Central Home Health Care Services v. Liberty Mutual Insurance Comp ( 2022 )


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  •              If this opinion indicates that it is “FOR PUBLICATION,” it is subject to
    revision until final publication in the Michigan Appeals Reports.
    STATE OF MICHIGAN
    COURT OF APPEALS
    CENTRAL HOME HEALTH CARE SERVICES,                                    UNPUBLISHED
    December 22, 2022
    Plaintiff-Appellant,
    v                                                                     No. 359826
    Washtenaw Circuit Court
    LIBERTY MUTUAL INSURANCE COMPANY,                                     LC No. 18-001240-NF
    Defendant-Appellee.
    Before: SHAPIRO, P.J., and BORRELLO and YATES, JJ.
    PER CURIAM.
    In this action involving Michigan’s no-fault act, MCL 500.3101 et seq., plaintiff appeals
    as of right the trial court’s order granting defendant’s motion for summary disposition under MCR
    2.116(C)(10) and dismissing plaintiff’s action with prejudice. For the reasons set forth in this
    opinion, we reverse.
    I. BACKGROUND
    On November 30, 2018, plaintiff initiated this action based on an assignment of rights from
    Sean Smith with respect to health care services provided to Smith by plaintiff. In its complaint,
    plaintiff alleged that Smith “sustained accidental bodily injuries within the meaning of the statutory
    provisions of MCL 500.3105” and that plaintiff provided “reasonably necessary products, services
    and/or accommodations” to Smith resulting in an outstanding balance of $116,322.42. Plaintiff
    further alleged that “Defendant is first in order of priority to pay for the injured party’s claim for
    no fault personal protection insurance benefits” under the no-fault act and that “Defendant has
    become obligated to pay for certain expenses incurred for reasonably necessary products and
    services rendered for the injured party’s care, recovery or rehabilitation as a result of the injured
    party’s sustained accidental bodily injury arising out of the ownership, operation, maintenance or
    use of a motor vehicle as a motor vehicle.” Finally, plaintiff alleged that “Defendant’s failure to
    pay Plaintiff’s personal protection insurance benefits constitutes a material breach of contractual
    and/or statutory duties pursuant to the contract where the injured party is qualified as an ‘insured,’
    or otherwise entitled to benefits and/or pursuant to MCL 500.3101, et seq.”
    -1-
    During the course of the litigation, defendant filed a motion to strike Smith as a witness or
    compel Smith to appear for a deposition prior to trial. In the motion, defendant alleged that Smith
    had twice been noticed for deposition but that defendant had been unable to serve Smith.
    Defendant stated further that Smith’s “deposition is required in order to determine the injuries
    claimed to have been sustained in the motor vehicle accident, the treatment allegedly required
    therefrom, the Plaintiff’s physical condition, and the need for future various benefits under the
    Michigan No-Fault Law.” Defendant asserted that it was “at a severe disadvantage and greatly
    prejudiced in this suit” without Smith’s cooperation in being deposed.
    The trial court entered an order, pursuant to the parties’ stipulation, ordering:
    that Plaintiff Counsel provide Defense Counsel all known contact information for
    claimant Sean Smith by May 7[] 2020, that Defendant will attempt service on
    claimant Sean Smith for deposition, that if Claimant Sean Smith does not appear
    for a deposition by June 4, 2020, Sean Smith shall be stricken as a witness and not
    be permitted to testify at trial.1
    Defendant subsequently moved to strike Smith as a witness after Smith was served with
    notice of his deposition and failed to appear. The trial court struck Smith as a witness.
    Defendant moved for summary disposition under MCR 2.116(C)(10). As relevant to the
    issue presented on appeal, defendant argued that plaintiff could not establish that Smith was in a
    motor vehicle accident because the trial court struck Smith as a witness, the police report was
    inadmissible hearsay, and the doctors and police officers did not witness the accident and therefore
    could not testify that Smith was in an accident. Defendant further argued that the services at issue
    in this case were “at home physical therapy services following a surgery performed on Sean Smith
    on 5-8-2018,” that Smith had been in a previous automobile accident, and that Smith’s treating
    doctor— Dr. Louis Radden—had discussed the same surgical procedure with Smith before the
    motor vehicle accident at issue in this case. Thus, defendant argued that “[w]ithout Sean Smiths
    [sic] testimony Plaintiff will be unable to prove the treatment is related to this accident.” Despite
    these arguments, defendant acknowledged in its supporting brief that there was a motor vehicle
    accident on October 24, 2017, and that it was the relevant no-fault insurer at the time of the
    accident.
    Defendant attached the deposition of Radden, who testified that he first treated Smith on
    January 8, 2015. According to Radden, Smith sought treatment on that date for complaints of back
    pain radiating into his lower extremities, neck pain radiating into the left upper extremity, and left
    shoulder pain that began after he was in a motor vehicle accident on December 10, 2014. Smith
    underwent shoulder surgery on April 12, 2016, but Radden did not perform that surgery. Radden
    also indicated that Smith was involved in a second motor vehicle accident on October 24, 2017.
    Before the second accident, Radden last treated Smith on September 20, 2017. On September 20,
    2017, there was a treatment plan to perform a type of neck surgery called an anterior cervical
    discectomy and fusion surgery on Smith’s C5-C6 vertebrae. This neck surgery was performed on
    neck surgery May 8, 2018. Radden testified that all of Smith’s treatment involving the spine
    1
    This deadline was later extended by stipulation to June 25, 2020.
    -2-
    specialist between the first motor vehicle accident and the second motor vehicle accident was
    related to the first accident. Radden referred Smith to plaintiff at some point, and Radden
    prescribed physical therapy and nursing services. Smith first treated with plaintiff the day after
    the neck surgery.
    Plaintiff opposed the motion. Plaintiff claimed to have provided post-surgical care to
    Smith from May 9, 2018 to September 13, 2018, following Smith’s cervical spine surgery and
    pursuant to a prescription and referral from Radden. Plaintiff also claimed to have provided post-
    surgical care to Smith from January 15, 2019 to February 13, 2019, following a left knee surgery
    and pursuant to a prescription and referral from Dr. Michael Bagley. Plaintiff argued in relevant
    part that Smith’s medical records show that he was involved in a motor vehicle accident on October
    24, 2017, and that his “treating physicians . . . directly attribute the necessary surgeries and post-
    surgical care to the October 2017 motor vehicle accident.” Plaintiff attached the medical records
    on which it relied.
    The trial court granted defendant’s motion for summary disposition, explaining its
    reasoning as follows:
    Thank you. Counsel, I, I don’t usually grant MSDs. I usually do believe
    that it’s in the province of the finder of fact, but I agree with you in this case. When
    you don’t have Sean Smith able to testify and stricken, I don’t think that they can
    overcome that. They need that patient and he’s not participating and I don’t, I
    disagree with you, counsel, I don’t think you can just bring in medical records and
    satisfy. You know, I’m well aware of the exception, medical records exception for
    statements made for the purpose of diagnosis and treatment, but not to prove the
    underlying case of an auto accident, injured, arising out of the use of a, of a motor
    accident. I think without Sean Smith, you, you aren’t able to proceed and I’m
    granting it on that basis.
    The trial court denied plaintiff’s motion for reconsideration. This appeal followed.
    II. STANDARD OF REVIEW
    “This Court reviews the grant or denial of summary disposition de novo to determine if the
    moving party is entitled to judgment as a matter of law.” Maiden v Rozwood, 
    461 Mich 109
    , 118;
    
    597 NW2d 817
     (1999). Summary disposition is proper under MCR 2.116(C)(10) when “[e]xcept
    as to the amount of damages, there is no genuine issue as to any material fact, and the moving
    party is entitled to judgment or partial judgment as a matter of law.” MCR 2.116(C)(10). In
    evaluating a motion under MCR 2.116(C)(10), “a trial court considers affidavits, pleadings,
    depositions, admissions, and other evidence submitted by the parties in the light most favorable to
    the party opposing the motion.” Maiden, 
    461 Mich at 120
     (citation omitted). “A genuine issue of
    material fact exists when the record leaves open an issue upon which reasonable minds might
    differ.” El-Khalil v Oakwood Healthcare, Inc, 
    504 Mich 152
    , 160; 
    934 NW2d 665
     (2019)
    (quotation marks and citation omitted).
    III. ANALYSIS
    -3-
    “Under personal protection insurance an insurer is liable to pay benefits for accidental
    bodily injury arising out of the ownership, operation, maintenance or use of a motor vehicle as a
    motor vehicle, subject to the provisions of this chapter.” MCL 500.3105(1).
    Here, the trial court ruled that summary disposition was warranted because plaintiff could
    not succeed on its claim as a matter of law because Smith was not able to testify. The trial court
    did not consider what the other record evidence showed when considered in the light most
    favorable to plaintiff as the nonmoving party. Maiden, 
    461 Mich at 120
    . Instead, the trial court
    only considered the record evidence to the extent that the trial court did not believe that the relative
    strength of that evidence was sufficient to survive summary disposition. “[I]t is well settled that
    the circuit court may not weigh the evidence or make determinations of credibility when deciding
    a motion for summary disposition.” Innovative Adult Foster Care, Inc v Ragin, 
    285 Mich App 466
    , 480; 
    776 NW2d 398
     (2009). Defendant’s appellate arguments are similar to those of the trial
    court as they apply to the weight and relative strength of the record evidence.
    Contrary to the proper legal standard for considering a motion for summary disposition
    under MCR 2.116(C)(10), the trial court in this case neglected to consider all of the submitted
    documentary evidence in the light most favorable to plaintiff to determine whether a genuine
    question of material fact existed. Instead, the trial court focused solely on the lack of available
    testimony from Smith and concluded that as a matter of law, plaintiff could not succeed in
    establishing its claim. The trial court did not consider whether other evidence in the record
    demonstrated a question of fact whether Smith suffered injuries as a result of a motor vehicle
    accident. See MCL 500.3105(1). When considering a motion under MCR 2.116(C)(10), “a trial
    court must consider all evidence submitted by the parties in the light most favorable to the party
    opposing the motion.” El-Khalil, 504 Mich at 160 (emphasis added).
    Accordingly, the trial court erred in granting summary disposition for its stated reason.
    This matter is remanded for the trial court to decide defendant’s motion for summary disposition
    under the proper legal standard.
    This Court need not address the parties’ additional arguments relating to the coordination
    of benefits with Smith’s health insurance provider because the trial court did not address these
    arguments in its ruling. “Appellate review is limited to issues actually decided by the trial court.”
    Allen v Keating, 
    205 Mich App 560
    , 564; 
    517 NW2d 830
     (1994).
    Reversed and remanded for further proceedings consistent with this opinion. We do not
    retain jurisdiction. Plaintiff having prevailed is entitled to costs. MCR 7.219(A).
    /s/ Douglas B. Shapiro
    /s/ Stephen L. Borrello
    /s/ Christopher P. Yates
    -4-
    

Document Info

Docket Number: 359826

Filed Date: 12/22/2022

Precedential Status: Non-Precedential

Modified Date: 12/23/2022