                           STATE OF MICHIGAN

                            COURT OF APPEALS



CHRISETHCARE HOME HEALTH CARE                                        UNPUBLISHED
SERVICES INCORPORATED,                                               May 26, 2016

               Plaintiff-Appellant,

v                                                                    No. 325186
                                                                     Wayne Circuit Court
BRISTOL WEST INSURANCE COMPANY,                                      LC No. 14-003768-NF

               Defendant-Appellee.


Before: MURPHY, P.J., and CAVANAGH and RONAYNE KRAUSE, JJ.

PER CURIAM.

        Plaintiff Chrisethcare Home Health Care Services Incorporated appeals by right the trial
court’s order granting defendant Bristol West Insurance Company’s motion for summary
disposition, pursuant to MCR 2.116(C)(10), in this case involving provider benefits under the
Michigan No-Fault Act, MCL 500.3101, et seq. We affirm in part, reverse in part, and remand.

        This matter arises out of injuries suffered by Curtis Gilkey on August 13, 2007. Gilkey
was driving his vehicle when he sustained a gunshot wound to his spine; the bullet passed
through the car and his seat. Gilkey retained no memory of the incident itself, but after being
shot, his vehicle crashed into a building at a high speed. He was discovered and transported to a
hospital. Gilkey’s spinal injury left him paralyzed, and he also suffered a traumatic closed-head
brain injury and other less-significant injuries. Gilkey has subsequently required attendant care,
which has been provided by plaintiff. Plaintiff seeks compensation from defendant, a no-fault
insurance provider, for the time period from August 1, 2013, to February 28, 2014. Defendant
did not seriously dispute Gilkey’s injuries or his need for attendant care, but asserts that his need
for attendant care is solely related to the gunshot injury to his spine, which defendant contends
does not “aris[e] out of the . . . use of a motor vehicle as a motor vehicle” under MCL
500.3105(1). On appeal, defendant also argues that even the head injury would not satisfy the
statutory requirements because it was precipitated by the gunshot assault.

       A grant or denial of summary disposition is reviewed de novo on the basis of the entire
record 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). When reviewing a motion under MCR
2.116(C)(10), which tests the factual sufficiency of the complaint, we consider all evidence
submitted by the parties in the light most favorable to the non-moving party and grant summary

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disposition only where the evidence fails to establish a genuine issue regarding any material fact.
Id. at 120. A party opposing a motion for summary disposition must establish more than a mere
possibility that a claim could be supported by evidence at trial. Id. at 121. However, the
nonmoving party is entitled to the resolution of all reasonable inferences and all reasonable
doubts in their favor. Bertrand v Alan Ford, Inc, 449 Mich 606, 617-618; 537 NW2d 185
(1995). At a summary disposition stage of proceedings, the courts must assess credibility or
make findings of fact. Soderberg v Detroit Bank & Trust Co, 126 Mich App 474, 479; 337
NW2d 364 (1983).

        Both parties presented evidence from various doctors. Defendant presented a deposition
from Shivakumar R. Deva, M.D., an internal medicine doctor with no board certifications or
other specialties, who worked as a physician for Visiting Physicians. Dr. Deva had been
Gilkey’s primary treating physician since February 7, 2014; prior to that, another Visiting
Physicians doctor had treated Gilkey. Dr. Deva opined that Gilkey had mild memory issues due
to his head trauma, but his attendant care was necessitated only by Gilkey’s paraplegia. Dr.
Deva did not have access to records predating becoming Gilkey’s primary treating physician, but
when showed records during his deposition, he opined that those records appeared to indicate
that the gunshot wound was the cause of that paraplegia.

        Plaintiff presented medical reports that had been prepared by three specialists who had
treated Gilkey. Richard L. Weiss, Ph.D., L.P.C., a licensed psychologist and consulting
neuropsychologist, conducted two neuropsychological examinations of Gilkey: the first was
conducted between March 20 and April 17, 2008; the second was conducted on September 11,
2014. In 2008, Dr. Weiss found “neuropsychological deficits consistent with closed head injury”
and numerous cognitive impairments. He recommended that Gilkey “should receive assistance
with tasks in which memory deficits may pose potential harm to himself or others . . . [such as]
managing medication, using a stove, etc.” In 2014, Dr. Weiss found that Gilkey may have been
exaggerating his emotional problems, but that he otherwise displayed genuine efforts, and
although he had improved his “perceptual organization and processing speed,” his “logical
memory and word pairs subtests” had undergone “a considerable decline.” Dr. Weiss concluded
that Gilkey “continu[ed] to present neuropsychological deficits consistent with closed head
injury . . . primarily manifest in severe memory deficits and a general depression of intellectual
processes,” although he suspected that the decline since 2008 was more likely the result of
factors other than the injury. Dr. Weiss reiterated Gilkey’s need for assistance.

       Plaintiff also presented a June 3, 2008, report prepared by Steven R. Hinderer, MD,
regarding Gilkey’s progress as an outpatient at the Rehabilitation Institute of Michigan. Dr.
Hinderer noted that Gilkey had suffered a traumatic brain injury and attendant cognitive deficits.
Dr. Hinderer also noted that Gilkey reported difficulties with living on his own due to his
memory, “including occasionally leaving the stove on.” Dr. Hinderer ordered 24-hour attendant
care. Plaintiff also presented a report from Richard A. Atkins, M.D., a psychiatrist, who treated
Gilkey and stated on November 4, 2008, that Gilkey was “diagnosed with post traumatic brain
syndrome, cognitive problems secondary to traumatic brain injury, and adjustment disorder.” On
October 28, 2008, Dr. Atkins ordered 16 to 24 hour a day supervision for Gilkey.

       This appeal presents two issues, one factual and one legal. Factually, whether Gilkey’s
attendant care was necessitated by only his paraplegia, or whether his head injury also

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contributed to that need. There is no dispute that the attendant care was, in fact, necessary, or as
to what injuries Gilkey sustained. Legally, whether Gilkey’s need for attendant care was due to
injuries that “ar[ose] out of the . . . use of a motor vehicle as a motor vehicle.” There is no
evidence in the record to suggest that Gilkey’s paraplegia was directly caused by anything other
than a bullet transecting his spine. Defendant also contends that Gilkey’s head injury was caused
by the assault rather than having a sufficient nexus with the vehicle.

        As an initial matter, we note that the trial court’s disregard of Dr. Weiss’s reports on the
grounds that Dr. Weiss had not been treating Gilkey on an ongoing basis and that the reports
either predated or postdated the relevant time period was wholly inappropriate for summary
disposition purposes. Circumstantial evidence and inferences are not only proper, they are
mandatory at this stage, and defendant simply goes too far in arguing that any conclusions
regarding the interim would be speculative. The extent to which the reports are consistent
strongly implies that Gilkey’s situation in the interim was stable and did not undergo any
significant changes. Furthermore, the reports of Dr. Hinderer and Dr. Atkins support Dr.
Weiss’s findings in 2008, and therefore also his similar findings in 2014. This is ample evidence
for drawing conclusions about the interim for purposes of surviving a summary disposition
motion.

        The trial court erred in disregarding plaintiff’s evidence merely because it did not directly
address the relevant time period. Plaintiff’s medical reports provide inferential evidence,
sufficient to create a genuine question of fact, that Gilkey needed at least some attendant care
because of the head injury independent of his spine injury.

        However, the legal question of whether any of Gilkey’s injuries constitute an “injury
arising out of the ownership, operation, maintenance or use of a motor vehicle as a motor
vehicle,” MCL 500.3105(1), remains. The parties agree that the vehicle must be more than
“merely the situs” of the injury under the statute. See Thornton v Allstate Ins Co, 425 Mich 643,
660; 391 NW2d 320 (1986). However, our Supreme Court has not definitively clarified how
much more of a connection there must be between the use of a motor vehicle and the injury,
beyond the need for it to be “‘more than incidental, fortuitous, or but for.’” See Oostdyk v Auto
Owners Ins Co, 498 Mich 913, 913; 870 NW2d 926 (2015), quoting Thornton, 425 Mich at 646.
Our Supreme Court has explicitly rejected “the ‘almost any causal connection’ standard.” Id.
Nevertheless, the logical implication is that our Supreme Court has established a minimum
baseline, so essentially any connection between the injury and the use of the motor vehicle
beyond being merely “incidental, fortuitous, or but for” is sufficient.

       It is therefore patently obvious that Gilkey’s head injury arose out of the use of his motor
vehicle as a motor vehicle. Whatever the cause of the accident, he injured his head in an
automobile accident. Defendant’s attempt to divorce the head injury from the use of a motor
vehicle as a vehicle is nonsensical. By defendant’s logic, no injury sustained in an automobile
accident could ever be said to arise out of the use of a motor vehicle as a motor vehicle as long as
the cause of the accident could be attributed to literally anything other than a loopback reference
to the accident itself. Consequently, Gilkey’s head injury arose out of the use of the motor
vehicle as a motor vehicle, and because there was a question of fact whether any of his attendant
care needs arose out of the head injury, the trial court erred in granting summary disposition.


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        In contrast, we note that plaintiff, refreshingly, does not attempt to persuade us that
Gilkey’s gunshot wound somehow arose out of the use of a motor vehicle as a motor vehicle.
Such an effort would be as nonsensical as defendant’s attempt to persuade us that the head injury
does not. There is nothing about being the victim of a shooting that could be said to be special
about operating a car. Being intentionally shot is not a normal risk of operating a motor vehicle,
and as defendant points out, Gilkey could have been shot anywhere. That he was shot while
driving meant either that he was deliberately targeted, which could have happened anywhere, or
he happened to be in the wrong place at the wrong time, which again could have happened
anywhere. We suspect that crashing immediately after being shot could not have improved his
likelihood of recovering, but there is no evidence in the record to that effect. We therefore
conclude that the vehicle was the mere incidental situs of Gilkey’s gunshot injury. The trial
court properly granted summary disposition to the extent of benefits based on the gunshot injury.

         We affirm in part, reverse in part, and remand for further proceedings consistent with this
opinion. We do not retain jurisdiction. Because plaintiff did not attempt to argue on appeal that
it was entitled to attendant care benefits arising out of Gilkey’s gunshot injury, plaintiff prevailed
in full and is entitled to tax costs pursuant to MCR 7.115(A).

                                                              /s/ William B. Murphy
                                                              /s/ Mark J. Cavanagh
                                                              /s/ Amy Ronayne Krause




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