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    SEC Form 10-Q filed by OraSure Technologies Inc.

    5/8/26 4:09:59 PM ET
    $OSUR
    Medical/Dental Instruments
    Health Care
    Get the next $OSUR alert in real time by email
    osur-20260331
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    Table of Contents
    UNITED STATES
    SECURITIES AND EXCHANGE COMMISSION
    Washington, D.C. 20549
    ______________________________________
    FORM 10-Q
    ______________________________________
    (Mark One)
    x
    QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
    For the quarterly period ended March 31, 2026.
    OR
    o
    TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
    For the transition period from _________to _________ .
    Commission File Number 001-16537
    ______________________________________
    ORASURE TECHNOLOGIES, INC.
    (Exact Name of Registrant as Specified in Its Charter)
    ______________________________________
    Delaware36-4370966
    (State or Other Jurisdiction of
    Incorporation or Organization)
    (IRS Employer Identification No.)
    220 East First Street, Bethlehem, Pennsylvania
    18015
    (Address of Principal Executive Offices)(Zip code)
    Registrant’s telephone number, including area code: (610) 882-1820
    ______________________________________
    Securities registered pursuant to Section 12(b) of the Act:
    Title of each classTrading
    Symbol(s)
    Name of each exchange on which registered
    Common Stock, $0.000001 par value per shareOSURThe NASDAQ Stock Market LLC
    Indicate by check mark whether the Registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the Registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes  x    No  o
    Indicate by check mark whether the Registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the Registrant was required to submit such files).    Yes  x    No  o
    Indicate by check mark whether the Registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
    Large accelerated fileroAccelerated filerx
    Non-accelerated fileroSmaller reporting companyo
    Emerging growth companyo


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    If an emerging growth company, indicate by check mark if the Registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.    o
    Indicate by checkmark whether the Registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).   Yes  o    No  x
    As of April 30, 2026, the registrant had 68,848,553 shares of common stock, $0.000001 par value per share, outstanding.


    Table of Contents

    FORWARD-LOOKING STATEMENTS
    This Quarterly Report on Form 10-Q contains certain “forward-looking statements” within the meaning of the Federal securities laws. These may include statements about the Company's expected revenues, earnings/losses per share, net income (loss), expenses, cash flow or other financial performance, or developments, clinical trial or development activities, expected regulatory filings and approvals, planned business transactions, views of future industry, competitive or market conditions, and other factors that could affect the Company's future operations, results of operations or financial position. These statements often include words, such as “believes,” “expects,” “anticipates,” “intends,” “plans,” “estimates,” “may,” “will,” “should,” “could,” or similar expressions.
    Forward-looking statements are not guarantees of future performance or results. Known and unknown factors that could cause actual performance or results to be materially different from those expressed or implied in these statements include, but are not limited to:
    •Market acceptance of, and the Company's ability to market and sell, its products and services, whether through its internal, direct sales force or third parties;
    •The Company's ability to obtain, and timing and cost of obtaining, necessary regulatory approvals for new products or new indications or applications for existing products; ability to comply with applicable regulatory requirements;
    •Failure of distributors or other customers to meet purchase forecasts, historic purchase levels or minimum purchase requirements for the Company's products;
    •Significant customer concentrations that exist or may develop in the future;
    •The Company's ability to manufacture products in accordance with applicable specifications, performance standards and quality requirements;
    •The impact of negative geopolitical and economic conditions on the Company's business, including its ability to maintain sales at existing levels;
    •The Company's ability to effectively resolve warning letters, audit observations and other findings or comments from the U.S. Food and Drug Administration (the "FDA"), or other regulators;
    •Changes in relationships, including disputes or disagreements, with strategic partners or other parties and reliance on strategic partners for the performance of critical activities under collaborative arrangements;
    •The Company's ability to meet increased demand for its products;
    •The impact of replacing distributors on the Company's business;
    •Inventory levels at distributors and other customers;
    •The Company's ability to achieve its financial and strategic objectives and to increase its revenues, including the ability to expand international sales;
    •The impact of competitors, competing products and technology changes on the Company's business;
    •Reduction or deferral of public funding available to customers;
    •Competition from new or better technology or lower cost products;
    •The Company's ability to develop, commercialize and market new products;
    •Changes in market acceptance of products based on product performance or other factors, including changes in testing guidelines, algorithms or other recommendations by the Centers for Disease Control and Prevention (the "CDC") or other agencies; ability to fund research and development and other products and operations;


    Table of Contents
    •The Company's ability to fulfill ongoing commitments under contracts with the U.S. government relating to InteliSwab® COVID-19 Rapid Tests manufacturing capacity;
    •The Company's ability to obtain and maintain new or existing product distribution channels;
    •Reliance on sole supply sources for critical products and components;
    •Availability of related products produced by third parties or products required for use of the Company's products;
    •The impact of contracting with the U.S. government on the Company's business;
    •The Company's ability to maintain sustained profitability;
    •The Company's ability to increase its gross margins;
    •The ability to utilize net operating loss carryforwards or other deferred tax assets;
    •Volatility of the Company's stock price;
    •Uncertainty relating to patent protection and potential patent infringement claims;
    •Uncertainty and costs of litigation relating to patents and other intellectual property;
    •Availability of licenses to patents or other technology;
    •Ability to enter into international manufacturing agreements;
    •Obstacles to international marketing and manufacturing of products, including international in-country value-added assembly or "near-shoring";
    •The impact of changes in international funding sources and testing algorithms on international sales;
    •Adverse movements in foreign currency exchange rates;
    •Loss or impairment of sources of capital;
    •The Company's ability to attract and retain qualified personnel;
    •The Company's exposure to product liability and other types of litigation;
    •Changes in international, federal or state laws and regulations;
    •Customer consolidations and inventory practices;
    •Equipment failures and ability to obtain needed raw materials and components;
    •The impact of terrorist attacks and civil unrest; and
    •General political, business and economic conditions, including inflationary pressures and tariffs.
    These and other factors that could affect the Company's results are discussed more fully under the section titled “Risk Factors,” set forth in Part II, Item 1A of this Quarterly Report on Form 10-Q, if any, in Part I, Item 1A of the Company's Annual Report on Form 10-K for the fiscal year ended December 31, 2025 filed with the Securities and Exchange Commission (the “SEC”) on March 9, 2026, and in subsequent SEC filings. Although forward-looking statements help to provide information about future prospects, readers should keep in mind that forward-looking statements may not be reliable. Readers are cautioned not to place undue reliance on the forward-looking statements. The forward-looking statements are made as of the date of this report and the Company undertakes no duty to update these statements, unless it is required to do so by law. If the Company does update one or more forward-looking statements, no inference should be


    Table of Contents
    drawn that it will make updates with respect to other forward-looking statements or that it will make any further updates to those forward-looking statements at any future time.
    Investors should also be aware that while the Company does, from time to time, communicate with securities analysts, it is against the Company's policy to disclose any material non-public information or other confidential commercial information. Accordingly, stockholders should not assume that the Company agrees with any statement or report issued by any analyst irrespective of the content of the statement or report. Furthermore, the Company has a policy against issuing or confirming financial forecasts or projections issued by others. Thus, to the extent that reports issued by securities analysts contain any projections, forecasts or opinions, such reports are not the responsibility of OraSure.


    Table of Contents
    PART I. FINANCIAL INFORMATION
    Page
    No.
    Item 1. Financial Statements (Unaudited)
    3
    Consolidated Balance Sheets at March 31, 2026 and December 31, 2025
    3
    Consolidated Statements of Operations for the Three Months Ended March 31, 2026 and 2025
    4
    Consolidated Statements of Comprehensive Loss for the Three Months Ended March 31, 2026 and 2025
    5
    Consolidated Statements of Cash Flows for the Three Months Ended March 31, 2026 and 2025
    6
    Notes to the Consolidated Financial Statements
    7
    Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
    20
     
    Item 3. Quantitative and Qualitative Disclosures About Market Risk
    24
    Item 4. Controls and Procedures
    24
    PART II. OTHER INFORMATION
    Item 1. Legal Proceedings
    25
    Item 1A. Risk Factors
    25
    Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
    25
    Item 3. Defaults Upon Senior Securities
    26
    Item 4. Mine Safety Disclosures
    26
    Item 5. Other Information
    26
    Item 6. Exhibits
    26
    Signatures
    27


    Table of Contents
    Item 1. FINANCIAL STATEMENTS (UNAUDITED)
    ORASURE TECHNOLOGIES, INC. AND SUBSIDIARIES
    CONSOLIDATED BALANCE SHEETS
    (Unaudited)
    (in thousands, except per share amounts)
    March 31, 2026December 31, 2025
    ASSETS
    Current Assets:
    Cash and cash equivalents$176,964 $199,278 
    Accounts receivable, net of allowance for doubtful accounts of $253 and $188
    24,807 22,203 
    Inventories30,307 31,060 
    Prepaid expenses5,225 5,221 
    Income tax receivable1,608 — 
    Other current assets1,870 4,146 
    Total current assets240,781 261,908 
    Noncurrent Assets:
    Property, plant and equipment, net of accumulated depreciation 37,857 39,179 
    Operating right-of-use assets, net11,548 11,996 
    Finance right-of-use assets, net203 146 
    Intangible assets, net of accumulated amortization of $26,977 and $27,180
    18,940 19,046 
    Goodwill43,047 43,363 
    Investment in equity method investee24,868 25,956 
    Deferred tax asset643 271 
    Other noncurrent assets1,282 1,303 
    Total noncurrent assets138,388 141,260 
    TOTAL ASSETS$379,169 $403,168 
    LIABILITIES AND STOCKHOLDERS' EQUITY
    Current Liabilities:
    Accounts payable$10,628 $6,521 
    Deferred revenue872 1,518 
    Accrued expenses and other current liabilities11,590 11,149 
    Finance lease liability83 63 
    Operating lease liability2,134 2,164 
    Acquisition-related contingent consideration obligation18,777 18,380 
    Total current liabilities44,084 39,795 
    Noncurrent Liabilities:
    Finance lease liability143 100 
    Operating lease liability10,299 10,870 
    Acquisition-related contingent consideration obligation9,029 9,333 
    Other noncurrent liabilities2,290 2,243 
    Total noncurrent liabilities21,761 22,546 
    TOTAL LIABILITIES65,845 62,341 
    Commitments and contingencies (Note 12)
    STOCKHOLDERS' EQUITY
    Preferred stock, par value $0.000001, 25,000 shares authorized, none issued
    — — 
    Common stock, par value $0.000001, 120,000 shares authorized, 69,397 and 70,391 shares issued and outstanding
    — — 
    Additional paid-in capital527,900 531,393 
    Accumulated other comprehensive loss(20,037)(18,404)
    Accumulated deficit(194,539)(172,162)
    Total stockholders' equity313,324 340,827 
    TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY$379,169 $403,168 
    See accompanying notes to the consolidated financial statements.
    3

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    ORASURE TECHNOLOGIES, INC. AND SUBSIDIARIES
    CONSOLIDATED STATEMENTS OF OPERATIONS
    (Unaudited)
    (in thousands, except per share amounts)
    For the Three Months Ended March 31,
    20262025
    NET REVENUES:
    Products and services$26,376 $28,997 
    Other1,549 934 
    27,925 29,931 
    COST OF PRODUCTS AND SERVICES SOLD16,121 17,632 
    Gross profit11,804 12,299 
    OPERATING EXPENSES:
    Research and development13,654 9,603 
    Sales and marketing6,770 6,859 
    General and administrative14,556 14,102 
    Change in the estimated fair value of acquisition-related contingent consideration93 478 
    Gain on sale of assets— (993)
    35,073 30,049 
    Operating loss(23,269)(17,750)
    OTHER INCOME1,548 1,778 
    Loss before income taxes and equity investment(21,721)(15,972)
    INCOME TAX BENEFIT(432)(456)
    LOSS BEFORE EQUITY INVESTMENT(21,289)(15,516)
    LOSS ON EQUITY INVESTMENT (1,088)(524)
    NET LOSS $(22,377)$(16,040)
    LOSS PER SHARE:
    BASIC$(0.32)$(0.21)
    DILUTED$(0.32)$(0.21)
    SHARES USED IN COMPUTING LOSS PER SHARE:
    BASIC69,67574,867
    DILUTED69,67574,867
    See accompanying notes to the consolidated financial statements.
    4

    Table of Contents
    ORASURE TECHNOLOGIES, INC. AND SUBSIDIARIES
    CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS
    (Unaudited)
    (in thousands)
    For the Three Months Ended March 31,
    20262025
    NET LOSS(22,377)(16,040)
    OTHER COMPREHENSIVE (LOSS) INCOME
    Currency translation adjustments(1,633)238 
    COMPREHENSIVE LOSS$(24,010)$(15,802)
    See accompanying notes to the consolidated financial statements.
    5

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    ORASURE TECHNOLOGIES, INC. AND SUBSIDIARIES
    CONSOLIDATED STATEMENTS OF CASH FLOWS
    (Unaudited)    
    (in thousands)
    For the Three Months Ended March 31,
    20262025
    OPERATING ACTIVITIES:
    Net loss$(22,377)$(16,040)
    Adjustments to reconcile net loss to net cash used in operating activities
    Stock-based compensation2,768 2,687 
    Depreciation and amortization2,341 2,808 
    Other non-cash amortization(82)(37)
    Provision for credit losses66 (248)
    Unrealized foreign currency (gain) loss(153)194 
    Interest expense on finance leases3 2 
    Loss on equity investment1,088 524 
    Deferred income taxes(354)(384)
    Gain on sale of fixed assets— (780)
    Change in the estimated fair value of acquisition-related contingent consideration93 478 
    Changes in assets and liabilities:
    Accounts receivable(2,621)2,413 
    Inventories714 (1,482)
    Prepaid expenses and other assets583 (2,075)
    Accounts payable4,104 (726)
    Deferred revenue(645)(451)
    Accrued expenses and other liabilities577 (6,616)
    Net cash used in operating activities(13,895)(19,733)
    INVESTING ACTIVITIES:
    Proceeds from sale of assets— 790 
    Purchases of property and equipment(913)(420)
    Net cash (used in) provided by investing activities(913)370 
    FINANCING ACTIVITIES:
    Cash payments for lease liabilities(21)(12)
    Repurchase of common stock(5,000)— 
    Payment of taxes related to net share settlement of equity awards(1,261)(941)
    Net cash used in financing activities(6,282)(953)
    EFFECT OF FOREIGN EXCHANGE RATE CHANGES ON CASH(1,224)122 
    NET DECREASE IN CASH AND CASH EQUIVALENTS(22,314)(20,194)
    CASH AND CASH EQUIVALENTS, BEGINNING OF PERIOD199,278 267,763 
    CASH AND CASH EQUIVALENTS, END OF PERIOD$176,964 $247,569 
    SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION:
    (Refund received) cash paid for income taxes$(75)$1,796 
    Non-cash investing and financing activities
               Accrued property and equipment purchases$471 $163 
    See accompanying notes to the consolidated financial statements.
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    ORASURE TECHNOLOGIES, INC. AND SUBSIDIARIES
    NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
    (all tabular amounts in thousands)
    1.    SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES:
    Principles of Consolidation and Basis of Presentation
    The accompanying interim unaudited consolidated financial statements include the accounts of OraSure Technologies, Inc. (“OraSure”) and its wholly-owned subsidiaries, DNA Genotek Inc. (“DNAG”), Diversigen, Inc. (“Diversigen”), Sherlock Biosciences, Inc. ("Sherlock"), and BioMedomics, Inc. ("BioMedomics"). Novosanis NV ("Novosanis") was a subsidiary of OraSure until it was legally dissolved in June 2025. All intercompany transactions and balances have been eliminated. References herein to “we,” “us,” “our,” or the “Company” mean OraSure and its consolidated subsidiaries, unless otherwise indicated. The unaudited financial statements, in the opinion of management, include all adjustments (consisting only of normal and recurring adjustments) necessary for a fair presentation of the Company's financial position and results of operations for these interim periods. These financial statements should be read in conjunction with the financial statements and notes thereto included in the Company's Annual Report on Form 10-K for the fiscal year ended December 31, 2025. Results of operations for the three months ended March 31, 2026 are not necessarily indicative of the results of operations expected for the full year.
    Summary of Significant Accounting Policies
    There have been no changes to the Company's significant accounting policies described in its Annual Report on Form 10-K for the fiscal year ended December 31, 2025 that have had a material impact on the consolidated financial statements and related notes except as discussed herein.
    Cash Equivalents & Short-Term Investments
    The Company considers all investments in debt securities to be available-for-sale securities. These securities consist of guaranteed investment certificates purchased with maturities greater than ninety days and are considered short-term investments. Securities with maturities ninety days or less are considered cash equivalents. Available-for-sale securities are carried at fair value, based upon quoted market prices, with unrealized gains and losses, if any, reported in stockholders’ equity as a component of accumulated other comprehensive loss.
    The Company records an allowance for credit loss for the Company's available-for-sale securities when a decline in investment market value is due to credit-related factors. When evaluating an investment for impairment, the Company reviews factors such as the severity of the impairment, changes in underlying credit ratings, forecasted recovery, the Company’s intent to sell or the likelihood that it would be required to sell the investment before its anticipated recovery in market value, and the probability that the scheduled cash payments will continue to be made.
    The Company maintains cash balances in the United States in excess of the federally insured limits. The Company periodically evaluates financial institutions and believes the risk of loss to be remote due to this evaluation.
    Fair Value of Financial Instruments
    As of March 31, 2026 and December 31, 2025, the carrying values of cash and cash equivalents, accounts receivable, accounts payable, and accrued expenses approximate their respective fair values based on their short-term nature.
    Fair value measurements of all financial assets and liabilities that are being measured and reported on a fair value basis are required to be classified and disclosed in one of the following three categories:
    Level 1: Unadjusted quoted prices in active markets that are accessible at the measurement date for identical, unrestricted assets or liabilities;
    Level 2: Quoted prices in markets that are not active, or inputs which are observable, either directly or indirectly, for substantially the full term of the asset or liability; and
    Level 3: Prices or valuation techniques that require inputs that are both significant to the fair value measurement and unobservable (i.e., supported by little or no market activity).
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    To the extent that valuation is based on models or inputs that are unobservable in the market, determining fair value requires more judgment. Because of the inherent uncertainty of valuation, estimated values may be materially higher or lower than the values that would have been used had a ready market for the investments existed. Therefore, the degree of judgment exercised in determining fair value is greatest for assets or liabilities categorized in Level 3. The following table provides a summary of the recognized assets and liabilities that are measured at fair value on a recurring basis:
    March 31,December 31,
    Level20262025
    Guaranteed investment certificates1$12,985 $13,114 
    Trading securities1466 543 
    Contingent consideration:3
    Current portion$18,777 $18,380 
    Long-term portion9,029 9,333 
    $27,806 $27,713 
    Included in cash and cash equivalents at March 31, 2026 and December 31, 2025 was $13.0 million and $13.1 million, respectively, invested in guaranteed investment certificates.
    Included in cash and cash equivalents at March 31, 2026 and December 31, 2025, was $69.0 million and $68.4 million, respectively, invested in government money market funds. These funds have investments in U.S. government securities and are measured as Level 1 instruments.
    The Company offers a nonqualified deferred compensation plan for certain eligible employees and members of the Company's Board of Directors. The assets of the plan are held in the name of the Company at a third-party financial institution. The Company paused the plan in January 2026 and is no longer allowing new participants to enter the plan. Separate accounts are maintained for each participant to reflect the amounts deferred by the participant and all earnings and losses on those deferred amounts. The assets of the plan are held in mutual funds and Company stock. The fair value of the plan assets as of March 31, 2026 and December 31, 2025 was $0.5 million, and was calculated using the quoted market prices of the assets as of those dates. All investments in the plan are classified as trading securities and measured as Level 1 instruments. The fair value of plan assets is included in both current assets and other noncurrent assets with the same amounts included in accrued expenses and other noncurrent liabilities in the accompanying consolidated balance sheets.
    Contingent Consideration
    The Company has identified its contingent consideration obligations as Level 3 liabilities due to significant inputs that are required to measure the fair value of these obligations. The contingent consideration is comprised of three different tranches: milestone payments, royalty payments, and earnout payments. The significant quantitative unobservable inputs for the milestone payments are the discount rate and probability of achieving regulatory approval milestones.
    The fair value methodology for royalty payments is based on a discounted cash flow model. Significant quantitative unobservable inputs are internally developed future expected cash flows, discount rate and probability achievement of a milestone of a regulatory approval. The royalty payments represent a mid-single digit percentage of the net sales through 2034 associated with the acquired in-process and research and development intangible asset.
    The fair value methodology for earnout payments is based on a Monte Carlo model. Significant quantitative unobservable inputs are future expected cash flows, discount rate and volatility rate.
    There was an increase of $4.7 million in the fair value of the Company's contingent consideration from date of acquisition to March 31, 2026 due to the milestone and royalty payments.
    Fair Value
    Balance at December 31, 2025$27,713 
    Additions— 
    Change in fair value93 
    Balance at March 31, 2026$27,806 
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    Equity Method Investee
    In January 2024, the Company led the Series B financing and entered into wide-ranging strategic distribution agreements with KKR Sapphiros L.P. ("Sapphiros"), a privately held consumer diagnostic portfolio company, and certain of its related entities. Through this relationship, the Company expects to be able to offer a more comprehensive range of low-cost diagnostic tests and molecular sample management solutions to the Company's customers globally. As of March 31, 2026, the Company had funded $30.0 million for its interest in Sapphiros. The Company recorded the investment using the equity method in accordance with Accounting Standards Codification ("ASC") Topic 323, Investments—Equity Method and Joint Ventures—Overall. In accordance with the equity method, the Company's equity investment is presented net of its share of any gains or losses of the investee. The Company has elected as its accounting policy to recognize its share of any income or loss in Sapphiros on a three-month lag. The value of the investment in Sapphiros of $24.9 million as of March 31, 2026 is included in the investment in equity method investee line of the Company's balance sheet. The Company has no unconditional obligations or guarantees to, or in support of, its equity method investee and its operations. In conjunction with the preparation of the Company's March 31, 2026 financial statements, the Company evaluated the investment in Sapphiros for impairment and concluded there was no such impairment. The Company's investment in Sapphiros was valued at $26.0 million as of December 31, 2025.
    Related Party
    The Company loaned Sapphiros $0.3 million during the year ended December 31, 2025. The loan plus interest is due in December 2026. During the year ended December 31, 2025, the Company entered into an agreement with Sapphiros to develop certain products for Sapphiros. A total of $0.1 million of revenue was recognized from this agreement for the three months ended March 31, 2026. No equivalent amount was recognized for the three months ended March 31, 2025.
    Uncertain Tax Positions
    Assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions fail to meet the "more likely than not" threshold based on the technical merits of the positions. The Company assesses whether previously unrecognized tax benefits may be recognized when tax positions are (1) more likely than not of being sustained based on their technical merits, (2) effectively settled through examination, negotiation or litigation, or (3) settled through actual expiration of the relevant tax statutes. The assessment of an uncertain tax position requires significant judgment.
    Foreign Currency Transactions
    Net foreign exchange gains (losses) resulting from foreign currency transactions that are included in other income in the Company's consolidated statements of operations were $0.2 million and $(0.4) million for the three months ended March 31, 2026 and 2025, respectively.
    Accumulated Other Comprehensive Loss
    Change in accumulated other comprehensive loss by component is listed below:
    Foreign CurrencyTotal
    Balance at December 31, 2025$(18,404)$(18,404)
    Other comprehensive loss(1,633)(1,633)
    Balance at March 31, 2026$(20,037)$(20,037)
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    Recent Accounting Pronouncements
    In November 2024, the Financial Accounting Standards Board ("FASB") issued Accounting Standard Update ("ASU") No. 2024-03, Income Statement—Reporting Comprehensive Income—Expense Disaggregation Disclosures (Subtopic 220-40), Disaggregation of Income Statement Expenses. The purpose of this update was to require disclosure, in the notes to financial statements, of specified information about certain costs and expenses on a disaggregated basis. The amendments in the ASU are effective for all public business entities for annual periods beginning after December 15, 2026, and interim periods beginning after December 15, 2027, with early adoption permitted. The amendments are to be applied either prospectively to financial statements issued for reporting periods after the effective date of the update or retrospectively to any or all prior periods presented in the financial statements. Management is evaluating the impact on the Company's consolidated financial statements.
    In July 2025, the FASB issued ASU No. 2025-05, Financial Instruments—Credit Losses (Topic 326), Measurement of Credit Losses for Accounts Receivable and Contract Assets. The purpose of this update was to address challenges encountered when applying the guidance in Topic 326, Financial Instruments—Credit Losses, to current accounts receivable and current contract assets arising from transactions accounted for under Topic 606, Revenue from Contracts with Customers. For all business entities, the amendments in this ASU are effective for fiscal years beginning after December 15, 2025, and interim periods within those fiscal periods. The amendments are applied prospectively, and early adoption is permitted. Management does not expect a material impact on the Company's consolidated financial statements.
    In September 2025, the FASB issued ASU No. 2025-06, Intangibles—Goodwill and Other—Internal-Use Software (Subtopic 350-40), Targeted Improvements to the Accounting for Internal-Use Software. The purpose of this update was to modernize the accounting for software costs. For all business entities, the amendments in this ASU are effective for fiscal years beginning after December 15, 2027, and interim periods within those fiscal periods. The amendments can be applied prospectively, a modified transition or retrospectively. Early adoption is permitted as of the beginning of an annual reporting period. Management does not expect a material impact on the Company's consolidated financial statements.
    In December 2025, the FASB issued ASU No. 2025-10, Government Grants (Topic 832), Accounting for Government Grants Received by Business Entities. The purpose of this update was to improve US GAAP by establishing authoritative guidance on the accounting for government grants received by business entities. For public business entities, the amendments in this ASU are effective for annual reporting periods beginning after December 15, 2028, and interim reporting periods within those annual reporting periods. Early adoption is permitted in both interim and annual reporting periods in which financial statements have not yet been issued or made available for issuance. The amendments can be applied under a modified prospective approach, a modified retrospective approach, or a retrospective approach. Management is evaluating the impact on the Company's consolidated financial statements.
    In December 2025, the FASB issued ASU No. 2025-11, Interim Reporting (Topic 270), Narrow-Scope Improvements. The purpose of this update was to improve the navigability of the required interim disclosures and clarifying when that guidance is applicable. The update also provides additional guidance on what disclosures should be provided in interim periods and adds a principal that requires entities to disclose events since the end of the last annual reporting period that have a material impact on the entity. For public business entities, the amendments in this ASU are effective for interim reporting periods within annual reporting periods beginning after December 15, 2027. Early adoption is permitted. The amendments in this update can be applied either prospectively or retrospectively to any or all prior periods presented in the financial statements. Management is evaluating the impact on the Company's consolidated financial statements.
    2.    INVENTORIES:
    March 31,December 31,
    20262025
    Raw materials$15,534 $14,831 
    Work in process1,042 56 
    Semi-finished goods2,581 1,965 
    Finished goods11,150 14,208 
    $30,307 $31,060 

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    3.    PROPERTY, PLANT, AND EQUIPMENT, NET:
    March 31,December 31,
    20262025
    Land$1,118 $1,118 
    Buildings and improvements39,047 39,071 
    Machinery and equipment46,349 46,202 
    Computer equipment and software11,752 11,101 
    Furniture and fixtures1,624 1,632 
    Construction in progress2,906 2,931 
    102,796 102,055 
    Accumulated depreciation(64,939)(62,876)
    $37,857 $39,179 
    4.    ACCRUED EXPENSES AND OTHER CURRENT LIABILITIES:
    March 31,December 31,
    20262025
    Payroll and related benefits$5,541 $5,255 
    Professional fees2,425 1,938 
    Sales tax payable1,044 1,152 
    Other2,580 2,804 
    $11,590 $11,149 
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    5.     TERMINATION BENEFITS:
    Q2 2024 Reduction in Workforce
    During the second quarter of 2024, the Company executed a reduction in workforce as the Company notified employees of its intention to consolidate its Novosanis site in Belgium into other locations by the end of December 31, 2024, discontinue the Diversigen molecular services line of business by the end of June 30, 2024, and consolidate facilities by bringing third-party manufacturing activities into its Pennsylvania facilities by the end of the third quarter of 2025.
    As of March 31, 2026 the Company had paid the full $1.7 million related to the reduction in workforce. No additional charges were incurred during the three months ended March 31, 2026. This reduction in workforce was completed by March 31, 2026.
    Q3 2024 Reduction in Workforce
    During the third quarter of 2024, the Company executed a reduction in workforce largely as the Company notified certain employees of its intention to discontinue its risk assessment business. Additional employees were notified in the fourth quarter of 2024.
    As of March 31, 2026, the Company had $0.1 million accrued and had paid $1.1 million related to the reduction in workforce. The Company expects this reduction in workforce to be completed by September 2026.

    Q1 2026 Reduction in Workforce

    During the first quarter of 2026, the Company executed a reduction in workforce to better align the Company's cost structure. The charges for termination benefits included in the Company's consolidated statements of operations are as follows:

    For the Three Months Ended March 31,
    2026
    Cost of products and services sold$65 
    Research and development264 
    Sales and marketing260 
    General and administrative680 
    $1,269 

    As of March 31, 2026, the Company had $1.0 million accrued and had paid $0.2 million related to the reduction in workforce. The Company expects this reduction in workforce to be completed by February 2027.
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    6.    REVENUES:
    Revenues by Product Line. The following table represents total net revenues by product line:
    For the Three Months Ended March 31,
    20262025
    HIV$13,019 $12,900 
    Sample Management Solutions (1)
    9,058 9,110 
    HCV2,663 4,333 
    Other product and services revenues (2)
    1,618 773 
    COVID-19 (3)
    18 461 
    Risk Assessment Testing (4)
    — 1,420 
    Net product and services revenues$26,376 $28,997 
    Non-product and services revenues (5)
    1,549 934 
    Net revenues$27,925 $29,931 
    (1) Includes Genomics, Microbiome and Colli-Pee® product revenues.
    (2) Includes Syphilis revenues and single order fulfillment.
    (3) Includes COVID-19 Diagnostics and COVID-19 Sample Management Solutions revenues.
    (4) Includes substance abuse testing product revenues.
    (5) Includes funded research and development contracts, royalty income and grant revenues.
    Revenues by Geographic Area. The following table represents total net revenues by geographic area, based on the location of the customer:
    For the Three Months Ended March 31,
    20262025
    United States$18,672 $20,335 
    Africa6,774 7,189 
    Europe1,449 1,637 
    Other regions1,030 770 
    $27,925 $29,931 
    Customer Concentrations. The following table represents customer concentration risk:
    For the Three Months Ended March 31,
    Net Revenues20262025
    Commercial customer12%N/A
    March 31,December 31,
    Accounts Receivable20262025
    Commercial customer (1)
    14%N/A
    Commercial customer (1)
    N/A15%
    (1) Each commercial customer is different.
    Vendor Concentrations. The Company currently purchases certain products and critical components of the Company's products from sole-supply vendors. If these vendors are unable or unwilling to supply the required components and products, the Company could be subject to increased costs and substantial delays in the delivery of the Company's products to its customers. Third-party suppliers also manufacture certain products. The Company's inability to have a timely supply of any of these components and products could have a material adverse effect on the Company's business, as well as the Company's financial condition and results of operations.
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    Deferred Revenue. The Company records deferred revenue when funds are received prior to the recognition of the associated revenue. Deferred revenue as of March 31, 2026 and December 31, 2025 was comprised of customer prepayments of $0.9 million and $1.2 million, respectively. Deferred revenue as of December 31, 2025 was also comprised of $0.4 million of unearned grant income. The Company had no unearned grant income in deferred revenue as of March 31, 2026.
    The following table represents deferred revenue recognized:
    For the Three Months Ended March 31,
    Deferred Revenue Recognized20262025
    Accrued at beginning of year$961 $771 
    7.    INCOME TAXES:
    The components of the income tax benefit are as follows:
    For the Three Months Ended March 31,
    20262025
    Federal income tax expense$3 $8 
    State income tax expense28 9 
    Foreign income tax benefit(463)(473)
    $(432)$(456)

    During the three months ended March 31, 2026 and 2025, the Company recorded income tax benefit of $0.4 million and $0.5 million, respectively. The three months ended March 31, 2026 and 2025 net tax benefits are due to having a U.S. and foreign pretax loss in 2026 and 2025, respectively.

    During the three months ended March 31, 2026 and 2025, the Company had an effective tax rate of 2.0% and 2.9%, respectively. The decrease in the Company's effective tax rate was primarily due to an increase in the valuation allowance associated with the Company's U.S. operations.
    Income tax expense reflects taxes due to the taxing authorities and the tax effects of temporary differences between the basis of assets and liabilities recognized for financial reporting and tax purposes, and net operating loss and tax credit carryforwards.
    A valuation allowance is recorded to the extent it is more likely than not that some portion or all of the deferred tax assets will not be realized. A full valuation allowance was recorded on the Company’s U.S. and U.K. deferred tax assets as of March 31, 2026 and December 31, 2025.
    Uncertain tax positions were approximately $2.0 million as of March 31, 2026 and December 31, 2025. The Company’s uncertain tax position relates to U.S. federal and other jurisdictions. Due to various factors, including the inherent complexities and uncertainties of the judicial, administrative, and regulatory processes in certain jurisdictions, the timing of the resolution of income tax controversies is highly uncertain, and the amounts ultimately paid, if any, upon resolution of the issues raised by the taxing authorities may differ from the amounts accrued. Any assessments or settlements could result in changes to our contingencies related to positions on prior years’ tax filings.
    8.    LOSS PER SHARE:
    Basic earnings (loss) per share is computed by dividing net income (loss) by the weighted-average number of shares of common stock outstanding during the period. Diluted earnings (loss) per share is computed in a manner similar to basic earnings (loss) per share except that the weighted-average number of shares outstanding is increased to include incremental shares from the assumed vesting or exercise of dilutive securities, such as common stock options, unvested restricted stock or performance stock units, unless the impact is anti-dilutive. The number of incremental shares is calculated by assuming that outstanding stock options were exercised and unvested restricted shares and performance stock units were vested, and the proceeds from such exercises or vesting were used to acquire shares of common stock at the average market price
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    during the reporting period. Basic and dilutive computations of net loss per share are the same in periods in which a net loss exists as the dilutive effects of excluded items would be anti-dilutive.
    For the three months ended March 31, 2026 and 2025, outstanding common stock options, unvested restricted stock, and unvested performance stock units representing 746 shares and 689 shares, respectively, were excluded from the computation of diluted loss per share.
    9.     STOCKHOLDERS' EQUITY:
    In March 2025, the Company's Board of Directors authorized a stock repurchase program (the "Repurchase Program") effective March 21, 2025, whereby the Company may purchase up to $40.0 million in shares of its common stock over a period of up to two years. The amount and timing of share repurchases under the Repurchase Program may be carried out at the discretion of the Company's management through various methods in compliance with applicable state and federal securities laws. The Company repurchased 1.8 million shares of its common stock under the Repurchase Program during the three months ended March 31, 2026. The Company did not repurchase any shares of the Company's common stock under the Repurchase Program during the three months ended March 31, 2025.
    The reconciliation of the changes in stockholders' equity for the three months ended March 31, 2026 and 2025 is as follows:
    Common StockAdditional Paid-in Capital Accumulated Other Comprehensive Loss Accumulated Deficit Total
    Shares Amount
    Balance at December 31, 202570,391 $— $531,393 $(18,404)$(172,162)$340,827 
    Vesting of restricted stock and performance stock units1,190 — — — — — 
    Purchase and retirement of common shares in satisfaction of minimum tax withholdings for vested restricted stock and performance stock units(416)— (1,261)— — (1,261)
    Stock-based compensation—— 2,768 — — 2,768 
    Shares repurchased and retired in connection with share repurchase program(1,768)— (5,000)— — (5,000)
    Net loss—— — — (22,377)(22,377)
    Currency translation adjustments—— — (1,633)— (1,633)
    Balance at March 31, 202669,397$— $527,900 $(20,037)$(194,539)$313,324 

    Common StockAdditional Paid-in CapitalAccumulated Other Comprehensive LossAccumulated DeficitTotal
    SharesAmount
    Balance at December 31, 202474,598 $— $538,129 $(24,360)$(103,431)$410,338 
    Vesting of restricted stock and performance stock units768 — — — — — 
    Purchase and retirement of common shares in satisfaction of minimum tax withholdings for vested restricted stock and performance stock units(252)— (941)— — (941)
    Stock-based compensation—— 2,687 — — 2,687 
    Net loss—— — — (16,040)(16,040)
    Currency translation adjustments—— — 238 — 238 
    Balance at March 31, 202575,114$— $539,875 $(24,122)$(119,471)$396,282 
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    10.    BUSINESS SEGMENT INFORMATION:
    The Company is organized on the basis of products and services into a single reportable segment. All products and services reside under the same reporting hierarchy. The Company's reportable segment derives its revenues from the sale of diagnostics products and sample management solutions, as described in Note 1 Summary of Significant Accounting Policies. As the Company has only one reportable segment, there are no inter-segment sales or transfers.
    The Company's Chief Operating Decision Maker ("CODM") is its Chief Executive Officer. The CODM uses consolidated net income (loss) as reported in the consolidated statement of operations as the primary measure of the reportable segment's profit or loss. The CODM uses consolidated net income (loss) to assess the performance of the segment and make decisions about resource allocation. Consolidated gross profit and consolidated operating income (loss), as reported in the consolidated statement of operations, are also used by the CODM as measures of segment profit or loss. The CODM uses gross profit to assess the impact of the Company's efforts to achieve manufacturing efficiencies and consolidate its production activities. The CODM uses operating income (loss) to assess the impact of the Company's recent restructurings, reduction in workforce, and efforts to streamline its operations to achieve cost savings. The CODM uses consolidated total assets as the measure of segment assets, as reported on the consolidated balance sheet.
    The accounting policies of the Company's reportable segment are the same as those described in Note 1 Summary of Significant Accounting Policies.
    The following table represents total long-lived assets by geographic area:
    March 31,December 31,
    20262025
    United States$35,387 $36,254 
    United Kingdom9,527 10,061 
    Canada4,352 4,642 
    Other regions342 364 
    $49,608 $51,321 


















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    The following table represents reported segment revenues, segment profit (loss), and significant segment expenses:
    For the Three Months Ended March 31,
    20262025
    Net revenues$27,925 $29,931 
    Cost of products and services sold (2)
    16,121 17,632 
    Gross profit11,804 12,299 
    Research and development (2)
    13,654 9,603 
    Sales and marketing (2)
    6,770 6,859 
    General and administrative (2)
    14,556 14,102 
    Change in the estimated fair value of acquisition-related contingent consideration93 478 
    Gain on sale of assets— (993)
    Operating loss(23,269)(17,750)
    Other income (expense)169 (21)
    Interest revenue1,220 2,156 
    Other segment items (1)
    159 (357)
    Loss before income taxes and equity investment(21,721)(15,972)
    Income tax benefit(432)(456)
    Loss on equity investment(1,088)(524)
    Net loss$(22,377)$(16,040)

    (1) Includes interest expense and foreign currency gains (losses).
    (2) The following tables represent additional significant segment expense categories:
    For the Three Months Ended March 31,
    20262025
    Stock-based Compensation
    Cost of products and services sold$190 $169 
    Research and development280 203 
    Sales and marketing204 218 
    General and administrative2,094 2,097 
    $2,768 $2,687 
    For the Three Months Ended March 31,
    20262025
    Depreciation & Amortization
    Cost of products and services sold$992 $1,389 
    Research and development349 485 
    Sales and marketing2 27 
    General and administrative998 907 
    $2,341 $2,808 
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    11.     BUSINESS COMBINATIONS:
    BioMedomics
    On November 12, 2025, the Company acquired all of the outstanding stock of BioMedomics, pursuant to the terms of an acquisition agreement (the "Acquisition Agreement"). The Company began operating this entity as of the November 12, 2025 closing date.
    The primary reason for the acquisition of BioMedomics was to expand the Company's diagnostic portfolio by adding SickleSCAN®, a rapid, point-of-need test for sickle cell disease that is sold outside of the United States.
    The initial aggregate purchase price of this transaction was funded with cash on hand as shown in the table below:
    Cash paid to BioMedomics$2,865 
    Transaction expenses403 
    Debt paid off330 
    Earnout contingent consideration233 
    Expense fund40 
    Initial aggregate purchase price$3,871 
    Pursuant to the Acquisition Agreement, the Company agreed to pay up to $5.0 million of contingent consideration based on the achievement of sales thresholds before December 31, 2031. The acquisition-date fair value of the earnout contingent consideration was $0.2 million. The range of outcome for the earnout contingent consideration is zero to $5.0 million.
    During the year ended December 31, 2025, the Company incurred a total of $0.5 million of acquisition related costs, including accounting, legal, and other professional fees, all of which were expensed and reported as a component of general and administrative expenses in the consolidated statement of operations for the year ended December 31, 2025.
    The following table summarizes the estimated fair values of the assets acquired and liabilities assumed as of the acquisition date:
    Assets Acquired
    Other current and non current assets$10 
    Inventory284 
      Operating right-of-use assets120 
      Developed technology intangible asset1,900 
      Goodwill1,775 
    Total assets acquired4,089 
    Liabilities Assumed
    Accounts payable34 
    Current liabilities17 
    Deferred revenue72 
    Operating lease liability120 
    Total liabilities assumed243 
    Net Assets Acquired3,846 
    Estimated fair value of contingent consideration(233)
    Net Cash Paid (net of cash acquired of $25)
    $3,613 
    The purchase price was allocated to the tangible assets and identifiable intangible asset acquired and liabilities assumed based on their acquisition-date estimate fair values. The identifiable intangible asset was developed technology. The developed technology was all assigned a ten year useful life.
    18

    Table of Contents
    The Company, with the assistance of an independent valuation specialist, assessed the fair value of the intangible asset and contingent consideration of BioMedomics. The fair values recorded as of November 12, 2025 are based on significant inputs that are not observable in the market and thus represent a fair value measurement categorized within Level 3 of the fair value hierarchy.
    The fair value of the acquired developed technology was determined using the multi-period excess earnings method, which required judgment in estimating appropriate cash flows, discount rate, survival factor, and remaining useful life.
    The fair value of the earnout contingent consideration was determined using the Monte Carlo simulation model, which required judgment in estimating expected revenue, volatility, expected discount rate and risk-free interest rate.
    Goodwill is calculated as the difference between the acquisition date fair value of the consideration transferred and the fair value of the net assets acquired, and represents the future economic benefits that we expect to achieve as a result of the acquisition. The Company believes the goodwill related to the acquisition was a result of BioMedomics providing a product that will enable the Company to leverage the product with existing and new customers. The goodwill is not deductible for income tax purposes.
    The Company continues to evaluate the fair value of assets acquired and liabilities assumed. Additional information, which existed as of the acquisition date, but was at that time unknown to the Company, may become known during the remainder of the measurement period. Changes to amounts recorded as a result of the final determination may result in a corresponding adjustment to these assets and liabilities, including goodwill. The determination of the estimated fair values of all assets acquired is expected to be completed within one year from the date of acquisition.
    Revenues from BioMedomics consist of sales from the SickleSCAN® test. Effective as of November 12, 2025, the financial results of BioMedomics are included in the consolidated financial results of the Company. BioMedomics contributed $0.1 million and $1.1 thousand of revenue and net income, respectively, to the consolidated statement of operations for the year ended December 31, 2025.

    Unaudited Pro Forma Financial Information

    The unaudited pro forma results presented below include the results of the BioMedomics acquisition as if it had been consummated as of January 1, 2025. The unaudited pro forma results include amortization of the acquired intangible asset, stock compensation, and lease expense adjustments to income before income taxes but do not include changes in the fair value of the Company's contingent consideration obligations. Material nonrecurring charges, directly attributable to the transactions, including direct acquisition costs, are also excluded. In addition, the unaudited pro forma results do not include any expected benefits of the acquisitions. Accordingly, the unaudited pro forma results are not necessarily indicative of either future results of operations or results that might have been achieved had the acquisition been consummated as of January 1, 2025.

    For the Three Months Ended March 31,
    2025
    Net revenues $30,205 
    Net loss
    $(16,071)
    19

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    12.     CONTINGENCIES:
    Collaborations
    Sherlock has active third-party license agreements entered into in order to advance and obtain technologies and services related to the business. Under these licenses, the Company is required to make up to $3.8 million of cash payments upon the achievement of certain scientific and commercial milestones as well as low single digit royalty payments on product sales. The Company has the right to terminate the licenses.
    Litigation
    From time to time, the Company is involved in certain legal actions arising in the ordinary course of business. In management’s opinion, based upon the advice of counsel, the outcomes of such actions are not expected, individually or in the aggregate, to have a material adverse effect on the Company's future financial position or results of operations.

    On November 14, 2024 the Company filed a complaint against NowDiagnostics, Inc. ("NowDx"), Jody Berry ("Berry") and Janean Young ("Young") in the United States District Court for the Eastern District of Pennsylvania alleging misappropriation and misuse of the Company's proprietary information and trade secrets by NowDx, Berry and Young in violation of the Federal Defend Trade Secrets Act and the Pennsylvania Uniform Trade Secrets Act. The complaint also alleges breach of contract and duty of loyalty by Young, unfair competition by NowDx, and tortious interference with contractual relations by Berry and NowDx. NowDx filed Counterclaims against the Company on January 13, 2025 and the Company filed its Answer to the Counterclaims on February 3, 2025. Young filed a Motion to Dismiss the claims against her, which was denied by the court on February 4, 2025. NowDx, Berry, and Young agreed to a preliminary injunction which the Court entered on February 27, 2025. On February 11, 2026, the Court issued an order scheduling trial for January 17, 2027. The case is currently in the discovery phase.
    Item 2.    Management’s Discussion and Analysis of Financial Condition and Results of Operations.
    The following discussion and analysis of the Company's financial condition and results of operations should be read in conjunction with (i) the Company's unaudited condensed consolidated financial statements and related notes appearing elsewhere in this Quarterly Report on Form 10-Q and (ii) the Company's audited consolidated financial statements and related notes and management’s discussion and analysis of financial condition and results of operations included in the Company's Annual Report on Form 10-K for the year ended December 31, 2025 filed with the Securities and Exchange Commission on March 9, 2026. Some of the information contained in this discussion and analysis or set forth elsewhere in this Quarterly Report on Form 10-Q, including information with respect to the Company's plans and strategy for its business and impact and potential impacts on its business, includes forward-looking statements that involve risks and uncertainties. As a result of many factors, including, without limitation, those factors set forth in the “Risk Factors” section of the Company's Annual Report on Form 10-K for the year ended December 31, 2025 and the “Risk Factors” section of subsequent Quarterly Reports on Form 10-Q, the Company's actual results or timing of certain events could differ materially from the results or timing described in, or implied by, these forward-looking statements.

    Business Overview
    The Company's business consists of the development, manufacture, marketing, sale and distribution of simple, easy to use diagnostic products and specimen collection devices using its proprietary technologies, as well as other diagnostic products including immunoassays and other in vitro diagnostic tests that are used on other specimen types. The Company's diagnostic products include tests for diseases including HIV, Hepatitis C, Syphilis, Sickle Cell and COVID-19 that are performed on a rapid basis at the point of care. These products are sold in the United States and internationally to various clinical laboratories, hospitals, clinics, community-based organizations, and other public health organizations, distributors, government agencies, physicians’ offices, and commercial and industrial entities. The Company's HIV and COVID-19 products are also sold in a consumer-friendly format in the over-the-counter ("OTC") market in the U.S. and, in the case of the HIV and HCV products, as a self-test to individuals in a number of other countries, including, for the HIV products, as an oral swab in-home test for HIV-1 and HIV-2 in Europe, and for the HCV products, as an OTC test. In December 2025,
    20

    Table of Contents
    the Company submitted a 510(k) to the FDA for clearance of its rapid molecular self-test for CT/NG, which is currently under review.
    The Company's business also includes sample management solutions and services that are used by clinical laboratories, direct-to-consumer laboratories, researchers, pharmaceutical companies, and animal health service and product providers. The revenues from sample management solutions are derived from product sales to commercial customers and sales into the academic and research markets. Customers span the disease risk management, diagnostics, pharmaceutical, biotech, and companion animal market segments. The Company has also developed collection devices for the emerging microbiome market, which focuses on studying microbiomes and their effect on human and animal health. The Company also has a urine collection device which allows for the volumetric collection of first void urine. Initial sales of this product for research use only are occurring primarily through distributors and collaborations in the liquid biopsy and sexually transmitted disease markets. In December 2025, the Company also submitted a 510(k) to the FDA for clearance of its Colli-Pee® at-home urine collection device for sexually transmitted infections, which is currently under review.
    Risk Assessment Testing
    During the third quarter of 2024, the Company announced the discontinuance of sales of its risk assessment product line, which was completed in the second quarter of 2025. Sales of its risk assessment products did not contribute to revenues during the three months ended March 31, 2026. Sales of its risk assessment products contributed $1.4 million to revenues during the three months ended March 31, 2025. During the first quarter of 2025, the Company sold certain assets that made up the risk assessment product line including certain intellectual property, contracts, permits, and equipment.


    21

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    Results of Operations (all dollar amounts in tables are presented in thousands)
    For the three months ended March 31, 2026 compared to March 31, 2025.
    CONSOLIDATED NET REVENUES
    The table below shows total consolidated net revenues for the three months ended March 31, 2026 and 2025:

    For the Three Months Ended March 31,
    Dollars% ChangePercentage of Total Net Revenues
    2026202520262025
    Diagnostics (1)
    $16,866 $17,689 (5)%60 %59 %
    Sample Management Solutions (2)
    9,058 9,110 (1)32 30 
    Other products and services (3)
    434 321 35 2 1 
    COVID-19 Diagnostics18 457 (96)— 2 
    Risk Assessment Testing (4)
    — 1,420 (100)— 5 
    Net product and services revenues26,376 28,997 (9)94 97 
    Non-product and services revenues (5)
    1,549 934 66 6 3 
    Net revenues$27,925 $29,931 (7)%100 %100 %
    (1)Includes HIV, HCV, Syphilis, SickleSCAN® and SureQuick® product revenues.
    (2)Includes Genomics, Microbiome, and Colli-Pee® product revenues.
    (3)Includes COVID-19 Sample Management Solutions product revenues.
    (4)Includes substance abuse testing product revenues.
    (5)Includes funded research and development contracts, royalty income and grant revenues.
    Product and Services Revenues
    Consolidated net revenues decreased 7% to $27.9 million for the three months ended March 31, 2026 from $29.9 million for the three months ended March 31, 2025.
    Sales of the Company's Diagnostics products decreased 5% to $16.9 million for the three months ended March 31, 2026 from $17.7 million for the three months ended March 31, 2025. This decrease in revenues is largely due to lower international HCV revenues driven by customer ordering patterns and funding constraints. This decline in revenues was offset by an increase in Company's Syphilis product sales to new customers in the women's health market.
    Sample Management Solutions revenues remained largely flat at $9.1 million for the three months ended March 31, 2026 and 2025.
    COVID-19 Diagnostics sales decreased 96% to $18.0 thousand for the three months ended March 31, 2026 from $0.5 million for the three months ended March 31, 2025, due to completion of the Company's InteliSwab® tests contract with the U.S. government and lower overall demand for COVID-19 testing.
    Risk Assessment Testing revenues are $0 in 2026 as the product line was discontinued and wound down in early 2025.
    Non-Product and Services Revenues
    Non-product and services revenues increased 66% to $1.5 million for the three months ended March 31, 2026 from $0.9 million for the three months ended March 31, 2025 primarily due to the recognition of revenue under various funded R&D contracts.
    CONSOLIDATED OPERATING RESULTS
    Consolidated gross profit margin increased to 42.3% for the three months ended March 31, 2026 compared to 41.1% for the three months ended March 31, 2025. The drivers of the margin increase were better absorption of fixed overhead costs
    22

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    due to operational efficiencies, improved product mix, and higher non-product revenues which contribute 100% to gross margin. An increase in scrap expense in the quarter partially offset the increases in gross margin.
    Consolidated operating loss for the three months ended March 31, 2026 was $23.3 million compared to $17.8 million for the three months ended March 31, 2025. The higher operating loss reported in 2026 was largely a result of lower revenues coupled with increased research and development spend.
    Research and development expenses increased 42% to $13.7 million for the three months ended March 31, 2026 from $9.6 million for the three months ended March 31, 2025 largely due to higher spend incurred for clinical trials associated with the Chlamydia Trachomatis (CT) and Neisseria Gonorrhoeae (NG) device and the Colli-Pee® device. The increase in research and development expenses is also due to additional severance charges associated with the Company's reduction in its workforce in February 2026.
    Sales and marketing expenses decreased 1% to $6.8 million for the three months ended March 31, 2026 from $6.9 million for the three months ended March 31, 2025.
    General and administrative expenses increased 3% to $14.6 million for the three months ended March 31, 2026 from $14.1 million for the three months ended March 31, 2025 largely due to an increase in professional services and severance charges.
    The Company recorded non-cash adjustments of $0.1 million for the three months ended March 31, 2026, reflecting the change in the estimated fair value of the Sherlock acquisition-related contingent consideration.
    All of the above contributed to the Company's operating loss of $23.3 million for the three months ended March 31, 2026, which included non-cash charges of $2.8 million for stock-based compensation, $2.3 million for depreciation and amortization, and $0.1 million for the change in the estimated fair value of acquisition-related contingent consideration. The Company's operating loss of $17.8 million for the three months ended March 31, 2025 included non-cash charges of $2.7 million for stock-based compensation, $2.8 million for depreciation and amortization, and $0.5 million for the change in the estimated fair value of acquisition-related contingent consideration.
    OTHER INCOME
    Other income for the three months ended March 31, 2026 was $1.5 million compared to $1.8 million for the three months ended March 31, 2025. The decrease in other income is due to lower interest income and increased foreign currency losses.
    CONSOLIDATED INCOME TAXES
    The Company continues to believe the full valuation allowance established against its total U.S. and U.K. deferred tax asset is appropriate as the facts and circumstances necessitating the allowance have not changed. For the three months ended March 31, 2026 and 2025, the Company recorded income tax benefits of $0.4 million and $0.5 million, respectively.
    Liquidity and Capital Resources
    March 31, 2026December 31, 2025
    (in thousands)
    Cash and cash equivalents$176,964 $199,278 
    Working capital196,697 222,113 
    The Company's cash and cash equivalents decreased to $177.0 million at March 31, 2026 from $199.3 million at December 31, 2025. The Company has $84.9 million, or 48%, of its $177.0 million of cash and cash equivalents held by DNAG, the Company's Canadian subsidiary.
    The Company's working capital decreased to $196.7 million at March 31, 2026 from $222.1 million at December 31, 2025. Working capital is primarily a function of sales, purchase volumes, inventory requirements, and vendor payment terms.
    Analysis of the Company's Cash Flows
    Operating Activities
    23

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    During the three months ended March 31, 2026, net cash used in operating activities was $13.9 million. Cash flows from operations can be significantly impacted by factors such as timing of receipts from customers, inventory purchases, and payments to vendors. The Company's net loss of $22.4 million included non-cash charges of stock-based compensation expense of $2.8 million, depreciation and amortization expense of $2.3 million, a loss on equity investment of $1.1 million, and other non-cash charges aggregating to $0.4 million.
    Changes in the Company's working capital accounts contributed to cash and included an increase of $4.1 million in accounts payable associated with the timing of spend on consulting services and inventory purchases, a decrease in overall inventory balances of $0.7 million due to maintaining lower COVID-19 inventory levels attributable to decreased demand, a decrease in prepaid expenses and other assets of $0.6 million, and an increase in accrued expenses and other liabilities of $0.6 million. These contributions to cash were offset by an increase in accounts receivable of $2.6 million due to timing of shipments and invoicing and a decrease in deferred revenue of $0.6 million as work on grant projects is completed and earned.
    Investing Activities
    Net cash used in investing activities was $0.9 million for the three months ended March 31, 2026, for purchases of property and equipment.
    Financing Activities
    Net cash used in financing activities was $6.3 million for the three months ended March 31, 2026, which was largely comprised of $5.0 million to repurchase common stock pursuant to the Company's stock repurchase plan and $1.3 million used for the repurchase of common stock to satisfy withholding taxes related to the vesting of restricted stock awarded to the Company's employees.
    Resources
    The Company's contractual obligations are included in Note 12 of its consolidated financial statements. The Company expects existing cash and cash equivalents will be sufficient to fund its operating expenses and capital expenditure requirements over the next twelve months. The Company's cash requirements, however, may vary materially from those now planned due to many factors, including, but not limited to, the scope and timing of future strategic acquisitions, the progress of its research and development programs, the scope and results of clinical testing, the cost of any future litigation, the magnitude of capital expenditures, changes in existing and potential relationships with business partners, the timing and cost of obtaining regulatory approvals, the timing and cost of future stock purchases, the costs involved in obtaining and enforcing patents, proprietary rights and any necessary licenses, the cost and timing of expansion of sales and marketing activities, market acceptance of new products, competing technological and market developments, the impact of the current economic environment and other factors.
    Critical Accounting Policies and Estimates
    A more detailed review of the Company's critical accounting policies is contained in its Annual Report on Form 10-K for the year ended December 31, 2025 filed with the SEC. No material changes have been made to such critical accounting policies during the three months ended March 31, 2026.
    Item 3.    QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
    There has been no material change in the Company's assessment of its sensitivity to market risk since its presentation set forth in Item 7A, "Quantitative and Qualitative Disclosures About Market Risk," in its Annual Report on Form 10-K for the year ended December 31, 2025.
    Item 4.    CONTROLS AND PROCEDURES
    (a) Evaluation of Disclosure Controls and Procedures. The Company’s management, with the participation of the Company’s Chief Executive Officer and Chief Financial Officer, evaluated the effectiveness of the Company’s disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) of the Securities Exchange Act of 1934) as of March 31, 2026. Based on that evaluation, the Company’s management, including such officers, concluded that the Company’s disclosure controls and procedures were effective as of March 31, 2026 to provide reasonable assurance that material information required to be disclosed by the Company in the reports that it files or submits under the Securities
    24

    Table of Contents
    Exchange Act of 1934 was accumulated and communicated to the Company’s management, including the Chief Executive Officer and Chief Financial Officer, to allow timely decisions regarding required disclosure and was recorded, processed, summarized, and reported within the time periods specified in the rules and forms of the Securities and Exchange Commission.
    (b) Changes in Internal Control Over Financial Reporting. There was no change in the Company’s internal control over financial reporting that occurred during the three months ended March 31, 2026 that has materially affected, or is reasonably likely to materially affect, the Company’s internal control over financial reporting.
    PART II. OTHER INFORMATION
    Item 1.    LEGAL PROCEEDINGS
    From time to time, the Company is involved in certain legal actions arising in the ordinary course of business. In management’s opinion, based upon the advice of counsel, the outcomes of such actions are not expected, individually or in the aggregate, to have a material adverse effect on the Company's future financial position or results of operations.
    NowDiagnostics Litigation

    On November 14, 2024 the Company filed a complaint against NowDiagnostics, Inc. ("NowDx"), Jody Berry ("Berry") and Janean Young ("Young") in the United States District Court for the Eastern District of Pennsylvania alleging misappropriation and misuse of the Company's proprietary information and trade secrets by NowDx, Berry and Young in violation of the Federal Defend Trade Secrets Act and the Pennsylvania Uniform Trade Secrets Act. The complaint also alleges breach of contract and duty of loyalty by Young, unfair competition by NowDx, and tortious interference with contractual relations by Berry and NowDx. NowDx filed Counterclaims against the Company on January 13, 2025 and the Company filed its Answer to the Counterclaims on February 3, 2025. Young filed a Motion to Dismiss the claims against her, which was denied by the court on February 4, 2025. NowDx, Berry, and Young agreed to a preliminary injunction which the Court entered on February 27, 2025. On February 11, 2026, the Court issued an order scheduling trial for January 17, 2027. The case is currently in the discovery phase.
    Item 1A.    RISK FACTORS
    There have been no material changes to the risk factors disclosed in Item 1A, entitled “Risk Factors,” in the Company's Annual Report on Form 10-K for the year ended December 31, 2025 filed with the SEC on March 9, 2026.
    Item 2.    UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS
    PeriodTotal number of
    shares purchased
    Average price
    paid per share
    Total number of
    shares purchased
    as part of publicly
    announced plans
    or programs
    Maximum number (or
    approximate dollar value)
    of shares that may yet be
    repurchased under the plans
    or programs (1)
    January 1, 2026 - January 31, 2026750,139 (2)$2.66 742,427 $22,981,487
     February 1, 2026 - February 28, 2026536,015 (2)$2.84 536,015 $21,460,003
    March 1, 2026 - March 31, 2026897,930 (2)$3.05 489,575 $19,960,003
    2,184,0841,768,017
    (1)In March 2025, the Company's board of directors authorized a stock repurchase program (the “Repurchase Program”) effective March 21, 2025, whereby the Company may purchase up to $40.0 million in shares of its common stock over a period of up to two years. The amount and timing of share repurchases under the Repurchase Program may be carried out at the discretion of management through various methods in compliance with applicable state and federal securities laws.
    (2)Includes shares retired to satisfy minimum tax withholdings, in connection with the vesting of restricted and performance shares, pursuant to the OraSure Technologies, Inc. Stock Award Plan.
    25

    Table of Contents
    Item 3.    DEFAULTS UPON SENIOR SECURITIES
    None
    Item 4.    MINE SAFETY DISCLOSURES
    Not applicable
    Item 5.    OTHER INFORMATION
    Rule 10b5-1 Trading Plans
    The disclosure set forth in Part II - Item 2 above is incorporated herein by reference.

    During the three months ended March 31, 2026, none of the Company's directors or officers adopted, amended, or terminated a “Rule 10b5-1 trading arrangement” or “non-Rule 10b5-1 trading arrangement,” as each term is defined in Item 408(a) of Regulation S-K.
    Item 6.    EXHIBITS
    Exhibit
    Number
    Exhibit
    31.1*
    Certification of Carrie Eglinton-Manner required by Rule 13a-14(a) or Rule 15d-14(a) under the Securities Exchange Act of 1934, as amended.
    31.2*
    Certification of Kenneth J. McGrath required by Rule 13a-14(a) or Rule 15d-14(a) under the Securities Exchange Act of 1934, as amended.
    32.1*+
    Certification of Carrie Eglinton-Manner required by Rule 13a-14(b) or Rule 15d-14(b) under the Securities Exchange Act of 1934, as amended, and 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
    32.2*+
    Certification of Kenneth J. McGrath required by Rule 13a-14(b) or Rule 15d-14(b) under the Securities Exchange Act of 1934, as amended, and 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
    101.INSInline XBRL Instance Document – the Instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.
    101.SCHInline XBRL Taxonomy Extension Schema Document
    101.CALInline XBRL Taxonomy Extension Calculation Linkbase Document
    101.DEFInline XBRL Taxonomy Extension Definition Linkbase Document
    101.LABInline XBRL Taxonomy Extension Labels Linkbase Document
    101.PREInline XBRL Taxonomy Extension Presentation Linkbase Document
    104Cover Page from Interactive Data File (formatted as inline XBRL with applicable taxonomy extension information contained in exhibits 101).

    *Filed herewith
    26

    Table of Contents
    + This certification is deemed not filed for purposes of section 18 of the Exchange Act or otherwise subject to the liability of that section, nor shall it be deemed incorporated by reference into any filing under the Securities Act or the Exchange Act.
    SIGNATURES
    Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned thereunto duly authorized.
    ORASURE TECHNOLOGIES, INC.
    /s/ Kenneth J. McGrath
    Date: May 8, 2026
    Kenneth J. McGrath
    Chief Financial Officer
    (Principal Financial Officer)
    /s/Michele M. Anthony
    Date: May 8, 2026
    Michele M. Anthony
    Senior Vice President, Controller and Chief Accounting Officer
    (Principal Accounting Officer)
    27
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    Chief Financial Officer Mcgrath Kenneth J bought $66,030 worth of shares (22,021 units at $3.00), increasing direct ownership by 4% to 557,262 units (SEC Form 4)

    4 - ORASURE TECHNOLOGIES INC (0001116463) (Issuer)

    3/16/26 8:01:53 PM ET
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    President & CEO Eglinton Manner Carrie bought $66,033 worth of shares (22,022 units at $3.00), increasing direct ownership by 1% to 2,158,574 units (SEC Form 4)

    4 - ORASURE TECHNOLOGIES INC (0001116463) (Issuer)

    3/16/26 8:01:38 PM ET
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    SEC Filings

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    OraSure Technologies Inc. filed SEC Form 8-K: Leadership Update, Amendments to Articles of Incorporation or Bylaws; Change in Fiscal Year, Submission of Matters to a Vote of Security Holders, Financial Statements and Exhibits

    8-K - ORASURE TECHNOLOGIES INC (0001116463) (Filer)

    6/3/26 4:32:44 PM ET
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    SEC Form 10-Q filed by OraSure Technologies Inc.

    10-Q - ORASURE TECHNOLOGIES INC (0001116463) (Filer)

    5/8/26 4:09:59 PM ET
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    OraSure Technologies Inc. filed SEC Form 8-K: Results of Operations and Financial Condition, Regulation FD Disclosure, Financial Statements and Exhibits

    8-K - ORASURE TECHNOLOGIES INC (0001116463) (Filer)

    5/6/26 4:09:03 PM ET
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    OraSure Announces First Quarter 2026 Financial Results

    BETHLEHEM, Pa., May 06, 2026 (GLOBE NEWSWIRE) -- OraSure Technologies, Inc. (NASDAQ:OSUR), a leader in point-of-need and home diagnostic tests and sample management solutions, today announced its financial results for the three months ended March 31, 2026. "Our Q1 results were consistent with our expectations, and revenue of $27.9 million was above the midpoint of our guidance range," said Carrie Eglinton Manner, President and CEO of OTI. "We delivered gross margin expansion in Q1 and remain focused on leveraging our manufacturing capabilities and capacity to drive additional operating efficiencies." She continued, "OraSure is well positioned to accelerate our growth as we approach a ser

    5/6/26 4:05:00 PM ET
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    OraSure to Announce First Quarter 2026 Financial Results and Host Earnings Call on May 6th

    BETHLEHEM, Pa., April 22, 2026 (GLOBE NEWSWIRE) -- OraSure Technologies, Inc. (NASDAQ:OSUR) has scheduled its regular earnings conference call covering first quarter 2026 financial results and certain business developments for 5 p.m. ET on May 6, 2026. A webcast of the conference call will be available on the investor relations page of OraSure's website at https://orasure.gcs-web.com/events-and-presentations. Please click on the webcast link and follow the prompts for registration and access at least 10 minutes prior to the call. The webcast will be archived on OraSure's website shortly after the call has ended. About OraSure Technologies, Inc. OraSure Technologies, Inc. ("OraSure" and "

    4/22/26 4:10:00 PM ET
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    OraSure Announces Fourth Quarter 2025 Financial Results

    BETHLEHEM, Pa., Feb. 25, 2026 (GLOBE NEWSWIRE) -- OraSure Technologies, Inc. (NASDAQ:OSUR), a leader in point-of-need and home diagnostic tests and sample management solutions, today announced its financial results for the three months ended December 31, 2025. "Our Q4 results were consistent with our expectations, and revenue of $26.8 million was above the midpoint of our guidance range," said Carrie Eglinton Manner, President and CEO of OTI. "We supported our customers in navigating a challenging funding environment in 2025, and we are encouraged to see increasing signs of stability in key segments as we enter 2026." She continued, "We are confident that OTI is positioned to return to g

    2/25/26 4:05:00 PM ET
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    Leadership Updates

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    OraSure Technologies Appoints John D. Bertrand to its Board of Directors

    Enters into Cooperation Agreement with Altai Capital Board to Seek Shareholder Approval for Declassification at the 2026 Annual Meeting BETHLEHEM, Pa., April 16, 2026 (GLOBE NEWSWIRE) -- OraSure Technologies, Inc. ("OraSure" and "OTI") (NASDAQ:OSUR), a leader in point-of-need and home diagnostic tests and sample management solutions, today announced the appointment of John D. Bertrand to its Board of Directors as an independent director, effective immediately. Mr. Bertrand is a healthcare technology executive with more than a decade of experience driving AI-enabled innovation in diagnostics. He co-founded Digital Diagnostics Inc. and most recently served as its Chief Executive Officer,

    4/16/26 8:10:00 PM ET
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    Altai Capital Management Issues Letter to OraSure Board Outlining Five-Pillar Case for Change in Response to Significant and Continued Underperformance

    Calls on Company to Reach a Fair Settlement that Appoints Altai Nominees Rishi Bajaj and John Bertrand to the Board Altai Capital Management, L.P. ("Altai"), one of the largest shareholders and the beneficial owners of approximately 5% of the outstanding common stock of OraSure Technologies, Inc. ("OraSure" or the "Company") (NASDAQ:OSUR), today announced that it has delivered a letter to the OraSure Board of Directors (the "Board") outlining a five-pillar case for why change is necessary to preserve and deliver value for its investors. This press release features multimedia. View the full release here: https://www.businesswire.com/news/home/20260317768148/en/ In the letter, Altai calls

    3/17/26 9:15:00 AM ET
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    OraSure Technologies Appoints Steven K. Boyd to its Board of Directors

    Seasoned Investor with Deep Experience in the Healthcare and Medical Device Industries Brings Valuable Capital Markets Expertise and Investor Perspective  OraSure Board Has Added Three New Independent Directors in the Past Three Years Mara Aspinall to Step Down from the Board; Jack Kenny Appointed as Chair of the Board BETHLEHEM, Pa., Oct. 28, 2025 (GLOBE NEWSWIRE) -- OraSure Technologies, Inc. ("OTI") (NASDAQ:OSUR), a leader in point-of-need and home diagnostic tests and sample management solutions, today announced the appointment of Steven K. Boyd to its Board of Directors, as a Class II director, effective immediately. The addition of Mr. Boyd is part of OraSure's ongoing Board refr

    10/28/25 4:22:03 PM ET
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    Large Ownership Changes

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    Amendment: SEC Form SC 13G/A filed by OraSure Technologies Inc.

    SC 13G/A - ORASURE TECHNOLOGIES INC (0001116463) (Subject)

    11/12/24 4:46:06 PM ET
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    Amendment: SEC Form SC 13G/A filed by OraSure Technologies Inc.

    SC 13G/A - ORASURE TECHNOLOGIES INC (0001116463) (Subject)

    11/4/24 1:18:55 PM ET
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    SEC Form SC 13G filed by OraSure Technologies Inc.

    SC 13G - ORASURE TECHNOLOGIES INC (0001116463) (Subject)

    10/4/24 1:30:36 PM ET
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