As part of the construction department, they categorize you as a temporary employee. You may work 50 hours a week, but you will get no compensation or benefits beyond just a pay check. The company does not promote from within, but that may be due to the very high turn over rate. The office staff are often under qualified and definitely under motivated to perform their jobs. (Don't get me started on trying to get the travel department to book you a flight out before the planes are full)
YKHC is located in Bethel, Alaska which happens to be an exceedingly expensive place to live, $10 for a gallon of milk!?
If you are in the medical field and have a philanthropist heart, then Bethel may be for you.
Its not very pretty (you wont find any post cards of this part of Alaska), its famous for drunks and exotic std combinations and everyone is in need.