An updated database of geothermal direct-use systems in the U.S. has been compiled and analyzed, building upon the Oregon Institute of Technology (OIT) Geo-Heat Center direct-use database. Types of direct-use applications examined include hot springs resorts and pools, aquaculture farms, greenhouses, and district heating systems, among others; power-generating facilities and ground-source heat pumps were excluded. Where possible, the current operation status, open and close dates, well data, and other technical data were obtained for each entry. The database contains 545 installations, of which 407 are open, 108 are closed, and 30 have an unknown status. A report is also included which details and analyzes current geothermal direct-use installations and barriers to further implementation.