Independent list · re-checked September 28, 2026 · published by Primortul LLC

Happy Medium

Happy Medium is a digital creative agency founded in 2011 by Katie Patterson. It started in media buying and digital marketing and now offers digital business strategy, web and product development, and brand and media strategy. It also runs a consulting practice for state housing finance agencies across the U.S. Nobody pays to be ranked.

Why it’s herePlaced at #591 on the Inc. 5000 with 781 percent three-year growth, per the Business Record, and built a niche serving housing finance agencies. Number 8 of the marketing agencies in Des Moines.

Who leads itKatie Patterson, Founder and Owner.

Work they can showAccu-Steel. Replaced email-based quoting with an online estimate portal and dealer resource library; estimate accuracy rose 14%. WinnMed. Designed and built a new website and digital foundation for a community hospital. Proliant Health & Biologicals. Built the brand and website after the company's merger with Entera Health.

Estimated cost

Estimated: $3,000–$8,000/mo, typical for Des Moines marketing retainers; not a quote.

Typical industry estimate, not a quote from any firm on this list.

A fit forMid-sized Iowa manufacturers, healthcare providers, law firms and housing finance agencies that need digital strategy, custom web development and sales tools built together.

itsahappymedium.com ↗Get matched — free, no obligation
Based in
West Des Moines, IA
Founded
2011
Team size
11–50 people
Led by
Katie Patterson, Founder and Owner
Known for
digital strategy · web design and development · media strategy · housing finance agencies
Named clients
Vectair, Proliant Health Biologicals, Accu-Steel, Shindler Anderson Goplerud & Weese
Best for
Mid-sized Iowa manufacturers, healthcare providers, law firms and housing finance agencies that need digital strategy, custom web development and sales tools built together.
Selected work
  • Accu-Steel. Replaced email-based quoting with an online estimate portal and dealer resource library; estimate accuracy rose 14%. source ↗
  • WinnMed. Designed and built a new website and digital foundation for a community hospital. source ↗
  • Proliant Health & Biologicals. Built the brand and website after the company's merger with Entera Health. source ↗
Estimated cost

Estimated: $3,000–$8,000/mo, typical for Des Moines marketing retainers; not a quote.

Typical industry estimate, not a quote from any firm on this list.

Office
430 5th St, #65094 · West Des Moines, IA · 50265
Happy Medium homepage, captured September 28, 2026
itsahappymedium.com · homepage on September 28, 2026

Sources itsahappymedium.com, clutch.co, businessrecord.com, iowasbdc.org · LinkedIn ↗

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