From the back of the ambulance to the front of the classroom and everywhere in between.
Jonnathan Busko, MD, MPH, MBA, is a board-certified Emergency Medicine and EMS physician with more than 30 years in medicine — a career that started as an EMT and paramedic in rural Ohio, North Carolina, and Pennsylvania and as a FEMA Urban Search and Rescue Medical Specialist with Pennsylvania Task Force-1. That path, from field provider to physician, is the foundation of everything F2L Health teaches: training built by someone who has worked every link in the chain of care.
Dr. Busko earned his MD and MPH from the University of Pittsburgh, completed Emergency Medicine residency at Albany Medical Center, and completed an EMS fellowship at Carolinas Medical Center with a graduate certificate in Community Preparedness and Emergency Management from the University of North Carolina. He later added an MBA from the University of Maine and completed a Rural Health Fellowship with the National Rural Health Association.
Leadership and Medical Direction
Dr. Busko served as Maine EMS Region 4 medical director for 12 years and was St. Joseph Hospital's Emergency Department Medical Director for five. Today he is St. Joseph Healthcare's Medical Director of Care Delivery Transformation and POCUS Director, Senior Medical Advisor for Workforce and Rural Innovation at Community Care Partnership of Maine, Chief Medical Director of North East Mobile Health Services, an EMS physician field responder and deputy director with the MD3 of Maine, and medical director for multiple Maine fire and EMS services. He represents hospitals on the Maine EMS Community Paramedicine Subcommittee and serves as the medium-sized hospital representative to the Maine State Trauma Advisory Committee. He is an Ariadne Labs associate faculty member. He has worked as a tactical EMS team member for local, county, and federal agencies.
Building access where it isn’t
Dr. Busko was lead consultant for the Critical Access Physician Extender project — the first-of-its-kind Maine EMS pilot providing advanced practice paramedic–facilitated tele-urgent care in Jackman, Maine — and developed the curriculum and course delivery for the Critical Access Integrated Paramedic role at its core. That work earned a 2023 Community Health Star award from the Maine Office of Primary Care and Rural Health and the 2026 Phebe Conroy King Access to Healthcare award from the Maine Public Health Association. For his services-access work during the Bangor HIV outbreak, he received an Outstanding Star award from Bangor Public Health.
An educator at heart
Dr. Busko started his educational career as a PADI SCUBA Instructor and ultimately a Master SCUBA Diver trainer. He has taught medical providers for three decades: EMS licensure and continuing education courses since 1995, ships' medicine and Medical Person In Charge courses at Maine Maritime Academy, emergency management at the graduate level for the University of New England, the Community Care Physician Extender course at Eastern Maine Community College, and — through CDS Outdoor School, which he co-owned for 20 years — wilderness EMS courses around the world. His current work focuses on access to care in rural and frontier communities, with an emphasis on technological solutions like telehealth and AI-augmented evaluation leveraged by in-person, community-based care practitioners as well as tactical medicine and austere environment care.
About the company
First To Last Health Services Solutions, Inc. — F2L Health — was founded in 2017 in Bangor, Maine, on a simple commitment: supporting and shaping excellence at every link in the chain of care, from the first dressing to the last handoff.