This report shows different ways that counties provide high-quality services to children and families by sharing service provision with partners. The analysis examines the role of counties in ECD, challenges and the relationship with the state and federal governments around ECD. The ECD programs featured in this report work to break cycles of multigenerational poverty and prepare the youngest generation for future academic and economic success. The case studies feature Dakota County (Minn.), Idaho North Central Public Health District, Cuyahoga County (Ohio), Durham County (N.C.) and Bedford County (Pa.); these counties showcase just a few examples of how counties across the nation are caring for their most vulnerable residents. (author abstract)