In 1986 the American Legion decided that running the ambulance was becoming too large a job for their committee of volunteers. A new non-profit association, the Madison Ambulance Association, Inc. was formed. Dave Smith served as the first president with a volunteer board of directors. Kim Gass was a supervisor. Kim was succeeded by Mitch Cohan, and the supervisor position was replaced with the position of Director. In 1987 Mary Hotchkiss (in above photo) became Director.
During the 1980s crews were required to remain with the ambulance at the ambulance garage during their shifts. Call-in crews responded from home or work for the second unit. Notification was made by pager.