( About )
The path from Kathmandu to 24+ healthcare facilities. Texas markets, Silicon Valley mindset.
Jay Dahal has 20+ years of operations, finance, and technology experience. He is a founder, operator, and finance leader who builds healthcare companies where Texas markets meet Silicon Valley technology. His work connects facility operations, AI-powered growth systems, finance, and data into one operating story.
Origin story
The path, in plain terms.
Over two decades, Jay worked in accounting in Kathmandu, studied at BYU, spent five years at PwC where he learned disciplined reporting, and consulted for small and mid-sized companies.
He then helped build remittance and cross-border payments infrastructure as co-founder and CFO of Machnet, based in Silicon Valley. There he absorbed the product velocity, data culture, and investor rigor that the Bay Area runs on.
Today he lives in Silicon Valley and runs healthcare operations across Texas. He opens and operates facilities, grows patient volume, holds the finance line, and uses Silicon Valley-grade data systems to make operating decisions in real time. He also invests in early-stage founders across fintech, AI, healthcare tech, and infrastructure.
His edge is the combination. He thinks like a Silicon Valley founder and executes like a Texas business builder. He handles money, people, systems, and risk with the discipline real facilities require.
Operating principles
What Jay actually focuses on.
Cash discipline before growth.
Protect healthcare operating cash. Bookings without margin are not growth.
Reporting that survives scrutiny.
Investor, regulator, and clinical reporting should all be drawn from the same source of truth.
Facility-level accountability.
Every site owns its P&L. Marketing spend is judged on patients seen, not clicks served.
Hire for follow-through.
Staff who follow through on schedules, charts, and reviews compound over years.
Demand is local.
Local search and review systems are infrastructure, not a marketing line item.
Data over opinion.
Operating decisions tie to dashboards. Pet theories give way to the numbers.
The operator
Jay Dahal.
Jay Dahal, founder and healthcare operator
Connect with Jay.
Tell Jay what you’re building, what you’re funding, or what you’re trying to fix.
Or explore the Texas freestanding ER thesis, case studies, and insights.