Cameras and monitors mounted on mobile carts have been connecting patients in rural exam rooms to distant providers for decades. Many of these integrate electronic stethoscopes and other peripheral devices to transmit a physical exam and other essential vitals. As telehealth programs expand, healthcare organizations have begun to use off-the-shelf webcams/laptops, tablets, and even smart phones. While established vendors compete to create the most efficient end-to-end solution, many new entrepreneurs attempt to navigate the regulatory process. Innovators are developing new software (such as cloud-based videoconferencing, enhanced workflow products, and a wide variety of mobile apps) and hardware (including smaller carts, high-definition cameras, all-in-one peripheral devices, and more). Throughout the industry, a major emphasis to connect the consumer at home or work continues to develop.