Owners and directors making decisions they have nobody independent to test against.
You are the bottleneck
Delegation, team structure and hiring all still route through you, and the load that creates is the thing limiting what the business can do next.
Growth is not turning into margin
Revenue is moving and the margin is not. Pricing, utilisation and financial sustainability are the levers, and working out which one is the problem takes time you do not have.
Reform keeps moving the target
NDIS and Aged Care reform changes what a viable model looks like faster than most providers can reposition against it.
There is nobody to test it against
Your team cannot be the sounding board on decisions about your team, and peers in the sector are competitors.