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Belter Named Chief Financial Officer for Kaleida Health

Updated: 11/30/2020

Western New York Native Recruited Home; Will Succeed Nesselbush



Paul E. Belter, CPA, has been named executive vice president and chief financial officer (CFO) for Kaleida Health.

Belter, a senior-level financial and healthcare leader, comes to Kaleida Health from AMITA Health in Chicago, Illinois. AMITA Health is a $4 billion integrated health system made up of 19 hospitals, over 200 ambulatory and outpatient locations with 24,000 employees and 800 employed physicians. 

He will succeed Robert J. Nesselbush, who was named chief executive officer (CEO) for Kaleida Health.

“We are very excited to welcome Paul back home to Western New York and to Kaleida Health,” said Nesselbush, incoming CEO of Kaleida Health. “Paul has a wealth of progressive financial leadership experience spanning over 29 years in health care. His collaborative leadership style coupled with his ability to drive organizational strategy and financial performance has enabled his very successful career.”

A Western New York native, Belter has spent the past seven years with the Chicago-based health system, first serving as senior vice president and chief financial officer at Alexian Brothers Health before becoming the executive vice president and chief financial officer of AMITA.

Sponsored by Ascension Health, St. Louis, MO, and Advent Health, Orlando, FL, AMITA Health is a joint operating company (JOC) formed in 2015 through the combination of Alexian Brothers Health System and Adventist Midwest Health, which created a nine hospital, $1.8 billion health system. In 2018, Presence Health was acquired by Ascension Health and became part of AMITA Health, adding 10 hospitals and approximately $2.2 billion in net revenue to the JOC.

In his role at AMITA, Belter led financial and operational support to the CEO and executive team, including managing financial performance, driving strategic growth, planning and executing partnership and deal transactions, increasing physician alignment and directing capital planning.

Among his achievements at AMITA are the rapid strategic growth and increased scale of the health system, transforming from a five hospital, $1 billion system to a 19 hospital, and $4 billion system in three years, which created a geographically widespread network and full continuum of care across the Chicago market. Belter co-led the health system merger and acquisition strategy, providing local finance executive leadership, in collaboration with the AMITA Health CEO and Ascension Health and Advent Health executives.

Prior to Alexian and AMITA, Belter served six years as the regional vice president for finance and chief financial officer at Provena Health, a $1.5 billion Catholic health system in suburban Chicago, Illinois with six acute care hospitals, several long-term care facilities and an employed physician network.

Born in North Tonawanda and raised in the Town of Amherst, Belter’s experience also includes 15 years of financial experience and leadership in Western New York.

He began his career in health care in 1991 as the director of internal audit at Sisters of Charity Hospital. He was elevated to hospital vice president and chief financial officer and eventually moved into Catholic Health System’s finance department overseeing financial operations as corporate vice president, a post he held until 2000. 

From there, Belter went to Mount St. Mary’s Hospital and Health Center in Lewiston and served as vice president for finance and chief financial officer through 2006.

A certified public accountant, he is a graduate of Canisius College with a Bachelor of Science in accounting. He is a member of the Healthcare Financial Management Association as well as the American Institute of Certified Public Accountants. 

Belter began his career and spent four years as a senior auditor with PriceWaterhouseCoopers in Buffalo.