Directtrustorg Inc
Nonprofit profile at a glance
- EIN
- 460537086
- IRS 990 coverage
- 2013–2025
- Forms available
- Form 990 2025
- Location
- Washington, DC, USA
- Phone
- 7067815518
- Rating
- 78
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Business and Industry
Reported finances
- Revenue
- $4,239,162
- Expenses
- $4,347,924
- Assets
- $3,117,097
- Liabilities
- $2,117,554
Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.
Leadership & pay
30 people listed
Executive titles in this filing
- SCOTT STUEWE (PRESIDENT CEO)
Highest reported compensation
- SCOTT STUEWE (PRESIDENT CEO): $309,240 total reported compensation
- KELLY GWYNN (CHIEF OPERATING OFFICER): $180,000 total reported compensation
- KATHRYN WICKENHAUSER (CHIEF STRATEGY OFFICER): $180,000 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
See schedule o
What it reported doing in 2025
Continued growth in network end-users of direct exchange including hospitals, medical practices and other health care professional organizations.
Operating model
- Revenue model
- Earned-program. 80% of the money available for current operations came from fees and other program revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Some filing-based governance responses are negative or unanswered and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 89
- Transparency & Controls: 71
- Accountability: 77
- Sustainability: 19
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 100%; rating input score 100
- Program expense ratio: 100%; rating input score 100
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
- Pay-setting controls: 2 of 6 controls in place; rating input score 33
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Pass
- Compensation survey or study: Missing
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Limited
- Related-party transparency: Limited
Accountability
- Independent voting board: 100%; rating input score 100; 63rd percentile among comparable filings
- Governance controls: 4 of 9 controls in place; rating input score 44
- Conflict-of-interest policy: Pass
- Whistleblower policy: Fail
- Document-retention policy: Fail
- CEO compensation review process: Pass
- Other executive compensation review process: Fail
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Missing
- Independent financial-statement audit: Fail
Sustainability
- Operating margin: -2.6%; rating input score 20; 20th percentile among comparable filings
- Total-asset coverage ratio: 0.72; rating input score 24; 24th percentile among comparable filings
- Liabilities to assets ratio: 0.68; rating input score 10; 10th percentile among comparable filings
- Officer compensation ratio: 20.8%; rating input score 14; 14th percentile among comparable filings
Growth
- Program expense growth: 32.2% per year; rating input score 100; 93rd percentile among comparable filings
- Revenue growth: 17.9% per year; rating input score 100; 84th percentile among comparable filings
- Asset growth: 16.1% per year; rating input score 100; 77th percentile among comparable filings
Details
- Where the money goes: 100% of revenue deployed · 100% of spending went to programs
- Governance: 25 of 25 board members independent · 4 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $4.3M in reported program spending
- Leadership: top reported pay $309K · 30 people listed · 2 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $1.3M reported
- Consistency: 25 of 25 current checks pass
- Schedules: 3 filed schedules · includes executive pay
- Filing history: 13 filing years from 2013 to 2025
- Contacts: How to reach this organization
- Money network: 5 filed money-flow records
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
- Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- Moderate — Accountability: Governance controls: 4 of 8 not reported.
- High — Sustainability: Operating margin scored 20/100.
- High — Sustainability: Total-asset coverage ratio scored 24/100.
- High — Sustainability: Liabilities to assets ratio scored 10/100.
- High — Sustainability: Officer compensation ratio scored 14/100.