Avera Executive and Leadership Team

June, 2026

Leadership Overview

Avera has 10 executives leading key functions including strategy, operations, finance, and regional management.

Driven by Christian values, Avera is dedicated to serving the whole person—mind, body, and spirit—across over 300 locations in the Upper Midwest, focusing on quality care, research, and community support.

Leadership Roles at Avera

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

    Gloria Smith, the Chief Executive Officer at Avera, directs the overarching strategic vision and operational execution for the comprehensive healthcare provider. Smith's leadership ensures the organization's commitment to serving the whole person—mind, body, and spirit—across its extensive network of over 300 locations in the Upper Midwest. This role involves guiding the delivery of diverse services, including primary care, women's health, children's health, orthopedics, cancer care, and behavioral health, all while upholding the organization's core Christian values. Gloria Smith also champions the expansion of rural health initiatives through telemedicine and outreach programs, ensuring equitable access to quality care. The Chief Executive Officer's purview extends to fostering an environment conducive to research and clinical trials, driving advancements in treatment options and patient outcomes. This executive ensures seamless integration of all departmental functions to meet community needs and support career development within the healthcare sector.

    Hillary Rockwell - President & Chief Executive Officer

    Hillary Rockwell, the President & Chief Executive Officer at Avera, spearheads the strategic direction and operational management of the healthcare system. Rockwell's leadership ensures Avera's mission of serving the whole person—mind, body, and spirit—is consistently delivered across its expansive network spanning five states in the Upper Midwest. This executive oversees the integration of a broad spectrum of services, from primary and specialized care like orthopedics and cancer treatment to vital behavioral health support. Hillary Rockwell is instrumental in maintaining the organization's commitment to rural health, driving innovation in telemedicine and outreach to ensure accessibility. The President & Chief Executive Officer also cultivates Avera's research endeavors and clinical trials, pushing the boundaries of medical treatment. Rockwell's role involves aligning all facets of the organization with its guiding Christian values and fostering a culture of excellence and community support.

    Matthew Campion - Administrator and Chief Executive Officer

    Matthew Campion, the Administrator and Chief Executive Officer at Avera, manages the comprehensive operational framework and strategic leadership for the healthcare provider. Campion's administration ensures Avera's dedication to serving the whole person—mind, body, and spirit—is realized across its extensive network throughout the Upper Midwest. This executive oversees the delivery of a wide array of medical services, including primary care, women's and children's health, orthopedics, advanced cancer care, and essential behavioral health services. Matthew Campion also drives the organization's commitment to rural health, enhancing telemedicine and outreach programs to broaden access. The Administrator and Chief Executive Officer champions Avera's engagement in research and clinical trials, fostering innovation in patient treatment. Campion's leadership ensures adherence to Christian values and promotes community support and professional growth within the organization.
    Matthew Campion

    Frederick Slunecka - President & Chief Executive Officer

    Frederick Slunecka, the President & Chief Executive Officer at Avera, directs the strategic initiatives and operational execution across the healthcare system. Slunecka's leadership ensures Avera's mission of holistic care—mind, body, and spirit—is consistently upheld throughout its extensive network in the Upper Midwest. This executive oversees the provision of diverse healthcare services, encompassing primary care, specialized women's and children's health, orthopedics, comprehensive cancer care, and critical behavioral health support. Frederick Slunecka actively promotes Avera's dedication to rural health through advanced telemedicine and outreach services, expanding access to quality care. The President & Chief Executive Officer also guides the organization's investment in research and clinical trials, advancing medical treatment options. Slunecka's role involves maintaining the organization's Christian values and fostering community engagement and development.

    Vicente Larreta - Chief Executive Officer & General Manager

    Vicente Larreta, the Chief Executive Officer & General Manager at Avera, orchestrates the strategic vision and day-to-day operations for the healthcare provider. Larreta's leadership ensures Avera's commitment to serving the whole person—mind, body, and spirit—is effectively implemented across its broad network in the Upper Midwest. This executive oversees the delivery of a comprehensive suite of services, including primary care, women's health, children's health, orthopedics, cancer care, and behavioral health. Vicente Larreta also champions the expansion of rural health initiatives, leveraging telemedicine and outreach to enhance accessibility. The Chief Executive Officer & General Manager drives Avera's engagement in research and clinical trials, fostering innovation in patient care. Larreta's management ensures adherence to Christian values and promotes community support and professional development.

    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, directs regional operations and strategic leadership for Avera Marshall Medical Center. Streier's leadership ensures the delivery of comprehensive healthcare services focused on serving the whole person—mind, body, and spirit—within the Marshall Medical Center's service area. This executive oversees the provision of primary care, women's health, children's health, orthopedics, cancer care, and behavioral health services, tailored to community needs. Debbie Streier actively supports Avera's broader commitment to rural health, enhancing local access to telemedicine and outreach programs. The Regional President & Regional Chief Executive Officer champions quality care and operational efficiency at the regional level, aligning with the organization's Christian values. Streier's role involves fostering community engagement and supporting professional development within the Avera Marshall Medical Center.

    Ayush Menon - Founder & Chief Executive Officer

    Ayush Menon, the Founder & Chief Executive Officer at Avera, established the organization's foundational vision and continues to guide its strategic trajectory. Menon's leadership ensures Avera's core mission of serving the whole person—mind, body, and spirit—is embedded across all operations in the Upper Midwest. This executive oversees the development and implementation of a wide range of healthcare services, including primary care, women's health, children's health, orthopedics, cancer care, and behavioral health. Ayush Menon champions Avera's commitment to rural health, driving innovation in telemedicine and outreach to ensure broad accessibility. The Founder & Chief Executive Officer fosters an environment for research and clinical trials, advancing medical treatment options. Menon's vision upholds the organization's Christian values and promotes community support and growth.
    Ayush Menon

    Sandra Dieleman - President and Chief Executive Officer AveraHome

    Sandra Dieleman, the President and Chief Executive Officer AveraHome at Avera, leads the specialized division focused on home-based healthcare services. Dieleman's leadership ensures Avera's commitment to serving the whole person—mind, body, and spirit—extends into patients' homes across the Upper Midwest. This executive oversees the delivery of comprehensive home health services, including skilled nursing, therapy, and personal care, tailored to individual patient needs. Sandra Dieleman actively promotes Avera's mission of accessible care, particularly for those in rural areas, by optimizing home-based delivery models. The President and Chief Executive Officer AveraHome drives innovation in patient care delivery within the home setting, aligning with the organization's Christian values. Dieleman's focus is on enhancing patient comfort, recovery, and quality of life through dedicated home care solutions.
    Sandra Dieleman

    Todd Consbruck - President & Chief Executive Officer (Nebraska)

    Todd Consbruck, the President & Chief Executive Officer (Nebraska) at Avera, directs the strategic operations and leadership for Avera's presence within Nebraska. Consbruck's leadership ensures the organization's mission of serving the whole person—mind, body, and spirit—is effectively implemented across its Nebraska facilities. This executive oversees the delivery of a broad spectrum of healthcare services, including primary care, women's health, children's health, orthopedics, cancer care, and behavioral health, tailored to the specific needs of the Nebraska region. Todd Consbruck actively supports Avera's broader commitment to rural health, enhancing local access to telemedicine and outreach programs. The President & Chief Executive Officer (Nebraska) champions quality care and operational excellence within the state, aligning with the organization's Christian values. Consbruck's role involves fostering community partnerships and supporting professional development within Avera's Nebraska operations.
    Todd Consbruck

    Erik Peterson - Chief Financial Officer

    Erik Peterson, the Chief Financial Officer at Avera, manages the organization's financial health and strategic fiscal planning. Peterson's oversight ensures the financial sustainability required to deliver comprehensive healthcare services across Avera's extensive network in the Upper Midwest. This executive directs all financial operations, including budgeting, accounting, revenue cycle management, and financial reporting, supporting the delivery of care for the whole person—mind, body, and spirit. Erik Peterson plays a critical role in allocating resources to support Avera's commitment to rural health, telemedicine, and outreach services, as well as its research and clinical trial initiatives. The Chief Financial Officer ensures fiscal responsibility aligns with the organization's Christian values and supports community engagement. Peterson's financial acumen is vital for maintaining operational efficiency and driving long-term growth.

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    Frequently Asked Questions Regarding Avera Top Executives and Leadership Team

    Who leads Avera?
    Avera is led by Gloria Smith (Chief Executive Officer), along with executives such as Hillary Rockwell (President & Chief Executive Officer) and Matthew Campion (Administrator and Chief Executive Officer).
    Who is part of Avera’s executive team?
    The executive team of Avera includes leaders such as Gloria Smith (Chief Executive Officer), Hillary Rockwell (President & Chief Executive Officer), Matthew Campion (Administrator and Chief Executive Officer) 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 Chief Executive Officer, President & Chief Executive Officer, Administrator and Chief Executive Officer, President & Chief Executive Officer, Chief Executive Officer & General Manager.