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03). Transfers to TC increased from 49.6 to 62.0% ( = .001). Critical access hospital average monthly census and average monthly inpatient days increased (69 to 130 ( .0001) and 158 to 319 ( .0001), respectively). Critical access hospital physicians report increased comfort to admit ICU and non-ICU patients due to the program. The total startup cost was $5180. CAH hired 11 providers. There were no unanticipated deaths. VICU implementation resulted in new CAH jobs. The CAH experienced increased inpatient census and revenues (I