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This article discusses executive leadership development as a strategy for long term business success. Sustainable organizational health depends in large part on a steady stream of upper level leaders who have the values, skills, competencies and behaviors necessary for organizational advancement. Cutting edge leadership development is discussed with specific examples from the Top 20 leadership companies as identified by Hewitt Associates in 2005. Specific leadership development programs are discussed including mentoring, coaching and shadowing and guidelines are suggested for effective leadership development.