Avera Executive and Leadership Team

October, 2026

Leadership Overview

Avera has 7 executives leading key functions including strategy, regional hospital administration, financial oversight, operational management, and clinical excellence.

Committed to delivering comprehensive care across the Midwest, Avera maintains a robust network of hospitals and clinics to improve community health outcomes through integrated medical services.

Leadership Roles at Avera

  • Chief Executive Officer - Stephanie Reasy
  • Predident and Chief Executive Officer Avera Sacred Heart - Pamela Rezac
  • Chief Executive Officer, Platte Health Center - Mark Burket
  • Chief Financial Officer - Darcy Kepplinger
  • Chief Financial Officer, St Marys Clinic - Sarah Snyder
  • Chief Operating Officer - David Flicek
  • Chief Medical Officer - Tianna Smith
  • Stephanie Reasy - Chief Executive Officer

    Stephanie Reasy, the Chief Executive Officer at Avera, directs the overarching strategic vision for the entire integrated delivery network. Reasy manages the alignment of 18,000 employees and physicians across five states to ensure consistent patient care standards. By overseeing the expansion of outpatient and clinic services, the Chief Executive Officer drives growth across the 417 locations within the network. This leadership role involves constant collaboration with the Board to maintain the financial health of the organization while scaling medical infrastructure. Stephanie Reasy monitors the 2.2 million annual patient visits to identify opportunities for operational efficiency. Through the implementation of advanced health technologies, the Chief Executive Officer secures the long-term sustainability of the system. Reasy prioritizes the delivery of high-quality inpatient and outpatient services to meet the diverse needs of the communities served by the network.

    Pamela Rezac - Predident and Chief Executive Officer Avera Sacred Heart

    Pamela Rezac, the Predident and Chief Executive Officer Avera Sacred Heart at Avera, manages the specific clinical and administrative operations of the Sacred Heart facility. Rezac oversees the delivery of specialized medical services to the local community, ensuring that patient care protocols align with the broader network standards. The Predident and Chief Executive Officer Avera Sacred Heart coordinates with regional leadership to optimize resource allocation and staffing levels. By focusing on the unique health requirements of the service area, Pamela Rezac improves the quality of inpatient and outpatient experiences. This role involves managing local budgets and facility maintenance to support the 2.2 million total visits recorded across the system. Rezac drives initiatives that enhance the accessibility of healthcare services, ensuring that the facility remains a cornerstone of the regional health network while maintaining operational excellence.

    Mark Burket - Chief Executive Officer, Platte Health Center

    Mark Burket, the Chief Executive Officer, Platte Health Center at Avera, directs the strategic and administrative functions of the Platte Health Center. Burket oversees the delivery of essential healthcare services to the local population, ensuring that the facility meets the needs of the community. The Chief Executive Officer, Platte Health Center coordinates with the regional network to integrate specialized care options and maintain high standards of medical practice. By managing the daily operations of the center, Mark Burket ensures that patient care remains the primary focus. This leadership role involves engaging with local stakeholders to promote health initiatives and improve access to medical services. Burket monitors the performance of the facility to ensure that it contributes positively to the overall success of the network. Through effective management, the Chief Executive Officer, Platte Health Center sustains the facility's role as a vital healthcare provider.

    Darcy Kepplinger - Chief Financial Officer

    Darcy Kepplinger, the Chief Financial Officer at Avera, manages the fiscal health and capital allocation strategies for the entire integrated delivery network. Kepplinger oversees the financial planning, budgeting, and revenue cycle management processes that support 417 locations. By analyzing the economic impact of 2.2 million annual patient visits, the Chief Financial Officer ensures that resources remain available for critical infrastructure investments. This leadership role involves working closely with the executive team to evaluate the profitability of various service lines across five states. Darcy Kepplinger monitors financial performance metrics to maintain the stability of the organization. Through rigorous auditing and financial forecasting, the Chief Financial Officer supports the long-term growth of the network. Kepplinger directs the financial strategy to ensure that the organization continues to provide high-quality care while maintaining a strong balance sheet.

    Sarah Snyder - Chief Financial Officer, St Marys Clinic

    Sarah Snyder, the Chief Financial Officer, St Marys Clinic at Avera, manages the financial operations and fiscal reporting specific to the St Marys Clinic location. Snyder oversees the revenue cycle, expense management, and local budget planning to ensure the clinic remains financially viable. By monitoring the volume of outpatient visits, the Chief Financial Officer, St Marys Clinic identifies trends that impact the clinic's bottom line. This leadership role involves collaborating with the broader network finance team to align local practices with system-wide financial goals. Sarah Snyder implements cost-saving measures that improve the efficiency of clinical operations without compromising patient care. Through careful oversight of financial data, the Chief Financial Officer, St Marys Clinic supports the clinic's ability to serve the community effectively. Snyder ensures that the financial resources are utilized to maintain high-quality medical services at the facility.

    David Flicek - Chief Operating Officer

    David Flicek, the Chief Operating Officer at Avera, directs the daily operational workflows across the extensive network of hospitals and clinics. Flicek oversees the integration of clinical services and administrative functions to ensure seamless patient transitions between inpatient and outpatient settings. By managing the logistics of 417 locations, the Chief Operating Officer optimizes the delivery of care to the communities served. This leadership role involves coordinating with department heads to streamline processes and improve the efficiency of the 2.2 million annual visits. David Flicek implements operational policies that enhance the productivity of the 18,000 employees and physicians. Through the application of data-driven management techniques, the Chief Operating Officer maintains high standards of service delivery. Flicek ensures that the operational framework supports the mission of providing accessible and effective healthcare across the entire five-state region.
    David Flicek

    Tianna Smith - Chief Medical Officer

    Tianna Smith, the Chief Medical Officer at Avera, directs the clinical quality and medical standards across the entire integrated delivery network. Smith oversees the performance of the 18,000 employees and physicians, ensuring that all medical practices adhere to evidence-based protocols. By evaluating the outcomes of the 2.2 million annual patient visits, the Chief Medical Officer identifies areas for clinical improvement and innovation. This leadership role involves collaborating with hospital administrators to implement new treatment modalities and patient safety initiatives. Tianna Smith manages the credentialing and professional development of the medical staff to maintain high levels of expertise. Through the oversight of clinical governance, the Chief Medical Officer ensures that the network provides safe and effective care. Smith drives the medical strategy to align clinical excellence with the broader mission of improving health outcomes across the five-state service area.

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    Frequently Asked Questions Regarding Avera Top Executives and Leadership Team

    Who leads Avera?
    Avera is led by Stephanie Reasy (Chief Executive Officer), along with executives such as Pamela Rezac (Predident and Chief Executive Officer Avera Sacred Heart) and Mark Burket (Chief Executive Officer, Platte Health Center).
    Who is part of Avera’s executive team?
    The executive team of Avera includes leaders such as Stephanie Reasy (Chief Executive Officer), Pamela Rezac (Predident and Chief Executive Officer Avera Sacred Heart), Mark Burket (Chief Executive Officer, Platte Health Center) and other senior executives.
    How many executives does Avera have?
    Avera has 7 executives leading key business areas.
    What roles are included in Avera’s leadership team?
    The leadership team of Avera includes roles such as Chief Executive Officer, Predident and Chief Executive Officer Avera Sacred Heart, Chief Executive Officer, Platte Health Center, Chief Financial Officer, Chief Financial Officer, St Marys Clinic.