Elizabeth Holmes Day 2⧸3 FULL Deposition 2017 — Transcript
Full transcript
- 0:07we excuse me we are on the record at the
- 0:10beginning of media number one volume two
- 0:12my name is contracted by Han and
- 0:16bowersock please begin
- 0:21at 4 00 am on July 13 2017.
- 0:25I'm Jessica Chan and with me are Rahul
- 0:27kalakar Monique Winkler Michael Foley
- 0:31Jason habermeyer and not yet with us is
- 0:35Mark Katz but we are officers of the
- 0:38commission for the purposes of this
- 0:39proceeding
- 0:41we are today resuming the examination of
- 0:43Elizabeth Holmes which was adjourned on
- 0:45July 11 2017 would Council please
- 0:48identify themselves
- 0:50Stephen Neal Cooley LLP on behalf of
- 0:54Elizabeth Holmes John Dwyer also Cooley
- 0:58David Taylor of theranos on behalf of
- 1:00the fairness Chris Davies from Walmart
- 1:01Bill mclinkus Wilmer Ali Liebert Cooley
- 1:08testimony today is pursuant to a
- 1:10commission subpoena which has previously
- 1:12been marked as exhibit 191. Ms Halls do
- 1:16you understand that you remain under
- 1:17oath I do let the record reflect that a
- 1:20copy of the formal order of
- 1:21Investigations matter as supplemented
- 1:24will be available for examination during
- 1:26the course of this proceeding
- 1:28so before we get started
- 1:30um
- 1:31I wanted to give to you what was
- 1:34previously marked as during its exhibits
- 1:37191 to
- 1:41200.
- 1:58let's give these all to you
- 2:01if you could just take a quick look and
- 2:03just let me know if
- 2:05you recall that we went through these
- 2:07exhibits earlier in your testimony on
- 2:10Tuesday
- 2:16just for the benefit Council we just
- 2:17have to remark because of that number
- 2:18here so
- 2:20good thank you
- 2:41foreign
- 3:02do those exhibits look right to you
- 3:05I I think so okay
- 3:08thank you so as Mr colic hard just
- 3:11explained there was a numbering issue in
- 3:13our exhibits so we do need to remark
- 3:15these specifics so I'm just going to do
- 3:17this you need to remark each of them yes
- 3:19just uh the first ten so
- 3:23um let the records show that I am
- 3:25marking what was previously marked as
- 3:28there is exhibit 191 as in the exhibit
- 3:31209 and that back to you
- 3:37and I'm marking what was previously
- 3:39marked as during this exhibit 192 as
- 3:42an exhibit 210.
- 3:48I'm marking what was previously marked
- 3:51as exhibit 193 as 211.
- 3:57I'm marking what was previously marked
- 3:59as exhibit 194 as exhibit 212.
- 4:05I'm marking what was previously marked
- 4:07as their next exhibit 195 as exhibit
- 4:10213.
- 4:15marketing uh what was previously marked
- 4:17as during this exhibit 196 as exhibit
- 4:21214.
- 4:25and marking it was previously marked as
- 4:27their next exhibit 197 as
- 4:30exit at 215
- 4:35and marking what was previously marked
- 4:37as exhibit 198 as exhibit to 16. excuse
- 4:42me
- 4:44I'm marking what was previously marked
- 4:45as fairness exhibit 199 as exhibit 217.
- 4:58and I'm marking what was previously
- 5:00marked as theirness exhibit 200 as
- 5:03exited to 18.
- 5:11and then
- 5:13um just to take back exhibit
- 5:19this is when you exhibit uh 209 Ms
- 5:23Holmes do you understand that you were
- 5:25appearing here today pursuant to
- 5:27commission centina which is now
- 5:28thereiness exhibit 209 I do thank you
- 5:32council do you have any questions
- 5:35all right so these will be here just in
- 5:37case we need to go back
- 5:40get off work thank you
- 5:43so when we left off on Tuesday we were
- 5:47talking about theridosis relationship
- 5:49with Walgreens do you recall that I do
- 5:51okay
- 5:52[Applause]
- 6:17I'm handing to you what was has been
- 6:19previously marked as the earnest is it
- 6:21at 50.
- 6:23foreign
- 6:2650 reports to be a June 25th 2012 email
- 6:31from and with a copy of his subject line
- 6:33is meeting with starting dates number
- 6:35wag-t-h-0002493
- 6:41and there are
- 6:45a number of attachments
- 6:47um the first attachment it has Babe's
- 6:50number ending two four nine four the
- 6:53second attachment
- 6:56has Base number ending 2499
- 6:59and the third attachment has Base number
- 7:01ending
- 7:03two five zero zero have you seen exhibit
- 7:05218 before I'm sorry have you seen
- 7:08exhibit 250 before
- 7:12um
- 7:15I I don't think the email
- 7:18I recognize
- 7:21one of the attachments as our clear
- 7:23certificate which I've seen before I'm
- 7:25not sure about the meeting minutes in
- 7:28this list of CPT codes
- 7:33so if you
- 7:34foreign
- 7:36to the email
- 7:40on 2493 it's an email friend do you
- 7:43understand what his role is at Walgreens
- 7:46generally yes what was his role
- 7:49um it began I believe as part of it and
- 7:52then I understand he got involved in
- 7:55medical Affairs and general Innovation
- 7:58initiatives for Walgreens
- 8:01and you were in discussions and was part
- 8:03of the Walgreens team that you were in
- 8:05discussions with pertaining to the their
- 8:08next Walgreens relationship right for a
- 8:10period of time yes okay
- 8:11so he it looks like he's sending some
- 8:14minutes from a meeting that took place
- 8:16Thursday and Friday
- 8:18and so if you turn to the first
- 8:21attachment these are the meeting minutes
- 8:24the attendees here appear to be
- 8:26Elizabeth and sunny so did you attend
- 8:29this meeting on June
- 8:32June 22nd and June 23rd of 2012.
- 8:36I don't remember it but I don't have
- 8:38reason to doubt the the document okay
- 8:40and if you would turn to 2495 which is
- 8:44the second page of the attachment
- 8:47you'll see in the middle of the page
- 8:50the second bullet point sends contract
- 8:52terms and timing
- 8:55and then there are four diligence items
- 8:57in 30 days do you see that
- 8:59they do one of those items is the test
- 9:03many theranos will provide Walgreens
- 9:05with a copy of the test menu
- 9:07incorporated as schedule J and
- 9:09operations manual at the fairness
- 9:12trained Walgreens technician will
- 9:14utilize during the PSC do you understand
- 9:16PSC to the patient service center I do
- 9:19okay and then it goes on to say they
- 9:21gave us a clean copy of the test menu
- 9:23and a hazard estimates approximately 600
- 9:25tests so if you then turn to the last
- 9:28attachment
- 9:30appears to be a test menu
- 9:37[Applause]
- 9:39do you see that do you recognize this
- 9:41Tasmanian
- 9:43I I generally recognize that we had
- 9:46files that were like this with CPT codes
- 9:49I don't
- 9:50know necessarily this one specifically
- 9:52and
- 9:53but we I've seen documents like this
- 9:55before did you give this testimony to
- 9:58the Walgreens team during that meeting
- 9:59or after that meeting
- 10:01I don't know
- 10:03do you know if Sonny balwani gave this
- 10:05test menu to the team after that meeting
- 10:07or during the meeting I I don't I
- 10:09wouldn't be surprised if we did but I
- 10:12don't know for sure
- 10:14um
- 10:15so they're there's appear to be pages
- 10:17and pages of tests here
- 10:21could fairness is tsp perform all of
- 10:24these tests at this time in June 2012.
- 10:31so I think there's two parts to that
- 10:33which we were talking a little bit about
- 10:35in our the day before yesterday the
- 10:38first is
- 10:40the architecture of the system and we
- 10:43were very focused on capability in terms
- 10:46of
- 10:47the device itself or the platform with
- 10:50our small sample methods being able to
- 10:53perform this range of tests there were
- 10:57additionally a number of these for which
- 10:59we had already developed assay
- 11:02development and validation reports which
- 11:04I can recognize on this list
- 11:08see so your testimony is that theranos
- 11:11had developed all of these tests or at
- 11:14least assay development are all these
- 11:17tests were an assay development phase at
- 11:19this time in June 2012. I don't know if
- 11:22all of them were I know that at least a
- 11:24subset of them were or had development
- 11:28reports associated with them at that
- 11:30time did you tell her any of the
- 11:32attendees at this meeting that that was
- 11:34the case that all of these tests were
- 11:36actually an assay development mode and
- 11:37had not actually been transferred to the
- 11:39tspu yet
- 11:41I I don't know I also note that this is
- 11:44now in the time of the clinical lab and
- 11:47based on the email you just showed me I
- 11:48think we were talking at that point
- 11:50about the lab being able to handle a
- 11:53whole set of tests so I I don't know
- 11:55that we were even specifically talking
- 11:57about all of these being on finger stick
- 12:00okay
- 12:07okay do you did you participate in a
- 12:09series of meetings in the summer and
- 12:11fall of 2013 to advance the Walgreens
- 12:13relationship
- 12:15I don't I can't sit here now and
- 12:18remember specific meetings but I'm sure
- 12:19I was you know at a high level engaged
- 12:21with Walgreens leadership during that
- 12:24time
- 12:27in the summer and fall of 2013 would
- 12:30that have been around the time that
- 12:32theranos had developed or modified its
- 12:35commercially available machines in order
- 12:36to test smaller samples
- 12:40so my understanding is what was the time
- 12:42again summer and fall of 2013. my
- 12:45understanding is that in the fall yeah
- 12:49in that period is when we we implemented
- 12:51our small sample volume chemistries on
- 12:54those platforms okay do you remember
- 12:56when that was what month in 2013 I don't
- 13:00um if I told you it was around uh in
- 13:03sometime in July of 2013 with that scene
- 13:05about right teeth
- 13:07I'm not sure I my memory is that the
- 13:10first ldts were coming up in the lab
- 13:12later very very close to launch but it's
- 13:15possible that there was work toward it
- 13:17ongoing at July okay
- 13:21yeah
- 13:22during sorry when do you remember the
- 13:25ldts coming online
- 13:27my memory is that it was right before we
- 13:30actually began serving patients that
- 13:33many of those validation reports were
- 13:35right before the first patients were
- 13:37coming in
- 13:41did you discuss
- 13:44the three put issues that you described
- 13:46earlier in your testimony during those
- 13:48meetings and summer and fall of 2013.
- 13:52my memory is that at the time we
- 13:55invented the nanotainer at that time we
- 13:58discussed the invention of the
- 14:00nanotainer
- 14:01and its ability to work with what we
- 14:05talked about is high throughput testing
- 14:06methods for our small sample assays in
- 14:10phase one and then focus on the device
- 14:13in phase two
- 14:15so you developed the nanotainer in order
- 14:17to be used with the modified protocols
- 14:20on the commercially available platforms
- 14:24I don't know if we knew exactly at the
- 14:26time we developed the nanotainer what
- 14:28Hardware the test would run on but the
- 14:30concept was that then a lot of samples
- 14:33could be collected from a lot of
- 14:35different locations and sent to one
- 14:37place to all be run at the same time in
- 14:39in a high volume type of way but it
- 14:43sounds like you recall having developed
- 14:45the nanotainer around the same time that
- 14:47fairness was looking into potentially
- 14:49modifying these commercially available
- 14:50machines is that right no I think the
- 14:53nanotainer development happened much
- 14:55earlier when we shifted our business
- 14:57model with Walgreens from being focused
- 14:59on the tsp at the store to being focused
- 15:02on a phase one phase two type
- 15:05relationship that started with
- 15:07centralized Labs okay so so when did you
- 15:10develop the nanotanner yeah we were
- 15:13talking about this the day before
- 15:14yesterday I don't know specifically
- 15:16um I believe that it would have been
- 15:19around the time or shortly after the
- 15:24initial CLIA certification as a
- 15:27centralized lab but I I don't know okay
- 15:30so I asked you a question about whether
- 15:31you discussed the throughput issues that
- 15:33you'd testify to earlier with Walgreens
- 15:35did you discuss those issues with them
- 15:38my memory is that I talked about it in
- 15:42the context of the nanotainer invention
- 15:43prior to 2013 and that the nanotanner
- 15:47model would facilitate testing in a high
- 15:51volume way in a centralized lab and we
- 15:54then later picked what Hardware
- 15:55platforms to implement our chemistries
- 15:57on okay but did you actually talk to
- 16:00them about some of the issues you're
- 16:02experiencing with the fact that the tsp
- 16:04at that time could not conduct the same
- 16:06number of tests that you would need to
- 16:08conduct in order to receive a number of
- 16:10samples from LA from patient service
- 16:12centers
- 16:14did you discuss that point with them the
- 16:16the tsp could only handle one sample at
- 16:19a time yes
- 16:20um
- 16:22I'm not sure I I can't remember a
- 16:25specific conversation I don't know
- 16:27did you ever discuss with them the fact
- 16:29that theranos was in the process or had
- 16:31developed a solution to this throughput
- 16:34problem or the the fact that the tspu
- 16:36could only
- 16:37perform testing on one sample at a time
- 16:41my understanding that part of our
- 16:44ongoing Communications with them were
- 16:46around the fact that we were developing
- 16:48capacity to be able to handle large
- 16:50sample large numbers of samples at a
- 16:53time I don't know what details were
- 16:55discussed in that context
- 16:57how did you gain that understanding
- 16:59I have memory that one of the metrics
- 17:02that they were looking at for moving
- 17:04beyond what they had initially referred
- 17:06to as a pilot stage was our throughput
- 17:09capability how many samples we could
- 17:11handle in our labs and
- 17:14um
- 17:14and I know that that was important to
- 17:16them
- 17:18but you don't know I guess if I
- 17:20understand your testimony you don't know
- 17:21whether
- 17:23you know the theranos team communicating
- 17:24more directly with Walgreens
- 17:27disclosed theranos's solution to the
- 17:29throughput issue I don't
- 17:32so you also don't know whether you or
- 17:35anyone else at theranos would have
- 17:37disclosed to Walgreens that theranos was
- 17:39using
- 17:40commercially available machines and
- 17:43modifying the protocols on them
- 17:45I don't I mean we we generally
- 17:47considered that implementation of our
- 17:50chemistries to be trade secret and we'd
- 17:52filed non-public patent applications on
- 17:55certain parts of it and so I I wouldn't
- 17:58expect that we would have gotten into
- 17:59detail on that I thought that we had
- 18:03talked about it as ways we could
- 18:05Implement our chemistries in high
- 18:07throughput fashion in the lab I I don't
- 18:10know the extent to which anything
- 18:12further than that was discussed with
- 18:13them but why wouldn't you tell Walgreens
- 18:15I mean Walgreens was fairness's most
- 18:19important business partner at the time
- 18:20don't you think that Wolverines would
- 18:21have wanted to know what device you were
- 18:23using to process these samples
- 18:26it was my understanding that they were
- 18:28very interested in the tspu for phase
- 18:30two I am not aware that they were very
- 18:34focused on what Hardware that we were
- 18:36using in Phase One at that time we
- 18:40talked to them in general about how we
- 18:42were operating our Labs but
- 18:44um they were not they were not specific
- 18:46conversations that I'm aware of of what
- 18:48the hardware platform was in Phase One
- 18:49But at the time that you were marketing
- 18:51thereiness's technology to Walgreens in
- 18:542010 yeah weren't the two parties
- 18:57envisioning that the tspu would be
- 18:59running the tests
- 19:00in the stores yes and and we were
- 19:03through 2015 when we got our first FDA
- 19:07clearance on the tsp our our thought
- 19:09even going into that year was that we
- 19:10were going to start putting those tspus
- 19:12in the store that was the the hardware
- 19:14Focus right whole grains so why wouldn't
- 19:16it be important though to let them know
- 19:18just so you know the tsp is not going to
- 19:21be the device that's going to be
- 19:22performing most of the tests it's
- 19:23actually going to be this modified
- 19:24commercially available machine
- 19:27again my understanding is that we
- 19:29conveyed to them when we invented the
- 19:31nanotanner that we would be shifting to
- 19:33a model in which phase one was the
- 19:35nanotainer and the chemistries small
- 19:37sample chemistries and phase two would
- 19:39be the tspu we then also began adding
- 19:43commercial equipment for doing
- 19:45traditional venipuncture testing and
- 19:47it's my understanding they were aware
- 19:49that the lab in phase one was doing a
- 19:52lot of different things to be able to
- 19:54accommodate the business model of phase
- 19:56one which was foot traffic and low-cost
- 19:58testing and a better patient experience
- 20:01including small samples
- 20:04so you said a couple things I just want
- 20:06to follow up on the um you mentioned
- 20:07that it was your understanding that they
- 20:09understood
- 20:10phase one was about implementing
- 20:11theranos chemistries did you ever use
- 20:14that language with them implementing
- 20:15theranos chemistries in connection with
- 20:17phase one I think so what was the
- 20:19context
- 20:21my memory is the first time is when we
- 20:24were talking about how to change the
- 20:25business model and the creation of the
- 20:29idea of phase one and phase two and at
- 20:31that time
- 20:32as we discussed in our prior meeting the
- 20:35purpose of the nanotainer was to be able
- 20:37to run a lot of samples at the same time
- 20:39and so the point we were trying to make
- 20:42is if the value to the patient is that
- 20:44they get their collection on a finger
- 20:46stick they don't care whether it's
- 20:48processed on a device at the store or in
- 20:51a high throughput way in the lab and so
- 20:53we could develop this nanotainer product
- 20:55to allow the samples to be processed in
- 20:58a high throughput way and then use the
- 21:00device in phase two in the lab and and I
- 21:03believe that was what generally led to
- 21:05the establishment of phase one and phase
- 21:08two
- 21:09do you recall anyone at Walgreens that
- 21:11you use that language with
- 21:13so I I thought that all of the
- 21:16conversations around the invention of
- 21:17the nanotainer
- 21:19this was part of that discussion I I
- 21:21don't know who specifically was in those
- 21:23meetings because it was many years ago
- 21:26but I I believe that that was generally
- 21:29how we describe the phase one phase two
- 21:32model to Walgreens and to others
- 21:34you also answered earlier question
- 21:36describes sort of the the architecture
- 21:39of the four series mini lab as something
- 21:43that was capable of Performing that
- 21:45that test menu we just looked at yes did
- 21:49you ever use that language the
- 21:50architecture of the tspu or the mini lab
- 21:53in connection with any discussions with
- 21:55Walgreens
- 21:58um I don't know if I use that word I
- 22:00know that part of the Hopkins visit was
- 22:04as I understood it essentially
- 22:05evaluating that because they were
- 22:08looking at is this truly differentiated
- 22:10from other point of care technology
- 22:13and whether the word robotics or
- 22:16architecture or some other word was used
- 22:18that was I I believe what they saw as
- 22:22differentiating theranos and why
- 22:24Walgreens was interested in partnering
- 22:26with us
- 22:28so just so I understand that you you
- 22:29understood hopkins's valuation
- 22:31evaluation to focus on the whether it's
- 22:34we call the architecture of the robotics
- 22:36whatever the the the the mechanism of
- 22:39the point of care device as as the focus
- 22:42of their evaluation it's not fair I'm
- 22:45sure there were other things and I know
- 22:46Walgreens had multiple interactions with
- 22:49them my understanding was that one of
- 22:52the things they were particularly
- 22:53focused on was is this a platform that
- 22:57is capable of running any combination of
- 23:00tests in so many words given the way
- 23:03it's designed
- 23:04essentially
- 23:08do you recall performing demonstrations
- 23:11for a number of Walgreens Executives
- 23:13during this time frame summer to fall of
- 23:162013.
- 23:18I I don't have specific memory of them
- 23:21but I'm sure there were multiple
- 23:23interactions I know I mentioned that we
- 23:25we sent to tspu to Walgreens in Chicago
- 23:27for them to use at their facility as
- 23:30well I don't know if that was in 2013 or
- 23:33at a different period of time do you
- 23:35recall
- 23:36conducting these technology
- 23:38demonstrations in theranos's office
- 23:40during this time frame
- 23:42I again I don't have memory of specific
- 23:44demonstrations during that time but you
- 23:47do recall that there were demonstrations
- 23:49that were done for Walgreens correct
- 23:52I I don't recall specific ones I I know
- 23:55that Walgreens is a partner for whom we
- 23:58would have done demonstrations what did
- 24:00what was your understanding as to the
- 24:02purpose of those demonstrations
- 24:05I think as we were discussing before it
- 24:07varied based on the audience that was
- 24:09there and what they were interested in
- 24:11seeing I I know at certain periods of
- 24:13time they were interested in seeing the
- 24:15software we were working to build at
- 24:17other instances like with the tspu they
- 24:20were interested in seeing the tspu over
- 24:23time a lot of the focus became
- 24:25understanding the retail operation
- 24:27itself what collection would be like in
- 24:30store what the experience would be like
- 24:32in store and trying to replicate that
- 24:35wasn't uh part of the reason why they
- 24:38wanted to see a technology demonstration
- 24:40also because they wanted to just see for
- 24:42themselves that fairness technology
- 24:44worked and it could perform the blood
- 24:46test that theranos said it could
- 24:49I I don't know
- 24:52you don't know that Walgreens would have
- 24:54wanted to know whether or not your
- 24:56technology worked I know that that's why
- 24:59they had us go to Hopkins and they had
- 25:01Hopkins look at it and and I believe
- 25:03look at a number of different inputs
- 25:05that Walgreens was getting
- 25:07um on due diligence on therano site I
- 25:09don't I don't know what they were
- 25:10thinking when they they came to our site
- 25:12in terms of
- 25:14um what they were looking for in a
- 25:16specific instance
- 25:18so uh
- 25:19in the in the
- 25:22um I guess in the summer fall 2013 time
- 25:24frame yeah if the focus of if is it fair
- 25:27to say that the focus from fairness
- 25:29aside was on phase one with respect to
- 25:30Walgreens at that time yes
- 25:33um
- 25:34would there be any reason to to send
- 25:36Walgreens a tspu in in 2013 if if that
- 25:40wasn't part of phase one and not the
- 25:42current focus on on theranos aside
- 25:45so again I don't know if it was in 2013
- 25:47it may have been before then but as I
- 25:50look back on that time frame what's
- 25:52really important to remember is we
- 25:53really believed that we were going to
- 25:55get a large number of tests into the FDA
- 25:58on the tspu and cleared and moved to
- 26:01phase two very quickly so yes we were
- 26:04operating in phase one but we thought
- 26:06phase two is the future of the business
- 26:08this is where we're going this is what
- 26:10you know we're going to do and we
- 26:13thought based on the assays that we had
- 26:15that we were really close to it
- 26:17I guess did you ever explain you know
- 26:20whenever the machine was sent to
- 26:22Walgreens that
- 26:24um
- 26:25that it was more relevant to the phase
- 26:27two context of the relationship
- 26:29I I understood it was explicit that this
- 26:32is for phase two you're gonna process a
- 26:34single patient sample at a time I'm
- 26:37and and
- 26:39my I thought that had been conveyed well
- 26:42at that time you thought you
- 26:45do you think you had convey that well to
- 26:47Walgreens at the time
- 26:51so I I was only in meetings with some of
- 26:54their higher level decision makers I I
- 26:57understood from those meetings that at
- 27:00least I thought I had conveyed that the
- 27:01tspu was for phase two yes
- 27:04um I I know now that there's been a lot
- 27:07of confusion about this and I've tried
- 27:09to spend a lot of time thinking about
- 27:11you know how how could we have done this
- 27:12better but at those times I I thought I
- 27:16thought that was understood
- 27:19during phase two with
- 27:22was there going to be a Slowdown in the
- 27:24throughput of tests
- 27:28question I don't know
- 27:30um I think part of the concept was that
- 27:33I'm
- 27:34there would be specific
- 27:38I I
- 27:40don't I think
- 27:41I think we thought that
- 27:43if you were trying to get 10 patients A
- 27:45day in the store that was the Target
- 27:47that you would be able to handle 10
- 27:50patients A day in the store on the mini
- 27:51lab
- 27:52um there would be potential issues if a
- 27:54lot of them came at the same time but I
- 27:56don't think we ever thought that there
- 27:58was necessarily going to be a Slowdown
- 28:00was 10 patients a day you're targeted in
- 28:03the 2013-2014 time period for the
- 28:06it's the number that I had in my head is
- 28:09when we started out what they thought
- 28:11would be a success I I know certainly
- 28:14over time and as we moved toward more of
- 28:17a venipuncture models for phase one
- 28:21um that we started thinking you know how
- 28:24high can we get this number
- 28:25I guess when did that in your mind shift
- 28:28when you started thinking more about it
- 28:30being a puncture model
- 28:32I I don't know specifically I believe it
- 28:35was toured
- 28:37um
- 28:39either the end of 14 or early 15 but I
- 28:42could be wrong I'm speculating
- 28:44did you uh did you ever at any point
- 28:47communicate to Walgreens that you were I
- 28:49guess making this
- 28:51transition in your mind from uh thinking
- 28:54about the tsp to more of a vena puncture
- 28:56model for testing
- 28:58well again sorry if I didn't say this
- 29:00well it was my understanding that the
- 29:02tsp was always about phase two
- 29:05venipuncture was an alternative to
- 29:08nanotainer for phase one and
- 29:11I I believe that we did have
- 29:14conversations with Walgreens especially
- 29:16as we began discussing what we called a
- 29:19rental model with the service centers in
- 29:21the stores about the importance of
- 29:25venipuncture I know also when we moved
- 29:28to all theranos labor which as a startup
- 29:31that meant we were hiring hundreds of
- 29:33phlebotomists who were certified to draw
- 29:35blood that there was explicit discussion
- 29:37about venipuncture and in fact said to
- 29:40me at one point that maybe we could get
- 29:42the pharmacist to do the venipuncture
- 29:44because a lot of them had already been
- 29:45certified in doing venipuncture
- 29:47based on their Pharmacy training so so
- 29:50yes there was discussion about
- 29:51venipuncture
- 29:54sure I guess
- 29:55um but I I understood you earlier to say
- 29:57that you know sort of the value
- 29:58proposition earlier on was the finger
- 30:00you know the patient doesn't care about
- 30:02their experience if they go into the
- 30:03store and get the finger stick it
- 30:04doesn't matter what what device they get
- 30:06tested on right yes so I guess when did
- 30:08that consideration become I guess less
- 30:11important to you when analyzing the
- 30:14phase one Walgreens relationship
- 30:17um so again it's my understanding it was
- 30:18over time
- 30:20um I think
- 30:21um
- 30:23the ability to get a large number of
- 30:26people getting only finger stick
- 30:28depending on what the order was and so
- 30:32to get certain types of physician
- 30:34practices you needed insurance contracts
- 30:38because the insurance contract would
- 30:39allow the physician to send the patient
- 30:41to you and for the test menu we had
- 30:46to get those physician contracts we
- 30:49needed contracts with the insurance
- 30:50companies and the insurance companies
- 30:53essentially said what we care about is
- 30:55cost and an end-to-end menu so as we got
- 30:58more experience trying to get insurance
- 30:59contracts we understood that the most
- 31:02important thing in phase one was the
- 31:04test menu and the price and that in
- 31:07large part drove the move to Venom
- 31:09puncture
- 31:12so it's your testimony then today that
- 31:14Walgreens was aware that theranos was
- 31:16moving away from
- 31:19smaller samples and finger stick draws
- 31:22to venipuncture
- 31:25I I I can't sit here and say what
- 31:28Walgreens was aware of I can say what I
- 31:31thought we had communicated and I had
- 31:33communicated in the interactions that we
- 31:35had I thought that we'd communicated
- 31:39that you know first we were focused on
- 31:41small samples but that over time
- 31:44the real value to Walgreens was foot
- 31:46traffic and therefore venipuncture made
- 31:48sense
- 31:49I think they agreed with it based on the
- 31:52fact they've now partnered with LabCorp
- 31:54to do just that but I I don't know what
- 31:57they were aware of or not so you keep
- 31:59saying that you thought that you you
- 32:00would conveyed this to them do you think
- 32:03that you conveyed it or do you know that
- 32:04you conveyed it
- 32:06the conversations I mean this is many
- 32:08years ago and I I can't sit here and say
- 32:11I know within this meeting that I said
- 32:14this because I don't remember the
- 32:15meetings well enough but I I know
- 32:19what the purpose of the invention of the
- 32:21nanotainer was and then what the purpose
- 32:23of you know building for example a
- 32:26venipuncture based lab in Arizona was
- 32:29and I I really believe that Walgreens
- 32:31understood that at that time because we
- 32:35were changing our entire business model
- 32:37getting away from being a technology
- 32:39company for them and that's one of the
- 32:42areas in which we and I made a lot of
- 32:44mistakes was in doing that and it was
- 32:46because we were trying to make that
- 32:47partnership successful okay so you don't
- 32:50know whether you did convey that to
- 32:52Walgreens then I I can't sit here and
- 32:54recall specific conversations and
- 32:56specific words
- 32:59so you just mentioned something that I
- 33:01think you know is interesting to me the
- 33:03the um this idea that you know once once
- 33:06it became clear to you through the
- 33:07insurance contracts and and working with
- 33:09doctors offices that um
- 33:11that getting the full menu was important
- 33:15at that point in time essentially
- 33:18your company is just turning into a lab
- 33:20services company is that is that fair
- 33:23yes it is and it moved away from its
- 33:26model of of sort of the the drop of
- 33:28droplets of blood being a differentiator
- 33:31right
- 33:32in some ways again all the time we were
- 33:35working toward getting the tspu into the
- 33:37FDA and cleared for phase two right so
- 33:40phase one is you're trying to get market
- 33:41share it essentially create a channel
- 33:43and then come in with this technology in
- 33:46phase two sure I I guess I understand
- 33:48that but it seems like at that point in
- 33:50time the
- 33:52phase one and phase two are somewhat on
- 33:54Divergent paths I mean you're trying to
- 33:56gain market share but with the
- 33:57technology that is pretty different from
- 33:59from what you're considering in phase
- 34:01two in your mind what was your how are
- 34:04we going to bridge that Gap yeah so if
- 34:06you look at our mission as a company
- 34:08it's access to health information so
- 34:12access to us what we began to understand
- 34:13if you look at a lot of the customer
- 34:15feedback it was about cost people
- 34:17couldn't afford lab testing and we were
- 34:19offering low-cost lab testing and so
- 34:22cost convenience and the experience that
- 34:25was all part of what we were building in
- 34:27phase one
- 34:28still with venipuncture we were trying
- 34:30to do smaller samples we were using
- 34:32butterfly needles we were trying to
- 34:34invest in technology which I can talk
- 34:36about if it's relevant to make that
- 34:38total draw Still smaller and then as
- 34:42fast as we could get to phase two four
- 34:44finger stick and even smaller turnaround
- 34:46time ultimately was was our plan
- 34:52was your company making any money
- 34:54offering low-cost lab testing
- 34:57so at the volumes we were at no it was
- 35:01my understanding that we believed we
- 35:03could if we hit volume and we thought
- 35:05that the retail footprint and some of
- 35:07what we were doing on changing the law
- 35:08to allow consumers to order tests would
- 35:12create that volume but we never got to
- 35:14that point
- 35:17and so it was a decision on you know how
- 35:20to price theranos tests in a Walgreens
- 35:22purely based on capturing market share
- 35:27so at a high level it was going back to
- 35:29my example of the four dollar lab test
- 35:31right we we wanted to provide a
- 35:34technology business model in lab testing
- 35:37so we we believed that we would
- 35:38ultimately be able to make money but we
- 35:41tried to figure out is what is the
- 35:42lowest price that we could possibly
- 35:44charge so that we're still breaking even
- 35:46or getting a little bit of profit
- 35:48but changing access for people so it's
- 35:52kind of like Walmart versus Neiman
- 35:55Marcus in terms of the the pricing in
- 35:56the business model right
- 35:59Walmart is high volumes really low
- 36:01margin
- 36:04so going back to the demonstrations then
- 36:08um
- 36:09did you instruct anyone at theranis to
- 36:12to move mini lab devices or the tspu
- 36:16into the CLIA Lab in order to
- 36:20uh because you were preparing for a tour
- 36:22or a technology demonstration do you
- 36:25recall ever doing that
- 36:27move them into the clear lab yes I don't
- 36:30recall doing that I mean there were
- 36:32tspus in the Clio lab running some tests
- 36:35as we've discussed okay so you don't
- 36:37recall ever moving more devices into the
- 36:40CLIA lab for that purpose
- 36:43I don't
- 36:45I don't think so I mean I can't sit here
- 36:47and say that we never did but I can't
- 36:49sit here and recall a specific instance
- 36:51um
- 36:55I I don't I don't think so but I don't
- 36:58know
- 36:59do you recall a meeting that you had
- 37:00with Walgreens Executives in July 2013
- 37:04in which you conducted a technology
- 37:06demonstration
- 37:08I don't I don't remember
- 37:17let's watch against the document will
- 37:18there be any reason to move mini lab
- 37:21devices uh into either the CLIA lab or
- 37:24the r d lab for the purposes of a tour
- 37:28I mean I remember we were always really
- 37:30focused on protecting sort of areas
- 37:32where we had open devices or things we
- 37:34thought were trade secret so it's
- 37:36possible that we decided okay we're
- 37:38going to bring people to one place so
- 37:40anything we want to talk about put there
- 37:41I I don't have specific memory of
- 37:45specific instances and can try to talk
- 37:46about any specific instances that you
- 37:48want to talk about
- 37:50okay so I'm handing to you what's been
- 37:52marked as fairness visited 219.
- 37:57exhibit 219 reports to be a July 12 2013
- 38:02email from with a copy to you Elizabeth
- 38:05Holmes
- 38:07the subject line is re-demo results for
- 38:107 11 and the starting dates number is
- 38:13thp FM zero zero zero zero zero six four
- 38:17six one three
- 38:19and there are two attachments the first
- 38:21has a starting base number
- 38:23six four six one eight and the second
- 38:28has frame dates number six four six two
- 38:30zero
- 38:33have you seen exhibit 219 before
- 38:39I I don't recognize it but I don't have
- 38:41any reason to delt this email
- 38:43what is exhibit 219
- 38:52. it appears to be an exchange about
- 38:54demo results
- 38:56did you receive and review exhibit 219
- 38:59on or about July 12 2013.
- 39:02I I don't know
- 39:05if you turn to
- 39:07the last page or the second to last page
- 39:10in the email
- 39:11which is the first email in the chain
- 39:14you'll see there's an email from who's
- 39:15writing to you and do you see that I do
- 39:18and he says hi Elizabeth attached please
- 39:20find the six Dental reports for today
- 39:22all out of range values are in red font
- 39:25and then he goes on to say please note
- 39:27the following creatine has been removed
- 39:29for all reports as per a suggestion do
- 39:31you see that
- 39:33yes then he goes on to say vitamin D has
- 39:36been removed for all male Health panels
- 39:38as per suggestion do you see that
- 39:42I do because I want to say tt4 and tt3
- 39:45has been removed for all thyroid panels
- 39:47as prude suggestion do you see that I do
- 39:49and then she goes on to write ft4 has
- 39:52also been removed from the thyroid panel
- 39:54in F2
- 39:56do you see that I do
- 40:00did you understand this to mean that was
- 40:02removing certain results from test
- 40:04reports
- 40:08I I'm
- 40:13yes
- 40:14what was your understanding as to why he
- 40:16did this
- 40:19um well again the clinical lab had not
- 40:21gone live at this point so
- 40:23um
- 40:25I mean going back to my prior comment my
- 40:28understanding generally is if anyone who
- 40:30is reviewing the data had a concern
- 40:31about the data don't include it on the
- 40:33report and you said your understanding
- 40:36was that you shouldn't include it on the
- 40:38report where was that what was that
- 40:40understanding based on
- 40:43um
- 40:44my general understanding of the fact
- 40:47that if you have a result that you think
- 40:49might not be accurate it's not
- 40:52a good process to report the result
- 40:55so had the lab Gone live and you were
- 40:58conducting patient testing
- 41:00and a patient was coming to you and they
- 41:03were coming to you for Diagnostic
- 41:04testing and so their physician had
- 41:06ordered a number of tests including some
- 41:07of these like vitamin D and tt4 and tt3
- 41:10and you had some questions about the
- 41:13results that came out of those tests
- 41:16would it be appropriate for you to
- 41:18remove those tests from the report
- 41:19wouldn't the patient I mean the patient
- 41:22needs efforts for testing right why
- 41:24would you be removing results from
- 41:25reports
- 41:27so again I was not directly involved in
- 41:29this the laboratory director would make
- 41:31that decision based on whatever the
- 41:32right thing to do in the lab is he was
- 41:35the lab director at this time
- 41:37this is July 2018. I don't know
- 41:40um I don't know if head started or okay
- 41:43so you're not sure if he was the lab
- 41:45director but so who would have made that
- 41:47decision then to remove test results
- 41:50if not him again the lab wasn't live at
- 41:53this time so I I don't know that we had
- 41:55all those processes and nsops in place
- 41:57yet did you instruct and to remove
- 41:59results from test reports
- 42:02I I don't know if I specifically I told
- 42:06them to do that again it was my general
- 42:08understanding that if there was ever a
- 42:10concern about a result you wouldn't
- 42:11report it
- 42:12where did you gain that understanding
- 42:15from
- 42:16did somebody tell you that
- 42:18um I don't know I think it was just a
- 42:20basic process that we wanted to make
- 42:22sure the results we were reporting were
- 42:23correct and I I don't know for demos
- 42:27like this that I'm
- 42:30there were specific test orders even
- 42:32coming in I think I mean this was this
- 42:34was in an r d environment
- 42:37but if some of the results came back
- 42:38incorrect how did you know that the
- 42:40results that you did report were correct
- 42:42I I don't know I'm not a laboratorian I
- 42:46didn't oversee the labs I trusted my
- 42:48team to make those decisions so who here
- 42:51were you trusting to make that decision
- 42:53in this case it was reviewing the data I
- 42:55would defer to him on his interpretation
- 42:57of the data you're talking about yes and
- 42:59what were his qualifications to do that
- 43:02I'm again I speculated a little bit on
- 43:05what I thought his training was I'm not
- 43:06completely sure but my understanding was
- 43:08that he was qualified to become
- 43:10ultimately a lab director but at this
- 43:12point in time what was your
- 43:13understanding of his qualifications to
- 43:15make this determination
- 43:17um his background in statistics and data
- 43:19analysis
- 43:21background
- 43:22Institute data analysis yeah
- 43:24and you hired him for this position
- 43:26correct
- 43:27no we we heard him many years before as
- 43:30a scientist and then promoted him up
- 43:32within our organization over time so you
- 43:34promoted him to this position
- 43:36we promoted him into product development
- 43:39and ultimately Sunny decided to make him
- 43:42a lab director but here as we're looking
- 43:44July 2013 he was in the role to make
- 43:48this decision because of you correct
- 43:51I mean again I was the CEO of the
- 43:53company and so I you know
- 43:56um take responsibility for this company
- 43:59I did not in this role I did not
- 44:03directly oversee the labs but I I tried
- 44:06to pick people who I trusted to do this
- 44:09right and so who was overseeing at this
- 44:11time
- 44:13to the extent that he was engaged in
- 44:14anything in the clinical lab operations
- 44:16was the ultimate decision maker at the
- 44:19time he became clinical lab director I
- 44:21don't know when that was and Sonny was
- 44:24overseeing anything associated with
- 44:26operations in the laboratory but I don't
- 44:28see sunny or on this email
- 44:33why why didn't you include them on the
- 44:35email
- 44:36again I I
- 44:38it's July of 2013 I read this as a
- 44:41technology demo that was done in an r d
- 44:43setting and prior to the lab going live
- 44:48and I guess
- 44:51what's the difference what was the
- 44:52difference in your mind between the
- 44:54importance of results in an r d setting
- 44:55versus the Imports and results in a
- 44:57clear setting
- 44:59I understand the results to be important
- 45:01across the board
- 45:03um I believe there was a different
- 45:05process in place once the lab went live
- 45:07for how decisions like this were made
- 45:09and based on the authority and
- 45:12discretion of the lab director
- 45:15did you communicate any distinction for
- 45:17to the the Walgreens folks receiving
- 45:19these uh these demonstrations that
- 45:23that their house didn't have those Sops
- 45:26in place at this time
- 45:28I I don't know
- 45:30did you tell anyone that there knows to
- 45:32communicate that to these folks at
- 45:34Walgreens
- 45:36I I believe that Walgreens understand
- 45:38the lab wasn't ready to go live yet
- 45:40because we hadn't gone live and they
- 45:42were pushing us really hard to go live
- 45:43as soon as possible and so they
- 45:47certainly knew we weren't operational at
- 45:49that time I I don't know what else was
- 45:51discussed or what the circumstance of
- 45:52this demo or I mean frankly I don't even
- 45:55know if this was for Walgreens I I defer
- 45:57to you if you're saying it was
- 45:59well why don't you take a look at the
- 46:01attachments
- 46:03so the attachments include lab reports
- 46:06for and does that ring a bell to you do
- 46:09those two names sound familiar to you
- 46:13I generally recognize him I don't
- 46:15recognize I don't know
- 46:18you don't know whether he's a Walgreens
- 46:20executive or not
- 46:24I'm I'm not sure I I think so but I'm
- 46:28not sure
- 46:29so instead of removing the results
- 46:31entirely why didn't you just instruct
- 46:33and to just include the results but
- 46:36maybe
- 46:37either indicate that it's out of range
- 46:40or just indicate that they needed to
- 46:42redraw for those results why not go that
- 46:45route
- 46:46again I'm not a laboratorian
- 46:50we thought the right thing to do I I
- 46:52believe if there was a result it was
- 46:54incorrect was not share the value we
- 46:56thought that was
- 46:57that was not proper
- 46:59but you you must have known that
- 47:01Walgreens would want to know that all of
- 47:03the tests that they were that were being
- 47:05performed would be performed correctly
- 47:07so why why wouldn't you want to be as
- 47:10transparent as possible and let them
- 47:12know Ashley there were some issues with
- 47:14it looks like at least six results
- 47:18so
- 47:20what's your answer to that
- 47:22again I the lab was not even live at
- 47:25this point I don't think they came in
- 47:26with specific test orders I think that
- 47:28the team was
- 47:31picking tests to do and made the
- 47:33decision that if test results were wrong
- 47:35they shouldn't be reported I
- 47:37I don't know anything further than that
- 47:40but isn't another reason why you
- 47:43wouldn't want to include any indication
- 47:44that there were questions about the
- 47:47results that had you put something like
- 47:49an out of range result or you know needs
- 47:52redraw that that would raise questions
- 47:54with Walgreens
- 47:56I I mean I'm speculating but my guess is
- 47:59that the bigger issue would be that if
- 48:00you potentially communicated something
- 48:02that there might be a medical issue with
- 48:04someone and there actually wasn't
- 48:08you said this is for an aren't for r d
- 48:10purposes right yes so no one was going
- 48:13to be relying on the results of these
- 48:15tests anyway for
- 48:17medical treatment all right correct so I
- 48:20guess why in an r d setting would you
- 48:22apply the protocols that are used for
- 48:25clinical lab
- 48:27purposes we were trying to do the right
- 48:29thing we were trying to report results
- 48:32that we believed in and not report
- 48:34results if we thought there was any
- 48:35issue and if there was an issue we would
- 48:37need to understand why and I I believed
- 48:41that our team is trained to do the right
- 48:43thing
- 48:44is it fair to say that at this time
- 48:46theranos was trying to demonstrate to
- 48:49Walgreens that it was technologically
- 48:51capable of running tests in a lab
- 48:54setting
- 48:56I I
- 48:59don't know what the circumstances of
- 49:01this demo were so I would be speculating
- 49:03on that I I know that we were very
- 49:06focused on showcasing the finger stick
- 49:08experience on training their technicians
- 49:10on creating the front end we certainly
- 49:14had gone through the CLIA certification
- 49:15process and we're very focused on trying
- 49:17to put the right infrastructure in place
- 49:20from the CLIA perspective on an ongoing
- 49:23basis as we led up to launch sure I
- 49:26guess just more basically I mean if
- 49:29was it your understanding that if
- 49:31Walgreens
- 49:32didn't think that there was good run
- 49:35tests it wouldn't it wouldn't allow up
- 49:39their owners to open its doors
- 49:45I
- 49:46don't know we would be speculating I I
- 49:49know that
- 49:51um ultimately you know we ended up with
- 49:54a all Vino puncture model had that
- 49:57you know had we talked about doing that
- 49:59at this point I don't know what that
- 50:01conversation would have been I I was it
- 50:04important to you in the summer and fall
- 50:05of 2013 to demonstrate that theranos
- 50:08could perform clinical lab testing on
- 50:10blood samples of course absolutely
- 50:14and so when did theranos end up rolling
- 50:17its services out with Walgreens
- 50:20so I think the first patient in
- 50:23California was in October of 15 and the
- 50:27first one in Arizona was in November I'm
- 50:29sorry of 13 and the first one in Arizona
- 50:32was in November of 13. okay so at the
- 50:35time of this technology demonstration
- 50:37you're about three months away
- 50:40from going live in the patient setting
- 50:43did it concern you that a number of
- 50:45tests weren't working on fairness's
- 50:49devices
- 50:51I I know that we made mistakes in our
- 50:55clinical lab and
- 50:58I picked people who I trusted and
- 51:02believed in to do the right thing here I
- 51:04believed that as issues were raised we
- 51:07were looking into them doing root cause
- 51:08analysis and solving them I believed
- 51:11that when our lab director signed off on
- 51:14validation reports it meant that we were
- 51:16we were in good shape and I know that we
- 51:20made so many mistakes on this front but
- 51:22we were we were trying to take this
- 51:24forward and at that time
- 51:27thought that thought that we were doing
- 51:29the right thing do you know if any of
- 51:30these issues were ever resolved
- 51:33that
- 51:35the thoroughness device was unable to
- 51:36test for creatine and the vitamin D and
- 51:41tt4 and tt3
- 51:44and ft4
- 51:45do you know I believe
- 51:48that question I'm sorry do you know if
- 51:50any of those issues were finally
- 51:51resolved
- 51:53I I believe that at least a number of
- 51:55these were validated in the lab as ldts
- 51:58later yes on the tsbu
- 52:01I think so some of them which ones I
- 52:05think vitamin D was and I think some of
- 52:07the thyroid markers I don't know which
- 52:09one specifically
- 52:12so you'll see that
- 52:14um you know we looked at a couple of the
- 52:16reports that are attached to this email
- 52:17their reports
- 52:20and if you look in the
- 52:27uh if you look on 64613 which is the
- 52:30first page of the email it looks like
- 52:31getting ready to send these reports out
- 52:37did you ever tell that a number of the
- 52:40tests that were run on their blood
- 52:42samples were actually removed from the
- 52:44reports
- 52:46I I don't know
- 52:49again I don't remember interactions
- 52:51around this
- 52:56okay you can put that one aside
- 53:10I'm heading to you what's been
- 53:12previously marked
- 53:14as theirness exhibit 63.
- 53:21is it at 63
- 53:24it has a letter agreement dated December
- 53:2831st 2013.
- 53:31titled amended and restated theranos
- 53:34Master Services agreement with beginning
- 53:37dates number wag-t-h-00099
- 53:45the scene exited 63 before
- 53:48I think so what is exhibit 663
- 53:52and I believe it's the amendment to our
- 53:55agreement with Walgreens
- 53:58did you receive and review exhibit 63 on
- 54:02or about December 31st 2013.
- 54:07um
- 54:07I don't know
- 54:09okay if you turn to 104 which is the
- 54:13last pace of the page of the agreement
- 54:15is this your signature right yes okay so
- 54:18do you believe that you would have
- 54:19received this summer about
- 54:20December 31st 2013 and signed it on that
- 54:23date as well yeah I believe I signed it
- 54:25on that date
- 54:28so if you look at
- 54:31the second page of the agreement which
- 54:32is 100
- 54:35under number one National Rollout
- 54:42says the party shall work together to
- 54:44develop a forecast that details the
- 54:46anticipated rollout dates for fairness
- 54:47services in an individual U.S states and
- 54:50territories
- 54:51the parties are committed to taking all
- 54:53reasons all steps reasonably necessary
- 54:54to ensure a successful National Rollout
- 54:56of the theranos services and you can go
- 54:59on and read the rest of the paragraph if
- 55:01you wish but nowhere in this paragraph
- 55:04does it say that there is a binding
- 55:06agreement between the two parties to
- 55:08roll out nationally is there
- 55:12yeah I'm sorry the question is does this
- 55:15paragraph say whether there's a binding
- 55:17agreement to roll out nationally yes
- 55:20interest rate for a second
- 56:06I'm
- 56:08no this paragraph says that they're
- 56:11committed to taking all steps reasonably
- 56:13necessary to ensure a successful
- 56:14National Rollout are you aware of any
- 56:17contracts or agreements that would bind
- 56:19Walgreens to roll out fairness services
- 56:21and wellness centers nationally
- 56:25my understanding was that this agreement
- 56:28and even going back to our initial press
- 56:31release that said we were going to roll
- 56:32out nationally that was the intent of
- 56:34this and both of us had
- 56:36ways to get out of the contract if we
- 56:39decided it wasn't going well
- 56:41yeah okay so so what's the answer to my
- 56:44question are you aware of any
- 56:46contrastual agreements between the two
- 56:48companies that would find Walgreens to
- 56:50roll out nationally with fairness
- 56:53honestly that was my interpretation of
- 56:55what this was
- 57:00yes this amendment was saying we're
- 57:03going to do this we're going to go out
- 57:04nationally I think they say later in
- 57:06here that they're going to build out a
- 57:08certain number of what they called
- 57:09gold spaces I
- 57:12I recognize that this language does not
- 57:14say this is a binding agreement to be
- 57:16National but that was my understanding
- 57:17of the purpose of this amendment
- 57:20so if you turn to 101
- 57:27there's a provision
- 57:28that's small d
- 57:31it says notwithstanding anything to the
- 57:34contrary there and it agrees that it
- 57:35shall not without Walgreens prior
- 57:37written consent offer services or
- 57:39collect samples through CVS Caremark
- 57:41corporations Minute Clinics or their
- 57:44equivalent and exclusive Walgreens
- 57:45markets in the event they're in a
- 57:47desires to utilize such clinics and
- 57:49non-exclusive Walgreens markets it will
- 57:51inform Walgreens in advance and review
- 57:54their rationale for doing so and
- 57:56consider reasonable Alternatives that
- 57:58Walgreens May advance so you understood
- 58:00from this that
- 58:02theranos couldn't go out and enter into
- 58:05a contract with CVS without giving prior
- 58:07notice to Walgreens right yes
- 58:11and fairness had to also consider
- 58:14reasonable Alternatives if Walgreens
- 58:15offer reasonable alternatives to
- 58:17fairness to rolling out with CVS correct
- 58:20yes
- 58:21why don't you turn the page to 102.
- 58:24under three Innovation fee
- 58:28what did you understand as to
- 58:31The Innovation fee discussions that were
- 58:33taking place between Walgreens and
- 58:34theranos
- 58:38my understanding was that
- 58:40ultimately in this agreement this money
- 58:43was paid essentially
- 58:47as it says here to be better prepared
- 58:49for National Rollout and for essentially
- 58:52exclusivity to Walgreens
- 58:55was theranos asking uh Walgreens to
- 58:58accelerate the Innovation fee payment
- 59:00I I think we said to them that if they
- 59:03want us to roll out at the pace that
- 59:05they wanted us to roll out that we were
- 59:07going to need to invest a lot and we
- 59:09needed Capital to do that
- 59:18so what were what was your understanding
- 59:20as to the terms under which fairness
- 59:22would earn the Innovation fee though
- 59:25did you have any understanding of that
- 59:27um my understanding was that essentially
- 59:30we were earning it by being exclusive to
- 59:32them and by being compliant with the
- 59:35contract I know there was a
- 59:39a lot of Provisions in the agreement
- 59:42about
- 59:43um
- 59:44you know targets that we were both
- 59:46setting for for rollout
- 59:48did you understand that in the 2012
- 59:50amended Master purchase agreement that
- 59:54Ernest wouldn't be earning the
- 59:57Innovation fee unless it hit certain
- 59:59Revenue targets
- 1:00:02um
- 1:00:07I I know the provision that you're
- 1:00:10talking about I think we thought that
- 1:00:12when we moved to this agreement we were
- 1:00:15we were earning it based on exclusivity
- 1:00:17and where does it say that you'd be
- 1:00:18earning it based on exclusivity
- 1:00:22um I believe
- 1:00:29this section
- 1:00:31and what what I had in my head was the
- 1:00:34section prior that talks about
- 1:00:37the exclusivity commitments from
- 1:00:39theranos and the associated commitment
- 1:00:41from Walgreens
- 1:00:45so just I understand that
- 1:00:47the
- 1:00:48um by December 31st 2013 yeah it was
- 1:00:52your understanding that theranos
- 1:00:54theranos's retention of the Innovation
- 1:00:55fee from Walgreens was based on
- 1:00:58exclusivity and not on Revenue targets
- 1:01:02I I don't know
- 1:01:04that we focused on the revenue targets
- 1:01:07provision
- 1:01:09in the 2012 agreement after that I'm I'm
- 1:01:13not sure I I know to the extent I I
- 1:01:15talked about it internally with sunny it
- 1:01:18was that you know this is money that
- 1:01:20we're earning for exclusivity
- 1:01:26so we're able to identify a portion of
- 1:01:28the contract that
- 1:01:30did away with the earning event being
- 1:01:33tied to revenue targets
- 1:01:35no
- 1:01:37so if you turn sorry I just want to make
- 1:01:40sure I understand the the yeah so at the
- 1:01:42end of 2013
- 1:01:43in your mind the Innovation fee wasn't
- 1:01:47dependent on Revenue targets with
- 1:01:49Walgreens
- 1:01:54I I'm trying to remember whether we had
- 1:01:56any conversations about the revenue
- 1:01:57targets again after this agreement I I
- 1:02:02remember associating it mentally with
- 1:02:05exclusivity I I don't
- 1:02:08I don't know
- 1:02:11I don't know how we address that
- 1:02:13I guess in your mind at this time how
- 1:02:15did you think fairness was going to earn
- 1:02:17the Innovation fee as of year end 2013.
- 1:02:20honestly what I have in my mind is that
- 1:02:23we thought we would earn it based on
- 1:02:25exclusivity to Walgreens
- 1:02:27what is that exclusivity in your mind
- 1:02:29provide I mean how is theranos going to
- 1:02:31be exclusive with Walgreens working only
- 1:02:33with them for some agreed period of time
- 1:02:36until we got permission from them to
- 1:02:38work with other retailers what was that
- 1:02:40period of time
- 1:02:42I I don't remember it off top of my head
- 1:02:43I could look back at these and try to
- 1:02:46piece it back together
- 1:02:48so what was your understanding then as
- 1:02:50to when theranos would be able to earn
- 1:02:53the Innovation fee and and count that as
- 1:02:57revenues
- 1:02:58in a legal sense or an account
- 1:03:02do you understand what my question is
- 1:03:05I I'm I don't know what is your question
- 1:03:08so you just you just answered Mr
- 1:03:11kolakar's question and you said
- 1:03:13exclusivity means that at a certain
- 1:03:16point in time theranos will have worked
- 1:03:18with Walgreens for long enough and not
- 1:03:20with another retailer and at that point
- 1:03:22in time fairness would have earned the
- 1:03:24Innovation fee
- 1:03:26yeah I mean is that your yes sir my
- 1:03:29answer is that by committing to
- 1:03:31Walgreens that we would be exclusive to
- 1:03:33them we were earning this money and that
- 1:03:35was why it was being paid at the end of
- 1:03:36December as opposed to based on all
- 1:03:38these later targets that we had
- 1:03:40previously put in place okay so at what
- 1:03:42point in time would the parties decide
- 1:03:43that fairness would have earned it
- 1:03:45because there are no should stay true to
- 1:03:47the exclusivity rights that it had given
- 1:03:49to Walgreens
- 1:03:50it was my understanding based on
- 1:03:52conversations with sunny and he was the
- 1:03:55one who was looking at this that because
- 1:03:58we had amended this agreement we we as
- 1:04:01parents thought we'd earned it
- 1:04:02through your conversations with sunny
- 1:04:04yes
- 1:04:07do you have any and did you have any
- 1:04:09independent conversations with Walgreens
- 1:04:11no
- 1:04:14in other words it's fair to say that the
- 1:04:16by the end of 2013 you understood the
- 1:04:19Innovation for me to belong at their
- 1:04:21nose unencumbered I I did because we've
- 1:04:23committed to them that we would be
- 1:04:24exclusive to them and uh and that was
- 1:04:29how sunny believed that the payment
- 1:04:31would be reflected
- 1:04:36to 103.
- 1:04:40under seven additional Equity rights
- 1:04:45says the parties agree that 50 million
- 1:04:48of the 70 million dollar payment made by
- 1:04:50Walgreens pursuant to section three
- 1:04:52above may be converted at Walgreens
- 1:04:54option into equity on such terms as are
- 1:04:56made available to investors and
- 1:04:57theranis's planned Equity financing in
- 1:05:00the first quarter of 2014. the parties
- 1:05:03also agree that upon signing this
- 1:05:04agreement Walgreens will receive an
- 1:05:06option to purchase up to 50 million
- 1:05:08dollars in fairness equity on the terms
- 1:05:10made available to investors who invested
- 1:05:12in the prior Equity financing
- 1:05:15um EG at 15 per share
- 1:05:18did you understand this provision to
- 1:05:20provide that Walgreens would be given an
- 1:05:22option to purchase up to
- 1:05:25our the option to convert about 50 of
- 1:05:29the 75 million dollar accelerated
- 1:05:31Innovation fee to equity and then would
- 1:05:34also have an option for an additional 50
- 1:05:35million dollars in equity In fairness
- 1:05:38yes
- 1:05:41thank you
- 1:05:44you testified earlier you can put that
- 1:05:47one aside so let's take a breakdown and
- 1:05:49Dr that doctor's been a little over an
- 1:05:51hour okay let's take a really short
- 1:05:53break if you don't mind so five minutes
- 1:05:55that works
- 1:05:56off the Record at 10 10 A.M
- 1:06:07we are back on the record at 10 25.
- 1:06:10[Music]
- 1:06:12Holmes did you have any substantive
- 1:06:14conversations with the SEC staff during
- 1:06:16the break I did not
- 1:06:18so you testified earlier on Tuesday that
- 1:06:22you understood that venous draw
- 1:06:23percentage and patient traffic were
- 1:06:26important metrics for Walgreens in
- 1:06:28evaluating the relationship do you
- 1:06:30remember that I think so
- 1:06:33so
- 1:06:36I I don't know if I said that being a
- 1:06:39straw percentage was an important metric
- 1:06:40I I certainly know that patient traffic
- 1:06:42is or was
- 1:06:44did you understand that Venus drop
- 1:06:46percentage was important to Walgreens
- 1:06:50I understood that there was focus on it
- 1:06:52from certain people within Walgreens uh
- 1:06:55and frankly not from others who who is
- 1:06:58it a focus for
- 1:07:00I believe some of the early team that
- 1:07:02had been focused on the phase one I'm
- 1:07:04sorry the initial tspu business model
- 1:07:07and then over time as the boots
- 1:07:09leadership came in it became as I
- 1:07:11understand it more about foot traffic
- 1:07:13so I I guess
- 1:07:15um
- 1:07:17prior prior to the boots murder was was
- 1:07:20did you understand that that the
- 1:07:22venipuncture percentage was was an
- 1:07:24important metric for Walgreens
- 1:07:27I I know that I don't know if it was an
- 1:07:29important metric to them I know that
- 1:07:30some of the the lower level team members
- 1:07:32were interested in it and over time I
- 1:07:36guess just who from who from the
- 1:07:38Walgreens team do you remember that
- 1:07:39being important too I I don't know I I
- 1:07:41just remember Sunny talking about it
- 1:07:46I'm heading to you Weston Marsh fairness
- 1:07:48exhibit 220.
- 1:07:57exhibit 220 reports to be a May 6 2014
- 1:08:01email from Sonny balwani to Elizabeth
- 1:08:03Holmes subject line is forward final
- 1:08:06Deck with starting dates number th PSN
- 1:08:08zero zero zero one five five eight five
- 1:08:12eight three with an attachment with
- 1:08:14starting base number
- 1:08:20apparently we don't know what the base
- 1:08:21number is but I believe it's 155-8584
- 1:08:26being the next page
- 1:08:28have you seen exhibit
- 1:08:30220 before
- 1:08:33I'm I'm not sure
- 1:08:37all right is this language produced to
- 1:08:39you guys yeah I mean it's just
- 1:08:43those do we know this is the attachment
- 1:08:45this referred to an email yes
- 1:08:48how do we know that's the way we turned
- 1:08:51it over to you or this uh
- 1:08:55it could be that some of the attachments
- 1:08:57might have come in a different format
- 1:08:59maybe native they were Native files
- 1:09:01which is the reason why because the date
- 1:09:04stamp isn't on it
- 1:09:06um you have a problem with it we can
- 1:09:08always understand
- 1:09:10whether your shirts we'll check during
- 1:09:12your break okay
- 1:09:20I I don't know
- 1:09:25is this your email address at the
- 1:09:27topehomes at fairness.com it is do you
- 1:09:30have any reason to believe that you
- 1:09:31didn't receive this honor about May 6
- 1:09:332014 I do not
- 1:09:36so you'll see in the email there's a
- 1:09:40preceding email from to Sonny balwani
- 1:09:44and he writes attaches the final deck
- 1:09:47and then sunnyvale1 even forwards it on
- 1:09:50to you
- 1:09:51do you know why Sonny balwani forwarded
- 1:09:54it on to you
- 1:09:56I I don't I would assume it's an FYI
- 1:09:58okay so he's trying to keep you in the
- 1:10:00loop about the Walgreens relationship
- 1:10:01right
- 1:10:03I I think so okay so if you turn to the
- 1:10:05attachment
- 1:10:08and the title is diagnostic testing
- 1:10:10fairness partnership
- 1:10:16if you look on page four of the
- 1:10:19presentation
- 1:10:20I think you're on it already
- 1:10:22the tops says diagnostic testing program
- 1:10:26governance and there are a number of
- 1:10:28names
- 1:10:32do you know who
- 1:10:35was a part of the executive steering
- 1:10:38committee for fairness
- 1:10:42I I can see here that it says sunny and
- 1:10:44I believe that was correct or were you
- 1:10:46aware that there was an executive
- 1:10:47steering committee that was formed
- 1:10:49between Awards and fairness yes and did
- 1:10:53you understand that they were convening
- 1:10:54on a regular basis to discuss the
- 1:10:57Walgreens there in his relationship I
- 1:10:58did
- 1:11:00so why don't you turn to page six
- 1:11:04and the title of that slide is current
- 1:11:07operations metrics do you see that yes
- 1:11:10and there's a table uh one of the
- 1:11:13metrics here is average patients per
- 1:11:15store per day
- 1:11:16and you see that in February 2014 it's
- 1:11:19at 0.8 but in May of 2014 it went up to
- 1:11:223.1 do you see that I do so is that
- 1:11:25consistent with your understanding then
- 1:11:27that um in May of 2014 that there were
- 1:11:31about three patients per day being seen
- 1:11:33first in each store per day
- 1:11:36I I didn't remember how many there were
- 1:11:38in May of 14 but I I don't have reason
- 1:11:40to doubt this okay but it appears that
- 1:11:42you you would have been aware of this
- 1:11:45in May of 2014 right
- 1:11:48I mean I I probably generally okay
- 1:11:52okay and then if you move down to Venus
- 1:11:54draws it looks like the Venus draw went
- 1:11:57from 43 in February 2014 to 39 in May of
- 1:12:032014. do you see that so it looks like
- 1:12:06the venous draw percentage
- 1:12:08didn't actually change that much
- 1:12:11do you see that I do were you aware that
- 1:12:13the Venus raw percentage in May of 2014
- 1:12:16was 39 at the stores
- 1:12:20I I don't know
- 1:12:22I don't remember what I was aware of in
- 1:12:24May of 14. okay but at the time that you
- 1:12:26received this and
- 1:12:28you would have been aware from reviewing
- 1:12:31this that it was at 39
- 1:12:32honestly I don't know that I reviewed
- 1:12:34this at the time somebody sent me a lot
- 1:12:36of documents and I didn't always open
- 1:12:37them you didn't always open documents
- 1:12:39that Sonny sent to you I did not
- 1:12:42uh was it your general practice to
- 1:12:44review the documents that I sent you
- 1:12:46sometimes sometimes he would just tell
- 1:12:48me what he thought was relevant that I
- 1:12:50needed to know
- 1:12:53I I guess you're gonna
- 1:12:55did you ever tell him to stop you know
- 1:12:57forging information about the Walgreens
- 1:12:58relationship no not at all
- 1:13:03do you have any reason to believe that
- 1:13:04you didn't review this at the time in
- 1:13:05May 2014
- 1:13:07I I don't remember reviewing it in May
- 1:13:102014 so I just don't know do you
- 1:13:12remember the Venus drop percentage for
- 1:13:14patient testing at theranist Wellness
- 1:13:16Center is being around 40 percent during
- 1:13:19the entire period of the relationship
- 1:13:22I remember that when we responded to the
- 1:13:24Wall Street Journal article I asked a
- 1:13:26team to calculate it and they came back
- 1:13:29and used the number of about 60
- 1:13:30something percentage on finger stick so
- 1:13:33I I knew it from that okay so you were
- 1:13:36generally aware it was something like 30
- 1:13:37to 40 percent Venus draw correct I again
- 1:13:41I don't know what exactly I was aware of
- 1:13:43at that time I I know that in 2015 I
- 1:13:46asked a team to go back and do analysis
- 1:13:48of it and and got that number okay
- 1:13:50so why don't you turn to then the last
- 1:13:53page
- 1:13:54ph-14
- 1:13:56it's titled the path forward
- 1:14:00and it's under a number of bullet points
- 1:14:03the first being operations Improvement
- 1:14:12do you see that I do it says focus on
- 1:14:14Venus draws reduction
- 1:14:17and it reduced me a patient check-in
- 1:14:19time to less than eight minutes and
- 1:14:22Achieve 15 patients per day per store
- 1:14:25was that consistent with your
- 1:14:26understanding that Walgreens was looking
- 1:14:30at a target of about 15 patients per
- 1:14:32state per day per store
- 1:14:35I I thought prior to reading this that
- 1:14:37it was 10 but
- 1:14:39um I I don't doubt this okay
- 1:14:48okay you can put that one aside
- 1:14:52so you also testified earlier
- 1:14:55that fairness wellness centers were only
- 1:14:58ever opened in 41 stores do you remember
- 1:15:00that testimony
- 1:15:02at Walgreens at Walgreens yes
- 1:15:06um do you know when that last door was
- 1:15:08opened I don't
- 1:15:10uh if I told you it was September of
- 1:15:132014 would that seem about right
- 1:15:18I might I actually don't know but I
- 1:15:20don't doubt that
- 1:15:22you don't know when the last door was
- 1:15:23opened in Walgreens
- 1:15:27this was fairness's most important
- 1:15:29business relationship and you have no
- 1:15:30idea when the last door was open
- 1:15:33okay I genuinely don't remember it I she
- 1:15:36didn't say she had no idea you asked her
- 1:15:38was it September she said she wasn't
- 1:15:39sure
- 1:15:40I I I'm
- 1:15:43trying to tell you exactly what I
- 1:15:44remember and what I don't remember did
- 1:15:45you have any reason to doubt that it was
- 1:15:47September around September 2014. no
- 1:15:53weren't you aware by that time and
- 1:15:55certainly certainly by the end of 2014
- 1:15:58that Walgreens would not agree to open
- 1:16:01any new stores
- 1:16:03thereiness by the end of 14
- 1:16:07um
- 1:16:10no
- 1:16:11you weren't aware that Walgreens was
- 1:16:13having concerns over opening new new
- 1:16:16stores and providing fairness services
- 1:16:18in them
- 1:16:20I mean I knew we were going back and
- 1:16:22forth on refining the model of the
- 1:16:25relationship but I remember
- 1:16:28I don't know if it was the end of 14 or
- 1:16:30early 15.
- 1:16:32engaging with amending and expanding our
- 1:16:35our contract potentially around a
- 1:16:38a lentil a rental model
- 1:16:42is was your understanding that Walgreens
- 1:16:43wasn't gonna open up any additional
- 1:16:47stores at that time absent some sort of
- 1:16:49amendment
- 1:16:53um
- 1:16:54I I don't know I know there were a lot
- 1:16:57of discussions of continuing amendments
- 1:16:59and I know that sometimes the models
- 1:17:01that we were following did not reflect
- 1:17:03the exact contracts that we had in place
- 1:17:05at the time I I don't know if I knew
- 1:17:07that there had to be an amendment I I
- 1:17:09don't think that was my understanding
- 1:17:11what do you mean by the models you were
- 1:17:14following didn't reflect the exact
- 1:17:16contracts
- 1:17:17I'm for example with Safeway we moved to
- 1:17:21a CLIA certified lab model even though
- 1:17:24the contract reflected a Clio waiver
- 1:17:26model and we never amended the contract
- 1:17:28so we we had Partnerships in place where
- 1:17:31we
- 1:17:32we're operating in a way that was not
- 1:17:34necessarily consistent with exactly what
- 1:17:36was in the contract sure I guess I
- 1:17:38should turn specifically this time
- 1:17:39period of sort of the September 2014
- 1:17:42through the end of 2014. yep can you can
- 1:17:44you think of any ways in which theranos
- 1:17:45was
- 1:17:47um operating with Walgreens in a way
- 1:17:49that was not consistent with your
- 1:17:50understanding of the Walgreens contracts
- 1:17:58I I don't know if
- 1:18:01we had worked out
- 1:18:03exactly as we were collecting funds from
- 1:18:06people at retail I think Walgreens was
- 1:18:08collecting them we hadn't yet created a
- 1:18:10system where they were reimbursing
- 1:18:11theranos for the monies that they had
- 1:18:13collected we figured we'd work that out
- 1:18:15over time and I
- 1:18:20I don't know if we were following
- 1:18:22exactly the labor and Staffing model in
- 1:18:24the agreement we were doing different
- 1:18:26things I think there was some instances
- 1:18:28in which theranos was actually doing the
- 1:18:29labor for check-in even though we
- 1:18:32contemplated that that would be
- 1:18:33Walgreens generally I'm I'm sure there's
- 1:18:37probably others
- 1:18:42thank you
- 1:18:45foreign
- 1:18:48to you
- 1:18:58they're an open sit at 221
- 1:19:15very Unfortunately they are all in loose
- 1:19:17leaf and not cut maybe we can lift this
- 1:19:21one
- 1:19:29it's not possible but you can try and
- 1:19:32keep this together I'm handing to you
- 1:19:33what's been Martha's theranos Instead at
- 1:19:35221.
- 1:19:36pair of copies for what should you do
- 1:19:41[Music]
- 1:19:46exhibit 221 reports to be
- 1:19:57an Excel file that
- 1:20:00includes a number of
- 1:20:03rows of
- 1:20:05font
- 1:20:06the starting beats number is
- 1:20:10ts-1036239 have you seen exhibit 221
- 1:20:13before
- 1:20:18um
- 1:20:19I think I've seen some of the content in
- 1:20:21it I've never seen it like this
- 1:20:24uh does this I'll represent to you that
- 1:20:26these are this is the file that Theron
- 1:20:29is provided to the SEC pursuant to
- 1:20:31subpoena which is supposed to reflect
- 1:20:34the text messages between you and Mr
- 1:20:36balwani on your fairness issued cell
- 1:20:39phone yep
- 1:20:42do you have any reason to believe that
- 1:20:44this isn't a true collection of those
- 1:20:46text messages from your work cell phone
- 1:20:48you know
- 1:20:49so if you turn to
- 1:20:54um the page with Bates number 1036292
- 1:21:011 6 292
- 1:21:05.
- 1:21:12thank you
- 1:21:21are you there bam
- 1:21:25yours looks a little different from mine
- 1:21:27maybe um oh I'm sorry I was on the wrong
- 1:21:30page
- 1:21:35yeah got it okay so you'll see about
- 1:21:38five messages down from the top
- 1:21:42um there's an SMS message on November 19
- 1:21:452014 and
- 1:21:48it appears to be from Sunny balwani to
- 1:21:50yourself is this Sonny balwani's email
- 1:21:52address do you recognize it
- 1:21:54I think so okay
- 1:21:56okay um and he says we can't scale with
- 1:21:58wag
- 1:21:59and wag you understand is Walgreens
- 1:22:03yes okay and then in his next text
- 1:22:06message he says they are terrible and we
- 1:22:08need uh swi and CVS do you understand S2
- 1:22:12Wy to be safe way yes
- 1:22:15and then you respond it is time let's
- 1:22:18get swy done this week
- 1:22:21we can do it
- 1:22:22and then Mr valani responds they told
- 1:22:25her team in wag meeting that they don't
- 1:22:27intend to open more pscs until July
- 1:22:29because we missed their I.T integration
- 1:22:31deadline do you see that I do and psc's
- 1:22:34again as patient service centers yes
- 1:22:38so you were aware in November of 2014
- 1:22:41that
- 1:22:42Walgreens wasn't looking to expand
- 1:22:45fairness services to any other stores
- 1:22:48isn't that right I'm sitting here now
- 1:22:51reading this exchange I don't think I
- 1:22:53would have taken that as
- 1:22:55definitive that we wouldn't be expanding
- 1:22:57if we thought there was an issue I would
- 1:22:58have called their CEO or president and
- 1:23:01said we need to expand
- 1:23:02so you didn't think reading this that
- 1:23:04there was an issue
- 1:23:06clearly I thought there was an issue
- 1:23:08because we're talking about Safeway and
- 1:23:09CBS but I I wouldn't
- 1:23:11take a comment made in a wag meeting as
- 1:23:13indicative that we wouldn't be expanding
- 1:23:15with Walgreens okay did you do anything
- 1:23:17to contact anyone at Walgreens about
- 1:23:21this issue the fact that they raised in
- 1:23:24the meeting that they
- 1:23:25wouldn't be looking to roll out there
- 1:23:27are no services in any additional stores
- 1:23:30I I don't know
- 1:23:32I don't know
- 1:23:36so you don't remember to contact anyone
- 1:23:38at Walgreens about this issue
- 1:23:41issue so I I saw from the other document
- 1:23:44that you gave me that I believe was
- 1:23:46already involved at this time I know I
- 1:23:47had I'm fairly frequent interactions
- 1:23:50with him that were generally positive I
- 1:23:53I don't
- 1:23:54remember this text or remember what
- 1:23:57follow-up happened but certainly unless
- 1:23:59it was coming from a c-level executive I
- 1:24:01wouldn't have taken it as indication
- 1:24:03that we weren't going to be expanding in
- 1:24:04our relationship we would have tried to
- 1:24:05work through the issue
- 1:24:10so did you agree with Sonny's assessment
- 1:24:13in November of 2014 that that Walgreens
- 1:24:16was terrible
- 1:24:19Sunny uses very strong words to express
- 1:24:22things and I understood that he had been
- 1:24:25very frustrated with them for a long
- 1:24:28time there was specific frustrations
- 1:24:29about the stores that we had and the
- 1:24:32fact that the rooms hadn't been built
- 1:24:34out so I think I just reading this now
- 1:24:36interpreted as I agreed that we should
- 1:24:38start engaging with the other retail
- 1:24:40opportunities that we had
- 1:24:42um we always believed we were going to
- 1:24:45continue to work with Walgreens what
- 1:24:47were Sonny's other frustrations with
- 1:24:48Walgreens as of November 2014.
- 1:24:52um so the ones I remember are
- 1:24:56we talked a little bit the other day
- 1:24:58about the store footprint
- 1:25:00um being in locations where not a lot of
- 1:25:02people would come into the stores so
- 1:25:04they weren't ideally suited for Success
- 1:25:06in terms of foot traffic and we were
- 1:25:08supposed to have bathrooms in our
- 1:25:10locations and there was a commitment
- 1:25:12around what was in the amendment around
- 1:25:14gold quote unquote stores and I don't
- 1:25:16know if any of them had been built out
- 1:25:18and there was also a commitment in that
- 1:25:21amendment to proceed I think with at
- 1:25:23least three geographies and they hadn't
- 1:25:25proceeded with retail Construction in
- 1:25:28those three geographies which we had
- 1:25:30understood to be a commitment so
- 1:25:32but I think that was the basis of the
- 1:25:34the frustration so by this time did you
- 1:25:37have an understanding of why Walgreens
- 1:25:38hadn't expanded at least three
- 1:25:40geographies
- 1:25:41my memory is that boots had had come in
- 1:25:45and that they were looking at this again
- 1:25:47and I I think boots had different
- 1:25:49thoughts about the contract and the
- 1:25:51relationship than Walgreens did and that
- 1:25:53that was driving a sort of re-review of
- 1:25:57this which ultimately led to some of the
- 1:25:59discussions about formally amending the
- 1:26:01contract again
- 1:26:03and do you call when Boots the boots
- 1:26:05came in I don't
- 1:26:07know the um is is your understanding
- 1:26:10that the
- 1:26:12the boots team wanted to sort of rear
- 1:26:14review the Walgreens theranos
- 1:26:15relationship to I guess reconsider how
- 1:26:18to roll out the source
- 1:26:21I don't know whether they wanted to
- 1:26:23reconsider uh rolling out I I understand
- 1:26:26that they did re-reviewed the
- 1:26:28relationship and I I don't know what
- 1:26:30they were particularly thinking in it I
- 1:26:32think they were
- 1:26:33to reevaluating everything that the old
- 1:26:35Walgreens leadership had done
- 1:26:38and so that reevaluation did you
- 1:26:40understand that that was happening
- 1:26:41around this time in late 2014
- 1:26:45I I don't know when it happened
- 1:26:48so if you look back at that page
- 1:26:53there's a text from
- 1:26:57Mr balwani several lines down that says
- 1:27:00need CTN fixed our root cause of issues
- 1:27:04do you see that
- 1:27:07it's on the same date at 5 12. yes
- 1:27:11what did you understand them to mean by
- 1:27:13that
- 1:27:18um
- 1:27:22I I don't know
- 1:27:25and CTN is that capillary tube and Nana
- 1:27:27Tanner yes
- 1:27:29um so you respond he says I know this
- 1:27:32seems like they are a mess and you
- 1:27:34respond yes
- 1:27:36so it sounds like at that time you
- 1:27:37understood what he was talking about we
- 1:27:39have no recollection of what he was
- 1:27:41talking about then
- 1:27:46um I I don't and I'm not quite sure
- 1:27:48whether those are those two texts right
- 1:27:50back
- 1:27:51and back are referring to the same thing
- 1:27:54they may be referring to some of the
- 1:27:55earlier
- 1:27:56texts okay do you recall any issues with
- 1:27:59the capillary tube in the Entertainer
- 1:28:03at this time
- 1:28:04at this time period
- 1:28:06um
- 1:28:07I I don't know specifically at this time
- 1:28:09period I know we were you know an
- 1:28:11ongoing basis particularly focused on
- 1:28:14training of phlebotomists and trying to
- 1:28:17minimize the number of Collections and
- 1:28:18redraws and
- 1:28:20if you don't do it right the sample gets
- 1:28:24um what's called hemolized which is
- 1:28:25messed up and so there's a huge ongoing
- 1:28:29focus on that
- 1:28:31okay you can set that aside which I
- 1:28:34understand might be difficult but
- 1:28:37just need any rubber bands or something
- 1:28:39[Music]
- 1:28:52so earlier in your testimony we also
- 1:28:55discussed that there was a time when
- 1:28:56theranos and Walgreens started
- 1:28:58discussing the possibility of a rental
- 1:28:59model yes
- 1:29:03do you recall those discussions taking
- 1:29:04place around December 2014
- 1:29:07I don't I don't know when they I I
- 1:29:10remember it as being on a sort of a
- 1:29:12period of time but I don't know when it
- 1:29:14started
- 1:29:23[Music]
- 1:29:32I'm handing to you what's been marked
- 1:29:34during this was it at 222
- 1:29:37copies there thank you
- 1:29:44foreign exhibit 222 purports to be
- 1:29:48handwritten notes from December 1st uh
- 1:29:51excuse me December 10th 2014.
- 1:29:56uh
- 1:29:58with starting base number
- 1:30:02ts-0480486 have you seen exhibit 222
- 1:30:05before
- 1:30:07not like this but it looks like these
- 1:30:10are my notes
- 1:30:11Mr handwriting it is
- 1:30:14okay and uh up on the upper right corner
- 1:30:17there's a date of December 10th 2014
- 1:30:19there's a time of it looks like 8 A.M to
- 1:30:2210 p.m and then there's a conference
- 1:30:25room and a number of people are listed
- 1:30:28under there do you think this was a
- 1:30:29meeting with Walgreens
- 1:30:32I I do think it was a meeting with
- 1:30:33Walgreens I don't think that is correct
- 1:30:35which which is not correct well at least
- 1:30:38the time and maybe not even the
- 1:30:40conference room and the date I'm not
- 1:30:42completely
- 1:30:45sure whether this was at theranos or
- 1:30:47somewhere else
- 1:30:48I I briefly you can just walk us through
- 1:30:50how your handwritten notes were created
- 1:30:52by your by your assistance
- 1:30:56um yes uh
- 1:30:58so
- 1:31:00um
- 1:31:01sometimes they would prepare letterhead
- 1:31:05for a meeting that had the date and the
- 1:31:07names and the time on it sometimes if we
- 1:31:09didn't have litter head we would use
- 1:31:10letterhead that had been previously
- 1:31:12produced for something else and I would
- 1:31:14write on that I would take notes and I
- 1:31:17would give it to them and they were to
- 1:31:19scan those notes and put them on the CEO
- 1:31:21drive that we discussed
- 1:31:25Okay so
- 1:31:30why don't I just Mark another
- 1:31:40I'm going to hand to you also
- 1:31:45a document that's been
- 1:31:47previously marked as
- 1:31:50fairness of zip 186.
- 1:31:54so that 186 reports to be at December
- 1:31:569th 2014 email to a number of
- 1:32:00individuals
- 1:32:04including yourself
- 1:32:05with a copy two again a number of
- 1:32:08individuals uh subject line is copy
- 1:32:11eight o'clock ampt Walgreens theranos
- 1:32:15meeting
- 1:32:17and
- 1:32:18um
- 1:32:19the debates number is wae Dash
- 1:32:24th-00037045 have you seen exhibit 186
- 1:32:27before
- 1:32:29I I don't recognize it okay and you'll
- 1:32:32see in the two line
- 1:32:34it was sent to e-womes at fairness.com
- 1:32:37that's your email address correct it is
- 1:32:39do you have any reason to believe that
- 1:32:40you didn't receive this email or it
- 1:32:42looks like a calendar invitation on or
- 1:32:44about December 9th 2014. no I mean
- 1:32:48calendar invitations automatically went
- 1:32:50to my assistant so I never saw them
- 1:32:52coming in but I don't doubt with the
- 1:32:54email okay so when you would receive
- 1:32:58calendar invites you would it wouldn't
- 1:32:59go to your inbox correct it would go
- 1:33:01directly to your assistance yes okay who
- 1:33:04is your assistant on the CC line
- 1:33:08um
- 1:33:10is she on there she's not
- 1:33:12so where would this have gone to
- 1:33:15as I understand it my Outlook is
- 1:33:17configured in such a way in which if a
- 1:33:19calendar invite comes into e-homes it
- 1:33:21shows up uh in the mailbox of my
- 1:33:24assistance which is the age office okay
- 1:33:26do you know who your assistant was at
- 1:33:28that time
- 1:33:31no
- 1:33:33um I I think it started by this point
- 1:33:34but I'm not sure okay so in any case in
- 1:33:37the body of the calendar invitation it
- 1:33:39says 8 A.M to um 10 a.m PT is for a
- 1:33:43meeting on December 10th 2014. do you
- 1:33:45see that I do okay and then your meeting
- 1:33:48notes um have roughly the same
- 1:33:50information except that it says 10 pm
- 1:33:52instead of 10 a.m do you have any reason
- 1:33:54to doubt that these news were from the
- 1:33:55December 10th 2014 meeting no okay so if
- 1:33:59you turn the page to page two of your
- 1:34:02notes
- 1:34:09that's 487 you see at the top it says
- 1:34:13lab data and then I can't read the word
- 1:34:16next to it
- 1:34:18what is that
- 1:34:27I don't know
- 1:34:29I'm guessing it might be phase but I'm
- 1:34:31not sure okay and then underneath it
- 1:34:33says services and Clinic is that correct
- 1:34:37yes okay and then underneath again in
- 1:34:39bullet points it says Vienna puncher and
- 1:34:41five per day do you see that yes
- 1:34:45did you
- 1:34:47um does this refresh your recollection
- 1:34:48that you would have been talking about
- 1:34:50venipuncture and
- 1:34:52um
- 1:34:52five patients per day in Walgreens
- 1:34:56stores servicing providing fairness
- 1:35:01Services during this time
- 1:35:05it doesn't refresh my recollection but I
- 1:35:08I recognize the the words of the page
- 1:35:12so halfway down the page
- 1:35:16um it says there's a bullet point and it
- 1:35:19says rental
- 1:35:21agmt model I assume agmt is agreement is
- 1:35:26that right I'm sorry where were you
- 1:35:27halfway down the page
- 1:35:32yes
- 1:35:33you see that yes it's agmt agreement yes
- 1:35:36so does it look like you were discussing
- 1:35:39with Walgreens Executives the
- 1:35:41possibility of a rental agreement model
- 1:35:42during this meeting
- 1:35:46and then it goes on to say incentive
- 1:35:48early years rental aging agreement
- 1:35:51incentives
- 1:35:53both winning what what were you
- 1:35:56referring to there when you wrote that
- 1:35:58I I don't know
- 1:36:02did you view the rental agreement as
- 1:36:03with Walgreens as something that can be
- 1:36:05beneficial to both parties absolutely
- 1:36:07why
- 1:36:08because we understood ultimately from
- 1:36:11The Experience we'd had by then that
- 1:36:13foot traffic was the most important
- 1:36:15metric to Walgreens and that for
- 1:36:18theranos we could have control over the
- 1:36:20space and ensure a good experience so
- 1:36:22some of the frustrations that had
- 1:36:24existed in the store model we could
- 1:36:27resolve because we'd be owning the space
- 1:36:29completely
- 1:36:40did you tell prospective investors at
- 1:36:43this time so this was December 2014 that
- 1:36:46Walgreens and theranos were considering
- 1:36:48modifying the contract to enter into
- 1:36:51more of a rental agreement model
- 1:36:54I don't I remember specific
- 1:36:56conversations but I I wouldn't be
- 1:36:58surprised if we did we were excited and
- 1:37:01proud of this we thought this was going
- 1:37:03to be the way that we would scale and
- 1:37:06ultimately okay so but you don't
- 1:37:08remember having any conversations with
- 1:37:10prospective investors I don't I don't
- 1:37:13you mentioned a minute ago that that
- 1:37:15Sunny had had some some frustrations
- 1:37:17around the walking relationship around
- 1:37:18that late 2014 time period did you ever
- 1:37:20share any of those frustrations with
- 1:37:22prospective investors
- 1:37:24I I don't know because I don't remember
- 1:37:26specific discussions I I wouldn't be
- 1:37:28surprised if
- 1:37:30um if we did because people would ask
- 1:37:32you know what's limiting I'm assuming
- 1:37:34people would want to know why we were in
- 1:37:36the store footprint that we were and
- 1:37:38what was going to drive growth and
- 1:37:40therefore that would have been a likely
- 1:37:42thing to discuss but I I don't have
- 1:37:43memory of specific discussions dude do
- 1:37:46you recall Sonny ever sharing his
- 1:37:47frustrations with Walgreens to any
- 1:37:48prospective investors in any meetings
- 1:37:50you attended again I can't remember
- 1:37:52specific conversations but I wouldn't be
- 1:37:54surprised if if he did
- 1:37:57so
- 1:37:59just to restructure the relationships so
- 1:38:01it was more of a rental model would that
- 1:38:03have
- 1:38:04had any impact on the timing of the
- 1:38:06rollout if they're in a services to
- 1:38:08Walgreens stores
- 1:38:10I'm sure it would have impacted but I I
- 1:38:13don't know whether it would have made it
- 1:38:14better or worse
- 1:38:17way
- 1:38:20I I don't understand what was
- 1:38:22controlling the
- 1:38:24um the rollout Pace on the wall grain
- 1:38:26side and I don't know exactly how fast
- 1:38:29we thought we could build out these
- 1:38:31locations if we were building them out
- 1:38:32ourselves okay but certainly it would
- 1:38:34have taken a few months to get things
- 1:38:37rolling and to open another Wellness
- 1:38:39Center and Walgreens stores
- 1:38:42I I don't know it depends on whether we
- 1:38:43were using for example their Clinic
- 1:38:45spaces that had already been built out
- 1:38:47or not
- 1:38:57thank you
- 1:39:01so I want to change gears and now let's
- 1:39:04start talking about theirness's
- 1:39:05relationship with Safeway
- 1:39:08why was theranos interested in entering
- 1:39:10into a contract with Safeway
- 1:39:16high level it was another vehicle for
- 1:39:20building a retail footprint and with our
- 1:39:23focus on people's access to health
- 1:39:26information we thought it could be
- 1:39:28really meaningful to help people start
- 1:39:30linking diet to their Health Data with
- 1:39:34the software applications that we wanted
- 1:39:35to build
- 1:39:36okay and did you have any understanding
- 1:39:38as to why Safeway wanted to enter into a
- 1:39:42relationship with fairness
- 1:39:44my understanding is that they shared
- 1:39:46that vision and
- 1:39:49um also were interested in ways to
- 1:39:51expand their and differentiate their
- 1:39:53Pharmacy
- 1:39:54okay and in what way would they be able
- 1:39:56to differentiate their Pharmacy if they
- 1:39:57partnered with you
- 1:39:59if people were able to access
- 1:40:01information about their health it could
- 1:40:03inform the decisions about what foods
- 1:40:05they bought and that data could be
- 1:40:08powerful for people who were dealing
- 1:40:10with things like pre-diabetes or
- 1:40:12diabetes that are diet related
- 1:40:15so it was what the parties were
- 1:40:17discussing and by parties I named
- 1:40:19fairness in Safeway of course
- 1:40:21at the time that you started the
- 1:40:23discussions were you contemplating sort
- 1:40:26of a similar model to what theranos have
- 1:40:28been discussing with Walgreens which is
- 1:40:30to roll out with fairness's tspus in
- 1:40:34Safeway stores
- 1:40:36at the time we started yes
- 1:40:41who were your primary contacts with from
- 1:40:44Safeway
- 1:40:45my primary contract contact was with
- 1:40:48Steve bird
- 1:40:50and were any others involved besides
- 1:40:52Steve bird
- 1:40:54he had a team that worked for him I
- 1:40:57almost entirely interacted directly with
- 1:41:00him
- 1:41:01okay what about after Steve bird left
- 1:41:03Safeway who did you interact with then
- 1:41:05and he was supported by
- 1:41:08and who was responsible for the Safeway
- 1:41:11relationship from fairness was that you
- 1:41:14until Steve bird left yes and then Sonny
- 1:41:16wants to have left so Sunny balwani was
- 1:41:18responsible for the Safeway relationship
- 1:41:20after Steve Birdland yes
- 1:41:24would he keep you apprised of how the
- 1:41:26relationship was going and his
- 1:41:27discussions with Safeway once he took
- 1:41:29over responsibility
- 1:41:31in general yes but after Steve left we
- 1:41:33didn't have
- 1:41:35the same kind of frequency of
- 1:41:37interactions with them
- 1:41:38so what happened after Steve left
- 1:41:43um
- 1:41:46I I believe that
- 1:41:50there was a fund that acquired them and
- 1:41:54and I think he was working with that
- 1:41:58fund
- 1:41:59to get their thinking about
- 1:42:03what and whether they wanted to proceed
- 1:42:06with this vision of the services in the
- 1:42:09pharmacy space and it's my memory that
- 1:42:13the fund
- 1:42:15really wanted to restart the
- 1:42:16relationship and we had a lot of
- 1:42:19disagreements about that because we'd
- 1:42:21spent so much time working with
- 1:42:24Steve over the past years and investing
- 1:42:26in Technologies at sort of his request
- 1:42:30that we didn't want to restart it from
- 1:42:32scratch
- 1:42:33so then what happened after those
- 1:42:35discussions did fairness ever end up
- 1:42:37rolling out its services and Safeway
- 1:42:39stores no
- 1:42:41why not
- 1:42:42we couldn't agree on a Model to do that
- 1:42:49and ultimately by the time we we did
- 1:42:53agree
- 1:42:54it was after the Wall Street Journal
- 1:42:57articles and we were dealing with the
- 1:42:59issues in our clinical lab with CMS
- 1:43:10thank you
- 1:43:18foreign
- 1:43:30ERS Exhibit 2 23.
- 1:43:41is it at 223 reports to be
- 1:44:01oh I'm no that was previously March of
- 1:44:052086.
- 1:44:06I'm sorry okay so I'm handing to you
- 1:44:10what's been marked as theranos exhibit
- 1:44:11223 and he was at a 223 purports to be a
- 1:44:16June 28 2013 email out to Elizabeth
- 1:44:20Holmes and Sunnyvale lying setup line is
- 1:44:23Safeway fairness meeting 6 26 13 with
- 1:44:28Beats number
- 1:44:32ts-0034026 there's an attachment that
- 1:44:35starts at base ending three four zero
- 1:44:38one six have you seen exhibit 223 before
- 1:44:44um
- 1:44:45I I don't know
- 1:44:52uh and again this is your email address
- 1:44:54do you have any reason to believe that
- 1:44:56you didn't receive this email
- 1:45:00so you can see in the current email uh
- 1:45:04is sending
- 1:45:07is attaching some notes from a meeting
- 1:45:09that you had
- 1:45:11and he's asking you to make any
- 1:45:13suggestive revisions that are necessary
- 1:45:15to make this an accurate summary of our
- 1:45:16discussions you see that
- 1:45:19I do and then he's attaching some uh
- 1:45:24notes that he took or a summary of the
- 1:45:27meeting that took place on June 26 2013.
- 1:45:30do you recall this meeting
- 1:45:32I don't specifically but I know we were
- 1:45:34engaging with him around this time
- 1:45:39so
- 1:45:40under Central lab model in the summary
- 1:45:43he says he writes contrary to
- 1:45:46Impressions that some safely people have
- 1:45:47there is no technological problem with
- 1:45:50the devices and no plan to go without
- 1:45:51the devices in the stores thereiness has
- 1:45:54determined that the use of the central
- 1:45:55lab model provides the quickest and
- 1:45:57easiest way to expand geographically
- 1:45:59the central lab contains the advice in
- 1:46:01fact the device is the only way of
- 1:46:03obtaining results from the nanotainers
- 1:46:05do you see that I do
- 1:46:09did you make this comment during the
- 1:46:10meeting
- 1:46:11I don't know
- 1:46:13do you know if Sunny made this comment
- 1:46:15during the meeting I don't
- 1:46:18so when writing and referring to devices
- 1:46:21do you understand him to be referring to
- 1:46:23the tsp
- 1:46:27certainly in the context of the
- 1:46:29statement devices in the stores yes
- 1:46:32well he uses devices throughout so
- 1:46:35you understand that devices here would
- 1:46:38be if he's talking about placing devices
- 1:46:41in the stores he could only be talking
- 1:46:42about the tsp right so as we discussed
- 1:46:45previously there was a version of the
- 1:46:47tspu that could process six samples at
- 1:46:49the time that we were designing for
- 1:46:53Safeway so I'm assuming
- 1:46:55that's what he's talking about in the
- 1:46:57context of the device in store okay
- 1:47:01um
- 1:47:08so when you said that fairness is
- 1:47:11determined that the use of the central
- 1:47:12lab model provides the quickest and
- 1:47:14easiest way to expand geographically was
- 1:47:16this the reason why theranos
- 1:47:18was looking to change the model so that
- 1:47:21devices wouldn't be put in stores but
- 1:47:23that
- 1:47:24samples would be sent to theranos's lab
- 1:47:27can't repeat that question for me
- 1:47:29was this the reason why theranos was
- 1:47:32proposing to change the business model
- 1:47:34from putting the devices in store to
- 1:47:36having samples taken at stores and sent
- 1:47:39to theranis's lab what was what the
- 1:47:42reason
- 1:47:43the reason that it's writing in these
- 1:47:45notes
- 1:47:46which is that it provides the quickest
- 1:47:49and easiest way to expand geographically
- 1:47:52at this point in time it might have been
- 1:47:54it wasn't what I guess in a way it was
- 1:47:57what
- 1:47:58drove the original decisions with
- 1:48:01Walgreens that had happened earlier
- 1:48:03um
- 1:48:04I I'm not sure I'm
- 1:48:08whether that's how we were thinking of
- 1:48:10it by mid-2013 but but it might have
- 1:48:12been did you say that it was or was not
- 1:48:15the reason why you switched to a central
- 1:48:17lab model for Walgreens
- 1:48:19was we discussed it was the result of a
- 1:48:22lot of Engagement with both of our
- 1:48:25Regulatory councils and sort of
- 1:48:28decisions about business model in a way
- 1:48:30it was because it was the quickest and
- 1:48:33easiest way to expand but there were a
- 1:48:34lot of other factors that went into that
- 1:48:36okay so um why don't we look at the next
- 1:48:39paragraph then it says the reasons for
- 1:48:41starting with essential lab model are as
- 1:48:43follows and you can read it for yourself
- 1:48:45but it essentially describes a courier
- 1:48:48model and the fact that because fairness
- 1:48:52would need to be offering a full array
- 1:48:54of lab tests including esoteric tests
- 1:48:56you would need a courier to come pick up
- 1:48:58samples anyway and so if that's the case
- 1:49:01why not start with a career model do you
- 1:49:04see that
- 1:49:09I do
- 1:49:11okay so why didn't you tell during this
- 1:49:15meeting that it was the regulatory
- 1:49:17issues
- 1:49:18that were prompting this move to a
- 1:49:21central lab model
- 1:49:23I I believe we've had that conversation
- 1:49:26with them previously when we sent them
- 1:49:28our complete certificate and became the
- 1:49:30Clio certified lab
- 1:49:32you believe that that was your
- 1:49:34conversation yes that's why we moved
- 1:49:37away from what was written in our
- 1:49:38contract and to being a central Korea
- 1:49:41lab
- 1:49:41so then why are you telling him a
- 1:49:44different story in the in the during
- 1:49:46this meeting
- 1:49:47I I don't read this as being different
- 1:49:50we had become a Clio lab and we were
- 1:49:53talking here about the fact that
- 1:49:55from a business perspective this was the
- 1:49:58fastest way to operationalize now
- 1:50:00this is now mid 2013.
- 1:50:10okay
- 1:50:11um so when you say that the device is
- 1:50:14currently capable of Performing the
- 1:50:15routine blood tests 90 or more of the
- 1:50:18demand is that a true statement so you
- 1:50:21keep preferencing these by saying when
- 1:50:22she says it and I'm just not clear that
- 1:50:24you've established whether she's saying
- 1:50:26it's sunny saying or somebody else sure
- 1:50:29so
- 1:50:30do you recall making a statement to that
- 1:50:32the tsp is currently capable of
- 1:50:35Performing the routine blood test 90 or
- 1:50:37more of the demand I don't
- 1:50:40was that was that true could the tsp
- 1:50:43perform 90 or more of demand
- 1:50:46of the demand for tests we believed it
- 1:50:49it could at that time yes what do you
- 1:50:51mean by we believe they could
- 1:50:53this is a few months before we sent in a
- 1:50:56number of pre-submissions to the FDA
- 1:50:58trying to get a really broad range of
- 1:51:01tests into the pre-submission process so
- 1:51:05we we thought we had
- 1:51:07designed a system that was capable of
- 1:51:09doing that
- 1:51:13hell that the tspu
- 1:51:16that theranos had only validated 12
- 1:51:19tests on the TST
- 1:51:22as we previously discussed at this time
- 1:51:24no tests were live in the Cleo lab the
- 1:51:26clear lab was not yet operational okay
- 1:51:30this is June 2013 so Uranus would have
- 1:51:33been preparing for the launch in
- 1:51:34Walgreens correct yes so you were
- 1:51:37preparing to or either had or were in
- 1:51:39the process of validating those tests
- 1:51:41correct
- 1:51:43you know I actually don't know if we'd
- 1:51:45started our LGT validations by then my
- 1:51:48memory is that they started after this
- 1:51:49so did you tell or anyone at Safeway
- 1:51:52that theranos had not validated any of
- 1:51:55its tests on the tsp at this time frame
- 1:51:58June 2013.
- 1:52:00I don't know if we said those words I
- 1:52:03believe he was aware at that point that
- 1:52:04the queer Live Lab was not live and that
- 1:52:07no tests were live in the Clio lab yet
- 1:52:09but that's a that's a different question
- 1:52:11right I was asking whether he was aware
- 1:52:13that theranos had not yet validated any
- 1:52:15tests on the tsp
- 1:52:18I I don't know exactly what he was
- 1:52:22thinking I know that we were very clear
- 1:52:24that the lab was not yet operational it
- 1:52:26was my assumption that it would
- 1:52:27therefore be clear that no tests were
- 1:52:29live
- 1:52:31so you never told him that theranos had
- 1:52:34not validated tests on the tspu yet by
- 1:52:37this time frame I I don't know
- 1:52:40what what is currently capable Maybe
- 1:52:46um
- 1:52:51I'm just reading the rest of the
- 1:52:52paragraph to try to get the context
- 1:52:54I think that
- 1:52:58this is in reference to the fact that
- 1:53:01was still focused and Safeway was still
- 1:53:03focused on taking the devices through
- 1:53:05the FDA to get the Clio waiver to be
- 1:53:09able to place them in the stores and
- 1:53:11that we were saying that the technology
- 1:53:13that we had we believed was capable of
- 1:53:16going through that process of getting
- 1:53:18the FDA clearance in Clio waiver for
- 1:53:21these tests that would cover the
- 1:53:22majority of the testing pattern which
- 1:53:25would have been a subset of the the
- 1:53:27tests we ultimately operationalized in
- 1:53:29the the Clio lab based on our
- 1:53:31understanding of ordering at the time
- 1:53:34that that's your understanding of what
- 1:53:36currently capable refers to in this
- 1:53:37paragraph Yes
- 1:53:42why aren't we um change tapes
- 1:53:45this concludes media number one of
- 1:53:47Elizabeth Holmes were off the Record at
- 1:53:4911 13.
- 1:53:58we are back on the record at the
- 1:54:00beginning of media number two of
- 1:54:02Elizabeth Holmes the time is 11 15.
- 1:54:06very brief break did we have any
- 1:54:09substantive conversations with you and I
- 1:54:11or anyone else on the SEC staff no
- 1:54:17so did you review
- 1:54:19exhibit 223
- 1:54:23at that time
- 1:54:25I don't know do you know if you would
- 1:54:28have sent back revisions as requested
- 1:54:33if we reviewed it I believe we would
- 1:54:36have I don't know if we did
- 1:54:38is there anything
- 1:54:40in that first
- 1:54:46section on the central lab model that
- 1:54:48you believe would be inconsistent with
- 1:54:50what you might have told him
- 1:54:53I I don't remember the meeting so I
- 1:54:55can't I can't answer that accurately
- 1:54:57well is there any statement in that
- 1:55:00first section of the meeting notes that
- 1:55:02you believe is not true
- 1:55:06okay I mean if it's in the context of my
- 1:55:09understanding of of how we were talking
- 1:55:11about things at the time then no
- 1:55:15I I honestly don't know because I don't
- 1:55:17remember the meeting and I don't
- 1:55:18remember the context
- 1:55:24and put that one aside
- 1:55:27time when fairness and Safeway had
- 1:55:28discussions about modifying the
- 1:55:30contracts in order to change the
- 1:55:33business model into a rental agreement
- 1:55:35model sort of similar to what theranos
- 1:55:38was had been discussing with Walgreens
- 1:55:40yes when did that happen
- 1:55:44I I don't know specifically I believe we
- 1:55:47were already talking about it while
- 1:55:49Steve bird was still at Safeway and then
- 1:55:51on an ongoing basis after that
- 1:55:54so when did Steve bird leave Safeway
- 1:55:58would that have been an early 2014
- 1:56:02I think it was that sound right to you
- 1:56:03for this meeting which was in uh
- 1:56:07meetings before this
- 1:56:11foreign
- 1:56:19to you what's been marked
- 1:56:24fairness is it at 224.
- 1:56:29is it at 224 reports to be a May 1st
- 1:56:332014 email from Sonny balwani to
- 1:56:36Elizabeth Holmes with subject line re
- 1:56:39Safeway fairness
- 1:56:43and starting dates number on the
- 1:56:45document is
- 1:56:49thpfm00155-8606
- 1:56:51have you seen exhibit 224 before
- 1:56:57I I don't remember it but I think so
- 1:57:01what is exhibit 224
- 1:57:04and it looks like an email exchange
- 1:57:07between sunny and which he ultimately
- 1:57:10forwarded to me
- 1:57:14your review and receive and review
- 1:57:17exhibit to 24 honor about May 1st 2014.
- 1:57:21I don't know
- 1:57:24do you have any reason to believe that
- 1:57:26you didn't receive it on that date no
- 1:57:28okay if you look at the email on the
- 1:57:31bottom from Sonny balwani to
- 1:57:35um I'm sorry Ashley why don't you turn
- 1:57:37first to
- 1:57:41no I was right this was a very long
- 1:57:43email so there's an email starting on
- 1:57:45the bottom of the first page from
- 1:57:46sunnyvalewani to do you see that I do
- 1:57:54and
- 1:57:56here it looks like he's proposing a
- 1:57:59number of terms to
- 1:58:02to Sunny to uh do you see that we do so
- 1:58:06in the first uh section it's titled
- 1:58:09exclusive use of fairness wellness
- 1:58:11centers and he writes thereiness is
- 1:58:14offering additional 400 per week in rent
- 1:58:17for the additional room and locations
- 1:58:18with two runes for a total of one
- 1:58:21thousand two hundred dollars per week
- 1:58:23instead of 800 dollars per week that's
- 1:58:26safely proposed an amount significantly
- 1:58:29greater than any net margin safe we may
- 1:58:31be making from immunization and
- 1:58:32consultations currently do you know what
- 1:58:35he was referring to here
- 1:58:38just to
- 1:58:40I'm sure I answer the question you're
- 1:58:42asking what do you mean by that so did
- 1:58:44you understand at this time that he was
- 1:58:47talking about the possibility of
- 1:58:50um theranos renting space from Safeway
- 1:58:53yes and in that statement that I just
- 1:58:56read did you understand that he's
- 1:58:57proposing to
- 1:58:59offer more in rent per week to Safeway
- 1:59:04in order to rent out both rooms
- 1:59:07in the Wellness Center
- 1:59:09yes I don't know what it was more than
- 1:59:12but yes
- 1:59:14um and and this was taking place in
- 1:59:16April of 2014 so does that refresh your
- 1:59:18recollection that these rental
- 1:59:19discussions were still ongoing at this
- 1:59:21time yes okay
- 1:59:24um and then if you look
- 1:59:25at number two
- 1:59:27of his email which is on 607 entitled
- 1:59:31Safeway pilot
- 1:59:34he writes Safeway already knows about
- 1:59:36our concerns around agreeing to a pilot
- 1:59:38now that we have already launched we
- 1:59:39also can agree to Safeway unilateral
- 1:59:41unilaterally deciding on the Pilot's
- 1:59:44success do you see that I do so at this
- 1:59:47time was it your understanding that the
- 1:59:48two biggest hurdles
- 1:59:50um or the two issues that the parties
- 1:59:52were discussing really use of the
- 1:59:55Wellness Center space and the fact that
- 1:59:56Theron has wanted exclusive use of both
- 1:59:59rooms and also the fact that Safeway
- 2:00:02wanted to Pilot their nose services
- 2:00:08I know those were two of the issues I I
- 2:00:10don't know if if those were the only two
- 2:00:12there may have been others as well okay
- 2:00:14can you think of any other issues that
- 2:00:16were creating this disagreement between
- 2:00:18safely and fairness
- 2:00:21well I haven't read this email and there
- 2:00:24may be more in here I'm I
- 2:00:33I know that we didn't have a good
- 2:00:36um essentially working relationship with
- 2:00:38the project team there and we were
- 2:00:40trying to sort of replicate what we'd
- 2:00:43had with Steve bird with someone who was
- 2:00:45just deeply engaged in making the
- 2:00:47partnership successful I'm
- 2:00:49I think we were really concerned that
- 2:00:53the the fund I saw in the email here is
- 2:00:55cerebris that was coming in may have
- 2:00:58different sort of Visions for what we
- 2:01:00were trying to do and that we'd invested
- 2:01:02so many years in trying to build
- 2:01:05something for this that we really didn't
- 2:01:07want to restart from scratch
- 2:01:10um
- 2:01:11there's probably others
- 2:01:15um if you turn to 608 which is the next
- 2:01:18page
- 2:01:20under Safeway exclusivity
- 2:01:25do you know what this um
- 2:01:28issue was about
- 2:01:30do you mind if I take a minute to read
- 2:01:31it sure
- 2:02:07um I I interpret it as referring to our
- 2:02:10ability to work with other grocery
- 2:02:12stores okay so Safeway was concerned
- 2:02:15about theranos than working with other
- 2:02:17grocery stores and that there'd be some
- 2:02:19kind of provision that that provides for
- 2:02:21a Safeway exclusivity is that right yes
- 2:02:24and I also believe there were some
- 2:02:25complexities around what they had
- 2:02:27previously defined as the the Blackhawk
- 2:02:30Network which were other grocers that
- 2:02:32wanted to work with theranos but not
- 2:02:35through Safeway
- 2:02:38uh what's the relationship between
- 2:02:39Blackhawk Network and Safeway
- 2:02:43um
- 2:02:44Blackhawk was a program that Safeway had
- 2:02:48created to try to sell ideas that it
- 2:02:50came up with to other grocery stores and
- 2:02:53they thought that if we provided Lab
- 2:02:56Services through Safeway they could then
- 2:02:59essentially
- 2:03:00teach the other grocery stores how to
- 2:03:03roll this out and take a fee on it and
- 2:03:06the other grocery stores came back and
- 2:03:08said we'd really love to do this in so
- 2:03:10many words but we don't want to do it
- 2:03:12through Safeway and so there was a lot
- 2:03:13of tension about whether theranos could
- 2:03:16have a direct relationship with those
- 2:03:17grocery stores or not
- 2:03:19okay so if you look in the second
- 2:03:21paragraph under uh 0.4 it says fairness
- 2:03:24understands the concern you shared this
- 2:03:26morning that if fairness exceeds in Bay
- 2:03:28Area by end of this year and if at that
- 2:03:30point fairness exercise is the right
- 2:03:33exit right above then it will be free to
- 2:03:35go to any other grocer and not work with
- 2:03:37Safeway thus hurting Safeway
- 2:03:40however our concern is that if Safeway
- 2:03:42doesn't work with theranos in our
- 2:03:43partnership with Safeway is failing as
- 2:03:45it has since May 2013 then we can't
- 2:03:47restrict our growth with other retailers
- 2:03:49and Grocers just because Safeway doesn't
- 2:03:51want to work with us or as pre has
- 2:03:53proven difficult to work with
- 2:03:56um did you agree with Mr balwani that
- 2:03:59the relationship with Safeway was
- 2:04:00failing and it had been failing since
- 2:04:02May 2013.
- 2:04:04I wouldn't have used that word
- 2:04:06what word would she have used
- 2:04:09that we had much higher expectations for
- 2:04:11what we would have done by that point
- 2:04:13okay so it sounds like there were a
- 2:04:15number of discussions and things weren't
- 2:04:17going that well starting in May 2013.
- 2:04:21and even before then I mean we were we
- 2:04:25thought we were going to have rolled out
- 2:04:27to this
- 2:04:29large footprint that Safeway had done
- 2:04:31construction on much faster
- 2:04:36okay and then if you turn back to the
- 2:04:38first email
- 2:04:41or I guess it's the latest email but on
- 2:04:43the first page it looks like Sunny
- 2:04:45balwani has been forwarding you the
- 2:04:48email that he sent did he have a
- 2:04:49practice of doing that
- 2:04:54I'm just taking a look at the note sure
- 2:05:04I I don't know if it was a practice I I
- 2:05:07recognized that he would do this
- 2:05:08sometimes okay and you know and you also
- 2:05:11see in his email that he's sending you a
- 2:05:14draft email that he's planning to send
- 2:05:15yes you see that so did he have a
- 2:05:17practice of also doing that I'm sorry I
- 2:05:19thought that was the question yeah did
- 2:05:21he have a practice that your first
- 2:05:22question was did you have a practice of
- 2:05:24forwarding to you Communications that
- 2:05:27he's having unilaterally with third
- 2:05:28parties to keep you apprised my read on
- 2:05:32that is that he sometimes did that but
- 2:05:34not always
- 2:05:37um and then my second question is did he
- 2:05:40ever practice of sending you draft
- 2:05:41emails he was planning to send out to
- 2:05:43third parties again I wouldn't call it a
- 2:05:45practice I know that he did occasionally
- 2:05:47and but he he was pretty
- 2:05:50I'm
- 2:05:53focused on his ability to run things
- 2:05:56okay
- 2:05:58um did you on occasion when you would
- 2:06:00receive these emails would you edit them
- 2:06:02and send them that to him
- 2:06:04before he sent them out I wouldn't be
- 2:06:06surprised if there were instances when I
- 2:06:09did there was sometimes like you
- 2:06:12referenced where I would disagree with
- 2:06:13the way he was attempting to express
- 2:06:15things yeah I'm but I I wouldn't say
- 2:06:18that that was a routine practice to my
- 2:06:20knowledge to my memory you can set that
- 2:06:23one aside
- 2:06:29so at some point the rental model
- 2:06:31discussions eventually failed is that
- 2:06:33right
- 2:06:36I I don't know if I
- 2:06:38I would say it that way we were we were
- 2:06:40having those discussions all the way
- 2:06:42through the fall I'm sorry the winter of
- 2:06:452015 and it was ultimately
- 2:06:48the CMS sanctions and or I guess it
- 2:06:52wasn't sanctions but issues with our
- 2:06:54laboratory that
- 2:06:57caused the the final issue in the
- 2:07:00relationship with with Safeway overall
- 2:07:03and were you having discussions about
- 2:07:05the rental model throughout 2014 and
- 2:07:07through 2015 is that your recollection
- 2:07:11I don't know
- 2:07:12do you remember a time when the
- 2:07:14communication stopped and there was a
- 2:07:16period of
- 2:07:17basically no communication with Safeway
- 2:07:21I I don't I don't have a good memory of
- 2:07:25starts and stops of the interaction I I
- 2:07:27wouldn't be surprised if there were sort
- 2:07:29of dead points in the communications
- 2:07:45thank you
- 2:07:49so I'm handing to you what's been marked
- 2:07:52there and is visited 225
- 2:07:57is it a 2.5 of course be it in August
- 2:08:001st 2014 email from to Elizabeth Holmes
- 2:08:04with page number
- 2:08:09ts-0046261 and the second line is
- 2:08:11Safeway fairness have you seen exit at
- 2:08:13225 before
- 2:08:16foreign
- 2:08:19it looks like an email exchange between
- 2:08:21me
- 2:08:23if you receive and review exhibit 225 on
- 2:08:25or about
- 2:08:27um August 1st 2014.
- 2:08:30I I don't know if I reviewed it then I I
- 2:08:33don't have any reason to doubt that I
- 2:08:35received it then okay do you have any
- 2:08:36reason to doubt that you also received
- 2:08:38this email in the bottom of the page
- 2:08:39from Bob Gordon to you on June 6 2014.
- 2:08:43no
- 2:08:44okay so you'll see in this email that uh
- 2:08:48sort of detailing the history of
- 2:08:50discussions between theranos and Safeway
- 2:08:52and I'm not going to ask you any
- 2:08:53questions about the content of the email
- 2:08:55but
- 2:08:57um
- 2:08:58but you'll see then that he writes again
- 2:09:00on August 1st 2014 and he's asking for a
- 2:09:04response to his last email do you recall
- 2:09:06responding to him I don't
- 2:09:09do you know if you ever responded
- 2:09:14my my memory
- 2:09:16is that I to the extent we were engaging
- 2:09:19with Safeway would would call during
- 2:09:20this time but I I don't have
- 2:09:24specific memory as to whether that was
- 2:09:26around this August time frame or not
- 2:09:29okay so you don't remember responding
- 2:09:31either way I don't okay
- 2:09:34um
- 2:09:38do you know if there were any
- 2:09:39discussions with Safeway after this
- 2:09:42email
- 2:09:43in August 1st 2014.
- 2:09:46whether there were discussions in August
- 2:09:481st or in the 2014 time frame but after
- 2:09:51this August 1st 2014 you know
- 2:09:55do you recall
- 2:09:57between the first and second of these
- 2:10:00emails between June of 2014 and August
- 2:10:02of 2014 having a conversation with Dick
- 2:10:05kavasovich about
- 2:10:07possibly terminating the Safeway
- 2:10:09agreement
- 2:10:11I I don't recall during that period of
- 2:10:16time and I know that in the same way as
- 2:10:19I was talking with I believe he was also
- 2:10:22having Communications with people on
- 2:10:25their board and providing guidance on
- 2:10:27the best way to negotiate to
- 2:10:31make the rollout happen quickly did you
- 2:10:33ever think about terminating the
- 2:10:35agreement with Safeway
- 2:10:37my memory of it is that was more of a
- 2:10:39negotiation tactic to get them to roll
- 2:10:41out dick thought that the space was a
- 2:10:44great asset and that we needed to to get
- 2:10:47into that space quickly
- 2:10:50okay
- 2:10:51um what is your recollection as to the
- 2:10:53next communication that you had with
- 2:10:55Safeway after this email on August 1st
- 2:10:582014. I I don't know
- 2:11:10I'm going to ask you to lift back that
- 2:11:13very thick document over there
- 2:11:16which I believe was
- 2:11:25there no specific 221 thank you yes
- 2:11:32so
- 2:11:38turn to 6337
- 2:12:00are you there
- 2:12:03yes
- 2:12:07there is a
- 2:12:10text message about a third of the way
- 2:12:12down the page on February 27th 2015 from
- 2:12:17you to Sonny balwani and you say do you
- 2:12:20think I should go up to PC that I do you
- 2:12:22say no uh you say no harm if
- 2:12:26I'm sorry something about wania then
- 2:12:28responds to you and he says no harm if
- 2:12:30you feel right
- 2:12:31and then you respond he's talking to
- 2:12:33someone in the room I'm going to wait
- 2:12:34outside do you know who was who are you
- 2:12:37referring to here
- 2:12:39no I I believe this is a second yes
- 2:12:42um and then you then also say very good
- 2:12:45convo he really wants to get done says
- 2:12:47guy I talked to you at Cerberus is
- 2:12:49decision maker that guy was apparently
- 2:12:51pissed I said note note I think to him
- 2:12:54is what she meant do you see that yes do
- 2:12:58you remember that conversation with
- 2:13:00I just in reading this I I generally
- 2:13:04remember that I that I met with him okay
- 2:13:08there was apparently there was some
- 2:13:10meeting that was taking place that you
- 2:13:11were both attending yes do you remember
- 2:13:13which meeting that was
- 2:13:17um it was either a business Council or a
- 2:13:19Business Roundtable meeting and I was
- 2:13:22speaking there okay so you didn't expect
- 2:13:24to see
- 2:13:25um there
- 2:13:26no okay so
- 2:13:29um and it says do you think I should go
- 2:13:30up do you think that you hadn't had any
- 2:13:32conversations with him in preceding
- 2:13:34months before this
- 2:13:36not necessarily I I may have been on the
- 2:13:39phone with him I just can't remember
- 2:13:41specifically whether I was
- 2:13:45um and then
- 2:13:47Mr balwani then responds that's fine we
- 2:13:49will send them letter and see if they
- 2:13:51want to get moving or term did you
- 2:13:53understand him to mean terminate
- 2:13:56terminated or what do you what do you
- 2:13:58understand him to mean by term
- 2:14:02I'd be guessing I'm not sure
- 2:14:07but don't guess
- 2:14:10well did you have any understanding as
- 2:14:13to what that meant
- 2:14:15I would think I did at the time I just
- 2:14:17don't know sitting here now
- 2:14:19okay and then
- 2:14:21you write back to him and you say wants
- 2:14:23to come back with to me with how to get
- 2:14:25done
- 2:14:26and Mr baloney says come back where
- 2:14:29he says okay I get it I assume you told
- 2:14:31him rent model
- 2:14:33and then a couple text messages down you
- 2:14:35then respond it was implied
- 2:14:40do you see it do you see that
- 2:14:42I do
- 2:14:44um
- 2:14:45what do you
- 2:14:47understand what did you mean when you
- 2:14:50said how to get done
- 2:14:55I I don't know I'm assuming sitting here
- 2:14:58now that it means uh rollout
- 2:15:02yeah
- 2:15:04would you be surprised if there if there
- 2:15:08hadn't been any conversations or
- 2:15:10Communications between fairness and
- 2:15:11Safeway from the August 2014 time frame
- 2:15:14to this February 2015 encounter
- 2:15:18I I just don't know I I don't know when
- 2:15:21I was on the phone with him I don't know
- 2:15:22when dick was talking to some of their
- 2:15:23board members and we had other people
- 2:15:25who were interacting with them as well
- 2:15:27who were affiliated with us
- 2:15:30who else was acting on behalf of
- 2:15:31theranos to communicate with Safeway
- 2:15:34so I just understand yeah Mr kosovich
- 2:15:36yourself Mr Bowen
- 2:15:40I have in my mind that some of our board
- 2:15:43members knew knew some of their board
- 2:15:45members and I'm trying to remember who
- 2:15:47was having the interactions I'm
- 2:15:53I I need to think about it
- 2:15:57what do you think about it later yeah
- 2:15:58yeah I will I will
- 2:16:03do you recall a letter from April of
- 2:16:062015
- 2:16:08uh no do you recall a letter that she
- 2:16:12might have sent to restart the rental
- 2:16:15agreement model discussions
- 2:16:18I don't
- 2:16:20do you is there a practice of fairness
- 2:16:24employees sending you letters whenever
- 2:16:26they're you know especially a letter to
- 2:16:29non-safeway relationship would you
- 2:16:32expect that somebody would send you a
- 2:16:34copy of that letter to keep you apprised
- 2:16:36of what was going on
- 2:16:37generally yes
- 2:16:41what happened to the theranos Safeway
- 2:16:44partnership in the end
- 2:16:46as we were discussing earlier by the end
- 2:16:51of
- 2:16:512015 we had discussed a model for
- 2:16:56rolling out I think about 30 stores
- 2:16:57under the lease rental model that we had
- 2:17:00wanted to pursue but by that time we had
- 2:17:03serious issues with our our lab
- 2:17:05operations that we were dealing with and
- 2:17:07ultimately terminated with the
- 2:17:09discussion that if we were to resolve
- 2:17:11the lab issues we would go back and
- 2:17:14engage with them on trying to rent out
- 2:17:17the space
- 2:17:18and so when did those discussions take
- 2:17:21place on the lab issues
- 2:17:24all the way through the end of 2015 and
- 2:17:27potentially into January of 16.
- 2:17:31we take on a break
- 2:17:33I have just a couple more questions we
- 2:17:36just finished this topic I think we're
- 2:17:37close to me now a bit okay all right
- 2:17:39yeah I guess at the end of 2014 did did
- 2:17:43you have any expectation that Safeway
- 2:17:45was imminently going to roll out well
- 2:17:47there are services at Safeway
- 2:17:50I think we always thought that we could
- 2:17:52if we agreed to some of what they wanted
- 2:17:55from us if we needed that to supplement
- 2:17:59our our footprint I I guess but did you
- 2:18:02have any kind of concrete expectation
- 2:18:04that stores were going to open in early
- 2:18:052015.
- 2:18:07I I think I mean I I don't remember
- 2:18:10exactly what I was thinking at the end
- 2:18:11of 14 but I I know that because that
- 2:18:13footprint had already been completely
- 2:18:15built out with very custom specific
- 2:18:19details that we designed to our workflow
- 2:18:22we knew that you know if we said okay we
- 2:18:26agree to certain Provisions or
- 2:18:27compromised on our negotiating position
- 2:18:29we would be able to get into it and get
- 2:18:31a very large footprint very quickly
- 2:18:35do you know whether there were any
- 2:18:36preparations underway between Safeway
- 2:18:39and fairness to roll out stores in the
- 2:18:41beginning of 2015.
- 2:18:43I don't
- 2:18:44you're not aware of any preparations
- 2:18:48I I can't remember anything specifically
- 2:18:55in your mind did you have a
- 2:18:56geographic location where you expected
- 2:18:58Safeway stores to roll out at the start
- 2:19:00of 2015.
- 2:19:02this started 2015. I am
- 2:19:06what I remember is to the extent we were
- 2:19:09having sort of initial rollout
- 2:19:10discussions there were two options that
- 2:19:13we spent a lot of time talking about one
- 2:19:15was the Bay Area in California the other
- 2:19:17was Wyoming and it really depended on
- 2:19:22where some of these things played out
- 2:19:24with respect to announcement rates and
- 2:19:27how visible ultimately we thought this
- 2:19:30was the deployment initial deployment
- 2:19:32was going to be if Safeway maintained a
- 2:19:35right to terminate after it
- 2:19:43record at 11 42 and
- 2:19:52thank you
- 2:19:55we are back on the record at 11 56.
- 2:19:59songs did you have any sense of
- 2:20:01conversations with the SEC staff during
- 2:20:03our break no
- 2:20:05do you recall a time when fairness began
- 2:20:08offering blood testing services to
- 2:20:11Safeway employees
- 2:20:16um
- 2:20:17I I know that there was a period of time
- 2:20:20in which theranos handled the samples
- 2:20:24that were collected by the on-site
- 2:20:27clinic at Safeway
- 2:20:29okay what do you mean by handle the
- 2:20:31samples so it wasn't labeled to my
- 2:20:35understanding theranos it was the clinic
- 2:20:37service and then the clinic would
- 2:20:39collect the samples and send them to
- 2:20:42fairness
- 2:20:43was the clinic conducting finger stick
- 2:20:45drawers or venous draws the only venous
- 2:20:49draws for patient testing I believe
- 2:20:51people could also opt into a research
- 2:20:56study in which we would collect finger
- 2:20:58stick
- 2:20:59but not for data that would be reported
- 2:21:02back to patients okay so the blood would
- 2:21:04be drawn at the clinics but then the
- 2:21:06samples would be sent to fairness lab
- 2:21:08for testing
- 2:21:10no I don't think we were I don't know
- 2:21:12what we were doing with them when they
- 2:21:13came to the lab I think we were trying
- 2:21:16to focus on how you would train someone
- 2:21:17to do a finger stick so the collection
- 2:21:19happened I I do know the samples came
- 2:21:22back I don't know what happened after
- 2:21:23that do you know what devices were used
- 2:21:26to process those samples
- 2:21:28I I don't it's my
- 2:21:30memory that there generally wasn't
- 2:21:32testing happening on those samples and
- 2:21:35just that we were doing the collections
- 2:21:36for purpose of beginning to refine that
- 2:21:39workflow and the training of the finger
- 2:21:41stick collection it's your understanding
- 2:21:43that there wasn't any testing being done
- 2:21:44on the samples that Safeway employees
- 2:21:46were providing
- 2:21:48my memory is that there was some
- 2:21:51studying of whether the samples had
- 2:21:52hemolized or lysed you know clotted or
- 2:21:55did not have good Integrity but I I
- 2:21:57don't think there was actual testing
- 2:21:59done on those samples and just to
- 2:22:01understand you mean the the samples that
- 2:22:03were done on the finger sticks correct
- 2:22:06yeah I'm sorry yeah so so with respect
- 2:22:10to the venous draws then that were done
- 2:22:11at the clinic yes this was fairness
- 2:22:15processing those samples
- 2:22:17yes those were processed on traditional
- 2:22:19commercially available machines and or
- 2:22:21sent to what I had previously referred
- 2:22:23to as a reference lab which is a
- 2:22:25third-party lab did you ever tell anyone
- 2:22:28at Safeway that those samples were being
- 2:22:31processed by third party commercially
- 2:22:33available machines are being sent out to
- 2:22:34reference Labs I believe so yes who did
- 2:22:37you tell
- 2:22:38I I don't know specifically
- 2:22:41I can't remember okay so you don't know
- 2:22:43either way whether
- 2:22:45you ever told
- 2:22:46anyone at Safeway that you were using
- 2:22:49third party machines were sending out to
- 2:22:50reference Labs I remember Safeway
- 2:22:53helping us to look at UCSF as a closer
- 2:22:57Reference Lab so I believe that there
- 2:23:00was discussion about the use of a
- 2:23:02reference lab because of that
- 2:23:04um but I I don't remember specific
- 2:23:06conversations
- 2:23:07okay and what about whether
- 2:23:10you told Safeway or anyone at Safeway
- 2:23:13that you were using commercially
- 2:23:15available machines that there knows the
- 2:23:16process example
- 2:23:19when did you do that
- 2:23:22I I think before we agreed to
- 2:23:27um
- 2:23:27do the testing because there was a
- 2:23:30discussion about the fact that it would
- 2:23:31just be venipuncture on traditional
- 2:23:33machines so that we could work through
- 2:23:35some of the workflow
- 2:23:36development that we were we were trying
- 2:23:39to do that we would not be collecting
- 2:23:40finger stick for patient testing and who
- 2:23:43did you tell that to
- 2:23:45I I don't know I mean I would assume to
- 2:23:48the extent I had conversations it was
- 2:23:49with Steve bird but I don't know
- 2:23:57so now I want to change yours again
- 2:24:00um
- 2:24:02yeah it's so funny I it's the most it's
- 2:24:06the least sincere thing I ever do
- 2:24:08because I almost always offer the staff
- 2:24:09cloth you want to go down no you can't
- 2:24:11accept but I didn't do it today I think
- 2:24:14the high road
- 2:24:16okay I wanted to change gears again now
- 2:24:19and focus now on CVS
- 2:24:23was there a time when fairness began
- 2:24:25having discussions with CVS
- 2:24:27yes
- 2:24:28when was that
- 2:24:32so there was a series of discussion over
- 2:24:35a period of years
- 2:24:37I'm I don't know when the first one was
- 2:24:41but it may have been as early as 2010 or
- 2:24:45or sooner I I don't know so around the
- 2:24:48same time that you might have started
- 2:24:49discussions with Walgreens in Safeway I
- 2:24:51think so
- 2:24:52uh what were those discussions about was
- 2:24:54it along the same lines as what you were
- 2:24:57discussing with Walgreens and Safeway to
- 2:24:59put a tspu in CVS stores
- 2:25:03um like all of our retail partner
- 2:25:06conversations have changed over time I
- 2:25:08think in the earliest time frame my
- 2:25:11memory is that we were actually talking
- 2:25:13about using the tspu in their Minute
- 2:25:17Clinic because they had a lot of
- 2:25:19point-of-care technology in their Minute
- 2:25:21Clinic and that that was what they
- 2:25:22specifically were interested in it it
- 2:25:25changed later
- 2:25:26okay so what did it change to later
- 2:25:30um ultimately we were discussing a lease
- 2:25:33model in which we would build out spaces
- 2:25:36within their stores
- 2:25:38and and there was iterations of that in
- 2:25:40the meantime
- 2:25:42what were your contacts at CVS
- 2:25:46so I I did not have the majority of
- 2:25:49direct contact with them my memory is
- 2:25:52that
- 2:25:53at least
- 2:25:55um
- 2:25:55at the in our last context with them was
- 2:25:59one of the principals who was
- 2:26:02engaged I think most directly with sunny
- 2:26:05but I I don't I don't know by memory all
- 2:26:09the people who were involved I I had a
- 2:26:12little bit of contact with toward the
- 2:26:14end of
- 2:26:16the engagement that we had with them
- 2:26:20oh you just said the end of the
- 2:26:22engagement did the engagement end
- 2:26:25just the interactions we were
- 2:26:26interacting around building a CLIA
- 2:26:29certified lab collection center in their
- 2:26:32stores we we may very well be
- 2:26:35interacting with them again
- 2:26:37uh did has theranos entered into a
- 2:26:41contract with CVS no it's my knowledge
- 2:26:43okay and so when you just said the end
- 2:26:45of the engagement or the end of the
- 2:26:46discussions when did the most recent
- 2:26:48discussions end
- 2:26:50I believe
- 2:26:52um
- 2:26:54in mid last year but I'm I'm not
- 2:26:58completely sure
- 2:27:00what happened
- 2:27:02we ended up
- 2:27:05receiving I think it was a notification
- 2:27:07of sanctions from CMS and trying to work
- 2:27:10through those issues and then decided to
- 2:27:13exit the clinical lab business
- 2:27:14so did you terminate the discussions or
- 2:27:17did CVS terminate
- 2:27:20I think the last email was keep us
- 2:27:22posted and we our plan has been to
- 2:27:25re-engage around what we're trying to do
- 2:27:28right now with minilab
- 2:27:30so the last email was from CVS saying
- 2:27:32please keep us posted I don't know what
- 2:27:35the last email was okay so you have no
- 2:27:38idea
- 2:27:39either way it's my understanding that
- 2:27:42that's where it was left and it's my
- 2:27:44understanding on on good terms
- 2:27:51okay so I want to change topics again
- 2:27:54how did you keep yourself apprised of
- 2:27:57the financial condition of the company
- 2:28:00I I trusted Sunny to run it and from a
- 2:28:04cash management perspective
- 2:28:07dates on how much in Revenue as the
- 2:28:09company was making
- 2:28:11not in revenues we were generally
- 2:28:14focused on tracking our cash balance
- 2:28:16internally and I would get updates on
- 2:28:18that how often would you get updates on
- 2:28:21your cash balance
- 2:28:24I'm sure it changed over the years but
- 2:28:27at some periodic frequency I don't know
- 2:28:29specifically what the frequency was
- 2:28:31do you think it was you know every did
- 2:28:34you ask her for updates every week or
- 2:28:36every month
- 2:28:38I I don't know I don't know
- 2:28:41it was it was at some recurring
- 2:28:43frequency
- 2:28:45um
- 2:28:48I mean you wouldn't go for a year
- 2:28:49without asking for the the cash balance
- 2:28:52right no so do you think you would ask
- 2:28:54or maybe every month or every couple
- 2:28:56months
- 2:28:57something like that it's my memory that
- 2:29:00I asked her to send it at a recurring
- 2:29:03interval like monthly I don't know if it
- 2:29:05was monthly something like that
- 2:29:09and
- 2:29:10did you apprise the board of the
- 2:29:13company's Financial condition
- 2:29:15we generally tracked our cash balance
- 2:29:17and then we talk about what we thought
- 2:29:20our potential was in terms of
- 2:29:22what we were working to do
- 2:29:24did you ever provide financial
- 2:29:26statements to the board that included
- 2:29:28you know both historical financials or
- 2:29:31financial projections
- 2:29:33not financial statements in the way that
- 2:29:35we're working to put them together now
- 2:29:38but we would share essentially what our
- 2:29:41cash balance was and what we models that
- 2:29:44would essentially have a series of
- 2:29:47assumptions on what we thought we could
- 2:29:48do in terms of potential revenue and if
- 2:29:52we'd received payments you know payments
- 2:29:53we'd received
- 2:29:56are those those financial
- 2:29:58documents that you would
- 2:30:00present to the board
- 2:30:03well just to be clear I did not present
- 2:30:05financial documents to the board so I
- 2:30:07always presented financial documents to
- 2:30:09the board yeah and and he would prepare
- 2:30:11the documents that he presented
- 2:30:13okay so there was never a time in the
- 2:30:16company's existence when you presented
- 2:30:18financial information to your board not
- 2:30:21that I can remember
- 2:30:23in preparation for those board meetings
- 2:30:25would you go over Sonny's proposed
- 2:30:27presentation uh sort of as like a dry
- 2:30:31run before presenting it to the board
- 2:30:33we wouldn't do a dry run generally a few
- 2:30:35minutes before the board meeting he
- 2:30:37would show me what he was going to be
- 2:30:38presenting
- 2:30:39um but I don't know that that happened
- 2:30:41every time as a gentlemanary
- 2:30:45whether before the board meeting or
- 2:30:47during the board meeting you paid
- 2:30:48attention to the financial information
- 2:30:49that was being presented about the
- 2:30:51company yes
- 2:30:54were there also times when prospective
- 2:30:56investors would ask to see the
- 2:30:58financials for the company
- 2:31:02um
- 2:31:03I I can't remember a specific
- 2:31:05conversation in which they asked for
- 2:31:07financials but I'm sure I'm sure there
- 2:31:09were investors who asked for financials
- 2:31:11at different points in time do you
- 2:31:13recall providing financials to
- 2:31:15prospective investors
- 2:31:17I I don't think so we we didn't have
- 2:31:19audited financials for a period of time
- 2:31:21okay if not audited financials do you
- 2:31:24remember providing unaudited financials
- 2:31:27to prospective investors I think we
- 2:31:30generally provided projections and I
- 2:31:32know we generally communicated about
- 2:31:34receipt of the payments that we'd gotten
- 2:31:37from retailers and and where our cash
- 2:31:40balance was okay so who was involved in
- 2:31:43putting together the financial
- 2:31:44projections that went to investors sunny
- 2:31:48did you have any involvement in that
- 2:31:50I saw what was in at least written
- 2:31:53material that we shared and and I as we
- 2:31:57discussed the other day generally
- 2:31:58understood that it was based on
- 2:32:00what we thought we could realize with
- 2:32:02the retail footprints that we thought we
- 2:32:04could build out
- 2:32:05did you agree with Sonny's Financial
- 2:32:07projections of the company that you were
- 2:32:10showing to investors
- 2:32:12I mean I I don't he had a lot of
- 2:32:14different models that he would create
- 2:32:16based on how things were evolving I
- 2:32:18think generally the assumption that we
- 2:32:22could hit a certain footprint was
- 2:32:23something that I believed was possible
- 2:32:26and you know if you had any problems
- 2:32:28with the assumptions or how the model
- 2:32:30was being built would you discuss that
- 2:32:32with sunny yes but I I generally
- 2:32:36deferred to him in this area
- 2:32:37can you recall an instance in which you
- 2:32:39did discuss with him
- 2:32:41revising the model to be more in line
- 2:32:43with assumptions that you thought were
- 2:32:45appropriate
- 2:32:47I I don't know that I was ever
- 2:32:51setting the assumptions for the model I
- 2:32:53I remember in the context of board
- 2:32:56discussions generally that he would
- 2:32:58share what the assumptions were and they
- 2:33:00seemed reasonable just in terms of
- 2:33:04again the retail footprint
- 2:33:08so I guess I'm trying to put myself in
- 2:33:09your uh to try to understand your
- 2:33:10perspective as the CEO definitely at the
- 2:33:12time what was the financial condition of
- 2:33:14the company something I I understand
- 2:33:16your testimony to be that you generally
- 2:33:17deferred to him on preparation of the
- 2:33:19the projections was it an area that
- 2:33:23you'd hope to learn more about or get
- 2:33:25more involved in over time
- 2:33:29my thinking was that if I had someone
- 2:33:32who knew how to do this well I could
- 2:33:35defer that to that person and that where
- 2:33:38I should really spend time in the
- 2:33:40company is on what our board would
- 2:33:42always call my comparative advantage
- 2:33:44which was inventing and sort of the
- 2:33:46strategy and the vision for how this
- 2:33:48could be rolled out and what gave you
- 2:33:51the belief that Sunny ball wani was a
- 2:33:53good fit for for preparing these
- 2:33:56Financial projections
- 2:33:58he was very confident in his ability to
- 2:34:00do it as I understood it he had
- 2:34:03successfully built and sold his own
- 2:34:06company and
- 2:34:08therefore I thought he was qualified to
- 2:34:11to do it
- 2:34:13I guess did he ever did he ever explain
- 2:34:14anything you to you about his experience
- 2:34:17um you know growing growing and selling
- 2:34:19that prior company that would relate
- 2:34:21specifically to the creation of
- 2:34:22financial projections
- 2:34:25I know but he understood Excel really
- 2:34:28well and he seemed to be good at
- 2:34:30creating models and I didn't have
- 2:34:32experience or
- 2:34:33any background in that so I I just
- 2:34:36deferred to him
- 2:34:40so you mentioned earlier that you did
- 2:34:41see the financial projections that Sunny
- 2:34:44would send out to investors did you ever
- 2:34:46send out Financial protections to
- 2:34:48investors directly typically I don't
- 2:34:50know that I saw all of them because he
- 2:34:52did have a lot of contact with investors
- 2:34:55after I would meet them initially
- 2:34:58I don't know if they ever came from my
- 2:35:02email account they they might have they
- 2:35:03would have been documents that he'd
- 2:35:05prepared for that purpose
- 2:35:08would you
- 2:35:09in those instances in which you would be
- 2:35:11sending out the financial projections
- 2:35:13directly would you review them prior to
- 2:35:15sending them out
- 2:35:18I don't have specific memory of
- 2:35:21the situation in which I was sending
- 2:35:23them out so I don't know if I had
- 2:35:25reviewed it beforehand I I would think
- 2:35:28that what we would send would be
- 2:35:30generally consistent with sort of
- 2:35:32assumptions that I would believe in in
- 2:35:34terms of again the retail footprint
- 2:35:37is it generally your practice to review
- 2:35:39documents that you're attaching to
- 2:35:41emails when you're sending them out
- 2:35:43to anyone in the company or outside of
- 2:35:45the company
- 2:35:46I think it depends on what it is if I'm
- 2:35:49if I'm just forwarding something that
- 2:35:51has already been reviewed by a team of
- 2:35:53people not necessarily if I'm creating
- 2:35:56content myself clearly if it's something
- 2:35:59I've never seen before and I'm sending
- 2:36:02maybe I need to look at a specific
- 2:36:05example
- 2:36:07I guess turn it back to the 2014 time
- 2:36:10frame uh who had thrown us had the
- 2:36:12ultimate sort of final say on the
- 2:36:14company's Financial projections Sunny
- 2:36:16did and and who had ultimate final
- 2:36:18Authority on in terms of uh when and how
- 2:36:21to recognize Revenue
- 2:36:24I I don't know that we were really ever
- 2:36:27recognizing Revenue in a gap way I mean
- 2:36:30we've brought Alvarez and Marcel in over
- 2:36:31the course of the last year to help us
- 2:36:33build systems to do this right we were
- 2:36:35really focused on cash accounting and
- 2:36:37would generally describe payments as
- 2:36:39they were received but Sunny would
- 2:36:42figure out how they should be reflected
- 2:36:45in the models that we were building
- 2:36:47what about I mean
- 2:36:50what about just on the books of the
- 2:36:52company who had ultimate decision in
- 2:36:54terms of whether something can be
- 2:36:56treated as cash that can be used for for
- 2:36:58operations
- 2:37:00between Sonny's they would have made
- 2:37:03that decision
- 2:37:08so what was the purpose of you reviewing
- 2:37:10the cash balance of the company
- 2:37:15I mean as a
- 2:37:17young company we were just trying to
- 2:37:19make sure that we had enough cash we
- 2:37:21were investing a lot in r d and
- 2:37:23operations and hiring people and wanted
- 2:37:25to get ready for these rollouts and
- 2:37:28launches and
- 2:37:29I needed to make sure that we weren't
- 2:37:31going to have to
- 2:37:33either change our operations or that we
- 2:37:35run out of cash so so you needed to
- 2:37:38generally make sure that you know the
- 2:37:40company was running smoothly that cash
- 2:37:42was going where it needed to be going
- 2:37:43and that there was enough cash
- 2:37:46to run the business
- 2:37:47is that right I was mostly making sure
- 2:37:49that there was enough cash to run the
- 2:37:51business yes
- 2:37:54I wouldn't say that I was necessarily
- 2:37:56the one managing where cash was going
- 2:37:58within the business
- 2:38:01going in the business
- 2:38:03we didn't have formal budgeting in place
- 2:38:05but
- 2:38:07the purchase order system reported in
- 2:38:11through sunny and he saw all the POS
- 2:38:13that were going through the system what
- 2:38:16about employee salaries
- 2:38:18who was reviewing that and making sure
- 2:38:20that there was enough cash to pay your
- 2:38:22employees
- 2:38:24the employee salaries were set based on
- 2:38:27compensation recommendations from
- 2:38:29whoever we had working in HR and then we
- 2:38:32were monitoring that based on what the
- 2:38:33cash balance was who's we myself uh
- 2:38:37Sunny okay and who was who would be
- 2:38:40um
- 2:38:41approving the compensation
- 2:38:43recommendations that you were being
- 2:38:45given
- 2:38:46who would have the ultimate say I think
- 2:38:48it depends on the period of time early
- 2:38:50on I would review and interview
- 2:38:53everybody then later I didn't and so I
- 2:38:57needed
- 2:38:58I think ultimately he may even have
- 2:39:00stopped interviewing and reviewing
- 2:39:02everyone and delegated some of that I
- 2:39:04don't know when that happened
- 2:39:08did you review projections Financial
- 2:39:11projections that were sent to Rupert
- 2:39:14Murdoch
- 2:39:15I've seen them
- 2:39:18I guess before they were sent out to Mr
- 2:39:19Murdoch did you review those projections
- 2:39:22I don't remember
- 2:39:24um but I've I've seen the documents in
- 2:39:25that binder
- 2:39:27you review them with Mr Murdoch in any
- 2:39:28of your meetings with him
- 2:39:31or something similar to the doctor of
- 2:39:32the Sun
- 2:39:34I don't know
- 2:39:36I'm not sure
- 2:39:41what about with the capital did you
- 2:39:43review Financial projections that were
- 2:39:46sent to Capital at the time they were
- 2:39:47sent
- 2:39:49I remember that when we asked them to
- 2:39:51work as an advisor to us was actually
- 2:39:53helping us to build a model
- 2:39:55um
- 2:39:56I don't know if I reviewed what was sent
- 2:39:59to them beforehand I remember
- 2:40:03I remember that they were working on
- 2:40:05creating one for us
- 2:40:08was that your understanding of part of
- 2:40:10what the purpose of the engagement was
- 2:40:12was to help build a financial model in
- 2:40:15the beginning yes as we discussed it
- 2:40:16changed over time do you know if the
- 2:40:19company ever used model that was if one
- 2:40:22was provided I think that we used parts
- 2:40:25of it I don't know that we used all of
- 2:40:27it
- 2:40:28was that your understanding at the time
- 2:40:30those discussions were taking place as
- 2:40:31well or is that just well you've come to
- 2:40:33understand that so what I've come to
- 2:40:35understand now
- 2:40:37do you have any understanding you know
- 2:40:39back the 2014 time period of of how the
- 2:40:41company was using the information it was
- 2:40:43getting from
- 2:40:45I I don't I don't
- 2:40:48Who would know that
- 2:40:50I would talk to Sonny about it
- 2:40:54what about uh pfm partner fund
- 2:40:57management did you review Financial
- 2:40:59projections that went out to them at the
- 2:41:01time that they were sent I I don't think
- 2:41:03I did
- 2:41:06I I think my current understanding is
- 2:41:09that they had asked for some information
- 2:41:12from Sunny to build their own model and
- 2:41:14he sent information to them that they
- 2:41:16thought would be useful for that
- 2:41:18so you're not a you're not you don't
- 2:41:20remember
- 2:41:22um
- 2:41:22either reviewing or receiving those
- 2:41:24projections before they were sent to pfm
- 2:41:26I don't
- 2:41:35in the fall of 2014 did you believe that
- 2:41:39fairness would be able to exceed 100
- 2:41:40million dollars in revenues
- 2:41:43by your end
- 2:41:45so I don't remember
- 2:41:48what I thought then
- 2:41:50um but I'm
- 2:41:54I I don't remember what I thought
- 2:42:00what about
- 2:42:03um
- 2:42:04did did you have any understanding of
- 2:42:08whether and that's right that we need to
- 2:42:11start over again
- 2:42:12in August 2014 did you believe that
- 2:42:15fairness would break even by your end
- 2:42:19again I don't remember what I thought at
- 2:42:21that time I
- 2:42:23I look back on how we were thinking
- 2:42:26about growth based on retail footprint
- 2:42:28and that if we could hit a certain
- 2:42:30number of locations we would see a
- 2:42:32certain number of a certain amount of
- 2:42:34Revenue
- 2:42:36what does break even mean to you
- 2:42:39that we are getting as much cash into
- 2:42:42the company as cash going out of the
- 2:42:44company
- 2:42:47I guess do you have any recollection
- 2:42:49from August 2014 through the end of that
- 2:42:52year about whether you thought the
- 2:42:53company was going to break even
- 2:42:55in 2014.
- 2:42:57I I can't I can't remember where my head
- 2:43:00was in those months it was a long time
- 2:43:02ago I I'm not sure was that a concern of
- 2:43:05yours at the time
- 2:43:06in 2014 whether we were going to break
- 2:43:08even right
- 2:43:10um
- 2:43:11I think at that time I was more
- 2:43:15concerned about how fast can we roll out
- 2:43:16the retail footprint and how quickly can
- 2:43:18we start that ramp
- 2:43:20and and I believed that the revenue and
- 2:43:23cash inflow would come from that
- 2:43:27why were you focused on the rollout of
- 2:43:31the fairness wellness centers at that
- 2:43:33time why was that important to you it
- 2:43:35was my understanding that our revenue
- 2:43:37streams were based around that so if we
- 2:43:40could hit a certain footprint then we
- 2:43:41would see full of people coming in to
- 2:43:44the stores as well as Associated revenue
- 2:43:46from other services that we could
- 2:43:48provide
- 2:43:49what is that Associated Revenue
- 2:43:52we thought we would be able to in a
- 2:43:55geography that we were in see revenue
- 2:43:58from samples coming from physician
- 2:44:00offices and hospitals and also begin to
- 2:44:02provide pharmaceutical trials around the
- 2:44:04retail footprint
- 2:44:06this was in this was in kind of that
- 2:44:08fall 2014 period you had that belief
- 2:44:11I I think we always thought I mean going
- 2:44:14back to when we put the contracts in
- 2:44:16place that you could build uh services
- 2:44:19like the Pharma studies around the
- 2:44:21retail footprint I guess in the fall so
- 2:44:24by that point the fall of 2014
- 2:44:26had a retail footprint in Arizona right
- 2:44:28we did uh had it done anything to build
- 2:44:31out a Pharma trials yeah trial business
- 2:44:35in in Arizona at that time
- 2:44:38Walgreens had a team that was focused on
- 2:44:40engaging with pharmaceutical companies
- 2:44:42to do clinical studies through the
- 2:44:44stores and as I understood it there I
- 2:44:47don't know if it was at that time
- 2:44:48specifically but there was a lot of very
- 2:44:50positive engagement with those companies
- 2:44:52to run the clinical trials
- 2:44:55okay but it was still sort of in the
- 2:44:57concept stage rather than the actually
- 2:44:59offers actually offering Services stage
- 2:45:02the way I've always thought about it is
- 2:45:04that it was triggered by how many stores
- 2:45:06we had and so if we had a bigger
- 2:45:09footprint then we would be able to run
- 2:45:10these studies and so in your mind what
- 2:45:13was the sort of the the minimum number
- 2:45:15of stories that their owners would need
- 2:45:16to have in a given geography that
- 2:45:19um to run those studies
- 2:45:21I I don't know if I ever thought of it
- 2:45:23as having a minimum number I think it
- 2:45:25was more that you would need to be
- 2:45:28ramping up roll out I mean the 41 number
- 2:45:30that we sort of plateaued at I was
- 2:45:33always associated with what was
- 2:45:34initially a pilot and we never really
- 2:45:36ramped beyond that so it was when we
- 2:45:38were getting into this National ramp we
- 2:45:40thought we were going to do is I guess
- 2:45:42so as long as as long as fairness was
- 2:45:45just in those 41 stores you didn't have
- 2:45:47any expectation that it was going to
- 2:45:49gain any money gain any revenue from
- 2:45:51these Farm Services
- 2:45:53Associated Revenue kind of stream is
- 2:45:55that is that fair
- 2:45:56no I mean both of them are previous work
- 2:46:00with pharmas as well as the engagement
- 2:46:02that Walgreens had with them we thought
- 2:46:04that for example you could use it as a
- 2:46:07site to enroll people but we were so far
- 2:46:10as projections are concerned really
- 2:46:12looking at the ramp as sort of the
- 2:46:15trigger for
- 2:46:16realizing through the multiple streams
- 2:46:18of Revenue that we were thinking about
- 2:46:21yeah I guess setting aside the
- 2:46:24projections just as a matter of you know
- 2:46:25this concept of thinking about uh
- 2:46:29ramping up Walgreens sure did you
- 2:46:33did you think you were going to have any
- 2:46:34you know pharmaceutical Services
- 2:46:35business if if fairness was just in the
- 2:46:3941 stores
- 2:46:41I I honest I don't think we thought that
- 2:46:43we were going to just be in 41 stores I
- 2:46:45think we thought that we were always
- 2:46:47about to ramp I don't think we were
- 2:46:49thinking about we're just going to be in
- 2:46:5041 stores
- 2:46:52you also mentioned just a minute ago the
- 2:46:54sort of the prior work that theranos had
- 2:46:56done with those pharmaceutical Partners
- 2:46:58or Partners like
- 2:46:59GSK and sharing plow was that is that we
- 2:47:02had in mind there
- 2:47:04um I was specifically as I said that I
- 2:47:06was thinking about
- 2:47:07um
- 2:47:08the opportunities that existed to do new
- 2:47:11programs based on some of the people
- 2:47:13within those Pharma companies who had
- 2:47:15expressed interest based on the success
- 2:47:17of the initial programs
- 2:47:22did you discuss with anyone at Walgreens
- 2:47:25the concept that theranos would be the
- 2:47:27service provider for their Pharma
- 2:47:29relationships these clinical trials
- 2:47:32and just to answer the question best
- 2:47:34what do you mean by service provider
- 2:47:36well how is it that you alluded to
- 2:47:39Walgreens having relationships the
- 2:47:42Pharmaceuticals and that theranos would
- 2:47:45earn money from that and I'm just trying
- 2:47:46to how is that supposed to work and who
- 2:47:48did you discuss it yes yes
- 2:47:50um so specifically the concept was that
- 2:47:53you allow people who walk into retail to
- 2:47:57enroll in a clinical trial for a
- 2:47:58pharmaceutical study they then would
- 2:48:00have a lab order it's not a
- 2:48:03physician-directed lab order but for an
- 2:48:05investigational use and they would get
- 2:48:07their sample collected at Walgreens for
- 2:48:10the purpose of the trial and then
- 2:48:13the Pharma company could use that for
- 2:48:15their clinical trials so because it was
- 2:48:16you're going to use the stores as sites
- 2:48:18and
- 2:48:19that was something that we discussed way
- 2:48:21back into 2010 and the original
- 2:48:24agreement
- 2:48:30fairness is inception until the
- 2:48:32president has fairness ever achieve
- 2:48:34Breakeven status
- 2:48:36I don't think so
- 2:48:39was there a time when theranists engaged
- 2:48:42company called aranca to prepare a 409a
- 2:48:45report to Value the companies of common
- 2:48:47stock yes
- 2:48:49and did you provide financial
- 2:48:50information to ranca for that purpose
- 2:48:54um I think so yes
- 2:48:58was it your intent and just to be clear
- 2:49:00by you you mean theranos or you mean me
- 2:49:02personally I met you oh I I don't think
- 2:49:04I personally did know okay who did
- 2:49:08um I think
- 2:49:09did you approve the financial
- 2:49:11information that she provided to iraqa
- 2:49:13and in some cases I think so
- 2:49:16was it your intent to provide accurate
- 2:49:18information to Iraq for the purpose of
- 2:49:20valuing the company's common stock
- 2:49:24um to the extent we were using it for
- 2:49:26issuing options yes we we also used
- 2:49:29aranca for other purposes as we work to
- 2:49:33develop our own internal evaluation
- 2:49:34models
- 2:49:36okay so I just asked you whether it was
- 2:49:37your intent to provide accurate
- 2:49:39information to Iraq are you saying that
- 2:49:41for other purposes it wasn't your intent
- 2:49:43to provide accurate information I know
- 2:49:45there were some instances in which we
- 2:49:47would hold Financial models constant to
- 2:49:49look at the impact of certain events
- 2:49:52like the financings
- 2:49:54on the stock price we were not using
- 2:49:57those reports as 409as in the
- 2:50:00traditional sense but we were using them
- 2:50:01as a external evaluation methodology
- 2:50:05that we could then build our own
- 2:50:06internal model from
- 2:50:09why use a 409a report as for that
- 2:50:13purpose
- 2:50:15um we'd received guidance that if we
- 2:50:17were to try to structure ourselves as a
- 2:50:19private company and build our own model
- 2:50:22for valuing our stock it would be useful
- 2:50:25to have a reference method that was done
- 2:50:28by a third party that we could use in
- 2:50:31forming our own model
- 2:50:32sure but why why why not hire a
- 2:50:36valuation firm to do that work the
- 2:50:39specific guidance that we've gotten was
- 2:50:40to have this firm that had been working
- 2:50:42with us and already built models for
- 2:50:45I'm understanding
- 2:50:47how they valued our stock to continue
- 2:50:49but just look at the differential impact
- 2:50:51of the financing events on the value of
- 2:50:55the stock that they previously
- 2:50:56established who gave you that advice
- 2:50:59and that that may raise privilege issues
- 2:51:02but I I get it to the extent it's not a
- 2:51:04turning I guess you know is is you know
- 2:51:07looking back at that time was was just
- 2:51:09so just tell that there was if there was
- 2:51:11a non-attorney or non-attorneys who gave
- 2:51:13that advice they could identify them but
- 2:51:15nothing else
- 2:51:18and you could say yes or no to that were
- 2:51:20there not attorneys
- 2:51:21it was discussed by our attorney with
- 2:51:24our board but it was an attorney who
- 2:51:27gave us feedback start going to that
- 2:51:28okay so today and the non-attorney board
- 2:51:31members express any concerns about using
- 2:51:33a 409a evaluation
- 2:51:35for the purpose you just described there
- 2:51:37was some confusion about it and we
- 2:51:39discussed that too in uh at least one of
- 2:51:42our board meetings
- 2:51:44I guess what do you mean by confusion
- 2:51:47um
- 2:51:48that we were using the model for the
- 2:51:51purpose of developing an internal
- 2:51:52evaluation method and that that was why
- 2:51:54we were holding our projections constant
- 2:51:56in that version of the model while we
- 2:51:58were sharing with our board the
- 2:52:00projections that we hoped to be able to
- 2:52:02achieve
- 2:52:03who expressed that confusion I did
- 2:52:05kavasovich anyone else
- 2:52:09not that I can remember others might
- 2:52:11have he he was the most vocal in the
- 2:52:13board meeting which this was discussed
- 2:52:15did you ever tell oraca that you were
- 2:52:17using their valuation report for the
- 2:52:20purpose you just described I don't know
- 2:52:28and just to clarify when we say internal
- 2:52:30evaluation model
- 2:52:31saying that someone internally was
- 2:52:33actually taking their reports and then
- 2:52:37putting them into a model that the
- 2:52:38company that owned just trying to
- 2:52:40understand what you mean by internal
- 2:52:41value yes
- 2:52:43um so we we believed that we were going
- 2:52:46to structure ourselves as a private
- 2:52:48company
- 2:52:49I was learning about and trying to model
- 2:52:52some of that off of the guidance that
- 2:52:54I'd received from Riley Bechtel about
- 2:52:56how they value their stock they have an
- 2:52:59internal valuation model to Value their
- 2:53:01stock we thought that we would try to
- 2:53:04build one too and we actually thought
- 2:53:06that ultimately it would be great to
- 2:53:09have the common stock in the preferred
- 2:53:11stock price be the same so that we could
- 2:53:13stay as a private company and so the
- 2:53:16question was how do we build an internal
- 2:53:18model and the
- 2:53:21um
- 2:53:22process that was agreed upon was to have
- 2:53:25some third party
- 2:53:28um
- 2:53:29continue to do valuations over a period
- 2:53:32of time so that for example it wouldn't
- 2:53:34be just us saying that if you raised a
- 2:53:37material amount of money it impacted
- 2:53:39your stock price in this way you could
- 2:53:42refer back to this as a reference source
- 2:53:45for how you were building the model in
- 2:53:47the algorithm I I don't think we ended
- 2:53:49up getting
- 2:53:50very far down that path so did anyone
- 2:53:53build an internal valuation I guess it's
- 2:53:55really my question I don't know who who
- 2:53:58was taking that on
- 2:54:01um I I don't know that we had we done it
- 2:54:04it would have been sunny I don't know
- 2:54:06that it started because we were just
- 2:54:08beginning to go down creating sort of
- 2:54:11the framework for that
- 2:54:14maybe I missed something but um so
- 2:54:19why would the projections in your
- 2:54:23internal model be different from the
- 2:54:26projections you'd be giving around the
- 2:54:28in order to Value the common stock of
- 2:54:30the company as of a certain period of
- 2:54:33time when we stopped issuing options we
- 2:54:36were trying to understand
- 2:54:38how much the impact of a certain
- 2:54:42financing transaction would have on the
- 2:54:46common stock price if all else were the
- 2:54:48same
- 2:54:54okay so when did you stop issuing stock
- 2:54:59options I think it was in December of
- 2:55:012013.
- 2:55:03so
- 2:55:05from 2014 onwards were you then sending
- 2:55:09these sort of
- 2:55:14sort of altered projections to aranca in
- 2:55:17order to
- 2:55:19um
- 2:55:19provide information for this internal
- 2:55:21model
- 2:55:22I think so I don't know exactly about
- 2:55:25every interaction with aranca but I know
- 2:55:27that that was happening after that
- 2:55:29period of time
- 2:55:31did you tell you were planning on using
- 2:55:33the Iraq reports for this purpose after
- 2:55:35the end of 2013. I don't know
- 2:55:38do you know if Sunny did I don't
- 2:55:43know
- 2:55:44do you think that's something that would
- 2:55:46have been helpful for her to know
- 2:55:49I don't know
- 2:55:50I I don't know very much about her
- 2:55:54interactions with aranca overall
- 2:55:59so I'm going to hand to you what's been
- 2:56:01Marsh fairness is it at 226
- 2:56:05hmm
- 2:56:11is it at 226 purports to be a document
- 2:56:17titled
- 2:56:19fairness Inc FMV of common stock as of
- 2:56:22March 25th 2015.
- 2:56:25the date of the report is actually April
- 2:56:286 2015 and the starting base number is
- 2:56:31ts-001
- 2:56:37ts-0021981 have you seen exhibit 226
- 2:56:40before
- 2:56:44um
- 2:56:45I I don't have memory of it but I
- 2:56:47recognize it as an aronco report okay
- 2:56:50I'll represent to you that this document
- 2:56:52was a part of the April 15 2015 board
- 2:56:56meeting binder that Theron has produced
- 2:56:57the SEC pursue NC subpoena
- 2:57:00so if you turn to
- 2:57:05being a member of the board would you
- 2:57:07have reviewed this as part of the board
- 2:57:09meeting binder materials
- 2:57:12I definitely would have received it I
- 2:57:14don't remember if we reviewed it okay
- 2:57:16who would have would would anyone have
- 2:57:19presented
- 2:57:21I don't think so why not
- 2:57:26I'm trying to remember if we ever had
- 2:57:28presentations of the iranco reports I I
- 2:57:30think they were included in the binders
- 2:57:32I don't think that anybody ever
- 2:57:33presented on them
- 2:57:36which you have reviewed this report
- 2:57:39prior to having it included in the board
- 2:57:41finder
- 2:57:42probably not
- 2:57:44who would have maybe we should talk
- 2:57:46generally about who actually collects
- 2:57:48documents and puts them in these board
- 2:57:50miners
- 2:57:53hi at what period of time
- 2:57:55did it change
- 2:57:57yes we have a very different system in
- 2:57:59place now yeah okay so I'm not talking
- 2:58:01about now yeah so from the 2013 to 2014
- 2:58:04period who was in charge of doing that
- 2:58:08um
- 2:58:11I I don't know specific
- 2:58:13it was a it was a pretty informal
- 2:58:16process where I don't think we ever
- 2:58:18really circulated materials in advance
- 2:58:20that were put together right before the
- 2:58:21meetings
- 2:58:22so you don't know who would have put
- 2:58:24together the materials before the
- 2:58:26meeting
- 2:58:28I I don't I I can guess I I don't aren't
- 2:58:32you the chair of the board I am
- 2:58:34so you had no knowledge as to how these
- 2:58:37board binders were being put together
- 2:58:39I'm sure I did then I just don't
- 2:58:41remember in the end of 2013 what group
- 2:58:43of people was doing it okay and as chair
- 2:58:46of the board would you have reviewed the
- 2:58:47materials prior to
- 2:58:50handing them out to board members
- 2:58:52generally yes I I don't know that I
- 2:58:54specifically read these reports I I
- 2:58:56don't think I did
- 2:58:58why don't you think you did
- 2:59:01like what's the basis for that answer
- 2:59:03because I don't think I've ever actually
- 2:59:05read one of these reports end and
- 2:59:14okay if you turn to
- 2:59:1622034
- 2:59:32two zero three four yes
- 2:59:36you'll see that there is a page in here
- 2:59:38with historical financials and on this
- 2:59:40particular page it's the income
- 2:59:42statement you'll see there's a revenue
- 2:59:44line it looks like in December 2011 as
- 2:59:48of December 2011 uh or for a period
- 2:59:52ending December 2011 theranos made 518
- 2:59:56000 in revenues and then there was no
- 2:59:58revenues in 2012 and 2013 and then 150
- 3:00:02000 in 2014. is that consistent with
- 3:00:06your understanding
- 3:00:09of the revenues that Theron has made in
- 3:00:10those years I I don't know what the
- 3:00:13actual revenues were in was yours
- 3:00:15you didn't keep track at all of what
- 3:00:17fairness was earning your revenues I did
- 3:00:19not personally know did never provide
- 3:00:22you with any updates as to what the
- 3:00:24company was generating revenues
- 3:00:27we weren't really focused on Revenue we
- 3:00:29were focused on cash management and
- 3:00:31Retail Roll-Up
- 3:00:35do you have any reason to question
- 3:00:37whether fairness generated 150 000 in
- 3:00:41Revenue in 2014.
- 3:00:45I don't know what this is based on I
- 3:00:48wouldn't know what to question
- 3:00:51I guess not yeah a minute ago you said
- 3:00:53you know by this time
- 3:00:55the Iraq reports were being used for a
- 3:00:57different purpose is that right yes and
- 3:01:00um and so what you were doing was
- 3:01:02keeping the projections of future
- 3:01:04Revenue constant with uh
- 3:01:07over time to help build the valuation
- 3:01:09model right generally as I understand it
- 3:01:12yes did you ever intend to keep the
- 3:01:14company's income statement
- 3:01:17stagnant as well to help develop
- 3:01:20evaluation my I don't know what was done
- 3:01:21with that
- 3:01:24I I guess in your mind back at the time
- 3:01:26did you have any reason why the income
- 3:01:29statement should remain stagnant or
- 3:01:30constant or unchanged
- 3:01:32um to help that evaluation process to
- 3:01:34describe
- 3:01:36I I don't know if I've I've ever thought
- 3:01:38about it I I don't know I I don't think
- 3:01:40this is something that that I've looked
- 3:01:42at before in terms of what the right way
- 3:01:45to handle that in the model is I I know
- 3:01:46there was discussions about that with
- 3:01:48respect to projections I'm I'm not aware
- 3:01:50of conversations about that with respect
- 3:01:52to the income statement one way or the
- 3:01:53other
- 3:01:55you said you were focused
- 3:01:58on correct is that true for 2011 through
- 3:02:002014
- 3:02:02yes so how is the company getting cash
- 3:02:04not through Revenue
- 3:02:07um
- 3:02:08we received these
- 3:02:11we were previously calling exclusivity
- 3:02:13payments from the retailers and then in
- 3:02:18the end of 13 early 14 raised Equity
- 3:02:21capital
- 3:02:24those are the Walgreens and the Safeway
- 3:02:26payments
- 3:02:29are those reflected here
- 3:02:31I don't know
- 3:02:33what what's the amount of this means
- 3:02:37I think Walgreens paid us in total 100
- 3:02:41140 million including the convertible
- 3:02:43note that they had and Safeway paid us I
- 3:02:48think 30 million and what year were
- 3:02:50those payments made
- 3:02:52um I know the 75 million from Walgreens
- 3:02:55was in December of 13 the 25 million was
- 3:02:59before that I don't know when the 40
- 3:03:01million note was
- 3:03:03um and the Safeway payments
- 3:03:07I I think we're in the 11 or 12 time
- 3:03:10frame
- 3:03:14okay so if you turn to 22009
- 3:03:19actually earlier in the document
- 3:03:32you'll see there's an income statement
- 3:03:34here as well
- 3:03:35but it looks like this is uh rejected I
- 3:03:38just also wanted to add to the answer to
- 3:03:40your question I I know we also received
- 3:03:42those payments from insurance companies
- 3:03:43and I'm not sure if it was during that
- 3:03:45time frame what do you mean by humans
- 3:03:48from certain Blue Cross Blue Shield
- 3:03:50plans were those payments for testing
- 3:03:52that was done no um they were same type
- 3:03:55of upfront payments
- 3:03:59okay so looking at 22009 there's an
- 3:04:02income statement it looks like it
- 3:04:04includes Financial projections for the
- 3:04:06years ended December 2015 to 2018 do you
- 3:04:10see that
- 3:04:11yes
- 3:04:13and Ashley it also includes a 10-month
- 3:04:15projection or I think this is
- 3:04:17um
- 3:04:21that covers the 10-month period covers a
- 3:04:2410-month period
- 3:04:25um
- 3:04:25uh for 2015 if you see that as well
- 3:04:30yes okay
- 3:04:33um so you'll see uh you know for 2015 to
- 3:04:372018
- 3:04:38roughly uh you're projecting here
- 3:04:42to generate about 113 million in 2015
- 3:04:452000 223 million in 2016 323 million in
- 3:04:502017 and 503 million in 2018
- 3:04:55did you approve of those financial
- 3:04:57projections that they be provided to
- 3:04:59ranca
- 3:05:00I don't know
- 3:05:05we can keep that in front of you for the
- 3:05:07moment
- 3:05:23I'm handing to you what's already been
- 3:05:25marked as uh Theron's exhibit 160.
- 3:05:35instead of 160 purports to be a December
- 3:05:3923rd 2014 email from Elizabeth Holmes to
- 3:05:42subject line Reed 409a with
- 3:05:46starting base number two HP
- 3:05:51fm000-889-870 have you seen exhibit 160
- 3:05:55before
- 3:05:57I I don't remember it but I I recognize
- 3:06:00my email here okay so we'll see about
- 3:06:03halfway down the page there's an email
- 3:06:05from to you
- 3:06:07and she's saying that she sent over
- 3:06:09projections to Ronka the night before
- 3:06:11because we have a deadline before the
- 3:06:13end of the year and then she writes I
- 3:06:15use the same assumptions for Revenue as
- 3:06:17in October roughly 100 million 200
- 3:06:20million 300 million 500 million in 2015
- 3:06:23through 2018 do you see that I do and
- 3:06:27then you respond back to her and you say
- 3:06:28a hundred million for 15 right so you're
- 3:06:31questioning whether or not
- 3:06:33um uh you're you're confirming with her
- 3:06:35that it's a hundred million dollars for
- 3:06:372015. do you see that I do and then she
- 3:06:40confirms yes that's that's correct and
- 3:06:43then you say thanks so does that refresh
- 3:06:45your recollection that you approved of
- 3:06:46these Financial projections that were in
- 3:06:49this April 2015 report to Ranka
- 3:06:52it doesn't refresh my little
- 3:06:54recollection but I I don't have reason
- 3:06:56to doubt this email
- 3:06:58what did you base these projections on
- 3:07:00the 100 200 300 and 500 million I I
- 3:07:04don't know
- 3:07:06did you have a financial model that you
- 3:07:08were working with
- 3:07:10I'm assuming that since she says the
- 3:07:13same assumptions this is based on
- 3:07:15something else I don't know what it was
- 3:07:18and you you think it was based on
- 3:07:20something else that you had worked on
- 3:07:22I I don't know
- 3:07:25so you have no idea how
- 3:07:29how she came up or you came up with 100
- 3:07:31200 300 to 500 million for those years
- 3:07:35I don't and I I don't know what we were
- 3:07:37using this report for at that time
- 3:07:43did you think to ask her a question why
- 3:07:46what is the purpose of this report
- 3:07:48what was how are you responding back to
- 3:07:51her and approving of the projections if
- 3:07:52you didn't know what the purpose of the
- 3:07:53report was
- 3:07:55I I can't remember now what the purpose
- 3:07:58of a report was I'm assuming at that
- 3:08:00time I had some understanding of what
- 3:08:02the purpose of the report was I just
- 3:08:04can't remember what it was
- 3:08:06are you aware of the financial model
- 3:08:09somewhere that would have projected
- 3:08:11these Revenue figures for 2015 to 2015.
- 3:08:15uh 2015 to 2018. again I don't know when
- 3:08:19I didn't maintain those models and I
- 3:08:22don't even know that this necessarily
- 3:08:23would have been consistent with any
- 3:08:25models that we were maintaining on
- 3:08:27assumptions for retail rollout
- 3:08:29who was maintaining those assumptions
- 3:08:31Sonny was
- 3:08:35so if I understand but by this time
- 3:08:37period
- 3:08:38um in the best of your memory Iraq was
- 3:08:40being used to help
- 3:08:42um
- 3:08:43help build an internal valuation model
- 3:08:45is that fair they were and and I think
- 3:08:47you said the goal was to have the value
- 3:08:49of a common stock be
- 3:08:52um on par with the preferred at some
- 3:08:54point in time to ultimately get to that
- 3:08:55point I realize it's a long ramp but yes
- 3:08:57that was the goal you had in mind right
- 3:08:59that was what we thought the end
- 3:09:01and objective was yeah and that was
- 3:09:04important to your goal of ultimately
- 3:09:05staying a private company in the long
- 3:09:06term yes and continuing to restructure
- 3:09:09ourselves as a private company
- 3:09:11is it fair to say that the company's
- 3:09:13valuation was something that was
- 3:09:15important to you in this time frame
- 3:09:17generally yes why was that
- 3:09:21because it's important to our
- 3:09:23shareholders and and at shareholder from
- 3:09:25time to time people who invested earlier
- 3:09:28whether
- 3:09:29when you first started or in 2010 ask
- 3:09:31for copies of Iraqis 409a reports not to
- 3:09:35my knowledge
- 3:09:36did anyone ever communicate to you that
- 3:09:38uh a prior investor has asked for
- 3:09:41foreign report
- 3:09:44I've been sitting here now I can't
- 3:09:45remember any it's possible that they did
- 3:09:48I
- 3:09:50I don't know
- 3:09:53I I guess
- 3:09:54if your ultimate goal is to to have
- 3:09:56common stock and be on Beyond par value
- 3:09:58with the preferred uh and evaluation of
- 3:10:02companies something that's important to
- 3:10:03you to understand why you never read one
- 3:10:04of these Iraq reports cover to cover
- 3:10:08okay so we began the process of
- 3:10:10structuring as a private company in the
- 3:10:13end of 13 and
- 3:10:15we assumed this was going to be a long
- 3:10:18multi-year process and that these were
- 3:10:20just the first steps in beginning to
- 3:10:22develop a formula for what the impact of
- 3:10:25capital infusion was on some of the
- 3:10:29these metrics are on common stock price
- 3:10:32I was not primarily focused on the
- 3:10:36finance aspects of our business I
- 3:10:38trusted that if this was what really
- 3:10:41smart people that we were paying a lot
- 3:10:42of money to thought was a good idea to
- 3:10:44do that that's what we would do and that
- 3:10:47at the time we would start building
- 3:10:48these models internally I would look at
- 3:10:50it and learn about it I I don't
- 3:10:53have specific background in this area
- 3:10:55and so it wasn't something that I was
- 3:10:57focused on did you track the
- 3:11:01so you mentioned you know you wanted
- 3:11:03these reports to see how the the equity
- 3:11:06events impacted the common stock value
- 3:11:07did you track those final
- 3:11:10numbers as they came in from a report to
- 3:11:11report I don't think so
- 3:11:13do you know who if anyone the company
- 3:11:15did
- 3:11:16I I don't know that we even started this
- 3:11:18I think we were just trying to get the
- 3:11:20information at this point and have it
- 3:11:22and that it would ultimately be used for
- 3:11:25the purpose of an internal model
- 3:11:34handing to you what's been marked
- 3:11:36is it at 227 and actually you can keep
- 3:11:39the Iran report in front of you
- 3:11:49is it a 227 reports to be a spreadsheet
- 3:11:54the first page I'm sorry I just wanted
- 3:11:56to clarify I can't remember any instance
- 3:11:59in which someone asked for a copy of a
- 3:12:00409a but it's you it's possible over all
- 3:12:03the years that they did is it something
- 3:12:06that you think parents would have shared
- 3:12:08with its investors
- 3:12:09I don't think that we did that generally
- 3:12:12it's it's possible that it's some
- 3:12:13instance we did but I I don't think
- 3:12:15certainly it wasn't routine that I know
- 3:12:18about
- 3:12:19I guess why why wouldn't the company
- 3:12:20generally should share these reports
- 3:12:23I think we saw it as an internal tool
- 3:12:25and for a very specific purpose which
- 3:12:27was initially evaluation of options and
- 3:12:30then development of our own models
- 3:12:34in in general but there's so many years
- 3:12:36in so many interactions that I I may
- 3:12:38just not be remembering something
- 3:12:43so exhibit 227 purports to be
- 3:12:46um
- 3:12:48financial statements the first page is
- 3:12:51titled Pro former projected statement of
- 3:12:54income with starting base number TS
- 3:12:58Dash zero zero two one nine one one have
- 3:13:01you seen exhibit 227 before
- 3:13:08be clear for the record I don't think
- 3:13:09these purport to be financial statements
- 3:13:11I mean they say what they say on the top
- 3:13:12of them but in the past when you said
- 3:13:15that it's been like
- 3:13:16an email just don't say Financial saves
- 3:13:21sure so exhibit 227 reports to be a
- 3:13:25document titled pro forma projected
- 3:13:28statement of income
- 3:13:30foreign
- 3:13:35so I'll represent to you that this
- 3:13:37document was part of the
- 3:13:39April 15 2015 board meeting uh materials
- 3:13:43that theranos produce to the SEC
- 3:13:45pursuant to subpoena so it was presented
- 3:13:48at the same time as
- 3:13:50exhibit 225.
- 3:13:54oh sorry is that wrong
- 3:13:57226. it was presented at the same time
- 3:13:59as exited 226. to the board to the board
- 3:14:04okay
- 3:14:08so you'll see that uh there's a
- 3:14:12projected statement of income a pro
- 3:14:14forma and protected statement of income
- 3:14:16there's a pro forma statement of cash
- 3:14:18flow and a Consolidated balance sheet
- 3:14:22here
- 3:14:23to review this at the time of the board
- 3:14:26meeting
- 3:14:27I don't know
- 3:14:30did you recognize this format generally
- 3:14:32I mean whether or not you recall this
- 3:14:33specific document
- 3:14:36the format of exhibit 220 227 looked
- 3:14:40like the kind of
- 3:14:42um
- 3:14:43projections of income projected uh
- 3:14:46performance savings cash flow and
- 3:14:48balance sheets but I can't be maintained
- 3:14:51um
- 3:14:53it's actually different than what I had
- 3:14:56remembered sharing
- 3:14:59um the the Murdoch projections that you
- 3:15:02showed me the other day
- 3:15:03um in format I think but I I don't have
- 3:15:07reason to doubt it
- 3:15:09prepare these Financial
- 3:15:12s because I mean
- 3:15:19so if you look at the revenues for the
- 3:15:23period ending 2014. this is on the first
- 3:15:25page in the statement of income
- 3:15:28you'll see that total revenue is
- 3:15:31projected to be or not projected
- 3:15:34actually because this is in 2015 but
- 3:15:36total revenue for the year was 108
- 3:15:39million dollars do you see that they do
- 3:15:41what was the basis for this number
- 3:15:45I think it was he was believing that the
- 3:15:49Walgreens payment could be earned within
- 3:15:51the 2014 time frame and then there was
- 3:15:53some retail Revenue as well that was
- 3:15:58associated with that I don't know if he
- 3:15:59also thought
- 3:16:01that some of the Safeway payment could
- 3:16:03have been earned I'm not sure
- 3:16:06what's your basis for that
- 3:16:07pretty understanding I guess what what
- 3:16:09you need to read
- 3:16:10because I remember conversations with
- 3:16:12him in which he would talk about the
- 3:16:14fact that we'd earned the Walgreens
- 3:16:15payment
- 3:16:17when do you recall those conversations
- 3:16:18taking place
- 3:16:20um
- 3:16:21on an ongoing basis uh certainly by this
- 3:16:262015 time period that you're talking
- 3:16:28about
- 3:16:30so you mentioned there were three
- 3:16:32different components that you thought
- 3:16:33might go into this there's the Walgreens
- 3:16:36payments 75 million dollar Innovation
- 3:16:39fee payment there is the Safeway payment
- 3:16:41when was that made
- 3:16:44so I just to be clear I think that by
- 3:16:462015 this number was based on thinking
- 3:16:50that for whatever reason the 100 million
- 3:16:52from Walgreens was in this time period
- 3:16:55um
- 3:16:56the 100 million from Walgreens I think
- 3:16:58so when was the 25 million initial
- 3:17:01payment from Walgreens when when did
- 3:17:03that come into the company I don't know
- 3:17:05but I know it was before December of
- 3:17:072013. okay so why would that be included
- 3:17:10in the revenues for 2014.
- 3:17:13have to ask him I don't know
- 3:17:16and then you said the remaining amount
- 3:17:19of revenues would have come from the
- 3:17:21retail business this is the retail
- 3:17:22pharmacy business
- 3:17:24I I think so yes okay so
- 3:17:27um if if we're
- 3:17:31I'm sorry and I think I don't know if
- 3:17:34you answered my question about the
- 3:17:35Safeway payment when when did the safety
- 3:17:37Safeway payment come in
- 3:17:40I I don't know I believe it was before
- 3:17:422013. okay and and how much was that
- 3:17:45payment
- 3:17:46I think it was 30 million dollars but I
- 3:17:49think there was a 25 million and a 5
- 3:17:52million component I I don't know how he
- 3:17:54treated the five
- 3:17:56so if we add up the 100 million that you
- 3:17:59think Sunny might have put into this
- 3:18:01plus an additional 30 that's really 130
- 3:18:05million dollars so
- 3:18:07I I what is so what's the basis for your
- 3:18:10belief as to how he came up with this
- 3:18:12108 million dollar figure that he was
- 3:18:15treating the payments received from
- 3:18:17retailers I I believe at least Walgreens
- 3:18:20in this number plus some Retail Services
- 3:18:23revenue and I don't know how he was
- 3:18:25treating that 5 million from Safeway
- 3:18:28foreign
- 3:18:31there was such a difference between what
- 3:18:33we saw in the iraanca report which had
- 3:18:362014 Asheville revenues as 150 000 and
- 3:18:41here you're seeing revenues for 108
- 3:18:43million dollars why was there such a
- 3:18:45difference between the two
- 3:18:48I I don't know I I think this was in the
- 3:18:51context of discussion about the fact
- 3:18:54that we thought that we'd earned the
- 3:18:56Walgreens payment I don't know what the
- 3:18:59basis for the income statement in the
- 3:19:00aranca document is
- 3:19:08did you ever represent to prospective
- 3:19:10investors in 2015 that fairness
- 3:19:12generated over 100 million dollars in
- 3:19:14revenues in 2014.
- 3:19:17I I don't think we generally talked
- 3:19:20about historical revenues very much I
- 3:19:22know we openly talked about having
- 3:19:24received 100 million dollars from
- 3:19:27Walgreens and also the other payments
- 3:19:29from uh from Safeway and probably the
- 3:19:33insurance companies as well because we
- 3:19:35thought that showed the the interest and
- 3:19:38commitment of our partners
- 3:19:41foreign
- 3:19:44meeting with Sutter Health in August
- 3:19:462015 during which you showed their
- 3:19:50financials for the company
- 3:19:52do you recall that meeting
- 3:19:54I I remember meeting with him I don't
- 3:19:57know when it was
- 3:19:58okay but do you remember a meeting in
- 3:20:00which you showed him financial
- 3:20:01information for the company
- 3:20:04um
- 3:20:07I
- 3:20:10I'm trying to remember if I remember
- 3:20:12showing them financial information I'm
- 3:20:13not sure
- 3:20:15do you remember showing him statements
- 3:20:17financial statements that indicated
- 3:20:19their nose was making
- 3:20:21or had made 108 million dollars in 2014
- 3:20:24and was projected to make 240 million in
- 3:20:272015 and another 750 million in 2016.
- 3:20:32I I don't remember those numbers but if
- 3:20:35those were numbers we discussed they
- 3:20:36would have been based on whatever our
- 3:20:38internal models were at the time
- 3:20:40what do you mean by based on whatever
- 3:20:42internal models
- 3:20:43this type of
- 3:20:45understanding of the payments that we'd
- 3:20:47received and what we thought we could
- 3:20:49achieve in terms of retail footprint so
- 3:20:51you mean that you would have been
- 3:20:53relying on whatever Financial models
- 3:20:55Sonny balwani was working on absolutely
- 3:21:04they don't have to pay taxes right
- 3:21:07yes and and we're involved in the
- 3:21:10process of uh of signing off on
- 3:21:12fairness's tax returns
- 3:21:14from points in time I I don't know if my
- 3:21:17signature was required on a document I
- 3:21:18would have signed it but I I wasn't
- 3:21:20involved in a detailed way do you have
- 3:21:22any understanding of what Theron was
- 3:21:24reported to the IRS in terms of revenues
- 3:21:25in 2014. I do not how about 2013. I do
- 3:21:29not
- 3:21:31did you at the time
- 3:21:33if I signed the tax returns I would have
- 3:21:36I can't remember
- 3:21:38you wouldn't provide inaccurate
- 3:21:40information to the IRS would you no
- 3:21:44I guess is there any reason for the
- 3:21:47Revenue that theranos was reporting to
- 3:21:49the IRS to be different from the Revenue
- 3:21:51figure shared with Sutter Health
- 3:21:55I I don't know I think to the extent we
- 3:21:58were making projections we were talking
- 3:22:00about
- 3:22:01what we thought could be done with
- 3:22:03payments that had been received I I
- 3:22:05don't know if
- 3:22:07from I'm speculating from an
- 3:22:09government reporting standpoint if we
- 3:22:12weren't completely sure yet whether they
- 3:22:13could be recognized or not I know we
- 3:22:15were transparent about what those
- 3:22:17payments were and that there were these
- 3:22:19monies that had been received from
- 3:22:20Retail Partners
- 3:22:27I I guess what do you mean by you you
- 3:22:30remember that who we were transparent
- 3:22:32about
- 3:22:33we we thought that the fact that
- 3:22:36Walgreens had paid us 100 million and
- 3:22:38another 40 in the note and Safeway had
- 3:22:40paid us 30 was one of the most
- 3:22:42validating pieces of information we
- 3:22:44could share so openly communicating that
- 3:22:47was a way of communicating that we
- 3:22:49thought we had a real opportunity to
- 3:22:51roll out at retail
- 3:22:52everybody knew we were only in 41 stores
- 3:22:55and that we were trying to see you know
- 3:22:57I thought 10 patients a day if we were
- 3:22:59very open about that
- 3:23:03in other words you viewed not only just
- 3:23:05the existence of the Walgreens
- 3:23:06relationship the Walgreens is financial
- 3:23:09commitment as a as a sign of faith in in
- 3:23:11theranos absolutely and that's a sign of
- 3:23:13Faith he wanted to share with the best
- 3:23:15yes
- 3:23:16did you tell investors that the 108
- 3:23:18million or 100 million dollars that were
- 3:23:22generating removes in 2014 that that was
- 3:23:25made up of payments that were coming in
- 3:23:27from Walgreens and Safeway
- 3:23:29so I I don't know if this was ever
- 3:23:31shared with investors but I I know that
- 3:23:34again we openly talked about the 100
- 3:23:37million from Walgreens being a payment
- 3:23:39for exclusivity
- 3:23:41do you remember telling consider Health
- 3:23:42that the 108 million consisted of
- 3:23:45payments that were coming from Walgreens
- 3:23:46and Safeway
- 3:23:48I don't remember that conversation very
- 3:23:49well
- 3:23:52I mean again at that time we still would
- 3:23:54have been only in 41 stores so we were
- 3:23:57very open about what we were trying to
- 3:23:58do at retail
- 3:24:01hey so it's one o'clock if you want to
- 3:24:03take a lunch break
- 3:24:05a trick
- 3:24:08this concludes maybe a number two of
- 3:24:10Elizabeth Holmes
- 3:24:1345 minutes again
- 3:24:20we are back on the record at the
- 3:24:23beginning of media number three of
- 3:24:25Elizabeth Holmes the time is 1 55.
- 3:24:28Ms Holmes did you have any have any
- 3:24:30substantial conversation
- 3:24:34now yes correct
- 3:24:39um so we were talking before the lunch
- 3:24:41break about
- 3:24:43um the financials of the company and
- 3:24:45what you knew about how they were
- 3:24:47maintained and and who was preparing
- 3:24:50them for prospective investors to do do
- 3:24:52you remember that they do okay
- 3:24:54do you recall providing financial
- 3:24:56information to prospective investors in
- 3:24:59late 2014 showing fairness on the road
- 3:25:02to achieving over 100 million dollars in
- 3:25:04revenues
- 3:25:06I I don't have specific memory of that
- 3:25:11um but I I know
- 3:25:13we shared projections with investors in
- 3:25:16late 2014.
- 3:25:18do you recall providing financial
- 3:25:20information in August 2014 that
- 3:25:22indicated that fairness was projected to
- 3:25:24make 140 million dollars in revenues for
- 3:25:262014.
- 3:25:28I don't remember that specifically
- 3:25:30to your recall providing financial
- 3:25:32information of Fremont grief in October
- 3:25:332014 that indicated that fairness was on
- 3:25:36track to make 126 million dollars in
- 3:25:39revenues for 2014.
- 3:25:40again I don't have specific memory of it
- 3:25:43do you recall providing financial
- 3:25:45information to the capital in October
- 3:25:472014 that indicated that fairness was on
- 3:25:49track to make 125 million dollars in
- 3:25:51revenues for 2014.
- 3:25:53but no
- 3:25:55so
- 3:25:58I'm going to hand to you
- 3:26:11what's been previously marked as
- 3:26:14fairness exhibit 195.
- 3:26:19[Applause]
- 3:26:22exhibit 195 reports to be a an October
- 3:26:2613 2014 email from Sonny balwani to with
- 3:26:31a copy of Elizabeth Holmes and subject
- 3:26:33line is rethinks
- 3:26:36and the starting base number is BDT SEC
- 3:26:39underscore
- 3:26:42pst004140 and there is an attachment
- 3:26:48with Bates number ending 4142 have you
- 3:26:53seen exhibit 195 before
- 3:26:57I I don't recognize it but I don't have
- 3:27:01reason to doubt it
- 3:27:06so you'll see here that Sunny belwani is
- 3:27:09sending a financial model to Capital
- 3:27:13did you see that I do
- 3:27:16and the model is attached to the email
- 3:27:18what was your understanding as to how Mr
- 3:27:22balwani came up with the financial
- 3:27:24possessions
- 3:27:26I don't know
- 3:27:28did he send these to you prior to
- 3:27:30sending them out capital
- 3:27:33I don't think so
- 3:27:34I don't remember him doing that
- 3:27:37do you recall discussing them with him
- 3:27:39before they were sent out to Capital no
- 3:27:42you understand that you're copied on the
- 3:27:44I just want to clarify one thing that
- 3:27:45you're copied on the email that appears
- 3:27:47that when I I just saw that yeah
- 3:27:50did you review this attachment at the
- 3:27:53time that you received the email
- 3:27:56I I don't know
- 3:28:01so if you would turn to
- 3:28:08the income statement
- 3:28:10which is looks like four pages into the
- 3:28:13attachment
- 3:28:15you'll see here that revenue for 2014 is
- 3:28:18projected to be 125 million dollars in
- 3:28:212014. do you see that I do it
- 3:28:25and you'll see that there's a breakout
- 3:28:27for the revenues in 2014 and actually
- 3:28:30only 30 million dollars is coming from
- 3:28:33U.S retail pharmacies do you see that I
- 3:28:36do
- 3:28:37so U.S retail pharmacies would that be
- 3:28:40capturing the Walgreens and Safeway
- 3:28:42revenues that you were looking to to
- 3:28:45achieve
- 3:28:48it could be I don't know what this was
- 3:28:50specifically in this model you don't
- 3:28:52know what U.S retail pharmacies is
- 3:28:54referring to
- 3:28:56again I I don't remember going through
- 3:28:58any of the assumptions that went into
- 3:29:00this with sunny so I'm not sure exactly
- 3:29:01what he was referring to here
- 3:29:03have you seen versions of the financial
- 3:29:06projection that
- 3:29:08um that you were sending to prospective
- 3:29:11investors that look similar to this
- 3:29:17um
- 3:29:18as I as I said earlier I had in my mind
- 3:29:21the format that was in the Murdoch
- 3:29:24binder documents that you showed me but
- 3:29:27I
- 3:29:28I generally recognize this as a theranos
- 3:29:30document
- 3:29:31so you have no idea as to how Mr balwani
- 3:29:35was breaking out the revenue streams for
- 3:29:38for instance a U.S retail pharmacies
- 3:29:40physician offices and hospitals or what
- 3:29:43those categories were supposed to
- 3:29:45include were consist of
- 3:29:47I I don't I was just flipping back to
- 3:29:50the market assumptions page to look at
- 3:29:52what the assumptions were in here and
- 3:29:55which my assumption sitting here now
- 3:29:57would be that that's what this is based
- 3:29:59on okay so if you look at the market
- 3:30:01assumptions page
- 3:30:04it looks like
- 3:30:06for retail pharmacy
- 3:30:09so if you look at the first page of the
- 3:30:11document Retail Pharmacy you've got
- 3:30:13revenue per requisition and then the
- 3:30:15fully loaded cost system in RX
- 3:30:19if you turn the page
- 3:30:22you'll see that there are a number of
- 3:30:24assumptions related to the Walgreens and
- 3:30:28other Retail Pharmacy services do you
- 3:30:31see that
- 3:30:33I do
- 3:30:34I mean is there
- 3:30:36can you think of anything else at retail
- 3:30:38pharmacies could mean other than the
- 3:30:41Walgreens and possibly Safe Way
- 3:30:43relationships
- 3:30:46I I don't I don't know what he was
- 3:30:48thinking when he was creating this model
- 3:30:50and it looks here just from reading this
- 3:30:53document sitting here that he's
- 3:30:55assuming these are going to be Walgreens
- 3:30:56locations okay so looking back get the
- 3:30:59income statement then before our lunch
- 3:31:01break you had testified earlier that you
- 3:31:04believe that Mr balwani arrived at over
- 3:31:07100 million dollars in revenues in 2014
- 3:31:09because he he had included the 75
- 3:31:12million accelerated Innovation fee
- 3:31:14payment there
- 3:31:16do you remember that testimony what I
- 3:31:19was attempting to communicate was that
- 3:31:20the questions you were asking about the
- 3:31:22108 million dollar number and where it
- 3:31:25might have come from I believed was
- 3:31:27associated with the Walgreens payment I
- 3:31:31commented that I'm not sure about how
- 3:31:34Revenue should have been recognized okay
- 3:31:37so here it doesn't look like that 75
- 3:31:41million dollar accelerated payment was
- 3:31:44included in Mr balwani's projection for
- 3:31:472014. do you see that I do so do you
- 3:31:51know what the basis was for uh
- 3:31:54Mr balwani's projection of 125 million
- 3:31:57dollars for 2014.
- 3:32:00I do not
- 3:32:02I guess just looking at this these
- 3:32:05projected Revenue sources looks you know
- 3:32:0930 million dollars back from from
- 3:32:11retails pharmacies which looking back
- 3:32:14looks like Walgreens uh and then I think
- 3:32:16we talked earlier about the associated
- 3:32:17revenue from Physicians offices
- 3:32:20hospitals and and Pharma services
- 3:32:23in late 2014 was was this your
- 3:32:26expectation about how you know
- 3:32:30whether you know meeting the gross the
- 3:32:31the gross numbers are not just the sort
- 3:32:34of the breakdown of you know about a
- 3:32:36third from retail pharmacies a tenth
- 3:32:39from uh Physicians offices a little more
- 3:32:42than a third from
- 3:32:43uh
- 3:32:45from hospitals was that in your mind how
- 3:32:47the how the revenue stream was going to
- 3:32:49look like
- 3:32:50I never thought about it that way
- 3:32:51specifically I thought about it in terms
- 3:32:53of number of retail stores and then
- 3:32:56assuming you had that footprint what was
- 3:32:58a reasonable Assumption of number of
- 3:33:00samples that could get sent to you by a
- 3:33:03given Physician Office or Hospital group
- 3:33:05and how many of those was it reasonable
- 3:33:08to assume you could get in a given
- 3:33:10geography so
- 3:33:13in that sort of assumption
- 3:33:16um sample mind frame did you did you
- 3:33:18assume that more samples were going to
- 3:33:20be run uh from
- 3:33:23from hospital and farmer partners then
- 3:33:26we're actually being run from the just
- 3:33:28the operational Walgreens retail
- 3:33:30pharmacies
- 3:33:32I I don't know I I don't know if I ever
- 3:33:34focused on what the differential would
- 3:33:36be between the two I remember
- 3:33:39looking at both the number of store
- 3:33:41assumption as well as is it reasonable
- 3:33:44to pick up a certain number of samples
- 3:33:46per day from Physician Office groups and
- 3:33:49was it reasonable to get a certain
- 3:33:51number of Physician Office groups and
- 3:33:52focusing on that part of it
- 3:34:00what revenues had the company realized
- 3:34:03from Physicians offices by this time in
- 3:34:06October 2014.
- 3:34:09I don't know
- 3:34:11was there any
- 3:34:13I don't know it at some point we started
- 3:34:15doing a pickup from Physician Offices I
- 3:34:18don't know when it started
- 3:34:22did you have any contrast with
- 3:34:24Physicians offices at this time
- 3:34:27I don't know
- 3:34:28um as referenced we had a sales team in
- 3:34:31Arizona that was working on putting
- 3:34:33contracts in place with groups I I don't
- 3:34:34know the dates on those contracts from
- 3:34:36physician groups would it surprise you
- 3:34:38if theranos had no contracts with
- 3:34:40Physicians offices during this time
- 3:34:46I I think generally yes I think we were
- 3:34:51um
- 3:34:53we believed that the relationships that
- 3:34:56we had in place would
- 3:34:58give us the ability to realize the
- 3:35:00assumed number of Physician Offices so I
- 3:35:03I generally thought that we had the
- 3:35:06relationships that we needed to be able
- 3:35:07to put
- 3:35:08this footprint in place
- 3:35:11what about from hospital s do you know
- 3:35:13how much in revenues theranos had
- 3:35:15realized in revenues
- 3:35:17from hospitals up until October 2014.
- 3:35:22I I don't I unless we had
- 3:35:26been doing the same type of pickup that
- 3:35:28we had started doing in physician
- 3:35:30offices and physician offices that were
- 3:35:32part of Hospital groups I don't think
- 3:35:34there was any other Financial
- 3:35:36income from hospitals at that point in
- 3:35:39time and do you know if fairness was
- 3:35:41picking up samples from hospitals at
- 3:35:42this time I don't I don't know when we
- 3:35:44started the pickups
- 3:35:46did you start pickups with any Hospital
- 3:35:50um at any time i'm hesitating just
- 3:35:52because I think the word hospital here
- 3:35:54was referring to health systems and some
- 3:35:56of the physician groups that we were
- 3:35:57working with may have been part of uh
- 3:36:00Health Systems I I don't know when those
- 3:36:02started and whether the Physicians that
- 3:36:04we ultimately did that with were part of
- 3:36:07these Health Systems okay but do you do
- 3:36:10you remember
- 3:36:11theranos ever starting to process
- 3:36:14samples from hospitals
- 3:36:17I'm from position groups that were
- 3:36:20affiliated with Health Systems I I
- 3:36:22believe we did
- 3:36:23okay but but not from hospitals
- 3:36:25themselves
- 3:36:27so we were using I think the word
- 3:36:29hospital and health system
- 3:36:30interchangeably yeah and so the the
- 3:36:33group would have been associated with a
- 3:36:35hospital chain As I understood it what
- 3:36:37are some of those physician groups
- 3:36:40so I think
- 3:36:44Commonwealth in Arizona
- 3:36:46was one of them and there was another
- 3:36:49one
- 3:36:51I'm trying to remember
- 3:36:55um
- 3:36:57there was another Health System group I
- 3:37:00I don't remember the name
- 3:37:01but I know that was something that very
- 3:37:04focused on in Arizona
- 3:37:05so you recall there were two Physicians
- 3:37:08griefs that theranos was processing
- 3:37:10samples for
- 3:37:12I believe there were more than two I
- 3:37:14just don't know what all of them were
- 3:37:18I guess was this
- 3:37:20inflation of hospitals and Health
- 3:37:22Systems sort of like
- 3:37:23the normal language at theranos at the
- 3:37:25time or is this something you just come
- 3:37:26to understand and read the document now
- 3:37:30it's certainly something that I've come
- 3:37:31to understand now I I don't know at that
- 3:37:34time whether we use those words
- 3:37:36interchangeably I guess so
- 3:37:39do you know that that's what hospitals
- 3:37:41meant in this model
- 3:37:43I don't know that I'm assuming that
- 3:37:45based on your based on information
- 3:37:46you've gathered since this time yes
- 3:37:51Who would know as to how much theranos
- 3:37:54had realized and revenues from both
- 3:37:56Physicians offices and hospitals
- 3:37:592014.
- 3:38:03um I I would ask Sonny
- 3:38:05Sonny would know I don't know if he
- 3:38:07knows but I mean if I were trying to
- 3:38:09find that out and if I were still
- 3:38:11working with them he'd be the first
- 3:38:12person that I would have asked who else
- 3:38:13besides Sunny would know
- 3:38:16she would have known about what
- 3:38:18relationships we had in place with with
- 3:38:20health systems or physician groups in
- 3:38:22Arizona I don't think she had
- 3:38:26engagement on any of the National Health
- 3:38:29System groups she was focused only on
- 3:38:31local groups so there were other chains
- 3:38:35like dignity and others that had a
- 3:38:37national presence that we were hopeful
- 3:38:39we would be able to ultimately engage
- 3:38:40with I mean she wouldn't have been
- 3:38:43involved as I understand it in
- 3:38:45interactions with them okay and so who
- 3:38:47would have been responsible for those
- 3:38:49other relationships besides the Arizona
- 3:38:51ones Sunny West
- 3:38:57okay let's go down to um then
- 3:39:00pharmaceutical services
- 3:39:04what had theranos realized in the
- 3:39:07pharmaceutical service space in terms of
- 3:39:10revenues for 2014 by this time
- 3:39:14I I don't know I I don't remember
- 3:39:18doing much on the pharmaceutical
- 3:39:20Services side in 2014.
- 3:39:22did you have any contracts in place with
- 3:39:24any pharmaceutical companies at this
- 3:39:25time
- 3:39:27I I don't know I I know that we had some
- 3:39:30relationships from our prior work that
- 3:39:32we were hopeful we were going to
- 3:39:34reconstitute I don't know if there had
- 3:39:36been specific conversations with them or
- 3:39:38with
- 3:39:39the group I was referencing within
- 3:39:41Walgreens that was dedicated to uh
- 3:39:43working with Pharma companies at that
- 3:39:46time what is your understanding as to
- 3:39:48the last year that fairness received
- 3:39:50revenues from pharmaceutical companies
- 3:39:54so we're gonna I want to be careful
- 3:39:55about
- 3:39:56payment and revenue because I know we
- 3:39:59received payments at certain periods of
- 3:40:01time and then there was
- 3:40:03discussion and revision about when to
- 3:40:05recognize them
- 3:40:06um I I think the last years that we were
- 3:40:09paid
- 3:40:11um was certainly prior to 14. and
- 3:40:15and I don't know what year it was when
- 3:40:192011 sound right to you
- 3:40:22I wouldn't be surprised if it's wrong
- 3:40:24you wouldn't be surprised if it's wrong
- 3:40:26yeah I don't know
- 3:40:29okay so you don't know it all when you
- 3:40:31might have received payments from the
- 3:40:33pharmaceutical companies when the last
- 3:40:35payments were
- 3:40:37um I don't I
- 3:40:38again if you said 2011 I wouldn't doubt
- 3:40:41it
- 3:40:42who was responsible for those
- 3:40:44pharmaceutical company relationships in
- 3:40:46this time frame
- 3:40:48if there was anyone
- 3:40:50so
- 3:40:52I don't know what this specifically is
- 3:40:54referring to here if it was an
- 3:40:56assumption around the pharmaceutical
- 3:40:59relationships that Walgreens had been
- 3:41:00working to Foster then it would have
- 3:41:02been Walgreens relationships with Pharma
- 3:41:04companies and otherwise I'm
- 3:41:09we had originally had a sales force that
- 3:41:12had relationship with the Pharma
- 3:41:13companies we then got rid of that sales
- 3:41:15force and built a new one that was
- 3:41:17retail focused and had we reinstated
- 3:41:19those relationships we I don't know who
- 3:41:23we would have used Sonny would have made
- 3:41:24that decision because reported to him
- 3:41:27so you think that Sonny balwani would
- 3:41:29have known about the Pharma the state
- 3:41:30status of the pharmaceutical
- 3:41:31relationships that theranos had at this
- 3:41:34time
- 3:41:34I believe so
- 3:41:37so it sounds like Sonny balwani would
- 3:41:39have known about the physician's office
- 3:41:41contracts that theirness might have had
- 3:41:43hospitals system contracts and the
- 3:41:47pharmaceutical service contracts and
- 3:41:49sunny was also involved in the Walgreens
- 3:41:51relationship and responsible for that as
- 3:41:53well and that after a certain period of
- 3:41:55time he's also responsible for the
- 3:41:56safely relationship so what were you
- 3:41:58responsible for
- 3:42:01I was I was CEO of the company I from a
- 3:42:04technology perspective was focused on
- 3:42:06inventions I am named on a large number
- 3:42:09of our patents I tried to contribute
- 3:42:12creatively to
- 3:42:14technical issues when we were dealing
- 3:42:16with technical issues that would require
- 3:42:18invention
- 3:42:19um
- 3:42:20I was very focused on the restructure to
- 3:42:23become a private company I was focused
- 3:42:26on our vision and our strategy and I
- 3:42:28ultimately became very focused on policy
- 3:42:31related initiatives like the law change
- 3:42:34in Arizona and the work to try to build
- 3:42:36MediCare at lower prices and the work to
- 3:42:39try to advocate for regulation of ldts
- 3:42:42what was the last patent that you
- 3:42:45appeared on for fairness
- 3:42:47I I don't know I'm still writing
- 3:42:50memorandum of invention right now
- 3:42:55so if you turn back to the macro Market
- 3:42:59assumptions
- 3:43:01which is the first cage of the
- 3:43:03attachment
- 3:43:07you'll see there's a list of
- 3:43:10looks like device tops
- 3:43:13so for 2014 the device cost is 40 000
- 3:43:16for 2015 the device cost is thirty five
- 3:43:19thousand do you see that they do what do
- 3:43:23these costs depict
- 3:43:24what device are these costs for
- 3:43:29I I don't know again I didn't prepare
- 3:43:30this document I'm not sure what these
- 3:43:33are referring to
- 3:43:34was this consistent with the cost for a
- 3:43:37tspu or a mini lab
- 3:43:46I don't know
- 3:43:48how much does it cost to manufacture a
- 3:43:50mini lab in 2014.
- 3:43:56I I can I I don't know I can tell you
- 3:43:59what it is right now I don't know what
- 3:44:00it was then
- 3:44:01how much did it cost to purchase a
- 3:44:04seniors Advia 1800 2014.
- 3:44:09I don't know I would assume it was more
- 3:44:10than forty thousand dollars but I don't
- 3:44:12know why do you make that assumption
- 3:44:15I just have General understanding that
- 3:44:17the Siemens equipment was expensive
- 3:44:27um because we're trying to liquidate a
- 3:44:29lot of it right now and I've generally
- 3:44:31been in touch with our operations teams
- 3:44:33on how much money we can get from it did
- 3:44:36you know how expensive Siemens equipment
- 3:44:38was back in 2014
- 3:44:40I I probably didn't know the exact
- 3:44:42amount no
- 3:44:43did you know
- 3:44:49how did you know that
- 3:44:52because I was generally aware of the
- 3:44:53cost of traditional lab equipment
- 3:44:58can you think of any reason why the
- 3:45:00why but cost for a tspu would be
- 3:45:05relevant to their noises projections for
- 3:45:08at the end of 2014.
- 3:45:12I was I was just trying to
- 3:45:14look at that and hear I don't know if
- 3:45:16that was an assumption that we were
- 3:45:18building a certain number of devices for
- 3:45:20r d I don't know if that's in the r d
- 3:45:23number uh I I don't know
- 3:45:28I mean at the time it wasn't it wasn't
- 3:45:31there and it was as planned uh
- 3:45:35in your mind in in October of 2014
- 3:45:38fairness was still very much in phase
- 3:45:40one of its Walgreens Royal how does that
- 3:45:42appear we were uh
- 3:45:43and you didn't have a specific date in
- 3:45:46mind at the time of when phase two would
- 3:45:47start is that fair
- 3:45:50I I I don't know
- 3:45:53um at that time I I know that we were
- 3:45:56just focused on engaging with FDA as
- 3:45:58much as we could to try to get the
- 3:45:59Technologies through the FDA process
- 3:46:01yeah I don't know if we thought there
- 3:46:03was a specific date or not I I guess you
- 3:46:06know in October 2014 did you expect to
- 3:46:08move to phase two by the end of end of
- 3:46:10the year by the end of 2014.
- 3:46:13I again I don't know exactly what my
- 3:46:16mindset was in 2014 I I mean sitting
- 3:46:20here now don't think so
- 3:46:22um but
- 3:46:23um I I don't know
- 3:46:28so if you were still in the phase one
- 3:46:30part of the model with Walgreens where
- 3:46:34you were continuing to use
- 3:46:36for a majority of the tests the modified
- 3:46:39version of commercially available
- 3:46:41machines and there were some venous draw
- 3:46:44testing being done on reference machines
- 3:46:46during that time as well why wouldn't
- 3:46:50the device cost for a Siemens machine
- 3:46:53appear here under your assumptions
- 3:46:56again I I didn't create this document I
- 3:46:59don't know what was selected for the
- 3:47:01assumptions I know Sunny was working
- 3:47:02interactively with team one trying to
- 3:47:04build models I'm looking at it as we're
- 3:47:07talking and noting that this also
- 3:47:09includes things about number of theranos
- 3:47:11units per Hospital location 2015 so it
- 3:47:15may have been associated with that
- 3:47:17Assumption of phase two I don't know
- 3:47:20I I guess in October of 2014 was was
- 3:47:23there when I was planning on on sending
- 3:47:25any tspus to any hospitals
- 3:47:28imminently we were planning on trying to
- 3:47:30get FDA clearance to do that
- 3:47:33um
- 3:47:33again I'm looking at this sitting here
- 3:47:36now and noting it says Hospital location
- 3:47:382015 so I'm assuming sitting here now
- 3:47:40that
- 3:47:41the Assumption in this document was that
- 3:47:43that would happen if we got FDA
- 3:47:45clearance in time to do so in 2015
- 3:47:49but you'll see that the assumptions also
- 3:47:51use
- 3:47:53a device cost
- 3:47:56in 2014 of 40 000 so I think Mr akola's
- 3:48:00question is
- 3:48:02re-aware that theranos was imminently
- 3:48:05and in the last two months of 2014 going
- 3:48:08to be sending tspus to hospitals
- 3:48:11no we had to get FTA clearance prior to
- 3:48:13doing that
- 3:48:15you always understood that theranos
- 3:48:17needed FDA clearance of its tsp before
- 3:48:19it could distribute them broadly right
- 3:48:21yes and did Sonny share that
- 3:48:23understanding with you
- 3:48:26I think so what's your basis for that
- 3:48:28understanding
- 3:48:30um
- 3:48:31I'm trying to think of a specific
- 3:48:33conversation to answer that it was it
- 3:48:35was my general understanding that that
- 3:48:36was our plan as a company that the
- 3:48:39reason we were working so hard to get
- 3:48:41technology into the FDA was because it
- 3:48:44was required for phase two of our model
- 3:48:48okay
- 3:48:49it's sitting here today do you believe
- 3:48:52these assumptions about device costs and
- 3:48:55devices for hospitals could give a
- 3:48:57potential investor the impression that
- 3:48:59theranos was using the tspu for patient
- 3:49:01testing
- 3:49:02exclusively at the time I I don't why
- 3:49:05not
- 3:49:06because we were so focused on the tspu
- 3:49:09for phase two the only other thing I can
- 3:49:12think of here is that we might have been
- 3:49:13talking about building large numbers of
- 3:49:16them
- 3:49:18for use in our r d and clinical studies
- 3:49:20I I don't know what else would have gone
- 3:49:23into it I know especially in this case
- 3:49:25it'd be that there was very interactive
- 3:49:27engagement on the assumptions in the
- 3:49:29model and I would have expected that
- 3:49:31there was very active discussion about
- 3:49:34these assumptions because
- 3:49:36I think they were trying to build their
- 3:49:37own model and
- 3:49:39I mean did you ever share with anyone
- 3:49:40there and this was using either modified
- 3:49:43or unmodified commercially available
- 3:49:45analyzers
- 3:49:47I don't know I
- 3:49:50I don't know
- 3:49:54so we turn to the next page the fairness
- 3:49:58Market assumptions page you'll see that
- 3:50:01there are some assumptions here for
- 3:50:03Walgreens and there's other RX locations
- 3:50:06what did you understand the other RX
- 3:50:09locations to be referring to here
- 3:50:14some other Retail Pharmacy beside
- 3:50:17Walgreens okay so what other contracts
- 3:50:20did you have in place at this time other
- 3:50:22than Walgreens wouldn't that be a safe
- 3:50:24way
- 3:50:25yes we had the Safeway relationship in
- 3:50:27place so do you think that the other
- 3:50:29would have been referring to Safeway
- 3:50:31it could have been again I I don't know
- 3:50:35if you look at the Walgreens line
- 3:50:38the assumptions here for December 14 is
- 3:50:43that fairness Services would have been
- 3:50:44rolled out to Walgreens store Walgreens
- 3:50:48stores and 300 locations do you see that
- 3:50:53yes is that consistent with your
- 3:50:55understanding of where things were
- 3:50:57headed with the Walgreens relationship
- 3:50:58that by December 2014
- 3:51:01there are no Services would have been
- 3:51:04offered at 300 stores
- 3:51:06[Music]
- 3:51:08I generally remember that at that time
- 3:51:10we were really focused on rapidly
- 3:51:12ramping I I don't know if 300 was the
- 3:51:15number that we thought we would be at by
- 3:51:16the end of the year
- 3:51:19so we talked
- 3:51:21um in your earlier testimony about how
- 3:51:23at some point the parties were
- 3:51:25renegotiating the contract
- 3:51:27and so and those talks started happening
- 3:51:30and that the last store actually opened
- 3:51:32in the fall of 2014. do you remember
- 3:51:34that testimony I do okay so do you think
- 3:51:38that it was
- 3:51:40achievable to open 300 stores
- 3:51:43you know a month
- 3:51:45later after opening the last 41st store
- 3:51:50again I I don't know what was behind
- 3:51:53these numbers in this model I I know
- 3:51:55that through the end of 14 I continued
- 3:51:58to believe that there was an opportunity
- 3:52:00to ramp
- 3:52:01rapidly with Walgreens and I I don't
- 3:52:04know what the specific
- 3:52:06numbers that we were thinking at that
- 3:52:08time was
- 3:52:10and then you remember our earlier your
- 3:52:12earlier testimony and wish we
- 3:52:14established that by December 2014 the
- 3:52:17parties were talking about converting
- 3:52:19the business model to a rental agreement
- 3:52:21model do you remember that I do okay and
- 3:52:23so that would have required some
- 3:52:25modification of the contractor that came
- 3:52:27to pass correct correct okay so if you
- 3:52:31turn the page to the next page you'll
- 3:52:33see that by December 2015.
- 3:52:38the Assumption was that there are no
- 3:52:40Services would be ruled out to 900
- 3:52:42stores
- 3:52:43do you think that was reusable in light
- 3:52:45of the fact that the parties were just
- 3:52:48beginning to talk about the rental
- 3:52:49agreement model in December 2014.
- 3:52:52I do why
- 3:52:55because Walgreens used to refer to
- 3:52:58itself as an execution machine they
- 3:53:00rolled out injections for vaccines in 8
- 3:53:03100 stores in 12 months we thought that
- 3:53:06you could roll out nationally within 12
- 3:53:09to 18 months of the time you made a
- 3:53:11decision to do that
- 3:53:13so
- 3:53:15turn it back to these the store
- 3:53:16assumptions for the end of 2014. did Mr
- 3:53:20balwani ever tell you that he expected
- 3:53:21theranos to open
- 3:53:23200 Walgreens locations by November 2014
- 3:53:27or 300 by the end of the year
- 3:53:29I I don't remember specific
- 3:53:31conversations about those numbers I
- 3:53:33remember feeling generally optimistic
- 3:53:35going into the fall of 14 that we were
- 3:53:38going to be ramping
- 3:53:40quickly and when did that optimism fade
- 3:53:44in your mind
- 3:53:45I I don't know that it ever faded I mean
- 3:53:49looking at the the notes from the
- 3:53:51December meeting with Walgreens the fact
- 3:53:54that they were endorsing the kind of
- 3:53:57model that we wanted to pursue we we
- 3:53:59continued to see as a really positive
- 3:54:01sign
- 3:54:04so you'll see
- 3:54:06um
- 3:54:07turning back to
- 3:54:09the first Mark Market assumptions page
- 3:54:13so we just talked about how other was
- 3:54:16likely Safe Way since theranos had no
- 3:54:18other contrast with other retail
- 3:54:19pharmacies Brent
- 3:54:21again I I don't know what funny when you
- 3:54:25built this model I I can sit here and
- 3:54:27guess but I don't know but theranos
- 3:54:29didn't have any other contrast with
- 3:54:31other retail pharmacies at this time the
- 3:54:32size Walgreens and Safeway correct not
- 3:54:34that we're signed okay
- 3:54:37so
- 3:54:38do you
- 3:54:39based on what we saw before and the fact
- 3:54:42that things would slow down with Safeway
- 3:54:44and the parties seem to be disagreeing
- 3:54:47on a number of issues do you think it
- 3:54:48was reasonable
- 3:54:50to think that 135 stores would be
- 3:54:53rolling out in Safeway with fairness
- 3:54:55services in January 2015. I I don't know
- 3:55:00that this was Safeway
- 3:55:01who else could it be
- 3:55:03well I I don't know what the date of
- 3:55:05this was the Walton family had just I
- 3:55:08think by this time invested we were
- 3:55:11in talks with Executives at Walmart
- 3:55:13about the potential to roll out there we
- 3:55:15still had really good relationships with
- 3:55:17others from the grocery Network at
- 3:55:19Safeway who wanted to work with us if it
- 3:55:21didn't have to be from Safeway I just I
- 3:55:24genuinely don't know what this was
- 3:55:26referring to
- 3:55:28but you didn't have any contracts with
- 3:55:29any other Retail Pharmacy besides
- 3:55:32Walgreens and Safeway what would make
- 3:55:33you believe that in October 2014 you'd
- 3:55:35be able to open 135 stores wellness
- 3:55:39centers in January 2015. that's three
- 3:55:41months away
- 3:55:43I I don't know what this assumption was
- 3:55:46based on I do know that by this point in
- 3:55:49time we'd spent years working with in
- 3:55:52terms of meetings there wasn't a
- 3:55:53physical contract in place multiple
- 3:55:55retailers on what this could look like
- 3:55:57and I don't know what Sunny was thinking
- 3:55:59when he put this together or what its
- 3:56:01purpose was okay so we're not asking you
- 3:56:03to speculate here so if you don't know
- 3:56:04then you can just state that you don't
- 3:56:06know so you have no idea as to how these
- 3:56:08assumptions came do not know okay
- 3:56:12so you mentioned the the conversations
- 3:56:15with Walmart what was your view of the
- 3:56:17initial conversations with the with the
- 3:56:19Walmart folks
- 3:56:21my understanding was that first the
- 3:56:24people affiliated with the Walton family
- 3:56:26wanted to understand whether Walmart
- 3:56:28thought that this could be valuable and
- 3:56:31a potentially viable business model and
- 3:56:34then wanted to understand
- 3:56:35whether there was any conflict with them
- 3:56:38investing if Walmart at some point was
- 3:56:40to proceed with this and I believe both
- 3:56:44of those things turned out positively
- 3:56:46that Walmart thought that there was
- 3:56:48potential here and that it was also okay
- 3:56:50for the Walton family to invest
- 3:56:52in other words there was potential but I
- 3:56:55guess specifics of a framework for
- 3:56:56agreement weren't being discussed in
- 3:56:58October 2014 were they
- 3:57:00I don't know what Walmart had a team of
- 3:57:03Executives that came to theranos and we
- 3:57:05had
- 3:57:07specific conversations about what a
- 3:57:09pilot could look like and how many
- 3:57:10stores and these types of things
- 3:57:13I sitting here now think that that
- 3:57:15probably would have required follow-up
- 3:57:17with other retailers but I know that we
- 3:57:20generally believed that based on having
- 3:57:22had years of interactions with multiple
- 3:57:23retailers there were opportunities to
- 3:57:25engage with other retailers quickly if
- 3:57:28we
- 3:57:29needed or wanted to do that
- 3:57:33and with CBS it had in October 2014 had
- 3:57:38you shared with Walgreens the potential
- 3:57:40for Contracting with CVS on any Retail
- 3:57:43Pharmacy locations I think we talked a
- 3:57:46lot with people at Walgreens about
- 3:57:47whether or not we would engage with CVS
- 3:57:50and trying to be respectful of the fact
- 3:57:53that Walgreens wanted us not to but also
- 3:57:55trying to say to them unless we get the
- 3:57:58kind of rollout that you described to us
- 3:58:00we're going to need to have another
- 3:58:02partner do you recall personally having
- 3:58:04any of those conversations
- 3:58:06I I don't know whether I did or not I'm
- 3:58:10not sure
- 3:58:17what
- 3:58:18down
- 3:58:19on that first page again of the market
- 3:58:22assumptions
- 3:58:25page do you see that
- 3:58:27I'm sorry yes
- 3:58:29you'll see there is a line here
- 3:58:32called RX test per day per location is
- 3:58:36that
- 3:58:37requisitions per day per location
- 3:58:40I think so and is that a good process
- 3:58:42for patients per day per location
- 3:58:47um
- 3:58:50I I don't know
- 3:58:52um it
- 3:58:54I'm just trying to look at what's
- 3:58:56underneath it
- 3:58:57I I think it could be
- 3:59:00okay so here in the assumptions uh it
- 3:59:03looks like Mr balwani is using 40 for
- 3:59:06October 2014 and in fact I think that
- 3:59:10stays pretty constant through December
- 3:59:122015 if you look on the next page
- 3:59:15so do you remember your earlier
- 3:59:18testimony
- 3:59:20that you had seen a document showing
- 3:59:24that Walgreens was actually seeing about
- 3:59:27three patients per store per day in
- 3:59:302014. some patients are different
- 3:59:34totally different I don't and do you
- 3:59:38understand my question
- 3:59:39I I don't I'm sorry could you clarify
- 3:59:42my question was do you remember your
- 3:59:44earlier testimony in which
- 3:59:47we discussed that by May 2014 you're
- 3:59:51aware that Walgreens was seeing three
- 3:59:52patients per store per day
- 3:59:55I I remember the document that you
- 3:59:57showed me I don't know if I was aware of
- 3:59:58that at that time okay and then also you
- 4:00:01said that you were aware that Walgreens
- 4:00:02was trying or the goal for Walgreens was
- 4:00:05to reach 10 patients per store per day
- 4:00:07do you remember that yes okay do you
- 4:00:09think it was reasonable for
- 4:00:12um these financials be assuming that
- 4:00:15Walgreens
- 4:00:17would have would have seen or would be
- 4:00:20seeing 40 patients per day in in the
- 4:00:23stores by October 2014.
- 4:00:26again I'm not sure if this is patience
- 4:00:28per day because it says test per day and
- 4:00:30I'm not exactly sure what that means
- 4:00:32yeah I'm I do know that our numbers
- 4:00:35ultimately crossed
- 4:00:37in the stores that were in the right
- 4:00:39locations I believe above 60 patients
- 4:00:42per day and higher so if this is
- 4:00:44patients per day then yes
- 4:00:46yeah RX what does that mean to you
- 4:00:50it means prescription or Pharmacy I I
- 4:00:52don't know
- 4:00:53okay and so I mean 40 tests per day that
- 4:00:56would seem pretty low don't you think
- 4:01:00I I I'm just saying I don't know why it
- 4:01:03says tests as opposed to patients if I
- 4:01:04said patience I would assume it would
- 4:01:06save
- 4:01:07if he meant patients I would assume he
- 4:01:09would write patients I I don't know but
- 4:01:10but don't you think that 40 tests per
- 4:01:13day per location that would seem a
- 4:01:14little bit low to you right
- 4:01:17in terms of what
- 4:01:20it would seem a little bit low to be
- 4:01:22using an assumption of 40 tests per day
- 4:01:24per location
- 4:01:26um
- 4:01:29I I don't know I don't know what
- 4:01:32what assumptions were going into this
- 4:01:33and what it was based on I as I said I
- 4:01:36know that we ultimately saw more than 60
- 4:01:38patients per day in a number of
- 4:01:40locations that were the models for how
- 4:01:42we thought we were going to be rolling
- 4:01:44out and at the time did you have a sense
- 4:01:46of how many tests each of those patients
- 4:01:48ordered on average
- 4:01:50I I don't know what my understanding was
- 4:01:52at the time I I generally understand now
- 4:01:55that there was about 3.2 CPT codes per
- 4:01:58order on average
- 4:02:00did you have any understanding at the
- 4:02:02time about about how the patients per
- 4:02:04day translated in terms of
- 4:02:06numbers of tests there in us had to
- 4:02:08actually run
- 4:02:09at that time right I'm not sure yeah I I
- 4:02:13generally understood that as Sunny built
- 4:02:15models he tried to study what other
- 4:02:17Laboratories were doing and seeing in
- 4:02:19terms of number of patients per day and
- 4:02:22other metrics so I I believed that he
- 4:02:25was judging assumptions in general based
- 4:02:27on that research
- 4:02:29so if you turn back to the first page of
- 4:02:32the macro Market assumptions yep you'll
- 4:02:35see under retail pharmacy
- 4:02:37the revenue per requisition is forty
- 4:02:40dollars
- 4:02:43and we were just talking about how
- 4:02:44theranos was looking to offer tests for
- 4:02:46four dollars
- 4:02:48does that seem a little high to you
- 4:02:51I think it depends on how many tests are
- 4:02:53assumed in that requisition okay so then
- 4:02:57do you think based on these numbers that
- 4:03:00actually
- 4:03:03because as you can tell
- 4:03:0640 is being multiplied by
- 4:03:09the 41.
- 4:03:1240
- 4:03:1441 locations Walgreens locations
- 4:03:19and also another 40 tests per day per
- 4:03:21location
- 4:03:23so do you think that maybe RX test
- 4:03:25actually does mean requisition
- 4:03:31I'm sorry I didn't follow you said 40 is
- 4:03:33being multiplied by what so you see what
- 4:03:36Mr golwani is doing here
- 4:03:39she's multiplying the number of
- 4:03:41locations for Walgreens of 41 in October
- 4:03:44of 2014. by the number of tests per day
- 4:03:48per location
- 4:03:49by by the amount of money that you're
- 4:03:53receiving per
- 4:03:56requisition in order to get to
- 4:04:00the revenue figures
- 4:04:06where where is that
- 4:04:14the numbers College yeah
- 4:04:1941 times 40 equals 1600 that's what
- 4:04:23that's what you're playing right but
- 4:04:24then I think you also said and if you
- 4:04:27multiply that again by the amount of
- 4:04:29money that you're receiving per
- 4:04:31requisition you would get the revenue
- 4:04:33figure of 1.968
- 4:04:36okay so do you think it makes sense then
- 4:04:38that RX test is actually a requisition
- 4:04:42it could be
- 4:04:44okay
- 4:04:45so you don't know one way or the other
- 4:04:47how these assumptions came about
- 4:04:50I I don't again I was not involved in
- 4:04:53setting these
- 4:04:55do you have any concerns about these
- 4:04:56having been provided to potential
- 4:04:58investors you know if you're involved in
- 4:05:00preparing them these went out under the
- 4:05:01theranos name and were provided to
- 4:05:03potential investors is that give you any
- 4:05:05pause I I don't know that they were
- 4:05:08provided to potential investors I see
- 4:05:10they were going back and forth with year
- 4:05:11I don't know what the context of sending
- 4:05:14these to was whether this was in the
- 4:05:15context of interactive engagement on
- 4:05:18building a model or not I I don't
- 4:05:21recognize this as the format of the
- 4:05:23final model
- 4:05:26is something similar I've been provided
- 4:05:28other investors at the time with that
- 4:05:29around the time would that give you any
- 4:05:31concern
- 4:05:33depends on what the assumptions were
- 4:05:35based on right
- 4:05:38if the same assumptions were used with
- 4:05:40that concerning you
- 4:05:42the same assumptions as this yes
- 4:05:44meaning 40 patients per day and 40
- 4:05:46requisition yes and the 300 Walgreens
- 4:05:49stores by the end of 2014 and 900 by
- 4:05:532015.
- 4:05:56I don't I don't think that 900 by 2015
- 4:05:59would have given me pause I'm 40
- 4:06:01patients per day
- 4:06:03he's sitting here now given that I know
- 4:06:05that we beat that number uh in the right
- 4:06:08stores that would not have given me
- 4:06:10pause the requisition of forty dollars I
- 4:06:12don't know how many tests that was
- 4:06:14assuming but I know that our
- 4:06:16uh per
- 4:06:18requisition income was higher than forty
- 4:06:21dollars
- 4:06:25so you say that you knew that some
- 4:06:27stores were receiving 60 patients per
- 4:06:29day we also aware that somewhere later I
- 4:06:31don't know if it was at this time okay
- 4:06:34do you have a sense of when you came to
- 4:06:36kind of a more granular patience for
- 4:06:37store understanding I think it was in
- 4:06:392015
- 4:06:41I I can use it just geographically when
- 4:06:44like early 2015 late 2015.
- 4:06:48um I'm not sure
- 4:06:52I'm not sure I mean by late 2015 we were
- 4:06:55completely focused on engagement with
- 4:06:57CMS and FDA and the Wall Street Journal
- 4:06:59so I would think at least middle of 2015
- 4:07:02I don't know how early in 2015.
- 4:07:16foreign
- 4:08:07thank you
- 4:08:20put that one aside
- 4:08:27foreign
- 4:08:56we had talked about
- 4:08:58earlier in your testimony but you'll see
- 4:09:01that the first page so I'm sorry this is
- 4:09:05the document just standing up no no oh
- 4:09:08you're going back to one that was really
- 4:09:09remarkable yes or not today but um
- 4:09:13so you'll see the first page is called
- 4:09:16there it is confidential summary
- 4:09:18capitalization
- 4:09:20yes and then there's
- 4:09:24there's some financial information in
- 4:09:26the back
- 4:09:27so I represented to you at the time that
- 4:09:30we marked this exhibit that
- 4:09:32this was produced by fairness to the SEC
- 4:09:35pursuant to subpoena as part of a binder
- 4:09:38that was provided by theranos to Rupert
- 4:09:40Murdoch when he was considering whether
- 4:09:42to invest in fairness in December 2014
- 4:09:45and January 2015.
- 4:09:52so you'll if you turn to the projected
- 4:09:55statement of income which is 605.
- 4:10:05[Applause]
- 4:10:13you'll see here that your these this
- 4:10:17document is projecting
- 4:10:19almost a billion dollars of Revenue in
- 4:10:222015 and almost two billion dollars in
- 4:10:25Revenue in 2016.
- 4:10:28do you see that I do okay uh
- 4:10:33and if you turn back
- 4:10:37to the market assumptions page I'm sorry
- 4:10:43I will be giving that to you just
- 4:10:45shortly
- 4:10:46um
- 4:10:48but just so that you have this in front
- 4:10:50of you you'll see that half of the
- 4:10:52revenues from 2015
- 4:10:54and 2016 are from the retail pharmacy
- 4:10:57business do you see that I do okay
- 4:11:01um do you know what assumptions were
- 4:11:03used to
- 4:11:05get to those numbers 425 million dollars
- 4:11:09in 2015 and 993 that million dollars in
- 4:11:122016.
- 4:11:14I I don't sitting here now
- 4:11:19just looking further down the page you
- 4:11:20see there's a number that's listed next
- 4:11:21to ebitda
- 4:11:24Eva yes did you have an understanding in
- 4:11:27late 2014 what that what that number
- 4:11:29meant
- 4:11:31uh
- 4:11:34I don't know I I don't think I focused
- 4:11:37on that I don't know
- 4:11:40do you understand today what it means
- 4:11:43I understand that it's our earnings
- 4:11:47um
- 4:11:48and I I think this percent margin means
- 4:11:51our profit margin
- 4:11:53did you have an expectation in in late
- 4:11:562014 that that theranos would be
- 4:12:00um would have 300 million dollars or 300
- 4:12:03million dollars in earnings
- 4:12:05um at the end of 2015.
- 4:12:10um I think that I believed in whatever
- 4:12:14assumptions went into getting this kind
- 4:12:16of footprint and understood from the
- 4:12:19model that if we did that we would be
- 4:12:22profitable
- 4:12:25you see an item below that about
- 4:12:27depreciation
- 4:12:29uh
- 4:12:31sorry it was that yes I do I see it yes
- 4:12:34sorry the um
- 4:12:35do you have an understanding of what's
- 4:12:37being depreciated there no
- 4:12:41okay
- 4:12:42so I'm going to hand to you
- 4:12:45what's been marked as fairness exhibit
- 4:12:47228 and you can keep
- 4:12:49um
- 4:12:50instead of 213 in front of you
- 4:13:00live at 228
- 4:13:05reports to be an Excel
- 4:13:08spreadsheet
- 4:13:10and the first page there is a screenshot
- 4:13:14of the metadata that's associated with
- 4:13:16this file and on the second page is
- 4:13:19where the actual document starts
- 4:13:22the title is on the top of the first
- 4:13:24page is there in This Confidential
- 4:13:26Market assumptions with starting base
- 4:13:27number t-h-e-r-2550987
- 4:13:36have you seen exhibit 228 before besides
- 4:13:40the first page which includes the
- 4:13:42metadata
- 4:13:44I don't know okay okay I'll represent to
- 4:13:47you that this is the Excel spreadsheet
- 4:13:50that was
- 4:13:51produced by fairness
- 4:13:54to the SEC pursuant to subpoena and
- 4:13:56represented by Council to the SEC to be
- 4:13:58the financial model that produced the
- 4:14:00financial statements that are in the
- 4:14:02Rupert Murdoch binder so that would be
- 4:14:04exited 213.
- 4:14:07so if you look at the projected
- 4:14:09statement of income which is
- 4:14:13on
- 4:14:15the SEC the third to last page of the
- 4:14:18document
- 4:14:21you can go ahead and compare that to
- 4:14:23what you're seeing on that same page and
- 4:14:25I just exhibit 213. do they look
- 4:14:29identical to you
- 4:14:32they do without the highlighting or
- 4:14:34whatever this is do the numbers look
- 4:14:36identical to you they do okay
- 4:14:38why don't you turn back to the market
- 4:14:41assumptions page
- 4:14:44which is of exhibit 228.
- 4:15:01I'm sorry why don't you turn to this oh
- 4:15:03you're already on that page so on this
- 4:15:05page
- 4:15:07uh this would be the second Market
- 4:15:08assumptions page
- 4:15:11you'll see here instead of projecting
- 4:15:14900 stores for Walgreens in December
- 4:15:182015.
- 4:15:20now the projection is
- 4:15:221340 stores in December 2015 do you see
- 4:15:26that I do do you know why this
- 4:15:30projection change from 900 to 1 340 in
- 4:15:34the space of two months
- 4:15:36I don't
- 4:15:39think Mr balwani would be the best
- 4:15:41person to answer that question yes
- 4:15:48also you'll see that instead of opening
- 4:15:51190 135 store of other stores in January
- 4:15:572015. now the assumptions are that 135
- 4:16:02scores will be open in April 2015 do you
- 4:16:04see that I do why do you think this
- 4:16:07change was made
- 4:16:09I I don't know
- 4:16:19and then if you look further down under
- 4:16:21retail pharmacies there's some
- 4:16:23assumptions related to the physician's
- 4:16:25offices and Retail clinics do you see
- 4:16:27that
- 4:16:28yes
- 4:16:30so in March 2015
- 4:16:33the Assumption for the number of
- 4:16:34Physicians offices is 500.
- 4:16:37did you see that I do
- 4:16:43what was the basis for
- 4:16:46believing that thereiness would be in
- 4:16:49contract with 500 Physicians offices by
- 4:16:52March 2015.
- 4:16:54I I don't know specifically sitting here
- 4:16:57now looking at it I'm assuming there was
- 4:16:59some type of
- 4:17:04tied to being at a hundred retail
- 4:17:07locations by that time
- 4:17:12what was the relationship between the
- 4:17:13the retail locations and the and the
- 4:17:16doctors
- 4:17:17my general understanding has been that
- 4:17:19once we had a certain retail footprint
- 4:17:21around that retail footprint we would
- 4:17:24then be able to contract with Physician
- 4:17:26Offices both to send people to the
- 4:17:28stores as well as to pick up samples
- 4:17:31and that was your understanding in late
- 4:17:332014. I think so yes
- 4:17:37okay so if you look at hospitals there
- 4:17:40are some assumptions there as well
- 4:17:42and for January 2015
- 4:17:46the assumption is that there would be 10
- 4:17:49sites
- 4:17:51that would be using fairness services
- 4:17:55do you know what that relates to I do
- 4:17:58not
- 4:18:01okay so if you turn back to
- 4:18:04exhibit 213 then
- 4:18:12and turn to
- 4:18:15page with Bates ending 607
- 4:18:22you'll see there are a number of
- 4:18:23additional comments at the bottom of the
- 4:18:25page like footnotes do you see them they
- 4:18:28do okay and the first one says please
- 4:18:32note all revenue projections are based
- 4:18:34on contracts already signed and in place
- 4:18:36for 2015 and 2016 no additional
- 4:18:39contracts were seeing assigned do you
- 4:18:41see that I do
- 4:18:46and then if you go down to number three
- 4:18:50here it says theranos has an exclusive
- 4:18:53contract with second largest grocery
- 4:18:55chain in the U.S to be the only lab in
- 4:18:58those locations
- 4:18:59was that referring to Safeway
- 4:19:02I don't know
- 4:19:04so would you agree though that
- 4:19:08investors who would be receiving these
- 4:19:10financial statements including Rupert
- 4:19:12Murdoch would believe that these numbers
- 4:19:14were based on already signed contracts
- 4:19:16based on these additional comments
- 4:19:20I I don't think
- 4:19:23I I I can't speak for them yeah our
- 4:19:27understanding was that that we engaged
- 4:19:29very directly with any questions that
- 4:19:32investors had about
- 4:19:34what was important to them in evaluating
- 4:19:36the investment
- 4:19:37but you if you had received these would
- 4:19:40you understand then based on these
- 4:19:42comments on this page that the revenue
- 4:19:44projections were based on contracts
- 4:19:46already signed by theirness
- 4:19:49I I don't know I I reflecting in my head
- 4:19:53on the kind of conversations that
- 4:19:54happened with investors around their
- 4:19:58investment in the company and we were
- 4:19:59very open about the state of our
- 4:20:02relationships with Retail Pharmacy
- 4:20:04partners
- 4:20:06okay what about other businesses like
- 4:20:08hospitals and Physicians offices were
- 4:20:11you very forthright with investors about
- 4:20:14those contracts as well my understanding
- 4:20:16is that we generally discuss the fact
- 4:20:18that Intermountain and dignity had
- 4:20:20invested through peer and that we
- 4:20:24thought that there was opportunity to
- 4:20:25engage with them in providing Services
- 4:20:27because they had an investment and that
- 4:20:30therefore we would be able to rapidly do
- 4:20:33that as soon as we were ready
- 4:20:35besides Intermountain and dignity what
- 4:20:38other hospitals did their anus have
- 4:20:40contrast with
- 4:20:41I I don't know as I said earlier I know
- 4:20:44that there was work in Arizona to engage
- 4:20:46with
- 4:20:47what I was calling hospitals or health
- 4:20:48systems and I don't know by memory which
- 4:20:51ones the company ultimately signed
- 4:20:54contracts with
- 4:20:57call discussing exhibit 213 with Mr
- 4:21:01Murdoch and his associates
- 4:21:03I don't recall
- 4:21:06discussing this
- 4:21:09specifically I know
- 4:21:12I'm after we he invested we had
- 4:21:15discussions about what we thought we
- 4:21:18could do financially in terms of
- 4:21:20projections
- 4:21:22what do you mean by that when do you
- 4:21:23think he invested
- 4:21:26um it's my memory that he communicated
- 4:21:28that he
- 4:21:30wanted to invest
- 4:21:33um
- 4:21:35as early as
- 4:21:39I want to say October but that's
- 4:21:40probably wrong specifically and we we
- 4:21:42later sent him all these materials
- 4:21:46um we then I had a couple meetings with
- 4:21:49him after he invested I think in early
- 4:21:512015 and generally discussed you know
- 4:21:54what we thought the potential was for a
- 4:21:58number of stores and Associated Revenue
- 4:22:00that that's the only time I can remember
- 4:22:02specifically discussing numbers with him
- 4:22:05do you see this is just my understanding
- 4:22:07is it your general understanding that
- 4:22:08you only discussed sort of the financial
- 4:22:10potential of the company after he had
- 4:22:13actually invested in theranos
- 4:22:17that's the only time that I personally
- 4:22:19can remember talking about it with him
- 4:22:20he he came to theranos before he
- 4:22:24invested and sunny was in the meeting
- 4:22:26and I can't remember if financials were
- 4:22:29discussed in that meeting or not
- 4:22:31um but I I remember after he invested
- 4:22:33sort of having a conversation about how
- 4:22:35do you think you're doing and talking
- 4:22:37about you know the challenges and
- 4:22:38rolling out in retail and what we
- 4:22:40thought we were going to be able to do
- 4:22:41or make up
- 4:22:43uh you mentioned sort of a meeting with
- 4:22:46Tim and his son before he invested do
- 4:22:47you remember any other in-person
- 4:22:48meetings with Mr Murdoch
- 4:22:51um at theranos before he invested
- 4:22:55um I don't remember any other meetings
- 4:22:56at thermos
- 4:22:58that what other meetings do you recall
- 4:23:01um the first time I met him and then
- 4:23:03when he decided to invest and which was
- 4:23:07a meeting at his Ranch near San
- 4:23:11Francisco
- 4:23:15do you recall Sonny ever telling uh Mr
- 4:23:17Murdock anything about the financial
- 4:23:20possibilities of the company
- 4:23:23again I know he was in a meeting with
- 4:23:26Robert and I I can't remember exactly
- 4:23:30whether Sunny presented on the
- 4:23:31financials there or not or just discuss
- 4:23:33them I'm not sure
- 4:23:37were you present for that meeting I
- 4:23:38guess or are you I was I was so if Sonny
- 4:23:41had presented
- 4:23:42is that something you would have been
- 4:23:44attendance at least I was yes
- 4:23:49what was the company's cash balance as
- 4:23:52of the end of 2013.
- 4:23:56I'm I believe
- 4:23:59um we received the 75 million dollar
- 4:24:01payment from Walgreens right at the end
- 4:24:03of 2013 so I I think it was at least 75
- 4:24:07million okay were you aware that the
- 4:24:09company was running out of money at that
- 4:24:11time yes
- 4:24:13okay and was that uh part of the reason
- 4:24:15why fairness wanted to accelerate the
- 4:24:17Innovation fee payments from Walgreens
- 4:24:21I think the initial reason for trying to
- 4:24:23accelerate the Innovation fee payments
- 4:24:25from Walgreens is that we were investing
- 4:24:26a lot of money into the Walgreens
- 4:24:28relationship and it was not going to be
- 4:24:31sustainable if they didn't make this
- 4:24:33payment
- 4:24:34um
- 4:24:36so that was the primary driver for it
- 4:24:38okay was that was it also part of the
- 4:24:40reason why you ended up going out to
- 4:24:41raise more capital from investors
- 4:24:44I'm sorry was what was the fact that the
- 4:24:47company was running out of money at the
- 4:24:49end of 2013 they're also the reason why
- 4:24:51you went out to raise more capital from
- 4:24:53investors
- 4:24:54the the raises happened after that and
- 4:24:57so by that time we'd received the
- 4:24:59payment from Walgreens and we didn't
- 4:25:00need Capital to continue operations what
- 4:25:04was your bird rate on cash per month in
- 4:25:06that time frame I don't know do you
- 4:25:08think it was something like 10 million
- 4:25:09dollars
- 4:25:11in early 14.
- 4:25:14in early 14. I I don't know
- 4:25:18so even if you had say 75 million
- 4:25:20dollars from Walgreens that would likely
- 4:25:22only last
- 4:25:24you know say a year maybe at most is
- 4:25:27that consistent with what you would
- 4:25:29understand
- 4:25:31no the the payment of the 75 from
- 4:25:33Walgreens to us meant we were going to
- 4:25:35be expanding nationally so at that point
- 4:25:37we thought financially the company was
- 4:25:40in a strong position
- 4:25:42so why did why did theranos engage with
- 4:25:45with the partner fund around the late
- 4:25:472013 early 2014 period uh in connection
- 4:25:50with an investment
- 4:25:52um partner fund was introduced to us as
- 4:25:54someone who was interested in investing
- 4:25:56and
- 4:25:58our first meeting with them was in I
- 4:26:01think December of 2013.
- 4:26:03yeah
- 4:26:05but is your testimony today that sort of
- 4:26:08their potential investment was not
- 4:26:10viewed as potential source of operating
- 4:26:12capital in your mind
- 4:26:15I believe in I'm
- 4:26:18I'm speculating a bit here but knowing
- 4:26:21now that the first meeting was around
- 4:26:22December 10th
- 4:26:25um we certainly wouldn't have expected
- 4:26:26that we would be closing investment from
- 4:26:28them before the end of December I think
- 4:26:30we we thought that our our business
- 4:26:31lived on getting payment from Walgreens
- 4:26:34and then it was really a question of
- 4:26:37with pfm going to be the kind of
- 4:26:38long-term investor that we
- 4:26:41wanted to begin to bring in because at
- 4:26:44that point
- 4:26:45not only did we have the payment from
- 4:26:47Walgreens we also had some capital from
- 4:26:49existing shareholders that had been
- 4:26:51invested
- 4:26:54so I'm going to hand it back to you uh
- 4:26:57anything that those two minutes in this
- 4:26:58way but I'm going to hand back to you
- 4:27:00what was previously marked
- 4:27:05there's actually just one thing I want
- 4:27:06to look at in here so this is exhibit
- 4:27:10221 that I'm handing over to use the
- 4:27:13same way yes these are the text messages
- 4:27:15between you and Mr balwani yes so
- 4:27:22you can turn to
- 4:27:26the page with babe sending 6263
- 4:27:32six two six three
- 4:27:49yes
- 4:28:11so you'll see
- 4:28:14towards the bottom of the page
- 4:28:17there is a text message from sunny
- 4:28:19belwani on November 21st 2013 at 5 35
- 4:28:25and he says you should make yourself
- 4:28:27comfortable with financial models
- 4:28:29alternatively you can cover everything
- 4:28:31else and I can meet with him on Tuesday
- 4:28:33and answer any questions do you see that
- 4:28:35yes and then a couple text messages down
- 4:28:39you say I'll get myself comfortable let
- 4:28:41me know what file to use
- 4:28:43and then if you go on to the next page
- 4:28:45which is 6264.
- 4:28:49there's a number of adaptions but about
- 4:28:53six messages down
- 4:28:55uh
- 4:28:57there's another text message from Mr
- 4:29:00balwani to you and he says please close
- 4:29:02the file
- 4:29:03under DST folder under thin not safe to
- 4:29:07give them yet
- 4:29:08and then another message where he says
- 4:29:10under DST
- 4:29:12and then a few more messages down you
- 4:29:16respond to him can I edit it there are
- 4:29:18typos okay to open do you see that I do
- 4:29:21what do you recall about
- 4:29:23what was going on here
- 4:29:27I'm not sure
- 4:29:29does it look like you were opening a
- 4:29:31file on Mr belt and Mr balani's folder
- 4:29:35in order to edit some files
- 4:29:38it looks like I was
- 4:29:40opening a file under his folder yes I I
- 4:29:43don't know if I edited it
- 4:29:49what is DST
- 4:29:51I I think this refers to
- 4:29:54did you understand them to be a
- 4:29:55potential investor and there knows at
- 4:29:57this time
- 4:29:58I think so
- 4:30:00yeah
- 4:30:02so do you think that you opened the file
- 4:30:04and reviewed it at the time I don't know
- 4:30:08does it look like he did
- 4:30:12it's your ball when he says please close
- 4:30:14the file
- 4:30:22I'm sorry where does he say that on 6264
- 4:30:28at 5 30 pm
- 4:30:36I I don't know
- 4:30:41were there other instances in which you
- 4:30:44might have opened a file and reviewed it
- 4:30:47yes
- 4:30:48and other instances in which you might
- 4:30:50have opened a financial model that Sonny
- 4:30:53balwani was working on and reviewed it
- 4:30:55could have been
- 4:30:58do you recall any instance in which you
- 4:31:00edited a financial model that he was
- 4:31:01working on no
- 4:31:07okay we can take a short break we're off
- 4:31:09record at 303 P.M
- 4:31:14foreign
- 4:31:21at 3 25.
- 4:31:24it's Holmes if you have any substantive
- 4:31:26conversations with the SEC staff during
- 4:31:28the break no
- 4:31:32so I want to switch gears again and and
- 4:31:34now we're going to talk about theranosis
- 4:31:36Communications with FDA do you recall
- 4:31:39Communications that Theron has had with
- 4:31:41FDA that started in 2012. yes
- 4:31:45why did you start having those
- 4:31:46conversations with the agency
- 4:31:50uh do you mean generally are the ones in
- 4:31:522012 specifically uh the ones in 2012
- 4:31:55specifically
- 4:31:58um I believe FDA had questions about
- 4:32:02um
- 4:32:03information that they had heard about
- 4:32:06fairness and we wanted to answer their
- 4:32:09questions and give them any information
- 4:32:11on our work that they wanted what
- 4:32:13questions that they have
- 4:32:15I I think that they thought that we were
- 4:32:19trying to sell our devices to other
- 4:32:21Laboratories at the time and we
- 4:32:25tried to immediately convey to them that
- 4:32:27we weren't and that we had actually
- 4:32:30hoped to come in and start working with
- 4:32:33them when our lab developed tests came
- 4:32:34live and that we were hopeful that we
- 4:32:37could take them through the regulatory
- 4:32:38process
- 4:32:39and so why did the FDA have these
- 4:32:42questions that somebody bring a concern
- 4:32:44to their attention I I think there was a
- 4:32:47miscommunication with people that we had
- 4:32:50been interacting with in DOD
- 4:32:53in the Department of Defense yes
- 4:32:55uh what information would the dod have
- 4:32:58given FDA
- 4:33:00with respect to
- 4:33:02or concerning theranosis possible sale
- 4:33:05of devices
- 4:33:07I don't know what information they give
- 4:33:09the FDA what were your talks with the
- 4:33:12dod about that led to DOD contacting FDA
- 4:33:17I actually don't know why DOD contacted
- 4:33:20the FDA I I'm not sure
- 4:33:27art
- 4:33:28fairness visited 29.
- 4:33:31I'm sorry
- 4:33:37exhibit 229 reports to be a letter
- 4:33:42with Hyman Felson McNamara letterhead
- 4:33:45dated November 26 2013 the letter is
- 4:33:49addressed to the FDA and the starting
- 4:33:50dates number is ts-0995690
- 4:33:56have you seen Exhibit 2 29 before
- 4:34:01you know I don't remember this letter
- 4:34:04specifically but I I recognized the
- 4:34:07letterhead as
- 4:34:12do you remember
- 4:34:15having discussions with
- 4:34:17Hyman Phelps about sending a letter to
- 4:34:19FDA in this time frame
- 4:34:23um I I have to read the letter to
- 4:34:26remember exactly what this was referring
- 4:34:29to but I know that this was one of our
- 4:34:31regulatory Council that was advising us
- 4:34:33is we were engaging with the FDA in
- 4:34:362013.
- 4:34:39generally would you communicate with the
- 4:34:41FDA would you include regulatory counsel
- 4:34:44or would you have to have discussions
- 4:34:47with FDA
- 4:34:49directly I think both
- 4:34:52okay and on what occasions would you be
- 4:34:54having direct conversations with FDA
- 4:34:56versus having your Law Firm communicate
- 4:34:59with them
- 4:35:01the first one that comes to mind is we
- 4:35:03would have interactive review with their
- 4:35:07teams and in that context we were
- 4:35:09directly engaged we have had in-house
- 4:35:12regulatory Council involved in that but
- 4:35:15but generally not outside regulatory
- 4:35:17Council
- 4:35:19would you expect that a law firm that
- 4:35:20you hired would
- 4:35:25discuss with you the possibility of
- 4:35:27sending a letter to FDA before doing so
- 4:35:30yes okay and do you would you expect
- 4:35:33that that law firm would also discuss
- 4:35:35what they were planning to say to the
- 4:35:37FDA before going ahead and communicating
- 4:35:39with FDA on behalf of theranos yes yes
- 4:35:43so do you have any reason to doubt that
- 4:35:45you knew at the time that I'm in Phelps
- 4:35:48was sending this letter to FDA
- 4:35:50no
- 4:35:54I'm going to
- 4:36:00uh
- 4:36:02the attachment to the letter which
- 4:36:04starts on 700
- 4:36:06just you'll see that the attachment is
- 4:36:09some meeting minutes for a meeting
- 4:36:13on October 15 2012 and the minutes and
- 4:36:17solves are dated November 16 2012. do
- 4:36:20you see that
- 4:36:22yes
- 4:36:24were you present at this meeting in
- 4:36:26October 15 2012 yes
- 4:36:29so there's a meeting between
- 4:36:31theranos then and cdrh
- 4:36:34correct
- 4:36:37yes
- 4:36:38and they didn't know they were cdrh I
- 4:36:40thought of them as FDA but I see that
- 4:36:42here okay
- 4:36:44um that's fine uh so you understood that
- 4:36:47you were at a meeting on this day with
- 4:36:49the FDA yes okay
- 4:36:52um and your Council wasn't involved in
- 4:36:55this meeting
- 4:36:56right
- 4:36:57they were not present at the meeting why
- 4:37:00not
- 4:37:01because we wanted to directly engage
- 4:37:04with you just said I mean to the extent
- 4:37:06that
- 4:37:07I mean you can answer that but I mean to
- 4:37:09the extent that you're asking for
- 4:37:11communications that you have at Council
- 4:37:13about what your strategy was and why
- 4:37:15they showed up and shouldn't answer that
- 4:37:17right and I'm not asking yeah I'm not
- 4:37:19asking about your conversations with
- 4:37:21Council but I'm wondering if you can't
- 4:37:23answer the question why you didn't
- 4:37:25include regulatory Council in that
- 4:37:27meeting
- 4:37:28I I think in general we wanted to
- 4:37:30directly engage with with people at the
- 4:37:32agency okay
- 4:37:35so
- 4:37:38do you recall this meeting
- 4:37:40yes okay what was discussed
- 4:37:44um my memory is I'm first there are
- 4:37:49explicit concerns based on information
- 4:37:51that they had heard and then secondly
- 4:37:55I'm we attempted to communicate that we
- 4:37:58really wanted to engage successfully
- 4:38:01with the FDA and try to create a model
- 4:38:04for becoming the first company to take
- 4:38:07all their ldts through the FDA process
- 4:38:10so if you look
- 4:38:12first page of these minutes on 700
- 4:38:18that went and actually before before we
- 4:38:20look at that do you know who drafted
- 4:38:21these minutes
- 4:38:24someone at the FDA okay so if you look
- 4:38:27in that first paragraph
- 4:38:30following the following information is
- 4:38:32meant to summarize the issues raised at
- 4:38:34the meeting the first uh bigger
- 4:38:36paragraph starting with FDA about
- 4:38:38halfway through the paragraph it says it
- 4:38:41was stated very early in the meeting
- 4:38:43that the FDA does not consider the
- 4:38:44assays to be asrs and distribution of
- 4:38:46the fairness system
- 4:38:48analyzer and reagents in the U.S as an
- 4:38:51ldt is not appropriate do you remember
- 4:38:54them telling you that
- 4:38:57I I don't remember this communication of
- 4:39:00this sentence specifically do you
- 4:39:02remember them telling you that they did
- 4:39:04not believe that Uranus's system and its
- 4:39:06free agents would be considered ldts
- 4:39:09I remember them saying that if we were
- 4:39:12commercially Distributing the device
- 4:39:14that that would not be an ldt but that
- 4:39:16if we were running the tests in our lab
- 4:39:18that would be an LTC
- 4:39:21okay it goes on to say fairness was also
- 4:39:23informed that many of the potential
- 4:39:25assays that could be used on their
- 4:39:26analyzer are nucleic acid based or are
- 4:39:30classified as Class 2 or class 3
- 4:39:32therefore classification of the
- 4:39:34instrument as a class one device is
- 4:39:36incorrect and requires pre-market
- 4:39:38clearance for approval for marketing in
- 4:39:40the United States can you see that they
- 4:39:43do did they tell you that
- 4:39:46your assays
- 4:39:49would be classified as Class 2 and class
- 4:39:523 and wouldn't be considered a Class 1
- 4:39:55device
- 4:39:58if I am reading this correctly sitting
- 4:40:01here now I think it's referring to the
- 4:40:04fact that the device would be classified
- 4:40:06according to whatever test you were
- 4:40:08pursuing clearance with okay but did you
- 4:40:11understand here then that they were
- 4:40:13telling you that because the assays were
- 4:40:15not considered a class one devices that
- 4:40:19the system as well wouldn't be
- 4:40:20considered a class one device
- 4:40:24um
- 4:40:28I I I I don't remember thinking about
- 4:40:31this at the time sitting here now I
- 4:40:33interpret it as
- 4:40:35if you file for clearance on one of
- 4:40:37these assays the whole test system is
- 4:40:39going to be classified according to the
- 4:40:41classification of the assay okay but in
- 4:40:44any case it looks like
- 4:40:46because of the types of assays that
- 4:40:48theranos was thinking of performing on
- 4:40:50its device it was likely that they were
- 4:40:53not going to be considered class 1
- 4:40:54devices isn't that what they told you
- 4:40:58again I don't remember the specific part
- 4:41:00of the discussion with them
- 4:41:02I mean at the time you understood what a
- 4:41:04nucleic acid-based assay was right yes
- 4:41:08and I mean for alignment is it is it
- 4:41:11fair to say that those are more
- 4:41:12complicated than a
- 4:41:14um than other types types of acids
- 4:41:17all right or or did you have an
- 4:41:19understanding that they they would
- 4:41:21generally run on class two devices at
- 4:41:22the time
- 4:41:24again
- 4:41:26I'm not sure about this part of the
- 4:41:28discussion I don't have specific memory
- 4:41:29of it I I believe that this is
- 4:41:32essentially saying that nucleic acid
- 4:41:34tests in general are Class 2 or class
- 4:41:37three and therefore if you file a piece
- 4:41:40of Hardware with those chemistries that
- 4:41:42piece of Hardware will be treated in the
- 4:41:44same way as the chemistry is treated
- 4:41:46okay and
- 4:41:48um
- 4:41:51I I guess leaving the leaving that
- 4:41:53meeting with the FDA did you have that
- 4:41:55understanding that the type of assay
- 4:41:58would uh
- 4:42:00dictate what sort of class treatment the
- 4:42:04the approval you're receiving if they
- 4:42:06would require for the assays yes
- 4:42:08eventually the type of assay but the
- 4:42:10specific assay itself for example yep
- 4:42:13I'm sorry I was in the type of essay
- 4:42:14because that's the only way I can think
- 4:42:16about it but I think I understand
- 4:42:18okay and then in the second paragraph
- 4:42:20towards the bottom of the page you'll
- 4:42:22see there's a sentence that starts
- 4:42:24however do you see that
- 4:42:28yes
- 4:42:30Francis however it was pointed out that
- 4:42:33the deployment of theranosystems for
- 4:42:35research or investigational use at U.S
- 4:42:37military facilities in Afghanistan for
- 4:42:39evaluation purposes is acceptable and
- 4:42:42does not violate any regulations as long
- 4:42:44as the results obtained during the
- 4:42:46evaluation are strictly not used for
- 4:42:48patient diagnosed diagnosis and
- 4:42:50management and theranos follows required
- 4:42:52labeling regulation stated in CFR 21
- 4:42:56809.10
- 4:42:59so here theranos had told you that it
- 4:43:03was fine to use the theranos system for
- 4:43:07research purposes but not fine to use it
- 4:43:10for patient testing
- 4:43:12is that what you understand
- 4:43:14as to what they told you at this meeting
- 4:43:15yeah I'm sorry
- 4:43:18um so here it seems that the FDA is
- 4:43:21telling you that
- 4:43:23it was fine to use it there in a system
- 4:43:25for research purposes but not for
- 4:43:28patient diagnosis is that what you
- 4:43:30understood that they told you that day
- 4:43:32no God
- 4:43:34it's not what is your understanding
- 4:43:37my understanding was that the majority
- 4:43:40of the meeting was based on a discussion
- 4:43:42about what an ldt is and that our tests
- 4:43:45were able to be used as ldts so long as
- 4:43:48they were in the same facility that they
- 4:43:50were developed but that to the extent
- 4:43:52they would be distributed they would no
- 4:43:53longer be ldts based on the commentary
- 4:43:56in this meeting okay but you agree that
- 4:43:58that's not exactly what is being written
- 4:44:01in these minutes right
- 4:44:03um do you mind if I take a minute just
- 4:44:05to look at this document
- 4:44:07sure
- 4:44:37yeah if you look on the first page where
- 4:44:40it says this theranos is established a
- 4:44:42clear certified laboratory in Palo Alto
- 4:44:44under enforcement discretion use of a
- 4:44:46test developed and validated by the
- 4:44:48laboratory and which meets the
- 4:44:49definition of an ldt can be performed on
- 4:44:51clinical samples which are shipped back
- 4:44:53to the CLIA lab in Palo Alto
- 4:44:55and results can then be transmitted to
- 4:44:57an ordering position
- 4:45:01so what was your understanding from that
- 4:45:04that this model was consistent with
- 4:45:09fda's enforcement discretion for
- 4:45:11laboratory developed tests
- 4:45:13okay so how do you square that with
- 4:45:16da then subsequently writes here which
- 4:45:18is that
- 4:45:20it's fine to use the system for research
- 4:45:22purposes but not for diagnosis purposes
- 4:45:25it was my understanding that those are
- 4:45:27two different discussion topics the
- 4:45:29specific discussion about
- 4:45:30investigational use was with respect to
- 4:45:33Distributing the devices for use in a
- 4:45:36U.S military facility outside of the U.S
- 4:45:39oh you're saying that
- 4:45:41FDA told you that it was fine to have
- 4:45:44the device here in the U.S but it was
- 4:45:47not fine to ship it overseas for patient
- 4:45:49diagnosis
- 4:45:50no what's the distinction
- 4:45:53my understanding is that FDA was saying
- 4:45:55that distribution of the device in the
- 4:45:58U.S
- 4:45:59makes it not an ldt the distribution of
- 4:46:02the device in the US or outside of the
- 4:46:04US could be done in an investigational
- 4:46:06basis and that the sentence that I just
- 4:46:09read was consistent with their
- 4:46:11enforcement discretion for ldts okay
- 4:46:14uh why don't we go on to
- 4:46:18the paragraph that starts to move
- 4:46:20forward
- 4:46:23the second full paragraph down on 701
- 4:46:27so it says to move forward with the
- 4:46:29regulatory process the agency
- 4:46:30recommended that for their first
- 4:46:32submission their initiative pick an
- 4:46:34analyte or a panel to analyze that may
- 4:46:35be of interest to DOD and proceed to
- 4:46:37work interactively with the agency to
- 4:46:39develop a regulatory Pathway to achieve
- 4:46:41pre-market clearance approval status
- 4:46:50so FDA here was telling you that you did
- 4:46:52need to achieve pre-market clearance or
- 4:46:54approval status
- 4:46:55for the system correct if we were going
- 4:46:58to distribute the device if you were
- 4:47:00going to distribute the device where
- 4:47:02outside of theranos's Clinical
- 4:47:04Laboratory facility okay so you were
- 4:47:07aware that you would need to at least
- 4:47:09buy 2012 that you would need to obtain
- 4:47:11either approval or clearance status from
- 4:47:14the FDA before Distributing the device
- 4:47:16to some place besides the laboratory is
- 4:47:19that right
- 4:47:21that was what was discussed in this
- 4:47:22meeting is we engaged with regulatory
- 4:47:25Council a lot on that to understand
- 4:47:27how to interpret the regulations around
- 4:47:30that
- 4:47:32so I guess again without asking about
- 4:47:33your specific conversation with the
- 4:47:35council it
- 4:47:36around this time in late 2012
- 4:47:40um was it your understanding that
- 4:47:43theranos would have to get approval from
- 4:47:45the FDA before Distributing its device
- 4:47:48outside the clear lab
- 4:47:50we understand
- 4:47:52I believe I understood that that was
- 4:47:55what was said in this meeting
- 4:48:01okay what what did you understand
- 4:48:03the FDA
- 4:48:05required about the from from theranos in
- 4:48:09order to distribute its its tspu as of
- 4:48:12the end of 2012. whether at this meeting
- 4:48:14or otherwise
- 4:48:17um
- 4:48:19I want to make sure I'm answering your
- 4:48:21question what I understood in this
- 4:48:22meeting was that FD the FDA
- 4:48:24representatives there were saying that
- 4:48:25to distribute our device we should get
- 4:48:28the FDA clearance that was commensurate
- 4:48:30with whatever test we would try to get
- 4:48:33through the clearance process
- 4:48:36did you have any personal view that was
- 4:48:38different from what the FDA described
- 4:48:40for you at this meeting
- 4:48:42so I don't know if that gets into
- 4:48:44privilege questions we had very active
- 4:48:46engagement with regulatory Council on
- 4:48:48this topic
- 4:48:49well sure so I think you can you can
- 4:48:51tell them what you understood at various
- 4:48:54points in time that don't get into the
- 4:48:56advice that you were given for people
- 4:48:57even explain what you're understanding
- 4:49:00huge amount of it's already in the
- 4:49:01public record through letters from those
- 4:49:03councils so okay so our my understanding
- 4:49:06was that
- 4:49:08um there was certainly a belief that a
- 4:49:11Clinical Laboratory could use technology
- 4:49:14within its own patient service centers
- 4:49:16even without receiving clearance of the
- 4:49:19device we engaged with the FDA a lot on
- 4:49:22that later and we ultimately responded
- 4:49:26to their request that we pursue 510k
- 4:49:30clearance on the device and the tests
- 4:49:31and and did with our with our first test
- 4:49:35is that what you're referring to with
- 4:49:37the hsb1 yes
- 4:49:40so you just said that they requested
- 4:49:41that you submit 510k submissions when
- 4:49:45did that happen
- 4:49:48um so we began
- 4:49:51engaging interactively with them right
- 4:49:53before we announced our retail rollout
- 4:49:56and over a period of months following
- 4:50:01that initial engagement okay so that
- 4:50:03would have been in 2013.
- 4:50:06um
- 4:50:08I don't know
- 4:50:09I know that in 2013 we sent in a lot of
- 4:50:12pre-submissions I think there was
- 4:50:14initially
- 4:50:16a focus on those and then on the
- 4:50:18nanotainer and then later to get a test
- 4:50:20on the device cleared okay so they
- 4:50:22requested
- 4:50:23um
- 4:50:25510k submissions for the Tessie said the
- 4:50:28nanoteener and what was the third
- 4:50:31no I'm sorry I didn't say they requested
- 4:50:33them uh you asked when they asked us to
- 4:50:36submit the device and I said that
- 4:50:40I don't know when exactly they asked us
- 4:50:42to submit the device I know that after
- 4:50:44we initially reached out to them to let
- 4:50:46them know that we would be launching at
- 4:50:48retail
- 4:50:49um the first focus with them was on the
- 4:50:52pre-submissions for the tests they then
- 4:50:55requested that we agree to do a 510k
- 4:50:59submission on the nanotainer and I know
- 4:51:01it was after that that they began to
- 4:51:04focus on the importance of getting
- 4:51:05clearance on the device but based on my
- 4:51:07memory okay so just to move back then
- 4:51:10you're saying that you submitted
- 4:51:13pre-submissions to FDA they asked for
- 4:51:17the device and it was sometime after
- 4:51:18that that they wrote then requested a
- 4:51:20510k submission for the nanotuner
- 4:51:23no I think the sequencing was
- 4:51:26was first a a general discussion about
- 4:51:29the commitment to work with the agency
- 4:51:31even though we were pursuing the model
- 4:51:33that was described here as an ldt that
- 4:51:35manifested in a lot of pre-submissions
- 4:51:37the as I remember it initial specific
- 4:51:41request was to proceed with 510k on the
- 4:51:44nanotainers and later there was specific
- 4:51:46communication that it was important to
- 4:51:49them to focus on clearance of the device
- 4:51:53okay so if you look with a test if you
- 4:51:56look then back at the first page of the
- 4:51:59letter from Hyman Phelps
- 4:52:01yes
- 4:52:03it looks like there was also meeting on
- 4:52:06November 4th 2013. you see a reference
- 4:52:09that in the letter
- 4:52:13yes did you attend that meeting as well
- 4:52:17I I don't know but I think I did okay
- 4:52:19what happened at that meeting
- 4:52:22I'm not sure which meeting this was
- 4:52:24there was a lot of Engagement with the
- 4:52:26theater during this period okay well
- 4:52:28then why don't we just look back at
- 4:52:29exited 229 so about halfway down the
- 4:52:33paragraph
- 4:52:34a second to last sentence thereiness has
- 4:52:38been working closely with oir for the
- 4:52:41past four months to develop a plan for
- 4:52:43the submission and review of multiple
- 4:52:45510k pre-market notifications to cover
- 4:52:47hundreds of assays those discussions
- 4:52:50have been extremely productive due to
- 4:52:51the open communication so is this what
- 4:52:53you were referring to earlier as the
- 4:52:55510k pre-submissions like that there
- 4:52:57isn't prepared
- 4:52:59yes okay and then it goes on to say we
- 4:53:02were therefore very surprised to hear
- 4:53:04oir for the first time question whether
- 4:53:06in the phase one model thereiness is
- 4:53:08Laboratory Testing complies with Federal
- 4:53:10Federal Food Drug and cosmetic Act
- 4:53:13because an oir's view the company is not
- 4:53:16offering laboratory developed tests and
- 4:53:19here the phase one model is at the phase
- 4:53:21one model that you have been describing
- 4:53:23to us with Walgreens
- 4:53:26I think so I again haven't
- 4:53:28I don't know exactly what's described in
- 4:53:30here but I think so okay I mean we can
- 4:53:32we can turn to the next page which is
- 4:53:35um
- 4:53:3791 under background
- 4:53:40and the second paragraph there talks a
- 4:53:43little bit about the phase one model
- 4:53:44which is that testing is conducted only
- 4:53:46in full theranos laboratory on patient
- 4:53:48samples that are shipped to the facility
- 4:53:49so is that consistent with your
- 4:53:51understanding of what the phase one
- 4:53:52model was yes okay
- 4:53:55um so here it sounds like FDA told
- 4:53:59theranos at this November 4th 2013
- 4:54:02meeting that the company was not
- 4:54:04offering ldts
- 4:54:11um
- 4:54:11I I don't know that they told us that we
- 4:54:13were not offering lgts I think that one
- 4:54:16of the people in one of the meetings
- 4:54:19said that they didn't know whether our
- 4:54:22ldts
- 4:54:24would
- 4:54:25warrant enforcement discretion by the
- 4:54:28FDA
- 4:54:29do you remember who that person was
- 4:54:31I I believe it would be vision
- 4:54:34did anyone in that meeting express any
- 4:54:36different views from what you recall
- 4:54:40um from the FDA
- 4:54:43I I don't know who's in that meeting we
- 4:54:46had a lot of Engagement with division
- 4:54:48that we worked with and also with as we
- 4:54:50went along to try to make sure we were
- 4:54:52doing the right thing
- 4:54:54okay
- 4:54:56so you just said that there were
- 4:54:58questions that were raised as to whether
- 4:54:59your tests would be classified as ldts
- 4:55:04would
- 4:55:06get enforcement discretion as ldts as I
- 4:55:09remember it okay
- 4:55:11um
- 4:55:12did FDA ever tell you subsequently that
- 4:55:16it didn't consider your test to be ldts
- 4:55:22I I don't know there was there was a
- 4:55:24large number of interactions with them
- 4:55:26and I generally understood that where
- 4:55:29this came out was that if we continued
- 4:55:31working with them in good faith that we
- 4:55:33would have enforcement discretion
- 4:55:36do you recall telling prospective
- 4:55:38investors in 2014 that theirness is
- 4:55:40assays were ldts that fell under fda's
- 4:55:44enforcement discretion
- 4:55:47I don't have specific Recollections of
- 4:55:49that but I know we would openly talk
- 4:55:51about
- 4:55:53um
- 4:55:53the tests being ldts
- 4:55:57so did you also disclose to them that
- 4:56:00there were talks back and forth and FDA
- 4:56:03wasn't sure whether
- 4:56:06fairness's test would be considered ldts
- 4:56:10um I I don't know I don't remember
- 4:56:13specific conversations on this I I
- 4:56:15believe at that time we'd been operating
- 4:56:17for a year under enforcement discretion
- 4:56:19and so we we really believed at that
- 4:56:21point that we were in good faith
- 4:56:23operating under enforcement discretion
- 4:56:27I guess at that time in late 2014 did is
- 4:56:30it fair to say you viewed theranos's
- 4:56:32approach and planned to take all his
- 4:56:35ldts through through the FDA process as
- 4:56:38sort of a
- 4:56:40differentiating factor between you and
- 4:56:42your competition we did why is that
- 4:56:45because no other company that we knew of
- 4:56:48was voluntarily saying to the FDA that
- 4:56:51they wanted to take all these tests
- 4:56:52through the FDA clearance process and in
- 4:56:55fact they were actively
- 4:56:57campaigning to prevent FDA from
- 4:56:59regulating ldts and Theron was taking
- 4:57:02sort of the opposite approach filing a
- 4:57:04comment to pursue a FDA oversight of
- 4:57:08realities is that we did correct and
- 4:57:17thank you
- 4:57:23foreign
- 4:57:34aside
- 4:57:39I'm handing to you what's been marked
- 4:57:41during this instead at 2 30.
- 4:57:46Exhibit 2 30. it reports to be a letter
- 4:57:50from the Department of Health and Human
- 4:57:52Services FDA to there it is
- 4:57:56the date is June 13 2014 with starting
- 4:58:00dates member at
- 4:58:02ts-099-2588 have you seen exhibit 230
- 4:58:05before
- 4:58:07I I think so I'm not sure
- 4:58:11do you have any reason to believe that
- 4:58:12you didn't receive this
- 4:58:14and didn't review it no
- 4:58:22so if you look on the second page of the
- 4:58:26letter
- 4:58:30FDA is now writing to fairness about
- 4:58:33um
- 4:58:35the pre-market protocol that fairness
- 4:58:38has submitted for review
- 4:58:41if you look on the second page there is
- 4:58:43a paragraph that starts with based on
- 4:58:46prior conversations do you see that yes
- 4:58:49so FDA writes here based on prior
- 4:58:51conversations between FDA and fairness
- 4:58:54and documents sent from baroness to FDA
- 4:58:56FDA had understood that you were
- 4:58:58currently using mostly cleared or
- 4:58:59approved assays in your laboratory
- 4:59:01however the more complete information
- 4:59:03you recently sent for our request
- 4:59:04clarified that the tests you perform are
- 4:59:06FDA cleared assay is running a fairness
- 4:59:09protocol
- 4:59:11I.E modified under the CLIA regulations
- 4:59:13for our fairness assays run on the tspu
- 4:59:17therefore most of the tests you're
- 4:59:19running in your lab appear to be lab
- 4:59:20laboratory and develop tests ldt is
- 4:59:22currently under fda's enforcement
- 4:59:25discretion and the rest are tests
- 4:59:26running your tspu that require clearance
- 4:59:28or approval prior to their use and are
- 4:59:30not under enforcement discretion
- 4:59:33so here FDA is telling you that first it
- 4:59:37misunderstood what devices thereiness
- 4:59:39was using correct
- 4:59:42this specific person who wrote this
- 4:59:44number was saying that yeah and also
- 4:59:47that
- 4:59:49um
- 4:59:51and also that
- 4:59:55actually the rest the the tests that are
- 4:59:58run on the tspu would not be considered
- 5:00:01lbts
- 5:00:04correct
- 5:00:07um yes that's what I understand the
- 5:00:09sentence to me
- 5:00:11okay did you understand that at the time
- 5:00:13as well
- 5:00:15so I I don't
- 5:00:18remember exactly when I read this but I
- 5:00:22know that we engaged with FDA
- 5:00:25very frequently on the fact that we were
- 5:00:29running these tests in our clinical lab
- 5:00:30what tests we sent them spreadsheets
- 5:00:32with exactly what platform was being
- 5:00:34used and how many tests per month to
- 5:00:36make sure that we were still in good
- 5:00:38faith operating under enforcement
- 5:00:40discretion
- 5:00:42my platform do you mean devices yeah
- 5:00:46and did you know is it someone you've
- 5:00:49interacted with
- 5:00:51um I I I think that I started
- 5:00:55interacting with her to the extent I
- 5:00:58joined calls on the clearance of the
- 5:01:00nanotainer after this creative time but
- 5:01:03I'm not completely sure
- 5:01:07because
- 5:01:08he is also now so was he
- 5:01:12maintaining the relationship between
- 5:01:13theranos and FDA during this time frame
- 5:01:16he was one of the people I think there
- 5:01:18were others who were also involved but
- 5:01:19yes he was a constant and were there any
- 5:01:23interactions that you had with FDA that
- 5:01:25he was not a part of
- 5:01:28um
- 5:01:28probably I don't know any specifically
- 5:01:31but there was a lot of interactions with
- 5:01:33FDA
- 5:01:35Okay so
- 5:01:37at the bottom of the page there is a
- 5:01:40sentence that starts therefore do you
- 5:01:42see that yes is therefore based on this
- 5:01:44new information we recommend that
- 5:01:46clearance of your capillary tubes and
- 5:01:48nanotainers be obtained over time as you
- 5:01:50receive clearance or approval for each
- 5:01:52individual assay as part of that test
- 5:01:54system
- 5:01:55please note that without clearance
- 5:01:57approval you cannot continue to ship
- 5:01:59these collection devices or nanotanners
- 5:02:01to your sample collection sites for use
- 5:02:03with tests currently run in your
- 5:02:04laboratory so did you understand from
- 5:02:06FDA at this time that they were telling
- 5:02:08you that theranos could not continue
- 5:02:10shipping the nanotainers
- 5:02:13true uh
- 5:02:15from the patient service centers to the
- 5:02:18theranos lab
- 5:02:19because they weren't cleared by FDA
- 5:02:22I think our understanding at the time we
- 5:02:25got this memo was that they were saying
- 5:02:27in this memo that there was no way to
- 5:02:30get clearance General clearance on the
- 5:02:32nanotainers if we needed to use ldts to
- 5:02:35get that clearance and therefore we
- 5:02:38would need to do this and we immediately
- 5:02:41began to engage with them on that and on
- 5:02:44in fact proceeding with General
- 5:02:46clearance of the nanotainers okay so did
- 5:02:48you stop using the nanotainers then
- 5:02:50while you were engaging with them on
- 5:02:52getting approval or clearance nope why
- 5:02:55not
- 5:02:56because we understood following this
- 5:02:58letter that it was okay to do that if
- 5:03:00instead of trying to use the ldts for
- 5:03:03the clearance of the nanotainer we
- 5:03:05actually used commercial machines and
- 5:03:08pooled the samples and that's what we
- 5:03:10ended up doing
- 5:03:13what do you mean by that if
- 5:03:16explain that distinction I guess between
- 5:03:17using the ldt and using the commercial
- 5:03:19machine I just so I understand it
- 5:03:21yeah so it's my understanding that what
- 5:03:24this letter was predicated on was a
- 5:03:26belief that if we needed to use ldts or
- 5:03:30uncleared tests
- 5:03:33to be able to show that the nanotainers
- 5:03:35worked
- 5:03:36then that would not be acceptable to the
- 5:03:39FDA as a means to get the nanotainers
- 5:03:42cleared because they wanted us to use a
- 5:03:44test system that had already been
- 5:03:46cleared for those experiments so if we
- 5:03:48were comparing for example nanotainer to
- 5:03:50somebody else's tube and we were using
- 5:03:53an ldt they didn't want the ldt for
- 5:03:55doing that comparison they wanted us to
- 5:03:57use a system that was cleared
- 5:03:59my understanding is that after this when
- 5:04:02we agreed to
- 5:04:04use commercial machines for that purpose
- 5:04:07that there was a path to get the
- 5:04:10nanotainers cleared and we began working
- 5:04:13toward that and the way that we
- 5:04:16accommodated that is that to get enough
- 5:04:19sample to run the cleared commercial
- 5:04:21machine you would take for example
- 5:04:24five finger sticks from a single person
- 5:04:27pull them together to get enough sample
- 5:04:30and then you could run the commercial
- 5:04:31machine to do the comparison between our
- 5:04:34tube and someone else's tube and when
- 5:04:37you say run the commercial machine
- 5:04:38meaning
- 5:04:39an unmodified unmodified predicate
- 5:04:41device correct
- 5:04:44so why was it your understanding though
- 5:04:45that because you had agreed with FDA to
- 5:04:48use cleared
- 5:04:50assays in order to provide this data for
- 5:04:54clearance of the nanotainer that it was
- 5:04:56appropriate to continue using the
- 5:04:57nanotuner while you were submitting this
- 5:04:59data
- 5:05:02because once there was once we agreed
- 5:05:04there was a path to get clearance of an
- 5:05:07Entertainer we understood that we were
- 5:05:10in good faith operating under
- 5:05:11enforcement discretion still
- 5:05:14and how did you gain that understanding
- 5:05:17based on our ongoing interactions with
- 5:05:19the FDA who told you that
- 5:05:22I'm I believe there were multiple
- 5:05:25conversations in which we wanted to make
- 5:05:28sure that we were okay continuing to use
- 5:05:31the the nanotainer and interpreted the
- 5:05:34feedback on those conversations to mean
- 5:05:36that we were
- 5:05:37but who told you it
- 5:05:40I mean I I specifically remember a
- 5:05:42conversation around Christmas Eve with
- 5:05:45in which he had indicated that there was
- 5:05:48a path with the submissions that we had
- 5:05:49sent in after this to move toward
- 5:05:52clearance that they wanted more data for
- 5:05:54I think two of the three filings that
- 5:05:57we'd made but that we could potentially
- 5:05:59in the short term get clearance on
- 5:06:00hematology and I had asked wanting to
- 5:06:03make sure we were continuing to be in
- 5:06:05good standing and I interpreted what he
- 5:06:07said to mean that so long as we
- 5:06:09continued to work with them it was okay
- 5:06:11to do that never told you that you could
- 5:06:14continue using the nanotainers you're
- 5:06:16just interpreting the fact that he said
- 5:06:18there might be a path forward to
- 5:06:20clearance as him
- 5:06:21telling you that I I could continue
- 5:06:24using wait just let me finish that you
- 5:06:26can continue using the Nana tanners I I
- 5:06:28thought that I had asked him on that
- 5:06:30call is it okay to we want to make sure
- 5:06:32we're doing the right thing and
- 5:06:33continuing to operate while we're going
- 5:06:34through this process and
- 5:06:36I I remember interpreting what he said
- 5:06:38is being
- 5:06:41assuring of the fact that so long we
- 5:06:44continued to work with them in good
- 5:06:45standing that
- 5:06:46um
- 5:06:47that we could continue to operate under
- 5:06:49enforcement discretion
- 5:06:50was anyone else on that call
- 5:06:53no but I remember sending notes to my
- 5:06:55team immediately after it
- 5:07:11put that one aside
- 5:07:13I'm handing to you what's been marked
- 5:07:17during this exhibit 231.
- 5:07:24look at it foreign
- 5:07:37as an FDA on June 19 2014. it's a
- 5:07:42teleconfidence meeting it looks like and
- 5:07:44the starting date's number is
- 5:07:46t-h-e-r-0353763
- 5:07:53have you seen exhibit
- 5:07:56231 before
- 5:07:58I I don't remember it specifically but I
- 5:08:01think so
- 5:08:03do you know who drafted these minutes
- 5:08:06I don't
- 5:08:13did you attend this meeting on June 19
- 5:08:152014 with the FDA I think so what was
- 5:08:18the purpose of the meeting
- 5:08:22what was his role in the discussions
- 5:08:25with FDA
- 5:08:28it varied over time he was our our
- 5:08:31technical expert on
- 5:08:33a lot of the technology that we worked
- 5:08:35on in certain areas data analysis okay
- 5:08:38so why was he being included in this
- 5:08:40meeting though
- 5:08:42I I don't know specifically I haven't
- 5:08:44read these minutes but I would assume
- 5:08:46for the purpose of being a technical
- 5:08:48lead
- 5:08:53I I don't I don't remember this meeting
- 5:08:55specifically
- 5:09:02so if you turn to
- 5:09:07page four
- 5:09:09or three seven six six in the document
- 5:09:15towards the bottom of the page about
- 5:09:18two-thirds down from the top of the page
- 5:09:21it says FDA inquired whether theranos
- 5:09:23was setting out the tubes reused at this
- 5:09:25time are the tubes being used in
- 5:09:27commercial testing
- 5:09:29and then again it says FDA inquired as
- 5:09:33to whether theranos was shipping the
- 5:09:35capillary tubes and manotainers to the
- 5:09:37collection sites thereiness said yes FDA
- 5:09:40said that fairness should not be
- 5:09:42shipping collection devices for clinical
- 5:09:43use until theranos obtains FDA clearance
- 5:09:47Aaron should use other clear collection
- 5:09:49devices and then transfer the sample to
- 5:09:51the other containers if necessary for
- 5:09:53testing at the theranos lab
- 5:09:56so FDA here is telling you unequivocally
- 5:09:59that their owner should stop shipping
- 5:10:01these nanotainers correct
- 5:10:04I I think that was what was said in this
- 5:10:07meeting
- 5:10:08do you recall what was said in this
- 5:10:10meeting you recall that being said I
- 5:10:12don't
- 5:10:14I guess do you have any recollection at
- 5:10:16any point in time of FDA telling you
- 5:10:17specifically to stop shipping the
- 5:10:21entertainers in this time frame again I
- 5:10:24I remember that when
- 5:10:27the people on the team that we were
- 5:10:29working with thought that we would not
- 5:10:30be able to get General clearance for the
- 5:10:32nanotainers there was then discussion
- 5:10:34that we would potentially not be able to
- 5:10:36use the nanotainer because we could no
- 5:10:38longer work interactively with the
- 5:10:40agency toward that but once we worked
- 5:10:43through that
- 5:10:44and moved to the revised model that I
- 5:10:48was talking about earlier it was my
- 5:10:49understanding that we were okay
- 5:10:51continuing to use the tubes under
- 5:10:52enforcement discretion
- 5:10:54and when do you think you transitioned
- 5:10:56to that revised model
- 5:10:59um
- 5:11:00I know that we'd gotten feedback on the
- 5:11:03submissions by December I think
- 5:11:06I we would have submitted them months I
- 5:11:09I think before that I don't know exactly
- 5:11:11when the decision was made without to do
- 5:11:13that hey are you referring to December
- 5:11:162013 or December 2014. I I think this
- 5:11:18was in 2014. and what you mentioned a
- 5:11:21Christmas Eve conversation with us um
- 5:11:23was that 2013 or 2014. I think it was
- 5:11:272014.
- 5:11:40did you ever tell prospective investors
- 5:11:42in Fall of 2014 that it was that
- 5:11:46fairness was not required to obtain
- 5:11:47clearance or approval for its testing
- 5:11:50system
- 5:11:54I don't think
- 5:11:56we would have said that I think we
- 5:11:58talked about our belief that the system
- 5:12:00was an ldt and that we wanted to take
- 5:12:03the system and the test through the FDA
- 5:12:08and when you're referring to the system
- 5:12:09there what were you what exactly were
- 5:12:11you referring to is that they're in a
- 5:12:12system
- 5:12:14in answer to her question I was
- 5:12:15referring to the tests that would be run
- 5:12:18on proprietary theranos devices okay so
- 5:12:23collecting a device from a finger
- 5:12:26stick placing it in an Entertainer
- 5:12:28testing on a tsp yes
- 5:12:31and and that that's consistent with the
- 5:12:34clearance and clear waiver we got on the
- 5:12:36HSV-1 test system
- 5:12:39did you ever tell prospective investors
- 5:12:41that fairness was seeking FDA approval
- 5:12:43voluntarily
- 5:12:47I'm trying to remember how we worded it
- 5:12:50um
- 5:12:52I I don't know specifically how we
- 5:12:53described it I I think we talked about
- 5:12:56the fact that we believed our systems
- 5:12:57were ldts and that we we wanted
- 5:12:59proactively to engage with the agency on
- 5:13:03it on all our tests
- 5:13:06did you ever tell investors that
- 5:13:07theranos was seeking FDA approval
- 5:13:09voluntarily because FDA approval was the
- 5:13:12gold standard or the highest standard in
- 5:13:13the industry
- 5:13:15I think I think we would have said
- 5:13:16something like that
- 5:13:19why would you tell investors that
- 5:13:22fairness was seeking FDA approval
- 5:13:24voluntarily if that wasn't true
- 5:13:28we thought it was
- 5:13:29why did you think it was
- 5:13:32because we thought that the testing that
- 5:13:34we were doing fell squarely within the
- 5:13:36definition of an ldt and we knew that
- 5:13:39that was a controversial field where
- 5:13:42regulations were evolving but we engaged
- 5:13:44with
- 5:13:45multiple of the top law firms in the
- 5:13:47country to to research that and
- 5:13:51we really wanted to take the systems
- 5:13:53into the FDA and try to get clearance
- 5:13:55we hear FDA is telling you that you have
- 5:13:57to get it approved before using the
- 5:13:59nanotainer devices and sending them
- 5:14:02from the patient service centers to the
- 5:14:04theranos lab
- 5:14:06how does that square with you thinking
- 5:14:09that
- 5:14:10approval was voluntary or that FDA
- 5:14:12wasn't requiring it
- 5:14:14this is specific to the capillary tubes
- 5:14:18I was talking earlier about the tests in
- 5:14:20response to your question my
- 5:14:22understanding is that
- 5:14:23As I understood the issue with the
- 5:14:25capillary tubes there was a period of
- 5:14:27time in which we were discussing with
- 5:14:30FDA whether it would be possible to get
- 5:14:32General clearance at all on the
- 5:14:34capillary tubes and that then presented
- 5:14:36these issues about the inability to use
- 5:14:38the tubes and I understood that if we
- 5:14:42were able to find a way to proceed with
- 5:14:44getting clearance then we could continue
- 5:14:46to operate under enforcement discretion
- 5:14:48because we would be working in good
- 5:14:50faith with the agency
- 5:14:51so you're making a distinction here
- 5:14:53between the tests and the nanotainer
- 5:14:55device yes did you ever tell investors
- 5:14:58that FDA thought you needed to obtain
- 5:15:01approval or clearance for the nanotainer
- 5:15:04I I don't remember specific
- 5:15:06conversations to that effect but I I
- 5:15:09think we discussed the fact that we were
- 5:15:11working to get the nanotainers cleared
- 5:15:13with investors
- 5:15:15who did you discuss that with
- 5:15:18again I don't remember specific
- 5:15:19conversations about it
- 5:15:21you don't remember I don't
- 5:15:25just want to have a clear sense of your
- 5:15:27memory of your conversations about the
- 5:15:29FDA with prospective investors
- 5:15:31it was the conversations about the FDA
- 5:15:34with prospective investors was always
- 5:15:36about the the fairness system as you
- 5:15:38just described it which was
- 5:15:40proprietary Entertainer
- 5:15:43proprietary tsp is that is that correct
- 5:15:46yes about the the tests on the tspu and
- 5:15:51specifically the tests the device and
- 5:15:53cartridge and the software and then also
- 5:15:57additionally on the nanotainer by itself
- 5:15:59is a standalone product
- 5:16:00did you ever talk about uh regulatory
- 5:16:04requirements for theranosis test that it
- 5:16:07was running on modified predicate
- 5:16:10devices
- 5:16:12it was our understanding that those were
- 5:16:14operating as traditional ldts and that
- 5:16:18would clearly would not be Distributing
- 5:16:20those and that sort of the need for
- 5:16:22clearance was associated with the
- 5:16:24distribution of the devices
- 5:16:26I mean I guess is it fair to say that
- 5:16:28your discussions around FDA were about
- 5:16:29clearance for
- 5:16:31A system that ultimately included the
- 5:16:33tsp yes
- 5:16:38were any regulatory Council involved in
- 5:16:42uh either this meeting or or any meeting
- 5:16:45talking about the nanotanners
- 5:16:48I just answer that yes or no from the
- 5:16:51University
- 5:16:53um
- 5:16:54did you share uh exhibit 231 with any of
- 5:16:59your Council
- 5:17:10well Ms Holmes was just talking about
- 5:17:13how her understanding was based on
- 5:17:15things that Council had told her and you
- 5:17:17said you didn't want to ask her about
- 5:17:18what council told her and now you're
- 5:17:20asking what she gave them to illicit
- 5:17:22advice which is an attorney-client
- 5:17:24communication well and you're going to
- 5:17:26the substance no no just that wait a sec
- 5:17:28please you're going to the substance of
- 5:17:30the of the of the correspondence and
- 5:17:34you're asking whether she shared it with
- 5:17:35Laura I'm not saying that I'm gonna say
- 5:17:37no but I want to understand like where
- 5:17:39we're going with this because it may be
- 5:17:41that's an easy question and she can
- 5:17:43answer it and we're all fine it may be
- 5:17:45that that we're that this is the camel's
- 5:17:47nose Going Under the Tent and before we
- 5:17:49get there I'd like to make sure that I
- 5:17:50understand
- 5:17:51what what you're doing that's all is
- 5:17:55your understanding as to whether or not
- 5:17:57fairness was permitted to continue
- 5:18:03using the nanotainer is that was that
- 5:18:06predicated on any advice that you've
- 5:18:08received from Council
- 5:18:12how about just asking
- 5:18:14whether she discussed the use of the
- 5:18:17nanotainer
- 5:18:19if it can be used in that Entertainer
- 5:18:21with the council because you just asked
- 5:18:23what the outcome of the advice was do
- 5:18:25you think you can ask whether that topic
- 5:18:26was discussed with Council and you can
- 5:18:28ask the time frame for it the same way
- 5:18:29kind of the same information you'd get
- 5:18:30on a print log and I think that would be
- 5:18:33that would be responsible did you ever
- 5:18:35discuss uh the topic of continuing to
- 5:18:39use the nanotainer after receiving
- 5:18:41exhibit 231 with Council yes
- 5:18:45which Council
- 5:18:47um
- 5:18:48I don't know how many different
- 5:18:51regulatory law firms we had involved at
- 5:18:53this time but
- 5:18:54whoever was acting as counsel we would
- 5:18:57have discussed with probably all of them
- 5:18:59would be my guess and who were your
- 5:19:01regulatory Council who are you thinking
- 5:19:03of right now
- 5:19:05um
- 5:19:08I I don't know who it was in in June of
- 5:19:1114 I I shared yesterday I know we
- 5:19:15started with and then we went to
- 5:19:18multiple law firms to get their advice
- 5:19:20on the definition of an ldt and what
- 5:19:22could in good standing qualify as an
- 5:19:24ldts and got opinion memos and and then
- 5:19:29I think there were one or two others who
- 5:19:31we started working with after that there
- 5:19:33was a lot of law firms we were asking
- 5:19:35for regulatory advice on this
- 5:19:38they're trying to be careful here again
- 5:19:39but did you ever seek any um any input
- 5:19:43from Council uh about the kinds of
- 5:19:46disclosures you should make to potential
- 5:19:48investors about their initial status
- 5:19:51with the FDA
- 5:19:54I mean I understand what you're asking
- 5:19:56it's not because I
- 5:19:58um there's probably a better way to ask
- 5:19:59that question at a moment it's just as I
- 5:20:02guess I'm trying to get a sense of
- 5:20:05did you talk to council about your
- 5:20:08disclosures to potential investors
- 5:20:09concerning the FDA
- 5:20:13yes or no
- 5:20:15yes
- 5:20:18which ones
- 5:20:21um I
- 5:20:22I think you can give a name okay boy
- 5:20:25Schiller
- 5:20:26who a boy
- 5:20:27uh David Boyce do you recall the time
- 5:20:30frame for that conversation
- 5:20:33um
- 5:20:34I mean I I believe he was
- 5:20:37actively attending board meetings by
- 5:20:39this point and we we discussed these
- 5:20:41topics
- 5:20:42um
- 5:20:43in that context
- 5:20:46I guess more broadly did you did you
- 5:20:48discuss what could be disclosed with
- 5:20:49potential investors with the board
- 5:20:54um
- 5:20:55I I don't know if it was what could be
- 5:20:57disclosed but just generally what we
- 5:20:59were disclosing yes
- 5:21:03I guess did you ever share you know we
- 5:21:05could talk a little about the Murdoch
- 5:21:07financials before did you ever share
- 5:21:09that exhibit with the report
- 5:21:11to your collection I I don't know if it
- 5:21:13was the exact same document but those
- 5:21:15General assumptions of the way the
- 5:21:18retail footprint would ramp yes
- 5:21:24you can put that one aside
- 5:21:27machine
- 5:21:28sure let's take a quick break we are off
- 5:21:32the Record at 4 17 p.m and this
- 5:21:34concludes media number three
- 5:21:46we are back on the record at the
- 5:21:48beginning of media number four of
- 5:21:50Elizabeth Holmes the times 4 17.
- 5:21:56Miss Holmes did we have any substantive
- 5:21:58conversations during the break no
- 5:22:02going to sorry I didn't hear the answer
- 5:22:04no thank you
- 5:22:06I'm going to hand to you what's been
- 5:22:08March there in his Exhibit 2 32.
- 5:22:14exhibit 232 uh
- 5:22:18reports to be a letter from FDA to
- 5:22:23fairness
- 5:22:25the date of the letter is October 28
- 5:22:282014 with starting dates number
- 5:22:34thdr-0360329 have you seen exhibit 230
- 5:22:39to you before I don't know
- 5:22:43[Music]
- 5:22:51would you have expected to forward a
- 5:22:54letter that he received from FDA to your
- 5:22:56attention
- 5:22:58generally yes
- 5:23:03you look on the first page this is 329.
- 5:23:09it says a third paragraph down in the
- 5:23:13middle of that paragraph
- 5:23:14the email you received is your
- 5:23:16notification that the submission has
- 5:23:17been placed on hold
- 5:23:21and the submission for OIC yes right and
- 5:23:25the submission the first sentence is for
- 5:23:27theranos is capillary and nanotanner
- 5:23:29choose were you aware
- 5:23:30in October 2014 that theranos had put
- 5:23:33this submission on hold
- 5:23:37I don't think theranos put it on hold I
- 5:23:39I read this to mean that oh fdfda put it
- 5:23:43on hold sorry I keep getting confused
- 5:23:44were you aware as of October 2014 that
- 5:23:47the FDA had put theranos's 510k
- 5:23:51pre-market submission on hold for the
- 5:23:55capillary and nanotainer tubes
- 5:23:58I hadn't remembered that
- 5:24:00um previously I'd been thinking about
- 5:24:03that having happened in December but I I
- 5:24:05see that here
- 5:24:07you thought that happened in December
- 5:24:092014. I did when I had the discussion
- 5:24:13with
- 5:24:15so if you turn to 3 30 which is the
- 5:24:18second page of exited 232
- 5:24:36especially when she sorry if you can
- 5:24:38head back to 329 first
- 5:24:45under modified assays
- 5:24:47it says here you stated in the study
- 5:24:50design tables you provided in an email
- 5:24:52sent on November 20th 2014 that you use
- 5:24:55FDA cleared or approved assays without
- 5:24:57any modifications so is this what you
- 5:25:00were referring to earlier in your
- 5:25:01testimony that theranos agreed to
- 5:25:04provide data based on cleared or
- 5:25:07approved assays
- 5:25:09to support this application
- 5:25:13um so I'm confused by the date because I
- 5:25:16think this is dated October of
- 5:25:192014.
- 5:25:21so I'm
- 5:25:25you're right
- 5:25:28do you do you remember sending an email
- 5:25:31with study design tables
- 5:25:36that included data
- 5:25:39where theranists used FDA cleared or
- 5:25:41approved assays without any
- 5:25:42modifications
- 5:25:45I I'm honestly not sure what this is
- 5:25:47referring to I'm not clear
- 5:25:51I'm not sure cute
- 5:25:57if you continue reading in that
- 5:25:59paragraph it says however we consider
- 5:26:01changing the sample Matrix from venous
- 5:26:03blood samples to capillary blood samples
- 5:26:05to be an assay modification because the
- 5:26:07acid was validated by the manufacturer
- 5:26:09and cleared by the FDA if you use for
- 5:26:12the penis would changing the sample type
- 5:26:15from venous blood to capillary whole
- 5:26:16blood may have and impact on the
- 5:26:19performance the assay that has been
- 5:26:20cleared or approved by FDA
- 5:26:23and then if you turn the page
- 5:26:26two three three zero the letter goes on
- 5:26:30to talk about how
- 5:26:32glucose concentrations and capillary
- 5:26:35blood are often higher than venous blood
- 5:26:37you can take a moment to read it if you
- 5:26:39haven't which can have the effect of
- 5:26:41invalidating reference ranges
- 5:26:45to see that discussion
- 5:26:47you do I'm just
- 5:26:48reading it quickly
- 5:26:59oh
- 5:27:22do you understand FDA to be saying here
- 5:27:26that it was not okay for theranos to be
- 5:27:28submitting data on
- 5:27:30cleared
- 5:27:33devices
- 5:27:35if those clear devices were being used
- 5:27:39to show
- 5:27:40the
- 5:27:43being used to show that data on theranos
- 5:27:46is devices were accurate because you
- 5:27:48were using those clear devices with
- 5:27:50capillary blood and not with venous
- 5:27:52blood
- 5:27:54so I actually don't remember this memo
- 5:27:57specifically but I know that at a
- 5:27:59certain point in time FDA asked that we
- 5:28:02only submit on devices that were cleared
- 5:28:05for capillary samples okay when did you
- 5:28:09obtain that understanding
- 5:28:13would it have been around this late 2014
- 5:28:16time frame
- 5:28:19I thought it was after that because I
- 5:28:22believe that
- 5:28:24we ended up getting agreement to send
- 5:28:27the submissions in for which we got
- 5:28:29feedback in December and I don't think
- 5:28:31that all of those test systems were
- 5:28:33cleared for capillary use but I I could
- 5:28:36be wrong
- 5:28:57foreign
- 5:29:03okay so if you go on to 331 which is
- 5:29:06page three of
- 5:29:08exhibit 232 in the middle of the page
- 5:29:11under two it says in your submission you
- 5:29:14provided testing using your Aaron is
- 5:29:16capillary tubes and Nano Tanner tubes
- 5:29:19for the following analytes with modified
- 5:29:20assays that are not cleared for use with
- 5:29:23capillary blood samples and there's a
- 5:29:25list you should repeat testing for these
- 5:29:27analytes using unmodified acids cleared
- 5:29:30by the FDA for use with capillary blood
- 5:29:32samples
- 5:29:33so here FDA is saying you need to use
- 5:29:37devices that are cleared for capillary
- 5:29:38blood in in order to submit your data
- 5:29:41correct
- 5:29:43I'm sorry I lost you where are you it's
- 5:29:46two oh I was in the wrong one okay I'm
- 5:29:53yes I see the sentence
- 5:29:56so my question to you was so FDA is
- 5:29:59saying here to you that it was not okay
- 5:30:02to use
- 5:30:03um
- 5:30:04modified assays that are not cleared for
- 5:30:07use with capillary blood and that you
- 5:30:08should use cleared assays that have been
- 5:30:11cleared for use with cap with capillary
- 5:30:14blood correct
- 5:30:17I believe for the specific analytes that
- 5:30:19are listed in the sentence above
- 5:30:24was that a yes
- 5:30:25for those analytes yes
- 5:30:28and then if you turn to page four of
- 5:30:31exhibit 232 or three beats another three
- 5:30:35three two
- 5:30:38for number three
- 5:30:40and the letter goes on to say we have
- 5:30:42serious concerns with many of the method
- 5:30:44comparison results provided in your
- 5:30:46submission for example the regression
- 5:30:48analysis you provided for albumin
- 5:30:50potassium and sodium obtain slopes of
- 5:30:530.829
- 5:30:551.415 and 0.884 respectively
- 5:31:01uh we have not cleared a recent blood
- 5:31:05collection device that obtained results
- 5:31:06with such high bias
- 5:31:08this High bias means there's a big
- 5:31:10difference between results generated by
- 5:31:12your CTN and the results generated by
- 5:31:14the comparative tube it's very important
- 5:31:16that results obtained by your CTN
- 5:31:18generate accurate results because
- 5:31:19patients could be harmed if an
- 5:31:22unnecessary medical treatment is used
- 5:31:23based on
- 5:31:25inaccurate diagnostic results do you see
- 5:31:27that I do
- 5:31:29foreign
- 5:31:31were you aware that there was a high
- 5:31:32bias in your method comparison results
- 5:31:34and that this could lead to Patient harm
- 5:31:37if patients believe the inaccurate
- 5:31:40results and then acted upon them
- 5:31:42no actually my memory in general was
- 5:31:45that our team specifically disagreed
- 5:31:48with the statistics that were being
- 5:31:50applied in
- 5:31:52some of the bias calculations
- 5:31:53specifically
- 5:31:55who on your team was disagreeing with
- 5:31:57the bias data I believe our our
- 5:32:00biostatistics team and who look who's
- 5:32:03that but I remember that we ended up
- 5:32:06having to engage directly with the FDA
- 5:32:08statisticians about that
- 5:32:11was there anyway
- 5:32:14that was involved in this
- 5:32:16I think that it was as well I'm not sure
- 5:32:19who else I I don't know who else
- 5:32:24why don't you turn to
- 5:32:27page eight and
- 5:32:33under Precision studies number 15 do you
- 5:32:36see that
- 5:32:38I do
- 5:32:40so here the letter stays we have serious
- 5:32:43concerns with many of the Precision
- 5:32:44results provided in your submission for
- 5:32:46example the total Precision percent CVS
- 5:32:49you obtained for potassium and ferritin
- 5:32:51were 8.0 and 19.12 respectively these
- 5:32:56Precision results were unusually
- 5:32:58unusually large and unacceptable based
- 5:33:02on the comparison to the cleared assay's
- 5:33:04performance
- 5:33:07and then a few lines down it says when
- 5:33:11repeating the Precision studies for
- 5:33:12these analytes with unmodified passes
- 5:33:14please ensure that you provide
- 5:33:15acceptable Precision studies with
- 5:33:17results that could demonstrate
- 5:33:19your CTN do not contribute additional
- 5:33:23imprecision or change but in Precision
- 5:33:26to the results obtained by the cleared
- 5:33:29assay
- 5:33:31do you see that I do
- 5:33:37were you aware that FDA believed that
- 5:33:40the Precision data that theirness had
- 5:33:43submitted
- 5:33:44was concerning to them
- 5:33:47I I don't remember any specific
- 5:33:49discussions on Precision I know that our
- 5:33:52teams again were engaging with their
- 5:33:55statisticians including on study design
- 5:33:59and the effective pooling samples and
- 5:34:01other things that could impact
- 5:34:02variability in the results
- 5:34:04when was your team working with the FDA
- 5:34:07status
- 5:34:08statisticians I I don't know
- 5:34:10specifically would it have been in this
- 5:34:122014 time frame end of 2014 time frame
- 5:34:17I I don't know
- 5:34:21do you know whether the Precision
- 5:34:22studies were ever submitted again to the
- 5:34:25FDA
- 5:34:27I think we
- 5:34:29did a submission after this that
- 5:34:31resulted in the December call we were
- 5:34:33talking about and then I believe we did
- 5:34:36additional studies and submissions in
- 5:34:392015.
- 5:34:41what happened to the 510k submission for
- 5:34:44the Nana Tanner in the end
- 5:34:46the final submissions yes what what
- 5:34:49happened to the submission
- 5:34:51did you receive clearance or approval
- 5:34:53for the nanotainer well only in the hsv1
- 5:34:56clearance what about for the other
- 5:34:58assays no
- 5:35:00so what happened to those submissions
- 5:35:03I I don't remember specifically I think
- 5:35:05that after we
- 5:35:09um
- 5:35:11I I don't remember I
- 5:35:15I believe that we
- 5:35:18I'm trying to remember the sequencing of
- 5:35:20when we started looking at potentially
- 5:35:21exiting the clinical lab business and we
- 5:35:23stopped using the nanotainer they'd
- 5:35:26given us feedback on our final set of
- 5:35:28submissions and I think we decided to
- 5:35:31pause work on everything except for
- 5:35:34trying to do root cause analysis of our
- 5:35:36business operations and fix the issues
- 5:35:38so I think we didn't follow the last set
- 5:35:42of feedback from the agency
- 5:35:44so and when did you stop using the
- 5:35:47nanotanner
- 5:35:49I believe it was in the fall of 15.
- 5:35:53or summer late summer fall of 15. would
- 5:35:56have been before or after fda's
- 5:35:58inspection fairness
- 5:36:01um I think it was
- 5:36:05when FDA said they were going to issue
- 5:36:08Quality Systems observations on the
- 5:36:10nanotanner on one of the nanotainers so
- 5:36:12when FDA said they were going to issue a
- 5:36:1443 with a deficiency about fairness's
- 5:36:18entertainers that would have been the
- 5:36:20time where when you pulled the
- 5:36:21nanotainer from use
- 5:36:23yes and just to be clear it was on one
- 5:36:25of our nanotanners not on the other one
- 5:36:28did you ever tell prospective investors
- 5:36:30that FTA had concerns with the data that
- 5:36:32fairness had submitted for the
- 5:36:33nanotainer device
- 5:36:36again I don't remember conversation
- 5:36:38specifically on this but I know we were
- 5:36:41talking about the fact that we were
- 5:36:43trying to get the entertainers through
- 5:36:45and trying to work with the agency on
- 5:36:47feedback about them
- 5:36:49so you don't know either way whether you
- 5:36:52told them that there were serious
- 5:36:54concerns from the FDA overuse of the
- 5:36:56nanotainer device I I don't know what we
- 5:36:59specifically said
- 5:37:03in the middle over now are you done with
- 5:37:04that document uh yes
- 5:37:06we were off record at 4 34 pm
- 5:37:14yeah
- 5:37:17we are back on the record at 5 25.
- 5:37:21as we have no further questions at this
- 5:37:23time we will be sorry we didn't have any
- 5:37:25substantive discussions with the staff
- 5:37:26during the break is that correct and I
- 5:37:28did not
- 5:37:30during during the break or all week
- 5:37:34we have no further questions at this
- 5:37:36time we will be adjourning testimony to
- 5:37:38a later date but thank you for coming in
- 5:37:40absolutely this concludes media number
- 5:37:43four and volume two of Elizabeth Holmes
- 5:37:46were off the Record at 5 26.
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