MyDirectives

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.

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

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

• Advance care planning
• Digital health records
• Healthcare interoperability
• POLST registry
• Health information exchange

Headquarters

HQ city

Richardson

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B and B2C

Offering type

Software

Cost components

Technology or R&D, Personnel, Infrastructure, Marketing or Sales, Operations

Revenue model

1. 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.
2. 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.
3. 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.
4. 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

Go-to-market motion3 records

Distribution channels8 records

Marketing channels7 records

Core 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

Named customers10 records

Segments5 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration10 records

AI capability5 records

Feature5 records

Partnerships

16 partnerships are on record, tiered core and minor.

• HIT CommonscoreStrategic or Co-development Partner · 2 December 2025Oregon 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 RegistrycoreStrategic or Co-development Partner · 2 December 2025Oregon'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 SystemcoreStrategic or Co-development Partner · 2 December 2025First 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.
• CarequalitycoreTechnology or Integration · 2 December 2025National interoperability framework enabling MyDirectives A|D Vault Exchange to provide query-based document exchange across Carequality's diverse health information network.
• eHealth ExchangecoreTechnology or Integration · 2 December 2025MyDirectives 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 SoftwarecoreTechnology or Integration · 3 September 2025Full 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 SystemscoreTechnology or Integration · 3 September 2025MyDirectives 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 DrFirstminorStrategic or Co-development Partner · 11 February 2025Partnership with Five Wishes and MyDirectives to offer ACP Complete - a comprehensive beginning-to-end ACP solution.
• Advance Care AssociatesminorStrategic or Co-development Partner · 10 December 2024Strategic 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 or Co-development Partner · 16 October 2024Strategic 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.
• DirectTrustminorStrategic or Co-development Partner · 29 July 2024Lisa 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 WishescoreStrategic or Co-development Partner · 16 April 2024Five 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-AnalyticsminorStrategic or Co-development Partner · 2 April 2024Co-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)coreTechnology or Integration · 28 November 2023Collaboration 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.
• HL7coreTechnology or IntegrationScott 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 AlliancecoreTechnology or IntegrationKno2 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

Direct 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

• Xx.com/mydirectives
• Facebookfacebook.com/MyDirectives
• LinkedInlinkedin.com/company/mydirectives

Compliance5 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about MyDirectives