Original filing (PDF)20250822140655NAL0005177601001

Kootenai Clinic, LLC

Name: Kootenai Clinic, LLC — Kootenai Health 403(b) Plan, Form 5500 (2024)
Creator: Kootenai Clinic, LLC
License: https://www.usa.gov/government-works

Form 5500

FILING_RECEIVED

Kootenai Health 403(b) Plan

403(b) retirement plan · Kootenai Clinic, LLC's Kootenai Health 403(b) Plan held $79.9M in plan assets for 4,205 participants in 2024, with Fidelity as recordkeeper.

Signals · 2

Late participant contributionsNo ERISA fidelity bond

Active participants

4,205

Accounts w/ balance

4,311

Plan assets (EOY)

$79.9M

Net assets (EOY)

$79.9M

How this plan invests

This plan

60 securities

funds · stocks · CUSIPs

Holdings are itemized directly on this plan's Schedule of Assets, below.

Plan health score

Average plan with room to improve

Directional indicator from public Form 5500 data — compliance & integrity, total plan cost, participant health and vendor stack, benchmarked against same-size peers. Not a fiduciary tool.

Compliance & integrity

Total plan cost

Plan health

Vendor & structure

100

Knocking points off

Delinquent participant contributions reported (Schedule H 4a) — 4142K (9% of contributions).
No ERISA fidelity bond reported.
Low account-holder ratio — balance-holders per active participant in the bottom quartile of peers (19th percentile).

Decision-maker contacts

One unlock reveals every key decision-maker — plan signer, CFO, HR & Benefits — with verified email + LinkedIn for KOOTENAI CLINIC, LLC.

Plan sponsor

Name

KOOTENAI CLINIC, LLC

EIN

45-4069155all filings

Address

2003 KOOTENAI HEALTH WAY · COEUR D ALENE, ID · 83814

Phone

(208) 625-4620

Industry

Health Care & Social Assistance

Plan administrator

Same as plan sponsor.

Plan characteristics

Plan number

001

Plan year

2024

Plan year begin

2024-01-01

Tax period

2024-12-31

Filed

2025-08-22

Pension benefit codes

2G · Total participant-directed accounts

2M · 403(b)(7) custodial accounts

2T · Default investment account (QDIA)

3D · Pre-approved plan (master / prototype / VS)

3H · Sponsor in controlled / affiliated group

Audit & trust (Schedule H)

Auditor

CLIFTONLARSONALLEN, LLP

Trustee / custodian

—

Trustee phone

Service providers (Schedule C)

3 rows

Recordkeeper

Name	EIN	Location	Relation	Direct comp	Indirect comp
FIDELITY INVESTMENTS INSTITUTIONAL	04-2647786	—	RECORDKEEPER	$43K	—

Advisor / Consultant

Name	EIN	Location	Relation	Direct comp	Indirect comp
RBC WEALTH MANAGEMENT	20-0563684	—	INVESTMENT ADVISOR	$115K	—
STRATEGIC ADVISORS, INC.

Investments

60 direct securities· $111.0M(100% of reported assets)

Other securities

$76.9M

34 holdings

Common Collective Trusts

$19.2M

6 holdings

Mutual Funds

$14.7M

18 holdings

Bonds / Notes

$236K

2 holdings

					% of plan
Vanguard Institutional Index Fund	Common Collective Trusts	—	—	$9.9M	12.4%
T. Rowe Price Retirement 2040 Fund	Other securities	—	—	$8.3M	10.3%
T. Rowe Price Retirement 2030 Fund	Other securities	—	—	$7.5M	9.4%
T. Rowe Price Retirement 2045 Fund	Other securities	—	—	$7.1M	8.9%
T. Rowe Price Retirement 2050 Fund	Other securities	—	—	$6.4M	8.0%
T. Rowe Price Retirement 2035 Fund	Other securities	—	—	$5.6M	7.0%
Vanguard Institutional Index Fund	Common Collective Trusts	—	—	$5.2M	6.4%
T. Rowe Price Retirement 2055 Fund	Other securities	—	—	$4.5M	5.7%
T. Rowe Price Retirement 2030 Fund	Other securities	—	—	$4.3M	5.4%
T. Rowe Price Retirement 2045 Fund	Other securities	—	—	$3.3M	4.1%
T. Rowe Price Capital Appreciation Fund	Other securities	—	—	$3.0M	3.8%
T. Rowe Price Retirement 2060 Fund	Other securities	—	—	$2.8M	3.5%
T. Rowe Price Retirement 2040 Fund	Other securities	—	—	$2.8M	3.5%
PGIM Total Return Bond Z Fund	Other securities	—	—	$2.2M	2.7%
T. Rowe Price Retirement 2025 Fund	Other securities	—	—	$2.1M	2.7%
Vanguard FTSE Social Index Fund Admiral	Common Collective Trusts	—	—	$2.0M	2.4%
T. Rowe Price Retirement 2035 Fund	Other securities	—	—	$1.9M	2.3%
T. Rowe Price Retirement 2050 Fund	Other securities	—	—	$1.9M	2.3%
Vanguard Extended Market Index Admiral	Mutual Funds	—	—	$1.7M	2.2%
MFS Massachusetts Investors Growth Stock Fund R6	Mutual Funds	—	—	$1.6M	2.0%
T. Rowe Price Retirement 2015 Fund	Other securities	—	—	$1.6M	2.0%
T. Rowe Price Retirement 2015 Fund	Other securities	—	—	$1.5M	1.9%
Vanguard Total International Stock Admiral	Mutual Funds	—	—	$1.4M	1.7%
Vanguard Extended Market Index Admiral	Mutual Funds	—	—	$1.3M	1.7%
T. Rowe Price Capital Appreciation Fund	Other securities	—	—	$1.3M	1.6%
New York Life Insurance Contract	Other securities	—	—	$1.2M	1.5%
MFS Value Fund R6	Mutual Funds	—	—	$1.1M	1.4%
T. Rowe Price Retirement 2065 Fund	Other securities	—	—	$1.1M	1.3%
T. Rowe Price Retirement 2020 Fund	Other securities	—	—	$1.0M	1.3%
American Funds EuroPacific Growth Fund R6	Mutual Funds	—	—	$1.0M	1.3%
MFS Massachusetts Investors Growth Stock Fund R6	Mutual Funds	—	—	$1.0M	1.3%
Vanguard FTSE Social Index Fund Admiral	Common Collective Trusts	—	—	$1.0M	1.3%
Fidelity Brokeragelink	Mutual Funds	—	—	$1.0M	1.3%
American Funds EuroPacific Growth Fund R6	Mutual Funds	—	—	$889K	1.1%
PGIM Total Return Bond Z Fund	Other securities	—	—	$866K	1.1%
MFS Value Fund R6	Mutual Funds	—	—	$860K	1.1%
New York Life Insurance Contract	Other securities	—	—	$802K	1.0%
Fidelity Emerging Markets Index Fund	Common Collective Trusts	—	—	$794K	1.0%
T. Rowe Price Retirement 2020 Fund	Other securities	—	—	$704K	0.9%
T. Rowe Price Retirement 2055 Fund	Other securities	—	—	$685K	0.9%
Franklin Small Cap Value Fund R6	Mutual Funds	—	—	$609K	0.8%
Conestoga Small Cap Fund	Other securities	—	—	$579K	0.7%
T. Rowe Price Retirement 2025 Fund	Other securities	—	—	$575K	0.7%
Fidelity Brokeragelink	Mutual Funds	—	—	$560K	0.7%
Conestoga Small Cap Fund	Other securities	—	—	$558K	0.7%
PGIM High Yield Fund Z	Other securities	—	—	$453K	0.6%
Franklin Small Cap Value Fund R6	Mutual Funds	—	—	$417K	0.5%
Fidelity Emerging Markets Index Fund	Common Collective Trusts	—	—	$372K	0.5%
T. Rowe Price Retirement 2060 Fund	Other securities	—	—	$286K	0.4%
Vanguard Inflation-Protected Admiral	Mutual Funds	—	—	$241K	0.3%