Bon Secours Hospital, which sits amid blocks of West Baltimore row houses, lacks the prestige of the giant Johns Hopkins and University of Maryland hospitals, with their renowned teaching staffs and research facilities. It lacks the sprawling glass pavilions of southwest Baltimore's St. Agnes Hospital, which looks like a suburban medical center. It's been a fixture in the neighborhood since 1919, when it was opened by an order of nuns who served middle-class patients from across the city. But today, few patients are affluent. The hospital, outpatient and wellness centers that comprise the system primarily serve neighborhoods including Sandtown-Winchester and Harlem Park, predominantly black communities made famous in pop culture by TV shows like HBO's "The Wire."