Building a career of depth and breadth is lifelong work. While conscious forethought and planning is important, even more critical is the courage to take risks and to continually “push the envelope” in terms of skill development. Active intrapreneurs find opportunities to create change and innovation in their organizations and personally benefit from an increased repertoire of marketable skills. In today's health care environment, middle management and executive positions are being consolidated and even eliminated, making it more difficult for upward mobility in the organization. Intrapreneurship offers a way to develop marketable career skills and creates visibility for the individual.