Our Company Culture



Golden Hour is a privately held company founded in 1993 in San Diego, California. In 2014, we acquired emsCharts and successfully integrated companies, technologies, and cultures.Golden Hour is built on a single consolidated Mission and Vision:

LEAD People and Technology
DRIVE Solutions and Performance
STANDARDIZE Processes and Workflows
MAXIMIZE Revenue and Operational Intelligence

This mission has shaped a combined culture based on the following 5 Core behaviors:

  • Integrity
  • Goal Oriented
  • Continuous Process Improvement
  • Adapting to Change
  • Innovation
Our employees understand the mission of our customers, and more importantly they understand the patients that they interact with daily. We practice a patient advocacy approach and individualize our revenue cycle process based on the patient and customer. We pride ourselves in making a difference in lives of the patients we serve.


Golden Hour has created and implemented a vibrant, collaborative culture. We honor our early entrepreneurial roots, employee loyalty, and rich history but we are not afraid to change. We love process improvement, innovation, and engaging in a continuous cycle of improvement at Golden Hour.

We share our accomplishments weekly, recognize our employees, and we look at our challenges as new opportunities for learning and growth. That’s who we are at Golden Hour.

I-12 Advanced Development Unit

I-12 encapsulates a place where complex problems are solved by cross-functional teams through far-reaching innovation.

I-12 is Golden Hour’s version of Lockheed’s famed Skunk Works unit. Rick Mosteller (SVP Business Development) was a previous Skunk Works Aeronautical Engineer. Rick assisted in the design and adaptation of Skunk Works principles and SOP’s to I-12.

I-12 supports our product pipeline, existing products, and manages Innovation and Process Improvement. I-12 standardized our innovation process and supports our innovation culture. Activities in I-12 are proprietary.


I-Team (innovation team) is an I-12 activity. I-Team allows innovation to be integrated across our entire company and platform.

I-Team has been used to teach the innovation process, present innovation ideas, and discuss process improvement projects. I-team supports Human Computer Interfacing (HCI), Intellectual Property, Compliance and privacy Integration, and data-intelligence Initiatives.

Dr. Hutton is the driving force behind I-12.


Golden Hour and emsCharts were both born from academics with EMS Physicians who understood research and saw the need for standardized data, data sharing, and improve accuracy of data capture. Golden Hour partnered with University of Utah to form the Air Medical Research Institute (AMRI), and emsCharts partnered with UPMC and the Center for Emergency Medicine. These partnerships identified and overcame barriers to aggregate EMS and air medical research, pioneer de-identified electronic records research, and allowed standardized data to be aggregated over millions of patients in more 43 states and from 60 providers who all agreed to de-identified data sharing. The results represent the largest, multi-centered research ever performed. Our research demonstrated in over 25,000 strokes that 96% of patients presenting within 2.5 hours of symptom onset will arrive in a stroke center within the 4.5-hour treatment window because of air medical evacuation. This and other research facilitated by Golden Hour and emsCharts can be accessed here.

Research Projects Index

Stroke and Helicopter Emergency Medical Service Transports
(View PDF)
Spinal Cord Injuries and Helicopter Emergency Medical Services
(View PDF)
An assessment of ventilation and perfusion markers in out-of-hospital cardiac arrest patients receiving mechanical CPR with endotracheal or supraglottic airways
Evaluation of beat-to-beat ventricular repolarization lability from standard 12-lead ECG during acute myocardial ischemia
Feasibility of Paramedic Performed Prehospital Lung Ultrasound in Medical Patients with Respiratory Distress
Observational Multicenter Study of a Direct-to-CT Protocol for EMS-transported Patients with Suspected Stroke
Derivation and Validation of The Prehospital Difficult Airway IdentificationTool (PreDAIT): A Predictive Model for Difficult Intubation
Delays From First Medical Contact to Antibiotic Administration for Sepsis
Association of remote ischemic peri-conditioning with reduced incidence of clinical heart failure after primary percutaneous coronary intervention
External validation of the Air Medical Prehospital Triage score for identifying trauma patients likely to benefit from scene helicopter transport
Renal Protection Using Remote Ischemic Peri-Conditioning During Inter-Facility Helicopter Transport of Patients With ST-Segment Elevation Myocardial Infarction: A Retrospective Study
Characterizing Strokes and Stroke Mimics Transported by Helicopter Emergency Medical Services
External validation of a prehospital risk score for critical illness
Characteristics and Outcomes of Blood Product Transfusion During Critical Care Transport
Prehospital lactate improves accuracy of prehospital criteria for designating trauma activation level
Transport of Mechanically Ventilated Patients in the Prone Position
Impact of System-Wide King LT Airway Implementation on Orotracheal Intubation
Video Laryngoscopic Techniques Associated with Intubation Success in a Helicopter Emergency Medical Service System
Helicopter transport improves survival following injury in the absence of a time-saving advantage
Development and Validation of the Air Medical Prehospital Triage Score for Helicopter Transport of Trauma Patients
Rationale, development, and implementation of the Electrocardiographic Methods for the Prehospital Identification of Non-ST Elevation Myocardial Infarction Events (EMPIRE)
Feasibility of Remote Ischemic Peri-conditioning during Air Medical Transport of STEMI Patients
Accuracy of Prehospital Intravenous Fluid Volume Measurement by Emergency Medical Services
A multi-institutional analysis of prehospital tourniquet use
Pre-trauma center red blood cell transfusion is associated with improved early outcomes in air medical trauma patients
Comparing National Institutes of Health Stroke Scale among a stroke team and helicopter emergency medical service providers
Risk factors for unsuccessful prehospital laryngeal tube placement.
Prehospital intravenous access and fluid resuscitation in severe sepsis: an observational cohort study
A comparative assessment of adverse event classification in the out-of-hospital setting
Characterizing analgesic use during air medical transport of injured children
Creating an infrastructure for comparative effectiveness research in emergency medical services
Accuracy of prehospital transport time estimation
Pre-resuscitation lactate and hospital mortality in prehospital patients
Prevalence and interventional outcomes of patients with resolution of ST-segment elevation between prehospital and in-hospital ECG
Diagnostic accuracy of a single point-of-care prehospital serum lactate for predicting outcomes in pediatric trauma patients
Comparison of video laryngoscopy and direct laryngoscopy in a critical care transport service
Multivariate analysis of successful intravenous line placement in the prehospital setting
Prehospital dynamic tissue oxygen saturation response predicts in-hospital lifesaving interventions in trauma patients
Variables associated with successful intubation attempts using video laryngoscopy: a preliminary report in a helicopter emergency medical service
Identification of adverse events in ground transport emergency medical services
An early, novel illness severity score to predict outcome after cardiac arrest
Prehospital serum lactate as a predictor of outcomes in trauma patients: a retrospective observational study
Regional impact of cardiac arrest center criteria on out-of-hospital transportation practices
Incidence of re-arrest and critical events during prolonged transport of post-cardiac arrest patients
King airway use by air medical providers