The early childhood care and education (ECCE) system in Utah plays a critical role in ensuring all children, regardless of socio-economic status, thrive. The current Preschool Development Grant Birth through Five (PDG B-5) grant presents a unique opportunity for Utah leaders to coordinate efforts that leverage resources and target support towards its most vulnerable and underserved children. Too often early childhood systems operate in silos, missing key opportunities to maximize the overall health, well-being, and early learning outcomes of children. Ultimately, a well-functioning early childhood system that is coordinated and aligned across multiple agencies and systems provides families with high-quality programs and services to support the healthy development of their children. (author abstract)