Professional Documents
Culture Documents
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ERIN E. SCHNEIDER (Cal. Bar No. 216114)
2 schneidere@sec.gov
MONIQUE C. WINKLER (Cal. Bar No. 213031)
3 winklerm@sec.gov
JASON M. HABERMEYER (Cal. Bar No. 226607)
4 habermeyerj@sec.gov
MARC D. KATZ (Cal. Bar No. 189534)
5 katzma@sec.gov
JESSICA W. CHAN (Cal. Bar No. 247669)
6 chanjes@sec.gov
RAHUL KOLHATKAR (Cal. Bar No. 261781)
7 kolhatkarr@sec.gov
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UNITED STATES DISTRICT COURT
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NORTHERN DISTRICT OF CALIFORNIA
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SAN JOSE DIVISION
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SECURITIES AND EXCHANGE COMMISSION, Case No.
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Plaintiff,
17 COMPLAINT
vs.
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RAMESH “SUNNY” BALWANI,
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Defendant.
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24 1. This case involves the fraudulent offer and sale of securities by Theranos, Inc.
25 (“Theranos”), a California company that aimed to revolutionize the diagnostics industry, its
26 Chairman and Chief Executive Officer Elizabeth Holmes, and its former President and Chief
27 Operating Officer, Ramesh “Sunny” Balwani. The Commission has filed a separate action
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10 generation TSPU. The earlier-generation TSPU was designed to perform only one method of
12 and Holmes turned the company’s efforts towards developing a new version of the TSPU, which
13 they hoped would one day be able to perform a broader range of laboratory testing by
14 incorporating additional methods of testing. They later referred to this version of the TSPU as
15 the miniLab.
16 20. In early 2010, even though the miniLab was not commercially ready, Balwani
17 and Holmes decided to focus on the retail clinical laboratory market by pursuing contracts with a
18 large national pharmacy chain (“Pharmacy A”) and a large national grocery chain (“Grocery
19 A”). Their vision was to place miniLabs at designated “Patient Service Centers” in retail stores
20 so that patients could get their diagnostic tests performed while shopping.
22 Holmes approved and, copying Balwani, provided presentations and other written materials to
23 Pharmacy A executives representing that Theranos had the ability to conduct a broad range of
24 tests on its proprietary analyzer, including general chemistry tests, wellness tests, and some
25 predictive and diagnostic health tests (which involved methods beyond immunochemistries).
26 These materials stated that Theranos would be ready to begin blood testing on its proprietary
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6 37. From 2013 to 2014, Theranos and Holmes emerged into the spotlight by issuing a
7 press release touting the launch of its retail offering with Pharmacy A and granting a number of
8 media interviews for articles that Holmes later used to solicit investors. In September 2013,
9 Theranos announced a partnership with Pharmacy A to offer a “new lab testing service through
10 Pharmacy A pharmacies nationwide.” By going to a Pharmacy A store in Palo Alto, California,
11 the first location to offer Theranos testing, consumers could “complete any clinician-directed lab
12 tests with as little as a few drops of blood and results available in a matter of hours.”
13 38. Around the same time, Holmes sat down with a reporter for the Wall Street
14 Journal purportedly to discuss the state of Theranos’ business. A Wall Street Journal article
15 accompanying the Pharmacy A launch announcement stated:
16 The secret that hundreds of employees are now refining involves devices that
17 automate and miniaturize more than 1,000 laboratory tests, from routine blood work
to advanced genetic analyses. Theranos’ processes are faster, cheaper, and more
18 accurate than the conventional methods and require only microscopic blood
volumes, not vial after vial of the stuff.
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20 39. Additional articles written after interviews with Holmes continued to raise
21 Theranos’ public profile and tout its technological capabilities. An April 2014 Wired article
22 stated that “[i]nstead of vials of blood – one for every test needed – Theranos requires only a
23 pinprick and a drop of blood. With that they can perform hundreds of tests, from standard
24 cholesterol checks to sophisticated genetic analyses.”
25 40. Similarly, a June 2014 Fortune article noted that “[Theranos] currently offers
26 more than 200 – and is ramping up to offer more than 1,000 – of the most commonly ordered
27 blood diagnostic tests, all without the need for a syringe.” Fortune also distinguished Theranos
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14 43. In late 2013, Theranos had approximately $30 million in cash and short-term
15 securities, which would fund the company’s operations for only a few months. As Balwani and
16 Holmes knew, Theranos needed cash to continue spending money on research and development
17 to advance the miniLab, which at that time was not ready for commercial use.
18 44. From late 2013 to 2015, Balwani, Holmes, and Theranos raised over $700
19 million from investors in two financing rounds. These investors believed – based on false and
20 misleading statements by Balwani and Holmes – that Theranos had successfully developed a
21 proprietary analyzer that could conduct the full range of laboratory testing from a small sample
22 of blood.
25 45. After an introduction to Holmes, potential investors would typically meet face-to-
26 face with Holmes, and at times, Balwani. During this meeting, which normally took place at
27 Theranos’ headquarters, Holmes described her vision for the company, including her motivation
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26 48. Balwani and Holmes made statements to investors about the status of Theranos’
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6 49. Balwani and Holmes represented to investors that Theranos’ miniLab was
7 capable of processing a full range of laboratory tests. For instance, they told one investor that
8 Theranos’ proprietary analyzer could process over 1,000 Current Procedural Terminology
9 (“CPT”) codes and that Theranos had developed a technological solution for an additional 300
10 CPT codes. In 2014, Balwani told an investor that Theranos had between 150 and 200
13 investor, also echoed these same statements. Under a slide titled “Same Tests, A Whole New
14 approach” and featuring a picture of a fingerprick and Theranos collection device, the
15 presentation included the statement “Theranos runs any test available in central laboratories, and
18 1,000 CPT codes, nor did Theranos ever offer between 150 and 200 fingerstick tests in its
19 clinical lab. In fact, as Balwani knew, or was reckless in not knowing, Theranos’ clinical lab
21 52. In addition to not disclosing the use of third-party analyzers to conduct the
23 analyzer had more extensive capabilities than it actually did. When potential investors tried out
25 Holmes, with Balwani’s knowledge, instructed Theranos employees to remove certain tests from
26 the order if Theranos was unable to perform those tests using a fingerstick collection.
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6 61. Balwani and Holmes also made false or misleading statements concerning
7 Theranos’ historical business contracts with the DOD. For instance, Balwani provided a
8 presentation to a potential investor that listed the DOD as a “[k]ey deployment” for Theranos.
9 62. Balwani and Holmes also made other statements that gave potential investors the
10 impression that these historical relationships were meaningful. Balwani and Holmes told
11 multiple investors that Theranos’ technology had been deployed by the DOD in the battlefield
12 and in Afghanistan. They also told investors that the DOD had deployed Theranos’ miniLab on
13 medevac helicopters.
14 63. Balwani told one potential investor in late 2013 that 75 percent of Theranos’
15 current revenues were from the military. Balwani told another potential investor in late 2014 that
16 the company had long-dated contracts with the DOD that would provide future revenue to
17 Theranos.
18 64. Balwani knew, or was reckless in not knowing, that these statements were false
19 and misleading. While Theranos’ technology was used in a DOD burn study, it was never
20 deployed by the DOD in the battlefield, in Afghanistan, or on medevac helicopters. From 2011
21 to 2014, Theranos had discussions with multiple divisions of the DOD. However, Theranos
23 65. Balwani’s statements about Theranos’ history with the DOD were important to
24 potential investors because these relationships lent legitimacy to Theranos’ business and its
25 proprietary analyzer.
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3 66. During meetings and in investor binders, Balwani and Holmes described
4 Theranos’ thriving relationships with Pharmacy A and Grocery A. Much of the company
5 overview presentation was dedicated to Theranos’ relationship with Pharmacy A, showing
6 pictures of the patient service centers where patients would get their fingers pricked, and a map
7 of the number of Pharmacy A stores across the country that would soon be offering Theranos’
8 blood testing. Notwithstanding that Balwani managed the Pharmacy A relationship, Balwani
9 represented to numerous investors in late 2014 that Theranos was expected to roll out its retail
10 services to hundreds of Pharmacy A stores in 2015. This information was also included in
11 financial projections that Balwani drafted for investors that were based on the assumption that
12 Theranos would be rolling out to 800 or 900 stores by year-end 2015.
13 67. However, by late 2014, while Theranos was raising the bulk of the over $700
14 million it raised during the relevant time period, Balwani was aware that Theranos’ retail roll out
15 with Pharmacy A was stalled due to, among other issues, some concerns Pharmacy A executives
16 had with regard to Theranos’ performance.
17 68. In August 2014, a senior Pharmacy A executive told Balwani that patient traffic
18 and fingerstick draw percentages would need to increase in order for the executive to convince
19 Pharmacy A management to roll out Theranos services to more stores. At a partnership meeting
20 later that month, which Balwani attended, Theranos and Pharmacy A discussed reducing the
21 number of Pharmacy A stores that Theranos services would be rolled out to in 2015 from 500
22 stores to 200.
23 69. In December 2014, Balwani met with Pharmacy A executives to discuss
24 potentially modifying the parties’ relationship to a landlord and tenant model, whereby Theranos
25 would rent space in Pharmacy A stores. Balwani did not share any of these developments with
26 investors. Balwani knew, or was reckless in not knowing, that Theranos would not be expanding
27 into Pharmacy A as quickly as he represented it would.
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20 73. When speaking to potential investors in late 2013 through 2015, Balwani and
21 Holmes consistently stated that Theranos did not need to obtain approval from the FDA for its
22 miniLab and tests, and instead said that Theranos was applying for FDA approval voluntarily.
23 For instance, Balwani told a potential investor that approval was not required for the miniLab
25 74. Balwani and Holmes represented to business partners and investors that FDA
26 approval was not necessary because they believed that Theranos’ tests were laboratory developed
27 tests (“LDTs”), or tests developed and used inside a clinical laboratory, over which the FDA had
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21 77. Balwani drafted the financial information that Theranos included in the investor
22 binders that projected that Theranos would generate over $100 million in revenues and break
23 even in 2014. These documents also represented that Theranos expected to generate
24 approximately $1 billion in revenues in 2015. Balwani told potential investors in October 2014
25 that he had confidence in the year-end 2014 projections, in part because they were already more
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7 85. In May 2016, after regulatory inspections of Theranos’ clinical laboratories and
9 86. In 2017, Balwani, Holmes, and Theranos settled a lawsuit with an investor that
12 Violations of Section 10(b) of the Exchange Act and Rule 10b-5 Thereunder
14 through 86.
16 connection with the purchase or sale of securities, by the use of means or instrumentalities of
19 (b) Made untrue statements of material facts or omitted to state material facts
25 89. By reason of the foregoing, Defendant violated, and unless restrained and
26 enjoined will continue to violate, Section 10(b) of the Exchange Act [15 U.S.C. § 78j(b)] and
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21 86.
23 indirectly, in connection with the purchase or sale of securities, by the use of means or
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