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Robert W. (Rob) Allen

Trustee, term 2026-2028

President & CEO | Intermountain Health

Last verified November 4, 2026

6 Red Flags
Affiliations
  • •President and CEO of Intermountain Health since December 2022; he is listed in that role on the 2026 AHA board roster.
  • •AHA Board of Trustees: elected August 2025 to a three-year term that began January 1, 2026 (through 2028).
  • •Former member of the AHA Strategic Leadership Group on Health Systems and the AHA Medicare DSH Advisory Group.
  • •Intermountain COO (2017-2022) and region vice president (2011-2017); earlier ran hospitals in Wyoming, New Jersey and Massachusetts.
  • •Intermountain runs 33 hospitals and more than 385 clinics across seven states and owns SelectHealth, its health plan.
Financial / Compensation
  • •Intermountain reported $18.5 billion in revenue and $515 million in operating income in 2025, a 2.8% operating margin.
  • •Schedule J breakdown (FY2024, Intermountain Health Care Inc. and IHC Health Services): base salary $2.12M, bonus and incentive $3.27M, other reportable $17,786, retirement and deferred $4.18M, nontaxable benefits $122,376; total $9.72M. Bonus and incentive pay was 34% of the total.
  • •The FY2024 Form 990 for IHC Health Services Inc. (EIN 94-2854057), Intermountain's main operating entity, lists Allen at $5,410,130 in reportable compensation plus $4,305,226 in other compensation, about $9.7 million in total.
  • •That is up from about $6.3 million ($3,669,634 plus $2,624,498) on the FY2023 filing, a roughly 54% increase in one year. The filing labels him 'Former Officer' of that entity, so pay from other Intermountain entities may not be included.
  • •IHC Health Services alone reported $10.65 billion in revenue, $1.14 billion in net income and $16.1 billion in net assets in FY2024, up from $844.8 million in net income in FY2023.
  • •The FY2024 990 lists $45.4 million in executive compensation and discloses first-class or charter travel and reported conflict-of-interest transactions.
  • •Former CFO Albert Zimmerli was listed at $8.27 million in reportable compensation on the FY2023 990.
  • •S&P rates Intermountain AA+ (affirmed June 2023), which it describes as the highest rating in U.S. nonprofit health care; no 2025-2026 rating changes surfaced.
Lobbying and Political
  • •Intermountain's federal lobbying through McDermott Will & Schulte totaled $230,000 in 2024, $220,000 in 2025 and $150,000 in the first three quarters of 2026, on budget, health care and Medicare/Medicaid issues (Senate LDA filings).
  • •The AHA itself reported $25.47 million in in-house federal lobbying in 2025 and $14.39 million in the first three quarters of 2026 (Senate LDA filings), the agenda trustees help set.
  • •Intermountain maintains a federal PAC, InterMountain Health Care PAC (FEC ID C00166991).
  • •Intermountain relies heavily on the AHA and state hospital associations for federal advocacy, keeping its direct spending low relative to its $18.5 billion size.
Revolving Door
  • •No government appointments for Allen were identified.
  • •His influence runs through AHA governance: trustee, Health Systems Committee and former Medicare DSH Advisory Group member, plus a featured slot at the 2026 AHA Annual Membership Meeting.
Home System Record
  • •Intermountain Health's charity care at cost was $247.6M (FY2024 hospital tax returns).
  • •Intermountain Health has 427 340B contract pharmacy arrangements registered with HRSA (OPAIS registry, Sept. 29, 2026).
  • •On May 22, 2026, Intermountain announced it would cut 93 caregiver roles effective July 24 'to support long-term financial sustainability,' closing two occupational health clinics and a sports medicine clinic in Colorado and a family medicine clinic in Lewistown, Mont.
  • •In August 2026, 95% of voting members of Montana Nurses Association Local 5, which represents 143 nurses at Intermountain's St. James Hospital in Butte, rejected a proposed contract over retention, recruitment and pay.
  • •In January 2024 Intermountain's Saltzer Health physician group in Idaho, acquired in 2020, announced it would sell or close all its Treasure Valley operations, affecting more than 400 employees and about 80,000 patients a year.
  • •The April 2022 merger with SCL Health created a 33-hospital system spanning Utah, Colorado, Montana, Kansas and beyond; the Colorado AG reviewed and allowed it.
  • •Intermountain owns both hospitals and SelectHealth, a vertical structure that raises steering and network-adequacy concerns in Utah.
  • •Intermountain participates in the 340B program and touts a 340B-funded insulin voucher program, but does not disclose how much 340B margin reaches patients.
  • •No Lown Institute fair-share figure for Intermountain surfaced.
Litigation and Scrutiny
  • •Utah County v. Intermountain Health Care (Utah Supreme Court, 1985) stripped property-tax exemptions from two Intermountain hospitals and remains a landmark ruling against nonprofit hospital tax exemption.
  • •In April 2013 Intermountain paid $25.5 million to settle False Claims Act allegations tied to Stark Law violations in its physician financial arrangements.
  • •No 2025-2026 False Claims Act, antitrust, state AG or patient-debt actions against Intermountain surfaced in news and legal-database searches.

Red Flags

Allen's pay on the main operating entity's 990 jumped about 54% in one year, to roughly $9.7 million in FY2024, shortly before Intermountain began cutting jobs and closing clinics in 2026.

Months after its main entity posted $1.14 billion in FY2024 net income, Intermountain cut 93 jobs and closed rural and specialty clinics in Colorado and Montana in 2026, citing 'financial sustainability.'

Intermountain earned $515 million on operations in 2025 while keeping nonprofit tax exemptions, and its 990 discloses first-class or charter travel and conflict-of-interest transactions.

Vertical integration with SelectHealth gives Intermountain control of both price and coverage across much of Utah.

The 1985 Utah Supreme Court ruling and the 2013 $25.5 million Stark settlement show that Intermountain's tax-exempt status and physician deals have both been successfully challenged before.

As an AHA trustee and former DSH advisory group member, Allen helps steer national positions on DSH, 340B and site-neutral payment that pay off for his own system.

Pattern Summary

Allen is a career Intermountain operator whose own pay jumped to about $9.7 million in FY2024 while he ran an $18.5 billion, vertically integrated nonprofit that earned $515 million on operations in 2025. In 2026 the system cut jobs and closed clinics in Colorado and Montana despite those profits. Intermountain spends modestly on its own lobbying and leans on the AHA, where Allen now sits as a trustee, to defend 340B, DSH and tax-exemption protections.

Sources and Citations

  1. 1.https://www.aha.org/node/11986
  2. 2.https://www.aha.org/news/headline/2025-08-07-aha-elects-9-trustees-2026
  3. 3.https://www.beckershospitalreview.com/finance/from-2-2-to-16-5-36-health-systems-ranked-by-operating-margins-in-2025/
  4. 4.https://lda.gov/api/v1/filings/?client_name=intermountain&filing_year=2025
  5. 5.https://lda.gov/api/v1/filings/?client_name=intermountain&filing_year=2026
  6. 6.https://lda.gov/api/v1/filings/?client_name=american+hospital+association&filing_year=2026
  7. 7.https://projects.propublica.org/nonprofits/organizations/942854057
  8. 8.https://www.beckershospitalreview.com/finance/intermountain-health-to-cut-93-roles-amid-clinic-changes-in-2-states/
  9. 9.https://beckershospitalreview.com/hr/montana-nurses-vote-down-proposed-labor-contract-with-intermountain
  10. 10.https://www.ksl.com/article/50850607/saltzer-health-an-intermountain-health-company-in-idaho-is-shutting-its-doors
  11. 11.https://www.beckershospitalreview.com/finance/intermountain-health-has-aa-ratings-affirmed-highest-in-nonprofit-healthcare
  12. 12.https://justice.gov/opa/pr/intermountain-health-care-inc-pays-us-255-million-settle-false-claims-act-allegations
  13. 13.https://projects.propublica.org/nonprofits/organizations/870269232
  14. 14.https://340bopais.hrsa.gov/