I've worked in small (less than 20 employees) companies and although there were no grooming / standup / retro meetings (i.e. all the bullshit agile stuff I can't stand), it was replaced with other bullshit like having to answer the phone and deal with passive aggressive customers, zero benefits other than salary (no 401k etc), an owner who said things like "microsoft can build excel, why can't we build <insert feature here>", no project/product managers to manage the todo list, so everything was urgent and must be done imediately!