inadequate checkrides instituted by the chief pilot of Marlin Air, Inc., cited an "ill-prepared pilot in the first officer's seat", and also placed blame on the FAA's inability to detect such training and operational deficiencies. In 2009, Survival Flight once again began to operate fixed-wing service in a new Cessna Citation Encore out of KPTK airport in Waterford Township, Michigan and in 2013 moved fixed-wing operations to KOZW airport in Howell, Michigan. Rankings For 18 consecutive years through 2012, and again in 2016, 2017 and 2018, UMHS/Michigan Medicine was named to the "Honor Roll of America's Best Hospitals" compiled by U.S. News & World Report magazine. In 2018, U.S. News & World Report ranked UMHS 5th in its adult hospital honor roll and recognized it in 14 adult and 10 pediatric areas of specialized care. The University of Michigan Health System ranks among the top 10 hospitals in the nation in Ear, Nose, and Throat (Otolaryngology) (#1), Gynecology (#2), Pulmonology (#5, 2-way tie), Urology (#5), Gastroenterology and GI surgery (#6), Geriatrics (#7), Nephrology (#8), Heart (cardiology) and Heart Surgery; (#8, 2-way tie), Ophthalmology (#8), and Neurology and Neurosurgery; (#9). The Medical School's 3,762 faculty provide advanced medical, surgical care, and perform scientific research, while training young doctors and biomedical scientists. As of 2018, 307 chairs are endowed in the medical school. The Medical School is ranked 7th in the nation for primary care training and 15th in the nation among research-oriented schools by U.S. News & World Report and has the nation's 12th highest total of research funding from the National Institutes of Health, with total research funding of more than $593 million in sponsored research awards. The Medical School's research spending accounts for nearly 40 percent of the total for the entire University of Michigan. Affiliations with Other Organizations To address the changing environment under health-care reform, the Michigan Medicine has developed affiliations with other regional, health systems. In May 2012, the UMHS and Trinity Health, headquartered in Livonia, Michigan, signed a master, affiliation agreement promoting close cooperation between the two health systems and prioritizing University of Michigan hospitals as Trinity Health's academic partner. In August 2012, the UMHS announced that it was negotiating with MidMichigan Health to acquire a minority-ownership position in the four-hospital, health system headquartered in Midland, Michigan. The partnership was finalized in June 2013. In 2013, the UMHS joined eight physician groups across Michigan to