Likewise, NYSHA operates Hamaspik Theragen: an Article 16 clinic whose seven satellite branches serve individuals with I/DD, in the five boroughs of New York City, as well as in Orange, Rockland and Westchester Counties. Tri-County Medical, P.C., offshoot of Hamaspik Theragen, is also operated by NYSHA—filling a care gap with critical off-site medical and therapy services in private residences, Family Care homes, group homes, day programs, and other sites.