At any given hospital anywhere in the US, you will find "many people" who are unhappy working there, but probably many more people who are happy (or, at least, satisfied) with their jobs. Baptist is an excellent and well-respected large academic medical center, one of the "Big Three" medical centers in the state (UNC, Duke, and Baptist, in no particular order,) attached to an excellent research university. I've never worked there, but it was in my "territory" when I worked for several years as a hospital surveyor for NC and CMS quite a few years ago, and I was involved in many surveys there. I did apply for an advanced practice job there at one point, and was v. disappointed that they hired someone else. Wrench is correct about NC being at at-will state; I've never heard of any hospital in the state having a union presence.