Choptank Community Health System — Bucking the Trend and Investing in Rural Areas

Jane Jewell • June 20, 2023

This article has been revised to include new and updated information on which services are available and planned for the future at various facilities.


In an era when hospitals, physicians’ offices, and other medical facilities in rural and less-populated areas of the country are reducing services or closing entirely, one organization is bucking the trend and expanding in the rural countryside of the Eastern Shore of Maryland — Choptank Community System.

 

In the 15 years from 2005 through 2019, over 150 rural hospitals closed across the nation. An additional 19 rural hospitals closed during 2020. That was the first year of the COVID-19 pandemic — just when we needed them most. Currently, about 600 hospitals, representing 30% of all rural hospitals, are at risk of closing. In the wake of these closings, many associated physicians’ practices and other services moved away, as they need or prefer to be near a full-service hospital. While a few small, limited-service facilities — clinics and urgent care centers, for example — have popped up in shopping malls and elsewhere, the rural parts of the U.S. are increasingly becoming medical deserts.

 

Enter Choptank Community Health System (CCHS). Choptank is that rare exception — a primary health care provider that is moving into rather than out of smaller towns and rural areas.

 

Back in the 1970s, a group of medical personnel and local residents on the Eastern Shore who were concerned about the lack of medical services founded what was to become Choptank Health. Originally called Caroline Health Services, the organization was incorporated in 1978.

 

Their first medical facility opened in Goldsboro two years later. Since then, the organization has steadily expanded, adding services and opening new  centers.

 

Choptank is a private, non-profit, Federally Qualified Health Center (FQHC). They are part of a network of community-based health care center 1,368 in the country and 21 in MD, that strive to help meet the needs of an underserved area or population and receive federal funding from Health Resources and Services Administration.  


Choptank provides a wide range of medical, dental, and behavioral health services. The 50-plus medical personnel include physicians, pediatricians, physician assistants, nurse practitioners, dieticians, and behavioral therapists. Additionally, the dental clinics have a total of 12 dentists and dental hygienists. The centers are welcoming  new patients and accept most health insurances including Medicare and Medicaid. There is a sliding fee scale for those without insurance.

 

Today, in addition to the original clinic in Goldsboro, there are CCHS health centers in Cambridge, Denton, Easton, Federalsburg, St. Michaels, and Tilghman Island.  Most recently, Choptank Health expanded into Kent County, opening its Chestertown office with a mobile unit traveling to Rock Hall and other nearby communities such as Galena, Millington, and Betterton later this summer.

 

Choptank Health’s newest School Based Health Center (SBHC) is at Rock Hall Elementary School and provides in-person, virtual, and curbside care during the school year and the summer months for students, faculty, and staff in the school system. The school based health center is now open to the community as a primary care facility and welcoming patients.

Also available through the school are urgent care, health education, physical exams, risk assessment, sports care, dietary support, and asthma management.  There are also SBHCs in Caroline, Talbot, and Queen Anne’s County schools. These centers operate much like a regular doctor’s office. Any registered student can make appointments and receive care that includes diagnosing illnesses, writing prescriptions, exams for school sports, and lab tests such as for strep or COVID-19. Dental services are also available in  many of the school centers. All the school based health canters  are staffed by registered and licensed health practitioners.

 

With all this expansion, Choptank now provides health services in five of the nine counties on the Eastern Shore — Caroline, Dorchester, Kent, Queen Anne’s, and Talbot.

 

Through the medical centers, Choptank runs several much-needed health monitoring and educational programs. Women’s Health and Prenatal Care are offered in the Cambridge, Chestertown, Easton, and Federalsburg centers. Pediatric care for infants and youth to age 21 is available at the Easton and Denton locations. For those who need to go to a hospital or Emergency Room, Choptank refers patients to  the University of Maryland Shore Medical Centers in Cambridge, Easton, and Chestertown.

 

Other health services include counseling and behavioral therapy for substance use disorder  and mental health issues. These services are available at all  CCHS centers.

 

Choptank policy places a priority on providing health care to the under-served. There are special services and outreach programs for immigrants, transient workers, and non-English-speaking people, with interpreters fluent in Spanish and Hatian Creole.

 

Probably one of the most unusual aspects of Choptank Health, especially for rural areas, is the combination of primary medical centers with dental clinics.

 

Dental care is one of the most neglected aspects of medical care for many people, mostly because dentistry is generally not included in health insurance plans. Yet dental health has been shown in multiple studies to greatly affect an individual’s overall health and quality of life.

Choptank’s plans include a new facility in Federalsburg toreplace its current building and a renovation of the Chestertown office to include dental services   Both scheduled to open in 2024.

 

Choptank Health also runs a dental preceptorship program that provides both rigorous classroom and hands-on clinical training for dental students. There are three-month, six-month, and twelve-month dental preceptor programs.

 

Perhaps most exciting is the current development of a three-year rural medical residency for recent medical school graduates.  The University of Maryland School of Medicine in cooperation with the Maryland Department of Health and CCHS will develop and implement the program. The medical residents’ first year will be at UMMS and Shore Health in Baltimore followed by two years of hands-on training in the Choptank Community Health System.

 

Choptank Community Health System  is definitely a bright and growing oasis in the health care landscape on the Eastern Shore.

 

Choptank Medical & Dental Centers:

Goldsboro Medical & Dental Center

Federalsburg Medical & Dental Center

Fassett Magee Medical & Cambridge Dental Center, Cambridge

Easton Health Center

Denton Health Center

Chestertown Health Center

Bay Hundred Medical & Dental Center, St. Michaels

CCHS Administrative Offices are located in Denton

 

More information:

Choptank Community Health Services

Maryland Health Care Commission: “Options for Rural Health Care Delivery in Maryland”, January 21, 2020.



Jane Jewell is a writer, editor, photographer, and teacher. She has worked in news, publishing, and as the director of a national writer's group. She lives in Chestertown with her husband Peter Heck, a ginger cat named Riley, and a lot of books.


Common Sense for the Eastern Shore

Easton Pastor Faces Immigration Hearing After Release from ICE Custody

By CSES Staff • September 17, 2025
Easton pastor Daniel Omar Fuentes Espinal, who was detained by federal immigration officials earlier this summer and later released, now has a court date set before a federal immigration judge, according to newly filed records. Fuentes Espinal, 54, has led Iglesia del Nazareno Jesus Te Ama since 2015 and is widely regarded by neighbors and local officials as a respected community leader. In July, he was arrested by U.S. Immigration and Customs Enforcement (ICE), which alleged he overstayed his visa by 25 years after arriving from Honduras. The arrest drew swift reaction from across Maryland. Lawmakers and community members questioned why Fuentes Espinal was detained, noting he had no criminal record. Rep. Glenn Ivey and Sen. Sarah Elfreth reported at the time that his family had not seen him since the arrest, had only limited contact, and feared he would be deported. After weeks of uncertainty, Fuentes Espinal was released on August 15 and reunited with his family. “My family and I are very thankful for all of you,” he said. “I’m very happy to be home with my family and my community. I want to say thank you, thank you, thank you, and God bless everyone.” Friends of the family say he is now working toward legal citizenship, but his case remains unresolved. Federal court records show his first hearing is scheduled for March 31, 2026, in Baltimore. The proceeding, known as a master calendar hearing, marks the initial stage in removal cases. Immigration judges use the session to explain rights and responsibilities to those appearing before the court. According to ICE, if Fuentes Espinal fails to appear, he could be ordered to leave the country. For now, the pastor continues his ministry in Easton, awaiting what is likely to be a lengthy legal process.

Rep. Andy Harris Signs Letter Demanding Investigation of Left-Wing Enemies

By Jan Plotczyk • September 17, 2025
On Sept. 11, a group of ultraright House Republicans delivered a letter to House leadership demanding the formation of a select committee on “the money, influence, and power behind the radical left’s assault on America and the rule of law.” Twenty-three reactionary members of Congress signed the letter, including some of the most extreme right-wingers in the House of Representatives. Among the signers is our own First District congressman, Andrew P. Harris, who’s added his voice to the cacophony demanding that something be done about the so-called left-wing threat to America. The letter was composed quickly after last week’s sniper murder of Charlie Kirk, a right-wing podcaster and campus provocateur. It presents a rationalization for investigating the finances of left-wing organizations and persons by blaming them not only for Kirk’s violent death, but for all manner of other problems ills in the country today: Many attacks on “our way of life” Sustained breakdown of law and order Open borders that allow “illegal aliens” to victimize law-abiding Americans Murders of innocent Americans, prominent and unknown alike Assassination attempts of GOP politicians The solution proposed in the letter is to “follow the money” by investigating such persons and groups as George Soros, the Wren Collective, the Southern Poverty Law Center, the U.N., and radicals and organizations suspected of financing the concerted effort to destroy MAGA America. They want to trace the money that, they claim without evidence, funds “the NGOs, donors, media, public officials, and all entities driving this coordinated attack.” But moderate observers and commentators see a broader aim — the end of free speech when the speaker disagrees with the views of the current ruling party. As expressed by Democracy Docket , a digital news platform, “The Trump administration’s rhetoric around Kirk’s murder and its attempt to link it to progressive causes and groups has raised fears it seeks to use the killing as false justification to further crack down on political speech and opposition politics in the U.S.” Harris and the other letter signers have joined a loud and strident chorus of alt-right voices demanding “justice” by dismantling the liberal and left organizations that they claim are fomenting violence. Also on Sept. 11, President Trump told reporters , "We have radical left lunatics out there and we just have to beat the hell out of them." On Sept. 15, Vice President Vance called for the mass doxing of anyone celebrating Kirk’s murder. “Call them out. Hell, call their employer.” A growing number of companies are terminating and suspending employees for posting messages critical of Charlie Kirk on social media. Stephen Miller , Trump’s deputy chief of staff for policy, referred to the Democratic Party as “a vast domestic terror movement” responsible for Kirk’s murder. He said the administration would target those who are “paying for violence.” “With God as my witness, we are going to use every resource we have at the Department of Justice, Homeland Security, and throughout this government to identify, disrupt, dismantle, and destroy these networks and make America safe again for the American people,” Miller vowed in the Oval Office. “I don’t care how — it could be a RICO charge, a conspiracy charge, conspiracy against the United States, insurrection — but we are going to do what it takes to dismantle the organizations and the entities,” he added. The average American realizes that this sort of language is dangerous. A Reuters/Ipsos poll conducted after Kirk’s murder found that most Americans are worried about political violence and partisan divisions: 63% said the way Americans talk about political issues does "a lot" to encourage violence. 79% said people are less tolerant of opposing viewpoints than they were 20 years ago. 66% said they were concerned over the prospect of violence committed against people in their community because of their political beliefs. 71% said that “American society is broken.” Read the right-wingers’ letter and judge it for yourself:

Princess Anne Commissioner Guilty of Illegal Gun Possession

By CSES Staff • September 17, 2025
Following a jury trial in Somerset County Circuit Court, Princess Anne Town Commissioner Lionel Frederick was convicted on Sept. 10 of unlawful possession of a firearm and ammunition. A former Town Commission president, Frederick was indicted last April in connection with an October 2024 incident in which investigators alleged he had a shotgun in his home. Because of a 2019 conviction for second-degree assault, considered a crime of violence, Frederick was banned from owning or possessing firearms under Maryland law. During Wednesday’s trial, Frederick — as the sole defense witness — testified he did not realize his earlier conviction barred him from keeping the shotgun. He said the weapon had been purchased legally more than 10 years ago and that he had never been told to surrender it. Prosecutors countered that the restriction was clear. The county State’s Attorney’s office produced a probation order from 2019 that prohibited Frederick from having a gun without court authorization. Frederick questioned the authenticity of his signature on the document, going so far as to suggest, “It’s Somerset County. I wouldn’t put it past this court.” After the three-hour trial, jurors deliberated for 30 minutes before finding Frederick guilty on both counts, one a felony for illegal firearm possession and the other a misdemeanor for possessing ammunition unlawfully. Frederick’s sentencing is scheduled for Oct. 2 before Judge Leah Seaton.

Lot 10 Privatization Proceeds, Mayor Randy Taylor Blamed for Wasted Tax Dollars

By CSES Staff • September 17, 2025
Salisbury Mayor Randy Taylor’s administration has suffered another setback in court after the city failed in its attempt to block developer Mentis from privatizing the downtown parking lot known as Lot 10. In February 2023, the city sold Lot 10 to Mentis with the understanding that the property would remain a municipal lot until the developer was ready to begin construction of its hotel and conference center. This summer, Mentis announced its intent to convert Lot 10 to a private lot and to collect its own parking revenue. Taylor’s administration responded on Aug. 19 by filing for a temporary restraining order and injunction, claiming Mentis had breached its agreement by attempting to take control of the lot without obtaining the necessary permits. The city argued that public access should remain until redevelopment officially began. On Sept. 12, Wicomico Co. Circuit Court Judge Leah Seaton rejected the city’s request, ruling that Salisbury had failed to prove “irreparable harm,” a necessary condition for an injunction. The ruling means that Mentis is now free to collect parking fees from Lot 10, while taxpayers are left footing the bill for a failed legal maneuver. Critics say Taylor misplayed the case Residents and downtown stakeholders have accused the Taylor administration of mishandling the dispute and wasting public money. Rather than negotiating directly with Mentis or resolving the funding agreement for the redevelopment project, the mayor opted for an aggressive legal strategy, which ended in defeat. “This administration keeps charging ahead with lawsuits it cannot win,” one downtown business owner said. “Meanwhile, the city burns through taxpayer dollars, and we’re no closer to seeing real progress on the hotel and conference center.” Developer signals willingness to proceed Mentis officials, for their part, said the project can move forward if the city finalizes the sub-recipient agreement needed to release grant funding. “If we can get the city to move forward with the sub-recipient agreement, and that opens up the grant funding flowing to the project, we will continue to move forward with the hotel and conference center,” said Mentis’ Nick Simpson. Taylor points fingers Pushing back, the mayor argued that the developer needs to secure financing, site plans, and construction approvals before the project can advance — materials that have already been provided to the city. But to many observers, the back-and-forth underscores a larger problem: a stalled project that continues to pit City Hall against its private partners, with little to show for years of promises. A hearing on the remaining disputes is scheduled for December, but critics say the damage has been done. The court ruling leaves Mentis in control of Lot 10’s parking revenue and the city with another legal bill, raising questions about whether Salisbury’s mayor is fighting the right battles and how many more tax increases city residents will endure to pay for these legal battles.

Tenants Win $11.2 Million Settlement in PG Co., Highlighting Tenant Protection Issues on the Shore

By CSES Staff • September 17, 2025
Tenants of a dangerous, code-violating, bat-, rat-, roach-, and mold-infested apartment complex in Prince George’s County will collect an $11.2 million settlement against the owners and operators of the complex. Maryland Attorney General Anthony G. Brown announced the landmark settlement with Heather Hill Apartments after allegations that the property collected rent without a valid license, dodged code inspections, and tried to evict hundreds of tenants. The settlement is the largest restitution ever obtained by the AG’s Consumer Protection Division in a landlord-tenant case. It will provide debt forgiveness, credits, and cash payments to tenants who paid rent while Heather Hill was unlicensed and requires the company to dismiss pending eviction cases tied to that period. “This settlement provides relief for hundreds of Maryland families who were forced to pay rent while some lived in unsafe conditions,” Brown said. “My office will always hold landlords accountable when they put profits over people’s safety.” The company faces three more lawsuits. Broader implications across Maryland While the Heather Hill case is centered in Prince George’s County, housing advocates note that the issues it raises — unlicensed properties, unsafe living conditions, and tenants struggling without recourse — are not confined to one region. On the Eastern Shore, where affordable housing is limited and oversight often inconsistent, tenant advocates have warned of similar problems. Aging multi-family housing in Salisbury, Cambridge, and Crisfield has drawn complaints about weak code enforcement and unsafe conditions. The Heather Hill settlement underscores that the state will step in when landlords fail to comply with licensing laws. For Shore renters, the precedent could mean stronger accountability in local housing markets, which have long marked shortages and rising costs. Connection to statewide reforms The action also comes just days after Gov. Wes Moore signed his Housing Starts Here executive order to accelerate the construction of affordable homes statewide. Together, the order and the Heather Hill settlement reflect a two-pronged strategy: building more housing while holding existing landlords accountable. For Shore communities, where new housing and stronger enforcement are badly needed, the Heather Hill case signals that state officials are paying closer attention to the conditions renters face, not only in the urban core, but across the state.
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Md. BPW Approves $13 Million for Parks, Community Projects, Land Conservation

By Gren Whitman • September 17, 2025
The Maryland Board of Public Works has approved $13 million in grants from the Department of Natural Resources for local governments and land trusts to support community centers, parks, and land conservation projects in 16 counties, including several on the Eastern Shore. In addition to local recreation projects, the board approved $3.2 million in Rural Legacy funding for conservation easements that permanently limit development to protect farms, waterways, and natural habitats. Among the Eastern Shore investments: Talbot County will receive funding for a new softball field at the Home Run Baker Sports Complex. Caroline County is approved to install new playground equipment at Jesse Sutton Memorial Park in Greensboro. Worcester County will receive funds to build new restrooms at Sturgis Park in Snow Hill. The Eastern Shore Land Conservancy will get an award to protect two adjoining properties in Caroline County, covering 220 acres, and safeguarding 7,400 feet of forested stream buffers along tributaries of the Choptank River and preserving scenic views near Preston. In Dorchester County’s Harriet Tubman Rural Legacy Area, the Conservation Fund will secure an easement on a 121-acre farm, preserving historic landscapes along public roads tied to Tubman’s story and protecting valuable agricultural land. “These projects are about building stronger, healthier communities,” Gov. Wes Moore said during the meeting, underscoring the administration’s focus on expanding recreational opportunities and conserving Maryland’s natural resources. The DNR noted that similar projects were approved in counties across Maryland, ranging from new playgrounds and sports facilities to strategic farmland preservation. Officials emphasized that the funding supports immediate community needs and long-term environmental protections. “These grants reflect our dual mission, creating vibrant spaces for Marylanders today while ensuring our land and water resources are protected for generations to come,” DNR Secretary Josh Kurtz said. As a community organizer, journalist, administrator, project planner/manager, and consultant, Gren Whitman has led neighborhood, umbrella, public interest, and political committees and groups, and worked for civil rights and anti-war organizations.
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