Com. v. Busbey, J. ( 2020 )


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  • 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    NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT I.O.P. 65.37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.
    J-A30036-19
    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. - 10
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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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    J-A30036-19
    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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    J-A30036-19
    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).
    - 17 -
    J-A30036-19
    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 -
    J-A30036-19
    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
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    J-A30036-19
    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 -
    J-A30036-19
    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
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    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 -
    J-A30036-19
    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 -
    J-A30036-19
    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 -
    J-A30036-19
    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 -
    J-A30036-19
    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 -
    J-A30036-19
    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
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    J-A30036-19
    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.
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    J-A30036-19
    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
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    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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