Growth allows leads to lower costs which in turn makes businesses more competitive and profitable, but it also means they end up employing more people.
As the workforce grows it becomes harder to coordinate work between people, harder to communicate and keep everyone informed, work starts getting duplicated because of poor communication, response times increase and customer service suffers.
This can lead to increasingly complex processes, decreasing productivity, more mistakes, overworked employees, and growing frustration for business owners.
This is a particular issue for SMEs (small and medium sized organisations with between 10 and 100 employees). They are big enough to experience these growing pains but not so big that they have all the resources they need to fix them.