Decision-Making & Behavioral

Theranos

Theranos · Healthcare / biotech · 2003-2018 Intermediate

Featuring Elizabeth Holmes

By 2015, Theranos was valued at roughly $9 billion on the promise of a machine that could run hundreds of tests from a single finger-prick of blood. There was one problem: the technology did not work, and Elizabeth Holmes knew it. The company kept promising a product that did not exist, and each time investors, partners, or patients showed up, it found a new way to fake the result rather than admit the gap.

Founders will recognize the trap long before they recognize the fraud. This case sits on the line between a stretch goal and a lie, and it sharpens the hardest judgment call a leader makes: when the honest answer is "this isn't working," but sunk cost, outside pressure, and your own identity all pull the other way. It is less about a villain than about the structural forces that make smart, ambitious people unable to stop. What pulls a company back from that edge is the part worth opening the app for.

Topics
  • Theranos
  • Elizabeth Holmes
  • escalation of commitment
  • sunk cost
  • fraud
  • startup failure
  • blood testing
  • biotech
  • board governance
  • Silicon Valley

Apply this case

Don't just read it. Apply it.

CaseBook turns this story into a move you use this week, with an AI coach that pressure-tests your thinking against your own company.

Coming soon to the App Store

7-day free trial, then $5.99/mo or $49.99/yr. Cancel anytime.