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ARKANSAS COURT OF APPEALS DIVISION I No. CV-13-231

Opinion Delivered October 30, 2013 ARKANSAS STATE BOARD OF CHIROPRACTIC EXAMINERS APPEAL FROM THE FAULKNER APPELLANT COUNTY CIRCUIT COURT [NO. CV-11-207] V. HONORABLE RHONDA K. WOOD, KEITH CURRIE, D.C. and NATALIE JUDGE CURRIE, D.C. APPELLEES CIRCUIT COURT REVERSED; REMANDED FOR FURTHER PROCEEDINGS

BRANDON J. HARRISON, Judge

The Arkansas State Board of Chiropractic Examiners appeals a Faulkner County

Circuit Court order that: (1) reversed the Board’s decision that fined chiropractors Keith

and Natalie Currie $24,000 and placed them on probation for committing eight

“unprofessional conduct” violations, and (2) dismissed the administrative proceeding

against the Curries. We reverse the circuit court’s order and remand the case to the Board

for further proceedings.

Keith and Natalie Currie are married, and each one is a licensed chiropractor. In

2003 they bought a chiropractic clinic in Fairfield Bay, Arkansas. Three years later they

opened another clinic in Clinton, Arkansas. In 2007 the Curries closed the Fairfield Bay

and Clinton clinics and started Arkansas Spinal Care, in Conway, Arkansas. The Spinal

Care operation was started for the purpose of using a new machine, the DRX 9000,

which the Curries had recently bought. They also began using the Lite Cure laser. These 1 Cite as

machines were apparently quite popular, and the Curries soon expanded the Spinal Care

clinic.

With the Curries’ success, however, came patient complaints. From August 2009

through February 2010, the Arkansas State Board of Chiropractic Examiners received

complaints about the Curries and Arkansas Spinal Care’s operation. In October 2010 the

Board found that probable cause existed to conduct a hearing to determine whether the

Curries had violated the Arkansas Chiropractic Practices Act and regulations known

officially as the Board of Chiropractic Examiners Regulations—Professional Conduct.

Ark. Admin. Code 029.00.2-C.

In line with the probable-cause finding, the Board held three hearings from

December 2010 to January 2011 that yielded a large amount of testimony. Six Arkansas

Spinal Care patients testified about poor patient care and the clinic’s high prices. The

clinic’s advertising practices were questioned too. In February 2011 the Board issued a

written order that made findings against the Curries on four of the six patient complaints.

The Board concluded that Keith and Natalie Currie “are found to be guilty of six

violations of Board Regulation (C)(2)(b) and two violations of Board Regulation (C)(2)(n)

for a total of eight violations.” It then fined the Curries, jointly, $3,000 per violation, for

a total of $24,000, and placed them on two years’ probation. The Curries appealed the

Board’s decision to circuit court, which reversed the Board’s decision and dismissed the

case. The Board appealed the circuit court’s dismissal to this court, asking that we affirm

the Board’s initial decision.

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The Arkansas Administrative Procedure Act governs our review.

(Repl. 2009). We review the Board’s decision, not the circuit court’s order.

Teston v. Ark. State Bd. of Chiro. Exam’rs,

, 304–05,

, 799–

800 (2005). The Board’s decision will be upheld if substantial evidence supports it, and

the Curries have the burden to establish that the Board’s decision was not based on

substantial evidence.

Substantial evidence is that which a reasonable mind might

accept to support a conclusion and force it to pass beyond speculation and conjecture.

The question for us is not whether the testimony would have supported findings contrary

to the ones the Board made, but whether the Board’s findings and final decision are

sufficiently supported by the record.

The Board may believe or disbelieve any

witness, and it weighs the evidence.

The Curries’ main argument here is that a dismissal is required when an agency

makes inadequate findings. The fatal inadequacy, according to the Curries, is that the

Board’s final order does not connect the testimony with the stated regulatory violations.

They also argue that the Board never stated the chiropractic standard of care and thus how

a chiropractor in the Curries’ professional situation should have acted, but did not.

Specifically, the Curries here point out that the Board never identified which doctor was

the treating doctor of each complaining patient. In its final order the Board attributed all

eight violations to only two of the four doctors who worked, at one time or another, at

Arkansas Spinal Care. Yet there were no findings of fact, say the Curries, on which

doctor was responsible for each patient’s care, who should have been administratively

responsive to patients’ requests for records and documents, or who was charged to

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supervise support staff and failed to do so. They cite Arkansas Appraiser Licensing and

Certification Bd. v. Quast,

to support their position.

The Board argues that its final order is sufficient under the Administrative

Procedure Act because it gives “a simple, straightforward statement of what happened.”

See Nesterenko v. Ark. Bd. of Chiro. Exam’rs,

,

(2002). Holding the Curries jointly responsible for the conduct of the clinic that they

operated together, in the Board’s view, is the Board interpreting its own regulations and

applying them to the nine-volume record that was generated during the agency

proceeding. The Board also says that we should uphold its interpretation of its own

regulations and that substantial evidence supports its findings against the Curries. Finally,

the Board argues that if its findings were inadequate, the best remedy is to remand, not

dismiss, the case. Mosley v. McGehee Sch. Dist.,

,

(1990).

The Administrative Procedure Act requires that an administrative adjudication be

accompanied by statement of facts and conclusions of law.

-

210(b) (Repl. 2009). The statement of facts—defined as a concise and explicit statement

of the underlying facts supporting the decision—“must contain all the specific facts

relevant to the contested issue or issues so that the court may determine whether the

[agency] has resolved those issues in conformity with the law.” Nesterenko,

,

. Generally, we review an administrative-agency case by

examining the entire record to determine whether substantial evidence supports the

agency’s decision. Culpepper v. Ark. Bd. of Chiro. Exam’rs,

,

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335, 338 (2001). But without the required factual findings, we are left with a difficult, if

not impossible, task in determining whether the administrative decision was correct.

Voltage Vehicles v. Ark. Motor Vehicle Comm’n,

. This court may not

supply findings by weighing the evidence; that function lies with the administrative

agency. Nesterenko,

,

. We can, however, send a

case back to the agency for additional findings if the agency’s current recitation precludes,

or significantly hinders, our effort to determine whether substantial evidence supports the

agency decision. Mosley v. McGehee Sch. Dist.,

,

(1990).

We agree with the Curries that the Board was not specific enough in its final order

given the many issues in play and the voluminous agency record. For example, the Board

did not explain why it held Keith and Natalie Currie jointly liable for all violations.

There was no finding on who owned the clinic or what the Board’s basis was for holding

the Curries jointly responsible for what happened at the clinic. And though there was

testimony at the hearing that Keith, Natalie, and two other doctors—Treadway and

Burris—were each responsible, at one time or another, for the four patients whose

treatment at Spinal Care led to the violations, the Board did not state which doctor was or

was not responsible for each violation and why. Our agreement with the Curries does

not, however, extend to how this appeal should be decided.

We choose to remand rather than dismiss. We acknowledge the Curries’ reliance

on Quast, which does state: “[B]ecause the Board’s conclusions of law are without

adequate corresponding factual support, they lack substantial evidence and are arbitrary

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and capricious.” Ark. Appraiser Licensing and Certification Bd. v. Quast,

, at 7. But that case does not require a dismissal here. First, the statute expressly

permits us to remand for further proceedings.

(h) (Repl.

2009). Second, each agency case, especially if totally different professional practice areas

are at issue, is best decided on the particular record and order being reviewed. Here,

given the record before us, the Board’s initial effort—which does provide some pertinent

factual detail on why certain violations were committed—the Board’s request for a

remand rather than dismissal, and that the Curries do not argue on appeal that substantial

evidence of the stated violations does not exist in the record, we believe sending this case

back to the Board is the best course. So we remand this case to the Board and direct it to

further explain its decision.

Circuit court reversed; remanded for further proceedings.

GRUBER and WHITEAKER, JJ., agree.

Dustin McDaniel, Att’y Gen., by: Mark N. Ohrenberger, Ass’t Att’y Gen., for appellant.

Reece Moore Pendergraft, LLP, by: Timothy C. Hutchinson; and Michael Lamoureux, P.A., by: Michael Lamoureux, for appellees.

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