Until 2011, all Washington state Medicaid patients went to Community Health Plan of Washington for treatment. But when other providers began accepting Medicaid insurance, Community Health, for the first time in its 20-plus-year history, had to differentiate its services, build a brand, and market its clinics to prospective Medicaid clients. The nonprofit organization consists of 21 community health associations, each of which operates several clinics ranging from small buildings to large, multisite complexes. One is in a converted house. Another operates 56 clinics along the Washington seaboard.