Let me say this, I do not like Monopoly's, which Carilion is. Monopoly's are bad for the economy. You can't turn around here and not bump into a Carilion building. They are the driving force setting wages in the Roanoke and Southwestern area of Virginia. Because of this, wages are kept artificially low, far below national averages.
Their management hiring is a study in nepotism and their guiding philosophy is "this is the way we've always done it". No matter how bad a manager is, it would take an act of congress to get rid of them, (another characteristic of nepotism).
On a positive note, they do try to give good patient care and most of the employees try their best (when they are not being demoralized by management).