Currently I have been there for 2 years, and I'm still Per Diem, which is an unfortunate thing. They no longer offer many full time positions due to Obama Care. Once your in the door, your there. Depending on the dept, it can be laid back or very strict. But pay is down, and raises are low. But it is a non profit hospital, so what can you expect. Overall if your looking for job security, this is your place. If your looking for high wages, this is not your place.