About Us

What is First To Last Health Services Solutions, Inc?

F2L Health is the evolution of the work of Jonnathan Busko who, for the last 25 years, has been caring for patients and striving to make patient care better.

  • 2000: Emergency Medical Resource Consulting International, Inc (EMRCI) is founded to provide emergency medical services educational services.
  • 2003-2010: EMRCI broadens its scope to include general medical education, expert witnessing and asynchronous online education.
  • 2010: After a decade of emergency medicine practice and medical oversight of several EMS agencies, Jonnathan begins to explore the areas of risk, error, and personal/professional/corporate survival.  Human factors analysis, behavioral psychology, and behavioral economics help him to understand illogical behaviors and actions; that is, errors.
  • 2010-2016:  After completing graduate coursework in management, accounting and finance, it became clear to Jonnathan that many medical institutions have  failed to find the balance between fiscal performance and clinical performance.  15 years after Virginia Mason’s integration of the Toyota Production System (Lean) into medical administration, the impacts of inefficiency, skill-task mismatch, and a chaotic and every-changing reimbursement environment are evident throughout medicine.  Therefore, Jonnathan looked to form a partnership with a company that would provide solid financial and health IT support services to compliment his consulting and educational work.
  • 2017:  Jonnathan forms an alliance with Sun Knowledge/ GoTelecare, a health IT company and builds First To Last Health Services Solutions, Inc, as the vehicle to bring together the various services and resources that healthcare providers and organizations need for success.


Who is Jonnathan Busko?

  • Board certified in emergency medicine and Emergency Medical Services (EMS).
  • 25 years experience in EMS, disaster response and emergency medicine.
    • Paramedic, firefighter, rescue technician, and FEMA Urban Search and Rescue Medical Specialist.
  • Combined MD / MPH program at the University of Pittsburgh.
  • Residency in Emergency Medicine at the Albany Medical Center.
  • EMS Fellowship at Carolinas Medical Center
    • Recipient of the 2004-2005 Society for Academic Emergency Medicine / Physio-Control EMS Research Fellowship Grant
    • Competed a graduate certificate in Community Disaster Preparedness at the University of North Carolina-Chapel Hill.
  • Emergency department Medical Director and emergency physician at St Joseph Hospital in Bangor, Maine.
  • Medical director for Maine EMS Region .
  • Medical advisor the Eastern Maine Community College EMS education program.
  • MBA student at the University of Maine Business School.