Court Opinion

ID: 4509519
Source: CourtListenerOpinion
Date Created: 2020-02-21 18:09:10.83642+00
Date Added: 2024-06-11T09:37:53.043132
License: Public Domain

J-A30036-19

NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT I.O.P. 65.37

    COMMONWEALTH OF PENNSYLVANIA               :   IN THE SUPERIOR COURT OF
                                               :        PENNSYLVANIA
                                               :
                v.                             :
                                               :
                                               :
    JENNIFER BUSBEY                            :
                                               :
                       Appellant               :   No. 186 MDA 2019

          Appeal from the Judgment of Sentence Entered July 24, 2018
    In the Court of Common Pleas of York County Criminal Division at No(s):
                           CP-67-CR-0003011-2017

BEFORE:      DUBOW, J., NICHOLS, J., and COLINS, J.*

MEMORANDUM BY COLINS, J.:                           FILED FEBRUARY 21, 2020

        Appellant, Jennifer Busbey, appeals from the judgment of sentence

following her jury trial convictions of murder of the third degree, drug delivery

resulting in death, delivery of a controlled substance, conspiracy to commit

murder of the third degree, conspiracy to commit drug delivery resulting in

death, and conspiracy to commit delivery of a controlled substance. 1        We

affirm.

        Appellant’s convictions relate to the heroin overdose death of Aaron

Lawrence (“the victim”) during the early morning hours of July 20, 2010. An

arrest warrant was issued for Appellant on April 11, 2017, and her trial took

place between May 14 and May 18, 2018.
____________________________________________

*   Retired Senior Judge assigned to the Superior Court.
118 Pa.C.S. §§ 2502(c) and 2506(a), 35 P.S. § 780-113(a)(30), and 18
Pa.C.S. § 903(a)(1), respectively.
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     Evidence presented by the Commonwealth at trial demonstrated that

Appellant, the victim, and Justin Wentz, Appellant’s boyfriend, were each

experienced heroin users. N.T., 5/15/18, at 130, 197, 358; N.T., 5/17/18, at

919, 994, 1013.     The victim, however, had been released from prison

approximately ten days before his death and he had not developed a tolerance

to heroin since his release – in other words, he was “narcotics-naive.” N.T.,

5/15/18, at 130; N.T., 5/16/18, at 499-501. Appellant and Wentz were aware

that the victim had recently been released from prison and had a low

tolerance.   N.T, 5/17/18, at 717, 735, 784-85, 919.     On July 19, 2010,

Appellant, the victim, and Wentz collected money in order to go to Baltimore

to purchase heroin. N.T., 5/15/18, at 360-64; N.T., 5/17/18, at 770, 904,

912, 990-91.      The victim remained at Wentz’s house in Hanover,

Pennsylvania, while Appellant drove Wentz to Baltimore, Maryland.       N.T.,

5/17/18, at 714-15, 760, 772, 906-08, 991-92.          In Baltimore, Wentz

purchased three grams of heroin, which Appellant and Wentz understood to

be of high quality. Id. at 770-72, 785, 916.

     Upon returning to Wentz’s residence in Hanover in the late evening of

July 19th, Wentz divided up the heroin, and Appellant, the victim, and Wentz

each used heroin intravenously. Id. at 714-18, 777, 913, 993. According to

Commonwealth witness Kande Lambertson, Appellant told her during a 2012

conversation that the victim prepared his own dosage, and Appellant injected

him, while Wentz injected Appellant and himself.       Id. at 718, 740-41.

Appellant told Lambertson that she watched as the victim “went into

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convulsions, and his lips had started turning blue.” Id. at 716. Appellant

further stated that she “wanted to distance herself from the whole issue” and

“did not want to be involved” so she left Wentz’s house late in the evening on

July 19th taking the remainder of the heroin with her.      Id.   According to

Wentz, after the victim began to exhibit signs of an overdose, he instructed

Appellant to leave with all of the remaining heroin they had purchased and

“get rid of it.” Id. at 919-20, 946-47. Appellant told Lambertson that she

and Wentz discussed calling 911 before she left the house but they decided

not to call. Id. at 718-19, 743.

      After Appellant left Wentz’s house, she met several individuals and sold

some of the heroin and then stashed the remainder behind a shed at her

mother’s house. Id. at 716-17, 779, 781-82. During the hours of 10:53 pm

on July 19th and 4:40 am on July 20th, Appellant and Wentz called each other

more than 12 times. Id. at 812-16. After Appellant’s departure, Wentz placed

four telephone calls to the victim’s phone and texted the victim asking where

he was and whether he was in jail in an effort to “separate [him]self” from the

victim and make it appear that they were not together. Id. at 814-15, 956-

57.   Wentz also spoke with another friend twice during this period and

expressed concern that the victim was non-responsive; the friend advised

Wentz to call an ambulance, but Wentz ignored this advice. N.T., 5/15/18, at

367-73. Finally, at 4:42 am on July 20th, Wentz called 911 and reported that

an individual at his house had stopped breathing.      N.T., 5/15/18, at 167;

Commonwealth Ex. 13. When emergency personnel arrived, the victim was

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not breathing, had no pulse, and was cool to the touch. N.T., 5/15/18, at

173, 210. The victim was administered the opioid overdose drug Narcan, with

no effect. Id. at 220

      Appellant arrived back at Wentz’s house shortly after the emergency

personnel. N.T., 5/15/18, at 182. Appellant told Lambertson that when she

returned to Wentz’s house, “[s]he acted like she had just gotten there, that

she had never been there before.” N.T., 5/17/18, at 719. According to Officer

Clint Miles of the Hanover Borough Police Department, who had responded to

the scene, Appellant acted defensively and coldly when informed that the

victim had died. N.T., 5/15/18, at 183. Appellant told officers that she had

last seen the victim at 7 pm the prior evening and stated that she was not

aware that the victim had been using drugs. Id. at 185. The only drugs or

drug paraphernalia found at Wentz’s house were heroin and cocaine residue

in baggies inside of a pink and black purse; Appellant admitted that the purse

was hers but denied knowledge of the baggies inside. Id. at 174-75, 179-80,

183, 223-24, 240.

      The Commonwealth presented the testimony of three medical witnesses

at trial. Deputy Coroner Claude Stabley, an expert in determining cause and

manner of death, testified that the cause of the victim’s death was heroin

toxicity; he based his opinion on the toxicology report, lack of physical trauma

to the victim’s body, puncture marks in the victim’s right arm near his elbow,

drugs found at the scene, and the lack of evidence of any other cause. N.T.,

5/15/18, at 253, 258-70.       Dr. George Behonick, an expert in forensic

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toxicology, testified that the presence of 26.4 nanograms per milliliter of

morphine in the victim’s blood and 461 nanograms per milliliter of 6-

acetylmorphine, a metabolite of heroin, in his urine indicated that the victim

had used heroin prior to his death, but he had a long period of survival

following the ingestion of the drug. N.T., 5/16/18, at 434, 447-53. Finally,

Dr. Wayne Ross, an expert in forensic pathology, testified that the cause of

the victim’s death was acute morphine toxicity with the source being the

ingestion of heroin. Id. at 495, 510-12, 518, 581. According to Dr. Ross, the

mechanism of death was respiratory depression as the victim’s brain

eventually stopped informing his lungs to blow out carbon dioxide allowing

acidity to build up in his body. Id. at 508-09, 515-17. Dr. Ross stated that

he had reviewed all of the victim’s medical records and determined no other

potential cause of death. Id. at 497-98, 502-05.

      At the conclusion of trial, the trial court instructed the jury that Appellant

could be found guilty of murder in the third degree, drug delivery resulting in

death, and delivery of a controlled substance as a principal or as an

accomplice. N.T., 5/18/18, at 1145-47. The jury found Appellant guilty of all

charges on May 18, 2018.        On July 24, 2018, the trial court imposed an

aggregate sentence of 10 to 20 years of incarceration. Appellant filed a timely

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post-sentence motion, which the trial court denied in a memorandum order

filed on December 31, 2018. Appellant then filed a timely notice of appeal. 2

       Appellant raises the following issues on appeal:

       I. Did the Trial Court err in ruling that the evidence was sufficient
       to support the verdicts for Third Degree Murder, Drug Delivery
       Resulting in Death, PWID/Delivery, as well as Conspiracy to
       Commit Those Offenses?

       II. Did the Trial Court err in ruling that the verdicts were not
       against the weight of the evidence?

       III. Did the Trial Court err in permitting Deputy Coroner Stabley
       to testify regarding toxicology issues where no notice of said
       testimony was provided to defense, he was not qualified as an
       expert in toxicology, and said testimony exceeded the scope of his
       expertise?

       IV. Whether the Trial Court erred in precluding defense expert
       testimony or cross-examination of Commonwealth witnesses
       regarding prior suicide attempts by the victim, which were
       documented in stipulated medical records, as evidence of his state
       of mind at the time of his overdose?

       V. Whether the Trial Court erred in instructing the jury it was
       allowed to infer malice based on [Appellant’s] failure to render aid
       to the victim where no such legal duty existed?

       VI. Whether the Trial Court erred in permitting the Commonwealth
       to introduce bad acts evidence where no notice was provided, no
       exception to the prohibition existed, the prejudicial value of said
       testimony far outweighed its probative value, and no limiting
       instruction was sufficient to cure such prejudice?

Appellant’s Brief at 6 (suggested answers omitted).

____________________________________________

2 Appellant filed her Pa.R.A.P. 1925(b) statement on February 20, 2019, and
the trial court issued a Pa.R.A.P. 1925(a) statement in lieu of opinion on
February 26, 2019 relying on its reasons stated in its memorandum order
denying Appellant’s post-sentence motion.

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                            Sufficiency of the Evidence

        In her first issue, Appellant argues that the Commonwealth did not

present sufficient evidence regarding (1) the malice element of the murder of

the third degree and drug delivery resulting in death charges; (2) that

Appellant caused the victim’s death as required to prove that she committed

murder of the third degree and drug delivery resulting in death; (3) the

delivery element of the drug delivery resulting in death and delivery of a

controlled substance charges; and (4) that she entered into an agreement

with Wentz or the victim as required to prove that she committed the three

conspiracy offenses.

        Before reaching the merits of this issue, we must address the

Commonwealth’s argument that Appellant’s sufficiency argument was waived

because she did not identify the specific elements that she was challenging in

her concise statement of errors filed pursuant to Rule of Appellate Procedure

1925(b).    This Court has repeatedly held that “[i]n order to preserve a

challenge to the sufficiency of the evidence on appeal, an appellant’s [Rule]

1925(b) statement must state with specificity the element or elements upon

which     the   appellant   alleges   that   the   evidence   was   insufficient.”

Commonwealth v. Ellison, 213 A.3d 312, 320-21 (Pa. Super. 2019)

(quoting Commonwealth v. Stiles, 143 A.3d 968, 982 (Pa. Super. 2016));

see also Pa.R.A.P. 1925(b)(4)(ii) (“The Statement shall concisely identify

each error that the appellant intends to assert with sufficient detail to identify

the issue to be raised for the judge.”).       “Such specificity is of particular

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importance in cases where, as here, [the appellant] was convicted of multiple

crimes each of which contains numerous elements that the Commonwealth

must prove beyond a reasonable doubt.” Ellison, 213 A.3d at 321 (citation

omitted). Where the appellant’s Rule 1925(b) statement “does not specify

the allegedly unproven elements[,] . . . the sufficiency issue is waived [on

appeal].” Commonwealth v. Tyack, 128 A.3d 254, 260 (Pa. Super. 2015)

(quoting Commonwealth v. Williams, 959 A.2d 1252, 1257 (Pa. Super.

2008)); see also Ellison, 213 A.3d at 321.

      In this matter, Appellant’s Rule 1925(b) statement included the

following sufficiency challenge:   “Did the Trial Court err in ruling that the

evidence was sufficient to support the verdicts for Third Degree Murder, Drug

Delivery Resulting in Death, PWID/Delivery, as well as Conspiracy to Commit

Third Degree Murder, Drug Delivery Resulting in Death and PWID/Deliver?”

Rule 1925(b) Statement, ¶1. Appellant did not identify any of the elements

of the six offenses for which she was convicted that she sought to challenge

on appeal. Appellant previously did raise the specific sufficiency arguments

she argues in this appeal in her post-sentence motion, which the trial court

addressed in its opinion denying this motion; however, it is “of no moment to

our analysis” that Appellant previously addressed these issues to the trial

court because we apply Rule 1925(b) “in a predictable, uniform fashion” and

therefore we will find waiver where appropriate “despite the presence of a trial

court opinion” addressing the sufficiency claims.    Tyack, 128 A.3d at 261

(citation omitted). Accordingly, because Appellant did not identify any of the

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specific elements as to which she claims the evidence was insufficient,

Appellant’s first appellate issue is waived. Ellison, 213 A.3d at 321; Tyack,
128 A.3d at 260.3

       Even if Appellant had not waived her sufficiency of the evidence

arguments, we would find them to be without merit.

       When reviewing the sufficiency of the evidence, we must
       determine whether the evidence admitted at trial and all
       reasonable inferences drawn therefrom, viewed in the light most
       favorable to the Commonwealth as verdict winner, were sufficient
       to prove every element of the offense beyond a reasonable doubt.
       The facts and circumstances established by the Commonwealth
       need not preclude every possibility of innocence. It is within the
       province of the fact-finder to determine the weight to be accorded
       to each witness’s testimony and to believe all, part, or none of the
       evidence. The Commonwealth may sustain its burden of proving
       every element of the crime by means of wholly circumstantial
       evidence. As an appellate court, we may not re-weigh the
       evidence and substitute our judgment for that of the fact-finder.

Commonwealth v. Hill, 210 A.3d 1104, 1112 (Pa. Super. 2019) (internal

citations, quotation marks, and brackets omitted).

____________________________________________

3 In Commonwealth v. Laboy, 936 A.2d 1058 (Pa. 2007) (per curiam), our
Supreme Court held that waiver is not always required in cases where the
appellant’s Rule 1925(b) statement does not identify the elements as to which
the appellant contends the evidence was insufficient. Specifically, the court
held that waiver was inappropriate because the case on appeal involved a
“relatively straightforward drug case,” with an “evidentiary presentation
span[ning] a mere thirty pages of transcript,” and the trial court “readily
apprehended” the appellant’s sufficiency challenge. Id. at 1060. Here, by
contrast, Appellant was convicted of six different offenses, the trial took place
over five days with numerous witnesses, and the trial transcript spans more
than 1,000 pages. Therefore, we find the application of Laboy inapt in the
present case to excuse Appellant’s deficient Rule 1925(b) statement.

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       Appellant first argues that the Commonwealth did not present sufficient

evidence to establish the malice aforethought element of the murder of the

third degree and drug delivery resulting in death charges. “Murder in the third

degree is an unlawful killing with malice but without the specific intent to kill.”

Commonwealth v. Dunphy, 20 A.3d 1215, 1219 (Pa. Super. 2011). At the

time of the events at issue here, drug delivery resulting in death was defined

as a type of murder of the third degree and therefore the Commonwealth was

required to prove that the defendant acted with malice in causing the victim’s

death.    See 18 Pa.C.S. § 2506(a) (prior version); Commonwealth v.

Ludwig, 874 A.2d 623, 631 (Pa. 2005).4

       Our Supreme Court has defined malice as follows:

       Malice is a legal term, implying much more [than ill-will, a spite,
       or a grudge]. It comprehends not only a particular ill-will, but
       every case where there is wickedness of disposition, hardness of
       heart, cruelty, recklessness of consequences, and a mind
       regardless of social duty, although a particular person may not be
       intended to be injured. . . .

       [M]alice is present under circumstances where a defendant did not
       have an intent to kill, but nevertheless displayed a conscious
       disregard for an unjustified and extremely high risk that his
       actions might cause death or serious bodily harm.

____________________________________________

4   Section 2506 of the Crimes Code, which sets forth the offense of drug
delivery resulting in death, was amended in 2011 to define the offense as a
felony of the first degree rather than as a type of murder. Commonwealth
v. Peck, 202 A.3d 739, 744 n.5 (Pa. Super. 2019). “Therefore, under the
present version of Section 2506, the Commonwealth must demonstrate that
a defendant was at least ‘reckless’ as to the death caused by the use of an
illicitly delivered drug.” Id.

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Commonwealth v. Packer, 168 A.3d 161, 168 (Pa. 2017) (internal citations

and quotation marks omitted).       Malice can be inferred from all of the

circumstances surrounding the defendant’s conduct, which must be such that

“one could reasonably anticipate death or serious bodily injury would likely

and logically result.”   Commonwealth v. Akhmedov, 216 A.3d 307, 322

(Pa. Super. 2019).

      The Commonwealth presented sufficient evidence to show that

Appellant acted with malice related to the victim’s death.      The evidence

showed that Appellant was aware that the victim had just been released from

prison and was narcotics-naive and that the heroin Appellant and Wentz

purchased in Baltimore was of good quality. Upon returning to Pennsylvania,

Appellant injected the victim with the heroin and watched him as he began to

exhibit signs of an overdose when he began to convulse and his lips and his

lips turned blue. Though Appellant and Wentz discussed calling for medical

assistance while Appellant was still at Wentz’s residence, Appellant left Wentz

with the victim and sold or stashed the remainder of the heroin in an effort to

distance herself from the victim. Between 10:53 pm and 4:40 am, Appellant

and Wentz exchanged more than 12 telephone calls, yet Appellant did not call

for medical assistance.   During this time, the victim suffered from a slow,

hours-long overdose death that could have been halted if medical personnel

had been called and the anti-overdose drug Narcan had been administered.

N.T., 5/16/18, at 517-18. Finally, upon Appellant’s return to Wentz’s house,

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she acted as if she had not been there the night before and expressed no

remorse.

      Appellant’s actions in injecting the victim with heroin, watching him

begin to overdose, and then doing nothing for the victim while concealing her

involvement in his drug use showed the hardness of heart, and disregard of

social duty characteristic of the mental state of malice. Packer, 168 A.3d at

168; cf. Commonwealth v. Windslowe, 158 A.3d 698, 710 (Pa. Super.

2017) (holding that Commonwealth proved malice element of murder in the

third degree prosecution where defendant performed cosmetic procedure on

a patient with industrial-grade silicone inappropriate for the procedure and

then failed to call for emergency care when the patient began to exhibit ill

effects from the treatment). Furthermore, it is clear that Appellant’s actions

in providing heroin to the victim and then not seeking medical care for him

created “an unjustified and extremely high risk that [her] actions might cause

death or serious bodily harm.” Packer, 168 A.3d at 168. As this Court has

explained, heroin has a “high potential for abuse,” its dangers “are legendary

and known on a widespread basis,” and each use of heroin brings “the all too

real possibility of death” through overdose. Minnesota Fire and Casualty

Co. v. Greenfield, 805 A.2d 622, 627 (Pa. Super. 2002), aff’d on other

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grounds,    855 A.2d 854       (Pa.   2004);    see also Commonwealth v.

Kakhankham, 132 A.3d 986, 995-96 (Pa. Super. 2015).5

       Appellant next argues that the Commonwealth failed to prove the

causation element of the murder of the third degree and drug delivery

resulting   in    death   charges.        To   establish   criminal   causation,   “the

Commonwealth must prove that the defendant’s conduct was so directly and

substantially linked to the actual result as to give rise to the imposition of

criminal liability.” Commonwealth v. Leaner, 202 A.3d 749, 768 (Pa. Super.

2019) (citation omitted). In Commonwealth v. Rementer, 598 A.2d 1300

(Pa. Super. 1991), a murder of the third degree case, this Court set forth a

two-part test for showing a causal relationship a defendant’s acts and a

victim’s death:

       First, the defendant’s conduct must be an antecedent, but for
       which the result in question would not have occurred. A victim’s
       death cannot be entirely attributable to other factors; rather,
       there must exist a causal connection between the conduct and the
       result of conduct; and causal connection requires something more
       than mere coincidence as to time and place. Second, the results
       of the defendant’s actions cannot be so extraordinarily remote or
       attenuated that it would be unfair to hold the defendant criminally
       responsible.

       As to the first part of the test, the defendant’s conduct need not
       be the only cause of the victim’s death in order to establish a
       causal connection.      Criminal responsibility may be properly
____________________________________________

5 While Kakhankham concerns events occurring after the General Assembly
amended the drug delivery resulting in death statute to reduce the mens rea
element to a recklessness standard, 132 A.3d at 994-95, this Court’s holding
is nevertheless relevant to our consideration of the foreseeability and
causation of death resulting from heroin use.

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      assessed against an individual whose conduct was a direct and
      substantial factor in producing the death even though other
      factors combined with that conduct to achieve the result. The
      second part of the test is satisfied when the victim’s death is the
      natural or foreseeable consequence of the defendant’s actions.
      Where the fatal result was an unnatural or obscure consequence
      of the defendant’s actions, justice would prevent us from allowing
      the result to have an impact upon a finding of the defendant’s
      guilt.

Leaner, 202 A.3d at 768-69 (internal citations and quotation marks omitted);

see also Kakhankham, 132 A.3d at 993 (stating that two-part causation test

set forth in Rementer is applicable in drug delivery resulting in death cases).

      In this case, the Commonwealth presented ample evidence to show that

Appellant caused the victim’s death.      With respect to the first part of the

causation test, the Commonwealth showed that Appellant’s actions were an

antecedent to the victim’s death because she traveled to Baltimore to

purchase heroin with Wentz, and then, upon their return to Pennsylvania,

Appellant injected the heroin into the victim’s arm.          Furthermore, the

Commonwealth’s medical expert testimony demonstrated that the victim’s

death was a result of respiratory depression that followed from his ingestion

of heroin. Appellant’s involvement in the purchase of the heroin, the delivery

of the drug to the victim, and her injection of the heroin into the victim’s arm

likewise satisfies the second part of the causation test.        This Court has

explained that, in cases where the defendant provides the victim with the

heroin that was led to a fatal heroin overdose, the victim’s death is the “natural

or foreseeable consequence” of the defendant’s conduct. See Kakhankham,
132 A.3d at 995 (holding that the Commonwealth had satisfied both parts of

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the causation test in a drug delivery resulting in death prosecution where the

defendant provided heroin to the victim, the victim died of an overdose, and

used packets of the heroin supplied by the defendant were found next to the

victim’s body). In addition to her role in providing the heroin to the victim,

the victim’s death was particularly foreseeable to Appellant because she was

aware that the victim was narcotics-naive upon his release from prison, that

the heroin was high quality, and that the victim began to exhibit symptoms of

an overdose after his ingestion of the heroin.

      Appellant argues that the causation element was not satisfied because

Commonwealth did not present sufficient evidence to prove that the victim did

not die of Wolff-Parkinson-White Syndrome, a heart condition the victim

suffered from, which Appellant’s medical expert, Dr. Larence Guzzardi,

testified could not be ruled out as the cause of the victim’s death.     N.T.,

5/16/18, at 632-36. We note that the Commonwealth was not required to

present evidence to “preclude every possibility of [Appellant’s] innocence,”

and that the jury had the sole responsibility determine the weight and

credibility to be afforded to the evidence Appellant presented regarding this

condition. Hill, 210 A.3d at 1112 (citation omitted). Nevertheless, Dr. Ross,

the Commonwealth’s forensic pathology expert, testified that the victim had

been treated and cured of Wolff-Parkinson-White Syndrome, and any death

from this condition would have occurred through sudden cardiac arrest, rather

than the slow respiratory failure that occurred here. N.T., 5/15/18, at 503-

04, 555-56, 566-67, 578.

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        Appellant next argues that the evidence was insufficient to show that

she delivered heroin to the victim as required for the drug delivery resulting

in death and delivery of a controlled substance offenses. Under the Controlled

Substance, Drug, Device and Cosmetic Act, delivery is defined as “the actual,

constructive, or attempted transfer from one person to another of a controlled

substance . . . whether or not there is an agency relationship.” 35 P.S. § 780-

102(b). “A defendant actually transfers drugs whenever he physically conveys

drugs    to   another   person.”     Ellison, 213 A.3d   at   319   (quoting

Commonwealth v. Murphy, 844 A.2d 1228, 1234 (Pa. 2004)). An exchange

of money is not required to find that a delivery of a controlled substance

occurred. Id.

        At the time that the events at issue in this case occurred, drug delivery

resulting in death was defined as follows:

        A person commits murder of the third degree who administers,
        dispenses, delivers, gives, prescribes, sells or distributes any
        controlled substance or counterfeit controlled substance in
        violation of section 13(a)(14) or (30) of . . . The Controlled
        Substance, Drug, Device and Cosmetic Act, and another person
        dies as a result of using the substance.

18 Pa.C.S. § 2506(a) (prior version).          Accordingly, under this statute, a

defendant can be convicted of drug delivery resulting in death if she delivered

a controlled substance as prohibited by the Controlled Substance, Drug,

Device and Cosmetic Act, and the additional element is present that another

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person died as a result of using that controlled substance.6 Id.; see also

Commonwealth v. Reese, No. 140 MDA 2019, unpublished memorandum

at 8-10 (Pa. Super. filed Nov. 27, 2019) (holding that, under the substantially

similar current version of the drug delivery resulting in death statute, delivery

of a controlled substances is a lesser included offense of drug delivery

resulting in death and therefore such convictions should merge for sentencing

purposes).7

       The Commonwealth here presented sufficient evidence to show that

Appellant was an accomplice to Wentz’s delivery of heroin to the victim. An

individual may face liability as an accomplice to the commission of a criminal

offense when “with the intent of promoting or facilitating the commission of

the offense, he . . . solicits such other person to commit it; or . . . aids or

agrees or attempts to aid such other person in planning or committing it.” 18

Pa.C.S. § 306(c)(1). The Commonwealth demonstrated that, after Appellant,

Wentz, and the victim collected money to purchase drugs, Appellant then

drove Wentz to Baltimore where Wentz purchased three grams of heroin, a

controlled substance. Appellant and Wentz then drove back to Hanover where
____________________________________________

6Appellant’s drug delivery resulting in death conviction could not be premised
upon a violation of Section 13(a)(14) of the Controlled Substance, Drug,
Device and Cosmetic Act, 35 P.S. § 780-113(a)(14), because that provision
applies only to the “administration, dispensing, delivery, gift or prescription of
any controlled substance by any practitioner or professional assistant
under the practitioner’s direction and supervision.” Id. (emphasis added).
7Though an unreported decision, we cite to Reese for its persuasive value.
See Pa.R.A.P. 126(b) (non-precedential Superior Court decisions filed after
May 1, 2019 may be cited for their persuasive value).

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the victim was waiting, and Wentz divided the heroin and gave the victim his

share of the heroin. This evidence clearly shows that Wentz purchased heroin

in Baltimore and conveyed it to the victim, and that Appellant aided in the

delivery of the heroin by driving Wentz to Baltimore and back with the

intention of facilitating the drug purchase. It is irrelevant to our analysis that

neither Appellant nor Wentz profited from the conveyance of heroin to the

victim because the exchange of money is not a prerequisite to the delivery of

a controlled substance. Ellison, 213 A.3d at 319.8

       Appellant’s final challenge to the sufficiency of the evidence relates to

her convictions for conspiracy to commit the delivery of a controlled

substance, conspiracy to commit drug delivery resulting in death, and

conspiracy to commit murder of the third degree. Appellant argues that there

was no evidence of an agreement between Appellant and Wentz to commit

any of the conspiracy offenses, but rather that the true criminal agreement

existed between Wentz and the victim, who contributed to the purchase of the

drugs and then received the drugs from Wentz and prepared his own fatal

dosage.

       To sustain a conviction for criminal conspiracy, “the Commonwealth

must establish that the defendant (1) entered into an agreement to commit

____________________________________________

8 The Commonwealth argues that it also proved that Appellant “delivered”
heroin to the victim by injecting the heroin into his arm. As we conclude that
there was sufficient evidence to show that Appellant satisfied the delivery
element as an accomplice to Wentz, we need not reach this alternative
argument.

                                          - 18 -
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or aid in an unlawful act with another person or persons, (2) with a shared

criminal intent and, (3) an overt act was done in furtherance of the

conspiracy.”   Commonwealth v. Fisher, 80 A.3d 1186, 1190 (Pa. 2013)

(citation omitted).

      An explicit or formal agreement to commit crimes can seldom, if
      ever, be proved and it need not be, for proof of a criminal
      partnership is almost invariably extracted from the circumstances
      that attend its activities. Thus, a conspiracy may be inferred
      where it is demonstrated that the relation, conduct, or
      circumstances of the parties, and the overt acts of the co-
      conspirators sufficiently prove the formation of a criminal
      confederation. The conduct of the parties and the circumstances
      surrounding their conduct may create a web of evidence linking
      the accused to the alleged conspiracy beyond a reasonable doubt.
      Even if the conspirator did not act as a principal in committing the
      underlying crime, he is still criminally liable for the actions of his
      co-conspirators taken in furtherance of the conspiracy.

Commonwealth v. Johnson, 180 A.3d 474, 479 (Pa. Super. 2018) (citation

omitted).

      In the instant case, the Commonwealth demonstrated that Appellant

and Wentz collected money to purchase heroin, traveled to Baltimore

together, purchased heroin, and then returned to Hanover and conveyed the

heroin to the victim for his use. After Appellant injected the victim, Appellant

and Wentz observed the victim exhibiting signs of an overdose. Appellant and

Wentz discussed calling 911 at that time but did not do so; instead, they

decided that Appellant would leave Wentz’s house with the heroin in order to

conceal their involvement with the victim’s drug use.         Appellant followed

through on this plan by selling some of the heroin and hiding the remainder.

                                     - 19 -
J-A30036-19

After Appellant left, Wentz expressed his worries that the victim was

overdosing in telephone conversations with another friend and placed phone

calls and sent a text to the victim’s phone in an effort to create the appearance

that they were not in fact at the same location. In addition, between 10:53

pm and 4:40 am, Appellant and Wentz exchanged more than a dozen

telephone calls; while the contents of these conversations is not known, the

jury was entitled to infer that these discussions related to the victim’s

condition and the question of how to keep themselves distanced from the

victim’s situation. Johnson, 180 A.3d at 479. Finally, at 4:42 am Wentz

called 911 to report that the victim stopped breathing; Appellant then arrived

back at Wentz’s house shortly afterwards acting as if she had not been there

the prior evening and was unfamiliar with the victim’s condition.

      Viewing the evidence admitted at trial in the light most favorable to the

Commonwealth as verdict winner, Hill, 210 A.3d at 1112, the Commonwealth

established that Appellant agreed with Wentz to deliver heroin to the victim

and then, after they were aware that Wentz was overdosing, Appellant and

Wentz decided to conceal their involvement in the victim’s drug use rather

than call for emergency aid. This evidence was more than sufficient to show

that Appellant and Wentz had entered a criminal agreement, whether explicit

or implicit, to deliver heroin to the victim and then engage in a course of

conduct that deprived the victim of urgently needed medical care to address

his heroin overdose, leading to the victim’s death.       Accordingly, we find

                                     - 20 -
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Appellant’s sufficiency claims with respect to the conspiracy offenses to be

without merit.

                            Weight of the Evidence

      In her second appellate issue, Appellant argues that her convictions

were against the weight of the evidence. When considering challenges to the

weight of the evidence, our standard of review is as follows.

      The weight of the evidence is exclusively for the finder of fact, who
      is free to believe all, none or some of the evidence and to
      determine the credibility of witnesses. Resolving contradictory
      testimony and questions of credibility are matters for the
      factfinder.  It is well-settled that we cannot substitute our
      judgment for that of the trier of fact.

      Moreover, when a trial court finds that the [verdict] is not against
      the weight of the evidence, we must give the gravest
      consideration to the trial court’s conclusion because it is the trial
      court, and not the appellate court, that had the opportunity to see
      and hear the evidence presented. Furthermore, a defendant will
      only prevail on a challenge to the weight of the evidence when the
      evidence is so tenuous, vague and uncertain that the verdict
      shocks the conscience of the court.

Commonwealth v. Cramer, 195 A.3d 594, 600-01 (Pa. Super. 2018)

(internal citations and quotation marks omitted). The trial court addressed

Appellant’s weight of the evidence argument in its memorandum order

denying her post-sentence motion, concluding that the jury’s guilty verdict on

all counts was consistent with the direct and circumstantial evidence

presented at trial and did not shock the conscience of the court. Memorandum

Order, 12/31/18, at 20.

                                     - 21 -
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      In this appeal, Appellant appears to challenge the weight of the evidence

regarding each of the six crimes for which she was convicted. However, the

section of Appellant’s brief devoted to this claim largely cross-references and

repeats arguments set forth separately in her brief related to the sufficiency

of the evidence, her challenge to the trial court’s jury instruction regarding

malice, and her claim that the trial court abused its discretion in not permitting

evidence regarding the victim’s prior expression of suicidal thoughts.

Appellant’s Brief at 30-31. To the extent Appellant does present an argument

regarding the weight of the evidence, it is limited to the assertion that “[t]he

evidence was undisputed that Wentz was the principal actor in the delivery of

the drugs to the victim,” the victim prepared his own dosage of heroin, and

that Appellant “was no more than present at the scene” during the victim’s

drug use and ensuing events. Id. Appellant, however, has not developed

these arguments any further nor has she cited to any portions of the record

that allegedly support her claims. Furthermore, Appellant only cites to two

Supreme     Court   decisions   to   support   her   argument,     Ludwig     and

Commonwealth v. Chambers, 188 A.3d 400 (Pa. 2018), and both of these

cases address sufficiency, not weight, of the evidence claims.        In light of

Appellant’s failure to adequately develop her argument, we therefore find that

this argument is waived. See Wirth v. Commonwealth, 95 A.3d 822, 837

(Pa. 2014) (“[W]here an appellate brief fails to provide any discussion of a

claim with citation to relevant authority or fails to develop the issue in any

other meaningful fashion capable of review, that claim is waived.” (citation

                                     - 22 -
J-A30036-19

omitted)); Milby v. Pote, 189 A.3d 1065, 1079 (Pa. Super. 2018) (“The

failure to develop an adequate argument in an appellate brief may [] result in

waiver of the claim under Pa.R.A.P. 2119.” (citation and internal quotation

marks omitted)).

      To the extent we would address Appellant’s weight of the evidence

claim, we note that appellate review of this issue is

      extremely limited and is confined to whether the trial court abused
      its discretion in finding that the jury verdict did not shock one's
      conscience. Thus, appellate review of a weight claim consists of
      a review of the trial court’s exercise of discretion, not a review of
      the underlying question of whether the verdict is against the
      weight of the evidence.

Commonwealth v. Rosser, 135 A.3d 1077, 1090 (Pa. Super. 2016) (en

banc) (citation omitted).

      Upon review, we do not conclude that trial court abused its discretion in

finding that the jury’s verdict did not shock the conscience. While Appellant

argues that Wentz was the “principal actor” in the delivery of heroin to the

victim, Appellant’s Brief at 30, as discussed supra, Appellant was charged as

a principal and an accomplice with respect to the delivery of a controlled

substance and drug delivery resulting in death charges and ample evidence

was before the jury that Appellant actively aided Wentz in purchasing the

heroin and delivering it to the victim. Furthermore, Appellant’s contention

that she was “no more than present at the scene,” id. at 31, is belied by

Lambertson’s testimony that Appellant attempted to distance herself from the

events after the victim began to overdose and Wentz’s testimony that he

                                     - 23 -
J-A30036-19

asked her to get rid of the heroin after the victim began to overdose.

Appellant’s argument in this regard is little more than a claim that this Court

should reject the testimony of Commonwealth witnesses such as Lambertson

in favor of the testimony of defense witnesses, an argument that would require

this Court to exceed its appellate role and override the jury’s resolution of

contradictory evidence and questions of credibility. Cramer, 195 A.3d at 600.

Because Appellant has failed to establish the trial court abused its discretion

in denying her weight of the evidence claim, her second issue fails.

                  Trial Court Examination of Medical Expert

      In her third issue, Appellant contends that the trial court improperly

asked questions of Deputy Coroner Stabley regarding the victim’s toxicology

report when Stabley had not been qualified as an expert in toxicology. During

re-cross-examination, defense counsel asked a series of questions regarding

the metabolization of heroin, the levels of opiates reported in Appellant’s

system in the toxicology report, and the therapeutic range of morphine when

medically prescribed that was stated on the toxicology report. N.T., 5/15/18,

at 302-03.    The trial judge then stated that he was “confused” and asked

several more questions regarding the relevance of the therapeutic range of

morphine to the evaluation of the toxicology report and the determination of

the cause of the victim’s death. Id. at 304, 307-09. Stabley explained that

examining only the level of morphine in the blood did not provide a complete

picture of what happened, but by looking at the levels of morphine and the

heroin metabolite 6-monoacetylmorphine in the blood and urine, he was able

                                    - 24 -
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to determine that the victim had ingested a large amount of heroin that was

being metabolized and excreted out of the body when he died. Id. Defense

counsel lodged an objection to the judge’s line of questioning, which the trial

court overruled, explaining that defense counsel had “opened the door”

through his previous line of questioning and that he was “truly confused” by

Stabley’s responses and “maybe some jurors . . . are also confused.” Id. at

305-07.

      We review a trial court’s evidentiary rulings on an abuse of discretion

standard. Commonwealth v. Fitzpatrick, 204 A.3d 527, 531 (Pa. Super.

2019). An abuse of discretion will be found where “the law is overridden or

misapplied, or the judgment exercised is manifestly unreasonable, or the

result of partiality, prejudice, bias, or ill-will, as shown by evidence of record.”

Id. (citation omitted).

      Pursuant to the Pennsylvania Rules of Evidence, the trial court may

examine a witness called by any party “[w]here the interest of justice so

requires.”   Pa.R.E. 614(b).      “While a trial judge should normally leave

questioning of witnesses to counsel, justice may require that a trial judge ask

questions when absurd, ambiguous, or frivolous testimony is given or

testimony is in need of further elucidation.” Commonwealth v. Carson, 913
A.2d 220, 249 (Pa. 2006).       “[W]here an important fact is indefinite or a

disputed point needs to be clarified, the court may see that it is done by taking

part in the examination[.]”     Commonwealth v. Roldan, 572 A.2d 1214,

1215 (Pa. 1990) (citation omitted). “[A] new trial is required . . . only when

                                      - 25 -
J-A30036-19

the trial court’s questioning is prejudicial, that is when it is of such nature or

substance or delivered in such a manner that it may reasonably be said to

have deprived the defendant of a fair and impartial trial.” Commonwealth

v. Manuel, 844 A.2d 1, 9 (Pa. Super. 2004) (citation omitted).

       We discern no abuse of discretion by the trial court in the questions it

posed to Stabley. Initially, we note that Stabley was qualified as an expert in

the field of determining the cause and manner of death, N.T., 5/15/18, at

253-58, and therefore he was capable of testifying regarding the influence

that the toxicology reports, including the levels of heroin metabolites reflected

on that report, had on his determination of the cause and the manner of the

victim’s death. Stabley had previously testified that he did not issue the death

certificate with a cause of death until July 26, 2010 when he received and

reviewed the toxicology report. Id. at 298.

       To the extent the trial court’s questions exceeded Stabley’s expertise,

Appellant cannot complain because her counsel’s own questions on cross-

examination and re-cross-examination “open[ed] the door” to the trial court’s

interrogation of Stabley. See Commonwealth v. Harris, 884 A.2d 920, 928

(Pa. Super. 2005) (when defendant “delves into what would be objectionable

testimony” during the examination of a witness, “then the Commonwealth can

probe further into the objectionable area” (citation omitted)).9 During cross-

____________________________________________

9 Though the reference in Harris to “opening the door” to areas of testimony
that would otherwise be forbidden by the defense relates to the prosecution’s

                                          - 26 -
J-A30036-19

examination, defense counsel asked several questions regarding the

therapeutic range for morphine and the actual levels of morphine in the

victim’s blood as reflected on the toxicology report, N.T., 5/15/18, at 288-91,

and then on re-cross-examination, defense counsel revisited these topics. Id.

at 302-03. The trial court acted well within its discretion in determining that

the questions posed to Stabley regarding the toxicology report required

clarification and interrogating the witness further with the goal of resolving

the confusion. Carson, 913 A.2d at 249; Roldan, 572 A.2d at 1215.

               Admissibility of the Victim’s Prior Suicidal Thoughts

       Next, Appellant challenges the trial court’s determination that she was

not permitted to cross examine Dr. Ross, the Commonwealth’s forensic

pathology expert, regarding the victim’s previous expression of suicidal

thoughts that were reflected in his medical records. During the testimony of

Dr. Ross, defense counsel sought to ask the witness questions regarding two

incidents, the first occurring in May 2001 and the second in May 2008, in which

Appellant verbally discussed or threatened to commit suicide and mental

health checks were performed.              N.T., 5/16/18, at 544, 549-50.    The

Commonwealth objected, and the trial court sustained the objection,

concluding that the defense could not raise the issue of suicidal thoughts or

attempts without further corroborating evidence. Id. at 544-48, 549-51. In

____________________________________________

ability to delve into the same topics, we see this doctrine as equally applicable
in the context of a trial court following up on a party’s interrogation of a
witness.

                                          - 27 -
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its memorandum order denying Appellant’s post-sentence motion, the trial

court further explained that the 2001 and 2008 medical records showing the

victim’s suicidal thoughts were too remote from his death to be relevant to

the question of how he died. Memorandum Order, 12/31/18, at 33.

      Appellant contends that the circumstances of the victim’s death were

consistent with suicide, as the victim was an experienced heroin user, knew

that he was narcotics-naive after his release from incarceration, knew that the

heroin Wentz had purchased was of high quality, and prepared his own

dosage. In light of the fact that the circumstances lend themselves to a finding

that the victim committed suicide by overdose, Appellant contends that the

trial court’s refusal to let Appellant inquire into the victim’s suicide threats

solely based on the remoteness in time of the threats was an abuse of

discretion.

      However, as Appellant recognizes in her brief, our Supreme Court has

stated that previous threats or attempts of suicide may be relevant to show

that a decedent’s death was at his own hands, when two requirements are

satisfied: first, the circumstances of death were as consistent with suicide as

with homicide, and, second, the suicide threats or attempts were made within

a reasonable time before death.     See Commonwealth v. Donough, 103
A.2d 694, 699 (Pa. 1954); Commonwealth v. Santos, 119 A. 596, 598-99

(Pa. 1923); see also Commonwealth v. Hess, 548 A.2d 582, 585 (Pa.

Super. 1988) (statements relevant to a declarant’s state of mind “may be

                                     - 28 -
J-A30036-19

inadmissible if they were made at a time so remote from the incident to which

they purportedly pertain that their probative value is de minimus”).

      As set forth above, one of the incidents of a suicide threat occurred more

than two years prior to the victim’s death, while the other incident occurred

more than nine years prior to his death. We cannot say that the trial court’s

determination that these incidents were “too remote in time” to be relevant

to the issue of whether Appellant committed suicide was an abuse of

discretion. Donough, 103 A.2d at 699; cf. id. at 699-700 (threat of suicide

by the deceased in the minutes prior to a death may be relevant if reasonably

connected to the circumstances of the death); Santos, 119 A. at 598-99

(threat of suicide within three weeks of the victim’s death was not too remote

in time to warrant exclusion from the evidence).

                             Malice Jury Instruction

      In her fifth issue, Appellant challenges the trial court’s instruction to the

jury with respect to the murder of the third degree and drug delivery resulting

in death charges that “[m]alice can be inferred from the failure of the

Defendant to seek medical care for the victim.” N.T., 5/18/18, at 1136-37.

Appellant contends that this instruction erroneously stated the law because it

imposed a non-existent duty of care on her in a case where the victim willingly

ingested the heroin that lead to his death. Appellant distinguishes the present

matter from cases in which courts have found that malice could be inferred

from the failure to provide medical care, noting that in those cases the

defendants had used a deadly weapon on a vital part of the victim’s body and

                                      - 29 -
J-A30036-19

then abandoned the victim without attempting to obtain medical care. See

Commonwealth         v.   Boyd,    334 A.2d 610,     613-14   (Pa.   1975);

Commonwealth v. Lee, 626 A.2d 1238, 1239, 1242 & n.4 (Pa. Super. 1993).

      We review jury instructions to determine whether the trial court

committed an abuse of discretion or an error of law.        Commonwealth v.

Soto, 202 A.3d 80, 98 (Pa. Super. 2018). We must “look to the instructions

as a whole, and not simply isolated portions, to determine if the instructions

were improper.” Commonwealth v. Sandusky, 203 A.3d 1033, 1098 (Pa.

Super. 2019) (citation omitted). The trial court has broad discretion and may

choose its own words in fashioning jury instructions. Soto, 202 A.3d at 98.

“Our key inquiry is whether the instruction on a particular issue adequately,

accurately and clearly presents the law to the jury, and is sufficient to guide

the jury in its deliberations.” Id. (citation omitted).

      Here, the trial court instructed the jury regarding the malice element of

the drug delivery resulting in death charge as follows:

      Here is what malice means in this context. A Defendant’s actions
      are made with malice if they show his or her wanton and willful
      disregard of an unjustified and extremely high risk that his or her
      conduct would result in death or serious bodily injury to another.

      The Commonwealth need not prove that the Defendant specifically
      intended to kill another. But it must prove beyond a reasonable
      doubt that the Defendant took action while conscientiously; that
      is, knowingly disregarding the most serious risk that he or she was
      creating. And that by his or her disregard of that risk, he or she
      demonstrated an extreme indifference to the value of human life.

      Malice can be inferred from the failure of the Defendant to
      seek medical care for the victim.

                                     - 30 -
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N.T., 5/18/18, at 1135-36 (emphasis added). The trial court then gave the

following instruction on malice as part of the murder of the third degree

charge:

      The word malice as I’m using it has a special legal meaning. It
      does not mean simply hatred, spite, or ill will. Malice is a
      shorthand way of referring to a particular mental state that the
      law regards as being bad enough to make a killing murder.

      For murder of the third degree, a killing is with malice if the
      perpetrator’s actions show his or her wanton and willful disregard
      of an unjustified and extremely high risk that his or her conduct
      would result in death or serious bodily injury to another. In this
      form of malice, the Commonwealth need not prove that the
      perpetrator specifically intended to kill another person. The
      Commonwealth must prove, however, that the perpetrator took
      action while conscientiously; that is, knowingly disregarding the
      most serious risk that he or she was creating. And that by his or
      her disregard of that risk, the perpetrator demonstrates his or her
      extreme indifference to the value of human life.

      When deciding whether the Defendant acted with malice, you
      should consider all of the evidence regarding her words, conduct,
      and the attending circumstances that may show her state of mind.
      Malice can be inferred from the failure of the Defendant to
      seek medical care for the victim.

Id. at 1136-37 (emphasis added).       Appellant lodged an objection to the

instruction that malice can be inferred from the failure to seek medical care,

which the trial court overruled. Id. at 1158-59.

      Viewing the instructions as a whole, we conclude that the trial court

accurately and clearly described to the jury the law regarding malice.

Sandusky, 203 A.3d 1033, 1098; Soto, 202 A.3d at 98. The trial court’s

statement that malice can be inferred from the failure to provide medical care

is well-established in our case law. In Boyd, our Supreme Court held that,

                                    - 31 -
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where the defendant shot the victim unintentionally during a fight at a

gambling house and then moved the bleeding victim to his car and left him

there, “the court could infer malice from [the defendant’s] failure to attempt

to obtain aid for the wounded man.” 334 A.2d at 614. In Lee, the defendant

shot the victim in the face from close range and did not attempt to obtain

immediate medical attention for the victim; citing Boyd, this Court stated that

“[m]alice can be inferred in a homicide prosecution from the failure of the

defendant to seek medical care for the victim.” Lee, 626 A.2d at 1242 n.4.

The trial court repeated this statement of the law nearly verbatim in its

instruction. Finally, we observe that the trial court’s instruction regarding the

inference of malice from the failure to provide medical care did not appear in

isolation, but rather this instruction followed an accurate recitation of the

malice standard as set forth in our case law. See, e.g., Packer, 168 A.3d at

168. Accordingly, Appellant’s fifth appellate issue warrants no relief.

                               Bad Act Evidence

      Finally, Appellant argues that the trial court abused its discretion by

allowing the Commonwealth to admit other bad acts evidence related to

Appellant making two sales of heroin after she left Wentz’s residence on the

night of July 19, 2010. Appellant contends that the Commonwealth’s proffered

use for this evidence to show Appellant’s state of mind is not set forth in the

list of authorized uses for other bad act evidence under Pennsylvania Rule of

Evidence 404(b)(2) and in fact this evidence was used to show Appellant’s

propensity to commit crime, which is forbidden under Rule 404(b)(1).

                                     - 32 -
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Appellant argues that the other bad act evidence was highly prejudicial

because it showed that she was selling drugs while the victim was dying of an

overdose and such prejudice outweighed any limited probative value that it

had.   Appellant further claims that she was not provided with reasonable

notice of the fact that this information would be admitted in advance of trial

as required by Rule 404(b)(3).

       Rule 404(b) provides as follows:

       (b) Crimes, Wrongs or Other Acts.

       (1) Prohibited Uses. Evidence of a crime, wrong, or other act is
       not admissible to prove a person’s character in order to show that
       on a particular occasion the person acted in accordance with the
       character.

       (2) Permitted Uses. This evidence may be admissible for another
       purpose, such as proving motive, opportunity, intent, preparation,
       plan, knowledge, identity, absence of mistake, or lack of accident.
       In a criminal case this evidence is admissible only if the probative
       value of the evidence outweighs its potential for unfair prejudice.

       (3) Notice in a Criminal Case. In a criminal case the prosecutor
       must provide reasonable notice in advance of trial, or during trial
       if the court excuses pretrial notice on good cause shown, of the
       general nature of any such evidence the prosecutor intends to
       introduce at trial.

Pa.R.E. 404(b).

       This Court has explained that:

       In accordance with Rule 404(b)(1), evidence of prior bad acts or
       criminal activity unrelated to the crimes at issue is generally
       inadmissible to show that a defendant acted in conformity with
       those past acts or to show criminal propensity. However, it is well
       settled that evidence of prior bad acts may be admissible when
       offered to prove some other relevant fact, such as motive,
       opportunity, intent, preparation, plan, knowledge, identity, and
       absence of mistake or accident. In determining whether evidence

                                      - 33 -
J-A30036-19

      of other prior bad acts is admissible, the trial court is obliged to
      balance the probative value of such evidence against its prejudicial
      impact.

Commonwealth v. Conte, 198 A.3d 1169, 1180 (Pa. Super. 2018) (internal

citations and quotation marks omitted).          With respect to the notice

requirement of Rule 404(b)(3),

      [t]he purpose of this rule is to prevent unfair surprise, and to give
      the defendant reasonable time to prepare an objection to, or ready
      a rebuttal for, such evidence. However, there is no requirement
      that the notice must be formally given or be in writing in order for
      the evidence to be admissible.

Commonwealth v. Lynch, 57 A.3d 120, 125-26 (Pa. Super. 2012) (internal

citations and quotation marks omitted).

      In its memorandum order denying Appellant’s post-sentence motion,

the trial court concluded that Appellant was provided notice of the bad acts

evidence as demonstrated by the fact that she made an oral motion in limine

at the outset of trial seeking to exclude any reference to her drug deals after

she left Wentz’s house, which the trial court denied.      Memorandum Order,

12/31/18, at 39; N.T., 5/14/18, at 11-20. The court concluded that the bad

acts evidence was admissible under Rule 404(b) because it showed Appellant

had the “wickedness of disposition” or “hardness of heart” necessary to find

that she possessed malice aforethought when she left the victim overdosing

at Wentz’s house and disposed of the heroin instead of calling 911 or otherwise

seeking aid for the victim. Memorandum Order, 12/31/18, at 39. The court

explained that the evidence of Appellant’s drug sales had little prejudicial

effect on Appellant because there was substantial other evidence at trial that

                                     - 34 -
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Appellant, Wentz, and the victim were regular users of heroin and involved in

transactions for the drug, including the July 19, 2010 purchase in Baltimore.

Id. at 39-40. Finally, the trial court noted that it provided a limiting instruction

to reduce any prejudicial value that the other bad act evidence might have on

Appellant. Id. at 40.10

        We agree with the trial court.         First, Appellant was clearly on notice

regarding the bad acts evidence because the source of the Commonwealth’s

evidence was Appellant’s own statement to police, which the Commonwealth

provided Appellant in discovery and the use of which Appellant challenged

prior to the commencement of trial. N.T., 5/14/18, at 16-17. Appellant has

not demonstrated any unfair surprise or prejudice from the notice provided.

See Lynch, 57 A.3d at 125-26. Furthermore, Appellant’s heroin sales during
____________________________________________

10   The trial court instructed the jury as follows:
     In this case, you have heard evidence tending to prove that the
     [Appellant] was guilty of improper conduct for which she is not on trial.
     I am speaking of the testimony to the effect that the [Appellant] used
     and delivered drugs on other occasions and was subjected to an
     unrelated arrest.
     This evidence was introduced for a limited purpose. That is for the
     purpose of tending to explain the natural chain and sequence of
     events[,] tending to show or rebut the [Appellant’s] state of mind
     concerning the crimes charged or tending to show or rebut the
     voluntariness of the [Appellant’s] statements to the police.
     This evidence must not be considered by you in any way other than for
     the purpose I just stated. You must not regard this evidence as showing
     that the [Appellant] is a person of bad character or criminal tendencies
     from which you must be inclined to infer her guilt regarding the charges
     lodged against her in this case.
N.T., 5/18/18, at 1131-32.

                                          - 35 -
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the period when the victim was overdosing from heroin at Wentz’s house were

clearly relevant to show Appellant’s extreme indifference to human life and

recklessness of consequences characteristic of the state of mind of malice

necessary for Appellant’s conviction of murder of the third degree and drug

delivery resulting in death. Packer, 168 A.3d at 168. In addition, Appellant’s

heroin sales were relevant as res gestae evidence to “tell the complete story”

of her criminal acts to show what occurred between the time she left Wentz’s

house on the evening of July 19, 2010 while the victim was overdosing and

when Wentz finally called 911 at 4:42 am on July 20th. See Commonwealth

v. Hairston, 84 A.3d 657, 666 (Pa. 2014) (other bad act evidence “relevant

for res gestae purposes to explain the history and course of events on” the

day of the crime); Commonwealth v. Brown, 52 A.3d 320, 332 (Pa. Super.

2012) (“[T]he history of the res gestae exception demonstrates that it is

properly invoked when the bad acts are part of the same transaction involving

the charged crime.”). Though not explicitly identified in Rule 404(b)(2), both

the issue of the defendant’s state of mind demonstrating malice and res gestae

evidence have been recognized as legitimate purposes for the admission of

other bad act evidence.     See Hairston, 84 A.3d at 666 (res gestae);

Akhmedov, 216 A.3d at 317-19 (malice).

      Furthermore, as the trial court explained, Appellant was not unfairly

prejudiced by the admission of evidence that she sold heroin to other parties

after leaving Wentz’s house on July 19, 2010 in light of the substantial

evidence before the jury regarding her use of heroin and participation in

                                    - 36 -
J-A30036-19

transactions involving the drug. “The trial court is not required to sanitize the

trial to eliminate all unpleasant facts from the jury’s consideration where those

facts are relevant to the issues at hand and form part of the history and natural

development of the events and offenses for which the defendant is charged.”

Hairston, 84 A.3d at 666 (citation and quotation marks omitted). To the

extent this evidence could be prejudicial to Appellant, the trial court

appropriately instructed the jury regarding the proper considerations of the

bad act evidence therefore minimizing any concern that the evidence would

inflame the jury or cause it to convict Appellant on an improper basis. See

id.

      Accordingly, Appellant is not entitled to relief on any of the issues raised

in this appeal.

      Judgment of sentence affirmed.

Judgment Entered.

Joseph D. Seletyn, Esq.
Prothonotary

Date: 2/21/2020

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