5 Dysfunctions of a Team by Patrick Lencioni talks about the hallmarks of a struggling business: absence of trust, fear of conflict, lack of commitment, avoidance of accountability, and inattention to results.  

A great leader proactively builds their team's cohesiveness. They critically evaluate current team interactions and anticipate how the team will evolve in the next three years if no course corrections are made. They identify the biggest pain point and tackle it head-on, immediately.

Big growth is massively compounded by great leadership, not great do-ership.  Unfortunately, the stress that accompanies growth often creates chaos and causes most leaders to throw themselves back into the weeds to get things done.  

Too often leaders go into the conversation and make a withdrawal from the bank account, not realizing they are bankrupt.  Go into every conversation assuming you're poor and you need to make a deposit.