement of growth objectives.
Prior to joining DuneGlass, Emily spearheaded creative marketing for a Global Fortune 500 consulting firm. Before that, Emily was a lead designer on the Anheuser-Busch team at FCB Global.
She earned her BS in Art from University of Wisconsin-Madison.


Zach is a senior associate at DuneGlass Capital, Aviva Aesthetics’ independent sponsor. Zach assists the team in sourcing, evaluating, and analyzing potential investment opportunities. In addition, Zach performs in-depth internal and external analysis to drive EBITDA improvements and ensure seamless integration across the platform
Before joining DuneGlass, Zach spent 6+ years as a management consultant at PwC focusing on healthcare provider revenue cycle. In this role, he leveraged data analytics and implemented operational improvements to shorten collection cycles and increase net revenue across medical specialties.
Zach earned his MBA from the Kellogg Graduate School of Management at Northwestern and his BS in Biomedical Engineering from the University of Wisconsin-Madison.


Emily Hartsell serves as the Controller at Aviva Aesthetics. As a Certified Public Accountant, she has spent the last decade building a career in both public and industry accounting. Known for her detail-driven approach and ability to bring clarity to complex financial information, Emily supports the organization through accurate reporting, strong internal processes, and a focus on long-term scalability.
Emily holds a B.S. in Accounting (with a minor in French) from the University of Oklahoma. She brings a practical, solutions-oriented mindset to her work and enjoys improving workflows, strengthening audit readiness, and helping teams create financial systems that are efficient, organized, and built to last. Her goal is always the same: make the numbers trustworthy, the processes cleaner, and the day-to-day easier for all of Aviva’s national practice partners.
Outside of the office, Emily enjoys travelling the world and pursuing various hobbies. She currently spends her time exploring the city with her camera, painting or drawing, and learning the ropes at aerial hoops and silks.


Omer is a vice president at DuneGlass Capital, Aviva Aesthetics’ independent sponsor. Omer drives organic and inorganic growth across DuneGlass Capital’s portfolio companies via data-driven decision-making and M&A execution. Omer is a member of the firm’s Investment and Operating Committees.
Omer harnesses his 10+ years of private equity, consulting, and entrepreneurship experience to expand and grow DuneGlass Capital’s portfolio by evaluating investment opportunities, executing M&A, and supporting portfolio management teams on strategy formation, financial planning, and business development. He sits on the board of BGS Alliance and LifeFlow Partners, Aviva Aesthetics’ sister companies in bariatric surgery and vascular surgery, respectively.
Prior to joining DGC, Omer worked at TVM Capital Healthcare where he focused on investing in multi-site healthcare businesses across the Middle East and Southeast Asia, and before that, PwC’s Deal Strategy team where he advised his clients on healthcare services deals in various subspecialties.
Omer received his MBA from the Kellogg Graduate School of Management at Northwestern and his BS from Bilkent University.
Our values drive the mission
We live by our core values; they are the cornerstone of our unique Entrepreneur Equity™ model and guide how we partner with business owners, their teams, and their clients.
We offer transparency into the private equity business model and educate medspa owners on ways they can grow their businesses before a sale.
We provide alignment of interests amongst entrepreneurs, staff, clients, and investors.
We generate better economics for our entrepreneur partners than typical private equity.