In the end you WILL test what happens when the hospital plunges into darkness. Would you prefer the first test to be a a bright sunny day when all the staff is ready for something (and you can turn the utility power back on quickly if something fails), or when someone with a backhoe/chainsaw has an accident with your power feed. The latter will happen, I don't know how or when, but at some point in your future trees will take down power lines, backhoes will cut something, major weather events will take out power for days, maybe a large blackout...
You should have course test everything separately often. However if you wouldn't let a random electrician (electrician only because they will know how to not kill themselves) turn off your utility connection with only a day of warning, your system isn't trusted to handle real events which are typically much worse than a clean turn off the switch.