This chapter discusses the attempt to develop a profitable business model for a specific Telehomecare application: QuietCare^®. Issues surrounding the challenges associated with being first-to-market are discussed, as are the technological difficulties encountered in early pilots. Emphasis is placed on the necessity of developing a viable and sustainable business model that balances the requirements for a reasonable return on investment with the limited financial resources of many care organizations. Pricing issues are discussed in the context of different markets—not-for-profit versus for-profit; retail versus congregate housing. Finally, an argument is made that behavioral monitoring may not reach its full potential for another decade.