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Assisted Living Facilities

Second to quality of care, financial and operational issues are probably among your organization’s top concerns. Rising costs, reductions in third party reimbursements, expanding market demands, staffing shortages, and the ever changing federal, state and local landscape are among the long list of challenges faced by today’s healthcare providers. Organizations are charged with providing top quality care and maximizing efficiencies while containing costs. Increasingly, organizations are looking to a finance professional to help balance the load.

Dermody, Burke & Brown has an experienced team ready to assist your organization with the challenges you face in today’s environment. Our professionals will provide you with insight and advice to achieve greater profitability, efficiency and success. We understand the unique challenges you face and continually work to provide services beyond the traditional accountant’s role. Our team approach will complement your management team and help your organization achieve its financial and operational goals.

Our Assisted Living Facility Services Include:

  • Auditing services
    • Compliance
    • Financial
  • Accounting services
  • Medicaid and Medicare cost report preparation for long-term care providers, federally qualified health centers and rural health centers
  • Operational consulting
  • Revenue cycle management
  • Consulting and assisting on financing issues
  • HIPAA compliance monitoring
  • Business consulting services
  • Financial reporting services
  • Payroll processing and reporting
  • Tax planning and compliance
  • Employee benefit plan design & administration
  • Valuation services 
Eployee Lising

For more information email info@dbbllc.com or call 315-471-9171 to contact:

David de Silva, CPA
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David de Silva, CPA

David has over thirty-nine years of experience providing accounting, auditing, and consulting services to a wide range of organizations. He currently leads Dermody, Burke & Brown’s Not-for-Profit specialty niche that serves over 100 organizations in Central New York. The Not-for-Profit specialty niche provides services to a variety of not-for-profit organizations, including fine arts, foundations, human service providers, health care organizations and facilities, assistive living facilities, low-income subsidized senior and family housing developments, and low-income tax credit housing developments. He has extensive experience in consulting and advising his clients on a variety of issues, including internal control analysis and recommendations.

David is a graduate of LeMoyne College. He is a member of the New York State Society of Certified Public Accountants (NYSSCPA) and the American Institute of Certified Public Accountants (AICPA).  David received the AICPA certificate of achievement in governmental and nonprofit accounting and auditing.  He is also a member of the Not-for-Profit section of the AICPA and serves as the Firm’s designated audit quality partner of the AICPA’s Governmental Audit Quality Center. David has also been active as a member of the Allinial Global Not-for-Profit Committee.

David served for ten years on the New York State Board for Public Accountancy. He served two years as vice-chairman and two years as chairman of the Board. The New York State Board for Public Accountancy advises the New York State Board of Regents and Education Department on licensing requirements, licensing examinations, and practice issues. He continues to serve on the Extended Board of the New York State Board for Public Accountancy which assists the Board with the licensure disciplinary and/or restoration and moral character proceedings. Additionally, he serves on the State Board Committee of the AICPA Board of Examiners and was recently appointed chairman of the State Board Committee. The State Board Committee serves as a communications liaison between NASBA and the AICPA. The Board of Examiners is a senior committee of the AICPA responsible for the oversight, administration and development of the CPA Exam.

David served a number of years on the Uniform Accountancy Act (UAA) Committee of the National Association of State Boards of Accountancy (NASBA). The UAA is an “evergreen” model licensing law developed to provide a uniform approach to regulation of the accounting profession. The UAA Committee oversees the UAA and related Model Rules and recommend amendments to the Board of Directors of NASBA and the AICPA. David also served a number of years on NASBA’s Education Committee.

David has served as a Trustee and Treasurer of The Century Club of Syracuse and currently as a House Committee member. He is a member of the Rotary Club of Syracuse and a Trustee of its related Foundation. Dave was a founding board member and Treasurer of ProLiteracy Worldwide that has over 1000 member programs in the U.S. and 25 countries around the world. He is a past Trustee of Crouse Hospital Health Foundation, past board member and Finance Committee chairman of the Syracuse Symphony Orchestra, and past board member of Girls Inc. (former Girls Club of Syracuse).

William Harmatuk, CPA
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William Harmatuk, CPA

Bill is a Member with Dermody, Burke & Brown and was the firm’s past Chief Financial Officer.  He has over thirty two years of public accounting experience and is a graduate of Syracuse University.  Bill has extensive accounting and tax experience with corporations, subchapter “S” corporations, partnerships and individuals.  Bill concentrates his practice in the areas of accounting, auditing, tax compliance and planning, and provides services to a variety of clients covering many different industries including service organizations, assisted living and adult care facilities, not-for-profits, manufacturing, construction, transportation companies and professional service firms.  Many of the organizations serviced are closely held businesses.   

Bill is a past President of the Syracuse Chapter of the New York State Society of Certified Public Accountants (NYSSCPA), and past President, Treasurer and Finance Committee member of the Food Bank of Central New York.  Bill is also a past board member of the Financial Service Professionals of CNY and first CPA elected to the FSP/CNY Board. Bill is a member of the NYSSCPA and the American Institute of Certified Public Accountants (AICPA).

Shannon Nelson, CPA, CFE, CITP
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Shannon Nelson, CPA, CFE, CITP

Shannon joined Dermody, Burke & Brown in 1989.  She is the Member serving as the Firm’s Audit and Accounting Department Director and serves as the lead Member on many clients in healthcare and not-for-profit industries.  Shannon is also a Certified Fraud Examiner (CFE) and specializes in the prevention and detection of fraud.  Shannon has been a guest speaker on the topics of internal control, fraud prevention and financial literacy at various venues.

She is a graduate of St. John Fisher College and is a member of the Association of Certified Fraud Examiners (ACFE), the New York State Society of Certified Public Accountants (NYSSCPA) and the American Institute of Certified Public Accountants (AICPA). Shannon is also credentialed by the AICPA as a Certified Information Technology Professional.  She currently serves as the Assistant Treasurer for Meals on Wheels of Syracuse. Shannon is a former board member of the Women’s Fund of Central New York and is past treasurer of the Carol Baldwin Breast Cancer Foundation.

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