Nearly three years into the pandemic, Kentucky’s child care sector remains on shaky ground, and the sector is bracing for more challenging times ahead. Throughout the COVID-19 pandemic, The Prichard Committee and a team of statewide partners released data capturing the pandemic’s impact on Kentucky’s child care sector in the survey series A Fragile Ecosystem: COVID-19’s Impact on Kentucky’s Child Care Sector. The survey series is now releasing its fourth edition with this publication, A Fragile Ecosystem IV: Will Kentucky Child Care Survive When The Dollars Run Out? (author abstract)