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Federal Criminal Trialtrial-daytrial-dayJohn C. BosticJeff SchenkJohn D. ClineKatherine TrefzMark BurnesMehrl EllsworthRoger ParloffErin TompkinscrossdirectredirectDay 35 - November 18, 2021The court limited Holmes-Parloff interview excerpts and addressed the scope of Tompkins's testimony. Burnes and Ellsworth traced sharply divergent PSA results, while Parloff testified about Holmes's representations concerning Theranos's test range, analyzers, military use, and pharmaceutical reports before facing questions about reporting ground rules and note reliability.
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Day 35 - November 18, 2021

Divergent PSA Results and Parloff’s Account of Holmes’s Theranos Claims

Judge Edward J. Davila
10Proceedings
5Pages
4Witnesses
2,570Lines
Day 35 of 51
Appearing:

The court limited Holmes-Parloff interview excerpts and addressed the scope of Tompkins's testimony. Burnes and Ellsworth traced sharply divergent PSA results, while Parloff testified about Holmes's representations concerning Theranos's test range, analyzers, military use, and pharmaceutical reports before facing questions about reporting ground rules and note reliability.

Full day summary

Before the jury entered, the court addressed excerpts from Roger Parloff's interview with Elizabeth Holmes. It admitted a limited passage under Rule 106 for a state-of-mind purpose related to intent, excluded the remainder, and rejected a separate patents-and-trade-secrets excerpt as hearsay as presented while leaving open possible reconsideration. The court also limited Erin Tompkins to testifying about what she told her physician, not what the physician told her. On cross-examination, Tompkins described her later HIV test, her limited memory of a second Theranos conversation, and her confusion about the components of her 2015 result; the court admitted one page of a CDC testing algorithm but barred a question lacking foundation. Physician Mark Burnes testified as a PSA-testing expert about patient Mehrl Ellsworth's Theranos results of 26.1, 1.71, and 22.8, followed by a traditional-method result of 0.95. Burnes said the first result did not fit Ellsworth's prior pattern, requested repeat testing, and considered it invalid; corrected Theranos reports later voided the first and third results. On cross-examination, he acknowledged Theranos's convenience, his earlier hope that it would succeed, its apparent effort to investigate the problem, and his lack of personal knowledge about what Holmes knew before a June 2015 email. Ellsworth then confirmed that his prior PSA values had never exceeded 2 and traced the four Theranos tests, including the final venous draw. Parloff described the reporting behind his 2014 Fortune profile and testified that Holmes represented Theranos as offering a broad test menu, proprietary testing, high accuracy, military use, and pharmaceutical validation. He said she did not disclose before publication the broader use of conventional analyzers, narrower device capabilities, or accuracy and reliability problems, and did not explain Theranos's role in preparing reports carrying pharmaceutical-company names. According to Parloff, Holmes first described third-party analyzers in 2015 as a new practice for esoteric tests and later estimated that the proprietary device could perform 50, 60, or perhaps 70 tests. Cross-examination addressed Theranos's trade-secret restrictions, off-the-record ground rules, Parloff's sources, and the reliability of his notes. He acknowledged using leading questions in an unrecorded Siemens exchange, discarding the underlying handwritten notes under Fortune's retention policy, and a discrepancy about when he rediscovered that exchange. Several audio excerpts were played off the record, so their contents were not available in the proceeding transcript.

1. Roger Parloff Interview Designation Hearings and Rulings

Outside the jury's presence, the court ruled on Parloff interview excerpts and addressed subpoenaed medical records and the permitted scope of Erin Tompkins's testimony.

Procedural
Parloff Interview Designation Four Evidentiary Hearing and Ruling
119 lines

The court partially admitted a Parloff interview excerpt under Rule 106 for a limited state-of-mind purpose related to intent, while excluding the remainder as unnecessary context.

Procedural
Parloff Interview Designation Two Evidentiary Hearing and Ruling

The court rejected the defense's immediate bid to admit a Holmes-Parloff interview excerpt about patents and trade secrets as improper hearsay, while leaving open reconsideration after the government's clips were played.

Procedural
Dr. Asin Records Subpoena and Tompkins Examination Scope

The court limited questions about Erin Tompkins's physician communications and received records that Gerald Asin produced under a defense subpoena outside the jury's presence.

Highlights

3. Mark Burnes — Direct/Cross/Redirect

Prosecution expert Mark Burnes addressed inconsistent Theranos PSA results, laboratory error, and the importance of confirming a concerning result before further intervention.

Direct
Mark BurnesJeff Schenk
302 lines

Physician Mark Burnes traced sharply conflicting Theranos PSA results for Mehrl Ellsworth, his requests for repeated testing, and later reports voiding two results. He opined that the initial 26.1 result was invalid.

Cross
Mark BurnesKatherine Trefz
276 lines

Burnes acknowledged Theranos's early appeal, limited his reported use of its testing, and said he knew of no earlier Theranos problem besides Ellsworth's PSA result. He accepted that laboratory errors and method differences occur but characterized significant PSA errors as rare and expected ordinary variation to be small.

Redirect
Mark BurnesJeff Schenk
51 lines

Burnes said Ellsworth's reported PSA value of 26 was abnormal but emphasized trends, repeat testing, and confirmation before further intervention.

Highlights

5. Roger Parloff — Direct/Cross

Roger Parloff testified throughout the day about his Fortune profile of Holmes and Theranos, then faced cross-examination on confidentiality, sources, note-taking, and an unrecorded Siemens conversation. Two counsel-consultation breaks addressed privilege concerns before the day ended with matters outside the jury's presence.

Direct
Roger ParloffJohn C. Bostic
849 lines

Parloff tied Holmes's statements, recordings, emails, and Theranos materials to his 2014 Fortune profile and testified that significant device limitations and third-party analyzer use were not disclosed to him.

Cross
Roger ParloffJohn D. Cline
245 lines

Parloff described the Fortune profile's origins, research, trade-secret and off-the-record constraints, while the defense played three untranscribed audio excerpts and encountered repeated reporter-privilege assertions.

colloquy
Roger Parloff Privilege and Counsel-Consultation Colloquy

The court recessed so Parloff could consult counsel, then resumed after he confirmed he was ready to continue.

Cross
Roger ParloffJohn D. Cline
74 lines

Parloff confirmed a broad set of sources and positive external information behind his reporting, acknowledged that a confidential laboratory was Quest, and denied that competitors supplied the criticisms he raised with Holmes.

colloquy
Roger Parloff Privilege Consultation Colloquy

The court took a brief standing break so Roger Parloff could consult counsel, then resumed after confirming that the consultation had occurred.

Cross
Roger ParloffJohn D. Cline
219 lines

Parloff described the limits of his shorthand-based interview records as the defense challenged his unrecorded Siemens conversation and a discrepancy over when he rediscovered it; the court later reaffirmed its Jencks-material order.

Highlights

Roger Parloff — Directtestimony highlightAfter the Theranos presentation and a recorded interview were introduced, Parloff testified that Holmes repeatedly described a test range exceeding 200 tests and never told him before publication that the Theranos device's range was substantially narrower.Roger Parloff — Directevidence eventParloff identified a Pfizer-labeled validation report Holmes sent for his article and said she did not tell him that Theranos had generated the report's content or that its favorable conclusions were not Pfizer's conclusions.Roger Parloff — Directtestimony highlightParloff recounted asking Holmes directly whether Theranos kept Siemens analyzers for overflow or used them when its own platform could not perform a test; he understood her responses as denials and said his notes preserved the exchange.Roger Parloff — Directtestimony highlightParloff said Holmes first mentioned third-party analyzers to him in May 2015, describing their use as a new practice for rarely ordered or highly complex tests rather than disclosing broader earlier use.Roger Parloff — Direct“WELL, IT WAS, IT WAS REALLY ABOUT THE LEGISLATIVE STUFF. BUT SHE, SHE DID BRING UP AS AN ASIDE THAT THERE WAS SOMETHING NEW THAT THEY HAD STARTED DOING THIS YEAR, MEANING 2015, AND THAT WAS THAT THEY HAD BEGUN USING THIRD PARTY MACHINES TO DO ESOTERIC TESTS, SHE CALLED THEM ESOTERIC TESTS. AND SHE DEFINED ESOTERIC TESTS AS TESTS THAT WERE SELDOM ORDERED OR HIGHLY COMPLEX, AND THEY WOULD DO THOSE WITH A THIRD PARTY MACHINE AND BY VENIPUNCTURE BECAUSE -- IN ESSENCE TO OFFER ONE STOP SHOPPING SO THAT PEOPLE WOULD -- THEY WOULDN'T HAVE TO REFER THOSE OUT TO A SPECIALTY LAB.”— Roger ParloffParloff described the first disclosure he recalled receiving about Theranos's use of third-party machines and preserved Holmes's stated limitation of that use.Roger Parloff — Direct“I ASKED, HOW MANY TESTS COULD YOU DO ON YOUR PROPRIETARY DEVICE AS OF DECEMBER 2014, WHICH WAS THE DATE REFERENCED IN "THE WALL STREET JOURNAL" ARTICLE. THEY HAD A NUMBER IN THERE. AND SHE RESPONDED 50, 60, MAYBE 70. WE CAN GET YOU THAT NUMBER.”— Roger ParloffParloff recalled receiving a materially lower capability figure after earlier discussions of hundreds or more tests.Roger Parloff — Crosstestimony highlightParloff explained that "off the record" could have different meanings depending on context, but agreed that material designated off the record during the 2014 interviews was not to be used in the Fortune article.Roger Parloff — Cross ResumedconfrontationThe defense challenged the reliability of Parloff's unrecorded May 2014 Siemens conversation by emphasizing his leading questions, Holmes's brief verbal responses, and the absence of both a recording and the original handwritten notes. The court allowed Parloff to explain why he framed the questions that way.Roger Parloff — Cross Resumed“YES, BUT ONLY BECAUSE I, I DIDN'T WANT TO -- I THOUGHT IT WAS ALREADY OBVIOUS AND I DIDN'T WANT TO OFFEND HER. I WOULD SAY, LOOK, YOU'RE NOT SAYING THIS, ARE YOU? I JUST WANT TO BE CLEAR.”— Roger ParloffParloff acknowledged using leading questions in the Siemens conversation while explaining that he intended to confirm what he believed was already apparent.
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