Kostelecky v. Peas in a Pod ( 2022 )


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  •                                                                                                10/11/2022
    DA 21-0217
    Case Number: DA 21-0217
    IN THE SUPREME COURT OF THE STATE OF MONTANA
    
    2022 MT 195
    JULIE KOSTELECKY, an individual, on behalf
    of herself and her minor child S.M.K.; and
    JASON KOSTELECKY, an individual, on behalf
    of himself and his minor child S.M.K.,
    Plaintiffs and Appellants,
    v.
    PEAS IN A POD LLC; LACEY ALLEN; ERICA
    WILLIAMS; JANE AND JOHN DOES 1-10,
    Defendants and Appellees.
    APPEAL FROM:           District Court of the Eighteenth Judicial District,
    In and For the County of Gallatin, Cause No. DV-18-1249B
    Honorable Rienne McElyea, Presiding Judge
    COUNSEL OF RECORD:
    For Appellants:
    John L. Amsden, Michael G. Black, Anthony F. Jackson, Beck Amsden &
    Stalpes, PLLC, Bozeman, Montana
    For Appellees:
    Ross D. Tillman, Zach A. Franz, Boone Karlberg P.C., Missoula, Montana
    Submitted on Briefs: February 16, 2022
    Decided: October 11, 2022
    Filed:
    Vir-6t4m-if
    __________________________________________
    Clerk
    Justice Dirk Sandefur delivered the Opinion of the Court.
    ¶1     Jason and Julie Kostelecky (Kosteleckys) appeal the April 2021 judgment of the
    Montana Eighteenth Judicial District Court, Gallatin County, granting defendants Peas in
    a Pod, LLC, Lacey Allen (Allen), and Erica Williams (Williams) summary judgment on
    Kosteleckys’ various negligence-based tort, breach of contract, and Montana Consumer
    Protection Act (MCPA) claims. We address the following restated issues:
    1. Whether the District Court erroneously granted summary judgment to
    Defendants on the causation element of Kosteleckys’ negligence-based tort
    claims?
    2. Whether the District Court erroneously granted partial summary judgment to
    Defendants on Kosteleckys’ asserted breach of contract claim?
    3. Whether the District Court erroneously granted partial summary judgment to
    Defendants on Kosteleckys’ asserted MCPA claim?
    We affirm.
    PROCEDURAL AND FACTUAL BACKGROUND
    ¶2     In December 2015, defendants Allen and Williams began operating a child day care
    service (Peas in a Pod Daycare) in Belgrade, Montana, under a provisional Montana
    Department of Health and Human Services (MDPHHS) license.1 The license authorized
    them to provide day care for up to 12 children, including six children under the age of two
    years old. After obtaining full licensure in March 2016, Peas in a Pod soon began running
    1
    MDPHHS licenses and regulates temporary child day care operations under Title 52, chapter 2,
    part 7, MCA, and Admin. R. M. Title 37, chapter 95.
    2
    at or near full licensed capacity, with typically 10-12 children in attendance each day.2
    Though Allen and Williams were the only licensed caregivers, they had two unlicensed
    “helpers”—Williams’ adult sister and a 17-year-old high-school student (Madi Acuff) who
    was the girlfriend of Allen’s younger brother. Inter alia, the 17-year-old “helper” assisted
    in the feeding and care of infant attendees including Kosteleckys’ daughter, S.M.K.
    ¶3        Kosteleckys started their first daughter at Peas in a Pod in Spring 2016. Later that
    summer, they began pre-paying to reserve an additional space for a newborn expected later
    that year. Following her birth in September 2016, S.M.K. started part-time day care at Peas
    in a Pod while Julie Kostelecky (Mother) was still on maternity leave. Upon expiration of
    Mother’s maternity leave, S.M.K. started full-time day care at Peas in a Pod on
    December 7, 2016.
    ¶4        According to Allen and Williams, S.M.K. was often “fussy” and sometimes ate very
    little or not at all. Allen and Williams were thus in frequent contact with Kosteleckys
    regarding S.M.K. At their request Jason Kostelecky (Father) often came to the day care to
    feed S.M.K. when she would not accept a bottle from Peas in a Pod personnel.
    ¶5        On December 22, 2016, Mother received a text message from Allen at 4:44 p.m.
    advising that S.M.K. had been “really upset all day,” “refus[ed] to take a bottle” from Allen
    or her “helper,” and that Allen was “starting to wonder if she is sick because we can’t do
    anything to comfort her.” Allen later testified that the child had been “screaming all day”
    2
    Usual attendees included Allen’s own infant son, inter alia.
    3
    but that she did not contact Mother until late in the day because she “didn’t know what to
    do” to comfort S.M.K.3 Father picked up S.M.K. around 5:00 p.m. and took her to the
    Belgrade Urgent Care Clinic based on Kosteleckys’ speculation that she might be suffering
    from an ear infection. At the Urgent Care, Dr. Karen Krutchick examined S.M.K. and
    noted that she was “well-developed, well-nourished, and in no distress.” Upon further
    examination, the doctor noted, inter alia, that the child’s head was “normocephalic and
    atraumatic,” with a “flat” anterior fontanelle. The anterior fontanelle is a small opening in
    an infant’s skull where the skull bones have yet to fully fuse together. Dr. Krutchick later
    explained that her observations meant that S.M.K.’s head was “of a normal shape,” with
    no “bruises, . . . cuts, scrapes, . . . [or] indication of trauma.” She added that the child’s
    “flat” fontanelle was a reassuring sign of no medical problems, such as “swelling of the
    brain.” Kosteleckys thus returned S.M.K. to day care the next day, December 23rd. Later
    in the day on December 23rd, however, Allen text-messaged Mother and advised that
    S.M.K. was again “pretty upset” and had thrown up during attempted bottle feeding.
    Mother picked up S.M.K. that afternoon. Due to the holiday break, she did not return to
    Peas in a Pod until January 3, 2017.4
    3
    Allen also later testified, inter alia, that her 17-year-old helper was “trying to help her feed”
    S.M.K on December 22nd with Allen “sitting next to her” “the whole time.” Williams recalled
    that the helper was trying to help Allen feed the child on the 22nd, but did not recall seeing her do
    so. The helper recalled trying to feed S.M.K on the 23rd.
    4
    Peas In a Pod was closed for ten days from December 24, 2016, through January 1, 2017.
    4
    ¶6     At S.M.K.’s regularly scheduled four-month wellness check on January 16, 2017,
    her primary care physician, Dr. Heather Kjerstad, MD, noticed that the child’s head
    circumference had increased significantly since her two-month checkup and thus referred
    her to a Bozeman pediatrician (Dr. Mark Hodgson, MD) for follow-up examination and
    imaging. Inter alia, Dr. Kjerstad noted that “Mom reports fussiness,” but that S.M.K.’s
    eating had improved since December 23rd and that the parents were aware of “[n]o known
    trauma” experienced by S.M.K.
    ¶7     Upon follow-up examination the next day, Dr. Hodgson noted S.M.K.’s increased
    cranial circumference and a “full[,] somewhat bulging,” and “enlarged” anterior fontanelle.
    He noted that cranial ultrasound imaging indicated a layer of cerebral fluid between the
    child’s brain and skull that was possibly “benign,” but possibly not based on the degree of
    increase in her cranial circumference. Dr. Hodgson noted the parents were aware of “[n]o
    known head trauma,” but that further “evaluat[ion] by pediatric neurology” was “likely”
    warranted. Following an exploratory MRI scan performed by a Bozeman radiologist
    (Dr. Gary Hedlund, DO) on January 18, 2017, S.M.K. was referred to the Primary
    Children’s Hospital in Salt Lake City, Utah, for specialized pediatric neurological
    evaluation.5 In the meantime, the child’s primary care physician (Dr. Kjerstad) okayed
    5
    The Intermountain Primary Children’s Hospital is a non-profit pediatric hospital affiliated with
    the University of Utah School of Medicine. See https://intermountainhealthcare.org/primary-
    childrens/about.
    5
    S.M.K. to return to day care on January 19, 2017, which she did until January 24th before
    her parents took her to Salt Lake City for further examination.
    ¶8     At the Primary Children’s Hospital in Salt Lake City on January 26, 2017, various
    medical personnel examined and evaluated S.M.K., chiefly a pediatric neurosurgeon, Dr.
    Douglas Brockmeyer, MD, FAAP.6 Based on his personal examination of S.M.K.’s
    “increased head circumference and bulging fontanelles,” and his review of her Bozeman
    MRI and radiology report, Dr. Brockmeyer issued a “Neurosurgery Report” to Dr. Kjerstad
    diagnosing S.M.K. with “bilateral subdural hematomas of unknown etiology.” (Emphasis
    added.) The next day, January 27th, Dr. Brockmeyer surgically placed “bilateral subdural
    drains” to alleviate S.M.K.’s intercranial fluid buildup and pressure. However, “[a]fter the
    drains were removed, [her] subdural fluid collections unfortunately reaccumulated,”
    causing her to become “irritable.” Dr. Brockmeyer thus surgically placed a “right frontal
    subdural [drainage] shunt” in her skull on February 2, 2017, for ongoing drainage and later
    discharged her to her parents to return home. In his subsequent “Neurosurgery Report” to
    Dr. Kjerstad upon follow-up on July 6, 2017, Dr. Brockmeyer advised that:
    Since her discharge home she has done very well. She has been developing
    normally and currently has good control of her head and trunk movements
    per her parents’ report. She has not been irritable and has otherwise been a
    very healthy and happy baby. Her parents currently have no concerns other
    than a curiosity as to when the shunt can be removed.
    6
    Dr. Brockmeyer is a board-certified pediatric neurosurgeon, Professor of Neurosurgery, and
    Chief of the University of Utah Pediatric Neurosurgery Division. He operates a pediatric
    neurology clinic in association with the Children’s Hospital. His professional experience includes,
    inter alia, treating 20-30 cases a year over 25 years involving alleged or suspected “shaken baby”
    syndrome.
    6
    .   .   .
    I ordered and personally reviewed [a brain] MRI . . . today which
    demonstrates . . . [that] [t]he bifrontal subdural hematomas have markedly
    reduced in size [and] [t]here is . . . very minimal mass effect from the residual
    extra axial fluid collections. . . . Her fontanelle is flat. . . . At this time I am
    happy how she is progressing . . . [but] would recommend[] continuing the
    subdural [drainage] shunt for at least one year . . . [with reevaluation on
    additional MRI imaging thereafter]. . . . I counseled her parents there is no
    need for restriction of activity and that she should be treated as a normal
    baby . . . [unless further] symptoms intervene.
    ¶9     In August 2018, upon further MRI imaging and evaluation, Dr. Brockmeyer
    removed the subdural drainage shunt from S.M.K.’s cranium without complication. After
    returning to Montana with her parents, S.M.K. made a full recovery without any indication
    or likelihood of related physical or developmental problems in the future.7
    ¶10    In his subsequent August 2020 deposition testimony, Dr. Brockmeyer affirmed that
    the 2016 Bozeman MRI indicated that S.M.K. was experiencing “subdural hematomas” of
    “unknown etiology,” consisting of the presence of blood and older blood proteins in a large
    accumulation of cerebral-spinal fluid between her brain and the interior of her skull. He
    explained:
    Underneath [the skull bone,] that’s the dura. And then there’s another . . .
    thin layer that covers the brain called the [pia] arachnoid. . . . [T]he
    terms . . . describe the location of the [subject] fluid. . . . Subdural means
    that it’s . . . underneath the dura but pressing on the brain, directly on the
    7
    According to Dr. Brockmeyer and S.M.K.’s primary care physician, Dr. Kjerstad, S.M.K.
    continues to meet or exceed developmental milestones and will likely continue to develop
    normally and live a normal life. Dr. Kevin Joseph, a pediatric neurologist who independently
    examined S.M.K. in June 2020, concurred with the prognoses of Drs. Brockmeyer and Kjerstad
    and similarly opined that it is unlikely S.M.K. will experience future medical issues related to her
    January 2017 condition.
    7
    brain. . . . I’m trying to distinguish . . . that there’s something else in the
    [cerebral-spinal] fluid that’s created [the] subdural hematoma or subdural
    fluid collection . . . , and it’s much different than just a normal
    situation. . . . [In addition to the normal cerebral-spinal fluid], [b]lood or
    protein . . . has escaped into that fluid around the brain.[8]
    ¶11    In regard to possible causes of S.M.K.’s subdural hematomas, Dr. Brockmeyer
    further explained, inter alia:
    [There are] little bridging blood vessels that go from the surface of the brain
    to . . . the covering of the brain called the dura, and those blood vessels can
    sometimes tear and rupture and bleed into [that] fluid-filled space
    and . . . cause hematomas.
    .    .   .
    [S.M.K. is] a four-month-old baby, how does this happen? . . . [I]t could
    happen spontaneously. It could happen because she rolled over or some sort
    of benign act or just had a benign fall or whatever. Or . . . she could have
    had some sort of inflicted injury. . . . [T]hose are three broad, general
    categories.
    .    .   .
    It’s either spontaneous or traumatic. . . . So the chance that one of these
    little . . . bridging veins rupture spontaneously, . . . I guess it’s
    possible, [or maybe it was] just normal, everyday care, rolling over, sitting
    up, maybe . . . throw[ing] the baby up in the air because you are happy and
    the baby is happy[,] and all those kind of things. . . . [Y]ou have to put those
    8
    A “subdural hematoma . . . is a collection of blood that accumulates inside the skull but outside
    the brain. The bleeding occurs within the layers of tissue that surround the brain . . . [and] collects
    under the brain’s tough outer wrapper known as the dura. . . . Since the skull does not expand, any
    buildup of blood inside it can quickly put pressure on the brain.” See Steven Senne, BSN, RN,
    Subdural Hematoma (SDH): A Guide for Patients and Families, Dept. of Neurosurgery,
    University of Michigan (2015) (available at https://www.med.umich.edu/1libr/neurosurgery
    /SDH.pdf). See similarly Cedars Sinai Academic Health Care Organization, Health Library (“[a]
    subdural hematoma is a buildup of blood on the surface of the brain . . . in a space between . . . the
    dura and the arachnoid [meninges] layers [between the brain and skull
    bone]”) (available at https://www.cedars-sinai.org/health-library/diseases-and-conditions/s
    /subdural-hematoma.html).
    8
    scenarios on top of what the picture looks like inside the skull. . . . [T]here’s
    a mismatch [between the space in her skull and the size of her brain.] [There
    is a] complex interrelationship between the brain rapidly growing over the
    first two or three years of age and the spinal fluid. [S]ome kids have lots of
    extra spinal fluid during that time period and they . . . just look like they have
    big heads. [I]t’s very common and it’s just benign. [Y]ou have the skull and
    you have the smaller brain in size, you have this fluid around in there, and
    many kids do just great. Can there be a spontaneous hemorrhage of some
    blood vessel that the blood escapes into the spinal fluid? I guess it’s possible.
    That’s debated endlessly and . . . almost impossible to prove.
    The other alternative is that some trauma[,] . . . no matter how small or
    benign, caused it. [Like] a fall from a chair or changing table or being tossed
    casually on a pillow or . . . more sinister ones like being shaken, those are all
    possibilities for causing this type of problem. So we don’t know. Especially
    in this case[,] we don’t know . . . , but those are the two possible etiologies.
    .   .   .
    [As to whether the appearance of a symptom on a particular day means the
    cause occurred that day,] [n]ot necessarily[,] . . . there’s so many variables to
    account for and extenuating circumstances . . . it’s impossible to pin down.
    .   .   .
    [My medical note reference to an unknown etiology] [m]eans I don’t know
    what caused this. . . . We talked about [potential causes] previously. [I]t
    could happen spontaneously. Maybe she rolls over while she’s sleeping. . . .
    [S]pontaneously . . . impl[ies] that it just happened, all of a sudden [a bridging
    vein] just . . . broke on its own. All these other descriptions would imply that
    there’s some sort of force or mechanism that could tear this little bridging
    vein. So there’s really . . . very benign or innocuous causes to this, and then
    there’s more sinister ones that could cause it like an inflicted
    injury. . . . [With a non-spontaneous subdural hematoma,] [s]ome sort of
    force was applied to the head that led to rupture of a blood vessel that caused
    the [foreign] fluid [in the cerebral-spinal fluid].
    (Emphasis added.) He ultimately testified that the most likely cause of S.M.K.’s subdural
    hematomas was “some” unspecified type of “force or trauma,” rather than a spontaneous
    rupture of a cranial blood vessel. He testified further, however, that he could not more
    9
    precisely determine the cause, source, or type of trauma involved, or whether it occurred
    accidentally or not. When questioned about a reference in S.M.K.’s medical history to
    possible child abuse, Dr. Brockmeyer testified that the “non-accidental trauma” reference
    was “unfortunate” because non-accidental trauma was only preliminarily “assumed” on
    intake under the initial circumstances, but “who knows?”9            He clarified that, on a
    non-speculative basis, he could only say that the likely cause of S.M.K.’s subdural
    hematomas was “[t]rauma to some extent[,] . . . we don’t know if [it was] accidental or
    not.”   Returning to the possibility of child abuse, Dr. Brockmeyer pointed out that
    physically abused infants typically exhibit some form or degree of retinal bleeding or
    damage, bone fractures, or other skeletal injuries. He further noted, however, that retinal
    and skeletal x-ray imaging and analysis conducted at Primary Children’s Hospital in
    January 2017 manifested no indication of any such injury to S.M.K. Based on all of the
    available medical evidence, and the lack of any non-speculative basis in her history upon
    which to attribute such trauma to any particular means or mechanism, Dr. Brockmeyer
    testified that there was no non-speculative basis upon which to conclude that any particular
    mechanism or means, whether accidental or non-accidental, was a cause of S.M.K.’s
    9
    The source of the “unfortunate” “non-accidental trauma” reference in S.M.K.’s medical history,
    as discussed at deposition by Dr. Brockmeyer, is unclear on the M. R. Civ. P. 56 factual record,
    and the parties’ briefing here and below, whether from Dr. Hedlund’s non-record Bozeman
    radiology/MRI report, another preliminary radiology report referenced in Dr. Brockmeyer’s
    August 2020 deposition testimony, or a non-record note of another involved Children’s Hospital
    physician.
    10
    subdural hematomas. At most, he could say only that “something happened between
    December [2016] and January” 2017.10
    ¶12    Upon awareness of S.M.K.’s diagnosed subdural hematomas and the fact that
    subdural hematomas are often associated with non-accidental child abuse, the Gallatin
    County Sheriff’s Office (GCSO) and MDPHHS Child and Family Services Division
    (MDPHHS-CFS) conducted coordinated criminal and child abuse investigations of both
    Kosteleckys and Peas in a Pod personnel.11 MDPHHS-CFS ultimately closed its child
    abuse/neglect complaint investigation as “unsubstantiated.” Upon exhausting all apparent
    avenues of investigation, the GCSO similarly took no further action. The lead GCSO
    detective later testified that his investigation found insufficient cause for criminal
    prosecution based on the lack of evidence indicating where or how S.M.K.’s apparent head
    trauma occurred and who, if anyone, perpetrated or caused it to occur.
    ¶13    Nonetheless, in November 2018, Kosteleckys filed a district court complaint against
    Peas in a Pod, LLC, Allen, and Williams for compensatory and punitive damages based on
    various asserted negligence-based tort, breach of contract, and MCPA claims.12 Common
    10
    Dr. Brockmeyer thus clarified that he “want[ed] to avoid [use of] the term ‘injury’” regarding
    S.M.K.’s condition “because we don’t know if it’s an injury,” and that his focus was only on “her
    disease process . . . and how much blood and protein” was present.
    11
    MDPHHS-CFS is charged with the duty and authority to investigate child abuse and neglect
    under Title 41, chapter 3, MCA.
    12
    The asserted negligence-based claims included negligence, negligence per se, negligent
    entrustment of S.M.K. to an untrained and unsupervised 17-year-old Peas in a Pod “helper,” and
    negligent training and supervision of the “helper” regarding her care of S.M.K. The asserted
    contract claim essentially alleged that Allen and Williams breached their contractual duties to
    Kosteleckys to safely care for S.M.K. and to provide a safe environment for her in compliance
    11
    to all asserted claims, the complaint alleged, inter alia, that the defendants caused or
    allowed S.M.K. to suffer a serious head injury and other injuries on or about December 22,
    2016. However, the complaint did not allege any specific act or omission of any of the
    defendants or third party as the asserted cause of the claimed injuries to S.M.K.
    ¶14    During the discovery phase of the litigation, the parties deposed numerous
    witnesses, none of whom attributed any specific cause as the cause of S.M.K.’s subdural
    hematomas other than, as diagnosed by Dr. Brockmeyer, some form of head trauma of
    unknown origin or type. After nearly two years of discovery, the defendants filed a motion
    for summary judgment in October 2020, and a related motion for partial summary
    judgment in November 2020. In pertinent part, defendants asserted that Kosteleckys had
    no non-speculative evidence that the subdural hematomas experienced by S.M.K. in
    December 2016 and January 2017 were the result of any particular act or omission by any
    of the defendants or other Peas in a Pod personnel. They further asserted that Kosteleckys
    similarly had no non-speculative evidence upon which to reasonably conclude that the head
    trauma that caused the diagnosed subdural hematomas even occurred while S.M.K. was at
    the Peas in a Pod Daycare. Defendants thus asserted that Kosteleckys could not satisfy
    their burden of proof under the causation element of any of their asserted claims.
    Kosteleckys opposed the pertinent summary judgment motion on the asserted ground that
    with governing MDPHHS day care regulations. The asserted MCPA claim essentially alleged
    that, in violation of the MCPA, defendants engaged in unfair, unlawful, or deceptive acts or
    omissions in the provision of day care to S.M.K. in disregard of governing statutory and MDPHHS
    day care licensure and related requirements.
    12
    genuine issues of material fact remained as to where and when the causative head trauma
    occurred and who or what caused that trauma. Inter alia, they essentially asserted that Dr.
    Brockmeyer’s undisputed deposition testimony, that S.M.K.’s bilateral subdural
    hematomas (brain swelling) were likely caused by some form of trauma, and the temporal
    coincidence between her resulting symptoms and presence at Peas in a Pod were at least
    minimally sufficient to raise a genuine issue of material fact precluding summary judgment
    under M. R. Civ. P. 56. In addition to the above-referenced facts, the Rule 56 summary
    judgment record also included, inter alia, the testimony of:
    (1)    S.M.K.’s primary care physician (Dr. Kjerstad) that she could not state with
    any degree of certainty who, if anyone, injured S.M.K. or how, where or
    when the alleged injury occurred (other than “prior to four months of age”);
    (2)    the investigating GCSO detective that he had no idea what happened to
    S.M.K. because he was unable to determine the cause of her injury, who may
    have caused it to occur, or even where it occurred, whether at the day care or
    some other place;13
    (3)    Allen and Williams that neither of them ever shook, hit, or otherwise caused
    injury to S.M.K., saw or heard anyone else shake, hit, or cause injury to her,
    or had any knowledge as to how her subject condition may have occurred or
    who may have caused it;
    (4)    the 17-year-old Peas in a Pod “helper” (Madi Acuff) that, when on-staff at
    the day care on December 22 and 23, 2016, she did not ever see S.M.K. fall
    or get dropped, and that she did not know what caused S.M.K.’s condition or
    injury;
    13
    The detective reached those conclusions despite noting Allen’s demonstrative post-incident
    interview statement that “we’re human[,] we get frustrated,” and “if we do get to that point
    sometimes,” we just have to “put” the infants in “their little bed” and “walk away for a few
    minutes.” The detective noted that, while making that statement, Allen made a generalized arm
    gesture of pushing something away from her body.
    13
    (5)     Mother (Julie Kostelecky) that she had “no idea” what happened to S.M.K.,
    whether or not she was accidentally hurt or injured, or “who harmed” her;
    and
    (6)     Father (Jason Kostelecky) that he had no evidence to support the complaint
    allegation that S.M.K. suffered a serious head injury at Peas in a Pod Daycare
    on or about December 22, 2016.
    ¶15    Following the noticed summary judgment hearing on February 11, 2021, the District
    Court granted Kosteleckys’ motion for leave to supplement the Rule 56 factual record to
    address and clarify factual assertions made at the motions hearing.                Kosteleckys’
    subsequent supplemental filing consisted of an additional excerpt from Dr. Brockmeyer’s
    deposition testimony, an unauthenticated printout from the MDPHHS-CFS child
    abuse/neglect case information management database system regarding its 2017 child
    abuse/neglect investigation,14 and a unauthenticated printout from the University of Utah
    Pediatrics Department listing the professional curriculum vitae of Dr. Kristine Campbell.15
    On its face, the purported MDPHHS-CFS database printout sets forth various case file
    information logs, notes, and investigatory summaries and impressions entered into the
    source database system by MDPHHS-CFS personnel.                  Included among the various
    14
    Filed with the unauthenticated MDPHHS-CFS database case file record printout was a similarly
    unauthenticated copy of a MDPHHS-CFS information request form, apparently signed by Mother
    on May 1, 2017, bearing the ink-stamped notation “Received May 05 2017,” and seeking release
    of a complete copy of the 2017 MDPHHS-CFS investigation file regarding S.M.K. to Kosteleckys’
    counsel.
    15
    Dr. Kristine Campbell, MD, MSC, is a general pediatrician, child abuse pediatrics consultant,
    and Assistant Professor in the Pediatrics Department of the University of Utah School of Medicine
    Child Protection and Family Health Division. While not entirely clear from the record,
    Dr. Campbell apparently was involved in the initial evaluation of S.M.K. at the Primary Children’s
    Hospital as part of the child protection team referenced in Dr. Brockmeyer’s deposition testimony.
    14
    investigative summary information referenced in the MDPHHS-CFS case file database
    printout are notes of telephone conversations with Dr. Campbell on January 29 and 31,
    2017, incident to S.M.K.’s Children’s Hospital evaluation and treatment. Inter alia, the
    MDPHHS-CFS database summaries assert that Dr. Campbell stated that S.M.K.’s “brain
    bleeding is consistent with head trauma or ‘shaken baby syndrome’” and that her “injuries
    are consistent with shaking.” While Kosteleckys previously noticed Dr. Campbell as a
    “non-retained” evaluating medical expert witness, the Rule 56 record does not include any
    first-hand medical note, report, record, or deposition or affidavit testimony issued or given
    by Dr. Campbell stating or otherwise indicating a more definite opinion as to the cause of
    S.M.K.’s subdural hematomas.16
    ¶16    On April 7, 2021, the District Court granted summary judgment to the defendants
    on Kosteleckys’ asserted tort, contract, and MCPA claims on the stated grounds that:
    (1) Kosteleckys made no retained expert medical showing establishing the medical
    causation of S.M.K.’s diagnosed subdural hematomas; (2) beyond some form of unknown
    16
    Kosteleckys’ briefs in opposition to the defendants’ motions for summary judgment below are
    similarly devoid of any reference to Dr. Campbell, or any factual assertion attributed to her. The
    only reference to Dr. Campbell in Kosteleckys’ briefing on appeal is in the referenced M. R. Civ.
    P. 26(b)(4) report of their retained child care licensing and standards expert (Pauline D. Koch). As
    a basis for her anticipated child care licensing and standards compliance testimony, Ms. Koch’s
    report references a purported quote from an unidentified medical note to the effect that “[i]n the
    absence of other explanations, trauma is by far the most likely cause of subdural hemorrhage in an
    infant. . . . [S.M.K. has] no trauma history [which] lead[s] to significant concern for abusive head
    trauma.” (Emphasis added.) The referenced portion of the Koch report further noted, as a basis
    for her disclosed child care licensing and standards opinions, that Dr. Campbell “stated that the
    timing of [S.M.K.’s] injury corresponded to [her] history of increased irritability and vomiting
    described in mid-December” 2016.
    15
    accidental or non-accidental trauma, the record expert opinion testimony, and related
    medical records in the Rule 56 record, of the medical professionals who examined and
    treated S.M.K. were insufficient to show the existence of a genuine issue of material fact
    as to the type, mechanism, source, or perpetrator, if any, of any trauma that likely caused
    S.M.K.’s subdural hematomas; and (3) Kosteleckys presented no direct or circumstantial
    evidence sufficient to support a non-speculative conclusion that any particular act or
    omission of any of the defendants or other Peas in a Pod personnel shook, dropped, or
    otherwise caused S.M.K. to suffer head trauma, or even that “S.M.K. suffered any . . .
    trauma (accidental or non-accidental) while in Defendants’ care.” Kosteleckys timely
    appeal.
    STANDARD OF REVIEW
    ¶17    Summary judgment rulings are subject to de novo review for conformance with
    applicable M. R. Civ. P. 56 standards and requirements. Dick Anderson Constr., Inc. v.
    Monroe Prop. Co., 
    2011 MT 138
    , ¶ 16, 
    361 Mont. 30
    , 
    255 P.3d 1257
    . Summary judgment
    is proper only when there is no genuine issue of material fact and the moving party is
    entitled to judgment as a matter of law. M. R. Civ. P. 56(c)(3). A genuine issue of material
    fact exists only if the Rule 56 factual record manifests a non-speculative record fact that is
    materially inconsistent with proof of an essential element of an asserted claim or defense
    at issue. Mt. W. Bank, N.A. v. Mine & Mill Hydraulics, Inc., 
    2003 MT 35
    , ¶ 28, 
    314 Mont. 248
    , 
    64 P.3d 1048
    . The party seeking summary judgment has the initial burden of showing
    a complete absence of any genuine issue of material fact on the Rule 56 record and that the
    16
    movant is accordingly entitled to judgment as a matter of law. Weber v. Interbel Tel. Coop.,
    
    2003 MT 320
    , ¶ 5, 
    318 Mont. 295
    , 
    80 P.3d 88
    ; Thelen v. City of Billings, 
    238 Mont. 82
    ,
    85, 
    776 P.2d 520
    , 522 (1989). The burden then shifts to the opposing party to either show
    the existence of a genuine issue of material fact or that the moving party is nonetheless not
    entitled to judgment as a matter of law. Osterman v. Sears, Roebuck & Co., 
    2003 MT 327
    ,
    ¶ 17, 
    318 Mont. 342
    , 
    80 P.3d 435
     (citing Bruner v. Yellowstone Cty., 
    272 Mont. 261
    , 264,
    
    900 P.2d 901
    , 903 (1995)).
    ¶18    To meet the responsive Rule 56 burden of demonstrating that genuine issues of
    material fact preclude summary judgment, the non-moving party must in proper form, and
    by more than mere denial, speculation, or pleading allegation, “set out specific facts”
    showing the existence of a genuine issue of material fact. M. R. Civ. P. 56(e)(2). See also
    Grimsrud v. Hagel, 
    2005 MT 194
    , ¶ 14, 
    328 Mont. 142
    , 
    119 P.3d 47
    ; Osterman, ¶ 34; Old
    Elk v. Healthy Mothers, Healthy Babies, Inc., 
    2003 MT 167
    , ¶¶ 15-16, 
    316 Mont. 320
    , 
    73 P.3d 795
    ; Klock v. Town of Cascade, 
    284 Mont. 167
    , 174, 
    943 P.2d 1262
    , 1266 (1997);
    Mysse v. Martens, 
    279 Mont. 253
    , 262, 
    926 P.2d 765
    , 770 (1996); Eitel v. Ryan, 
    231 Mont. 174
    , 178, 
    751 P.2d 682
    , 684 (1988). The court must view the Rule 56 factual record in the
    light most favorable to the non-moving party and draw all reasonable inferences in favor
    thereof. Weber, ¶ 5; Gamble Robinson Co. v. Carousel Properties, 
    212 Mont. 305
    , 311-12,
    
    688 P.2d 283
    , 286-87 (1984). The court has no duty, however, to anticipate or speculate
    as to the existence of contrary material facts. Gamble, 
    212 Mont. at 312
    , 
    688 P.2d at 287
    (internal citations omitted). Whether a genuine issue of material fact exists or whether a
    17
    party is entitled to judgment as a matter of law are conclusions of law reviewed de novo
    for correctness. Ereth v. Cascade Cty., 
    2003 MT 328
    , ¶ 11, 
    318 Mont. 355
    , 
    81 P.3d 463
    .
    See also Speer v. Mont. Dep’t of Corrections, 
    2020 MT 45
    , ¶ 17, 
    399 Mont. 67
    , 
    458 P.3d 1016
     (applications and conclusions of law are subject to de novo review for correctness).17
    DISCUSSION
    ¶19    1. Whether the District Court erroneously granted summary judgment to
    Defendants on the causation element of Kosteleckys’ negligence-based tort
    claims?
    ¶20    The essential elements of a negligence claim are: (1) the existence of an applicable
    legal duty owed to the claimant; (2) breach of that duty; (3) causation of harm; and
    (4) resulting pecuniary damages. Peterson v. Eichhorn, 
    2008 MT 250
    , ¶ 23, 
    344 Mont. 540
    , 
    189 P.3d 615
    ; Krieg v. Massey, 
    239 Mont. 469
    , 472, 
    781 P.2d 277
    , 278-79 (1989);
    Mang v. Eliasson, 
    153 Mont. 431
    , 435, 
    458 P.2d 777
    , 779-80 (1969). The claimant has the
    burden of presenting sufficient evidence to prove each of the breach, causation, and
    damages elements of a negligence claim by a preponderance of the evidence.
    Faulconbridge v. State, 
    2006 MT 198
    , ¶ 77, 
    333 Mont. 186
    , 
    142 P.3d 777
    ; Oliver v.
    Stimson Lumber Co., 
    1999 MT 328
    , ¶ 41, 
    297 Mont. 336
    , 
    993 P.2d 11
    ; Varn v. Butte Elec.
    17
    As a narrow exception to the general standard of de novo review, when a summary judgment
    ruling is based on exclusion of opponent-proffered expert testimony, we review the exclusionary
    ruling for an abuse of discretion under the applicable procedural and evidentiary rules, with the
    balance of the summary judgment ruling subject to de novo review for correctness. McClue v.
    Safeco Ins. Co. of Ill., 
    2015 MT 222
    , ¶¶ 12-14, 
    380 Mont. 204
    , 
    354 P.3d 604
     (rejecting asserted
    de novo standard of review—internal citations omitted).
    18
    Ry. Co., 
    77 Mont. 124
    , 129, 
    249 P. 1070
    , 1071 (1926). See similarly §§ 26-1-401, -402,
    and -403(1), MCA (civil burdens of proof and persuasion).
    ¶21    The preponderance of the evidence standard merely requires proof sufficient to
    support a conclusion that the asserted existence, non-existence, occurrence, or non-
    occurrence of the subject fact or factual occurrence was, is, or will be more probable than
    not, i.e., more likely than not. Mont. State Univ.-N. v. Bachmeier, 
    2021 MT 26
    , ¶ 61, 
    403 Mont. 136
    , 
    480 P.3d 233
    ; Hohenlohe v. Mont. Dep’t of Nat. Res. & Conservation, 
    2010 MT 203
    , ¶ 33, 
    357 Mont. 438
    , 
    240 P.3d 628
    . Accord Merkel v. Internal Rev. Comm’r, 
    192 F.3d 844
    , 852 (9th Cir. 1999); Tannehill v. Finch, 
    232 Cal. Rptr. 749
    , 751 (Cal. Ct. App.
    1986); Page v. Clark, 
    592 P.2d 792
    , 800 (Colo. 1979) (quoting McCormick, The Law of
    Evidence § 339 (2d ed. 1972)). While proof of the breach, causation, and damages
    elements involve questions of fact generally not amenable to summary judgment as a
    matter of law, “summary judgment in favor of the defendant is [nonetheless] proper” if the
    claimant fails to satisfy its initial burden of making an affirmative showing of proof, based
    on admissible evidence, on any one of the breach, causation, and damages elements of a
    negligence claim. Eichhorn, ¶ 24 (internal citations omitted); Cusenbary v. Mortensen,
    
    1999 MT 221
    , ¶ 21, 
    296 Mont. 25
    , 
    987 P.2d 351
    ; White v. Murdock, 
    265 Mont. 386
    ,
    389-90, 
    877 P.2d 474
    , 476 (1994). See also M. R. Civ. P. 56(c)(3) and (e)(1); Alfson v.
    Allstate Prop. & Cas. Ins. Co., 
    2013 MT 326
    , ¶¶ 11 and 14, 
    372 Mont. 363
    , 
    313 P.3d 107
    ;
    Northern Cheyenne Tribe v. Roman Cath. Church ex rel. Dioceses of Great Falls &
    Billings, 
    2013 MT 24
    , ¶¶ 21 and 40, 
    368 Mont. 330
    , 
    296 P.3d 450
    ; Lorang v. Fortis Ins.
    19
    Co., 
    2008 MT 252
    , ¶ 80, 
    345 Mont. 12
    , 
    192 P.3d 186
    ; Hiebert v. Cascade Cty., 
    2002 MT 233
    , ¶¶ 27-34, 
    311 Mont. 471
    , 
    56 P.3d 848
    ; Weber, ¶ 5; Thelen, 
    238 Mont. at 85
    , 
    776 P.2d at 522
    .
    ¶22       As pertinent here, the causation element of a negligence claim requires affirmative
    proof that the alleged negligent conduct (i.e., alleged breach of a legal duty) was a cause-
    in-fact (i.e., factual cause) of the alleged harm and resulting damages. Busta v. Columbus
    Hosp. Corp., 
    276 Mont. 342
    , 371, 
    916 P.2d 122
    , 139 (1996); Kitchen Krafters, Inc. v.
    Eastside Bank of Mont., 
    242 Mont. 155
    , 166-67, 
    789 P.2d 567
    , 574 (1990) (citing Young
    v. Flathead Cty., 
    232 Mont. 274
    , 
    757 P.2d 772
     (1988)), partially overruled on other
    grounds by Busta, 
    276 Mont. at 370
    , 
    916 P.2d at 139
    .18                Except under alternative
    cause-in-fact standards not pertinent here,19 alleged negligent conduct was a cause-in-fact
    if the alleged harm and resulting damages “would not have occurred but for that conduct.”
    Busta, 
    276 Mont. at 371
    , 
    916 P.2d at 139
     (internal citation and punctuation omitted).
    Accord Fisher v. Swift Transp. Co., 
    2008 MT 105
    , ¶ 36, 
    342 Mont. 335
    , 
    181 P.3d 601
    (quoting Busta). In other words, the alleged negligent conduct was a cause-in-fact if it is
    more probable or likely than not that the alleged harm and resulting damages would not
    have occurred without or but for the alleged negligent conduct. See Busta, 
    276 Mont. at
    18
    See also § 27-1-317, MCA (tort causation standard as clarified in Busta, 
    276 Mont. at 370-71
    ,
    
    916 P.2d at 139-40
    ).
    19
    Busta, 
    276 Mont. at 371
    , 
    916 P.2d at 139
     (in re alternative “substantial factor” and “natural and
    continuous sequence” causation-in-fact tests).
    20
    370, 
    916 P.2d at 139
    ; §§ 26-1-401 through -403(1), MCA; Bachmeier, ¶ 61; Hohenlohe,
    ¶ 33.
    ¶23     Except in rare cases where the cause of the alleged injury is plain and obvious to lay
    persons without need for specialized knowledge or expertise, McCormack v. Andres, 
    2008 MT 182
    , ¶ 45, 
    343 Mont. 424
    , 
    185 P.3d 973
    , proof of the occurrence, nature, cause, and/or
    prognosis of an alleged bodily or mental injury, disease process, or other medical condition
    generally requires qualified medical expert testimony. See, e.g., Hinkle v. Shepard Sch.
    Dist., 
    2004 MT 175
    , ¶¶ 35-38, 
    322 Mont. 80
    , 
    93 P.3d 1239
     (qualified expert testimony
    required for proof of factual issues beyond the common knowledge and experience of lay
    persons including causation of alleged bodily and mental injury); Henricksen v. State, 
    2004 MT 20
    , ¶ 70, 
    319 Mont. 307
    , 
    84 P.3d 38
     (expert testimony required to establish causal
    connection between subject injury and preexisting injury or independent cause);
    Christofferson v. City of Great Falls, 
    2003 MT 189
    , ¶¶ 35-49, 
    316 Mont. 469
    , 
    74 P.3d 1021
    (expert medical testimony required to assess viability of treatment options and prognosis);
    Busta, 
    276 Mont. at 354-57
    , 
    916 P.2d at 129-31
     (lay opinion not competent evidence of
    medical diagnosis and causation); Cain v. Stevenson, 
    218 Mont. 101
    , 105-06, 
    706 P.2d 128
    , 131 (1985) (expert medical testimony generally required for injury causation
    diagnosis and prognosis except where obvious without need for specialized expertise).
    Accord McClue v. Safeco Ins. Co. of Ill., 
    2015 MT 222
    , ¶ 29, 
    380 Mont. 204
    , 
    354 P.3d 604
    (citing Hinkle). See also M. R. Evid. 701 and 702 (limiting non-expert testimony and
    authorizing qualified expert testimony). In that regard, otherwise qualified expert medical
    21
    testimony regarding the occurrence, nature, cause, and/or prognosis of an alleged bodily or
    mental injury, disease process, or other medical condition is competent and admissible
    evidence only if given on a more probable than not basis, i.e., a more likely than not basis,
    or other similar or greater level of certainty of opinion. McClue, ¶ 29; Hinkle, ¶ 36; State
    v. Vernes, 
    2006 MT 32
    , ¶¶ 15-19, 
    331 Mont. 129
    , 
    130 P.3d 169
    ; Dallas v. Burlington N.
    Inc., 
    212 Mont. 514
    , 522-23, 
    689 P.2d 273
    , 277 (1984) (equating more probable than not,
    or more likely than not, standard of admissibility of expert medical opinion as qualitatively
    similar and synonymous with qualified medical opinions stated to a reasonable degree of
    medical certainty); Allers v. Willis, 
    197 Mont. 499
    , 505, 
    643 P.2d 592
    , 595-96 (1982)
    (“[p]laintiff must prove by legally sufficient evidence that all the injuries for which he
    claims damages are properly attributable, in a medical sense, to the accident” and “must do
    so with reasonable certainty or by a preponderance of the evidence”).20 Consequently,
    expert medical opinion that a specified occurrence, conduct, or mechanism of injury,
    disease, or other medical condition could, may, or might have possibly caused or
    contributed to, or is the suspected or assumed cause or contributing cause of, the injury,
    disease, or medical condition at issue is neither competent nor relevant proof of causation
    of that matter. Vernes, ¶¶ 15-19 (affirming exclusion of expert medical testimony in
    support of involuntary intoxication defense that “a definite possibility existed” that
    20
    Accord Ford v. Sentry Cas. Co., 
    2012 MT 156
    , ¶¶ 41-43, 
    365 Mont. 405
    , 
    282 P.3d 687
     (equating
    more probable than not, or more likely than not, standard of admissibility of expert medical opinion
    with reasonable medical certainty standard—citing Dallas).
    22
    defendant’s use of prescription Xanax caused her to suffer a particular side effect reaction
    to the drug); Hinkle, ¶¶ 21 and 35-38 (affirming grant of summary judgment to tort claim
    defendant where claimant failed to present expert medical testimony establishing causal
    relationship between alleged tortious conduct and claimed resulting diabetes
    onset/aggravation and post-traumatic stress disorder); Butler v. Domin, 
    2000 MT 312
    ,
    ¶¶ 13-15, 
    302 Mont. 452
    , 
    15 P.3d 1189
     (affirming district court exclusion of expert medical
    causation testimony that an epidural injection performed by a defendant physician “could
    have caused” the claimant’s alleged injury); Nelson v. Mont. Power Co., 
    256 Mont. 409
    ,
    412, 
    847 P.2d 284
    , 286 (1993) (“a suspicion” regarding what “possibly” caused an injury,
    “regardless of how particularized it may be, is not sufficient to sustain an action or to defeat
    a motion for summary judgment”).
    ¶24    Here, common to all of Kosteleckys’ negligence-based claims is the essential
    requirement for proof that the defendants’ alleged negligent conduct was more probably or
    likely than not a cause-in-fact (factual cause) of the diagnosed subdural hematomas that
    S.M.K. experienced in December 2016 and January 2017. In furtherance of their initial
    affirmative burden of proof under M. R. Civ. P. 56, Kosteleckys have shown, based on
    Dr. Brockmeyer’s uncontradicted medical records and corresponding opinion testimony,
    that the most likely cause of S.M.K.’s subdural hematomas was some form or type of
    physical trauma, of unknown source or occurrence, that could possibly have occurred in
    any number of ways including merely rolling over in her crib, other normal infant activity
    without other human involvement, some of form of human handling or mishandling of her,
    23
    or some other source or mechanism of human-involved trauma. However, based on all of
    the available medical evidence, and the lack of any non-speculative basis upon which to
    attribute such trauma to any particular means or mechanism, Dr. Brockmeyer testified that
    there was no non-speculative basis upon which to conclude that any particular mechanism
    or means, whether accidental or non-accidental, was a cause of S.M.K.’s subdural
    hematomas. At most, he could say only that “something happened between December
    [2016] and January” 2017.
    ¶25    For purposes of M. R. Evid. 702 (expert opinion admissibility standards), the
    identification of what type, means, or mechanism—whether trauma in general or some
    more particular source of trauma—could possibly have caused and, on a more probable or
    likely than not basis, did in fact cause S.M.K.’s diagnosed subdural hematomas is
    predominantly, if not exclusively, a matter requiring specialized medical expertise beyond
    the common knowledge and experience of lay persons. Both parties concur, and the record
    reflects, that Dr. Brockmeyer is eminently qualified to render an expert medical opinion
    regarding those matters in this case, and that his ultimate opinion testimony, that there is
    no non-speculative basis upon which to identify any particular type, means, or mechanism
    of force as the source of the force or trauma that caused S.M.K.’s subdural hematomas, is
    highly credible and uncontradicted on the Rule 56 factual record in this case.
    ¶26    However, by analogy to our pertinent analysis and holding in Beehler v. E.
    Radiological Assocs., P.C., 
    2012 MT 260
    , ¶¶ 34-40, 
    367 Mont. 21
    , 
    289 P.3d 131
    ,
    Kosteleckys assert that Dr. Brockmeyer’s uncontradicted attribution of some form of force
    24
    or trauma as the likely cause of the subdural hematomas experienced by S.M.K. is
    sufficient to establish a genuine issue of material fact as to whether the defendants’ alleged
    negligent conduct was the cause of those medical conditions when coupled with the noticed
    opinion testimony of their retained child care licensing and standards expert (Pauline D.
    Koch) and record evidence which they assert undermines the credibility of the defendants’
    testimonial denials “that anything happened to S.M.K. at [the Peas in a Pod] day-care.”
    ¶27    Beehler involved a medical-malpractice-based wrongful death claim alleging, inter
    alia, that the defendant radiologist negligently performed a diagnostic spinal fluid injection
    procedure on the subject patient without wearing a protective surgical mask, thereby
    exposing the patient’s spinal fluid to contamination from a particular strain of infectious,
    meningitis-causing bacteria (GBS) present in moisture droplets emanating from the
    radiologist’s breath. Beehler, ¶¶ 1-4. It was undisputed on the Rule 56 record that the
    radiologist “was the only person within the zone of oral droplet transmission surrounding
    [the patient] during the critical portions” of the procedure, that infectious GBS bacteria was
    transmitted into the patient’s cerebral-spinal fluid “when the [injection] needle entered her
    spinal column,” and that there were two possible sources of the GBS bacteria—the
    patient’s own skin and the radiologist’s mouth. Beehler, ¶¶ 3, 38, and 40. In opposition to
    defendant’s motion for summary judgment on the causation element of the claim, the
    claimants proffered the opinion testimony of their retained medical expert who testified
    that GBS present in and transmitted via moisture droplets emanating from the radiologist’s
    breath was the “most likely” cause of the GBS contamination of the patient’s spinal fluid,
    25
    and thus the radiologist’s failure to wear a protective surgical mask was the “most likely”
    cause of the patient’s resulting spinal-meningitis-caused death. Beehler, ¶¶ 6 and 34.
    ¶28    The district court granted summary judgment to the defendant, however, on the
    stated ground that the causation opinion of the claimants’ medical expert was based on
    conjecture, speculative, and did not satisfy the more likely than not standard for
    admissibility of expert testimony under M. R. Evid. 702 and Dallas, 
    supra.
     Beehler, ¶¶ 9,
    10, and 34. Inter alia, the district court “specifically faulted the lack of [medical] literature”
    on GBS-caused meningitis incident to the subject spinal injection procedure, “the lack of
    cases involving oral transmission of GBS,” and the record fact that there was a 90-95
    percent chance that the GBS bacteria was not present in the radiologist’s airway at the time
    of the procedure. Beehler, ¶ 34.
    [T]he court [also] seemed to take issue with [the expert’s] use of what it
    regarded as suspect terminology. In particular, the court cited [his]
    statements that GBS meningitis following [the subject procedure] is “rare
    times rare,” that science can only “speculate” as to how, exactly, a bacterium
    travels from the oral pharynx into the CSF, and his use of “suspicion” while
    discussing how the GBS bacteria entered [the patient’s cerebral-spinal fluid].
    Beehler, ¶ 36.
    ¶29    On appeal, we reversed, however, holding that the district court erroneously
    excluded the claimants’ proffered expert medical causation testimony as a summary
    judgment consideration because the expert’s “most likely” causation opinion was, in
    context of the balance of his testimony, “a statement of probability” that the radiologist’s
    uncovered mouth was the source of the GBS contamination and that her failure to wear a
    protective mask was thus the cause of the patient’s meningitis and resulting death. Beehler,
    26
    ¶¶ 38-40. We noted that the Rule 702 standard of admissibility does not require experts to
    opine with any greater “level of exactitude” than on a more probable or likely than not
    basis. Beehler, ¶ 39. See similarly Dallas, 
    212 Mont. at 521-23
    , 
    689 P.2d at 276-77
    (treating physician inability to determine which of three possible medical conditions caused
    the symptoms and resulting permanent impairment suffered by the claimant did not
    preclude admission of his accident-related permanent impairment opinion where all three
    possible etiologies produced similar symptoms and both treating physicians agreed that the
    claimant “was injured as a result of trauma suffered in the [subject] accident”).
    ¶30    Contrary to Kosteleckys’ assertion, the only circumstances here analogous to those
    in Beehler are that, as in Beehler, Dr. Brockmeyer testified that there are a number of
    potential sources of force or trauma that could possibly have caused S.M.K.’s diagnosed
    subdural hematomas. But, unlike here, the claimants’ medical expert in Beehler went on
    to conclude that only one of the multiple potential causes of the subject bacterial
    infection—the likely presence of the source bacteria in the radiologist’s mouth and her
    associated failure to wear a protective mask—was the “most likely” cause of the subject
    injury. Beehler, ¶¶ 38-40. Here, Dr. Brockmeyer could not testify on a more probable or
    likely than not basis that any one of the potential sources that could possibly have caused
    the trauma that likely caused S.M.K.’s subdural hematomas was the most likely cause.
    Beehler is further distinguishable because, unlike here, the non-medical conduct or
    circumstance which the medical expert identified as the most likely cause of the medical
    condition and resulting death at issue—the defendant’s failure to wear a protective surgical
    27
    mask—was undisputed. Here, in contrast, Kosteleckys have made no showing of any
    direct or circumstantial evidence upon which the finder of fact could reasonably conclude
    or infer on a non-speculative, more probable than not basis that a particular act or omission
    by Allen or Williams was the, or even a, source and cause-in-fact of the physical trauma
    generally diagnosed by Dr. Brockmeyer as the most likely cause of S.M.K.’s subdural
    hematomas.
    ¶31    Tacitly acknowledging that glaring evidentiary omission, Kosteleckys assert that
    the District Court erroneously failed to consider the M. R. Civ. P. 26(b)(4) disclosure of
    their retained child care licensing and standards expert, Ms. Koch, regarding “her opinions
    about whether [the defendants] breached [their pertinent legal] duties related to the injuries
    suffered by S.M.K.” Kosteleckys particularly rely on cited characterizations in Ms. Koch’s
    Rule 26(b)(4) disclosure/“report” that: (1) the “most likely” cause of S.M.K.’s subdural
    hematomas was “abusive head trauma”; (2) Allen and Williams were “seemingly unaware
    of ‘danger signs of shaken baby syndrome/abusive head trauma’”; and (3) the materials
    Ms. Koch reviewed “relate[] to the ‘serious’ head injury . . . suffered” by S.M.K. “at Peas
    in a Pod Group Day Care Home.” As a threshold matter, however, Ms. Koch is not a
    qualified medical expert who has rendered disclosed opinion testimony regarding the
    causation of S.M.K.’s diagnosed medical condition. Nor is she a fact or expert witness
    with personal knowledge of any act or omission of any Peas in a Pod personnel in the actual
    physical handling, treatment, or care of S.M.K., much less knowledge of any particular
    cause-in-fact of any physical force or trauma experienced or inflicted upon S.M.K. To the
    28
    extent that Kosteleckys rely on cited substantive information restated or derived from the
    materials that Ms. Koch’s report states that she reviewed in forming her opinions, otherwise
    inadmissible hearsay statements and materials which are admissible under M. R. Evid. 703
    to explain the bases of an expert’s opinion are not relevant and admissible as substantive
    proof of the matters asserted therein. In re C.K., 
    2017 MT 69
    , ¶¶ 21 and 29, 
    387 Mont. 127
    , 
    391 P.3d 735
     (harmonizing M. R. Evid. 703 and 801). Rule 703 does not allow the
    use of experts “as a conduit” for admission of “otherwise inadmissible information as
    substantive evidence.”    C.K., ¶ 21.    Moreover, documents or records setting forth
    testimonial assertions are not competent evidence of the matters asserted therein under
    M. R. Civ. P. 56(e) unless properly authenticated under M. R. Evid. 901-02, based on
    personal knowledge of the declarant as required by M. R. Evid. 602, and not inadmissible
    hearsay under M. R. Evid. 801-05 and 703. C.K., ¶¶ 21 and 29; Alfson, ¶¶ 11 and 14;
    Northern Cheyenne Tribe, ¶¶ 21 and 40; Lorang, ¶ 80; Hiebert, ¶¶ 27-34.               Thus,
    Kosteleckys have made no showing that any of Ms. Koch’s cited characterizations of the
    cause of S.M.K.’s subdural hematomas, or related references to the materials that she
    considered in forming her day care licensing and standard of care compliance opinions,
    have any competent and non-speculative basis in the Rule 56(c)(3) and (e) factual record.
    ¶32    Further, fairly construed in the light most favorable to Kosteleckys, the expert
    opinions disclosed in Ms. Koch’s Rule 26(b)(4) “report” exclusively pertain to whether the
    defendants may have been negligent per se and/or violated the applicable standard of care
    for infant day care based on alleged violations of pertinent statutory and regulatory day
    29
    care requirements. However, proof that a defendant was negligent or negligent per se is
    not necessarily sufficient to prove that the negligence was a cause-in-fact of the alleged
    injury or harm, i.e., that the alleged injury or harm “would not have occurred but for that
    conduct.” See Folsom v. Mont. Pub. Employees Ass’n, Inc., 
    2017 MT 204
    , ¶¶ 32-33, 
    388 Mont. 307
    , 
    400 P.3d 706
    ; Busta, 
    276 Mont. at 371
    , 
    916 P.2d at 139
     (internal citation and
    punctuation omitted). As we recognized long ago:
    [W]hen the burden of proof is on the plaintiff to show that the injury was
    negligently caused by defendant, it is not enough to show the injury, together
    with the expert opinion that it might have occurred from negligence [or]
    many other causes. Such evidence has no tendency to show that negligence
    did cause the injury.
    Schumacher v. Murray Hosp., 
    58 Mont. 447
    , 462-63, 
    193 P. 397
    , 402 (1920) (quoting
    Ewing v. Goode, 
    78 F. 442
    , 444 (C.C.S.D. Ohio 1897)).
    ¶33   Moreover, aside from merely constituting a purported quote from a “medical report”
    not included in the Rule 56 record and of unclear source, whether from the examining
    Bozeman MRI radiologist or an examining or consulting Salt Lake Children’s Hospital
    physician other than Dr. Brockmeyer, the purported medical record quote falls far short of
    supporting Ms. Koch’s broader causation characterizations, to wit:
    The medical report stated [that], “[i]n the absence of other explanations,
    trauma is by far the most likely cause of subdural hemorrhage in an infant.
    There is no trauma history [regarding S.M.K.] . . . leading to significant
    concern for abusive head trauma . . . at least 6 weeks [prior].
    Kosteleckys’ Opening Brief (quoting Koch Rule 26(b)(4) disclosure/“report”—original
    emphasis omitted with italics added). Mere attribution of some unknown form or source
    of force or trauma as the likely cause of S.M.K.’s subdural hematomas, and a related
    30
    concern because such conditions are often associated with abusive head trauma, are
    patently insufficient without more to support or give rise to a non-speculative deduction
    that abusive head trauma was the likely cause of those conditions.
    ¶34   Similarly lacking is Kosteleckys’ attempt to draw a causal connection between
    S.M.K.’s diagnosed subdural hematomas and Ms. Koch’s day care licensing, standard of
    care, and compliance opinions regarding the defendants’ alleged negligence, to wit:
    Based upon [her] review [of the referenced materials], Koch criticizes Allen
    and Williams:
    Their health and safety training did not prepare them to
    recognize the symptoms expressed by SMK in late December
    2016 and January 2017 which resulted in a diagnosis of a
    subdural hemorrhage most likely caused by abusive head
    trauma.
    . . .
    Based upon her analysis, Koch opines:
    It is clear that [Allen and] Williams created an environment in
    which [S.M.K.] was able to sustain an unexplained, life
    threatening brain injury while in their care at Peas in a Pod
    Group Day Care Home. Based on the facts and history of this
    group day care home, it is more likely than not that Allen and
    Williams were unaware of what was going on in their childcare
    facility. In my opinion, the failure of Allen and Williams to
    maintain and retain sufficient records for PIAP operations
    makes review of their actions more difficult than it should be
    and further establishes they violated the standard of care.
    Kosteleckys’ Opening Brief (quoting Koch Rule 26(b)(4) disclosure/“report”—original
    emphasis omitted with italics added). The manifest problem, however, is that the cited
    snippets from Ms. Koch’s Rule 26(b)(4) “report,” and Kosteleckys’ related assertions on
    appeal, are clearly based on a misstatement of the more limited record medical evidence.
    31
    Dr. Brockmeyer’s uncontradicted expert opinion testimony is the sole medical causation
    opinion evidence in the Rule 56 factual record and goes no farther than concluding that the
    most likely cause of S.M.K.’s diagnosed subdural hematomas was some form, manner, or
    type of force or trauma of unknown source, cause, or mechanism. He could say only that
    “something happened between December [2016] and January” 2017.
    ¶35      Kosteleckys acknowledge that Allen and Williams categorically denied having any
    knowledge as to any form of force or trauma experienced by or inflicted upon S.M.K. while
    in their care, that their deposition testimony is presumed to be truthful,21 and that there is
    no contradictory direct evidence indicating that any Peas in a Pod personnel accidentally,
    intentionally, or otherwise subjected S.M.K., or permitted her to be subjected, to any
    manner or form of force or head trauma.22 They assert that a genuine issue of material fact
    nonetheless remains regarding the cause of S.M.K.’s subdural hematomas because “there
    are reasonable bases” in the evidentiary record, “including the testimony of Allen and
    Williams about the operation of [the Peas in a Pod Daycare] and care of S.M.K.,” that
    undermine the credibility of their testimonial denials “that anything happened to S.M.K. at
    [the Peas in a Pod] day-care.” They reason that those asserted credibility issues, combined
    with Dr. Brockmeyer’s uncontradicted testimony and the fact that her symptoms first
    appeared while in the defendants’ care, are sufficient factual bases upon which to
    21
    See § 26-1-302, MCA.
    22
    See § 26-1-102(5), MCA (defining direct evidence as “that which proves a fact without an
    inference or presumption and which in itself, if true, establishes that fact”).
    32
    reasonably infer that the diagnosed trauma that most likely caused S.M.K.’s subdural
    hematomas would not have occurred but for the defendants’ negligent day care operation
    and care of S.M.K.
    ¶36    We agree, as a general proposition, that an inference based on circumstantial
    evidence is sufficient for the proof of any disputed fact including, as at issue here, the
    breach and causation elements of a negligence-based claim. Britton v. Farmers Ins. Group,
    
    221 Mont. 67
    , 88, 
    721 P.2d 303
    , 317 (1986); Fauerso v. Maronick Const. Co., 
    203 Mont. 106
    , 112, 
    661 P.2d 20
    , 23 (1983); Jacques v. Mont. Nat’l Guard, 
    199 Mont. 493
    , 497, 
    649 P.2d 1319
    , 1321 (1982); Hickman v. First Nat’l Bank of Great Falls, 
    112 Mont. 398
    ,
    414-16, 
    117 P.2d 275
    , 279 (1941); Dalbey v. Equitable Life Assur. Society, 
    105 Mont. 587
    ,
    599, 
    74 P.2d 432
    , 435 (1937); Collins v. Crimp, 
    91 Mont. 326
    , 332-33, 
    8 P.2d 796
    , 798
    (1932); Johnson v. Herring, 
    89 Mont. 420
    , 425-26, 
    300 P. 535
    , 536 (1931); Childers v.
    Deschamps, 
    87 Mont. 505
    , 516, 
    290 P. 261
    , 264 (1930). We recognize further that: (1) the
    finder of fact is the exclusive judge of the credibility of Allen and Williams’ testimonial
    denials of any knowledge of any form of force or trauma experienced by or inflicted upon
    S.M.K. while in their care; (2) the presumption of the truthfulness of Allen and Williams’
    testimonial denials “may be controverted and overcome by any matter that has a tendency
    to disprove the truthfulness of [that] testimony,” including, inter alia, their “interest . . .
    [in] the litigation” as a “motive to testify falsely” or any “inconsistent statements”; and
    33
    (3) the finder of fact is free to “distrust” any testimonial witness upon finding that any other
    part of his or her testimony is false. Sections 26-1-202, -302(4), (7), and -303(3), MCA.23
    ¶37    However, as pertinent here, circumstantial evidence is that “which tends to establish
    a fact by proving another and which, though true, does not itself conclusively establish that
    fact but affords an inference . . . of its existence.” Section 26-1-102(1), MCA. In turn, an
    inference is a permissible “deduction” made “from the [record] evidence.” Section 26-1-
    501, MCA. While M. R. Civ. P. 56(c)(3) requires courts to draw all reasonable inferences
    on the Rule 56 factual record in favor of the non-moving party, a reasonable inference
    requires more than mere suspicion, imagination, or apprehension of “something wrong or
    hurtful without proof or on slight evidence.” State v. Barick, 
    143 Mont. 273
    , 283, 
    389 P.2d 170
    , 175 (1964). An inference has probative value as evidentiary proof of a disputed fact
    only if it is based on duly “proved” record facts and circumstances, see §§ 26-1-101(4),
    -102(1), and -502(1), MCA, and can be reasonably deduced as a logical consequence
    thereof. See §§ 26-1-102(1), -501, and -502, MCA; Fauerso, 
    203 Mont. at 112
    , 
    661 P.2d at 23
    ; Jacques, 
    199 Mont. at 497
    , 
    649 P.2d at 1321
    ; Johnson, 
    89 Mont. at 425-26
    , 
    300 P. at 536
    ; Inference, Black’s Law Dictionary (11th ed. 2019). In contrast, an inference or
    23
    See also M. R. Evid. 607 (“credibility of a witness” is subject to “attack[] by any party”); State
    v. McGhee, 
    2021 MT 193
    , ¶ 19, 
    405 Mont. 121
    , 
    492 P.3d 518
     (noting Rule 607 “[i]mpeachment
    by contradiction” as a means of “attacking the credibility of a witness by cross-examination or
    extrinsic evidence offered to prove that a fact which the witness asserted or relied upon in his or
    her testimony is not true” for the purpose of establishing “a basis for an inference that the witness
    either lied or was mistaken with respect to the specific fact contradicted” or “is thus a generally
    unreliable source of information and therefore similarly mistaken, dishonest, or unreliable as to
    the balance of his or her testimony”—internal citation and punctuation omitted).
    34
    suggested inference has no probative value as circumstantial proof of a disputed fact if any
    link in the deductive reasoning is based on mere suspicion, conjecture, or speculation.
    Britton, 
    221 Mont. at 88
    , 
    721 P.2d at 317
    ; Fauerso, 
    203 Mont. at 112
    , 
    661 P.2d at 23
    ;
    Collins, 
    91 Mont. at 322-23
    , 
    8 P.2d at 798
    ; Johnson, 
    89 Mont. at 425-26
    , 
    300 P. at 536
    .
    Suspicion, conjecture, or speculation is thus “not a sufficient basis on which to raise a
    genuine issue of material fact” under M. R. Civ. P. 56(c)(3). Fauerso, 
    203 Mont. at 112
    ,
    
    661 P.2d at 23
    .
    ¶38    Here, other than cursory reference to “the testimony of Allen and Williams”
    regarding their operation of the Peas in a Pod Daycare and care of S.M.K., the only apparent
    “reasonable” basis pointed out by Kosteleckys which could conceivably constitute a basis
    for an inference that the cited testimonial denials of Allen or Williams may lack credibility
    is the cited inconsistency between Allen’s deposition denial of any discussion of the Peas
    in a Pod licensing status or renewal in a telephone conversation with a MDPHHS licensing
    official on December 22, 2016, and the official’s contrary telephone log summary of that
    conversation.24 Viewed in the light most favorable to Kosteleckys, any conflicting or
    contradictory evidence undermining the credibility of the testimonial denials of Allen or
    Williams regarding their lack of knowledge regarding the cause or source of any head
    24
    Kosteleckys further point out that Allen’s cell phone records indicate a call to Williams at
    1:52 p.m. on December 22, 2016, thus asserting that “there would be no reason for Allen to call
    Williams” if they were both at the day care “caring for children” that day, as asserted by Allen. In
    context, however, Kosteleckys narrowly raise those points in support of their assertion that the
    Peas in a Pod Daycare was negligently understaffed that day and that staff negligently failed to
    “f[i]nd time to call Kosteleckys about their baby screaming for hours.” Kosteleckys’ Opening
    Brief, pp. 18-20.
    35
    trauma experienced by S.M.K. would still not provide a non-speculative basis upon which
    the finder of fact could reasonably conclude, on a more probable or likely than not basis,
    that any particular act or omission of either was the cause-in-fact of head trauma to S.M.K.
    In other words, mere disproof of the defendants’ testimonial denials that they did or know
    of nothing that could have caused head trauma to S.M.K. is not a non-speculative
    evidentiary basis upon which to reasonably deduce that they acted or failed to act in any
    particular manner that did.
    ¶39    Consequently, a glaring evidentiary gap remains in the causative chain between
    Dr. Brockmeyer’s opinion that the cause of S.M.K.’s subdural hematomas was some
    unidentified type of force or trauma, and the alleged negligent non-compliance of Allen
    and Williams with various licensing requirements and the related standard of care
    regarding S.M.K. The conspicuous missing link in the causative chain remains the
    manifest lack of a non-speculative evidentiary basis upon which the finder of fact could
    reasonably conclude, on a more probable than not basis, that S.M.K. would not have
    suffered or been subjected to the head trauma that most likely caused her subdural
    hematomas but for some particular negligent act or omission by Allen, Williams, or other
    Peas in a Pod personnel. We hold that the District Court did not erroneously grant summary
    judgment to the defendants on the causation element of Kosteleckys’ asserted
    negligence-based claims.
    ¶40    2. Whether the District Court erroneously granted partial summary judgment to
    Defendants on Kosteleckys’ asserted breach of contract claim?
    36
    ¶41    Kosteleckys assert that the District Court also erroneously granted summary
    judgment on their asserted breach of contract claim by erroneously applying a “negligence
    standard of causation” to that claim. The essential elements of a breach of contract claim
    are: (1) a valid and enforceable contract; (2) breach of an express or implied contract duty
    or obligation; and (3) resulting contract damages.25 Tin Cup Cty. Water & Sewer Dist. v.
    Garden City Plumbing & Heating, Inc., 
    2008 MT 434
    , ¶¶ 37-55, 
    347 Mont. 468
    , 
    200 P.3d 60
     (breach of contract claim includes burden of proving that the asserted “breach of
    contract proximately caused the damages”—contract damages “are subject to limitations
    of causation, certainty, and foreseeability”); Story v. City of Bozeman, 
    242 Mont. 436
    ,
    25
    The general measure of damages for breach of a contract obligation is the “amount which will
    compensate the party aggrieved for all the detriment which was proximately caused thereby,” or
    which “in the ordinary course of things would be likely to result therefrom.” Section 27-1-311,
    MCA; Myers v. Bender, 
    46 Mont. 497
    , 508, 
    129 P. 330
    , 333 (1913) (quoting § 6048, RCM (1907)
    (now § 27-1-311, MCA), and noting that “the statute embodies the common-law rule”). The broad
    language of § 27-1-311, MCA, thus encompasses two classes of compensable contract damages,
    expectancy/natural result damages and consequential damages. State Farm Mut. Auto. Ins. Co. v.
    Freyer, 
    2013 MT 301
    , ¶ 31 n.2, 
    372 Mont. 191
    , 
    312 P.3d 403
     (noting that § 27-1-311, MCA,
    “permits the recovery of both proximate and consequential damages for breach of contract”);
    Mont. Petroleum Tank Release Comp. Bd. v. Crumleys, Inc., 
    2008 MT 2
    , ¶¶ 66 and 70-71, 
    341 Mont. 33
    , 
    174 P.3d 948
     (defining consequential damages as damages “contemplated by both
    parties at the time” of contracting as those that “might naturally be expected to result from” the
    subject breach); Arrowhead Sch. Dist. No. 75 v. Klyap. 
    2003 MT 294
    , ¶ 20, 
    318 Mont. 103
    , 
    79 P.3d 250
     (defining expectancy damages as the amount necessary to compensate for what the non-
    breaching party “would [have] receive[d] if the contract were performed”—noting that expectancy
    damages limitation preserves efficient breach theory of contracts); Castillo v. Franks, 
    213 Mont. 232
    , 242, 
    690 P.2d 425
    , 430 (1984) (measure of compensable contract damages under § 27-1-311,
    MCA, and resulting “benefit of the bargain rule,” includes “the loss of value” to the non-breaching
    party resulting from the subject breach “plus any other incidental or consequential loss caused by
    the breach, less any cost or other loss that the injured party has avoided by not having to
    perform”—purpose of contract damages “is to place the party wronged in as good a position as if
    the contract had been performed”); Ehly v. Cady, 
    212 Mont. 82
    , 97, 
    687 P.2d 687
    , 695 (1984)
    (distinguishing between natural and contemplated damages and that all contract damages “are
    subject to limitations of causation, certainty[,] foreseeability[,]” and reasonableness).
    37
    450-51, 
    791 P.2d 767
    , 775-76 (1990) (contract breach of implied covenant of good faith
    and fair dealing); Garden City Floral Co. v. Hunt, 
    126 Mont. 537
    , 543, 
    255 P.2d 352
    , 356
    (1953) (distinguishing breach of contract claims from tort claims alleging negligent
    performance of contract duty); A.H. Averill Mach. Co. v. Bain, 
    50 Mont. 512
    , 514-15, 
    148 P. 334
    , 335 (1915).
    ¶42    Against the essential elemental backdrop of breach of contract claims, Kosteleckys
    have not demonstrated on what basis or in what manner, as they assert, the District Court
    erroneously applied a “negligence standard of causation” to their contract claim. They
    instead focus on various other asserted arguments in support of the more general assertion
    that genuine issues of material fact preclude summary judgment on that claim. However,
    we generally do not address issues raised for the first time or allow parties to assert new
    unpled theories of liability that are different than pled under the governing complaint. Mt.
    W. Bank, N.A. v. Glacier Kitchens, Inc., 
    2012 MT 132
    , ¶ 13, 
    365 Mont. 276
    , 
    281 P.3d 600
    .
    ¶43    In pertinent part, as pled, the gravamen of Kosteleckys’ breach of contract claim is
    their complaint assertion that the defendants breached the alleged terms of the subject day
    care contract by failing to “provide safe and legally-compliant childcare to S.M.K.” in
    December 2016, thereby causing her to “suffer[] the subject serious head injury,” thus
    entitling Kosteleckys to “all compensation allowed by law for this harm.” (Emphasis
    added). On appeal, however, Kosteleckys now assert that the pertinent essence of their
    contract claim is that the defendants breached the parties’ monthly day care contract by
    failing to refund the monthly service fee which Kosteleckys allegedly prepaid for February
    38
    2017, but for which they did not receive any corresponding day care service. The manifest
    recharacterization of Kosteleckys’ breach of contract claim on appeal as a claim for
    compensation for unprovided services in February 2017 is an entirely new and unpled
    theory of contract liability not encompassed within their originally pled claim.             As
    recharacterized on appeal, Kosteleckys’ contract claim includes theories of contract breach
    and causation that are different than those pled in their complaint and at issue under M. R.
    Civ. P. 56 below. We hold that the District Court did not erroneously grant summary
    judgment to the defendants on Kosteleckys’ asserted breach of contract claim.
    ¶44    3. Whether the District Court erroneously granted partial summary judgment to
    Defendants on Kosteleckys’ asserted MCPA claim?
    ¶45    As with their breach of contract claim, Kosteleckys similarly assert that the District
    Court erroneously granted summary judgment on their asserted MCPA claim by
    erroneously applying a “negligence standard of causation” to that claim. Under the MCPA,
    except under certain circumstances not at issue here, a “consumer who suffers any
    ascertainable loss of money or property” “as a result of” another person’s “use or
    employment” of an “unfair or deceptive act[] or practice[] in the conduct of any trade or
    commerce” may “recover money damages in the amount of any ascertainable loss of
    money or property or $500, whichever is greater.” Sections 30-14-102(1), (8)(a), -103,
    and -133(1)(a), MCA; Anderson v. ReconTrust Co., N.A., 
    2017 MT 313
    , ¶ 19, 
    390 Mont. 12
    , 
    407 P.3d 692
    .26 As referenced in § 30-14-133(1), MCA, “ascertainable loss” includes
    26
    An unfair act or practice “is one which offends established public policy and which is either
    immoral, unethical, oppressive, unscrupulous or substantially injurious to customers.” Rohrer v.
    39
    any proven form of direct or indirect financial detriment or detrimental financial impact.
    See Puryer v. HSBC Bank USA, N.A., 
    2018 MT 124
    , ¶ 36, 
    391 Mont. 361
    , 
    419 P.3d 105
    ;
    Jacobson v. Bayview Loan Servicing, LLC, 
    2016 MT 101
    , ¶¶ 53-59, 
    383 Mont. 257
    , 
    371 P.3d 397
    . Thus, a private MCPA claim for damages requires proof: (1) that the defendant
    “use[d] or employ[ed]” an “unfair or deceptive act[] or practice[] in the conduct of any
    trade or commerce”; (2) in regard to which the claimant was a “consumer” as defined by
    § 30-14-102(1), MCA; and (3) which caused the claimant to suffer direct or indirect
    financial detriment or detrimental financial impact. See §§ 30-14-102(1), (8)(a), -103,
    and -133(1)(a), MCA; Puryer, ¶ 36; Jacobson, ¶¶ 53-59. A plaintiff asserting a private
    MCPA claim has the burden of proving all essential elements of the claim.                     See
    §§ 26-1-401 through -403(1), MCA; Anderson, ¶¶ 19-22 (citing § 30-14-133(1), MCA);
    Rohrer v. Knudson, 
    2009 MT 35
    , ¶ 32, 
    349 Mont. 197
    , 
    203 P.3d 759
     (citing § 30-14-133(1),
    MCA).27
    Knudson, 
    2009 MT 35
    , ¶¶ 29 and 31, 
    349 Mont. 197
    , 
    203 P.3d 759
     (citing FTC v. Sperry &
    Hutchinson Co., 
    405 U.S. 233
    , 
    92 S. Ct. 898
     (1972)).
    27
    Upon proof of the essential elements of a MCPA claim, the court, in its discretion, may then
    “award up to three times the money damages in the amount of any ascertainable loss of money or
    property sustained, if actual damages do not exceed $100,000, and may provide any other equitable
    relief that it considers necessary or proper.” Section 30-14-133(1)(a), MCA. Unless the claimant
    “recovers actual damages of $100,000 or more,” the court may, in its discretion, further award the
    “prevailing party reasonable attorney fees,” at a rate not to exceed $250 per hour, “incurred in
    prosecuting . . . the action.” Section 30-14-133(3), MCA. Conversely, in its discretion, the court
    may similarly award the “prevailing party reasonable attorney fees incurred” by the defendant(s)
    in successfully “defending the action.” Section 30-14-133(3), MCA.
    40
    ¶46    Against the essential elemental backdrop of private MCPA claims, Kosteleckys
    have not demonstrated, as they assert, on what basis or in what manner the District Court
    erroneously applied a “negligence standard of causation” to their MCPA claim. They
    instead focus on various other asserted arguments in support of the more general assertion
    that genuine issues of material fact preclude summary judgment on that claim. However,
    as noted supra, we generally do not address issues raised for the first time on appeal or
    allow parties to assert new unpled theories of liability that are different than pled under the
    governing complaint. Mt. W. Bank, N.A., ¶ 13. As pled, the essence of the factual theory
    of liability asserted under Kosteleckys’ MCPA claim is that the defendants “made false
    and material misrepresentations and/or omissions” that they were duly licensed to “care for
    children such as S.M.K.” The claim alleges that the alleged misrepresentations and
    omissions constituted unfair and deceptive practices that caused Kosteleckys to “suffer[]
    actual harm” “for which they are entitled to . . . compensat[ion].” As to the alleged harm,
    the claim asserts that the subject misrepresentations and omissions “misle[d]” Kosteleckys
    “into believing they were leaving their children with a licensed daycare provider.”
    ¶47    Even when liberally construed in the light most favorable to the plaintiffs as required
    by M. R. Civ. P. 12(b)(6), Kosteleckys’ MCPA complaint allegations pertain to alleged
    misrepresentations and omissions that induced them to initially and continue to take their
    children to the Peas in a Pod Daycare. However, it is undisputed that they did not return
    S.M.K. to Peas in a Pod after January 24, 2017. They acknowledge on appeal that, by
    operation of the 60-day regulatory grace period triggered by the expiration of the Peas in a
    41
    Pod license on November 30, 2016, Peas in a Pod was not operating illegally without a
    license until after January 30, 2017.28 They further made no responsive Rule 56 evidentiary
    showing that the licensing status of Peas in a Pod had anything to do with their decision to
    not return S.M.K. for day care there after January 24, 2017, or that earlier notice of Allen’s
    intent to not renew the license caused them any difficulty or related financial detriment in
    finding alternative day care.29 Kosteleckys thus made no showing on the Rule 56 record
    that the operation of Peas in a Pod without a license, in contrast to their own independent
    decision-making, caused them to suffer any financial or pecuniary detriment.
    ¶48    In the face of that evidentiary deficiency, Kosteleckys assert for the first time on
    appeal that genuine issues of material fact preclude summary judgment on their MCPA
    claim based on their assertion that the Peas in a Pod “collection and failure to refund” their
    prepaid February 2017 day care payment was an unfair and deceptive practice that resulted
    in actual damages in the form of the unrefunded fee.                      However, as with the
    recharacterization of their contract claim, the statutory violation and causation of damages
    theories asserted as a basis of the MCPA claim on appeal are entirely different than those
    28
    See Admin. R. M. 37.95.145(4) (2006). See also Deposition of MDPHHS Childcare Licensor,
    Kirsten Geiger, District Court Record Doc. 51, Exhibit E, pp. 131-35, and Kosteleckys’ Opening
    Brief, p. 39 n.1 (testifying that during the 60-day grace period a day care’s operating certificate is
    “lapsed . . . but not terminated” and that the day care could thus continue to lawfully operate under
    the lapsed license until expiration of the grace period).
    29
    In fact, Mother testified that, in early November 2016, she saw a Peas In a Pod Facebook internet
    post announcing that Allen and Williams were considering letting their license lapse at the end of
    the year, and that she spoke with them about their plans right away, but never followed up because
    the issue “didn’t come up again.”
    42
    pled in the MCPA claim stated in their complaint and then litigated under Rule 56 below.30
    We hold that the District Court did not erroneously grant summary judgment to the
    defendants on Kosteleckys’ asserted MCPA claim.
    CONCLUSION
    ¶49    For the foregoing reasons, we hold that the District Court did not erroneously grant
    summary judgment to the defendants on Kosteleckys’ asserted negligence-based claims
    and breach of contract and MCPA claims.
    ¶50    Affirmed.
    /S/ DIRK M. SANDEFUR
    We concur:
    /S/ MIKE McGRATH
    /S/ LAURIE McKINNON
    /S/ INGRID GUSTAFSON
    /S/ JIM RICE
    30
    Kosteleckys cite the inclusion in their supplemental evidentiary showing of a Kostelecky bank
    account record indicating an amount paid to Williams on January 24, 2017, as proof that they
    asserted a supported “prepayment” theory of contract breach and/or MCPA violation below.
    However, the record on appeal indicates that they made that supplemental evidentiary showing
    only in support of their opposition to the defendants’ secondary summary judgment corporate
    shield assertion that only the Peas in a Pod, LLC, entity, not Allen or Williams individually, could
    be liable on Kosteleckys’ various claims. Nor have they made any evidentiary showing under their
    modified contract and MCPA claims indicating either that they requested any refund, or that Peas
    in a Pod or either of its principals denied or ignored any such request.
    43