In Passivhaus context you are looking at a compact Unit as Dave says. These are arguably complex but not inherently more complex than say a fridge freezer. The attraction is the avoidance of a gas connection or ground loop for GS heat pump.
For Passivhaus the vent rate is limited to what is required for ventilation and heat is supplied directly to this air so is limited by volume and temperature.
However I believe there are non passivhaus versions that manage to deliver more heat by over ventilating. That is the suck more warm air out and recover the heat from it.
This is sort of pulling yourself up by the bootstraps thermodynamically but even cold outdoor air contains heat.
I'm getting out of my depth now as not sure how these units work.
There is some discussion elsewhere on the forum including why an 80% efficient MVHR is more efficient than a 300% 'efficient' heat pump!
If you are at Ecobuild I'm chairing a session on hot water and I'm hoping this will be at least touched on by John and Alan. I expect there will be kit on sale but beware of green claims and loose use of phrases like 'renewable energy' 'free heat' and 400% efficient!
http://www.aecb.net/forum/index.php?topic=2288.msg9156#msg9156