Kimble, R. v. Laser Spine Institute, LLC ( 2020 )


Menu:
  • J-A01019-20
    NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT I.O.P. 65.37
    ROBERT KIMBLE, ADMINISTRATOR           :   IN THE SUPERIOR COURT OF
    AND PERSONAL REPRESENTATIVE            :        PENNSYLVANIA
    OF THE ESTATE OF SHARON KIMBLE         :
    AND ROBERT KIMBLE IN HIS OWN           :
    RIGHT                                  :
    :
    :
    v.                        :
    :   No. 617 EDA 2019
    :
    LASER SPINE INSTITUTE, LLC,            :
    LASER SPINE INSTITUTE                  :
    PHILADELPHIA, LASER SPINE              :
    INSTITUTE OF PENNSYLVANIA, LLC,        :
    GLENN RUBENSTEIN, M.D.,                :
    :
    :
    APPEAL OF: LASER SPINE                 :
    INSTITUTE, LLC,                        :
    Appeal from the Judgment Entered January 17, 2019
    In the Court of Common Pleas of Chester County Civil Division at No(s):
    No. 16-00569
    ROBERT KIMBLE, ADMINISTRATOR           :   IN THE SUPERIOR COURT OF
    AND PERSONAL REPRESENTATIVE            :        PENNSYLVANIA
    OF THE ESTATE OF SHARON KIMBLE         :
    AND ROBERT KIMBLE IN HIS OWN           :
    RIGHT                                  :
    :
    :
    v.                        :
    :   No. 618 EDA 2019
    :
    LASER SPINE INSTITUTE, LLC,            :
    LASER SPINE INSTITUTE                  :
    PHILADELPHIA, LASER SPINE              :
    INSTITUTE OF PENNSYLVANIA, LLC,        :
    GLENN RUBENSTEIN, M.D.,                :
    :
    :
    APPEAL OF: GLENN RUBENSTEIN,           :
    M.D.,                                  :
    J-A01019-20
    Appeal from the Judgment Entered January 17, 2019
    In the Court of Common Pleas of Chester County Civil Division at No(s):
    No. 16-00569
    BEFORE:      NICHOLS, J., MURRAY, J., and COLINS, J.*
    MEMORANDUM BY MURRAY, J.:                                    Filed: April 9, 2020
    Laser Spine Institute, LLC, Laser Spine Institute Philadelphia, Laser
    Spine Institute of Pennsylvania, LCC (collectively, LSI) and Glenn Rubenstein,
    M.D. (Dr. Rubenstein) (collectively, Appellants) appeal from the judgment
    entered in favor of Appellee Robert Kimble (Kimble) in his own right and as
    administrator and personal representative of the estate of Sharon Kimble
    (Decedent).     After careful consideration, we affirm Appellants’ liability, but
    vacate the judgment and remand to the trial court for a new trial limited to
    the issue of damages.
    Kimble and Decedent married in 2003, and following a divorce in 2012,
    remarried later that same year.          Throughout the course of their marriage,
    Decedent suffered from debilitating back pain for which she took numerous
    narcotic and other pain medications. In 2013, Decedent sought treatment for
    her back from LSI.
    On January 29, 2014, Decedent underwent spine surgery at LSI’s
    Wayne, Pennsylvania operating facility.          Dr. Rubenstein was Decedent’s
    anesthesiologist.     The surgery began around 7:20 a.m. and ended around
    ____________________________________________
    *   Retired Senior Judge assigned to the Superior Court.
    -2-
    J-A01019-20
    8:40 a.m. Decedent was discharged approximately two hours later at 10:40
    a.m. LSI instructed Decedent to return in two days, on January 31, 2014, for
    a post-operative checkup. Because Kimble and Decedent did not live in the
    area, they stayed at a nearby hotel where she could recuperate until her post-
    operative appointment.
    At 4:49 p.m. on the day of the surgery, Kimble called the hotel’s front
    desk seeking emergency assistance because Decedent was not breathing.
    Hotel staff, followed by the police and emergency medical personnel, went to
    Decedent’s hotel room where they found her unresponsive, with no vital signs.
    Emergency personnel transported Decedent to the local hospital where she
    was pronounced dead.
    Decedent’s autopsy revealed the presence of pulmonary edema, a
    condition commonly observed in drug deaths involving opiates. The toxicology
    report also revealed the presence of multiple opioids and several central
    nervous system depressants (CNSDs), including Dilaudid, Flexiril, Oxycontin
    or Oxycodone, and Donnatal. Based on these findings, the coroner concluded
    that Decedent’s cause of death was the “synergistic” effect of multiple CNSDs
    in her blood.
    Kimble initiated the underlying matter on January 26, 2016 by filing a
    writ of summons on his own behalf and on behalf of Decedent’s estate. On
    July 26, 2017, Kimble filed a complaint in which he raised claims under the
    Pennsylvania Wrongful Death and Survival Acts, 42 Pa.C.S.A. §§ 8301-8302,
    -3-
    J-A01019-20
    against Appellants. The case eventually proceeded to trial, from March 19
    through March 28, 2018. On March 28, 2018, the jury returned a verdict in
    favor of Kimble and apportioned liability between LSI and Dr. Rubenstein 65%
    and 35%, respectively.         The jury awarded Kimble 10 million dollars in
    Wrongful Death Act damages and 10 million dollars in Survival Act damages.
    Appellants filed timely post-trial motions. On December 28, 2018, the
    trial court granted Appellants’ request for judgment notwithstanding the
    verdict (JNOV) as to Kimble’s 10 million dollar Survival Act award, denied
    Appellants’ request for JNOV as to the 10 million dollar Wrongful Death Act
    award, and denied Appellants’ post-trial motion in all other respects.         On
    January 17, 2019, the trial court entered judgment in favor of Kimble and
    against Appellants. Appellants’ timely appeal followed.
    Four of the five issues LSI raises in their appellate brief are identical to
    the issues Dr. Rubenstein presents in his appellate brief. The sole issue unique
    to LSI is their first issue.   Therefore, we reproduce LSI’s statement of the
    questions involved, as it encompasses all of the issues Appellants raise on
    appeal:
    1. Whether Laser Spine Institute LLC, Laser Spine Institute of
    Pennsylvania, LLC, and Laser Spine Institute-Philadelphia are
    entitled to JNOV and vacation of the judgment, where none of the
    three were found liable by the jury and, thus, there was no basis
    for the Prothonotary to enter judgment against them?
    2. Whether [Appellants] are in any event entitled to JNOV as a
    result of [Kimble]’s failure to present sufficient evidence of a
    standard of care, breach, causation and damages against Dr.
    -4-
    J-A01019-20
    Rubenstein or any evidence to establish that [LSI is] vicariously
    liable for his conduct?
    3. Whether [Appellants] are entitled to JNOV or a new trial where
    the only theory [Kimble] pursued against “Laser Spine Institute”
    was that it was vicariously liable for Dr. Rubenstein’s conduct and,
    thus, the jury’s apportionment of 65% liability against “Laser
    Spine Institute” was not based on sufficient evidence and/or was
    against the weight of the evidence?
    4. Whether [Appellants] are entitled to a new trial as a result of
    the trial court’s errors regarding use, and cross-examination of
    [Kimble] about, [Decedent]’s Protection from Abuse Order and the
    Kimbles’ divorce decree?
    5. Whether [Appellants] are entitled to JNOV, a new trial or
    remittitur as a result of [Mr. Kimble]’s failure to offer sufficient
    evidence to prove damages and where the weight of the evidence
    does not support the verdict under Pennsylvania’s Wrongful Death
    Act?
    LSI’s Brief at 5-6.
    First, LSI argues that the trial court erred in entering judgment against
    Laser Spine Institute, LLC, Laser Spine Institute Philadelphia, and Laser Spine
    Institute of Pennsylvania, LLC because the jury returned a verdict against
    “Laser Spine Institute” and did not specifically list each of the three
    aforementioned entities on the verdict slip. LSI contends that consequently,
    the judgment entered against Laser Spine Institute, LLC, Laser Spine Institute
    Philadelphia, and Laser Spine Institute of Pennsylvania, LLC is void.
    In rejecting this claim, the trial court explained:
    Defense trial counsel specifically requested and agreed to
    vicarious liability for all three (3) of the named Laser Spine entities
    . . . and agreed to collectively refer to them on the verdict slip as
    “Laser Spine Institute” and repetitively and collectively referred to
    them throughout trial and post-trial as “Laser Spine Institute” or
    -5-
    J-A01019-20
    “LSI.” Defense trial counsel sought non-suit on behalf of “Laser
    Spine Institute” at the close of Plaintiffs’ case and DID NOT seek
    a directed verdict on behalf of each individual corporate defendant
    prior to jury discharge because of any now claimed misnomer
    issue . . . Furthermore, [d]efense trial counsel waived contesting
    any inconsistent verdict . . . by not raising it prior to discharge of
    the trial jury. Finally, this issue is again waived since it was not
    presented in a timely post-trial motion.
    Trial Court Order, 2/22/19, at 1 n.1.
    We agree with the trial court’s determination that LSI failed to preserve
    this issue for appellate review because they did not raise it in their post-trial
    motions. See Pa.R.C.P. 227.1(b)(2) (“[P]ost-trial relief may not be granted
    unless the grounds therefor . . . are specified in the motion. . . . Grounds not
    specified are deemed waived[.]”). Moreover, even if LSI had not waived this
    issue, the record is replete with instances demonstrating that the parties
    commonly referred to Laser Spine Institute, LLC, Laser Spine Institute
    Philadelphia and Laser Spine Institute of Pennsylvania, LLC in the collective as
    “Laser Spine Institute” or “LSI.” As the trial court states, the verdict slip, to
    which both parties agreed and LSI did not object, refers to Laser Spine
    Institute, LLC, Laser Spine Institute Philadelphia and Laser Spine Institute of
    Pennsylvania, LLC collectively as “Laser Spine Institute.” Proposed Verdict
    Sheet of Defendants Laser Spine Institute Philadelphia, Laser Spine Institute
    Pennsylvania, Laser Spine Institute LLC and Glen Rubenstein, M.D., 3/27/18;
    N.T., 3/28/18, at 2. Likewise, in their memorandum of law in support of their
    post-trial motions, LSI repeatedly referred to Laser Spine Institute, LLC, Laser
    Spine Institute Philadelphia and Laser Spine Institute of Pennsylvania, LLC
    -6-
    J-A01019-20
    collectively as LSI.   See generally Memorandum of Law in Support of
    Defendants Laser Spine Institute, LLC, Laser Spine Institute Philadelphia and
    Laser Spine Institute of Pennsylvania, LLC Post-Trial Motions, 6/7/18.
    Thus, the record supports the trial court’s determination that throughout
    the entirety of trial, both the parties and trial court considered Laser Spine
    Institute, LLC, Laser Spine Institute Philadelphia and Laser Spine Institute of
    Pennsylvania, LLC to be one entity, “Laser Spine Institute” or “LSI,” and
    referred to them as such. LSI’s attempts to argue otherwise are disingenuous
    and belied by the record.
    Second, Appellants challenge the trial court’s decision to deny their
    request for judgment notwithstanding the verdict (JNOV). We analyze issues
    relating to JNOV according to the following standard:
    The propriety of a JNOV is a question of law, and therefore, our
    scope of review is plenary. Foster v. Maritrans, Inc., 
    790 A.2d 328
    , 330 (Pa. Super. 2002). When the denial of JNOV is
    challenged on the basis that the evidence was such that no two
    reasonable minds could disagree that the outcome should have
    been rendered in favor of the movant, as here, this Court reviews
    the evidentiary record and must conclude “that the evidence was
    such that a verdict for the movant was beyond peradventure.”
    Reott v. Asia Trend, Inc., 
    7 A.3d 830
    , 835 (Pa. Super. 2010).
    Moreover,
    In reviewing a trial court’s decision whether or not to
    grant judgment in favor of one of the parties, we must
    consider the evidence, together with all favorable inferences
    drawn therefrom, in a light most favorable to the verdict
    winner. Our standards of review when considering motions
    for a directed verdict and judgment notwithstanding the
    verdict are identical. We will reverse a trial court’s grant or
    denial of a [JNOV] only when we find an abuse of discretion
    or an error of law that controlled the outcome of the case.
    -7-
    J-A01019-20
    Further, the standard of review for an appellate court is the
    same as that for a trial court.
    
    Reott, 7 A.3d at 835
    .
    Corvin v. Tihansky, 
    184 A.3d 986
    , 990 (Pa. Super. 2018).
    Appellants argue that the trial court erred in failing to grant JNOV.
    Specifically, Appellants assert that Kimble did not establish a prima facie case
    of negligence against Dr. Rubenstein because Kimble failed to present
    evidence establishing the applicable standard of care.             Consequently,
    Appellants contend that Kimble was unable to establish a breach of the
    standard of care or causation, i.e., that a breach of the standard of care caused
    Decedent’s death. LSI further argues that they are entitled to JNOV because
    Kimble did not establish that they were vicariously liable for Dr. Rubenstein’s
    conduct. LSI asserts that Kimble failed to prove LSI was Dr. Rubenstein’s
    employer.
    Before we address the merits of Appellants’ arguments, we must
    determine whether the claims were preserved for review. We have stated:
    This Court requires a motion for directed verdict during trial as
    a prerequisite to a post-trial motion for JNOV based on the state
    of the evidence. Thomas Jefferson Univ. v. Wapner, 
    903 A.2d 565
    , 570 (Pa. Super. 2006). This approach has the salutary effect
    of submitting the issue to the trial judge for initial evaluation
    during trial, when the proofs are still fresh. Commonwealth v.
    U.S. Mineral Prods., 
    927 A.2d 717
    , 725 (Pa. Cmwlth. 2007).
    The right to seek JNOV likewise is preserved if the moving party
    requests, and is denied, a binding jury instruction. See Pa.R.C.P.
    227.1(b)(1); Hayes v. Donohue Designer Kitchen, Inc., 
    818 A.2d 1287
    , 1291 n.4 (Pa. Super. 2003) (“[C]ases indicate that in
    order to preserve the right to request a JNOV post-trial[,] a litigant
    -8-
    J-A01019-20
    must first request a binding charge to the jury or move for directed
    verdict at trial.”). Thomas 
    Jefferson, 903 A.2d at 570
    .
    
    Tihansky, 184 A.3d at 990-91
    .
    Here, the trial court concluded that Appellants waived their right to raise
    post-trial a motion for JNOV:
    [Appellants] . . . contend that they have preserved their rights
    to request JNOV by way of proposed binding jury instructions.
    Although [Appellants] did submit a proposed directed verdict
    charge (See “requests for binding instructions . . .” at paragraphs
    1., 2. and 3., filed March 16, 2018 at docket reference number
    185), counsel were informed that the [c]ourt was not inclined to
    give non-standard jury instructions. (See N.T. 3/27/2018 at page
    40.) There was no formal denial of those specific instructions
    pursued by counsel for [Appellants] nor were any specific denial
    rulings made of record. (See N.T. 3/27/2018 pages 24 through
    42; N.T. 3/28/2018 pages 2 through 6; pages 79 through 82;
    pages 89-90). Despite the filing of the request for binding
    instructions, the absence of a specific request and ruling and/or
    objection on the binding instruction request does not preserve the
    issues for JNOV. See Thomas Jefferson University v. Wapner,
    
    903 A.2d 565
    (Pa. Super. 2006); see also Faherty v. Gracias,
    
    874 A.2d 1239
    (Pa. Super. 2005); Corvin v. Tihansky, 184 .A.3d
    986 (Pa. Super. 2018). [Appellants] failed to make objection,
    including at the conclusion of the [c]ourt’s final charge to the jury
    and prior to the discharge of the jury. [Appellants] have failed to
    preserve their right to JNOV.
    Trial Court Order, 12/31/18, at 3 n.2. Kimble likewise argues that Appellants
    have failed to preserve their JNOV claims.
    Following careful review of the record, we agree with both the trial court
    and Kimble that Appellants have waived nearly all of their JNOV claims. First,
    there is no dispute that Appellants never moved for a directed verdict on any
    issue.     Appellants claim that they preserved their right to seek JNOV by
    moving for non-suit at the close of Kimble’s case-in-chief. See LSI’s Brief at
    -9-
    J-A01019-20
    27 n.15. While Appellants did motion for non-suit at the close of Kimble’s
    case, the only grounds that Appellants specified in the oral motion was that
    Kimble failed to present evidence that Dr. Rubenstein was an agent or
    employee of LSI, and thus Kimble could not establish vicarious liability on
    behalf of LSI. See N.T., 3/26/18, at 53-54. Appellants, however, ultimately
    conceded that Dr. Rubenstein was an employee of LSI. N.T., 3/28/18, at 52.
    Thus, LSI plainly stated that they no longer contest the only basis upon which
    they had previously moved for non-suit. See
    id. As Appellants
    did not move
    for nonsuit on any other basis, a motion for nonsuit cannot serve as the means
    by which they preserved their right to move for JNOV.
    Second, Appellants failed to preserve their right to move for JNOV by
    requesting a binding instruction.     The record reflects that prior to trial,
    Appellants filed proposed points for charge that included three instructions
    generally stating that the jury’s verdict “must be for the Defendants . . . and
    against the Plaintiffs.” Request for Binding Instructions and in the Alternative,
    Points for Charge of Defendants, Laser Spine Institute of Philadelphia, Laser
    Spine Institute of Pennsylvania, Laser Spine Institute, LLC, and Glen
    Rubenstein, M.D., 3/16/18, ¶¶ 1-3. It is these three points of charge upon
    which Appellants base their assertion that they preserved their JNOV claim.
    At the conclusion of evidence in this case, the parties conferred before
    the trial court to discuss jury instructions. Noting that all sides had submitted
    their points of charge, the trial court permitted each party to raise specific
    - 10 -
    J-A01019-20
    objections regarding the opposing party’s jury instructions.        See N.T.,
    3/27/18, at 24-32. The court and the parties then proceeded to conduct a
    detailed assessment of the instructions of both sides. See
    id. On numerous
    occasions, Appellants’ counsel raised objections to several of Kimble’s points
    of charge. See
    id. at 24-40.
    The trial court sustained Appellants’ objections
    in certain instances and denied them in several others. See
    id. When the
    issue of non-standard instructions arose, the following
    occurred:
    THE COURT: What about [Appellants’] instructions?
    [Kimble’s Counsel]: Your Honor, I have them right here. And
    with the exception -- most of them are standard. There are
    several, however, that I take objection to.
    THE COURT: If they’re not standard, I usually don’t give them.
    [Kimble’s Counsel]: If you’re not going to be giving any of the
    non-standard instructions, then I think we are okay.
    Id. at 40.
    As stated above, the trial court found that because Appellants did not
    specifically request the inclusion of the binding instructions in the points of
    charge following trial, “[t]here was no formal denial of those specific
    instructions pursued by counsel for [Appellants] nor were any specific denial
    rulings made of record.” Trial Court Order, 12/31/18, at 3 n.2. We agree.
    The trial court did not deny Appellants’ proposed binding instructions.
    Instead, the court stated that it “usually” does not give non-standard
    instructions. N.T., 3/27/18, at 40. Thus, not only did the trial court not make
    - 11 -
    J-A01019-20
    an explicit ruling with respect to the specific binding instructions at issue, at
    no point during this post-trial conference did Appellants attempt to seek the
    inclusion of the binding instructions in the court’s points of charge. This Court
    has made clear that “if the [trial] court rules against a particular jury charge,
    that party need not ‘take exception’ to the ruling.” Faherty v. Gracias, 
    874 A.2d 1239
    , 1249 (Pa. Super. 2005); see also Jones v. Montefiore Hosp.,
    
    431 A.2d 920
    , 923 n.5 (Pa. 1981) (stating that “[a]lthough no specific
    objection was made at trial to the charge given, appellants’ exception to the
    trial court’s refusal to charge as requested on causation was sufficient to put
    that charge before us for appellate review”). In this case, however, the record
    does not include an objection or exception, and therefore, a ruling against the
    particular binding jury instructions Appellants submitted prior to trial. See
    
    Faherty, 874 A.2d at 1249
    (stating that mere submission of a particular
    charge is not enough; “a ruling must be made”).
    Accordingly, the record indicates that the trial court did not deny
    Appellants’ binding instructions.    Appellants, through their own inaction,
    indicated that they decided not to seek inclusion, in the points of charge, of
    the binding instructions that they submitted before trial, despite the clear
    opportunity and ability to do so.    Consequently, there was never a ruling
    denying any binding instructions. We thus conclude that Appellants did not
    preserve their right to seek JNOV on any claim post-trial.
    - 12 -
    J-A01019-20
    Third, Appellants argue that they are entitled to a new trial because the
    evidence was insufficient to support a verdict reflecting that LSI was 65%
    liable for Decedent’s death. Appellants assert that because Kimble’s claim
    against LSI was one of vicarious liability, and thus, LSI and Dr. Rubenstein
    were not joint tortfeasors, LSI could not be 65% liable for Decedent’s death
    and the trial court erred by allowing the jury to apportion liability between LSI
    and Dr. Rubenstein on the verdict slip. Appellants emphasize that they are
    not challenging the wording of the verdict slip.
    Our Supreme Court has explained the theory of vicarious liability:
    The rules of vicarious liability respond to a specific need in the law
    of torts: how to fully compensate an injury caused by the act of
    a single tortfeasor. Upon a showing of agency, vicarious liability
    increases the likelihood that an injury will be compensated, by
    providing two funds from which a plaintiff may recover. If the
    ultimately responsible agent is unavailable or lacks the ability to
    pay, the innocent victim has recourse against the principal. If the
    agent is available or has means to pay, invocation of the doctrine
    is unnecessary because the injured party has a fund from which
    to recover.
    Keffer v. Bob Nolan’s Auto Serv., Inc., 
    59 A.3d 621
    , 637 (Pa. Super. 2012)
    (quoting Mamalis v. Atlas Van Lines, Inc., 
    560 A.2d 1380
    , 1383 (Pa.
    1989)). Furthermore,
    The system of contribution among joint tortfeasors . . . has arisen
    completely apart from the system of vicarious liability and
    indemnity and meets an entirely distinct problem:               how to
    compensate an injury inflicted by the acts of more than one
    tortfeasor. Unlike the liability of a principal, the liability of a joint
    tortfeasor is direct (because the tortfeasor actually contributed to
    the plaintiff’s injury) and divisible (since the conduct of at least
    one other also contributed to the injury).
    - 13 -
    J-A01019-20
    
    Mamalis, 560 A.2d at 1383
    (quotation and citation omitted).
    Here, the verdict slip asked the jury to apportion liability between LSI
    and Dr. Rubenstein and was likely flawed.          However, Appellants are not
    entitled to relief. Pursuant to Mamalis and Keffer, LSI could not be 65%
    liable for Decedent’s death. Rather, based on the trial court’s vicarious liability
    instruction and the jury’s finding that Dr. Rubenstein was negligent, LSI is
    100% liable for Decedent’s death under a vicarious liability theory.          See
    
    Keffer, 59 A.3d at 637
    . Regardless of the mistake on verdict slip, LSI was
    100% liable for Decedent’s death.              Appellants’ general, unsupported
    assertions that they were prejudiced by increased damages that resulted from
    the trial court permitting the jury to apportion liability between LSI and Dr.
    Rubenstein on the verdict slip are unavailing.        Indeed, Appellants cite no
    authority that supports this proposition.
    To the extent Appellants are challenging the wording on the verdict slip,
    this claim is waived.    Immediately prior to closing arguments, Appellants’
    counsel specifically expressed that he had no issue with the verdict slip:
    THE COURT: Here are the verdict slips.
    (A discussion was held off the record.)
    [Kimble’s Counsel]: Thank you, your Honor.
    [Appellants’ Counsel]: Fine, your Honor.
    [Kimble’s Counsel]:     The jury verdict slip is acceptable to the
    plaintiffs.
    - 14 -
    J-A01019-20
    THE COURT: Good. And you too, [Appellants’ Counsel]; is that
    correct?
    [Appellants’ Counsel]: That is correct, your Honor.
    THE COURT: Good.
    N.T., 3/28/18, at 2.
    The record reflects that Appellants raised no issue with the verdict slip
    at trial. Consequently, Appellants cannot challenge the propriety of the verdict
    slip on appeal. See Oxford Presbyterian Church v. Weil-McLain Co., 
    815 A.2d 1094
    , 1105 (Pa. Super. 2003) (holding that the appellant’s failure to
    object to the verdict slip at trial waived a challenge to it on appeal). Thus,
    Appellants third issue lacks merit.
    Fourth, Appellants argue that the trial court abused its discretion in
    excluding documentation of the 2012 protection from abuse (PFA) order
    Decedent obtained against Kimble and the couple’s divorce decree from the
    same year. Appellants sought to utilize this evidence to explore the specific
    nature of the marital discord that existed between Kimble and Decedent.
    Appellants assert that the exclusion of this evidence was an abuse of discretion
    because it was relevant for the jury in awarding non-economic damages to
    Kimble.
    We recognize:
    When we review a trial court’s ruling on admission of evidence,
    we must acknowledge that decisions on admissibility are within
    the sound discretion of the trial court and will not be overturned
    absent an abuse of discretion or misapplication of law. In addition,
    - 15 -
    J-A01019-20
    for a ruling on evidence to constitute reversible error, it must have
    been harmful or prejudicial to the complaining party.
    Lykes v. Yates, 
    77 A.3d 27
    , 32 (Pa. Super. 2013) (quotations and citation
    omitted).   “An abuse of discretion is not merely an error of judgment.        It
    requires a showing of manifest unreasonableness, partiality, ill-will, or such
    lack of support as to be clearly erroneous. Under this standard, the party
    challenging the trial court’s discretion on appeal bears a heavy burden.” SLT
    Holdings, LLC v. Mitch-Well Energy, Inc., 
    217 A.3d 1248
    , 1251 (Pa. Super.
    2019) (quotations and citation omitted).
    Prior to Kimble’s testimony, the trial court addressed Appellants’
    counsel’s cross-examination of Kimble regarding his relationship with
    Decedent, the PFA order, and the divorce decree:
    THE COURT: . . . This is an order and in case I really wasn’t clear,
    if [Appellants’ Counsel] is going to question your client about the
    nature of their relationship in order to present evidence to the --
    prior to her death in order for the jury to determine what your
    client is entitled to for wrongful death after her death, then he can
    ask questions, this gives him the legal basis to ask the questions
    in good faith. And he is stuck with the answer unless he can
    properly prove it.
    How [Kimble] wants to answer is up to him. If he wants to
    deny it, that he didn’t have a conviction, if he wants to deny that
    the order says what the order says, and [Appellants’ Counsel] is
    able to properly establish it, it will be devastating. I thought I was
    pretty clear about that.
    N.T., 3/22/18, at 11. In other words, while the trial court was willing to permit
    Appellants’ counsel to question Kimble about the PFA and divorce, Appellants
    were limited to Kimble’s answers. See
    id. The trial
    court would not permit
    - 16 -
    J-A01019-20
    Appellants’ counsel to use the PFA order or the divorce decree to contradict
    Kimble’s testimony or get into the specific details pertaining to the allegations
    underlying those documents because the allegations were hearsay. See N.T.,
    3/19/18, at 16.
    Appellants’ Counsel cross-examined Mr. Kimble as follows:
    [BY Appellants’ Counsel]:
    Q. Well, let me ask it this way. Was there not at the time of your
    wife’s death, in fact, a protection from abuse order still in effect
    against you?
    [Kimble’s Counsel]: Objection.
    THE COURT: Overruled.
    THE WITNESS: Yes.
    BY [Appellants’ Counsel]:
    Q. Okay. And that protection from abuse order arose from events
    that occurred in 2011; is that right? I think it was 11-11, as a
    matter of fact.
    A. I guess. I don’t know. I don’t know what time it happened.
    Q. What do you remember about what happened? Tell us about
    the events that led to your former wife, Ms. Kimble, filing and
    requesting that the court enter an order against you protecting
    her from abuse?
    [Kimble’s Counsel]: Objection.
    THE COURT: Sustained.
    *     *      *
    BY [Appellants’ Counsel]:
    - 17 -
    J-A01019-20
    Q. Was there -- well, let me ask you this, do you recall that at
    some point in time around the time -- you told us that you were
    divorced, correct?
    A. Yeah, we were divorced, but we got, you know --
    Q. I understand that. And that divorce decree became final in
    early 2012; is that right?
    A. Yeah.
    Q. Oh. Now, do you recall the events preceding Ms. Kimble filing
    for divorce which also involved a claim that you had abused her in
    some fashion?
    A. I don’t understand what you’re talking about.
    *      *     *
    Q. Tell me about the events that led up to Sharon Kimble filing
    for the divorce?
    A. To be honest with you, I don’t know why she filed for divorce.
    I didn’t even know she filed for divorce. I’m being truthful with
    you.
    Q. That's okay. There was a divorce decree entered against you,
    correct?
    A. Yes, sir. That I don’t know. I’m serious. I don’t know.
    Q. Well, as part of that decree you were ordered, essentially half
    of your paycheck was going to Ms. Kimble, correct?
    A. Well, I didn’t find that out until the divorce was final.
    Q. Okay. And the basis for her filing for divorce against you was
    what, sir?
    [Kimble’s Counsel]: Objection.
    THE COURT: Sustained.
    - 18 -
    J-A01019-20
    [Appellants’ Counsel]:      May I show him the document, your
    Honor?
    [Kimble’s Counsel]: No.
    THE COURT: No.
    BY [Appellants’ Counsel]:
    Q. Sir, you’re telling us you got a divorce decree that indicated
    that essentially there was a distribution of property essentially at
    that time, correct?
    A. Right.
    *     *      *
    Q. Okay. And you do not remember what the basis for the entry
    of this order was?
    [Kimble’s Counsel]: Objection.
    THE WITNESS: No, I don’t. I can’t --
    THE COURT: Hold on. Overruled.
    BY [Appellants’ Counsel]:
    Q. Do you know the basis for the entry of this order against you,
    sir?
    [Mr. Kimble’s Counsel]: Objection.
    THE COURT: Overruled.
    THE WITNESS: I don’t understand what you’re trying to say.
    *     *      *
    [BY Appellants’ Counsel]:
    Q. Okay. At some point you became aware that there was a
    judgment of divorce entered against you; is that right?
    - 19 -
    J-A01019-20
    A. Right.
    Q. Okay. And do you recall when you learned that did you read
    the decree?
    A. I don’t know if I did or not.
    Q. Okay.
    [Appellants’ Counsel]: Well, if I -- may I refer to it now, your
    Honor.
    [Kimble’s Counsel]: No. Objection.
    THE COURT: You going to rule and then object?
    [Kimble’s Counsel]: Objection, your Honor.
    THE COURT: Sustained.
    BY [Appellants’ Counsel]:
    Q. If I suggested to you that there was a finding that the divorce
    was granted on certain grounds of gross neglect and extreme
    cruelty, would you have any reason to disagree with that, sir?
    [Kimble’s Counsel]: Objection.
    THE WITNESS: Was I --
    THE COURT: Sustained.
    BY [Appellants’ Counsel]:
    Q. You’re telling us, sir, you have absolutely no understanding of
    why that divorce decree was entered against you?
    A. No, I don't, sir.
    [Kimble’s Counsel]: Your Honor, again, objection. It’s like beating
    a dead horse here. Same question.
    THE COURT: No it is not. Overruled.
    - 20 -
    J-A01019-20
    BY [Appellants’ Counsel]:
    Q. I think you answered but we couldn’t hear it.
    A. No, I don’t have no recollection of what it was.
    N.T., 3/22/18, at 68-77.
    Thus, the jury heard testimony indicating that Decedent obtained a PFA
    order against and a divorce from Kimble in 2012, approximately two years
    before her death. The trial court precluded the jury from hearing testimony
    regarding the specific allegations that lead to the PFA and divorce. The trial
    court also precluded Appellants’ counsel from confronting Kimble with the
    documentation of the PFA and divorce. Appellants, however, fail to cite any
    authority to support their argument that they were prejudiced by the trial
    court’s decision not to allow Appellants’ counsel to confront Kimble with the
    specific allegations underlying the PFA and divorce.
    Evidence pertaining to marital discord is relevant in a wrongful death
    action, as it relates to the damages for society and comfort that are available
    in a wrongful death action. See Rettger v. UPMC Shadyside, 
    991 A.2d 915
    ,
    932-33 (Pa. Super. 2010), appeal denied, 
    15 A.3d 491
    (Pa. 2011)
    (Explaining that in wrongful death action, members of the decedent’s family
    may recover for the value of decedent’s services, which “includes society and
    comfort”). The record reflects that the jury heard evidence of marital discord
    in the form of Kimble’s testimony acknowledging that Decedent obtained a
    PFA order and a divorce, and the PFA order was in effect at the time of
    - 21 -
    J-A01019-20
    Decedent’s death. Although we agree with Appellants’ assertion that evidence
    of marital discord is relevant in a wrongful death action, Appellants have not
    provided us with any authority from this Court or our Supreme Court indicating
    that they were prejudiced by the trial court’s decision to exclude the specifics
    underlying the PFA order or divorce. Accordingly, we cannot conclude that
    the trial court abused its discretion.1
    Finally, Appellants argue that the 10 million dollar damages award to
    Kimble was so excessive that it shocked the conscience, and the trial court
    erred in failing to vacate the award. Appellants contend they are entitled to
    either a new trial or remittitur.
    With respect to damages under the Wrongful Death Act, this Court has
    stated:
    The purpose of the Wrongful Death Statute, 42 Pa.C.S.A. § 8301,
    is to compensate the decedent’s survivors for the pecuniary losses
    they have sustained as a result of the decedent’s death . . . . This
    includes the value of the services the victim would have rendered
    ____________________________________________
    1   Based on our resolution of this issue, we decline to reach the parties’
    arguments as to whether the PFA order and divorce decree, which were from
    Ohio, would have been inadmissible as unauthenticated documents from
    another state. We note that the versions of the PFA order and divorce decree
    in the record are merely copies, and are not original or certified publications
    of the documents. See Memorandum of Law in Support of Defendants Laser
    Spine Institute, LLC, Laser Spine Institute Philadelphia and Laser Spine
    Institute of Pennsylvania, LLC Post-Trial Motions, 6/7/18, Exhibits A and B.
    These copies are not accompanied by a certificate of authenticity from the
    officer in custody of the record as required for the admission of out-of-state
    public records. See 42 Pa.C.S.A. § 5328(a), see also Pa.R.E. 902(4). Thus,
    even concluding, arguendo, that Appellants were prejudiced by the exclusion
    of the PFA order and divorce decree, they would not be admissible as they
    appear in the record before this Court.
    - 22 -
    J-A01019-20
    to his family if he had lived. . . . A wrongful death action does not
    compensate the decedent; it compensates the survivors for
    damages which they have sustained as a result of the decedent’s
    death.
    Under the wrongful death act the widow or family is entitled, in
    addition to costs, to compensation for the loss of the contributions
    decedent would have made for such items as shelter, food,
    clothing, medical care, education, entertainment, gifts and
    recreation.
    Hatwood v. Hosp. of the Univ. of Pa., 
    55 A.3d 1229
    , 1235 (Pa. Super.
    2012) (quotations and citation omitted).
    Appellants assert that Kimble did not present evidence at trial that he
    suffered any economic loss as a result of Decedent’s death. Appellants argue
    that Kimble’s claim for damages relates only to non-economic losses, which
    are not recoverable under the Wrongful Death Act. Kimble does not dispute
    that he did not provide evidence of economic loss.       Nevertheless, Kimble
    asserts that he is entitled to damages for loss of society and comfort under
    the Wrongful Death Act.
    As Kimble argues, this Court has upheld damages under the Wrongful
    Death Act for loss of society and comfort:
    “Damages for wrongful death are the value of the decedent’s life
    to the family, as well as expenses caused to the family by reason
    of the death.” Slaseman v. Myers, 
    455 A.2d 1213
    , 1218 (Pa.
    Super. 1983).       Thus, members of the decedent’s family
    enumerated in the Wrongful Death Act, see 42 Pa.C.S.[A.] §
    8301(b), may recover not only for medical, funeral, and estate
    administration expenses they incur, but also for the value of his
    services, including society and comfort. See id.; see also
    Machado v. Kunkel, 
    804 A.2d 1238
    , 1245 (Pa. Super. 2002)
    (“[T]he definition of compensable services for the purpose of the
    - 23 -
    J-A01019-20
    [wrongful] death statute is similar to the definition of consortium
    as that term is applied in other negligence cases.”).
    Hatwood, 
    55 A.3d 1229
    , 1235 (emphasis added, citations modified) (quoting
    
    Rettger, 991 A.2d at 932-33
    ).
    Based on Hatwood, we agree that damages for loss of society and
    comfort are available under the Wrongful Death Act. Therefore, we conclude
    that Appellants are not entitled to a new trial or remittitur based on the jury’s
    decision to award damages solely for loss of society and comfort. See
    id. Accordingly, we
    turn to Appellants’ claim that the 10 million dollar damage
    award in this case was so excessive as to necessitate a new trial.
    Based upon our scrutiny of the record, including the trial transcripts,
    post-trial proceedings, and the parties’ briefs, we conclude that Appellants are
    entitled to a new trial based on the excessiveness of the damage award. It is
    well-settled that:
    [t]he grant or refusal of a new trial because of the
    excessiveness of the verdict is within the discretion of the trial
    court. This [C]ourt will not find a verdict excessive unless it is so
    grossly excessive as to shock our sense of justice. We begin with
    the premise that large verdicts are not necessarily excessive
    verdicts. Each case is unique and dependent on its own special
    circumstances and a court should apply only those factors which
    it finds to be relevant in determining whether or not the verdict is
    excessive.
    Tillery v. Children’s Hosp. of Philadelphia, 
    156 A.3d 1233
    , 1246 (Pa.
    Super. 2017) (quotations and citation omitted).
    Moreover:
    - 24 -
    J-A01019-20
    In evaluating a claim that a verdict is against the weight of the
    evidence, Pennsylvania courts employ a shocks-the-conscience
    litmus. The trial judge’s authority to award a new trial on weight-
    of-the-evidence grounds is narrowly circumscribed on account of
    the principle that credibility questions are exclusively for the fact
    finder. The matter is couched as discretionary in the trial court,
    with its role in the assessment being afforded primacy in view of
    its substantially closer vantage to the evidentiary presentation as
    compared to that of an appellate court. Relief is available in an
    appellate court only if it can be said that the trial court acted
    capriciously or palpably abused its discretion.
    Com., Dept. of Gen. Servs. v. U.S. Mineral Prods. Co., 
    956 A.2d 967
    , 973-
    74 (Pa. 2008).
    In this case, the jury heard limited evidence from both Kimble and his
    son regarding the nature of the relationship between Kimble and Decedent.
    They spoke generally of Kimble’s sadness following Decedent’s death and
    testified that Kimble had to move in with his mother because he did not like
    living alone. N.T., 3/22/18, at 21, 22-24, 33, 58-59.
    The   trial   court,   in   rejecting   Appellants’   claim   relating   to   the
    excessiveness of the damages award, stated:
    The wrongful death claim award does not shock the conscience of
    the [c]ourt and is supported by the weight of the evidence. The
    evidence of record clearly is sufficient to support the jury’s
    wrongful death verdict. How much is a marital relationship worth
    to a surviving spouse? We leave that determination to the wisdom
    of a jury. To compare verdicts of other juries/fact finders in order
    to determine an appropriate award herein strikes at the
    independence of the jury process.
    Trial Court Order, 2/22/19, at 5 n.1.
    While we do not disagree with the above statement, our independent
    review of the trial court’s decision and the record leads us to conclude that
    - 25 -
    J-A01019-20
    the trial court abused its discretion in failing to vacate the damages award.
    First, the trial court’s decision reflects no examination of the testimony
    presented at trial relating to non-economic damages. The standard of review
    for a claim of excessive damages requires the trial court to assess the evidence
    presented by the parties in reaching its conclusion as to whether the damages
    the jury awarded were appropriate. See U.S. Mineral Prods. 
    Co., 956 A.2d at 973-74
    . In this respect, the trial court only provided a general assertion
    stating that “[t]he evidence of record clearly is sufficient to support the jury’s
    wrongful death verdict.” Trial Court Order, 2/22/19, at 5 n.1. Because Kimble
    did not present evidence of economic damages arising from Decedent’s death,
    and the evidence he presented related to non-economic damages was limited,
    we cannot say, on this record, that the evidence supports the 10 million dollar
    damages award.
    Second, as Appellants point out, the 10 million dollar damages award in
    this case was far greater than other wrongful death awards for loss of society
    and comfort that this Court has affirmed. See, e.g., Tong-Summerford v.
    Abington Mem’l Hosp., 
    190 A.3d 631
    , 652 (Pa. Super. 2018) (affirming a
    1.5 million dollar wrongful death award for medical malpractice that caused
    the death of an 88-year-old parent/grandparent); 
    Hatwood, 55 A.3d at 1241
    (upholding a jury award for 1.5 million dollars for loss of society and comfort
    for medical malpractice that occurred during delivery that caused a child to
    die from complications of cerebral palsy 17 months after birth); Rettger, 991
    - 26 -
    J-A01019-20
    A.2d at 932-33 (affirming a jury’s award of $2.5 million for loss of society and
    comfort where decedent was unmarried, had no children or dependents, and
    provided limited services in his parents’ home on weekends). Contrary to the
    trial court’s assertion, this Court has previously looked to other decisions in
    determining the appropriateness of a wrongful death award.         See Tong-
    
    Summerford, 190 A.3d at 652
    (concluding that the 1.5 million dollar wrongful
    death award was “consistent with other Pennsylvania verdicts for wrongful
    death claims”). In this case, the 10 million dollars awarded to Kimble was
    well in excess of the awards in the above-referenced cases.
    Based on the trial court’s failure to examine the evidence in this case in
    addressing Appellants’ challenge to the excessiveness of the jury’s 10 million
    dollar award, and the award’s lack of consistency with other wrongful death
    verdicts in Pennsylvania, particularly for damages for loss of society and
    comfort, we conclude that the award was excessive.
    In sum, we affirm Appellants’ liability to Kimble, but vacate the
    judgment entered against Appellants and remand to the trial court for a new
    trial limited to the issue of damages.
    Affirmed in part and vacated in part.        Judgment vacated.       Case
    remanded. Jurisdiction relinquished.
    Judge Colins joins the memorandum.
    Judge Nichols notes dissent.
    - 27 -
    J-A01019-20
    Judgment Entered.
    Joseph D. Seletyn, Esq.
    Prothonotary
    Date: 4/9/20
    - 28 -