The agency owners I work with are visionaries who want to achieve big things for their clients, but with a limited number of hours in the day, they can only do so much.
They've built a small team (or would like to) and are wearing many hats, usually managing accounts, projects, operations, and team members, while also focusing on creative direction and business development.
They're serious about delivering high-quality work and will do what it takes to make that happen. But no matter how skilled they are, they can't do it all forever without burnout. It's just not sustainable, let alone scalable.