The region is blessed with a lot of high-profile companies who hire people from the outside for their specialized fields (i.e. health care and higher education). As a result of the success and growth of these entities, there are a significant number of trailing spouses who are looking for good solid positions. Often times the lead spouse will not commit unless there is a career opportunity on the table for the trailing spouse. Virginia Tech has hired a person to handle job searches for all trailing spouses to help close the deal on the lead spouse. Carilion and Radford University also mention this as an issue in recruiting their top talent. Assisting these larger enterprises with their trailing spouses helps secure more economic and population growth for the region. However if the trailing spouse does not have the billable skill set desired in the region and private entities are not financially motivated to assist, then this may affect hiring the lead spouse. Ultimately the lead spouses of these entities, which are driving the regional economy, will not be hired and thus further stunt regional growth.