As Structural Health Monitoring (SHM) evolves beyond hardware-centric systems, the industry is increasingly exploring service-based delivery models where monitoring capabilities are accessed on demand rather than permanently owned. This article examines how the growing importance of data analytics, predictive assessment, and decision support is shifting value creation away from sensors alone, while discussing the opportunities and limitations of “Monitoring-as-a-Service” alongside traditional ownership models. Ultimately, the future of SHM may depend less on who owns the hardware and more on how effectively structural intelligence supports infrastructure decision-making.