This article reviews a study that was completed at 23 high-risk VHA units that implemented a safe patient handling program. The units served as their own historical controls by comparing post-implementation data to the previous year's same nine-month period. 537 staff members were involved in the study from 19 nursing homes and 4 spinal cord injury units. A cost-benefit analysis was conducted to evaluate the effectiveness of the program. After taking account of the capital costs associated with the purchase of the equipment, the program resulted in an estimated cost savings of $155,719 for the nine-month period. Additionally, a statistically significant reduction in carevier injuries occurred, resulting in a decrease in lost work days and worker's compensation costs.