State v. Welsh , 2022 UT App 112 ( 2022 )


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    2022 UT App 112
    THE UTAH COURT OF APPEALS
    STATE OF UTAH,
    Appellee,
    v.
    HARLEY GREGORY WELSH,
    Appellant.
    Amended Opinion 1
    No. 20190833-CA
    Filed August 29, 2022
    Third District Court, Salt Lake Department
    The Honorable Adam T. Mow
    No. 181902848
    Robert T. Denny, Attorney for Appellant
    Sean D. Reyes and Jeffrey D. Mann, Attorneys
    for Appellee
    JUDGE RYAN D. TENNEY authored this Opinion, in which
    JUDGE MICHELE M. CHRISTIANSEN FORSTER and JUSTICE DIANA
    HAGEN concurred. 2
    1. This Amended Opinion replaces the Opinion that was issued in
    case 20190833-CA issued on August 11, 2022. What was
    previously marked as footnote 6 (and which is now footnote 7)
    has been revised in response to Welsh’s petition for rehearing.
    2. Justice Diana Hagen began her work on this case as a member
    of the Utah Court of Appeals. She became a member of the Utah
    Supreme Court thereafter and completed her work on the case
    sitting by special assignment as authorized by law. See generally
    Utah R. Jud. Admin. 3-108(4).
    State v. Welsh
    TENNEY, Judge:
    ¶1     Harley Welsh broke into his ex-girlfriend’s (Victim)
    apartment, kicked down her bathroom door, and dragged her out
    of the room by her ankles. Victim’s roommate (Roommate)
    personally witnessed these events. A few hours later, Victim
    made several incriminating statements about Welsh while at a
    hospital emergency room. And a few hours after that, Victim
    showed a police officer several texts that Welsh had allegedly sent
    her that night that contained incriminating information.
    ¶2      A jury later convicted Welsh of several crimes stemming
    from his attack on Victim. On appeal, Welsh argues that the
    district court should not have admitted either the text messages
    or the statements that Victim made at the hospital. For the reasons
    set forth below, we affirm.
    BACKGROUND 3
    Welsh Breaks into Victim’s Apartment
    ¶3     On a late afternoon in October 2017, Roommate was at the
    apartment she shared with Victim when she heard somebody
    walk loudly past her bedroom window. She then heard “banging”
    on her front door, so she went to the door and asked who it was.
    The person banging did not respond, even after Roommate
    “asked 4 or 5 times.” A man on the other side of the door finally
    said, “Does it matter who it is?” Roommate responded, “Yes,
    because I’m not going to open the door unless you tell me who it
    is.” The man said that he was “Harley.” Roommate knew that
    Victim had dated a man named Harley Welsh, but she told the
    3. “On appeal, we review the record facts in a light most favorable
    to the jury’s verdict and recite the facts accordingly.” State v.
    Maese, 
    2010 UT App 106
    , n.2, 
    236 P.3d 155
    .
    20190833-CA                    2               
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    State v. Welsh
    man at the door that Victim wasn’t there so that he would go
    away.
    ¶4    The man didn’t say anything in response. Instead, he
    smashed through the door, which “exploded inward” and
    “knocked” Roommate to the floor. Harley Welsh then entered the
    apartment.
    ¶5    Welsh was wearing gloves and had a tire iron in his hand.
    He seemed “pissed off” and “[v]ery angry,” and he asked
    Roommate, “Where the fuck is [Victim]?” Roommate again told
    him that Victim wasn’t there.
    ¶6      But Victim was in the apartment, and after hearing the
    initial commotion, she had tried hiding in the bathroom by
    turning out the light and shutting the door most of the way. When
    Welsh began walking through the apartment, Victim pushed the
    door shut. Welsh realized that somebody was in the bathroom, so
    he “kicked the door” down.
    ¶7       Welsh then dragged Victim out of the bathroom by her
    ankles. As he did, Victim was “[k]icking and screaming,” telling
    Welsh, “I’m not going with you.” Welsh replied, “We’re leaving.”
    When Victim implored him to “[c]alm down or somebody’s going
    to call the cops,” Welsh responded, “That’s okay. Let them call the
    cops because they’ll just show up to two bloody corpses.”
    ¶8     Welsh took a piece of cord from the living room, cut it up
    with his pocketknife, and asked Victim “if she wanted him to tie
    her up.” Victim said that she didn’t want him to tie her up and
    reiterated “that she wasn’t leaving with him.” Welsh then
    “attempted to tie her ankles,” and while he did, Victim told him,
    “No. Stop. You’re hurting me.”
    ¶9     Roommate witnessed all this from the floor where she had
    been lying since Welsh broke in. Roommate later testified that she
    thought Welsh was “going to smash [her] brains with a tire iron”
    20190833-CA                    3               
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    State v. Welsh
    and that she was “going to die.” She also explained that she made
    no attempts to protect Victim because she was afraid. Instead, as
    Welsh and Victim continued to struggle, Roommate crawled to
    her bedroom. Once there, she heard Welsh and Victim continue
    to argue. Somewhere between fifteen to thirty minutes later, the
    apartment fell silent, and Roommate could tell that Welsh and
    Victim were now gone. At that point, Roommate felt “sick” and
    “freaked out.” But she didn’t call 911 because she was still afraid.
    Victim and Welsh Arrive at the Emergency Room
    ¶10 Around 5:30 that evening, Victim arrived at the emergency
    room of a nearby hospital and was treated by an emergency
    physician (Doctor). A man was with Victim, and Doctor later
    identified that man as Welsh.
    ¶11 Victim’s medical chart indicated that she “registered to be
    seen for an ATV accident.” But Doctor thought that “her
    appearance and demeanor seemed different than . . . would [be]
    expected from someone that had recently been in an accident.” In
    particular, Doctor thought that Victim “seemed frightened” of
    Welsh, who was still “in the room with her.” The nurse (Nurse)
    who was helping Victim also thought that Victim “seemed scared
    and anxious.”
    ¶12 After initially giving “haltered and stuttered” answers to
    Doctor’s questions, Victim “declar[ed] that [Welsh] was not
    allowed to be there and that he needed to get out of the room.”
    When hospital staff asked Welsh to leave, however, Welsh was
    “resistant and stayed seated. It required a repeated effort of verbal
    indication that he should leave the room.”
    ¶13 Welsh eventually left the room, after which Nurse took
    Victim to a different room to “do a more proper examination.” But
    while Nurse and Victim were in the new room, they found Welsh
    “hiding behind the door and behind the curtain.” When Victim
    saw him, she screamed and ran across the emergency department
    20190833-CA                     4               
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    State v. Welsh
    into another room. Welsh “claimed that he had every right to be
    in the room and that he didn’t have to leave.” The staff “got
    security involved” to get Welsh “out of the room,” and Nurse
    went to find Victim. Nurse found Victim hiding in an empty
    room. Victim “seemed scared” and “said she didn’t want [Welsh]
    anywhere near her.” Nurse then took Victim to a new room and
    registered her under a pseudonym.
    ¶14 Victim spoke with Doctor again in the new room, and she
    was now “more open in her response[s]” to his questions. She told
    him that she was there because Welsh “had been harming her,”
    not because of an ATV accident. When Doctor asked for
    clarification, Victim “indicated that he had harmed her, grasping
    her by the throat and shaking her.” Victim also said, “[he] got
    ahold of me again” and “he had kidnapped me.” 4
    ¶15 After examining Victim, Doctor concluded that she “hadn’t
    sustained a serious injury” and that there wasn’t “any marking or
    bruising, signs of any fractures, or significant injuries at the time.”
    Based on Victim’s claims and Welsh’s “demeanor,” however,
    Doctor diagnosed Victim with “domestic abuse of adult” and
    “post traumatic stress disorder.”
    Welsh Returns to the Apartment
    ¶16 Sometime later that night, Welsh went back to Victim’s
    apartment. He told Roommate that he was there to get Victim’s
    clothing, but Roommate “told him he couldn’t have it and that he
    wasn’t welcome in [her] house.” Welsh then asked Roommate
    “whose stuff was in the living room.” Roommate responded that
    4. There was some discrepancy in the testimony at trial about
    whether Welsh left before or after the conversation between
    Victim and Doctor described above. Regardless, Doctor and
    Nurse agreed that Welsh was in and out of various rooms in the
    hospital and that Welsh left only after security became involved.
    20190833-CA                      5                
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    State v. Welsh
    the stuff belonged to Victim’s brother (Brother), who also lived in
    the apartment.
    ¶17 After Welsh left, Brother arrived and noticed the front door
    was kicked in. Roommate “was in hysterics, freaking out, crying,”
    and she kept saying to Brother, “He took your sister. He took your
    sister.” Brother “immediately” knew that Roommate was talking
    about Welsh. When Brother walked through the apartment, he
    saw that the bathroom was “ransacked” and that the bathroom
    door was “broken completely off the hinges.” To Brother, the
    apartment looked “terrorized” and like “a mess.”
    ¶18 Brother called 911, and as he was talking to the emergency
    operator, he went out to the apartment’s balcony. While there, he
    saw “Welsh not even 30 yards away.” Brother and Welsh locked
    eyes as the police came “around the corner,” at which point Welsh
    “proceeded to take off.”
    Investigation and Text Messages
    ¶19 One of the responding officers (Officer) took photographs
    of what he found in the apartment. These included photographs
    of the splintered front door frame; the front door’s strike plate,
    which was lying on the floor; the bathroom door, which was
    broken off its hinges; a cut-up cord on the living room floor; and
    a black glove lying near the cut-up cord, which Roommate later
    identified as one of the gloves that Welsh was wearing when he
    broke into the apartment.
    ¶20 After photographing the scene, Officer spoke with Victim
    on the phone. At this point, Victim had left the hospital and was
    now at a friend’s apartment. Later that night, Officer went and
    interviewed Victim in person. When he met her, Officer thought
    that Victim seemed “scared and paranoid.” Officer also noticed
    some redness on Victim’s neck and an injury on one of her hands.
    Although these injuries “were not overwhelming,” they
    “appear[ed] to be fresh,” so Officer photographed them.
    20190833-CA                    6               
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    State v. Welsh
    ¶21 During the interview, Victim showed Officer a series of text
    messages on her phone. They were sent from someone who was
    identified as “Harleyy” in her contacts, and there was a phone
    number linked to that contact. A timestamp indicated that Victim
    had received the first text at 9:08 p.m. that night, and one of the
    later texts had a timestamp of 9:20 p.m. Officer took photographs
    of those texts, and he later testified that he took the photographs
    at 9:27 p.m.
    ¶22    Those text messages, without alteration, read as follows:
    •   “So you reported me to the police now? And now there
    looking for me.”
    •   “Am I right”
    •   “Liar your brother isn’t in orem”
    •   “DID U CALL THE COPS AND REPORT ME? YES OR
    NO?”
    •   “WHEN WE BOTH AGREE ON THINGS AND GET
    BACK TO LIVING A REAL LIFE”
    •   “I DO TRULY LOVE YOU AND I JUST WANTED MY
    WIFE AND NOW THIS AGAIN. I JUST WANTED YOU
    TO HOLD ME TIGHTLY AND SAY THINGS WILL GET
    BETTER”
    •   “I KNOW YOU WERE HOME AND THE COPS WERE
    THERE LOOKING. SO DID YOU FILE CHARGES ON ME
    AND WHAT KIND DID YOU PRESS AGAINST ME? IF
    YOUR RE”
    •   “PORTING THESE THEN THAT’S GOOD YOU GROW A
    BIGGER PAIR. AND THAT’S WHY I TRULY LOVE YOU.”
    20190833-CA                    7               
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    State v. Welsh
    •   “Yes or No”
    •   “Just ignore me like you’ve done our whole relationship.”
    •   “to put your hands on me and lie to the cops about me
    doing whatever your herion high conjured up.”
    •   “So stop hiding from the fact that you caused all this due
    to. Yes your herion addiction. So dont say its all me. And
    Im sorry you had”
    •   “And just so it states that you initiated all that you have
    said against me and your judgment is impaired all day and
    evening”
    ¶23 After Victim showed Officer these messages, Officer
    searched for Welsh’s name in the police department’s database. In
    that database, Officer found a file on Welsh that included a contact
    phone number. That phone number matched the phone number
    that had sent the text messages to Victim’s phone.
    Trial
    ¶24 The State charged Welsh with aggravated kidnapping;
    aggravated burglary; violation of a sentencing protective order;
    retaliation against a witness, victim, or informant; criminal
    mischief; and assault.
    ¶25 The case later went to trial, and the State called Roommate,
    Brother, Officer, Nurse, and Doctor as witnesses. The witnesses
    testified about the events as described above. Victim did not
    testify.
    ¶26 The district court made two evidentiary rulings that are
    central to this appeal. The first concerned the text messages that
    Welsh allegedly sent Victim after the attack. Before trial, the
    prosecutor filed a motion in limine asking to admit Officer’s
    20190833-CA                     8              
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    State v. Welsh
    photographs of those messages. The prosecutor argued that
    although Victim would not testify, Officer could authenticate the
    messages by testifying that he took the photographs and
    describing the surrounding circumstances. In response, Welsh’s
    trial counsel (Trial Counsel) argued that Officer could not
    authenticate the texts because his knowledge of the messages was
    based on hearsay from Victim.
    ¶27 The court deferred ruling on this issue until it could hear
    Officer’s testimony. At trial, Officer explained how he matched
    the phone number for the “Harleyy” contact on Victim’s phone to
    the phone number listed for Welsh in the police database. At that
    point, the court allowed Trial Counsel to voir dire Officer. During
    voir dire, Officer explained that “[a]ll officers” in his department
    have access to the database and can “edit things and remove
    things.” Trial Counsel then argued to the court that the text
    messages could not “be authenticated under the rules of
    evidence” because “there is no keeper of the records.”
    ¶28 The court overruled Trial Counsel’s authentication
    objection, and it did so based on Officer’s testimony about “how
    he had linked the number on the text message[s] with Mr. Welsh.”
    Based on this authentication, the court then admitted the
    messages over the hearsay objection, concluding that they
    qualified as “a statement of the opposing party.” See Utah R. Evid.
    901; see also 
    id.
     R. 801(d)(2).
    ¶29 The second ruling concerned the admissibility of the
    statements that Victim made to Doctor while at the emergency
    room. Before trial, the prosecutor moved to admit those
    statements. Trial Counsel then conceded that Victim’s statements
    that Welsh “grabbed her by the neck” and “shook her” were
    admissible, but Trial Counsel objected to admission of the
    statements that “[he] got ahold of me again” and “he had
    kidnapped me.” In response, the prosecutor argued that these
    statements were admissible through the medical diagnosis or
    treatment exception to the rule against hearsay. See 
    id.
     R. 803(4).
    20190833-CA                     9              
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    State v. Welsh
    ¶30 The court ruled that both statements were admissible
    under this exception. With respect to the statement that “[he] got
    ahold of me again,” the court ruled that this “seem[ed] to relate to
    the later report from [Victim] that she was grabbed by the neck
    and shook.” And with respect to the statement that “he had
    kidnapped me,” the court ruled that this fit the exception because
    it gave “context to how the other injuries were perhaps sustained
    and that there may have been some violent action in the process
    of kidnapping that would help to explain the nature of those
    injuries or illnesses.”
    ¶31 At the close of trial, the jury acquitted Welsh of aggravated
    kidnapping, but it found him guilty on all other charges. After the
    court sentenced Welsh to prison terms for the offenses, Welsh
    timely appealed.
    ISSUES AND STANDARDS OF REVIEW
    ¶32    Welsh raises two issues on appeal.
    ¶33 First, Welsh challenges the district court’s determination
    that there was sufficient evidence to authenticate the text
    messages that he allegedly sent to Victim. We review this
    determination for an abuse of discretion. See State v. Otkovic, 
    2014 UT App 58
    , ¶ 12, 
    322 P.3d 746
    .
    ¶34 Second, Welsh challenges the court’s decision to admit
    statements that Victim made to Doctor under the medical
    diagnosis exception to the hearsay rule. “When reviewing rulings
    on hearsay evidence, we review legal questions regarding
    admissibility for correctness, questions of fact for clear error, and
    the trial court’s final ruling on admissibility for abuse of
    discretion.” State v. Guzman, 
    2018 UT App 93
    , ¶ 10, 
    427 P.3d 401
    .
    20190833-CA                     10              
    2022 UT App 112
    State v. Welsh
    ANALYSIS
    I. Authentication of the Text Messages
    ¶35 The district court determined that the State had sufficiently
    authenticated the text messages that Welsh allegedly sent to
    Victim on the night of the attack. Welsh now argues that this
    authentication determination was an abuse of discretion. We
    disagree. 5
    ¶36 The proponent of “writings or other documentary
    evidence” must authenticate the evidence before it can be
    admitted. State v. Jacques, 
    924 P.2d 898
    , 900–01 (Utah Ct. App.
    1996). “To satisfy the requirement of authenticating or identifying
    an item of evidence, the proponent must produce evidence
    sufficient to support a finding that the item is what the proponent
    claims it is.” Utah R. Evid. 901(a). Notably, “proper authentication
    does not require conclusive proof,” State v. Wager, 
    2016 UT App 97
    , ¶ 12, 
    372 P.3d 91
     (quotation simplified), and the proponent has
    to make only “a prima facie showing of authenticity,” State v.
    Otkovic, 
    2014 UT App 58
    , ¶ 23, 
    322 P.3d 746
    .
    ¶37 The “process of authentication must be distinguished from
    a finding of authenticity.” Jacques, 
    924 P.2d at 901
    . The district
    court is responsible for the “process of authentication,” whereby
    it “assess[es] whether there is evidence sufficient to support a jury
    finding of authenticity.” 
    Id.
     (quotation simplified). But “the jury is
    ultimately responsible for determining whether the evidence is in
    fact authentic once the evidence is admitted.” 
    Id.
    ¶38 Rule 901 of the Utah Rules of Evidence provides a non-
    exhaustive list of “examples” of the kinds of evidence that can
    5. Based on the authentication ruling at issue, the district court
    admitted the texts as nonhearsay statements under rule 801(d)(2)
    of the Utah Rules of Evidence. Welsh does not separately
    challenge the application of that rule to these text messages.
    20190833-CA                     11               
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    State v. Welsh
    “satisf[y]” the authenticity requirement. See Utah R. Evid. 901(b).
    This list includes “[t]estimony that an item is what it is claimed to
    be.” 
    Id.
     R. 901(b)(1). It also includes the “appearance, contents,
    substance, internal patterns, or other distinctive characteristics of
    the item, taken together with all the circumstances.” 
    Id.
     R.
    901(b)(4).
    ¶39 Our decision in Otkovic is illustrative. There, we affirmed a
    district court’s determination that the State had presented
    sufficient evidence to support a finding that certain text messages
    were sent by the defendant. Otkovic, 
    2014 UT App 58
    , ¶¶ 21–23.
    This included evidence showing that the texts in question “were
    sent from the phone number assigned to” a phone found in the
    defendant’s apartment, that this same phone matched a witness’s
    “description of the phone he saw” the defendant use during the
    crime, and that the crime “occurred during the same time frame
    when the text messages were sent.” Id. ¶ 23. While acknowledging
    that there was some contrary evidence suggesting that somebody
    else had used the phone during the relevant time, we nevertheless
    determined that the contrary evidence went “to the weight of the
    evidence, not its admissibility.” Id. We accordingly held that the
    district “court did not exceed its discretion in determining that the
    evidence was sufficient to authenticate the text messages.” Id.
    ¶40 Here, Officer testified that the photographs of the texts
    accurately represented the texts that he saw on Victim’s phone.
    See Utah R. Evid. 901(b)(1). Welsh does not challenge that
    assertion on appeal. Rather, Welsh contends that the “appearance,
    contents, substance, internal patterns, or other distinctive
    characteristics” of those texts, “taken together with all the
    circumstances,” were insufficient to show that he was the one who
    authored the texts. See id. R. 901(b)(4).
    ¶41 We disagree. Contrary to Welsh’s assertion, the State did
    present several pieces of evidence that, when combined, were
    sufficient to support a finding that Welsh authored the texts.
    20190833-CA                     12              
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    State v. Welsh
    ¶42 First, Roommate testified that Victim had previously dated
    Welsh, and Officer testified that these text messages were received
    by Victim on her phone and came from a person who was labeled
    in her contacts as “Harleyy” (which is, of course, Welsh’s first
    name with an extra “y”). 6
    ¶43 Second, the phone number that sent the texts was listed as
    “one of [Welsh’s] contact phone numbers” in a police database. 7
    6. Welsh argues that Victim’s statement to Officer that the phone
    was hers was inadmissible hearsay. As the State correctly points
    out, however, this argument is unpreserved. While Welsh pointed
    to several places below where he argued that Officer didn’t have
    personal knowledge that Welsh sent the text messages, he points
    to no place in the record (and we see none) where he separately
    argued that Officer could not testify that Victim told him that the
    phone was hers. Because of this, the argument is unpreserved.
    And because Welsh does not argue that a preservation exception
    applies, we do not address this argument. See State v. Johnson, 
    2017 UT 76
    , ¶ 15, 
    416 P.3d 443
    .
    7. In his opening brief, Welsh asserts that Officer’s “testimony
    that he matched the number on the phone with a Murray City
    Database is based on double-hearsay not subject to any
    exception.” But Welsh never identifies the two steps involved in
    the alleged double hearsay, nor does he provide us with any
    argument or developed authority supporting his view that this
    was double hearsay. As a result, any argument that turns on
    double hearsay is inadequately briefed, and we accordingly
    decline to address it. See Utah R. App. P. 24(a)(8); State v.
    Drommond, 
    2020 UT 50
    , ¶ 134, 
    469 P.3d 1056
    . We reach the same
    result even if his argument is construed as a single hearsay
    argument. In the relevant passage from Welsh’s opening brief,
    Welsh capably briefed an argument about why, in his view, the
    texts were not supported by enough corroborating information to
    (continued…)
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    State v. Welsh
    ¶44 Third, the timing and content of the messages supported a
    finding that Welsh sent them. As noted, Welsh and Victim had
    previously had a romantic relationship, but their relationship had
    since ended. Then, just a few hours before these texts were sent,
    Welsh broke into Victim’s apartment and tried to tie her up. And
    later that evening, after Welsh was separated from Victim at the
    hospital, Brother saw Welsh standing outside Victim’s apartment,
    at which point Welsh “[took] off” when police came “around the
    corner.”
    ¶45 The texts sent by “Harleyy” to Victim tracked these events.
    In those messages, the sender expressed his love for Victim and
    referred to “our whole relationship.” The sender accused Victim
    of reporting him to police and claimed to know that “the cops”
    were now at her home “looking” for him. And the sender also
    called Victim a “[l]iar” because her “brother” wasn’t in Orem. The
    texts thus communicated information that was particular to both
    Victim’s relationship with Welsh and to things that had happened
    that evening involving Welsh. These corroborative circumstances
    supported a finding that Welsh had sent the texts.
    ¶46 Welsh nevertheless advances two main arguments for why
    the texts should not have been admitted. First, he argues that the
    court erred in admitting the texts because “the State did not have
    any witness with personal knowledge who could corroborate that
    have been properly authenticated. Amidst that argument, Welsh
    included a paragraph about the purported unreliability of the
    police database; and in the middle of that paragraph, Welsh made
    a single-sentence assertion that, “without more, the information
    contained within this database is inadmissible hearsay.” This
    sentence was supported by a single citation that directed us to
    rules 801 and 803 of the Utah Rules of Evidence. But Welsh
    provided no further argument or explanation about why the
    information within the database was hearsay to begin with, nor
    did he support such an argument with developed authority. We
    therefore decline to address it.
    20190833-CA                   14              
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    State v. Welsh
    the text messages were sent from Welsh’s number or that he was
    in possession of the phone associated with that number when they
    were sent.” But as noted, personal knowledge is not the only way
    to authenticate evidence. See Utah R. Evid. 901(b). Instead, the rule
    itself lists the “appearance, contents, substance, internal patterns,
    or other distinctive characteristics” of an item as a separate means
    of authentication. 
    Id.
     R. 901(b)(4).
    ¶47 Second, Welsh points to several potential deficiencies in
    the evidence. For example, he notes that while Officer
    photographed the texts, Officer did not have personal knowledge
    that Welsh was the sender. Welsh suggests that although the
    sender was “concerned about being reported to the police,” there
    could have been other people associated with Victim who were
    worried about being reported to police. Welsh points out that the
    sender referred to Victim as “my wife,” even though there was no
    evidence presented at trial that Victim and Welsh were ever
    married. He also points out that there was no evidence “in the
    record indicating that Brother had any connection to Orem or that
    [Victim] had told Welsh her brother was in Orem.” And finally,
    Welsh contends that “it is impossible to know whether [the texts]
    were altered in any way or whether any messages were deleted”
    before Officer saw them.
    ¶48 These are all fair arguments, but they ultimately go “to the
    weight of the evidence, not its admissibility.” Otkovic, 
    2014 UT App 58
    , ¶ 23. While a jury could have accepted them and
    concluded that the texts were not “in fact authentic,” Wager, 
    2016 UT App 97
    , ¶ 12 (quotation simplified), the jury also could have
    accepted the State-favorable evidence recounted above and
    concluded that Welsh did send them.
    ¶49 What ultimately matters in this appeal is the question that
    was before the district court—the authentication of the text
    messages. Again, the court was responsible for the initial “process
    of authentication,” whereby it was tasked with determining
    “whether there [was] evidence sufficient to support a jury finding
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    State v. Welsh
    of authenticity.” Jacques, 
    924 P.2d at 901
     (quotation simplified). On
    that, we agree with the court that the State presented “evidence
    sufficient to support a finding that” the text messages were sent
    by Welsh. See Utah R. Evid. 901(a). The court therefore did not
    abuse its discretion when it determined that the texts were
    properly authenticated.
    II. Hearsay
    ¶50 Over Trial Counsel’s objection, the district court allowed
    Doctor to repeat two of Victim’s statements: “[he] got hold of me
    again” and “he had kidnapped me.” The court agreed that the
    statements were hearsay, but it nevertheless admitted them under
    the exception for statements made for medical diagnosis or
    treatment. See Utah R. Evid. 803(4).
    ¶51 Welsh now challenges this ruling, arguing that the
    statements did not qualify under this exception because Victim
    did not make them “with an intent to facilitate medical diagnosis
    or treatment.” But to obtain reversal, Welsh must show that he
    was prejudiced. See Utah R. Crim. P. 30(a). This requires a
    determination that, “absent the error, there was a reasonable
    likelihood of a result more favorable to the accused.” State v. Bell,
    
    770 P.2d 100
    , 106 (Utah 1988). Here, we need not decide whether
    the statements at issue qualified under the hearsay exception in
    question because we conclude that any error in admitting them
    was harmless. See, e.g., State v. Clark, 
    2016 UT App 120
    , ¶ 15, 
    376 P.3d 1089
    .
    ¶52 A prejudice analysis like this one “is counterfactual.” State
    v. Ellis, 
    2018 UT 2
    , ¶ 42, 
    417 P.3d 86
    . “To decide whether a trial
    affected by [alleged] error is reasonably likely to have turned out
    differently we have to consider a hypothetical—an alternative
    universe in which the trial went off without the [alleged] error.”
    
    Id.
     The counterfactual analysis in this case thus requires us to
    consider what Welsh’s trial would have looked like if Doctor had
    not testified that Victim told him that Welsh “got hold of me
    20190833-CA                     16              
    2022 UT App 112
    State v. Welsh
    again” and “had kidnapped me.” We conclude that, even without
    those statements, there’s no reasonable likelihood that there
    would have been a result more favorable to Welsh.
    ¶53 First, the jury would have still heard Roommate’s firsthand
    account of what she saw when Welsh broke into the apartment.
    Again, Roommate testified that Welsh broke through the front
    door with sufficient force to knock her over and that he then
    entered with a tire iron in his gloved hand. She testified that
    Welsh walked through the apartment looking for Victim, and that
    when Welsh realized that Victim was hiding in the bathroom, he
    broke that door down too. She testified that she saw Welsh drag
    Victim out of the bathroom “[b]y her ankles” while Victim was
    “[k]icking and screaming.” She testified that she saw Welsh cut
    up a cord and try to tie Victim’s ankles, and she further testified
    that she heard Welsh say that if police were called, they would
    “show up to two bloody corpses.”
    ¶54 Second, the jury would have still seen Officer’s
    photographs of the apartment. Of note, these photographs
    showed the apartment’s two broken doors, a cut-up cord, and a
    black glove, thus corroborating significant details from
    Roommate’s account.
    ¶55 Third, the jury would also have still heard Nurse’s and
    Doctor’s descriptions of Victim’s demeanor at the hospital,
    including their observations that Victim seemed “scared,”
    “frightened,” and “anxious.” The jury would have heard that after
    Victim arrived at the emergency room, Victim “declar[ed]” that
    Welsh needed to leave. Nurse would have still testified that Welsh
    initially resisted leaving and that after Victim was moved to
    another room, they found Welsh hiding behind a curtain. Nurse
    would have still testified that Victim “screamed” when she saw
    Welsh and that security had to get Welsh “out of the room.” The
    jury would have also heard how Victim was checked into a new
    room under a false name and that Victim “indicated that [Welsh]
    20190833-CA                    17              
    2022 UT App 112
    State v. Welsh
    had harmed her, grasping her by the throat and shaking her.” 8
    And the jury would have known that Doctor diagnosed Victim
    with “domestic abuse of adult” and “post traumatic stress
    disorder.”
    ¶56 Fourth, the jury would have still heard Brother’s testimony
    that when he arrived at the apartment later that night, Roommate
    was “in hysterics.” And it would have heard Brother’s testimony
    that he saw Welsh standing outside the apartment and “take off”
    when police came “around the corner.”
    ¶57 Fifth, the jury would have still seen the photographs that
    Officer took of Victim’s injuries.
    ¶58 And sixth, the jury would have still seen the text messages
    that Victim received from “Harleyy.” As explained above, the
    State presented evidence sufficient to support a finding that those
    texts were sent by Welsh. And as also explained, those texts
    communicated information that was particular to both Victim’s
    relationship with Welsh and to things that had happened that
    evening involving Welsh, and they further expressed concern
    from the sender about criminal charges. 9
    ¶59 In a hypothetical trial in which the State was not permitted
    to use the challenged statements, all this evidence would still have
    been before the jury. Given the strength of this evidence, we see
    no reasonable likelihood that there would have been a more
    8. Trial Counsel conceded that this particular statement was
    admissible under rule 803(4) of the Utah Rules of Evidence.
    9. We’ve concluded that the texts were properly authenticated, so
    we’ve included them in this prejudice analysis. Even if there were
    some error in admitting the texts, however, we would still readily
    conclude that Welsh was not prejudiced by either their admission
    or the admission of the alleged hearsay because of the strength of
    the other evidence recounted in this opinion.
    20190833-CA                    18              
    2022 UT App 112
    State v. Welsh
    favorable result for Welsh had the jury not heard the challenged
    statements.
    ¶60 Welsh nevertheless responds on several fronts. First, he
    argues that the statement “he had kidnapped me” was
    particularly problematic given the criminal connotations
    associated with the term “kidnap.” But he suffered no prejudice
    as a result of this accusation because the jury acquitted Welsh of
    the aggravated kidnapping charge. Even so, Welsh nonetheless
    argues that there is at least a “reasonable likelihood” that Victim’s
    “colloquial use of the phrase ‘kidnap’ . . . prompted the jury to
    convict Welsh on the other charges.” But given the strength of the
    other evidence, we still see no reasonable probability that the jury
    would have reached a different result on those charges without
    this statement.
    ¶61 Welsh also argues that “the statement that Welsh ‘got
    ahold of [her] again,’ is vague and ambiguous” and that “there is
    a reasonable likelihood the jury inferred that similar incidents had
    occurred in the past.” But the contention that Victim’s statement
    was “vague and ambiguous” cuts both ways—if the jury was
    indeed uncertain about what this meant, it seems just as likely that
    the jury would have assigned little weight to that statement.
    ¶62 Welsh further contends that Victim’s statements made
    Roommate’s story more believable and that there is a “reasonable
    likelihood” that the jury would not have believed Roommate’s
    account without these statements. In support, Welsh points to
    alleged problems with Roommate’s testimony. For example, he
    points out that the prosecutor referred to Roommate as “not a
    superwoman” and “not a great speaker.” But regardless of
    whether Roommate was or was not a great speaker, she was a
    firsthand witness of the attack, and because Roommate testified
    at trial, the jury was in an advantaged position to directly evaluate
    her credibility. Moreover, Victim’s statements to Doctor would
    not have been the most natural source of corroboration for
    Roommate’s testimony anyway. Rather, Officer’s photographs of
    20190833-CA                     19              
    2022 UT App 112
    State v. Welsh
    what he found at the apartment and Brother’s testimony about the
    same scene were direct corroboration for many of her claims.
    Because of this, we don’t see any probability that the perceived
    veracity of Roommate’s account hinged on the statements that
    Victim later made at the hospital.
    ¶63 In short, even without the challenged statements, the jury
    would have heard a firsthand account of Welsh breaking into the
    apartment, dragging Victim out of the bathroom by her ankles,
    and attempting to tie her up, and it would have seen photographs
    corroborating that account. The jury would have heard how
    Victim showed up at a hospital a few hours later, scared and
    nervous, and also how Victim had to be hidden from Welsh at the
    hospital after he tried following her. And it would also have seen
    texts that she received from a person that seemed to be Welsh and
    that seemed to line up with the very events in question. In light of
    all this, we see no “reasonable likelihood” that Welsh would have
    received a different result without the challenged statements. Bell,
    770 P.2d at 106. We therefore conclude that Welsh was not
    prejudiced by any error in admitting them. 10
    CONCLUSION
    ¶64 The district court did not abuse its discretion when it
    determined that the State presented sufficient evidence to support
    a finding that Welsh authored the text messages. Welsh also has
    not shown that he was prejudiced by the admission of Victim’s
    challenged statements. We accordingly affirm his convictions.
    10. Welsh also raised a cumulative error argument. Because there
    are not errors to accumulate, this doctrine is inapplicable. See State
    v. Gonzales, 
    2005 UT 72
    , ¶ 74, 
    125 P.3d 878
    .
    20190833-CA                     20               
    2022 UT App 112