Pros
Get to practice your real world skills doing responsible work that matters to your colleagues, your patients, your end users. Verifiable work life at the beginning, middle, and end of every day. Management and corporate have programs in place to listen and although retrospectively, accurately capture your concerns and the way you want things to work so you can do your best. You say, they won't take every idea. My experience is they will - if your perspective needs to broaden, that will get feedback anonymousely, just as well as if those managing the org's does. You have a lot of responsibility; our work contributes to the continuum of health.
Cons
We go at it hard and fast here; you'll have to grow comfortable with self-management and be productive the 80% + that you can. You have a lot of responsibility; our work contributes to the continuum of health. We don't throw money at making some perfect for you to walk into. We know, to borrow from Kierkegaard, "Life can only be understood backwards; but it must be lived forwards." So you have to be an adult and make your own way; and accept that we're going to fund what is working now - and how we do things changes based on lessons learned so we don't systemize how we do everything ... its all relative.