| Agency |
Health Cost |
Rank |
| Water Replenishment District of Southern California |
$32,289 |
1 |
| Central Contra Costa Sanitary District (Contra Costa) |
$29,923 |
2 |
| Truckee-Donner Public Utility District |
$28,219 |
3 |
| Stockton-East Water District |
$26,203 |
4 |
| Sweetwater Authority |
$25,946 |
5 |
| Humboldt Bay Municipal Water District |
$25,694 |
6 |
| Lassen Municipal Utility District |
$25,569 |
7 |
| Western Municipal Water District |
$24,948 |
8 |
| Florin Resource Conservation District |
$24,689 |
9 |
| El Dorado Hills County Water District |
$24,646 |
10 |
| South Feather Water and Power Agency |
$24,177 |
11 |
| Wheeler Ridge-Maricopa Water Storage District |
$24,156 |
12 |
| Monterey One Water |
$24,107 |
13 |
| South Tahoe Public Utility District |
$23,746 |
14 |
| Montecito Fire Protection District |
$23,578 |
15 |
| Modesto Irrigation District |
$23,563 |
16 |
| North Tahoe Fire Protection District |
$22,988 |
17 |
| Santa Clara Valley Open Space Authority |
$22,889 |
18 |
| Mission Springs Water District |
$22,870 |
19 |
| Stanislaus Consolidated Fire Protection District |
$22,646 |
20 |
| Woodside Fire Protection District |
$22,631 |
21 |
| Vista Irrigation District |
$22,388 |
22 |
| Yuba County Water Agency |
$22,374 |
23 |
| Northern Inyo Healthcare District |
$22,279 |
24 |
| Valley Center Municipal Water District |
$22,233 |
25 |
| Delta Diablo Sanitation District (Contra Costa) |
$22,086 |
26 |
| West Basin Municipal Water District |
$22,005 |
27 |
| Central Fire Protection District (Santa Cruz) |
$21,980 |
28 |
| Glenn-Colusa Irrigation District |
$21,977 |
29 |
| Oro Loma Sanitary District (Alameda) |
$21,964 |
30 |
| San Ramon Valley Fire Protection |
$21,932 |
31 |
| Monterey County Regional Fire Protection District |
$21,928 |
32 |
| San Luis and Delta-Mendota Water Authority |
$21,919 |
33 |
| Mammoth County Water District |
$21,795 |
34 |
| Menlo Park Fire Protection District |
$21,760 |
35 |
| Los Angeles County Metropolitan Transportation Authority |
$21,757 |
36 |
| San Juan Water District |
$21,688 |
37 |
| Alameda County Waste Management Authority and Source Reduction Recycling Board |
$21,608 |
38 |
| Olivenhain Municipal Water District |
$21,395 |
39 |
| Tulelake Irrigation District |
$21,370 |
40 |
| Salinas Valley Memorial Healthcare District |
$21,336 |
41 |
| Truckee Fire Protection District |
$21,232 |
42 |
| San Lorenzo Valley Water District |
$21,022 |
43 |
| Orange County Fire Authority |
$20,962 |
44 |
| Santa Cruz Metropolitan Transit District |
$20,829 |
45 |
| Amador Water Agency |
$20,823 |
46 |
| Indian Wells Valley Water District |
$20,733 |
47 |
| Kern County Water Agency |
$20,664 |
48 |
| Central County Fire Department |
$20,653 |
49 |
| Helix Water District |
$20,646 |
50 |
| Aptos-La Selva Fire Protection Services |
$20,614 |
51 |
| Stockton Port District |
$20,544 |
52 |
| Ross Valley Fire Department |
$20,487 |
53 |
| Tahoe-Truckee Sanitation Agency |
$20,462 |
54 |
| Fairfield-Suisun Sewer District |
$20,427 |
55 |
| San Benito Health Care District |
$20,427 |
56 |
| Union Sanitary District (Alameda) |
$20,328 |
57 |
| Salinas Valley Solid Waste Authority |
$20,323 |
58 |
| Alameda County Water District |
$20,300 |
59 |
| Northstar Community Services District |
$20,236 |
60 |
| Lathrop-Manteca Fire Protection District |
$20,182 |
61 |
| Goleta Sanitary District (Santa Barbara) |
$20,135 |
62 |
| East Bay Municipal Utility District |
$20,086 |
63 |
| Truckee Sanitary District (Nevada) |
$20,080 |
64 |
| Merced County Association of Governments |
$19,932 |
65 |
| Antelope Valley-East Kern Water Agency |
$19,829 |
66 |
| Central Marin Police Authority |
$19,819 |
67 |
| Vallejo Sanitation and Flood Control District |
$19,815 |
68 |
| Sanitary District No. 1 (Marin) |
$19,672 |
69 |
| West County Wastewater District (Contra Costa) |
$19,658 |
70 |
| Washington Township Health Care District |
$19,584 |
71 |
| Otay Water District |
$19,546 |
72 |
| Association of California Water Agencies Joint Powers Insurance Authority |
$19,525 |
73 |
| San Francisco Bay Area Rapid Transit District |
$19,449 |
74 |
| Casitas Municipal Water |
$19,414 |
75 |
| Central Marin Sanitation Agency |
$19,342 |
76 |
| Vallecitos Water District |
$19,295 |
77 |
| Tuolumne Utilities District |
$19,288 |
78 |
| Sacramento Metropolitan Fire District |
$19,218 |
79 |
| Laguna Beach County Water District |
$19,201 |
80 |
| Rancho California Water District |
$19,193 |
81 |
| Cucamonga Valley Water District |
$19,171 |
82 |
| Turlock Irrigation District |
$19,041 |
83 |
| Calaveras County Water District |
$19,030 |
84 |
| South Placer Municipal Utility District |
$18,982 |
85 |
| East Bay Regional Park District |
$18,975 |
86 |
| Calleguas Municipal Water District |
$18,971 |
87 |
| Nevada Irrigation District |
$18,955 |
88 |
| Marina Coast Water District |
$18,916 |
89 |
| West Valley Water District |
$18,858 |
90 |
| Tahoe City Public Utility District |
$18,853 |
91 |
| Water Employee Services Authority |
$18,761 |
92 |
| North County Fire Protection District (San Diego) |
$18,705 |
93 |
| South Bay Regional Public Safety Training Consortium |
$18,669 |
94 |
| Sacramento Municipal Utility District |
$18,654 |
95 |
| El Dorado County Transit Authority |
$18,634 |
96 |
| Monterey Regional Waste Management District |
$18,524 |
97 |
| Metropolitan Water District of Southern California |
$18,506 |
98 |
| Marin/Sonoma Mosquito and Vector Control District |
$18,484 |
99 |
| Sonoma-Marin Area Rail Transit District |
$18,396 |
100 |
| Silicon Valley Clean Water |
$18,273 |
101 |
| Rainbow Municipal Water District |
$18,261 |
102 |
| Alameda Health System |
$18,205 |
103 |
| San Mateo County Transit District |
$18,204 |
104 |
| Coachella Valley Mosquito and Vector Control District |
$18,200 |
105 |
| Desert Water Agency |
$18,180 |
106 |
| Valley of the Moon Fire Protection District |
$18,076 |
107 |
| Alameda County Transportation Commission |
$18,065 |
108 |
| Ramona Municipal Water District |
$18,058 |
109 |
| San Francisco County Transportation Authority |
$18,032 |
110 |
| Big Bear City Community Services District |
$18,020 |
111 |
| West Kern Water District |
$17,943 |
112 |
| Walnut Valley Water District |
$17,934 |
113 |
| South Coast Water District |
$17,906 |
114 |
| Placer County Water Agency |
$17,871 |
115 |
| El Toro Water District |
$17,806 |
116 |
| Northern California Power Agency |
$17,796 |
117 |
| Central Coast Water Authority |
$17,776 |
118 |
| Las Virgenes Municipal Water District |
$17,722 |
119 |
| El Dorado Irrigation District |
$17,706 |
120 |
| North Kern Water Storage District |
$17,689 |
121 |
| El Dorado County Fire Protection District |
$17,682 |
122 |
| Moulton-Niguel Water District |
$17,620 |
123 |
| Bay Area Air Quality Management District |
$17,583 |
124 |
| Nevada County Consolidated Fire District |
$17,506 |
125 |
| Orange County Water District |
$17,473 |
126 |
| Napa Sanitation District |
$17,373 |
127 |
| Marin Municipal Water District |
$17,253 |
128 |
| Beaumont-Cherry Valley Water District |
$17,172 |
129 |
| Eastern Contra Costa County Transit Authority |
$17,158 |
130 |
| Eastern Municipal Water District |
$17,155 |
131 |
| Contra Costa Water District |
$17,056 |
132 |
| Santa Clara Valley Water District |
$16,913 |
133 |
| CSAC Excess Insurance Authority |
$16,841 |
134 |
| Humboldt Transit Authority |
$16,804 |
135 |
| Santa Fe Irrigation District |
$16,754 |
136 |
| Lake Arrowhead Community Services District |
$16,667 |
137 |
| Monterey-Salinas Transit |
$16,661 |
138 |
| Municipal Water District of Orange County |
$16,588 |
139 |
| Dublin San Ramon Services District |
$16,586 |
140 |
| Moraga/Orinda Fire Protection District |
$16,580 |
141 |
| Greater Los Angeles County Vector Control District |
$16,540 |
142 |
| Palo Verde Irrigation District |
$16,539 |
143 |
| Midpeninsula Regional Open Space District |
$16,412 |
144 |
| Arvin-Edison Water Storage District |
$16,374 |
145 |
| San Diego County Water Authority |
$16,374 |
146 |
| County Sanitation District No. 2 (Los Angeles) |
$16,362 |
147 |
| Mojave Desert Air Quality Management District |
$16,230 |
148 |
| Central Sierra Child Support Agency |
$16,149 |
149 |
| Hayward Area Recreation and Park District |
$16,089 |
150 |
| Fresno Metropolitan Flood Control District |
$16,067 |
151 |
| City and County of San Francisco Redevelopment Financing Authority |
$16,020 |
152 |
| Santa Clara Community Health Authority |
$16,012 |
153 |
| North Marin Water District |
$15,973 |
154 |
| Soquel Creek Water District |
$15,913 |
155 |
| South Orange County Wastewater Authority |
$15,895 |
156 |
| East Valley Water District |
$15,645 |
157 |
| Irvine Ranch Water District |
$15,634 |
158 |
| Sacramento Suburban Water District |
$15,572 |
159 |
| Citrus Heights Water District |
$15,453 |
160 |
| Kern County Hospital Authority |
$15,379 |
161 |
| Oak Valley Hospital District |
$15,316 |
162 |
| Orange County Transportation Authority |
$15,313 |
163 |
| Merced Irrigation District |
$15,303 |
164 |
| San Diego Association of Governments |
$15,227 |
165 |
| Novato Fire Protection District |
$15,117 |
166 |
| Orange County Sanitation District |
$15,089 |
167 |
| North Sonoma County Healthcare District |
$15,088 |
168 |
| Sacramento Regional Transit System |
$15,035 |
169 |
| Palmdale Water District |
$15,003 |
170 |
| Imperial Irrigation District |
$14,895 |
171 |
| Central Contra Costa Transit Authority |
$14,846 |
172 |
| Hi-Desert Water District |
$14,835 |
173 |
| Foothill/Eastern Transportation Corridor Agency |
$14,777 |
174 |
| San Joaquin Regional Transit District |
$14,757 |
175 |
| Crescenta Valley County Water District |
$14,750 |
176 |
| Encina Wastewater Authority |
$14,723 |
177 |
| Friant Water Authority |
$14,615 |
178 |
| Sacramento Metropolitan Air Quality Management District |
$14,611 |
179 |
| Yorba Linda Water District |
$14,493 |
180 |
| Los Angeles County West Vector Control District |
$14,436 |
181 |
| Inland Empire Utilities Agency |
$14,299 |
182 |
| Eastern Plumas Health Care District |
$14,289 |
183 |
| Goleta Water District |
$14,244 |
184 |
| Oxnard Harbor District |
$14,232 |
185 |
| Padre Dam Municipal Water District |
$14,225 |
186 |
| Cordova Recreation and Park District |
$14,196 |
187 |
| Contra Costa Mosquito Abatement District |
$14,184 |
188 |
| Southern California Coastal Water Research Project Authority |
$14,116 |
189 |
| Lakeside Fire Protection District |
$14,055 |
190 |
| Kings River Conservation District |
$14,048 |
191 |
| Sacramento Regional Public Safety Communications Center |
$14,035 |
192 |
| San Miguel Consolidated Fire Protection District |
$14,017 |
193 |
| Southern California Regional Rail Authority |
$13,941 |
194 |
| Fallbrook Public Utility District |
$13,929 |
195 |
| Santa Barbara Metropolitan Transit District |
$13,912 |
196 |
| Cooperative Personnel Services |
$13,834 |
197 |
| Beta Healthcare Group Risk Management Authority |
$13,816 |
198 |
| Mt. San Jacinto Winter Park Authority |
$13,770 |
199 |
| Santa Margarita Water District |
$13,546 |
200 |
| Inland Empire Health Plan |
$13,507 |
201 |
| Southern Mono Health Care District |
$13,457 |
202 |
| Madera Irrigation District |
$13,438 |
203 |
| Foothill Transit |
$13,424 |
204 |
| Mendocino Transit Authority |
$13,423 |
205 |
| Kaweah Delta Health Care District |
$13,387 |
206 |
| Mojave Water Agency |
$13,380 |
207 |
| North Bay Schools Insurance Authority |
$13,290 |
208 |
| Fresno Regional Workforce Investment Board |
$13,249 |
209 |
| Lake Hemet Municipal Water District |
$13,240 |
210 |
| Selma – Kingsburg – Fowler County Sanitation District (Fresno) |
$13,164 |
211 |
| Pleasant Hill Recreation and Park District |
$13,148 |
212 |
| Plumas Hospital District |
$13,106 |
213 |
| Solano Irrigation District |
$13,104 |
214 |
| Santa Cruz Port District |
$13,097 |
215 |
| Oakdale Irrigation District |
$13,065 |
216 |
| Semitropic Water Storage District |
$13,060 |
217 |
| Antelope Valley Healthcare District |
$12,904 |
218 |
| Mountains Recreation and Conservation Authority |
$12,865 |
219 |
| Chino Valley Independent Fire District |
$12,853 |
220 |
| Orange County Mosquito and Vector Control District |
$12,811 |
221 |
| Sonoma County Library |
$12,790 |
222 |
| Humboldt Waste Management Authority |
$12,783 |
223 |
| Amador-Tuolumne Community Action Agency |
$12,778 |
224 |
| Shasta Area Safety Communications Agency |
$12,660 |
225 |
| Southgate Recreation and Park District |
$12,637 |
226 |
| United Water Conservation District |
$12,616 |
227 |
| Henry Miller Reclamation District No. 2131 |
$12,509 |
228 |
| Desert Recreation District |
$12,453 |
229 |
| Rancho Santa Fe Fire Protection District |
$12,452 |
230 |
| Jurupa Community Services District |
$12,417 |
231 |
| Monterey Bay Unified Air Pollution Control District |
$12,237 |
232 |
| Humboldt Bay Fire |
$12,235 |
233 |
| Coachella Valley Water District |
$12,085 |
234 |
| Mayers Memorial Hospital District |
$11,966 |
235 |
| Golden Empire Transit District |
$11,947 |
236 |
| Community Human Services Project |
$11,911 |
237 |
| Mesa Water District (Orange) |
$11,904 |
238 |
| Yolo County Communications Emergency Services Agency |
$11,872 |
239 |
| San Diego Transit Corporation |
$11,824 |
240 |
| South Placer Fire Protection District |
$11,742 |
241 |
| San Diego Unified Port District |
$11,691 |
242 |
| Southeast Area Animal Control Authority |
$11,678 |
243 |
| Alliance of Schools For Cooperative Insurance Programs |
$11,638 |
244 |
| Sonoma Valley Healthcare District |
$11,567 |
245 |
| Riverside Transit Agency |
$11,415 |
246 |
| Chico Area Recreation and Park District |
$11,334 |
247 |
| Capitol Area Development Authority |
$11,320 |
248 |
| North County Transit District |
$11,239 |
249 |
| Central California Irrigation District |
$11,227 |
250 |
| Conejo Recreation and Park District |
$11,057 |
251 |
| San Diego County Regional Airport Authority |
$11,050 |
252 |
| Ventura Port District |
$11,000 |
253 |
| Rancho Simi Recreation and Park District |
$10,911 |
254 |
| Sunline Transit Agency |
$10,850 |
255 |
| John C. Fremont Healthcare District |
$10,728 |
256 |
| Tri-City Hospital District |
$10,668 |
257 |
| San Diego Metropolitan Transit System |
$10,659 |
258 |
| Lower Tule River Irrigation District |
$10,435 |
259 |
| Gold Coast Transit District |
$10,426 |
260 |
| San Bernardino Mountains Community Hospital District |
$10,315 |
261 |
| Sacramento Public Library Authority |
$10,253 |
262 |
| Ventura County Air Pollution Control |
$10,200 |
263 |
| South Bay Regional Public Communications Authority |
$9,936 |
264 |
| Long Beach Public Transportation Company |
$9,924 |
265 |
| Greater Vallejo Recreation District |
$9,871 |
266 |
| Antelope Valley Transit Authority |
$9,791 |
267 |
| Fresno Irrigation District |
$9,741 |
268 |
| Altamont Corridor Express – ACE |
$9,700 |
269 |
| South Coast Air Quality Management District |
$9,679 |
270 |
| Tahoe Regional Planning Agency |
$9,634 |
271 |
| Omnitrans |
$9,489 |
272 |
| Palos Verdes Library District |
$9,441 |
273 |
| Tri-City Mental Health Center |
$9,393 |
274 |
| Seneca Hospital District |
$9,366 |
275 |
| Schools Insurance Authority |
$9,308 |
276 |
| San Joaquin Valley Unified Air Pollution Control District |
$9,284 |
277 |
| Beach Cities Health District |
$9,277 |
278 |
| San Diego Convention Center Corporation Inc. |
$9,222 |
279 |
| Sierra View Local Health Care District |
$9,159 |
280 |
| Sacramento Area Council of Governments |
$9,097 |
281 |
| Westlands Water District |
$9,044 |
282 |
| Riverside County Transportation Commission |
$8,995 |
283 |
| Marin Clean Energy |
$8,987 |
284 |
| North of the River Recreation and Park District |
$8,630 |
285 |
| Consolidated Fire Agencies |
$8,423 |
286 |
| San Luis Obispo Regional Transit Authority (RTA) |
$8,278 |
287 |
| Ventura Region Sanitation District |
$8,011 |
288 |
| San Diego Trolley Inc. |
$7,969 |
289 |
| Southern California Association of Governments |
$7,793 |
290 |
| Los Angeles Homeless Services Authority |
$7,752 |
291 |
| Kern Valley Hospital District |
$7,668 |
292 |
| Bear Valley Community Healthcare District |
$7,460 |
293 |
| Sacramento-Yolo Mosquito and Vector Control District |
$7,455 |
294 |
| Mountain Community Medical Services District dba Trinity Hospital |
$6,682 |
295 |
| Last Frontier Health District |
$6,263 |
296 |
| San Bernardino County Transportation Authority |
$3,607 |
297 |
| South San Joaquin Irrigation District |
$2,447 |
298 |
| North Tahoe Public Utility District |
$2,091 |
299 |
| Metropolitan Transportation Commission |
$1,420 |
300 |
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