Other independent, for-profit medical facilities have been established in the area, centered around Black Hills Surgical Hospital, which is majority owned (54.2% ownership) by Medical Facilities Corporation, a for-profit Canadian holdings company, they trade on the Toronto Stock Exchange under the symbol DR. Black Hills Neurosurgery and spine, Black Hills Orthopedics, Ballard Gynecology, ProMotion Physical Therapy, Rapid City Medical Center, Rushmore OB/GYN, The Rehab Doctors and West River ENT are all either owner by, operated or affiliated with Black Hills Surgical Hospital and for-profit parent company MFC. Other private for-profit groups exist such as Black Hills Pediatrics, Black Hills Eye Institute, as well as local, smaller providers.