> Has nobody ever worked for a medium sized, yet global-reach company?

I have, but it also publicized seven completely different business units. It is easier to reason about why what are effectively seven different businesses need so many employees. Each unit did not have all that many people, however. They would all be considered small businesses if the company broke up those business units into individual companies. Patreon, on the other hand, seems to have only one obvious business unit.

But also most haven't. Across most of the western world, 70% of workforce work for small businesses and in Asian markets that rises to 80%+. Medium-large businesses are unusual. The USA is a curious outlier where only around 40% of the workforce works for small businesses. Some HN accounts forget it’s a big world out there.