MyDirectives
MyDirectives (ADVault, Inc.) is a Texas-based digital advance care planning platform offering a free consumer portal, a clinician-facing ACP tool, and the A|D Vault Exchange registry, serving hospitals, Medicare Advantage payers, HIEs, and consumers with HIPAA-compliant advance directive interoperability across all 50 U.S. states.
- Company typePrivate
- Founded2007
- HeadquartersRichardson, United States
- Headcount1–10
- GTM typeB2B and B2C
- OfferingSoftware
What MyDirectives does
MyDirectives (legal entity ADVault, Inc.) is a Texas-based digital advance care planning (ACP) platform founded in 2007 and rebranded from ADVault to MyDirectives in May 2024. The company operates a consumer-facing, free ACP document creation and storage portal at mydirectives.com alongside an enterprise SaaS suite — MyDirectives for Clinicians, the A|D Vault Exchange registry, and Reports & Analytics — that enables hospitals, health systems, Medicare Advantage plans, and health information exchanges to capture, store, share, and retrieve advance directives, POLST forms, and mental health advance directives. The A|D Vault Exchange is the core asset, running 5 million secure queries per week with records across all 50 U.S. states; it is HITRUST-certified, SOC 2 Type II audited, HIPAA compliant, TX-RAMP certified, and integrated into Epic App Orchard, the Cerner (Oracle Health) CODE Program, KanTime EHR, and the national interoperability frameworks Carequality, eHealth Exchange, Commonwell, and DirectTrust, giving the platform access to over 90% of the U.S. healthcare ecosystem.
The product surface combines guided Q&A workflows, video and audio recording of patient wishes, and structured-data extraction that exposes critical care decisions inside EHR banners for clinicians and emergency responders. The A|D Vault Exchange functions as the nationwide, query-and-retrievable repository that turns previously siloed, paper-based ACP documents into a portable, 24/7 clinical asset. Named partners include Ochsner Health, Oregon Health & Science University, UnitedHealthcare, Humana, Baylor Scott & White, Medstar Health, the Commonwealth of Massachusetts, the Maryland Department of Health, and University Hospital Newark, with the Five Wishes digital program (40M+ documents historically in circulation) re-platformed exclusively onto MyDirectives in April 2024.
MyDirectives monetizes primarily through quote-based enterprise subscription licensing to providers and payers, supplemented by EHR-integration and channel licensing through Epic App Orchard, Cerner CODE, and KanTime. The consumer platform is free, serving as a network-effect engine that grows the A|D Vault Exchange record population. The company reports 1–10 employees, no disclosed institutional funding, and has operated continuously since 2007 under founder-CEO Scott Brown. Recent commercial momentum — systemwide Ochsner go-live, KanTime embedding, Oregon POLST nationwide access, and ACP Complete — points to an accelerating enterprise footprint anchored on regulatory-grade certifications and embedded EHR distribution.
MyDirectives firmographics
Firmographics- Name
- MyDirectives
- Legal name
- ADVault, Inc.
- Website
- https://mydirectives.com
- Company type
- Private
- Founded year
- 2007
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Short description
- MyDirectives (ADVault, Inc.) is a Texas-based digital advance care planning platform offering a free consumer portal, a clinician-facing ACP tool, and the A|D Vault Exchange registry, serving hospitals, Medicare Advantage payers, HIEs, and consumers with HIPAA-compliant advance directive interoperability across all 50 U.S. states.
- Ownership category
- akta.pro rank
MyDirectives industry classification
Industry- Product category
- Digital Advance Care Planning Platform
- NAICS
- Computer Systems Design and Related Services (5415), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (5182), Custom Computer Programming Services (541511)
- SIC
- Services-Computer Integrated Systems Design (7373), Services-Prepackaged Software (7372), Services-Computer Programming, Data Processing, Etc. (7370)
- akta.pro primary industry
- EHR/EMR Integration & Interoperability Middleware (HL7/FHIR) (HLALAKAD)
- akta.pro secondary industries
- Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment) (HLACABAK), Patient Engagement, Education & Messaging Platforms (portal/CRM integrated) (HLALABAJ)
Keywords
Where MyDirectives is headquartered
LocationHeadquarters
- HQ city
- Richardson
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
MyDirectives business model
Business model- GTM type
- B2B and B2C
- Offering type
- Software
- Cost components
- Technology or R&D, Personnel, Infrastructure, Marketing or Sales, Operations
Revenue model
- Enterprise Licensing (Healthcare Providers): Healthcare providers (hospitals, health systems, hospice, home health agencies) license MyDirectives for Clinicians and A|D Vault Exchange for systemwide ACP deployment. Pricing is based on organization size and feature modules. Implementation includes EHR integration, clinician training, and workflow optimization.
- Enterprise Licensing (Healthcare Payers): Medicare Advantage plans, D-SNP/I-SNP plans, and VBID plans license MyDirectives solutions to improve Star Ratings, drive ACP completion among members, and demonstrate value-based care compliance. Revenue is recurring based on plan enrollment and contract terms.
- Consumer Freemium: Free online ACP document creation and storage for individuals. Consumers can create new digital ACP documents, upload existing documents, and share with care teams at no cost. This drives network effects and provider/payer adoption.
- EHR Integration Licensing: Revenue from embedding MyDirectives solutions into EHR platforms (Epic, Cerner, KanTime). EHR vendors and their customers pay for integration access and premium features. Includes document query/retrieve APIs and insertion APIs.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Freemium | Monthly | Free Individual Account - Create or upload ACP documents at no cost |
| Subscription | Annual | Enterprise/Provider - Systemwide ACP deployment for health systems |
Go-to-market motion3 records
Distribution channels8 records
Marketing channels7 records
MyDirectives product offering
Product offeringCore offering
MyDirectives operates a cloud-based digital advance care planning (ACP) platform consisting of a free consumer-facing application for individuals to create or upload advance directives, POLST forms, and mental health advance directives, alongside enterprise solutions including MyDirectives for Clinicians for guided ACP conversations and the proprietary A|D Vault Exchange registry for secure nationwide storage, sharing, and retrieval of ACP documents by clinicians, payers, HIEs, and first responders. The platform supports EHR integrations with Epic, Cerner, and KanTime and operates over national interoperability frameworks including Carequality, eHealth Exchange, and Commonwell.
Product overview
MyDirectives is a comprehensive digital advance care planning (ACP) platform offering both consumer-facing and enterprise solutions. The core product portfolio includes: (1) MyDirectives - a free consumer tool for creating/uploading ACP documents; (2) MyDirectives for Clinicians - enabling care teams to facilitate guided ACP conversations with video/audio capabilities; (3) A|D Vault Exchange - the proprietary nationwide HIPAA-compliant registry and repository supporting 5 million weekly queries across all 50 states; (4) MyDirectives Reports & Analytics - for quality measure tracking and CMS regulatory compliance; (5) MyDirectives Enterprise - modular enterprise solution for hospitals and health systems; and (6) Five Wishes - the exclusive digital partner program for America's premier advance directive. The platform connects to over 90% of the U.S. healthcare ecosystem through interoperability with Epic, KanTime, Carequality, eHealth Exchange, CommonWell, and DirectTrust. The company was rebranded from ADVault to MyDirectives in May 2024.
Differentiator
Problem solved
Functional benefit
Products and services
- MyDirectives (Consumer Platform) Free online tool that allows individuals to create advance care planning documents in their own words or upload existing advance directives, POLST forms, mental health advance directives, and similar documents. Documents are stored securely, kept up to date, and shared with loved ones and care teams; accessible via web application at app.mydirectives.com.
- MyDirectives for Clinicians Digital ACP platform enabling care team members to lead guided ACP discussions with patients. Includes intuitive Q&A format, video and audio recording, embedded facilitator guidance, structured fields for key decisions (CPR, feeding tube preferences, etc.), and POLST/MOLST form completion. Smartphone- and tablet-friendly, allowing clinicians to invite patients to create secure MyDirectives accounts.
- A|D Vault Exchange Proprietary HIPAA-compliant, HITRUST-certified, SOC 2 Type II audited nationwide registry and repository for advance directives, POLST forms, and mental health advance directives. Provides 24/7/365 access to healthcare organizations, HIEs, emergency settings, and first responders via interoperability frameworks including Carequality, eHealth Exchange, and Commonwell.
- MyDirectives Reports & Analytics Data and analytics tooling supporting measurement, tracking, and analysis of ACP performance for quality measure achievement and CMS regulatory compliance reporting. Enables healthcare payers and providers to track business insights, Star Ratings metrics, and quality measure integration.
- MyDirectives Enterprise Enterprise-level digital ACP solution enabling hospitals and healthcare systems to access patient ACP documents, POLST forms, or MHADs through their EHR. Listed in Epic App Orchard and Cerner CODE Program with modular deployment options for document insertion API, query/retrieve API, and MyDirectives for Clinicians.
- Statewide ACP Ecosystems Comprehensive ACP ecosystem approach for states connecting HIEs, providers, EMS, health plans, and community partners. Enables secure data access and exchange across care settings with capture of discrete data to support quality measures.
- Five Wishes Digital on MyDirectives Platform Exclusive digital version of the Five Wishes advance directive program (over 40 million documents in circulation), available through the MyDirectives platform. Includes electronic signatures, organized document storage, simple sharing with designated individuals, easy updates, and doctor-friendly summaries.
Quantifiable outcome
- 5 million secure A|D Vault Exchange queries every week
- +4 more outcomes
Companies that use MyDirectives
Customer profileNamed customers10 records
Segments5 records
Ideal customer profiles4 records
MyDirectives technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Integration10 records
AI capability5 records
Feature5 records
MyDirectives partnerships and signals
Strategic signalPartnerships
16 partnerships are on record, tiered core and minor.
- HIT CommonscoreOregon public-private partnership for health IT enabled nationwide access to validated Oregon POLST forms through MyDirectives' A|D Vault Exchange via Carequality and eHealth Exchange. Collaboration allows emergency responders and clinicians to retrieve POLST forms directly within EHR workflows.
- Oregon POLST RegistrycoreOregon's mandated-reporting POLST system integrated with MyDirectives A|D Vault Exchange for nationwide accessibility. The registry serves as authoritative source for validated POLST forms and enables real-time retrieval through Epic EHR.
- St. Charles Health SystemcoreFirst health system in Oregon to activate POLST retrieval using Epic's Care Everywhere and MyDirectives' A|D Vault Exchange. Implementation pilot for statewide POLST interoperability.
- CarequalitycoreNational interoperability framework enabling MyDirectives A|D Vault Exchange to provide query-based document exchange across Carequality's diverse health information network.
- eHealth ExchangecoreMyDirectives is a Responder Organization on eHealth Exchange, supporting secure nationwide data exchange among thousands of healthcare organizations with over a million weekly queries to A|D Vault Exchange.
- KanTime Healthcare SoftwarecoreFull embedding of MyDirectives and MyDirectives for Clinicians directly into KanTime EHR for post-acute care agencies (home health, hospice, palliative, home care). Provides instant access to ACP tools without leaving KanTime workflow.
- Epic SystemscoreMyDirectives integrated within Epic EHR workflows. Ochsner Health implementation demonstrates Epic integration for seamless ACP document creation, storage, and retrieval within Epic's Care Everywhere.
- Backline by DrFirstminorPartnership with Five Wishes and MyDirectives to offer ACP Complete - a comprehensive beginning-to-end ACP solution.
- Advance Care AssociatesminorStrategic partnership with Jim Kraft, Ph.D. and Advance Care Associates to expand access to scalable, digital advance care planning nationwide through facilitated ACP combined with MyDirectives digital tools.
- National POLST CollaborativecoreStrategic agreement to elevate quality and accessibility of portable medical orders nationwide. Leverages National POLST guidance within MyDirectives for Clinicians to enable healthcare professionals to create high-quality, state-compliant POLST forms.
- DirectTrustminorLisa Nelson, MyDirectives SVP of Enterprise Integrations, appointed to DirectTrust Board of Directors for 3-year term through 2027. Direct Secure Messaging integral to MyDirectives interoperability strategy.
- Five WishescoreFive Wishes Digital transitioned to MyDirectives platform, offering enhanced user experience and seamless healthcare provider access nationwide. Five Wishes is America's premier advance care planning program with over 40 million copies in circulation.
- TFA-AnalyticsminorCo-authored Industry Brief on ACP impact on Medicare Advantage Star Ratings. TFA-Analytics provides value-based enablement platform for health plans and providers.
- Beyond Lucid Technologies (BLT)coreCollaboration to deliver patient advance healthcare decisions to first responders (Fire, EMS, Interfacility Transport, Critical Care Paramedic, Community Paramedic Services). Records from A|D Vault Exchange made available via BLT's HIPAA-compliant app or electronic patient care record systems.
- HL7coreScott Brown is co-editor of HL7 CDA R2 Implementation Guide: Personal Advance Care Plan Document and reviewer of HL7 CDA R2 Implementation Guide: C-CDA R2.1 Revised Templates for Advance Directives.
- Commonwell Health AlliancecoreKno2 partnership enables users of nearly any major EHR platform to query MyDirectives system for FREE via Commonwell and Carequality.
Scale indicators9 records
Recent moves7 records
Expansion highlights7 records
MyDirectives competitors and assessment
Company assessmentDirect peers
- Iris Plans: Iris Plans offers facilitated advance care planning via telehealth and digital tools to health plans, providers, and members. Comparable to MyDirectives' facilitated ACP workflows and payer partnerships.
- WiserCare: WiserCare delivers shared decision-making and advance care planning tools integrated into EHR workflows for providers and payers. Directly comparable as an ACP decision-support and documentation platform.
- Cake: Cake is a consumer-facing end-of-life and advance care planning platform helping individuals document wishes and share with families. Comparable as a freemium consumer ACP platform feeding the same downstream provider market.
- Vynca: Vynca offers a digital advance care planning platform with EHR-integrated ACP creation, ePOLST registry, and state-level interoperability. Directly comparable to MyDirectives as a competing ACP registry serving health systems, payers, and HIEs.
- Koda Health: Koda Health provides a digital advance care planning solution used by health systems, payers, and ACOs to improve ACP completion and value-based care outcomes. Competes head-to-head with MyDirectives for Clinicians in the same buyer segments.
Broad incumbents
- Epic Systems: Epic is the dominant EHR vendor whose Care Everywhere network and App Orchard are both distribution channels and competitive threats for MyDirectives. Relevant as the incumbent that defines the interoperability standards MyDirectives builds against.
- Phreesia: Phreesia is a public, scaled patient intake, engagement, and registration platform serving health systems and life sciences companies. Comparable as a broader incumbent in patient-facing digital health workflows that could expand into ACP.
Emerging players
- Particle Health: Particle Health operates a nationwide clinical data exchange network enabling query-based retrieval of patient records via Carequality and CommonWell. Comparable as a competing/adjoining interoperability infrastructure for clinical document exchange.
- 1upHealth: 1upHealth is a FHIR-based health data interoperability platform connecting payers, providers, and app developers. Comparable as a competitor in payer-provider data exchange that could extend into ACP document workflows.
- Redox: Redox provides an EHR integration and interoperability API platform used by digital health vendors to connect to Epic, Cerner, and other EHRs. Comparable as the technical layer MyDirectives sits on, and a potential partner or substitute for its API-based exchange.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
MyDirectives social profiles
Digital presenceMyDirectives compliance and trust
Trust signalCompliance5 records
MyDirectives financial estimates
Financial estimateRevenue estimate
Valuation estimate
MyDirectives leadership team
Management profileNumber of profiles
Profiles5 records
MyDirectives funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
MyDirectives M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about MyDirectives
What does MyDirectives do?
MyDirectives operates a cloud-based digital advance care planning (ACP) platform consisting of a free consumer-facing application for individuals to create or upload advance directives, POLST forms, and mental health advance directives, alongside enterprise solutions including MyDirectives for Clinicians for guided ACP conversations and the proprietary A|D Vault Exchange registry for secure nationwide storage, sharing, and retrieval of ACP documents by clinicians, payers, HIEs, and first responders. The platform supports EHR integrations with Epic, Cerner, and KanTime and operates over national interoperability frameworks including Carequality, eHealth Exchange, and Commonwell.
Is MyDirectives a public or private company?
MyDirectives is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was MyDirectives founded?
MyDirectives was founded in 2007. It employs 1 to 10 people.
Where is MyDirectives based?
MyDirectives is headquartered in Richardson, United States, in the North America region.
How does MyDirectives make money?
Four revenue lines are on record. Enterprise Licensing (Healthcare Providers) is the primary driver. The others are enterprise Licensing (Healthcare Payers), consumer Freemium and EHR Integration Licensing.
Who are MyDirectives's main competitors?
Direct peers on record are Iris Plans, WiserCare, Cake, Vynca and Koda Health. Broad incumbents are Epic Systems and Phreesia. Emerging players are Particle Health, 1upHealth and Redox.
Does MyDirectives have an API?
Yes. MyDirectives offers partner-facing and enterprise APIs including: (1) Document Insertion API - allows hospitals to upload and store ACP documents and portable medical orders to the A|D Vault Exchange registry; (2) Query/Retrieve API - enables location and retrieval of existing ACP documents and portable medical orders in ER or ICU settings. Users of nearly all major EHR platforms can query the ADVault Exchange for FREE via eHealth Exchange, CommonWell, and Carequality. Integration with Epic App Orchard and Cerner CODE Program provides added functionality. Supports HL7 CDA R2 implementation guides for Personal Advance Care Plan Document and C-CDA R2.1 Revised Templates for Advance Directives. FHIR-enabled exchange and API-based interoperability are supported.
What industry is MyDirectives in?
MyDirectives's product category is Digital Advance Care Planning Platform. Its primary akta.pro industry code is HLALAKAD, EHR/EMR Integration & Interoperability Middleware (HL7/FHIR), with a secondary code of HLACABAK, Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment). Its NAICS code is 5415 and its SIC code is 7373.