IN THE COURT OF APPEALS OF IOWA
No. 20-0192 Filed March 17, 2021
STATE OF IOWA, Plaintiff-Appellee,
vs.
KEVIN THOREN, Defendant-Appellant. ________________________________________________________________
Appeal from the Iowa District Court for Polk County, Jeffrey D. Farrell,
Judge.
Kevin Thoren appeals his conviction for sexual abuse in the third-degree.
AFFIRMED.
Martha J. Lucey, State Appellate Defender, and Ashley Stewart, Assistant
Appellate Defender, for appellant.
Thomas J. Miller, Attorney General, and Bridget A. Chambers, Assistant
Attorney General, for appellee.
Considered by Doyle, P.J., and Tabor and Ahlers, JJ. 2
DOYLE, Presiding Judge.
Kevin Thoren appeals his conviction for sexual abuse in the third-degree.
He contends the district court abused its discretion in admitting certain evidence
at trial. Finding no abuse of discretion on the part of the district court in admitting
the evidence, we affirm.
I. Background Facts and Proceedings.
Thoren was a licensed massage therapist. In 2018, the Iowa Board of
Massage Therapy investigated allegations of Thoren’s improper sexual contact
with clients. During the investigation Thoren agreed to self-surrender his license.
He made no admission of guilt.1 Following surrender of his license Thoren
continued to operate his therapy business but focused on therapies other than
massage. Later, one of his clients reported to police that Thoren had sexually
assaulted her during a therapy session.
The State charged Thoren with sexual abuse in the third degree. Following
his plea of not guilty, Thoren moved in limine seeking to prohibit the State from
introducing any evidence of an investigation by the Iowa Board of Massage
Therapy of allegations that Thoren had improper sexual contact with clients, or
evidence of self-surrender of his professional license, or any prior complaints
against him by other clients. The district court denied the motion after briefing and
a hearing. A jury found Thoren guilty of sexual abuse in the third degree. On
appeal, Thoren challenges the court’s admission of certain evidence, specifically
1 In the settlement agreement and final order, Thoren “acknowledges that the allegations in the Statement of Charges, if proven in a contested case hearing, would constitute grounds for the discipline agreed to in this Order.” 3
evidence on the Iowa Board of Massage Therapy’s investigation and the self-
surrender of his license, and the testimony of five previous clients alleging similar
incidents of improper sexual contact.
II. Standard of Review.
We review the trial court’s evidentiary rulings for an abuse of discretion.
See State v. Neiderbach, 837 N.W.2d 180, 190 (Iowa 2013); State v. Huston, 825
N.W.2d 531, 536 (Iowa 2013). We will reverse only when the district court’s
decision rests on grounds or reasons untenable or to an extent clearly
unreasonable. See State v. Redmund, 803 N.W.2d 112, 117 (Iowa 2011).
III. Analysis.
A. Evidence of Iowa Board of Massage Therapy Investigation and Self-
Surrender of License.
Thoren first argues that evidence about a past investigation by the Iowa
Board of Massage Therapy into allegations of sexual misconduct and the
subsequent self-surrender of his massage license were irrelevant and unfairly
prejudicial. Under the rules of evidence, relevant evidence is admissible; irrelevant
evidence is not. See Iowa R. Evid. 5.402. “Evidence is relevant if: (a) It has any
tendency to make a fact more or less probable than it would be without the
evidence; and (b) The fact is of consequence in determining the action.” Iowa R.
Evid. 5.401; State v. Alberts, 722 N.W.2d 402, 410 (Iowa 2006). “The test to
determine if evidence is relevant is whether a reasonable [person] might believe
the probability of the truth of the consequential fact to be different if [such person]
knew of the proffered evidence.” Alberts, 722 N.W.2d at 410 (alteration in original)
(internal quotation marks and citation omitted). Once deemed relevant, the 4
evidence is admissible under rule 5.402 unless otherwise provided in the United
States Constitution, Iowa Constitution, statute, or our rules. Iowa R. Evid. 5.402.
Thoren contends the evidence is not relevant because agency action by the
Iowa Board of Massage Therapy requires only proof by a preponderance of the
evidence,2 a lower level of proof than the beyond-a-reasonable-doubt standard of
proof employed in a criminal proceeding. He argues that to be relevant, “there
must be a showing of equity between the burdens of proof and a similarity between
the requirements for sexual abuse report leading to self-surrender and the offense
of sexual abuse.” He cites no legal authority for this proposition. When a party, in
an appellate brief, fails to cite to authority in support of an issue, the issue may be
considered waived. State v. Adney, 639 N.W.2d 246, 250 (Iowa Ct. App.
2001); see also Iowa R. App. P. 6.903(2)(g)(3) (requiring the argument section to
include “[a]n argument containing the appellant's contentions and the reasons for
them with citations to the authorities relied on and references to the pertinent parts
of the record” and stating, “[f]ailure to cite authority in support of an issue may be
deemed waiver of that issue”); State v. McCright, 569 N.W.2d 605, 607 (Iowa
1997); Metro. Jacobson Dev. Venture v. Bd. of Rev. of Des Moines, 476 N.W.2d
726, 729 (Iowa Ct. App. 1991). We do not consider conclusory statements
unsupported by legal argument. See, e.g., Baker v. City of Iowa City, 750 N.W.2d
93, 103 (Iowa 2008) (holding a party waived its “conclusory contention” by failing
to support it with an argument and legal authorities). We will not accept the task of
2 Thoren makes no valid citation to this proposition. We were unable to find an appellate massage therapy disciplinary case, but we note the burden of proof in a medical disciplinary case is a preponderance of the evidence. See Eaves v. Bd. of Med. Examiners, 467 N.W.2d 234, 237 (Iowa 1991). 5
undertaking Thoren's research and advocacy. See id. In any event, Thoren’s
difference-in-burden-of-proof argument was not sung to the district court. Error
preservation rules prevent Thoren from singing a new song to us. See State v.
Rutledge, 600 N.W.2d 324, 325 (Iowa 1999) (“Nothing is more basic in the law of
appeal and error than the axiom that a party cannot sing a song to us that was not
first sung in trial court.”). “It is a fundamental doctrine of appellate review that
issues must ordinarily be both raised and decided by the district court before we
will decide them on appeal.” See Meier v. Senecaut, 641 N.W.2d 532, 537 (Iowa
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IN THE COURT OF APPEALS OF IOWA
No. 20-0192 Filed March 17, 2021
STATE OF IOWA, Plaintiff-Appellee,
vs.
KEVIN THOREN, Defendant-Appellant. ________________________________________________________________
Appeal from the Iowa District Court for Polk County, Jeffrey D. Farrell,
Judge.
Kevin Thoren appeals his conviction for sexual abuse in the third-degree.
AFFIRMED.
Martha J. Lucey, State Appellate Defender, and Ashley Stewart, Assistant
Appellate Defender, for appellant.
Thomas J. Miller, Attorney General, and Bridget A. Chambers, Assistant
Attorney General, for appellee.
Considered by Doyle, P.J., and Tabor and Ahlers, JJ. 2
DOYLE, Presiding Judge.
Kevin Thoren appeals his conviction for sexual abuse in the third-degree.
He contends the district court abused its discretion in admitting certain evidence
at trial. Finding no abuse of discretion on the part of the district court in admitting
the evidence, we affirm.
I. Background Facts and Proceedings.
Thoren was a licensed massage therapist. In 2018, the Iowa Board of
Massage Therapy investigated allegations of Thoren’s improper sexual contact
with clients. During the investigation Thoren agreed to self-surrender his license.
He made no admission of guilt.1 Following surrender of his license Thoren
continued to operate his therapy business but focused on therapies other than
massage. Later, one of his clients reported to police that Thoren had sexually
assaulted her during a therapy session.
The State charged Thoren with sexual abuse in the third degree. Following
his plea of not guilty, Thoren moved in limine seeking to prohibit the State from
introducing any evidence of an investigation by the Iowa Board of Massage
Therapy of allegations that Thoren had improper sexual contact with clients, or
evidence of self-surrender of his professional license, or any prior complaints
against him by other clients. The district court denied the motion after briefing and
a hearing. A jury found Thoren guilty of sexual abuse in the third degree. On
appeal, Thoren challenges the court’s admission of certain evidence, specifically
1 In the settlement agreement and final order, Thoren “acknowledges that the allegations in the Statement of Charges, if proven in a contested case hearing, would constitute grounds for the discipline agreed to in this Order.” 3
evidence on the Iowa Board of Massage Therapy’s investigation and the self-
surrender of his license, and the testimony of five previous clients alleging similar
incidents of improper sexual contact.
II. Standard of Review.
We review the trial court’s evidentiary rulings for an abuse of discretion.
See State v. Neiderbach, 837 N.W.2d 180, 190 (Iowa 2013); State v. Huston, 825
N.W.2d 531, 536 (Iowa 2013). We will reverse only when the district court’s
decision rests on grounds or reasons untenable or to an extent clearly
unreasonable. See State v. Redmund, 803 N.W.2d 112, 117 (Iowa 2011).
III. Analysis.
A. Evidence of Iowa Board of Massage Therapy Investigation and Self-
Surrender of License.
Thoren first argues that evidence about a past investigation by the Iowa
Board of Massage Therapy into allegations of sexual misconduct and the
subsequent self-surrender of his massage license were irrelevant and unfairly
prejudicial. Under the rules of evidence, relevant evidence is admissible; irrelevant
evidence is not. See Iowa R. Evid. 5.402. “Evidence is relevant if: (a) It has any
tendency to make a fact more or less probable than it would be without the
evidence; and (b) The fact is of consequence in determining the action.” Iowa R.
Evid. 5.401; State v. Alberts, 722 N.W.2d 402, 410 (Iowa 2006). “The test to
determine if evidence is relevant is whether a reasonable [person] might believe
the probability of the truth of the consequential fact to be different if [such person]
knew of the proffered evidence.” Alberts, 722 N.W.2d at 410 (alteration in original)
(internal quotation marks and citation omitted). Once deemed relevant, the 4
evidence is admissible under rule 5.402 unless otherwise provided in the United
States Constitution, Iowa Constitution, statute, or our rules. Iowa R. Evid. 5.402.
Thoren contends the evidence is not relevant because agency action by the
Iowa Board of Massage Therapy requires only proof by a preponderance of the
evidence,2 a lower level of proof than the beyond-a-reasonable-doubt standard of
proof employed in a criminal proceeding. He argues that to be relevant, “there
must be a showing of equity between the burdens of proof and a similarity between
the requirements for sexual abuse report leading to self-surrender and the offense
of sexual abuse.” He cites no legal authority for this proposition. When a party, in
an appellate brief, fails to cite to authority in support of an issue, the issue may be
considered waived. State v. Adney, 639 N.W.2d 246, 250 (Iowa Ct. App.
2001); see also Iowa R. App. P. 6.903(2)(g)(3) (requiring the argument section to
include “[a]n argument containing the appellant's contentions and the reasons for
them with citations to the authorities relied on and references to the pertinent parts
of the record” and stating, “[f]ailure to cite authority in support of an issue may be
deemed waiver of that issue”); State v. McCright, 569 N.W.2d 605, 607 (Iowa
1997); Metro. Jacobson Dev. Venture v. Bd. of Rev. of Des Moines, 476 N.W.2d
726, 729 (Iowa Ct. App. 1991). We do not consider conclusory statements
unsupported by legal argument. See, e.g., Baker v. City of Iowa City, 750 N.W.2d
93, 103 (Iowa 2008) (holding a party waived its “conclusory contention” by failing
to support it with an argument and legal authorities). We will not accept the task of
2 Thoren makes no valid citation to this proposition. We were unable to find an appellate massage therapy disciplinary case, but we note the burden of proof in a medical disciplinary case is a preponderance of the evidence. See Eaves v. Bd. of Med. Examiners, 467 N.W.2d 234, 237 (Iowa 1991). 5
undertaking Thoren's research and advocacy. See id. In any event, Thoren’s
difference-in-burden-of-proof argument was not sung to the district court. Error
preservation rules prevent Thoren from singing a new song to us. See State v.
Rutledge, 600 N.W.2d 324, 325 (Iowa 1999) (“Nothing is more basic in the law of
appeal and error than the axiom that a party cannot sing a song to us that was not
first sung in trial court.”). “It is a fundamental doctrine of appellate review that
issues must ordinarily be both raised and decided by the district court before we
will decide them on appeal.” See Meier v. Senecaut, 641 N.W.2d 532, 537 (Iowa
2002); accord Lamasters v. State, 821 N.W.2d 856, 864 (Iowa 2012). The
difference-in-burden-of-proof argument was not preserved for our review.
Thoren was tried for sexual abuse. The Iowa Board of Massage Therapy
investigation that led Thoren to surrender his license concerned inappropriate
sexual touching of clients. Thoren’s theory at trial was that he engaged in some
touching but that it did not cross the line into sexual touching. Because the
investigation involved similar allegations under similar circumstances, the
evidence helped establish it was more likely Thoren committed sex abuse when
he touched the victim in this case. Not all touching is permissible during a
massage, and the evidence that Thoren was previously investigated for crossing
this line shows motive, intent, purpose, and lack of mistake for his actions.3 The
evidence was relevant.
3 The fact the board investigation concerned previous misconduct helps distinguish this case from State v. Huston, 825 N.W.2d 531 (Iowa 2013). In that case, in the course of prosecuting Huston for child endangerment, the State introduced evidence Huston had been investigated for child abuse by the Department of Human Services (DHS) based on the same circumstances that formed the basis for the criminal charge and the DHS determined the child abuse report was 6
Thoren contends the evidence was unfairly prejudicial. “Unfairly prejudicial
evidence appeals to the jury's sympathies, arouses its sense of horror, provokes
its instinct to punish, or triggers other mainsprings of human action that may cause
a jury to base its decision on something other than the established propositions in
the case.” State v. Webster, 865 N.W.2d 223, 242-43 (Iowa 2015) (cleaned up).
Thoren’s unfairly-prejudicial contention mainly hinges on his different-standard-of-
proof argument which we have already rejected. We agree with the State that the
prejudicial effect of the evidence was low. The evidence only presented the bare
facts of the incident. The evidence was not inflammatory and not the type to appeal
to the jury’s sympathies, arouse its sense of horror, or provoke its instincts to
punish. The evidence was not unfairly prejudicial.
The district court did not abuse its discretion in admitting the evidence.
“founded.” Id. at 535. The supreme court reversed Huston’s conviction due to introduction of the DHS “founded child abuse report” evidence. Id. at 537–38. The court saw “no probative value to the DHS determination the abuse report against Houston was founded. Whether or not the abuse report was deemed founded is irrelevant to any issue for the jury to decide.” Id. at 537. In addition, the court noted “a real danger the jury will be unfairly influenced by that agency finding, which gives the ‘imprimatur’ of a purportedly unbiased state agency on a conclusion that Huston was guilty of child abuse.” Id. at 537–38. Here, we would have the same risk if the evidence of the massage therapy board investigation and sanction had involved the same incident that formed the basis for the criminal charge against Thoren. However, because the investigation involved one or more prior incidents, evidence of the investigation did not run the risk the jury would be unfairly influenced into concluding Thoren had to be guilty of the current charged offense because the massage therapy board had already made that determination. Instead, the evidence could be used for the relevant purpose of showing Thoren should have been aware of the line between proper and improper touching during a massage as a result of the prior sanction, so it is less likely his alleged crossing of that line in this case was done by mistake or without improper intent or purpose. 7
B. Evidence of Prior Bad Acts.
Thoren also argues the relevance of testimony from past clients who
reported incidents of sexual misconduct to the board is outweighed by the danger
of unfair prejudice. Iowa Rule of Evidence 5.404(b) controls when evidence of
prior bad acts is admissible. Even if the evidence is relevant, if the evidence is “of
a crime, wrong, or other act,” it cannot be admitted “to prove a person’s character
in order to show that on a particular occasion the person acted in accordance with
the character.” Iowa R. Evid. 5.404(b)(1); State v. Putman, 848 N.W.2d 1, 9 (Iowa
2014). But evidence of other crimes, wrongs, or acts can be admitted for other
purposes, “such as proving motive, opportunity, intent, preparation, plan,
knowledge, identity, absence of mistake, or lack of accident.” Iowa R. Evid.
5.404(b)(2). Such “evidence is admissible if it is probative of some fact or element
in issue other than the defendant's general criminal disposition.” State v. Nelson,
791 N.W.2d 414, 425 (Iowa 2010). Evidence of this nature is analyzed carefully
to ensure that there is more of a purpose or legitimacy to some material issue than
merely showing a general propensity to commit wrongful acts. State v. Plaster,
424 N.W.226, 229 (Iowa 1988). The court analyzes the evidence and its
admissibility under a three-pronged test. Putman, 848 N.W.2d at 8-9.
Before the court can admit evidence of prior bad acts, the evidence must
first be relevant to a legitimate, disputed factual issue. Id. at 9; State v. Rodriguez,
636 N.W.2d 234, 239 (Iowa 2001) (stating evidence is relevant “when it has ‘any
tendency to make the existence of any fact that is of consequence to the
determination of the action more probable or less probable than it would be without
the evidence”). Thoren is accused of sexually abusing someone who entrusted 8
him to provide alternative treatment for pain relief. The testimony of five former
clients, in similar settings, who experienced similar incidents, although over several
years, was relevant to establish Thoren’s intent, motive, knowledge, and lack of
mistake.
Second, “there also ‘must be clear proof the individual against whom the
evidence is offered committed the bad act or crime.’” Putman, 848 N.W.2d at 9.
“In assessing whether there is clear proof of prior misconduct, it is not required that
the prior act be established beyond a reasonable doubt, nor is corroboration
necessary.” State v. Taylor, 689 N.W.2d 116, 130 (Iowa 2004). Testimony of
credible witnesses can satisfy the clear-proof requirement. See State v.
Rodriquez, 636 N.W.2d 234, 243 (Iowa 2001) (concluding testimony of two
witnesses was enough to support a finding of clear proof). In Thoren’s case, five
credible witnesses testified in court. We find the clear-proof requirement met.
Third, “the court must determine whether the evidence’s ‘probative value is
substantially outweighed by the danger of unfair prejudice to the defendant.’” Id.
(citation omitted). “Evidence that is unfairly prejudicial is evidence that has an
undue tendency to suggest decisions on an improper basis commonly, though not
necessarily, an emotional one.” State v. Newell, 710 N.W.2d 6, 20 (Iowa 2006).
Several factors are considered in weighing whether the danger of unfair prejudice
outweighs the probative value of the evidence. They are
the need for the evidence in light of the issues and the other evidence available to the prosecution, whether there is clear proof the defendant committed the prior bad acts, the strength or weakness of the evidence on the relevant issue, and the degree to which the fact finder will be prompted to decide the case on an improper basis. 9
Putman, 848 N.W.2d at 9-10 (quoting Taylor, 689 N.W.2d at 124). If the evidence
is relevant and material for a purpose other than a propensity to commit wrongful
acts, “it is prima facie admissible, notwithstanding the tendency to demonstrate the
accused’s bad character.” Plaster, 424 N.W.2d at 229 (citation omitted). In this
he said/she said case, the State’s need for the testimony from Thoren’s former
clients is self-evident. Based on the witnesses’ testimony, there is clear proof
Thorsen committed the prior acts. The prior acts evidence elicited at trial was of a
nature similar to the underlying charge and not likely to incite “overmastering
hostility” toward Thoren. See State v. Reyes, 744 N.W.2d 95, 100 (Iowa 2008).
Although Thoren challenges the remoteness of when some of the acts were
committed, remoteness generally affects the weight of the evidence rather than its
admissibility. State v. Casady, 491 N.W.2d 782, 785 (Iowa 1992). Remoteness
makes evidence irrelevant “where the elapsed time is so great as to negate all
rational or logical connection between the fact sought to be proved and the remote
evidence offered to prove that fact.” Id. Here, the lapse of time between some of
the prior acts and the event leading to the criminal charge was significant—
approximately ten years. While this gives us some pause as to the propriety of
admitting the evidence, we conclude the district court did not abuse its discretion
in admitting it. The remote episodes in isolation may have been too remote to be
admissible. However, when considered in relation to the ensuing episodes leading
up to the event that formed the basis for the criminal charge against Thoren, the
evidence of the older events showed a continuity of misconduct that created a
“rational or logical connection” between the pieces of evidence. Id. We agree with
the district court’s ruling that “[t]here is some level of prejudice, but not enough to 10
outweigh the State’s need for the evidence to show intent, motive, absence of
mistake, and lack of accident.”
Finally, the court has long accepted that there is no exact science in
establishing the probative value of evidence of this nature, and therefore “a great
deal of leeway” is granted “to the trial judge who must make the judgment call.”
Newell, 710 N.W.2d at 20-21.
Applying all the requisite factors, we conclude, as the trial court did, the
probative value of the challenged testimony was not substantially outweighed by
the danger of unfair prejudice. The trial court did not abuse its discretion by
admitting the testimony.
IV. Conclusion.
For all the above reasons, we affirm Thoren’s sex abuse conviction.