About
The path from Kathmandu to 24+ healthcare facilities — Texas markets, Silicon Valley mindset.
With 20+ years of operations, finance, and technology experience, Jay Dahal is a founder, operator, and finance leader building healthcare companies at the intersection of Texas markets and Silicon Valley technology. His work connects facility operations, AI-powered growth systems, finance, and data into one practical operating story.
Jay Dahal
Founder · Healthcare Operator · Investor
Origin
Kathmandu → Silicon Valley → Texas
Origin story
The path, in plain terms.
Over two decades, Jay's path has spanned accounting in Kathmandu, BYU, five years at PwC where he learned what disciplined reporting actually looks like, and consulting for small and mid-sized companies.
He then helped build remittance and cross-border payments infrastructure as co-founder and CFO of Machnet — based out of Silicon Valley, where 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 — opening and operating facilities, growing patient volume, holding the finance line, and using Silicon Valley–grade data systems to make operating decisions in real time. He also actively 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 — money, people, systems, and risk, all held together with the discipline real facilities require.
Operating principles
What Jay actually optimizes for.
Cash discipline before growth.
Healthcare operating cash is sacred. 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 close the loop 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 die on contact with the numbers.
In the field
Grand openings. Real moments.
Jay has taken healthcare facilities from permits to patients, and been there for every ribbon cut.
Grand opening · Focus Health ER — Lufkin, TX
Irving Health Wellness Clinic — Ribbon Cutting · Jay Dahal
Connect with Jay.
Tell Jay what you’re building, what you’re funding, or what you’re trying to fix.