About Smith Medical Direct Specialty Care
Smith Medical Direct Specialty Care runs a multispecialty ambulatory surgery center in Littleton, Colorado, near Denver. Patients pay one cash price that is set before surgery. The bundle typically covers surgeon fees, anesthesia, facility fees, standard surgical supplies, and routine perioperative services. There are no prior authorizations. The center is aimed at uninsured patients, members of high-deductible health plans, and self-insured employers. Smith Medical also sells direct-to-employer pricing to businesses and benefit advisors.
The company was founded in 2024. By April 30, 2024, the Littleton center was open, with physicians operating on site. It handles orthopedics and spine, ear, nose, and throat, general surgery, extremity, and men's and women's health procedures. The center is at 8515 W. Coal Mine Ave. and serves patients across the greater Denver area. Smith Medical Holdings Inc. and its subsidiaries operate under the Smith Medical Direct Specialty Care name, including the Littleton center. Robert Flintom is chief financial officer. In the April 2024 opening release, Brendon Lundberg appeared as chief operating officer.
Funding Rounds (SEC Form D)
| First sale | Filed with SEC | Amount sold | Investors | Avg. check | Terms | Filing |
|---|---|---|---|---|---|---|
| Aug 1, 2026 | Oct 23, 2026 | $800,000of $900K target | 4 | $200K | DebtRule 506(b) | Form D ↗ |
First sale is the date the first investor in the offering committed to invest. Companies must file Form D within 15 days of that date, so filing dates run later.
Why Investors Backed Smith Medical Direct Specialty Care
Smith Medical Direct Specialty Care runs a cash-pay surgery center in Littleton, Colorado. Patients get one bundled price before surgery, with no insurance required and no prior authorizations. The center opened in 2024 and is aimed at uninsured patients, high-deductible plans, and self-insured employers. Smith Medical plans more multispecialty centers across the country.
The problem it targets
Smith Medical's view is that insurance approvals, cost barriers, and hidden fees get in the way of surgery. In the April 2024 opening release, chief operating officer Brendon Lundberg called the economics of healthcare an absolute mess. He argued that patients and physicians have both been squeezed financially for years. Smith Medical's answer is to take insurance out of the transaction and publish the price.
What the product does
A patient contacts a Smith Medical care guide, starts a care plan consultation, and then schedules with a surgeon. Pricing tools on the website are organized by procedure type. Each price is all-in and covers the surgeon, anesthesia, the facility, and an implant when one is needed. Smith Medical puts its prices at 40–60% below traditional hospital billing in many cases. It pays its surgeons a premium above market rates. Its release credits Keith Smith, MD, a founding physician of Surgery Center of Oklahoma, with starting all-cash, price-transparent surgical care in 1997.
Progress so far
The Littleton center was open, with physicians operating on site, by April 30, 2024. The release called it the first of many planned multispecialty centers across the country. Robert Flintom, the chief financial officer, has more than 30 years of experience in the fiscal side of the medical field.
How the market is moving
Smith Medical's view is that patients now carry more of their deductibles and out-of-pocket costs. It also points to a growing number of employers that self-insure their employee healthcare costs. The company pitches the center to those employers, to high-deductible plan members, and to uninsured patients.
We wrote this summary from public statements by Smith Medical Direct Specialty Care and its investors. It is not investment advice.
Leadership Team
Executive officers and directors listed on Smith Medical Direct Specialty Care's Form D filed Oct 23, 2026.

Sources
- SECSmith Medical Direct Specialty Care Surgery Center of Denver P.C. filing history
- CompanyAbout Smith — Smith Direct Care
- CompanySmith Medical Direct Specialty Care (smithdsc.com)
- CompanyMeet the Team — Smith Direct Care
- PressSmith Medical is Bringing Fair and Transparent Pricing to Surgical Care in Colorado (Newswire, April 30, 2024)
