Eh, I still wouldn't say they're equivalent. A CEO with an ego you can build a strategic relationship with, a headless mass of uncoordinated politicking and beuraucracy is that times 1000, and is often far more impenetrable from the ground floor
I didn't say they were equivalent, just that for those who have only worked in large companies, there are some weeds in that nice green grass they might have been admiring.
I would disagree that it's possible to build a strategic relationship with all small company CEOs... some are just way too dysfunctional.