Autism care infrastructure
Clinical infrastructure, behavioral care delivery, and long-term family support systems.
About
HEJ is the family venture of Jonathan Hsu. I back good businesses in behavioral health, home care, and the trades — the kind where the work is real and the paperwork proving it grew faster than the payroll.
It began with autism care. I watched my son Eli’s clinical team spend their days on session notes, six-month reauths, and supervision logs. The clinical work is why they showed up. The documentation is why they left.
Once I saw that ratio I started finding it everywhere. Session notes, job photos, warranty claims, billing packets — different sectors, the same tax on the same kind of person.
I am an operator first. My perspective comes from inside these systems: the gaps in services, the fragmentation, and how long the real work actually takes.
I believe the best infrastructure gets built by people who understand it from the inside.
Track record
2019 — 2024
Built a global media operations platform from nothing — no product, no team, no customers — as an alternative to the incumbent everyone in the industry already used. MVP in nine months, then scaled it to 40+ markets across APAC and LATAM. Ran it as a P&L: product, engineering, go-to-market, operations.
2024 — present
Lead enterprise data for 120,000 people, including AI agents that surface the datasets and reports people used to hunt for by hand. Inherited, not built — the work is getting something large and established to actually function.
2017 — 2019
I spent two years convincing insurance executives to move core systems to the cloud, back when almost none of them wanted to. Nothing teaches you how cautious operators actually make technology decisions like doing it where being wrong is existential.
2015 — 2017
Built the operating model — P&L structure, planning cadence, ten regional leaders pointed at the same numbers. It’s the machinery a company needs when it outgrows being run out of someone’s head.
2012 — 2015
Ran product for a $50M advertising business, then built a mobile ad platform from nothing to a $15M enterprise partnership. First time I owned both the product and whether it made money.
2005 — 2012
Built Accenture’s Google enterprise business from under $1M to $8M+ with a team of 26, after convincing a firm that had bet entirely on Microsoft to back a competitor early.
Clinical infrastructure, behavioral care delivery, and long-term family support systems.
Stable, long-tenured, non-tech. Undervalued by everyone chasing software.