Where is Elizabeth Holmes now? Dealing with the Theranos criminal fraud case

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HBO debuted its documentary on Theranos founder Elizabeth Holmes this week, but the drama surrounding the Stanford dropout and her now-defunct blood-testing startup has yet to play out in a California courtroom.

Holmes, now 35, and Theranos’s former chief operating officer, Ramesh “Sunny” Balwani, have a pending criminal fraud case against them in a federal court in San Jose, the heart of Silicon Valley. If prosecutors have their way, the two may go to prison over charges that they defrauded investors, doctors, and patients.

“This is probably the highest profile fraud case in the Northern District of California,” noted Peter J. Henning, a professor and author of the White Collar Watch column in The New York Times. “There is some pressure on prosecutors to get a conviction.”

Theranos was founded in 2003 but did not attract significant attention until a decade later. That’s when Holmes’s company began touting technology that supposedly eliminated the need for large needles for a wide array of blood tests. The ostensibly revolutionary tech company subsequently achieved a $9 billion valuation and recruited a board with luminaries including former Secretary of State Henry Kissinger.

Elizabeth Holmes, founder and chief executive officer of Theranos Inc., speaks during the 2015 Fortune Global Forum in San Francisco, California, U.S., on Monday, Nov. 2, 2015. (Photo: David Paul Morris/Bloomberg via Getty Images)
Elizabeth Holmes, founder and chief executive officer of Theranos Inc., speaks during the 2015 Fortune Global Forum in San Francisco, California, U.S., on Monday, Nov. 2, 2015. (Photo: David Paul Morris/Bloomberg via Getty Images)

In 2013, Theranos rolled out “Wellness Centers” inside Walgreens (WBA) locations in Palo Alto, California, and Phoenix, Arizona. For patients afraid of large needles, the ability to have blood tested from a single drop of blood probably sounded too good to be true. In fact, it was — the technology never took off because the company never fulfilled what it was promising to investors and the public.

The alleged fraud became become a subject of intrigue in Silicon Valley and beyond, with Holmes and her Steve Jobs-inspired wardrobe of black turtlenecks at the center.

The story of Theranos and Holmes has provided fodder for a podcast, a book that reads like a true-crime thriller, and now the HBO documentary. There’s even a dramatized version coming out starring Jennifer Lawrence as Holmes, who dropped out of Stanford at the age of 19 to start Theranos. But the real-life story that will play out if, and when, the fraud case goes to trial, could be even more compelling.

A Theranos ad. (Source: Theranos)
A Theranos ad. (Source: Theranos)

‘The real victims’

Holmes and Balwani, who also happens to be her ex-boyfriend, were indicted in June 2018 and pleaded not guilty. They were released on $500,000 bail, and now the case is in “discovery” — meaning the defense and prosecutors have been producing and exchanging information.

While the vast majority of federal cases result in plea agreements, there are signs the case against Holmes and Balwani may be more likely to go to trial than others. For one thing, prosecutors may not want to offer Holmes a deal that doesn’t include substantial prison time. Henning, the law professor, suggested the sentencing guidelines would be in the range of 18-21 years if Holmes were convicted.