State v. Sundwall

2026 UT App 32
CourtCourt of Appeals of Utah
DecidedMarch 5, 2026
DocketCase No. 20251352-CA
StatusPublished

This text of 2026 UT App 32 (State v. Sundwall) is published on Counsel Stack Legal Research, covering Court of Appeals of Utah primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State v. Sundwall, 2026 UT App 32 (Utah Ct. App. 2026).

Opinion

2026 UT App 32

THE UTAH COURT OF APPEALS

STATE OF UTAH, Appellee, v. MEGGAN RANDALL SUNDWALL, Appellant.

Opinion No. 20251352-CA Filed March 5, 2026

Fourth District Court, Provo Department The Honorable Sean M. Petersen No. 251401132

Emily Adams and Scott C. Williams, Attorneys for Appellant Derek E. Brown and Lindsay Combs, Attorneys for Appellee

JUDGE JOHN D. LUTHY authored this Opinion, in which JUDGES DAVID N. MORTENSEN and RYAN D. TENNEY concurred.

LUTHY, Judge:

¶1 Meggan Randall Sundwall is charged with aggravated murder and obstruction of justice. The district court bound Sundwall over for trial on those charges and denied her request to be released pending trial, finding that substantial evidence supported the charges and that clear and convincing evidence supported that she was a flight risk. Sundwall appeals, asserting that the court erred in determining that clear and convincing evidence supported its finding that she poses a flight risk. We disagree and affirm. State v. Sundwall

BACKGROUND 1

Sundwall and Kimberly’s Relationship

¶2 Sundwall was working as a registered nurse when she met a woman we refer to pseudonymously as Kimberly. Kimberly was born without a kidney and suffered from chronic kidney disease, endometriosis, hypertension, depression, and anxiety. Kimberly told her family members and others, including Sundwall, that she also had terminal cancer. Sundwall and Kimberly became friends, and Kimberly lived with Sundwall and Sundwall’s husband for about two years.

¶3 Over a nearly five-year span, Sundwall and Kimberly texted each other frequently, sending a combined total of 28,880 texts. In 2020, Kimberly texted Sundwall that she was going to name Sundwall as the beneficiary of her life insurance policy. Kimberly explained that Sundwall had “been such a good friend” and had “been taking care of” her and that she “was leaving over a million dollars” to Sundwall.

1. This case comes to us on an interlocutory appeal—as authorized by statute, see Utah Code § 77-20-209—of the district court’s order that Sundwall be detained while she awaits trial or other resolution of the charges against her. “On interlocutory review, we recount the facts as alleged and in a light most favorable to the ruling below,” State v. Taylor, 2015 UT 42, ¶ 2 n.2, 349 P.3d 696, relying on the information available to the district court when it issued its ruling, including here the evidence presented at the preliminary hearing and the evidence proffered at the detention hearing. Notwithstanding our recitation, however, the facts central to the charges have yet to be ultimately determined, and Sundwall “retains the presumption of innocence that attaches prior to conviction.” State v. Cordova, 2023 UT App 99, n.1, 536 P.3d 666.

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¶4 After this communication, Kimberly’s death became a frequent topic of discussion between Sundwall and Kimberly, with Kimberly “repeatedly communicat[ing] a desire to die” and Sundwall “suggest[ing] different ways for [Kimberly] to kill herself.” Fairly early on, they discussed the possibility of using insulin to cause Kimberly’s death. 2 Sundwall texted that if insulin was used, someone “should stay with [Kimberly] and continue to give [her] doses so . . . [she could] pass” and that the someone “should probably be [Sundwall].” Sundwall also repeatedly sent Kimberly texts like the following: “I’m convinced that you are not going to pass until you actually want to completely. You’ve asked for blessings, taken stuff, and say you want to, but I know you don’t. You have to let go. It is past time.”

¶5 At some point, Kimberly told her sister that “she feared for her life” “[b]ecause she wasn’t dying fast enough to make [Sundwall] happy.” So on a weekend while Sundwall and her husband were away camping, Kimberly’s sister and the sister’s husband “went and got all of [Kimberly’s] stuff” and moved Kimberly into their grandparents’ basement. Despite Kimberly’s move, Sundwall and Kimberly maintained their friendship and continued communicating.

¶6 In October 2023, Sundwall “and her husband began to have financial problems.” Sundwall texted her husband that she would have to keep working nights “unless [Kimberly] passe[d] and [left her] money”; that she was counting “on the thing with [Kimberly] being true to bail [them] out”; and that she was concerned Kimberly was “going to outlive [them] and [they were] going to be in [their] situation forever.” Sundwall also told Kimberly about her financial difficulties and said, “If you dying would get me out of this mess, I would take it.” Sometime later, Kimberly texted Sundwall, “I would love to die in the next few days because it would make it better for you.” Sundwall replied, “You are sweet.

2. Kimberly did not have diabetes.

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I’d love that too.” Sometime in 2024, Sundwall “was fired from her nursing position . . . for falsifying time cards and lying about it.”

¶7 On August 12, 2024, Sundwall visited Kimberly at her grandparents’ home, arriving at about 10:00 a.m. Sometime earlier that morning, Sundwall had texted Kimberly, “Do you want to take some Promethazine when I get there so that you are asleep when this is happening?” At 1:59 p.m., Sundwall texted her mother from Kimberly’s grandparents’ home, saying that she could not get Kimberly to wake up. Later in the afternoon, Sundwall contacted her parents again, this time asking her father to come give Kimberly “a blessing of release” “to help her pass peacefully and easier.” Sundwall’s parents arrived at 8:29 p.m.

¶8 At about 9:00 p.m., Kimberly’s uncle, who was also living in Kimberly’s grandparents’ home, went into the basement to check on Kimberly. He found Sundwall and Sundwall’s parents gathered around Kimberly’s bed. Kimberly was lying on the bed “making some funny noises” “like she was drowning,” and she “wasn’t responding.” When the uncle asked Sundwall “how long [Kimberly] had been like that,” Sundwall said, “[A] couple of hours.” Sundwall told the uncle not to call an ambulance because Kimberly had a “do not resuscitate” form (DNR) and did not want to go to the hospital. Sundwall later told a detective that she “had power of attorney over [Kimberly’s] medical decisions.”

¶9 Kimberly’s uncle called Kimberly’s sister, who urged him to call 911, which he did. Sundwall and her parents left as paramedics arrived. The paramedics found a “diabetic needle” in Kimberly’s room near the chair where Sundwall had been sitting. They took Kimberly to the hospital, where her blood sugar level was measured at 14. A level under 40 can be life-threatening, and when “someone who’s not a diabetic [has] a blood sugar [level] of 14,” “it’s probably [the result of] exogenous insulin,” meaning

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insulin administered from outside the body. Kimberly never regained consciousness and died three days later.

¶10 Following Kimberly’s death, no DNR was ever found and Sundwall never produced any document showing she had power of attorney over Kimberly’s medical decisions. Law enforcement officers learned and informed Sundwall that Kimberly had no life insurance policy and that Kimberly never had cancer. Officers asked Sundwall for consent to search her phone. Sundwall agreed but did not immediately provide her phone. After Sundwall provided her phone, officers compared the text messages on Sundwall’s phone with those on Kimberly’s phone from a three- week period and discovered that Sundwall had selectively deleted from her phone 283 text messages from that period “that talked about insulin, . . . finances, . . .

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Related

State v. Briggs
2008 UT 75 (Utah Supreme Court, 2008)
State v. Taylor
2015 UT 42 (Utah Supreme Court, 2015)
In the Interest of R.R.D.
791 P.2d 206 (Court of Appeals of Utah, 1990)
State v. Randolph
2022 UT 34 (Utah Supreme Court, 2022)
State v. Cordova
2023 UT App 99 (Court of Appeals of Utah, 2023)

Cite This Page — Counsel Stack

Bluebook (online)
2026 UT App 32, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-v-sundwall-utahctapp-2026.