In 10 years, Buurtzorg has grown from 4 to 10,000 employees. The organisation now employs two thirds of the workforce in the community care sector. It is responsible for 70,000 people and has achieved major operating savings by eliminating all managerial functions. Patient and team satisfaction levels exceed expectations. In 2012, the organization was ranked first in customer satisfaction for homecare. It was named best Dutch employer in 2011, 2012, 2014 and 2015. The objective of the case is to understand how Buurtzorg has made autonomy its main source of performance.