Pros
The great overall purpose, and significant autonomy.
Cons
Benefits are way below other companies, at least on the middle-management level. Leaders are, besides their core leadership tasks, used to fill in gaps in operations (driving ambulances). The company is lightyears behind the IT agenda in operations. Thus, almost every administrative process is very manual, cumbersome, and error-prone, and with a high risk of non-compliance. Much time is wasted on admin work and basic facility management rather than truly value-adding leadership activities. 9 out of 10 leaders in Operations are former EMTs promoted to the level of incompetence. Thus, leaders have no insights from other industries or companies, not to mention the lack of formal leadership education. This leads to leaders doing things the way it has always been done. There's very little leadership time and resources set aside for development purposes. The fallback leadership style in upper management is old-school management by fear.