Operating history is the most reliable tool for evaluating whether good ideas really worked in practice. This segment provides that background for risk sensitive building energy designers considering the value potential and best practices to follow in specifying these emerging technologies. Results data is presented for facilities employing biothermal HVAC as commercial practice. Functional reliability, convenience, compliance with air quality rules, electricity consumption, peak demand effects, economic performance compared with predictions and occupant satisfaction are addressed. Efforts that were employed to build awareness about the advanced systems and increase their market penetration will be described.