Websites and tools for organizations that answer to the public.
Thirty years across health systems, federally funded clinical training, municipalities and nonprofits — including site templates still running in production at Dartmouth Health. Now delivered in weeks rather than quarters.
Healthcare + Civic
Weeks, Not Quarters
Built by someone who has run the programs, not just the websites.
Two decades administering federally funded health and education programs — grant compliance, federal reporting, end-user support — alongside the web work those programs depended on.
How a project runs
Four stages, written down, so you know what happens and when.
01 Discover
Goals, users, and constraints.
02 Design
Wireframes, visuals, and interactions.
03 Build
Front-end, integrations, and QA.
04 Launch
Deploy, monitor, and optimize.
What we do
Public-facing sites, internal tools, and the content strategy that decides what either one should say.
Clear Discovery
Goals, audience, scope and timeline agreed in writing before design starts.
Accessible By Default
Semantic structure, keyboard operation and contrast-checked color — the things public-sector procurement asks about.
Fast, Light Builds
Static sites that load in a fraction of a second, with no plugin maintenance and almost no hosting cost.
What clients say
Trusted partnerships, practical delivery, and a process people enjoy.
"Josh Nelson is a great listener and communicator with the empathy and expertise to translate client needs into actionable development pathways."
Josh Page
Senior Industrial Design Engineer / Simbex-TREAT"Joshua provided excellent leadership through a complex process and stayed incredibly responsive over the years as needs evolved."
Susan Wills
Administrator / C. Everett Koop Institute"He reliably brings order from chaos and creates calm focus in stressful situations. A true collaborator and problem-solver."
Mark Noel
Managing Director / Catalyst Repository Systems"His organization skills, team-building ability, and creativity in finding solutions are excellent. He is my choice for complex digital work."