Include me on this thread. I worked like a dog getting through pre-med courses at night and managed to pull a very respectable MCAT and a great GPA. I thought I was all ready to go - and applied to a lot of top schools, especially on the West Coast. In my heart, though, I really wanted to go to my state allopathic school - it's a very good school and a real bargain for a state resident.
Anyway, the out-of-state interview invitations that I thought would roll in never did. Being as objective as I can be - I also thought I had a very good PS and excellent ECs - I've worked in healthcare for twenty years. I still suspect that my advanced age as a non-trad (43) was a significant factor.
But my state school doesn't consider the intangibles until after the interview - if you're a resident and have the GPA and MCAT, they'll interview you. Once I got to interview, I liked them a lot and they seemed to like me and I was accepted in the first round. And it was at the school I really wanted to go to all along.
I'm very lucky, and happy, and grateful to my new school. There really is a lot that is random in this process - I worked hard to have good credentials - but I would also say that the fact that I "clicked" with the interview team that I happened to get was a huge help - I don't know if that's dumb luck or good karma.