Elizabeth Holmes is now behind bars: How we got here

Ten years ago, Elizabeth Holmes’ biotech startup, Theranos, was valued to be worth $10 billion. Five years ago, she was indicted for wire fraud. Finally, today, Holmes reported to prison to begin serving her sentence of 11 years and 3 months.

It usually doesn’t take so long after an indictment for a defendant to be found guilty and sent to prison. But the fall of the woman formerly hailed as the next Steve Jobs has been painfully drawn out, with Holmes’ legal team playing every card in the deck to delay this inevitable day.

The story of Theranos is all too familiar now: A young Stanford dropout set out to revolutionize healthcare with cutting-edge blood testing technology, scored high-profile investors and fawning press coverage, but it all came crashing down in 2015, when Wall Street Journal reporter John Carreyrou revealed that Theranos’ technology didn’t actually work. To make matters worse, unsuspecting patients were getting blood tests on Theranos machines, endangering their health with false positives for conditions like cancer, HIV and even a miscarriage.

Since then, the unraveling of the now-infamous blood testing startup has been a long, messy process. Hopefully this is the last Theranos-related coverage that will appear for a while, with both Holmes and co-conspirator Sunny Balwani behind bars. So, if you’re looking to catch up on what’s been happening since Theranos was exposed for its dangerous medical practices, go forth and read.

Lawsuits, layoffs abound (2016–2017)

Once investors realized that Theranos was all smoke and mirrors, things got real litigious, real quick. The U.S. government began its investigation of Theranos in 2016, and over the two years that followed, Theranos continued making headlines, but they were no longer so complimentary.

The dissolution of Theranos (2018)

Looking back at those two years of headlines, it’s a wonder that Theranos even made it to 2018. Finally, the company dissolved, and Holmes and Balwani were officially charged with fraud by the U.S. government.

Theranos’ downfall became not just a major story in tech, but a fascination of Hollywood. Within months of the company’s end, a documentary about Theranos screened at Sundance, ABC greenlit a documentary and podcast, and Hulu ordered the mini-series that would become “The Dropout.” Apple was working on a Theranos movie starring Jennifer Lawrence, but after seeing “The Dropout,” Lawrence felt like there wasn’t much more to add and left the project.

A screen from the Dropout where Holmes and Balwani stand in front of a mirror, Holmes drinking green juice in a black turtleneck

Sunny Balwani (Naveen Andrews) and Elizabeth Holmes (Amanda Seyfried). Image Credits: Beth Dubber/Hulu

Elizabeth Holmes and Sunny Balwani go to trial (2021–2023)

Holmes and Balwani were supposed to be tried for fraud in June 2020, but the trial was pushed back due to the coronavirus pandemic. Then, Holmes became pregnant with her first child, further delaying the trial. Though the two executives were supposed to be tried together, Holmes’ legal team successfully moved for separate trials, alleging that Balwani had abused Holmes while they had been secretly dating for several years. Holmes would later testify about how this abuse impacted her actions as CEO of Theranos, but ultimately, the jury was not litigating the relationship between Holmes and her COO. After a long deliberation, Holmes was found guilty on 4 out of 11 counts of defrauding and conspiring to defraud investors, but she was found not guilty of any charges related to defrauding patients. At Balwani’s trial, which took place months later, he was found guilty on all counts.

Aftermath

What can we still learn from one of the most infamous startup implosions of all time? Well, don’t do fraud. But also, we have some other ideas. Here are our takes on what Theranos says about the tech industry at large, and how it figures into the history of Silicon Valley.