JACKSON, Judge:
Bernard McGuire challenges a determination by the Board of Review of the Industrial Commission that his private duty nurses are not exempt from unemployment insurance coverage by virtue of Utah Code Ann. § 35-4-22(j)(5)(A-C) (1985).
We affirm.
As a result of an accident when still a teenager, McGuire is a quadriplegic who requires around-the-clock care. That care has been provided to him in his apartment (and in his parents’ home on weekends) by licensed practical nurses working one or more 24-hour shifts each week. McGuire advertises the availability of these positions, interviews the nurses, hires them, retains the right to fire them, and compensates them for their services at the rate of $8.00 per hour.
The nurses regularly perform tasks of a medical nature, such as catheterization, administration of medications, muscle stimulation and physical therapy. Because of McGuire’s dependent condition, the nurses also perform other personal services for him, including feeding and dressing him, preparing meals, and doing his laundry, light housekeeping, and driving.
Harriet Vallen was hired by McGuire in December 1984. Like all McGuire’s nurses, she signed an independent contractor agreement with .him, in which she acknowledged her independent status for purposes of computing federal and state taxes and unemployment insurance. McGuire terminated the relationship with Vallen in March 1986 when she was eight months pregnant because he thought she could not adequately do the required lifting. She filed for unemployment benefits, prompting a Department of Employment Security field audit and investigation of all sums paid to McGuire’s nurses from January 1984 through March 1987. Six licensed practical nurses, including Vallen, submitted status questionnaires to the Department. Initially, the Department determined McGuire’s father was the responsible employer under the Employment Security Act (“the Act”), but a Department appeal referee ruled adversely to that position. Subsequently, the Department determined the nurses were covered employees for whom McGuire had to make unemployment insurance contributions and reports.
After a hearing in McGuire’s administrative appeal of that decision, the appeal referee concluded that, for purposes of section 35 — 4—22(j)(5), the nurses’ performance of personal services, for which they received an hourly wage under contracts for hire, constituted “employment.” Recognizing that the contractual designation of the nurses as independent contractors was not determinative of their status under the Act,
Leach v. Board of Review,
123 Utah 423, 434, 260 P.2d 744, 750 (1953), he then applied the exclusionary “ABC” test set forth in section 35-4-22(j)(5)(A-C) in order to determine whether the nurses’ employment was, nonetheless, excluded from coverage under the Act. Each part of that test must be satisfied in order to exclude an employer from the requirements of the Act.
Nielsen v. Department of Employment Sec.,
692 P.2d 774, 776 (Utah 1984);
Ellison, Inc. v. Department of Employment Sec.,
749 P.2d 1280, 1283 (Utah Ct.App.1988).
See Allen & Assocs. v. Industrial Comm’n,
732 P.2d 508, 509 (Utah 1987). The referee concluded neither part (A) nor part (C) had been met because McGuire controlled and directed the services performed by the nurses and because the evidence did not show any of the nurses pursued an independent nursing business. The Board of Review of the Industrial Commission adopted the referee’s findings and conclusions, affirming the order holding McGuire liable for $1,965.89 in unemployment insurance contributions that should have been paid during the audit period.
The Industrial Commission’s findings regarding basic facts are conclusive if they are supported by the evidence.
Superior Cablevision Installers, Inc. v. Industrial Comm’n,
688 P.2d 444, 447 (Utah 1984). Its application of the ABC exclusionary test in section 35 — 4—22(j)(5) to these basic facts involves a mixed question of law and fact, which we review to determine if it falls within the limits of reasonableness or rationality.
Barney v. Department of Employment Sec.,
681 P.2d 1273, 1275 (Utah 1984);
Ellison, Inc.,
749 P.2d at 1282.
McGuire does not challenge the determination that his relationship with the nurses constituted “employment,” instead focusing on the ABC test to argue the nurses were excluded from coverage by the Act. Because the ABC test is conjunctive, we turn first to McGuire’s claim that the Industrial Commission unreasonably determined under part (C) that his nurses were not “customarily engaged in an independently established trade, occupation, profession, or business of the same nature” as that involved in their contract with him.
The referee made the following pertinent findings of basic facts. All of the nurses involved in the field audit were licensed in Utah as L.P.N.’s, a precondition of reimbursement to McGuire from his insurance carrier.
All signed written agreements with McGuire referring to themselves as independent contractors. While some were employed elsewhere as nurses, none performed private duty nursing services for their own clients other than McGuire during the period of time they worked for him, nor did they seek such work by offering their services to the public. Their contracts required them to perform the nursing services personally; they could not hire replacements or additional help to whom they could pay lower wages than the contract price. Four of the nurses were reported as being wage-earning employees of other businesses or organizations during the periods they worked for McGuire — one was a cemetery salesman; one worked at a hospital; one worked for the Utah Department of Social Services; the fourth worked for a hospital and two home health care providers. The fifth nurse was a health education student in her off-hours, and Val-len worked only for McGuire.
McGuire does not challenge these findings of fact. Instead, he asserts that each nurse’s possession of an L.P.N. license conclusively satisfies section 35 — 4—22(j)(5)(C) because the nurses are
capable
of conduct ing their own independent businesses or
professions as private duty nurses, even if they do not in fact do so when not working for him. Echoing Justice Crockett’s concurring opinion in
Leach,
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JACKSON, Judge:
Bernard McGuire challenges a determination by the Board of Review of the Industrial Commission that his private duty nurses are not exempt from unemployment insurance coverage by virtue of Utah Code Ann. § 35-4-22(j)(5)(A-C) (1985).
We affirm.
As a result of an accident when still a teenager, McGuire is a quadriplegic who requires around-the-clock care. That care has been provided to him in his apartment (and in his parents’ home on weekends) by licensed practical nurses working one or more 24-hour shifts each week. McGuire advertises the availability of these positions, interviews the nurses, hires them, retains the right to fire them, and compensates them for their services at the rate of $8.00 per hour.
The nurses regularly perform tasks of a medical nature, such as catheterization, administration of medications, muscle stimulation and physical therapy. Because of McGuire’s dependent condition, the nurses also perform other personal services for him, including feeding and dressing him, preparing meals, and doing his laundry, light housekeeping, and driving.
Harriet Vallen was hired by McGuire in December 1984. Like all McGuire’s nurses, she signed an independent contractor agreement with .him, in which she acknowledged her independent status for purposes of computing federal and state taxes and unemployment insurance. McGuire terminated the relationship with Vallen in March 1986 when she was eight months pregnant because he thought she could not adequately do the required lifting. She filed for unemployment benefits, prompting a Department of Employment Security field audit and investigation of all sums paid to McGuire’s nurses from January 1984 through March 1987. Six licensed practical nurses, including Vallen, submitted status questionnaires to the Department. Initially, the Department determined McGuire’s father was the responsible employer under the Employment Security Act (“the Act”), but a Department appeal referee ruled adversely to that position. Subsequently, the Department determined the nurses were covered employees for whom McGuire had to make unemployment insurance contributions and reports.
After a hearing in McGuire’s administrative appeal of that decision, the appeal referee concluded that, for purposes of section 35 — 4—22(j)(5), the nurses’ performance of personal services, for which they received an hourly wage under contracts for hire, constituted “employment.” Recognizing that the contractual designation of the nurses as independent contractors was not determinative of their status under the Act,
Leach v. Board of Review,
123 Utah 423, 434, 260 P.2d 744, 750 (1953), he then applied the exclusionary “ABC” test set forth in section 35-4-22(j)(5)(A-C) in order to determine whether the nurses’ employment was, nonetheless, excluded from coverage under the Act. Each part of that test must be satisfied in order to exclude an employer from the requirements of the Act.
Nielsen v. Department of Employment Sec.,
692 P.2d 774, 776 (Utah 1984);
Ellison, Inc. v. Department of Employment Sec.,
749 P.2d 1280, 1283 (Utah Ct.App.1988).
See Allen & Assocs. v. Industrial Comm’n,
732 P.2d 508, 509 (Utah 1987). The referee concluded neither part (A) nor part (C) had been met because McGuire controlled and directed the services performed by the nurses and because the evidence did not show any of the nurses pursued an independent nursing business. The Board of Review of the Industrial Commission adopted the referee’s findings and conclusions, affirming the order holding McGuire liable for $1,965.89 in unemployment insurance contributions that should have been paid during the audit period.
The Industrial Commission’s findings regarding basic facts are conclusive if they are supported by the evidence.
Superior Cablevision Installers, Inc. v. Industrial Comm’n,
688 P.2d 444, 447 (Utah 1984). Its application of the ABC exclusionary test in section 35 — 4—22(j)(5) to these basic facts involves a mixed question of law and fact, which we review to determine if it falls within the limits of reasonableness or rationality.
Barney v. Department of Employment Sec.,
681 P.2d 1273, 1275 (Utah 1984);
Ellison, Inc.,
749 P.2d at 1282.
McGuire does not challenge the determination that his relationship with the nurses constituted “employment,” instead focusing on the ABC test to argue the nurses were excluded from coverage by the Act. Because the ABC test is conjunctive, we turn first to McGuire’s claim that the Industrial Commission unreasonably determined under part (C) that his nurses were not “customarily engaged in an independently established trade, occupation, profession, or business of the same nature” as that involved in their contract with him.
The referee made the following pertinent findings of basic facts. All of the nurses involved in the field audit were licensed in Utah as L.P.N.’s, a precondition of reimbursement to McGuire from his insurance carrier.
All signed written agreements with McGuire referring to themselves as independent contractors. While some were employed elsewhere as nurses, none performed private duty nursing services for their own clients other than McGuire during the period of time they worked for him, nor did they seek such work by offering their services to the public. Their contracts required them to perform the nursing services personally; they could not hire replacements or additional help to whom they could pay lower wages than the contract price. Four of the nurses were reported as being wage-earning employees of other businesses or organizations during the periods they worked for McGuire — one was a cemetery salesman; one worked at a hospital; one worked for the Utah Department of Social Services; the fourth worked for a hospital and two home health care providers. The fifth nurse was a health education student in her off-hours, and Val-len worked only for McGuire.
McGuire does not challenge these findings of fact. Instead, he asserts that each nurse’s possession of an L.P.N. license conclusively satisfies section 35 — 4—22(j)(5)(C) because the nurses are
capable
of conduct ing their own independent businesses or
professions as private duty nurses, even if they do not in fact do so when not working for him. Echoing Justice Crockett’s concurring opinion in
Leach,
123 Utah at 435-37, 260 P.2d at 750-51, McGuire argues that his liability for unemployment insurance payments should not hinge on what his private duty nurses choose to do or not do with their time when they are not engaged in his service. However,
Leach
and more recent decisions interpreting part C have implicitly rejected such an argument by including possession of a business or professional license as only one of many factors to be considered in determining whether a person is “customarily engaged in an independently established” trade or business.
See, e.g., New Sleep, Inc. v. Department of Employment Sec.,
703 P.2d 289, 291 (Utah 1985);
Barney,
681 P.2d at 1275-76. Other relevant indicia include: holding oneself out to the general public as being engaged in a particular business; advertising one’s services; having an established clientele; having a place of business; having special training or skills; and having a substantial investment in tools necessary for the work performed.
Ellison, Inc.,
749 P.2d at 1283-84.
The interpretation of section 35-4-22(j)(5)(C) urged by McGuire would automatically exclude from unemployment insurance coverage all persons in employment covered by the Act who were also license holders of some sort, effectively eviscerating the statutory provision in many cases. But it is well established in this state that part (C) is designed to exclude from unemployment coverage only those workers who have independently established businesses on which they can rely for their livelihood if their employment for one person is terminated.
New Sleep, Inc.,
703 P.2d at 293. “[T]he ‘independently established business’
must exist
independent of the services under consideration in the sense that it is the whole — of which the particular service is a part.”
Leach,
123 Utah at 431, 260 P.2d at 748 (emphasis added). Thus, the appropriate inquiry under part (C) is whether the person engaged in covered employment actually has such an independent business, occupation, or profession, not whether he or she could have one.
Here, the nurses’ training and licenses are the only factors present to support McGuire’s claim that they should be treated as independent contractors. They did not hold themselves out to the general public as individual providers of private nursing care. They had no other private nursing clients besides McGuire, nor did they actively solicit any through advertising. They could not hire employees of their own to perform the contracted work, and they had no established places of business. Finally, like the water bed installers in
New Sleep, Inc.,
and the franchise dealers in
Leach,
four of McGuire’s six nurses spent the time away from him working as employees in other employment, not in the practice and pursuit of independently established businesses, professions, or occupations as private duty nurses.
In light of the purpose of .the statute and all the relevant factors to be considered, the Board of Review reasonably concluded section 35-4-22(j)(5)(C) had not been satisfied.
McGuire is, therefore, not exempt from payment of unemployment insurance premiums during the audit period.
The order of the Board of Review is affirmed.
BILLINGS and ORME, JJ., concur.