Elizabeth Holmes’s Office Romance With Ramesh Balwani Now on Display in Court

The textual content message popped up on

Elizabeth Holmes’s

telephone in July 2015 from her high deputy at Theranos Inc., Ramesh “Sunny” Balwani.

“I’m unhappy at the place you and I are,” Mr. Balwani wrote, including in one other message: “U want me.”

“It’s simply laborious to transition,” Ms. Holmes replied. “Was emotional however am prepared.”

Few individuals knew it then, however Mr. Balwani was additionally her longtime, live-in boyfriend, prosecutors and Ms. Holmes’s legal professionals now say. The little-known relationship was unraveling, the textual content messages present, simply because the blood-testing startup was starting to face the form of scrutiny that might trigger its dissolution in 2018.

The couple broke up within the months following that textual content alternate, say individuals accustomed to the matter. Now, their romantic relationship that spanned greater than a decade, rising and fading alongside the rise and fall of Theranos, because the texts present, has taken middle stage in Ms. Holmes’s criminal-fraud trial within the federal courthouse in San Jose, Calif.

For Ms. Holmes, proof of the romantic relationship may assist her if she decides to mount a mental-health protection. Her attorneys have alleged in courtroom data that Mr. Balwani psychologically, emotionally and sexually abused Ms. Holmes, which left her beneath his management. Mr. Balwani’s lawyer has disputed any allegations of abuse.

Prosecutors have had a number of the intimate textual content messages learn aloud in courtroom, doubtlessly serving to them show their case that Ms. Holmes did not take significantly quite a few warnings about inaccurate blood-test outcomes.

“You do have some form of indication that she knew that not all was properly with the corporate,” stated Andrey Spektor, a former federal prosecutor with the Jap District of New York who isn’t concerned within the case however has learn parts of the textual content messages. “These messages by themselves usually are not going to get prosecutors to conviction however coupled with every little thing else, it’s a reasonably highly effective case.”


Elizabeth Holmes, middle, is seen along with her mom and companion as she arrived for her fraud trial exterior federal courtroom in San Jose, Calif., on Oct. 1.


Nick Otto for The Wall Road Journal

Ms. Holmes and Mr. Balwani are every charged with a dozen counts of wire fraud and conspiracy to commit wire fraud after telling buyers and sufferers that their blood-testing expertise may precisely and reliably take a look at for greater than 200 circumstances from a finger prick of blood. Prosecutors say that the expertise didn’t work as promised and that Ms. Holmes and Mr. Balwani lied to draw extra funding as they ran out of money.

Each have pleaded not responsible. Ms. Holmes’s trial started final month, and Mr. Balwani has a separate trial scheduled for early subsequent yr.

Federal prosecutors and attorneys for Ms. Holmes and Mr. Balwani didn’t reply to requests for remark.

Particulars about their relationship have emerged by way of tons of of textual content messages prosecutors obtained and launched into courtroom data, and thru just lately unredacted courtroom filings from prosecutors and Ms. Holmes’s protection. The courtroom data had been unsealed after the decide within the case dominated in favor of a authorized problem introduced by Dow Jones & Co., the writer of The Wall Road Journal.

Mr. Balwani and Ms. Holmes met in 2002 throughout a language-immersion journey to China, when she was 18 years previous and he was 37, in line with protection attorneys. They started courting quickly after Ms. Holmes dropped out of Stanford College in 2003 at Mr. Balwani’s urging, to work full-time on Theranos, and she or he later moved into Mr. Balwani’s home, in line with legal professionals’ statements in trial and courtroom data. He got here to work at Theranos in 2009 as president and chief working officer, overseeing the corporate’s lab, prosecutors stated. He had labored as a software program engineer and startup govt, and didn’t have expertise in pathology or laboratory science, prosecutors stated.

The couple “managed Theranos as equals and made important choices in session with one another as companions do,” Assistant U.S. Lawyer Robert Leach stated in opening statements.

The publicly launched textual content messages monitor conversations from November 2013 to October 2015, when Ms. Holmes’s public profile was taking off and Theranos was making its blood checks obtainable to sufferers in California and Arizona by way of a partnership with

Walgreens Boots Alliance Inc.

They provide a glimpse right into a enterprise partnership that helmed some of the storied Silicon Valley startup failures and a romantic relationship that had been stored secret for years from Theranos buyers, board members and most staff, in line with prosecutors’ interviews with board members, buyers and former workers.


The publicly launched textual content messages monitor conversations between Elizabeth Holmes and Sunny Balwani from November 2013 to October 2015.

Their textual content messages vacillated between discussions about software program testing or hiring new customer support staff and heart-eyed emojis or pet names for one another—she known as him “tiger” and “my king.”

On Valentine’s Day in 2016, Ms. Holmes and Mr. Balwani every requested a private assistant on the firm to order flowers for the opposite as a shock, in line with prosecutors’ interview with the assistant, Paige Williams, which was filed into the courtroom file. Mr. Balwani tasked that very same assistant with shopping for Ms. Holmes flowers for her birthday and their anniversary.

One textual content message in December 2014 indicated they had been planning for a future collectively, and Theranos could be their legacy: “And for our children always remember who we’re,” Ms. Holmes informed Mr. Balwani.

Mr. Balwani and Ms. Holmes hid their relationship from firm board administrators and buyers, prosecutors say. Staff who did know had been instructed to not speak about it, in line with prosecutors’ interviews with former staff.


What have you ever discovered most attention-grabbing in regards to the Theranos trial? Be a part of the dialog under.

When two senior govt officers have a romantic relationship, there’s a heightened threat that one would possibly make choices that aren’t in the most effective curiosity of the corporate or shareholders, however are helpful to their important different, stated

Adam J. Epstein,

who advises startup CEOs and their boards.

“Any cheap investor would wish to know that data,” stated Mr. Epstein.

Mr. Balwani’s textual content messages had been at instances important of Theranos’s shortcomings, and he demanded fixes to them.

“We want FDA clearance,” he messaged Ms. Holmes in April 2015, referring to the Meals and Drug Administration, which might oversee regulatory approval of the corporate’s signature “nanotainers” to gather finger-pricked blood. The corporate lab is a “catastrophe zone,” he stated in a separate textual content.

He pushed again on Ms. Holmes’s in depth media appearances as a result of the corporate nonetheless lacked “strong substance.” Ms. Holmes responded that the media protection was serving to Theranos get extra enterprise offers.

He additionally cautioned her about making the declare that each one of Theranos’s proprietary blood checks had been carried out with a finger prick of blood. Theranos was utilizing the normal needle-in-the-arm technique for a lot of of its checks, in line with courtroom testimony.

In April 2015, Mr. Balwani texted Ms. Holmes: “Reminder. Want Cleveland clinic deal carried out.”

The deal refers to an settlement during which Ohio-based medical middle Cleveland Clinic would submit Theranos’s gadgets to testing to scientifically validate the expertise, and ship alongside the outcomes for publication. The corporate by no means did ship its gadgets to Cleveland Clinic, successfully killing the settlement.

That grew to become a purple flag for at the least one investor, funding banker

Byron Trott,

who determined to not again Theranos partially as a result of the startup hadn’t adopted by way of with Cleveland Clinic, in line with a courtroom submitting by prosecutors. Mr. Trott didn’t reply to requests for remark.

Because the long-awaited trial of Theranos founder and former CEO Elizabeth Holmes will get beneath approach, WSJ seems to be again on the scandal’s largest milestones and speaks with authorized reporter Sara Randazzo about what we will count on to see within the fraud trial. Photograph Illustration: Adele Morgan/WSJ

Mr. Balwani’s scathing messages might be private. “We’re lazy and disorganized and never centered,” in work but additionally “within the context of u and me,” he informed her in June 2015.

Ms. Holmes asks: “What makes you say lazy.”

Elsewhere, her responses had been placating, ceaselessly replying to Mr. Balwani’s texts in regards to the firm’s issues with “Agree” or “Precisely.” Different messages confirmed she was fearful about Theranos’s challenges: “Praying actually non cease,” she texted Mr. Balwani in September 2015, when the FDA made a shock inspection go to to Theranos’s lab.

The textual content messages present a pair who routinely blamed others—fairly often their subordinates—for the challenges facing Theranos.

“That is the place our issues are,” Ms. Holmes texted Mr. Balwani in November 2014, in reference to Theranos workers. “Most disappointing how unhealthy these individuals are,” Mr. Balwani wrote about staff a number of months later.

A number of months later, in July 2015, Mr. Balwani messaged Ms. Holmes: “We have to commit to one another and get out of this hell so we will reside in paradise.”

“I commit,” Ms. Holmes responded. “Utterly.”


Theranos had claimed its blood-testing expertise may precisely and reliably take a look at for greater than 200 circumstances from a finger prick of blood.


U.S Lawyer’s Workplace for the Northern District of California

In 2016, Mr. Balwani abruptly left Theranos as the corporate confronted penalties from regulators and a federal prison probe. Associates of Ms. Holmes on the time stated they believed she had fired him after the laboratories he oversaw failed a important inspection. She went on accountable him because the supply of any lies the corporate may need informed about its blood-testing expertise, in line with courtroom data filed by the protection.

Ms. Holmes’s protection argues that she believed she was telling the reality about Theranos as a result of she relied on Mr. Balwani for correct details about the corporate’s operations and trusted what he informed her.

Prosecutors say Ms. Holmes’s potential mental-health protection associated to alleged abuse by Mr. Balwani contradicts her statements in sworn testimony in 2017 to the Securities and Change Fee. In that testimony, Ms. Holmes described Mr. Balwani as a subordinate and at one level stated their private relationship had pale years earlier as their focus shifted to the enterprise they ran collectively.

Ms. Holmes later settled with the SEC, with out admitting or denying wrongdoing.

Folks near Ms. Holmes stated they noticed that Mr. Balwani was sometimes deferential to Ms. Holmes in public and that Ms. Holmes gave the impression to be in full management of choices made on the firm.

Write to Heather Somerville at

Theranos and the Elizabeth Holmes Trial

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