Avera Executive and Leadership Team

August, 2026

Leadership Overview

Avera has 10 executives leading key functions including corporate strategy, regional operations, clinical administration, and financial management.

Guided by a commitment to holistic patient wellness, Avera delivers comprehensive healthcare services across the Upper Midwest while advancing medical research and rural outreach initiatives.

Leadership Roles at Avera

  • President & Chief Executive Officer - Frederick Slunecka
  • President & Chief Executive Officer (Nebraska) - Todd Consbruck
  • Chief Executive Officer & General Manager - Vicente Larreta
  • Administrator and Chief Executive Officer - Matthew Campion
  • President and Chief Executive Officer AveraHome - Sandra Dieleman
  • Regional President & Regional Chief Executive Officer, Avera Marshall Medical Center - Debbie Streier
  • President & Chief Executive Officer - James Dover
  • President & Chief Executive Officer - Hillary Rockwell
  • Founder & Chief Executive Officer - Ayush Menon
  • Chief Financial Officer - Derrick Peterson
  • Frederick Slunecka - President & Chief Executive Officer

    Frederick Slunecka, the President & Chief Executive Officer at Avera, directs the overarching strategic vision for this comprehensive healthcare network. Overseeing the integration of primary care, oncology, and behavioral health services, the President & Chief Executive Officer ensures that clinical excellence remains the primary focus across all 300 locations. This leadership role involves aligning organizational goals with Christian values to support the whole person. By fostering innovation in clinical trials and advanced treatment options, Frederick Slunecka drives the expansion of high-quality care throughout the Upper Midwest. The President & Chief Executive Officer maintains constant collaboration with the Board to optimize resource allocation and improve patient outcomes. Through rigorous oversight of operational standards, Slunecka secures the long-term sustainability of the health system while addressing the unique needs of rural populations through robust telemedicine infrastructure and community-focused outreach programs.

    Todd Consbruck - President & Chief Executive Officer (Nebraska)

    Todd Consbruck, the President & Chief Executive Officer (Nebraska) at Avera, manages the strategic delivery of healthcare services within the Nebraska market. Focusing on the specific needs of regional patients, the President & Chief Executive Officer (Nebraska) architects localized care models that integrate primary health, women's services, and orthopedic specialties. This role requires constant coordination with the broader corporate leadership to ensure that regional operations reflect the core mission of holistic wellness. By optimizing clinical workflows and enhancing access to specialized care, Todd Consbruck drives significant improvements in regional health metrics. Consbruck also prioritizes the development of community partnerships to strengthen the presence of the organization in rural areas. Through the effective management of local facilities, the President & Chief Executive Officer (Nebraska) ensures that every patient receives high-quality, value-based care that aligns with the overarching standards of the entire health system.
    Todd Consbruck

    Vicente Larreta - Chief Executive Officer & General Manager

    Vicente Larreta, the Chief Executive Officer & General Manager at Avera, oversees the daily operational efficiency and administrative functions of the organization. Directing the logistical aspects of hospital management, the Chief Executive Officer & General Manager ensures that clinical departments maintain high standards of performance and patient safety. This role involves managing complex supply chains and staffing requirements to support the diverse service offerings, including children's health and cancer care. By streamlining internal processes, Vicente Larreta drives operational excellence and fiscal responsibility across the network. Larreta works closely with other executive leaders to implement technology-driven solutions that enhance the patient experience. Through the rigorous application of management best practices, the Chief Executive Officer & General Manager supports the mission of providing accessible, high-quality care. This leadership position remains vital for maintaining the operational scale necessary to serve patients across the five-state region effectively.

    Matthew Campion - Administrator and Chief Executive Officer

    Matthew Campion, the Administrator and Chief Executive Officer at Avera, manages the administrative infrastructure and clinical governance of specific healthcare facilities. Overseeing the implementation of patient care protocols, the Administrator and Chief Executive Officer ensures that all medical services adhere to the highest standards of quality and safety. This role involves coordinating with clinical staff to optimize the delivery of primary and specialized care. By fostering a culture of continuous improvement, Matthew Campion drives the adoption of advanced treatment options and clinical research initiatives. Campion also focuses on the integration of behavioral health services into the broader care continuum to support the whole person. Through the effective administration of facility resources, the Administrator and Chief Executive Officer supports the long-term growth and stability of the organization. This leadership role remains essential for maintaining the high quality of care that defines the reputation of the health system.
    Matthew Campion

    Sandra Dieleman - President and Chief Executive Officer AveraHome

    Sandra Dieleman, the President and Chief Executive Officer AveraHome at Avera, directs the specialized division focused on home-based healthcare and patient support services. Overseeing the expansion of remote monitoring and home health programs, the President and Chief Executive Officer AveraHome ensures that patients receive continuous care outside of traditional hospital settings. This role involves integrating telemedicine capabilities to reach rural populations effectively. By prioritizing patient-centered care, Sandra Dieleman drives the success of home health initiatives that align with the mission of serving the whole person. Dieleman collaborates with other executive leaders to ensure that home-based services complement the broader clinical offerings of the organization. Through the strategic management of home health resources, the President and Chief Executive Officer AveraHome enhances the accessibility and quality of care for patients across the five-state region. This leadership role remains critical for the evolution of modern healthcare delivery.
    Sandra Dieleman

    Debbie Streier - Regional President & Regional Chief Executive Officer, Avera Marshall Medical Center

    Debbie Streier, the Regional President & Regional Chief Executive Officer, Avera Marshall Medical Center at Avera, manages the clinical and administrative operations of the Marshall Medical Center. Overseeing the delivery of primary care, emergency services, and specialized treatments, the Regional President & Regional Chief Executive Officer, Avera Marshall Medical Center ensures that the facility meets the diverse health needs of the local community. This role involves coordinating with regional stakeholders to expand access to advanced medical care. By driving operational efficiency and patient satisfaction, Debbie Streier supports the broader mission of the health system. Streier also focuses on the recruitment and retention of top-tier medical talent to maintain high standards of service. Through the effective leadership of the medical center, the Regional President & Regional Chief Executive Officer, Avera Marshall Medical Center ensures that the organization remains a cornerstone of health and wellness in the region.

    James Dover - President & Chief Executive Officer

    James Dover, the President & Chief Executive Officer at Avera, leads the strategic development of clinical programs and organizational growth. Overseeing the implementation of large-scale healthcare initiatives, the President & Chief Executive Officer ensures that the network remains at the forefront of medical innovation. This role involves managing the complex relationships between clinical departments and administrative support teams to optimize patient care. By focusing on the expansion of specialized services, James Dover drives the organization toward achieving its long-term goals of comprehensive health coverage. Dover works with the executive team to ensure that all initiatives reflect the core values of the health system. Through the effective oversight of strategic projects, the President & Chief Executive Officer supports the mission of providing quality care to diverse populations. This leadership position remains essential for navigating the evolving healthcare landscape and maintaining the competitive position of the organization.

    Hillary Rockwell - President & Chief Executive Officer

    Hillary Rockwell, the President & Chief Executive Officer at Avera, directs the strategic initiatives focused on enhancing patient access and clinical quality. Overseeing the development of new care models, the President & Chief Executive Officer ensures that the organization effectively addresses the needs of both urban and rural communities. This role involves collaborating with clinical leaders to integrate research and evidence-based practices into daily operations. By prioritizing the patient experience, Hillary Rockwell drives the success of programs designed to support the whole person. Rockwell also focuses on the financial and operational sustainability of the health system through strategic planning and resource management. Through the effective leadership of key initiatives, the President & Chief Executive Officer supports the mission of providing compassionate, high-quality care. This leadership role remains vital for ensuring that the organization continues to serve as a leader in the healthcare industry.

    Ayush Menon - Founder & Chief Executive Officer

    Ayush Menon, the Founder & Chief Executive Officer at Avera, architects the foundational vision and long-term growth strategy for the organization. Overseeing the development of innovative healthcare solutions, the Founder & Chief Executive Officer ensures that the mission of serving the whole person remains central to all business activities. This role involves identifying new market opportunities and fostering a culture of excellence and integrity. By driving the adoption of cutting-edge technology and research, Ayush Menon supports the advancement of medical treatments across the network. Menon works closely with the executive team to align organizational goals with the evolving needs of the healthcare industry. Through the effective leadership of the organization, the Founder & Chief Executive Officer ensures that the health system remains committed to its core values while expanding its reach. This leadership role remains essential for the continued success and impact of the organization.
    Ayush Menon

    Derrick Peterson - Chief Financial Officer

    Derrick Peterson, the Chief Financial Officer at Avera, manages the financial health and fiscal strategy of the entire healthcare network. Overseeing the budgeting, revenue cycle management, and capital investment planning, the Chief Financial Officer ensures that the organization maintains the resources necessary to support its clinical mission. This role involves analyzing financial performance across all 300 locations to optimize operational efficiency. By driving fiscal responsibility, Derrick Peterson supports the expansion of services and the implementation of new medical technologies. Peterson works closely with the executive team to ensure that financial decisions align with the long-term strategic goals of the health system. Through the rigorous oversight of financial operations, the Chief Financial Officer secures the stability and growth of the organization. This leadership role remains critical for maintaining the financial viability required to provide high-quality care to patients across the five-state region.

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    Frequently Asked Questions Regarding Avera Top Executives and Leadership Team

    Who leads Avera?
    Avera is led by Frederick Slunecka (President & Chief Executive Officer), along with executives such as Todd Consbruck (President & Chief Executive Officer (Nebraska)) and Vicente Larreta (Chief Executive Officer & General Manager).
    Who is part of Avera’s executive team?
    The executive team of Avera includes leaders such as Frederick Slunecka (President & Chief Executive Officer), Todd Consbruck (President & Chief Executive Officer (Nebraska)), Vicente Larreta (Chief Executive Officer & General Manager) and other senior executives.
    How many executives does Avera have?
    Avera has 10 executives leading key business areas.
    What roles are included in Avera’s leadership team?
    The leadership team of Avera includes roles such as President & Chief Executive Officer, President & Chief Executive Officer (Nebraska), Chief Executive Officer & General Manager, Administrator and Chief Executive Officer, President and Chief Executive Officer AveraHome.