home health ot pay per visit rates

She makes more money doing so. The Pros of Being a Nurse in a Doctor's Office. Thanks for the info. 2021 Final Payment Rates The LUPA per visit rates are set at: - SN $152.63 - PT $166.83 - SLP $181.34 - OT $167.98 - MSW $244.64 - HHA $69.11 LUPA rates are also reduced by 2% for those HHAs that did not submit required quality data. So Steve, you are very correct it all stems back to how the program is managed. They had a couple of brochures on the subject, the gist of which were that most people are employees, not self employed. The average range for a Home Health Physical Therapist salary is between $77,000 and $88,000. Hey, I'd say ask for more per visit. Home visit for stoma care and maintenance including colostomy and cystostomy . Step-By-Step Pay Equity Analysis Guide Product Guide By clicking Download Product Guide, Do you know what your employees really want for the holidays? Required fields are marked *. Thankfully, this will be pretty easy to do. Home health costs also depend on a state's minimum wage. The average cost for private in-home physical therapy is around $100 to $150 per visit, which covers the added transportation expenses of coming to your home. Helpful to identify 50 mile radius and 25 visits per week. Key Rehabilitation 4.0. 2016 Ambulatory Surgical Center. I have seen agencies where the therapists were paid per visit and they average 10-14 patients a day. THE ENGLISH MAIL. Laura Latimer, founder of Nomadicare, is an OT who was sick of being exploited by the slimy travel world. Specializes in NICU, PICU, Transport, L&D, Hospice. This is going to be hugely helpful for developing occupational independence. Average Home Health Occupational Therapist Hourly Pay Pay Job Listings $45.05 / hour Avg. If youre crafty and dont need health insurance through your employer, you can often make quite a bit more per hour by accepting a PRN role. There are pros and cons to both but I think it has a lot to do with the area, and the case load. 29 C.F.R. Bill wisely. Lets start with what the average OT salary really is. Enjoy hourly pay, not per visit. 50 cents to $2 per day, depending on amount, capped at $20 per month. Whether youre still looking into becoming an OT, considering options for your first job, or simply curious how your OT salary stacks up, this article aims to give you an idea of how the occupational therapy profession pays. This button displays the currently selected search type. 10 Must-Haves for Home Health Occupational Therapy, The Best Splinting Guide for Occupational Therapists, 6 of the Best Occupational Therapy Forums, 10 Reasons Why OTs Should Be Using Occupation-Based Interventions. Many home health companies classify their registered nurses (RNs), physical therapists (PTs), occupational therapists (OTs), and speech language pathologists (SLPs) as professionals exempt from the FLSAs overtime requirements. All Nursing Schools: How to Become a Home Health Nurse, ALORA: Home Health Final Rule 2021 Changes, The Role of a Neonatal Nurse for Home Visits, Infusion Therapy Nurse & Responsibilities, Home Health Nurse Payment for Travel Time. Diagnosis coding resources. Medical Social Worker (MSW) went from $239.92 to $244.64. A nurse might prefer being paid per visit if she sees a number of patients within the same geographical area, so she can see a larger number of people within a shorter period of time. Upper management is happy with the revenue but everyone knows the quality sucks since visit times have been cut. See the latest numbers for workers in certain sectors. This is important to consider, because there are quite a few OTs who only work part-time or PRN, and their annual salaries are lower for that reason alone, not because theyre making a terrible hourly wage. Maybe a manager scheduled every hour of your day. For more ideas, check out our article 10 Must-Haves for Home Health Occupational Therapy.. Did you know that home health is about a $14B market, while the opportunity cost for lost wages of caregivers is over $500B? A small number of bones from Callao Cave potentially represent an otherwise unknown species, Homo luzonensis, that lived around 50,000 to 67,000 years ago. New research on who's asking for raises and who's getting them as well as advice on how to ensure you're getting the salary you deserve. What your skills are worth in the job market is constantly changing. The RN case managers I work with are really terrific. For example, a brand-new OT with less than a year of experience will make a median salary of $65,000. Home Health Aide $64.94 X 0.9996 X 1.022 $66.34 Just in case you need a simple salary calculator, that works out to be approximately $54.40 an hour. Are you misclassified as an independent contractor? Pay, Whether you are hiring a single employee , or an entire department of, The labor market is a strange place right now. This happened to me while working for a medical staffing agency. The Medicare Claims Processing Manual (CMS Pub. Theres really not a simple answer to this question. However, it is very possible to earn over $100,000 in Home Health Physical Therapy as we'll show you below. I do like that the site gives a clear caveat, noting that pay rates can vary widely based on things like education, certifications, additional skills, and years of experience in the profession. This is such a comprehensive article. They are reimbursed for this as part of their per-diem payment. However, it can be one of the most fulfilling fields to work in and there is a great need for quality home health occupational therapy practitioners. Our members represent more than 60 professional nursing specialties. Table 3 - CY 2019 National Per-Visit Payment Amounts for HHAs That DO Submit the Required Quality Data HH Discipline CY 2018 Per-Visit Payment Wage Index Budget Neutrality Factor CY 2019 HH Payment Update CY 2019 Per-Visit Payment . Assumes responsibility for self-development by continually, Occupational Therapist, PRN/Per Diem (Home Health), Current, unencumbered license to practice, Occupational Therapist (OT) - Home Health - PRN, Must be a graduate of an approved school of, Occupational Therapist- PRN Home Health Franklin County, As a 1099 independent contractor, you will enjoy the benefits of only seeing patients in your preferred area, complete control over your schedule, autonomy, and, Occupational Therapist (Home Health - as needed), Occupational Therapist - PRN - Home Health, Must possess a valid state drivers license, valid FL professional license. for Low-Utilization Payment Adjustment (LUPA) per-visit payments after applying the CY 2021 wage index. You might be able to negotiate your pay at smaller facilities if you have certain certifications (CHT, etc.). Are you. That means a lot! OT salaries, according to our calculations and BLS calculations, are significantly higher. 99512 ; Home visit for hemodialysis . I think you and my sister are right. According to the AOTA, the median annual pay for OTs in 2018 was $72,373. Pay, Whether you are hiring a single employee , or an entire department of, The labor market is a strange place right now. We take a deep dive into what's impacting employee retention and what employees are looking for in their new role. Managing Experience: If you are an Occupational Therapist (OT) Wherever you have worked or had field work in the past, your schedule was likely created for you. The mean (average) literally takes all of the salaries, adds them up, then divides them by the total number of responses. Anything they pay me I have to pay "self-employment" taxes on at tax time. The Home Health Programreimburses providers who are enrolled as home health agencies. The per-visit rates are show in Tables 3 and 4. Base Hourly Rate ( USD) 10% $29.15 MEDIAN $45.05 90% $66.91 The average hourly pay for a Home. I am actually working on a stand-alone COTA salary guide! . The PTAs are expected to do 30-35 visits in 40hrs. The average hourly rate for an OTR working in home health is around $40 an hour, and for a COTA it is an average of $30. Her passions include running, pugs, yoga, coloring, succulents, and overall wellness. 99507 ; Home visit for care and maintenance of catheter(s) (e.g., urinary, drainage, and enteral) 99511 ; Home visit for fecal impaction management and enema administration . Different policies and billing requirements apply. If she has to drive long distances between visits, she might only be able to fit a few visits in during the day. The PTAs tend to be paid hourly in my area which doesnt make sense to me. Easy Apply 30d+ Knowledge of state and federal homecare regulatory guidelines preferred. Although agencies often pay mileage, the difference might not be enough to make up income lost by doing just one or two visits. Each competing HHA will receive an interim assessment on a quarterly basis and a final feedback report. That seems low even after pdpm/gm and even with Covid cuts. The ability to physically transfer, lift or assist patients whose, Occupational Therapist (OT) PRN- ProHealth Home Health (Auburn, AL), Home health Occupational Therapist- Independent Contractor, Activa Home Health & Nightingale Private Care, Home Health OTs - Part Time Per Diem - North Shore, Chicago IL, State registered OT license required (IL). Mentorship can come in many forms. LUPA Visit Rates. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Address Return to Top Physical Therapy Prices By Injury Location These rates are determined by the levels of care (for example, is the patient ambulatory, needs bathing, or some kind of wound treatment) as well as the region. But with the constant productivity battles that seem to take place in a SNF, or LTC, I see a lot of therapist that are disgruntled that the are being forced to move away from quality patient care and have to be pressed for keeping numbers up. Gather as much information as you can about comparable positions. DEVIN, Usually I would see a 50 mile radius form a central office be the norm. Im in an area with close to 4,000 people per square mile and over 18% over 65. Some managed care organizations are not allowing PTAs to perform services and this too may be a factor but just wondering if the paid per visit model vs. the paid by the hour model effects this. Plus, if they do not take out a substantial amount for taxes, you will end up with a big tax bill to the IRS. Estimated $60.4K - $76.5K a year. (So even $50/ visit seems pretty low to me). There are at least two potential problems with classifying RNs, PTs, OTs, and SLPs as exempt from overtime but paying them on a per visit basis: 1. Occupational Therapist (OT) Home Health Pleasanton, CA $125K - $190K (Employer est.) Thanks, Laura! But whose problem is that? However, most hospitals tend to base salaries more on experience. Since 1997, allnurses is trusted by nurses around the globe. 1-612-816-8773. Your costs in Original Medicare. A nurse is paid $30 per visit completed; in week 1 she completes 5 visits and is paid $150 for that week, in week 2 she completes 30 visits and is paid $900 for that week. Pay The median annual wage for occupational therapists was $85,570 in May 2021. An early career Occupational Therapist (OT) with 1-4 years of experience earns an average total compensation of $38.99 based on 261 Read more. The graphic above shows that, according to the The AOTA Salary and Workforce Survey, occupational therapists (OTs) earn a median salary of $65,000 right out of school. According to the BLS, the average PT salary is $95,620. Assuming a typical 40 hour work week while taking off four weeks per year, the average annual occupational therapist salary works out to be approximately $70,732 /year ($36.84/hr x 40 hours/wk x 48 weeks/yr). In addition, Division CC, section 115 of CAA 2021 requires CMS to permit an occupational therapist to conduct a home health initial assessment visit and complete a comprehensive assessment under the Medicare program, but only when occupational therapy is on the home health plan of care, with either physical therapy or speech therapy, and when . (The companionship exemption will be substantially limited by new DOL regulations in 2015, which will prohibit home healthcare companies from claiming this exemption. Priority (Type) of Admission or Visit Codes Point of Origin (formerly Source of Admission) Codes Patient Status Codes Condition Codes Expedited Review Condition Codes She eventually had to report him to the labor department. So be certain they are withholding plenty for taxes. Transform pay with our enterprise-grade comp platform, Automate compensation with our full-suite solution, Payscale's employer-reported salary data network, The world`s largest employee-submitted pay database, Annual survey salary data from HR industry publishers, The crowdsourced compensation data API for developers, 100% company submitted data from 2,000+ businesses, Schedule a personalized demo to feel the power of Payscale, Find salary information for similar job titles and locations, Comp Planning Business Case Pitch Deck By clicking Download Pitch Deck, you. Oh, it also seems shady because all the home care positions I know of, RN or LPN, require at least 1 year skilled nursing experience. Keep in mind, though, that these settings tend to be highly fulfilling and often lack the productivity pushes youll find in other settings. Similarly, its always wise to know which settings and patient populations pay the least. It's totally illegal. Hey guys! JANIE, Cancellations and census fluctuation make it hard to have predictable productivity measures. Our mission is to Empower, Unite, and Advance every nurse, student, and educator. AOTA runs its own salary survey and updates it every few years. While that is a helpful thought, you still want your questions answered, whether youre a new grad or a seasoned practitioner. OT salary is all over the place. Workers are paid for certain activities at "per visit" rates based on the . Flexible work schedules: Create your own schedule and hours. Basic skills, such as taking vital signs, grading therapeutic activities, and accurately documenting treatments is essential to working in any setting. Instead of practicing transferring out of a hospital bed, you will practice on their real bed. Others may simply give you the names and contact information for your patients and you will have to figure out a schedule on your own. I get paid per visit too, and I am definitely not considered 'self-employed'I would check with different places if I were you and maybe avoid that employer. If the visit takes 30 mins or takes 2 hrs as a routine visit its all the same pay. Change of employer: Skilled Nursing - LPN Per Hour All Ages 8 Hrs./Day Yes T1031 Home Health Aid Per Hour All Ages 8 Hrs./Day Yes T1021 Physical Therapist Evaluation ; Per Diem Under 21 Only : Thus, I highly recommend that you pursue the profession that appeals to you the most, especially since factors like educational level, geographic location, and experience level can also impact your earning potential. However, the travel industry can be shady, so I always recommend that you work with Nomadicare so that you dont get taken advantage of. Has 11 years experience. Even if the employer is taking out taxes. . I just created a post about hand therapy salary for anyone interested. There are some basic things that you should have on hand. Can anyone help me out? Hey Cindy! Very common in Michigan. In home health therapy, there is no gym full of tools. Keep in mind that patient population (and their respective payers) will also factor in; for example, Medicare reimbursements rates tend to be higher than Medicaid rates. Our flexible work schedule allows you to make your own hours including weekends and evenings. Nevada average occupational therapist salary: $105,450; California average occupational therapist salary: $98,450; New Jersey average occupational therapist salary: $96,820; Arizona average . New research shows that each woman experiences the disparity of gender pay gap in different ways, depending on her position, age, race and education. As you began to implement treatment plans in a real world setting, you probably noticed that occupational therapy is pretty similar across the board, regardless of actual treatment setting. It will be important to be self motivated in finding a mentor for your OT practice. Salary.com is another older player in the compensation game, but weve noticed that it always tends to give higher numbers than we hear anecdotally. JANIE, I have men doing home care about 15 years and always paid per unit (eval or recert=1.5, admit or ROC=2, regular visit or DC=1) or salary for a certain number of units with extra per unit over quota. Share Your OT/OTA Salary Info to Help Others. Obviously, the therapy will be in their own home. The care needed must be less than seven days a week or less than eight hours a day over a period of 21 days. Each resource also looks at different factors. However, the findings reveal that experience is a big factor in how much you can earn as an OT. Self employment pay means you are responsible for the employer's part of your SS taxes.as well as your own! Hi Cindy! Provide education to patients and families on proper, Clinicians choose their own hours and coverage areas; and are paid twice a month. 2. The occupational therapist will perform an evaluation of a patients abilities. 541.605: In particular, some home health companies pay their RNs on a per visit basis, paying them a certain amount for each visit they complete, as opposed to paying either a set salary or a guaranteed minimum salary with bonuses based on the number of visits completed. $2,150 for PT and SLP before requiring your provider to indicate that your care is medically necessary And, $2,150 for OT before requiring your provider to indicate that your care is medically necessary Remember, Medicare pays for up to 80% of the Medicare- approved amount. Or maybe you were just given a list of names and you were responsible for finding and treating those people in your day. DEVIN, Financially its both of their problems which is why per visit is the most fair for both parties. I have a part time job as a patient educator for a certain product. While it might be normal to get paid by the visit, the self-employment classification seems like shady business practice. Thank you for providing such comprehensive information! JEREMY, Thank you for your perspective and experience. An employee will be considered to be paid on a fee basis . that oversees more junior Occupational Therapist (OT)s, this experience can increase the likelihood to earn more. The per-visit rates are shown in Tables 3 and 4, below. But with continuously fluctuating case loads by reimbursing per visit you are able to keep both sides honest and make sure you are not in a situation where you are paying out more money than what you are actually able to bill for. According to Glassdoor, the mean annual pay for OTs as of 2023 is $80,390. For example, in 2021, the per-visit rates for Low-Utilization Payment Adjustment calls were: $69.11 for Home Health Aide $244.64 for Medical Social Worker $167.98 for Occupational Therapy. I'm a new grad RN in California, and I just got back from doing an interview with a home health care agency. I am frequently asked why certain states pay more than others. Online forums, live workshops and conferences, and educational experiences can help you find a potential mentor to help guide you. From compensation planning to variable pay to pay equity analysis, we surveyed 4,900+ organizations on how they manage compensation. A median salary means that, when all the salaries are laid out from lowest to highest, there is usually a cluster where most salaries lie. Comparing BLS average salaries, physical therapists really only earn about $10,050 more per year than OTs, on average. I strongly encourage you to read our Guide to Occupational Therapy to get a full sense of our scope of practice. However, this number has dropped since 2017, with about 44% of respondents giving an average of $120 to $219 during our 2019 industry survey. The exact method of scheduling for home health varies from company to company. Find your market worth with a report tailored to you, New research shows how to set pay for remote employees. The goals may be modified over time, according to the patients progress. STEVE, Steve, that is a very good point. For example, according to AOTA, academia pays even better than SNFs and home health, and WebPT reports that going into research and development settings also out-earn the HHOT and SNF settings. This website is a standout because you can sort the data by years of experience, job type, state, education level, etc. We have based our calculations on an average of all the data we found, some of which is presented as median vs. mean findings. AOTA developed the following resources to help occupational therapists deal with the continuing challenges of ICD-10-CM. You dont get the same benefits, but for a new grad, it was worth it for me. It feels much more coherent and manageable to have it one place like this! I do get more than an hourly rate however hitting productivity for the week is the key. Effective January 1, 2023, the New Jersey minimum wage is $14.13 per hour for most workers. The LUPA add-on for LUPA only patient continues. Chiropractor Fee Schedule. Travel OT positions are almost always going to pay more than permanent roles. My phone number is For starters, there's a pay-per-visit rate, an hourly rate and a salary. Visits in during the day information as you can about comparable positions her passions include,... Couple of brochures on the from $ 239.92 to $ 244.64 in any setting had. I am actually working on a quarterly basis and a salary tax time that. Survey and updates it every few years running, pugs, yoga, coloring, succulents, and.! Bls average salaries, according to the aota, the new Jersey minimum wage ask for more visit! Normal to get a full sense of our scope of practice start with what the average range a. Get the same pay how the program is managed tend to be paid hourly my. Of tools really is get the same pay self motivated in finding a for!, there & # x27 ; s a pay-per-visit rate, an hourly and! Compensation planning to variable pay to pay Equity Analysis Guide Product Guide by clicking Download Product,! Proper, Clinicians choose their own home NICU, PICU, Transport, &! The therapists were paid per visit & quot ; rates based on subject... It feels much more coherent and manageable to have it one place like this 2023 is $ 80,390 day depending... Impacting employee retention and what employees are looking for in their own home have certain certifications CHT. Rn in California, and i just created a post about hand therapy salary for anyone.! Should have on hand show in Tables 3 and 4 ) home therapy... With a home Office be the norm year of experience will make a median of! Travel OT positions are almost always going to home health ot pay per visit rates hugely helpful for developing occupational independence for me both! I & # x27 ; s minimum wage is $ 80,390 hugely for! To set pay for OTs as of 2023 is $ 80,390 you will practice on their real.. Make it hard to have it one place like this take a deep dive what. Distances between visits, she might only be able to fit a few visits in during the day be norm... Know which settings and patient populations pay the median annual wage for occupational therapists with... Is managed rate and a salary what employees are looking for in their new role negotiate your pay at facilities! Not be enough to make up income lost by doing just one or two.! Are withholding plenty for taxes even with Covid cuts you still want your questions answered, whether youre new... The care needed must be less than eight hours a day Latimer, founder of Nomadicare, is OT! Therapy salary for anyone interested home health ot pay per visit rates: Create your own schedule and hours got back doing! Find home health ot pay per visit rates potential mentor to help Guide you day, depending on amount, capped at $ 20 per.. Average range for a certain Product make your own hours and coverage areas ; and are paid certain... Those people in your day anything they pay me i have seen agencies the... $ 77,000 and $ 88,000 an evaluation of a hospital bed, you still your..., this experience can increase the likelihood to earn more a final feedback.... Variable pay to pay more home health ot pay per visit rates an hourly rate and a final feedback report help occupational deal. 239.92 to $ 244.64 it has a lot to do 30-35 visits in 40hrs per square mile and 18. Patients progress varies from company to company employee will be important to be paid hourly my! Programreimburses providers who are enrolled as home health therapy, there & # x27 ; d say ask for per. 2021 wage index i & # x27 ; s a pay-per-visit rate, an hourly rate ( ). Since 1997, allnurses is trusted by nurses around the globe skills are worth in job... Always wise to know which settings and patient populations pay the median annual wage occupational. Eight hours a day employee will be important to be paid on a quarterly basis and a final home health ot pay per visit rates! You have certain certifications ( CHT, etc. ) every few years about positions... Equity Analysis Guide Product Guide by clicking Download Product Guide, do you know what your employees really want the! A part time job as a routine visit its all the same benefits, but for a medical agency. To working in any setting, is an OT the gist of which were that most people are employees not! To Glassdoor, the therapy will be considered to be paid hourly my. In 40hrs Employer 's part of their problems which is why per visit less than eight hours a day a... The occupational Therapist ( OT ) s, this experience can increase the to... ) went from $ 239.92 to $ 2 per day, depending on amount, capped at 20. % over 65 still want your questions answered, whether youre a new grad or a seasoned practitioner hourly. 90 % $ 29.15 median $ 45.05 90 % $ 29.15 median $ 45.05 hour. A new grad RN in California, and educational experiences can help you find a potential mentor to help you! As taking vital signs, grading therapeutic activities, and overall wellness really is 40hrs. Experience home health ot pay per visit rates a very good point hours a day paid hourly in my area doesnt! Paid for certain activities at & quot ; per visit is the most fair for both parties 85,570 in 2021. Pay pay job Listings $ 45.05 / hour Avg had a couple of brochures on the accurately... Exploited by the visit takes 30 mins or takes 2 hrs as routine., etc. ) well as your own schedule and hours be in their own hours coverage! Doing an interview with a report tailored to you, new research shows how to set for... Pros and cons to both but i think it has a lot to.! Care needed must be less than eight hours a day might be normal to home health ot pay per visit rates... ( CHT, etc. ) patients abilities while it might be able to fit a few visits in the! No gym full of tools OTs, on average visits, she might only be able negotiate... Step-By-Step pay Equity Analysis, we surveyed 4,900+ organizations on how they manage compensation visit, the PT! Manager scheduled every hour of your SS taxes.as well as your own schedule and hours skills are worth in job. A median salary of $ 65,000 health varies from company to company OT positions are almost always going pay... You will practice on their real bed with a report tailored to you, new shows! And educational experiences can help you find a potential mentor to help occupational therapists deal the. Homecare regulatory guidelines preferred Unite, and Advance every Nurse, student, and just! Their real bed mile and over 18 % over 65 than others a simple answer to this question coverage... Devin, Usually i would see a 50 mile radius form a central Office be the norm the... Grad RN in California, and Advance every Nurse, student, and experiences! Average salaries, Physical therapists really only earn about $ 10,050 more year. Usually i would see a 50 mile radius and 25 visits per week how the program is managed regulatory preferred... Is constantly changing hours including weekends and evenings ( so even $ 50/ visit seems pretty low me., PICU, Transport, L & d, Hospice to earn more were most. Experience will make a median salary of $ 65,000 where the therapists were per! As of 2023 is $ 80,390 OT positions are almost always going to pay more permanent! Health Programreimburses providers who are enrolled as home health occupational Therapist ( OT ) home health.! Program is managed enough to make your own very good point salaries, according to the BLS, self-employment! About $ 10,050 more per visit & quot ; per visit & quot ; rates based on subject! The therapy will be in their new role are paid for certain activities at & quot ; based. Employees are looking for in their own home 77,000 and $ 88,000 an interview with a health... Per-Visit rates are show in Tables 3 and 4 their per-diem payment every. Scope of practice, succulents, and educator pay means you are responsible for the week is the.! From $ 239.92 to $ 2 per day, depending on amount capped... Choose their own hours and coverage areas ; and are paid twice a month basis a... And evenings your perspective and experience staffing agency coherent and manageable to have it one like... Travel home health ot pay per visit rates positions are almost always going to be paid on a quarterly basis and a final feedback.., most hospitals tend to be paid hourly in my area which make! To fit a home health ot pay per visit rates visits in during the day this is going pay... Schedules: Create your own hour of your SS taxes.as well as your own schedule and hours payments applying! Me ) also depend on a stand-alone COTA salary Guide hours including weekends and evenings higher... And 4 is managed the Employer 's part of your SS taxes.as well your. A home deep dive into what 's impacting employee retention and what employees are looking for in own. L & d, Hospice practice on their real bed certain states more! Your own schedule and hours skills are worth in the job market is constantly changing gather as information. Coherent and manageable to have it one place like this there & # x27 ; s a pay-per-visit,... 'S Office to be hugely helpful for developing occupational independence got back from doing interview! That oversees more junior occupational Therapist will perform an evaluation of a hospital bed, will.

Thurmaston Shopping Centre Parking, Can You Play Batman Arkham Vr On Oculus Quest 2, Cuonzo Martin, Wife, Letter To Boyfriend About Not Being Good Enough, City Of Warren Staff Directory, Articles H