Buurtzorg: No Managers, Just Great Care From a Nurse-Led Service

Imagine a company with 9,000 staff and no managers. Imagine annual sales of 280 million euros and no Chief Financial Officer, with only six people working in finance. Imagine it has grown to that size from, 8 years ago, having just four staff — although it is not-for-profit and has no venture capital investment.

The organisation is Buurtzorg which, in those 8 years, has gone from providing 0% of Dutch nursing care to 60%.

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Sign up for our Happy Manifesto newsletter and discover fresh ways to ignite joy and productivity at work. Get expert tips, insights, and ideas that challenge the norm—straight to your inbox. Join our movement and start your journey for a trust-based, values-led organisation.