Avera Executive and Leadership Team

September, 2026

Leadership Overview

Avera has 10 executives leading key functions including strategic oversight, regional operations, home health, and technology infrastructure.

Committed to holistic patient wellness, Avera delivers comprehensive medical services across the Upper Midwest while advancing rural health access through innovative telemedicine and community-focused clinical research initiatives.

Leadership Roles at Avera

  • President & Chief Executive Officer - Fred Slunecka
  • President & Chief Executive Officer - James Dover
  • President & Chief Executive Officer (Nebraska) - Todd Consbruck
  • Chief Executive Officer & General Manager - Vicente Larreta
  • President & Chief Executive Officer - Hilary Rockwell
  • President and Chief Executive Officer AveraHome - Sandy Dieleman
  • Regional President & Regional Chief Executive Officer, Avera Marshall Medical Center - Debbie Streier
  • Founder & Chief Executive Officer - Ayush Menon
  • Chief Technology Officer - Jim Hanson
  • Chief Human Resources Officer - Kim Jensen
  • Fred Slunecka - President & Chief Executive Officer

    Fred Slunecka, the President & Chief Executive Officer at Avera, directs the overarching strategic vision for the entire healthcare network. Overseeing the integration of primary care and specialized medical services, the President & Chief Executive Officer ensures that all clinical operations align with the mission of serving the whole person. This leadership role involves managing complex organizational structures across hundreds of locations to maintain high standards of patient care. By fostering partnerships with clinical research teams, Fred Slunecka drives the adoption of advanced treatment options throughout the Upper Midwest. The President & Chief Executive Officer maintains focus on operational efficiency and financial sustainability, ensuring that the organization remains a pillar of community health. Through consistent engagement with the board and executive leadership, Slunecka secures the long-term viability of the health system while expanding access to essential medical services for diverse patient populations.

    James Dover - President & Chief Executive Officer

    James Dover, the President & Chief Executive Officer at Avera, manages the expansion of clinical service lines and the optimization of hospital performance. Focusing on the delivery of high-quality care, the President & Chief Executive Officer coordinates efforts between oncology, orthopedics, and behavioral health departments to ensure seamless patient experiences. This role requires constant evaluation of market trends and healthcare delivery models to maintain competitive advantages in the region. By implementing data-driven strategies, James Dover improves clinical outcomes and operational throughput across the network. The President & Chief Executive Officer collaborates with medical directors to refine treatment protocols and enhance the quality of care provided to patients. Through rigorous oversight of resource allocation, Dover strengthens the infrastructure necessary to support the organization's mission. This leadership position demands a deep understanding of the healthcare landscape to navigate regulatory requirements and sustain growth in a challenging industry environment.

    Todd Consbruck - President & Chief Executive Officer (Nebraska)

    Todd Consbruck, the President & Chief Executive Officer (Nebraska) at Avera, directs all healthcare operations within the Nebraska market. Overseeing the delivery of primary and specialty care, the President & Chief Executive Officer (Nebraska) ensures that regional facilities meet the specific needs of local communities. This role involves managing outreach services and strengthening the presence of the organization in rural areas through advanced telemedicine platforms. By aligning regional goals with the broader corporate mission, Todd Consbruck fosters a culture of excellence and patient-centered care. The President & Chief Executive Officer (Nebraska) works closely with local stakeholders to identify opportunities for service expansion and community engagement. Through strategic planning and effective resource management, Consbruck enhances the accessibility of medical services for patients across the state. This leadership function remains critical to maintaining the reputation of the organization as a trusted provider of comprehensive health solutions in the region.
    Todd Consbruck

    Vicente Larreta - Chief Executive Officer & General Manager

    Vicente Larreta, the Chief Executive Officer & General Manager at Avera, manages the daily operational functions and administrative workflows of the organization. Overseeing the alignment of business processes with clinical objectives, the Chief Executive Officer & General Manager ensures that all departments operate with maximum efficiency. This role involves streamlining supply chain logistics and optimizing facility management to support the delivery of high-quality healthcare services. By implementing robust management systems, Vicente Larreta improves the overall productivity of the health network. The Chief Executive Officer & General Manager collaborates with other senior leaders to execute strategic initiatives that enhance patient satisfaction and operational performance. Through careful monitoring of key performance indicators, Larreta identifies areas for improvement and drives continuous process optimization. This leadership position requires a focus on operational excellence to ensure that the organization remains well-positioned to meet the evolving demands of the healthcare market.

    Hilary Rockwell - President & Chief Executive Officer

    Hilary Rockwell, the President & Chief Executive Officer at Avera, directs the strategic development of women's and children's health services. Overseeing the implementation of specialized care programs, the President & Chief Executive Officer ensures that the organization provides comprehensive support for families across the network. This role involves managing clinical partnerships and promoting the adoption of innovative treatment modalities in pediatric and maternal health. By fostering a collaborative environment, Hilary Rockwell drives the integration of research findings into daily clinical practice. The President & Chief Executive Officer works with multidisciplinary teams to enhance the quality of care and improve health outcomes for vulnerable populations. Through effective leadership and strategic vision, Rockwell strengthens the organization's commitment to holistic patient wellness. This position requires a deep understanding of the unique needs of women and children to ensure that the health system delivers compassionate and effective care in every interaction.

    Sandy Dieleman - President and Chief Executive Officer AveraHome

    Sandy Dieleman, the President and Chief Executive Officer AveraHome at Avera, directs the expansion of home-based healthcare services and long-term care solutions. Overseeing the delivery of care in patient residences, the President and Chief Executive Officer AveraHome ensures that the organization extends its reach beyond traditional hospital settings. This role involves managing the integration of remote monitoring technologies and home health support to improve patient independence and recovery outcomes. By coordinating with clinical teams, Sandy Dieleman enhances the continuity of care for patients transitioning from hospital to home. The President and Chief Executive Officer AveraHome works to scale these services across the five-state region, ensuring that rural populations receive high-quality care in their own environments. Through strategic leadership, Dieleman drives the growth of home health initiatives that align with the organization's mission of holistic wellness. This function remains essential for reducing hospital readmissions and improving overall patient health.
    Sandy 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, directs all clinical and administrative operations at the Marshall facility. Overseeing the delivery of primary and emergency care, the Regional President & Regional Chief Executive Officer, Avera Marshall Medical Center ensures that the medical center meets the healthcare needs of the local community. This role involves managing staff recruitment, facility upgrades, and the implementation of regional health initiatives. By fostering strong relationships with local providers, Debbie Streier enhances the coordination of care and improves patient access to specialized services. The Regional President & Regional Chief Executive Officer, Avera Marshall Medical Center works to maintain high standards of quality and safety within the facility. Through effective operational management, Streier supports the broader mission of the organization while addressing the specific challenges of the local market. This leadership role is vital for sustaining the health system's presence in the community.

    Ayush Menon - Founder & Chief Executive Officer

    Ayush Menon, the Founder & Chief Executive Officer at Avera, directs the long-term innovation strategy and the development of new healthcare ventures. Overseeing the exploration of emerging medical technologies, the Founder & Chief Executive Officer ensures that the organization remains at the forefront of clinical advancement. This role involves identifying opportunities for digital transformation and the integration of artificial intelligence into patient care workflows. By championing a culture of innovation, Ayush Menon drives the creation of new service models that enhance the efficiency and effectiveness of the health system. The Founder & Chief Executive Officer collaborates with research partners to accelerate the translation of scientific discoveries into clinical practice. Through strategic investment in future-ready infrastructure, Menon positions the organization to lead in a rapidly evolving healthcare landscape. This leadership function focuses on long-term growth and the continuous improvement of patient outcomes through technological and clinical innovation.
    Ayush Menon

    Jim Hanson - Chief Technology Officer

    Jim Hanson, the Chief Technology Officer at Avera, directs the digital infrastructure and cybersecurity strategy for the entire health network. Overseeing the implementation of electronic health records and telemedicine platforms, the Chief Technology Officer ensures that clinical teams have access to secure and reliable data. This role involves managing the integration of complex IT systems across hundreds of locations to support seamless patient care. By optimizing the technological landscape, Jim Hanson improves the efficiency of administrative and clinical workflows. The Chief Technology Officer collaborates with other executive leaders to align technology investments with the organization's strategic goals. Through rigorous oversight of data privacy and system performance, Hanson protects the integrity of patient information while enabling the adoption of advanced digital health tools. This leadership position is critical for maintaining the technological foundation necessary to support the organization's mission of providing high-quality, accessible healthcare services across the region.

    Kim Jensen - Chief Human Resources Officer

    Kim Jensen, the Chief Human Resources Officer at Avera, directs the talent acquisition, employee development, and organizational culture initiatives. Overseeing the workforce strategy for thousands of healthcare professionals, the Chief Human Resources Officer ensures that the organization attracts and retains top-tier talent. This role involves managing compensation structures, benefits programs, and professional development opportunities that support the career growth of staff. By fostering an inclusive and supportive work environment, Kim Jensen drives employee engagement and satisfaction across the network. The Chief Human Resources Officer collaborates with department heads to address staffing needs and ensure that the organization maintains a high-performing workforce. Through effective human capital management, Jensen supports the delivery of compassionate care by ensuring that employees have the resources and training necessary to succeed. This leadership function is essential for maintaining the operational capacity and cultural integrity of the health system in a competitive labor market.
    Kim Jensen

    Explore Leadership Teams in Hospitals & Physicians Clinics

    Frequently Asked Questions Regarding Avera Top Executives and Leadership Team

    Who leads Avera?
    Avera is led by Fred Slunecka (President & Chief Executive Officer), along with executives such as James Dover (President & Chief Executive Officer) and Todd Consbruck (President & Chief Executive Officer (Nebraska)).
    Who is part of Avera’s executive team?
    The executive team of Avera includes leaders such as Fred Slunecka (President & Chief Executive Officer), James Dover (President & Chief Executive Officer), Todd Consbruck (President & Chief Executive Officer (Nebraska)) 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, President & Chief Executive Officer (Nebraska), Chief Executive Officer & General Manager, President & Chief Executive Officer.