##### 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, 2010.

OR



| ̈ | 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)







|                                                               |  |                                  
|-------------------------------------------------------------- |  | ---------------------------------
|DELAWARE                                                       |  | 36-4370966                       
|(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)

(610)
882-1820

(Registrants Telephone Number, Including Area Code)





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   ̈

Indicate by check mark whether the Registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File
required to be submitted and posted 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 and post such
files).    Yes   ̈    No   ̈

Indicate by check mark whether the Registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting
company. See the definitions of large accelerated filer, accelerated filer and smaller reporting company in Rule 12b-2 of the Exchange Act.



|                        |  |   |  |                           |  |  
|----------------------- |  | - |  | ------------------------- |  | -
|Large accelerated filer |  |  ̈ |  | Accelerated filer         |  | x
|                        |  |   | 
|Non-accelerated filer   |  |  ̈ |  | Smaller reporting company |  |  ̈

Indicate by checkmark whether the Registrant is a shell company (as defined in Rule 12b-2 of the Exchange
Act).    Yes   ̈    No  x

Number of shares of Common Stock, par value $.000001 per share, outstanding as of May 3, 2010: 46,196,585









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##### Table of Contents

|                           |  |                                                                                       |  |         
|-------------------------- |  | ------------------------------------------------------------------------------------- |  | --------
|                           |  |                                                                                       |  | Page No.
|                           |  |                                                                                      
|                           |  | PART I. FINANCIAL INFORMATION                                                         |  |         
|                           |  |                                                                                      
|Item 1.                    |  | Financial Statements (unaudited)                                                      |  | 3       
|                           |  |                                                                                      
|                           |  | Balance Sheets at March 31, 2010 and December 31, 2009                                |  | 3       
|                           |  |                                                                                      
|                           |  | Statements of Operations for the three months ended March 31, 2010 and 2009           |  | 4       
|                           |  |                                                                                      
|                           |  | Statements of Cash Flows for the three months ended March 31, 2010 and 2009           |  | 5       
|                           |  |                                                                                      
|                           |  | Notes to Financial Statements                                                         |  | 6       
|                           |  |                                                                                      
|Item 2.                    |  | Managements Discussion and Analysis of Financial Condition and Results of Operations |  | 12      
|                           |  |                                                                                      
|Item 3.                    |  | Quantitative and Qualitative Disclosures About Market Risk                            |  | 21      
|                           |  |                                                                                      
|Item 4.                    |  | Controls and Procedures                                                               |  | 21      
|                          
|PART II. OTHER INFORMATION
|                           |  |                                                                                      
|Item 1.                    |  | Legal Proceedings                                                                     |  | 21      
|                           |  |                                                                                      
|Item 1A.                   |  | Risk Factors                                                                          |  | 22      
|                           |  |                                                                                      
|Item 2.                    |  | Unregistered Sales of Equity Securities and Use of Proceeds                           |  | 22      
|                           |  |                                                                                      
|Item 6.                    |  | Exhibits                                                                              |  | 22      
|                           |  |                                                                                      
|                           |  | Signatures                                                                            |  | 23      



2



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##### Table of Contents

|Item 1. | FINANCIAL STATEMENTS
|------- | --------------------

ORASURE TECHNOLOGIES, INC.

BALANCE SHEETS

(Unaudited)



|                                                                                                                         |  |                |              |   |                   |   |              |  
|------------------------------------------------------------------------------------------------------------------------ |  | -------------- | ------------ | - | ----------------- | - | ------------ | -
|                                                                                                                         |  | MARCH 31, 2010 |              |   | DECEMBER 31, 2009 |  
|                                                                                                                         |  |               
|ASSETS                                                                                                                   |  |                |              |   |                   |   |              |  
|                                                                                                                         |  |               
|CURRENT ASSETS:                                                                                                          |  |                |              |   |                   |   |              |  
|Cash and cash equivalents                                                                                                |  | $              | 69,374,434   |   |                   | $ | 74,933,630   |  
|Short-term investments                                                                                                   |  |                | 3,986,000    |   |                   |   | 4,736,730    |  
|Accounts receivable, net of allowance for doubtful accounts of $235,347 and $256,572                                     |  |                | 12,103,249   |   |                   |   | 13,693,340   |  
|Inventories                                                                                                              |  |                | 9,309,287    |   |                   |   | 8,844,492    |  
|Prepaid expenses and other                                                                                               |  |                | 3,381,242    |   |                   |   | 2,609,518    |  
|                                                                                                                         |  |                |              |   |                   |   |              |  
|                                                                                                                         |  |               
|Total current assets                                                                                                     |  |                | 98,154,212   |   |                   |   | 104,817,710  |  
|                                                                                                                         |  |               
|PROPERTY AND EQUIPMENT, net                                                                                              |  |                | 19,970,948   |   |                   |   | 20,014,466   |  
|                                                                                                                         |  |               
|PATENTS AND PRODUCT RIGHTS, net                                                                                          |  |                | 1,735,752    |   |                   |   | 809,252      |  
|                                                                                                                         |  |               
|OTHER ASSETS                                                                                                             |  |                | 1,250,237    |   |                   |   | 1,349,319    |  
|                                                                                                                         |  |                |              |   |                   |   |              |  
|                                                                                                                         |  |               
|                                                                                                                         |  | $              | 121,111,149  |   |                   | $ | 126,990,747  |  
|                                                                                                                         |  |                |              |   |                   |   |              |  
|                                                                                                                         |  |               
|LIABILITIES AND STOCKHOLDERS EQUITY                                                                                     |  |                |              |   |                   |   |              |  
|                                                                                                                         |  |               
|CURRENT LIABILITIES:                                                                                                     |  |                |              |   |                   |   |              |  
|Current portion of long-term debt                                                                                        |  | $              | 500,000      |   |                   | $ | 509,761      |  
|Accounts payable                                                                                                         |  |                | 3,115,643    |   |                   |   | 3,370,604    |  
|Accrued expenses and other                                                                                               |  |                | 7,955,217    |   |                   |   | 11,502,802   |  
|                                                                                                                         |  |                |              |   |                   |   |              |  
|                                                                                                                         |  |               
|Total current liabilities                                                                                                |  |                | 11,570,860   |   |                   |   | 15,383,167   |  
|                                                                                                                         |  |                |              |   |                   |   |              |  
|                                                                                                                         |  |               
|LONG-TERM DEBT                                                                                                           |  |                | 7,666,680    |   |                   |   | 7,791,679    |  
|                                                                                                                         |  |               
|OTHER LIABILITIES                                                                                                        |  |                | 9,205        |   |                   |   | 8,911        |  
|                                                                                                                         |  |               
|STOCKHOLDERS EQUITY                                                                                                     |  |                |              |   |                   |   |              |  
|Preferred stock, par value $.000001, 25,000,000 shares authorized, none issued                                           |  |                |             |   |                   |   |             |  
|Common stock, par value $.000001, 120,000,000 shares authorized, 46,195,258 and 45,929,511 shares issued and
outstanding |  |                | 46           |   |                   |   | 46           |  
|Additional paid-in capital                                                                                               |  |                | 239,378,873  |   |                   |   | 239,126,422  |  
|Accumulated other comprehensive loss                                                                                     |  |                | (230,655     | ) |                   |   | (230,992     | )
|Accumulated deficit                                                                                                      |  |                | (137,283,860 | ) |                   |   | (135,088,486 | )
|                                                                                                                         |  |                |              |   |                   |   |              |  
|                                                                                                                         |  |               
|Total stockholders equity                                                                                               |  |                | 101,864,404  |   |                   |   | 103,806,990  |  
|                                                                                                                         |  |                |              |   |                   |   |              |  
|                                                                                                                         |  |               
|                                                                                                                         |  | $              | 121,111,149  |   |                   | $ | 126,990,747  |  
|                                                                                                                         |  |                |              |   |                   |   |              |  

The accompanying notes are an integral part of these statements.



3



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ORASURE TECHNOLOGIES, INC.

STATEMENTS OF OPERATIONS

(Unaudited)



|                                        |  |                              |            |   |      |   |            |  
|--------------------------------------- |  | ---------------------------- | ---------- | - | ---- | - | ---------- | -
|                                        |  | Three Months Ended March 31, |           
|                                        |  | 2010                         |            |   | 2009 |  
|REVENUES:                               |  |                              |            |   |      |   |            |  
|Product                                 |  | $                            | 16,572,754 |   |      | $ | 16,921,202 |  
|Licensing and product development       |  |                              | 1,372,770  |   |      |   | 335,249    |  
|                                        |  |                              |            |   |      |   |            |  
|                                        |  |                              | 17,945,524 |   |      |   | 17,256,451 |  
|                                        |  |                             
|COST OF PRODUCTS SOLD                   |  |                              | 6,541,462  |   |      |   | 6,284,379  |  
|                                        |  |                              |            |   |      |   |            |  
|                                        |  |                             
|Gross profit                            |  |                              | 11,404,062 |   |      |   | 10,972,072 |  
|                                        |  |                              |            |   |      |   |            |  
|                                        |  |                             
|OPERATING EXPENSES:                     |  |                              |            |   |      |   |            |  
|Research and development                |  |                              | 3,106,775  |   |      |   | 3,352,498  |  
|Sales and marketing                     |  |                              | 5,694,344  |   |      |   | 5,022,765  |  
|General and administrative              |  |                              | 4,778,643  |   |      |   | 4,457,051  |  
|                                        |  |                              |            |   |      |   |            |  
|                                        |  |                              | 13,579,762 |   |      |   | 12,832,314 |  
|                                        |  |                              |            |   |      |   |            |  
|                                        |  |                             
|Operating loss                          |  |                              | (2,175,700 | ) |      |   | (1,860,242 | )
|                                        |  |                             
|INTEREST EXPENSE                        |  |                              | (75,795    | ) |      |   | (89,664    | )
|                                        |  |                             
|INTEREST INCOME                         |  |                              | 42,116     |   |      |   | 335,370    |  
|                                        |  |                             
|FOREIGN CURRENCY GAIN (LOSS)            |  |                              | 14,005     |   |      |   | (3,425     | )
|                                        |  |                              |            |   |      |   |            |  
|                                        |  |                             
|Loss before income taxes                |  |                              | (2,195,374 | ) |      |   | (1,617,961 | )
|                                        |  |                             
|INCOME TAX BENEFIT                      |  |                              |           |   |      |   |           |  
|                                        |  |                              |            |   |      |   |            |  
|                                        |  |                             
|NET LOSS                                |  | $                            | (2,195,374 | ) |      | $ | (1,617,961 | )
|                                        |  |                              |            |   |      |   |            |  
|                                        |  |                             
|LOSS PER SHARE:                         |  |                              |            |   |      |   |            |  
|BASIC AND DILUTED                       |  | $                            | (0.05      | ) |      | $ | (0.04      | )
|                                        |  |                              |            |   |      |   |            |  
|                                        |  |                             
|SHARES USED IN COMPUTING LOSS PER SHARE |  |                              |            |   |      |   |            |  
|BASIC AND DILUTED                       |  |                              | 46,112,061 |   |      |   | 45,837,606 |  
|                                        |  |                              |            |   |      |   |            |  

The accompanying notes are an integral part of these statements.



4



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ORASURE TECHNOLOGIES, INC.

STATEMENTS OF CASH FLOWS

(Unaudited)



|                                                                            |  |                              |            |   |      |   |            |  
|--------------------------------------------------------------------------- |  | ---------------------------- | ---------- | - | ---- | - | ---------- | -
|                                                                            |  | Three Months Ended March 31, |           
|                                                                            |  | 2010                         |            |   | 2009 |  
|OPERATING ACTIVITIES:                                                       |  |                              |            |   |      |   |            |  
|Net loss                                                                    |  | $                            | (2,195,374 | ) |      | $ | (1,617,961 | )
|Adjustments to reconcile net loss to net cash used in operating activities: |  |                              |            |   |      |   |            |  
|Stock-based compensation                                                    |  |                              | 891,373    |   |      |   | 1,137,105  |  
|Depreciation and amortization                                               |  |                              | 649,538    |   |      |   | 847,992    |  
|Reserve for excess and obsolete inventories                                 |  |                              | (89,464    | ) |      |   | (145,669   | )
|Changes in assets and liabilities:                                          |  |                              |            |   |      |   |            |  
|Accounts receivable                                                         |  |                              | 1,589,712  |   |      |   | 338,526    |  
|Inventories                                                                 |  |                              | (375,331   | ) |      |   | 932,822    |  
|Prepaid expenses and other assets                                           |  |                              | (672,642   | ) |      |   | (221,000   | )
|Accounts payable                                                            |  |                              | (253,794   | ) |      |   | (1,328,309 | )
|Accrued expenses and other liabilities                                      |  |                              | (4,547,585 | ) |      |   | (2,593,715 | )
|                                                                            |  |                              |            |   |      |   |            |  
|                                                                            |  |                             
|Net cash used in operating activities                                       |  |                              | (5,003,567 | ) |      |   | (2,650,209 | )
|                                                                            |  |                              |            |   |      |   |            |  
|                                                                            |  |                             
|INVESTING ACTIVITIES:                                                       |  |                              |            |   |      |   |            |  
|Purchases of short-term investments                                         |  |                              |           |   |      |   | (2,000,000 | )
|Proceeds from maturities and redemptions of short-term investments          |  |                              | 750,000    |   |      |   | 18,675,000 |  
|Purchases of property and equipment                                         |  |                              | (532,241   | ) |      |   | (453,399   | )
|                                                                            |  |                              |            |   |      |   |            |  
|                                                                            |  |                             
|Net cash provided by investing activities                                   |  |                              | 217,759    |   |      |   | 16,221,601 |  
|                                                                            |  |                              |            |   |      |   |            |  
|                                                                            |  |                             
|FINANCING ACTIVITIES:                                                       |  |                              |            |   |      |   |            |  
|Repayments of long-term debt                                                |  |                              | (134,760   | ) |      |   | (139,366   | )
|Proceeds from issuance of common stock                                      |  |                              |           |   |      |   | 16,402     |  
|Withholding and retirement of common stock                                  |  |                              | (638,628   | ) |      |   | (314,881   | )
|Purchase and retirement of common stock                                     |  |                              |           |   |      |   | (308,605   | )
|                                                                            |  |                              |            |   |      |   |            |  
|                                                                            |  |                             
|Net cash used in financing activities                                       |  |                              | (773,388   | ) |      |   | (746,450   | )
|                                                                            |  |                              |            |   |      |   |            |  
|                                                                            |  |                             
|NET (DECREASE) INCREASE IN CASH AND CASH EQUIVALENTS                        |  |                              | (5,559,196 | ) |      |   | 12,824,942 |  
|                                                                            |  |                             
|CASH AND CASH EQUIVALENTS, BEGINNING OF PERIOD                              |  |                              | 74,933,630 |   |      |   | 39,565,218 |  
|                                                                            |  |                              |            |   |      |   |            |  
|                                                                            |  |                             
|CASH AND CASH EQUIVALENTS, END OF PERIOD                                    |  | $                            | 69,374,434 |   |      | $ | 52,390,160 |  
|                                                                            |  |                              |            |   |      |   |            |  
|                                                                            |  |                             
|SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION:                          |  |                              |            |   |      |   |            |  
|Cash paid for:                                                              |  |                              |            |   |      |   |            |  
|Interest                                                                    |  | $                            | 85,645     |   |      | $ | 92,123     |  
|Income taxes                                                                |  | $                            | 10,000     |   |      | $ | 27,000     |  

The accompanying notes
are an integral part of these statements.



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ORASURE TECHNOLOGIES, INC.

Notes to Financial Statements

(Unaudited)

1. The
Company

We develop, manufacture and market oral fluid diagnostic products and specimen collection devices using our proprietary oral fluid
technologies, as well as other diagnostic products, including in vitro diagnostic tests that are used on other specimen types, and other medical devices used for the removal of warts and other benign skin lesions by cryosurgery, or freezing.
Our diagnostic products include tests which are performed on a rapid basis at the point of care and tests which are processed in a laboratory. 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. One of our products has been sold in the over-the-counter
or consumer retail markets in the United States, Canada, Europe, Mexico and Australia.

The current economic downturn, including disruptions
in the capital and credit markets as well as in state and local governmental funding, may continue for the foreseeable future and intensify, and could adversely affect our results of operations, cash flows and financial condition or those of our
customers and suppliers. These circumstances could adversely affect our access to liquidity needed to conduct or expand our business or conduct acquisitions or make other discretionary investments. They may also adversely impact the capital needs of
our customers and suppliers, which, in turn, could adversely affect their ability to purchase our products or supply us with necessary equipment, raw materials or components. This could adversely affect our results of operations, cash flows and
financial condition. The current weak business climate could cause longer sales cycles and slower growth, and could expose us to increased business or credit risk in dealing with customers or suppliers adversely affected by economic conditions. Our
ability to collect accounts receivable may be delayed or precluded if our customers are unable to pay their obligations.

2. Summary of
Significant Accounting Policies

Basis of Presentation. The accompanying financial statements are unaudited and, in the
opinion of management, include all adjustments (consisting only of normal and recurring adjustments) necessary for a fair presentation of our 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 our Annual Report on Form 10-K for the fiscal year ended December 31, 2009. Results of operations for the three months ended March 31, 2010 are not
necessarily indicative of the results of operations expected for the full year.

Use of Estimates.The preparation of financial
statements in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and assumptions about future events. These estimates and underlying assumptions affect the amounts of assets
and liabilities reported, disclosures about contingent assets and liabilities, and reported amounts of revenues and expenses. Such estimates include the valuation of accounts receivable, inventories and intangible assets, as well as calculations
related to contingencies, accruals and indemnifications, among others. These estimates and assumptions are based on managements best estimates and judgment. Management evaluates its estimates and assumptions on an ongoing basis, using
historical experience and other factors, which management believes to be reasonable under the circumstances, including the current economic environment. We adjust such estimates and assumptions when facts and circumstances dictate. Illiquid credit
markets, volatile equity, foreign currency, and energy markets, and declines in consumer spending have combined to increase the uncertainty inherent in such estimates and assumptions. As future events and their effects cannot be determined with
precision, actual results could differ significantly from these estimates. Changes in those estimates resulting from continuing changes in the economic environment will be reflected in the financial statements in those future periods.

Cash and Cash Equivalents. We consider all highly liquid investments with a purchased maturity of ninety days or less to be cash
equivalents. As of March 31, 2010 and December 31, 2009, cash equivalents consisted of money market accounts.



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ORASURE TECHNOLOGIES, INC.

Notes to Financial Statements(Continued)

(Unaudited)



Short-term Investments. We consider all short-term investments to be available-for-sale
securities. These securities are comprised of certificates of deposits and corporate bonds, all with purchased maturities greater than ninety days. Available-for-sale securities are carried at fair value, based upon quoted market prices, with
unrealized gains and losses reported in stockholders equity as a component of accumulated other comprehensive loss.

The following is a
summary of our available-for-sale securities at March 31, 2010 and December 31, 2009:



|                                                                                    |  |               |           |                      |   |                       |  |            |   |  |   |          
|----------------------------------------------------------------------------------- |  | ------------- | --------- | -------------------- | - | --------------------- |  | ---------- | - |  | - | ---------
|                                                                                    |  | AmortizedCost |           | GrossUnrealizedGains |   | GrossUnrealizedLosses |  | Fair Value
|March 31, 2010                                                                      |  |               |           |                      |   |                       |  |            |   |  |   |          
|Certificates of deposit                                                             |  | $             | 3,986,000 |                      | $ |                      |  | $          |  |  | $ | 3,986,000
|                                                                                    |  |               |           |                      |   |                       |  |            |   |  |   |          
|Total available-for-sale securities                                                 |  | $             | 3,986,000 |                      | $ |                      |  | $          |  |  | $ | 3,986,000
|                                                                                    |  |               |           |                      |   |                       |  |            |   |  |   |          
|                                                                                    |  |               |           |                     
|December 31, 2009                                                                   |  |               |           |                      |   |                       |  |            |   |  |   |          
|Certificates of deposit                                                             |  | $             | 3,986,000 |                      | $ |                      |  | $          |  |  | $ | 3,986,000
|Corporate bonds                                                                     |  |               | 750,278   |                      |   | 452                   |  |            |  |  |   | 750,730  
|                                                                                    |  |               |           |                      |   |                       |  |            |   |  |   |          
|Total available-for-sale securities                                                 |  | $             | 4,736,278 |                      | $ | 452                   |  | $          |  |  | $ | 4,736,730
|                                                                                    |  |               |           |                      |   |                       |  |            |   |  |   |          
|                                                                                    |  |               |           |                     
|At March 31, 2010, maturities of our available-for-sale securities were as follows: |  |               |           |                      |   |                       |  |            |   |  |   |          
|Less than one year                                                                  |  | $             | 1,991,000 |                      | $ |                      |  | $          |  |  | $ | 1,991,000
|One to two years                                                                    |  |               | 1,995,000 |                      |   |                      |  |            |  |  |   | 1,995,000
|                                                                                    |  |               |           |                      |   |                       |  |            |   |  |   |          
|Total available-for-sale securities                                                 |  | $             | 3,986,000 |                      | $ |                      |  | $          |  |  | $ | 3,986,000
|                                                                                    |  |               |           |                      |   |                       |  |            |   |  |   |          

Fair Value of Financial Instruments.As of
March 31, 2010, the carrying values of cash and cash equivalents, short-term investments, accounts receivable, accounts payable and accrued expenses approximate their respective fair values based on their short-term nature. In addition, we
believe the carrying value of our debt instruments, which do not have readily ascertainable market values, approximate their fair values, given that the interest rates on outstanding borrowings approximate market rates.

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).

All our available for sale securities were classified and measured as Level 1 instruments.



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ORASURE TECHNOLOGIES, INC.

Notes to Financial Statements(Continued)

(Unaudited)



Inventories.Inventories are stated at the lower of cost or market determined on a
first-in, first-out basis and are comprised of the following:



|                |  |               |           |                  |   |          
|--------------- |  | ------------- | --------- | ---------------- | - | ---------
|                |  | March 31,2010 |           | December 31,2009
|                |  |              
|Raw materials   |  | $             | 4,960,670 |                  | $ | 4,911,570
|Work in process |  |               | 405,177   |                  |   | 334,452  
|Finished goods  |  |               | 3,943,440 |                  |   | 3,598,470
|                |  |               |           |                  |   |          
|                |  | $             | 9,309,287 |                  | $ | 8,844,492
|                |  |               |           |                  |   |          

Impairment of Long-Lived Assets.If indicators of
impairment exist, we assess the recoverability of the affected long-lived assets, which include property and equipment and patents and product rights, by determining whether the carrying value of such assets can be recovered through the sum of the
undiscounted future cash flows from the use and eventual disposition of the assets. If impairment is indicated, we measure the amount of such impairment by comparing the carrying value of the assets to the fair value of these assets, which is
generally determined based on the present value of the expected future cash flows associated with the use of the assets.

Revenue
Recognition. We recognize product revenues when there is persuasive evidence that an arrangement exists, the price is fixed or determinable, title has passed and collection is reasonably assured. Product revenues are recorded net of
allowances for any discounts or rebates. We do not grant price protection or product return rights to our customers, except for warranty returns and return rights granted to retail customers for our domestic cryosurgical wart removal product.

Historically, returns arising from warranty issues have been infrequent and immaterial. Accordingly, we expense warranty returns as incurred.
For our cryosurgical product sold in the retail market, a provision for estimated product returns is recorded as a reduction of revenue in the same period in which the revenue is recognized. In addition, revenue from retail sales is also recorded
net of promotional, advertising, and slotting allowances granted to the retail trade.

Royalty income from the grant of license rights is
recognized during the period in which the revenue is earned and the amount is determinable from the licensee.

Up-front licensing fees are
deferred and recognized ratably over the related license period. Product development revenues are recognized over the period in which the related product development efforts are performed. Amounts received prior to the performance of product
development efforts are recorded as deferred revenues. Grant revenue is recognized as the related work is performed and costs are incurred. We record shipping and handling charges billed to our customers as product revenue and the related expense as
cost of products sold. Taxes assessed by governmental authorities, such as sales or value-added taxes, are excluded from product revenues.

Significant Customer Concentration. The Company had no significant concentrations in accounts receivable as of March 31, 2010 or in
revenues for both quarters ended March 31, 2010 and 2009. As of December 31, 2009, one of our customers, National Aids Control Program, accounted for 11% of our accounts receivable balance.

Research and Development. Research and development expenses consist of costs incurred in performing research and development activities
including salaries and benefits, facilities expenses, overhead expenses, clinical trial and related clinical manufacturing expenses, contract services and other outside expenses. Research and development costs are charged to expense as incurred.
Clinical trial expenses include expenses associated with contract research organizations, or CROs. The invoicing from CROs can precede the services provided or can lag the service period by several months. Invoices paid prior to service being
provided are recorded as a prepaid expense and then expensed appropriately as services are provided. We accrue the cost of services rendered but unbilled by CROs based on purchase order estimates provided by the CROs. Differences between actual and
estimated clinical trial expenses recorded are generally not material and would be adjusted for in the period in which they become known.



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##### Table of Contents

ORASURE TECHNOLOGIES, INC.

Notes to Financial Statements(Continued)

(Unaudited)



Loss Per Share. Basic and diluted loss per share is computed by dividing net loss by the
weighted-average number of shares of common stock outstanding during the period. Diluted loss per share is generally computed assuming the exercise or vesting of all dilutive securities such as common stock options and unvested restricted stock. As
a result of our net losses for the three month periods ended March 31, 2010 and 2009, outstanding common stock options and unvested restricted stock, representing 5,750,570 and 6,164,909 shares, respectively, were excluded from the computation
of diluted loss per share, as their inclusion would have been anti-dilutive.

Other Comprehensive Loss. We classify items of
other comprehensive loss by their nature and disclose the accumulated balance of other comprehensive loss separately from accumulated deficit and additional paid-in capital, in the stockholders equity section of our balance sheet. Accumulated
other comprehensive loss at March 31, 2010 and December 31, 2009 consisted of currency translation adjustments and net unrealized losses on short-term investments. Comprehensive loss was $2,195,037 and $1,574,132 for the three months ended
March 31, 2010 and 2009, respectively.

3. Patents and Product Rights

In August 2005, we entered into a license agreement with third parties, pursuant to which we have been granted a limited, personal, non-transferable,
non-exclusive license related to certain Hepatitis C Virus (HCV) patents held by such parties. During the first quarter of 2010, we achieved a milestone under this agreement and have accrued and capitalized a $1,000,000 payment.
Commencing in April 2010, this payment will be amortized on a straight-line basis over ten years, which represents managements estimate of the remaining useful life of the licensed patents. Under the terms of the license agreement, we may also
be required to pay additional license fees of up to $3,500,000, upon the achievement of specific development and/or commercial milestones.

4. Prepaid Expenses and Other Noncurrent Assets

In January 2010, we entered into an agreement with the supplier of HIV peptides used in the manufacture of our OraQuick HIV test. This
agreement was executed in connection with the suppliers bankruptcy and terminated our obligation to exclusively purchase peptides from the supplier and to pay royalties on worldwide sales of our
OraQuick® tests. Pursuant to this agreement, we made a one-time payment of $2.1 million to the supplier in full
consideration of the termination of the original agreement with this supplier and satisfaction of all obligations, including our royalty obligations. We also received a fully paid-up worldwide, non-exclusive, non-transferable license to the
suppliers patent rights related to the peptides which expires on July 8, 2011. We recorded the payment, net of the $1,379,732 in royalties previously accrued, as prepaid royalties, which will be expensed in relation to sales of our
OraQuick® HIV test through June 30, 2011.

5. Stock-Based Compensation

We grant
stock-based awards under the OraSure Technologies, Inc. 2000 Stock Award Plan, as amended and restated (the 2000 Plan). The 2000 Plan permits stock-based awards to employees, outside directors and consultants or other third-party
advisors. Awards which may be granted under the 2000 Plan include qualified incentive stock options, nonqualified stock options, stock appreciation rights, restricted awards, performance awards and other stock-based awards. We recognize compensation
expense for stock option awards issued to employees and directors on a straight-line basis over the requisite service period of the award. To satisfy the exercise of options or to issue new restricted stock, we normally issue new shares rather than
purchase shares on the open market.

The fair value of each stock option is estimated on the date of the grant using the Black-Scholes
option-pricing model. The weighted average grant date fair value of stock options granted during the three months ended March 31, 2010 and 2009 was $2.26 and $1.16 per share, respectively.

Total compensation cost related to stock options for the three months ended March 31, 2010 and 2009 was $275,242 and $402,661, respectively, of
which $13,807 and $32,019 was capitalized into inventory during the quarters ended March 31, 2010 and 2009, respectively. The amounts recognized in cost of products sold for amounts previously capitalized were $19,945 and $66,831 for the three
months ended March 31, 2010 and 2009, respectively.



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##### Table of Contents

ORASURE TECHNOLOGIES, INC.

Notes to Financial Statements(Continued)

(Unaudited)



The following table summarizes the stock option activity for the three months ended March 31, 2010:



|                               |  |           |  
|------------------------------ |  | --------- | -
|                               |  | Options   |  
|                               | 
|Outstanding on January 1, 2010 |  | 5,431,665 |  
|Granted                        |  | 662,230   |  
|Exercised                      |  |          |  
|Forfeited                      |  | (12,863   | )
|                               |  |           |  
|                               | 
|Outstanding on March 31, 2010  |  | 6,081,032 |  
|                               |  |           |  

As of March 31, 2010, there was $2,798,669 of unrecognized compensation expense related to unvested option awards that
is expected to be recognized over a weighted average period of 2.1 years.

No options were exercised during the first quarter of 2010. Net
cash proceeds from the exercise of stock options during the first quarter of 2009 were $16,402. As a result of the Companys net operating loss carryforward position, no actual income tax benefit was realized from the stock option exercises.

As mentioned above, the 2000 Plan also permits us to grant restricted shares of our common stock to eligible employees, including officers
and outside directors. Generally, these shares are nontransferable until vested and are subject to vesting requirements and/or forfeiture, as determined by the Compensation Committee of our Board of Directors. The market value of these shares at the
date of grant is recognized on a straight-line basis over the period during which the restrictions lapse. During the three months ended March 31, 2010, we granted 454,715 restricted shares of our common stock, with a weighted average grant date
fair value of $5.19 per share, to certain key officers, members of management and outside directors. Compensation cost of $616,131 and $734,444 related to restricted shares was recognized during the three months ended March 31, 2010 and 2009,
respectively.

The following table summarizes restricted stock award activity for the three months ended March 31, 2010:



|                                     |  |          |  
|------------------------------------ |  | -------- | -
|                                     |  | Shares   |  
|                                     | 
|Issued and unvested, January 1, 2010 |  | 819,877  |  
|Granted                              |  | 454,715  |  
|Vested                               |  | (387,276 | )
|Forfeited                            |  | (2,223   | )
|                                     |  |          |  
|                                     | 
|Issued and unvested, March 31, 2010  |  | 885,093  |  
|                                     |  |          |  

As of March 31, 2010, there was $4,267,142 of unrecognized compensation expense related to unvested restricted stock
awards that is expected to be recognized over a weighted average period of 2.5 years. In connection with the vesting of restricted shares, during the three months ended March 31, 2010 and 2009, 121,529 and 108,619 shares, respectively, with
aggregate values of $638,628 and $314,881, respectively, were withheld and retired in satisfaction of minimum tax withholding obligations.



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ORASURE TECHNOLOGIES, INC.

Notes to Financial Statements(Continued)

(Unaudited)



6. Share Repurchase Program

On August 5, 2008, our Board of Directors approved a share repurchase program pursuant to which we are permitted to acquire up to $25 million of our
outstanding common shares. During the three months ended March 31, 2009, we purchased and retired 108,293 shares of our common stock at an average price of $2.85 per share. Accordingly, we recorded a $308,605 reduction to additional paid-in
capital during the three month period ended March 31, 2009. No such purchases were made in the quarter ended March 31, 2010.

7.
Accrued Expenses



|                              |  |               |           |                  |   |           
|----------------------------- |  | ------------- | --------- | ---------------- | - | ----------
|                              |  | March 31,2010 |           | December 31,2009
|                              |  |              
|Payroll and related benefits  |  | $             | 2,620,717 |                  | $ | 4,867,716 
|Royalties                     |  |               | 1,405,687 |                  |   | 3,394,991 
|Deferred revenue              |  |               | 1,214,725 |                  |   | 1,618,798 
|Licensing fee                 |  |               | 1,000,000 |                  |   |          
|Professional fees             |  |               | 762,709   |                  |   | 290,208   
|Clinical research obligations |  |               | 218,715   |                  |   | 658,605   
|Other                         |  |               | 732,664   |                  |   | 672,484   
|                              |  |               |           |                  |   |           
|                              |  |              
|                              |  | $             | 7,955,217 |                  | $ | 11,502,802
|                              |  |               |           |                  |   |           

Deferred revenue at March 31, 2010 and December 31, 2009
included customer prepayments of $1,134,824 and $1,501,598, respectively.

8. Geographic Information

We operate within one reportable segment. Our products are sold principally in the United States and Europe. Segmentation of operating income and
identifiable assets is not applicable since our revenues outside the United States are export sales, and we do not have significant operating assets outside the United States.

The following table represents total revenues by geographic area, based on the location of the customer (amounts in thousands):



|              |  |                             |        |      |   |       
|------------- |  | --------------------------- | ------ | ---- | - | ------
|              |  | Three MonthsEnded March 31,
|              |  | 2010                        |        | 2009
|              |  |                            
|United States |  | $                           | 14,868 |      | $ | 14,837
|Europe        |  |                             | 1,342  |      |   | 1,500 
|Other regions |  |                             | 1,735  |      |   | 919   
|              |  |                             |        |      |   |       
|              |  | $                           | 17,945 |      | $ | 17,256
|              |  |                             |        |      |   |       



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##### Table of Contents

|Item 2. | MANAGEMENTS DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
|------- | -------------------------------------------------------------------------------------

Statements below regarding future events or performance are forward-looking statements within the meaning of the Federal securities laws.
These may include statements about our expected revenues, earnings/loss per share, net income (loss), expenses, cash flow or other financial performance or developments, expected regulatory filings and approvals, planned business transactions, views
of future industry, competitive or market conditions, and other factors that could affect our future operations, results of operations or financial position. These statements often include the words 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: ability to market and sell products,
whether through an internal, direct sales force or third parties; ability to manufacture products in accordance with applicable specifications, performance standards and quality requirements; 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; failure of distributors or other customers to meet purchase forecasts or minimum
purchase requirements for the Companys products; impact of replacing distributors and success of direct sales efforts; inventory levels at distributors and other customers; impact of competitors, competing products and technology changes;
impact of the economic downturn, high unemployment and poor credit conditions; reduction or deferral of public funding available to customers; competition from new or better technology or lower cost products; ability to develop, commercialize and
market new products; market acceptance of oral fluid testing or other products; changes in market acceptance of products based on product performance, extended shelf life or other factors; continued bulk purchases by customers, including
governmental agencies, and the ability to fully deploy those purchases in a timely manner; ability to fund research and development and other products and operations; ability to obtain and maintain new or existing product distribution channels;
reliance on sole supply sources for critical product components; availability of related products produced by third parties or products required for use of our products; 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; history of losses and ability to achieve sustained profitability; ability to utilize net operating loss
carry forwards or other deferred tax assets; volatility of our 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; ability to sell products internationally, including the impact
of changes in international funding sources; loss or impairment of sources of capital; ability to meet financial covenants in agreements with financial institutions; ability to retain qualified personnel; 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; ability to identify, complete and realize the full benefits of potential acquisitions; and general political, business and economic conditions. These and other factors are discussed more fully in our Securities and Exchange Commission
(SEC) filings, including our registration statements, Annual Report on Form 10-K for the year ended December 31, 2009, Quarterly Reports on Form 10-Q, and other filings with the SEC. Although forward-looking statements help to
provide information about future prospects, readers should keep in mind that forward-looking statements may not be reliable. The forward-looking statements are made as of the date of this Report and we undertake no duty to update these statements.

The following discussion should be read in conjunction with the financial statements contained herein and the notes thereto, along with
the Section entitled Critical Accounting Policies and Estimates, set forth below.

Overview

We operate primarily in the in vitro diagnostic business. Our business principally involves the development, manufacture,
marketing and sale of oral fluid diagnostic products and specimen collection devices using our proprietary oral fluid technologies, as well as other diagnostic products including immunoassays and other in vitro



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##### Table of Contents

diagnostic tests that are used on other specimen types, and other medical devices used for the removal of benign skin lesions by cryosurgery, or freezing. Our diagnostic products include
tests which are performed on a rapid basis at the point of care and tests which are processed in a laboratory. 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. One of our products is sold in the over-the-counter (OTC) or consumer retail market
in North America, Europe, Central and South America, and Australia.

In vitro diagnostic testing is the process of analyzing oral
fluid, blood, urine and other bodily fluids or tissue for the presence of specific substances or markers for infectious diseases, drugs of abuse or other conditions. However, we have targeted the use of oral fluid in our products as a
differentiating factor and believe that it provides a significant competitive advantage over blood and urine. Our oral fluid tests have sensitivity and specificity comparable to blood and/or urine tests. When combined with their ease of use,
non-invasive and dignified nature, and cost effectiveness, our oral fluid tests represent a very competitive alternative to the more traditional testing methods in the diagnostic marketplace.

We rely heavily on distributors to purchase and resell many of our products. For example, Genomma Labs (Genomma) has
exclusive rights to our wart removal product in the OTC market in Mexico, Argentina, Brazil, and various other Central and South American countries and SSL International plc (SSL) has similar rights to our wart removal product in the OTC
footcare market in Europe, Australia and New Zealand. We have contracted with several distributors to sell our OraQuick
ADVANCE® HIV-1/2 test to the U.S. physician office market and our
Intercept® and
OraSure® product lines are sold by several laboratory distributors. We use distributors to sell our
Histofreezer® product into the domestic and international physician office markets and we are engaging
distributors to sell our OraQuick® rapid HCV test in Europe. We expect to enter into additional distribution
agreements for existing and future products in the U.S. and internationally. If our distributors are unable or unwilling to meet the minimum purchase commitments set forth in their agreements or otherwise substantially reduce the volume of their
purchases, our revenues and results of operations could be adversely affected.

Because of the regulatory approvals needed
for most of our products, we often are required to rely on sole source providers for critical components and materials and on related products supplied by third parties. This is particularly true for our OraQuick
ADVANCE® HIV-1/2 test, our
OraSure® oral fluid collection device and our oral fluid Western blot HIV-1 confirmatory product. If we are
unable to obtain necessary components or materials from these sole sources, the time required to develop replacements and obtain the required U.S. Food and Drug Administration (FDA) approvals could disrupt our ability to sell the
affected products.

Competitive and Economic Outlook

Competition in the market for HIV testing is intense and is expected to increase. We believe that our principal competition will come from existing
point-of-care rapid blood tests, laboratory-based blood tests, and urine assays or other oral fluid-based tests that may be developed. Our competitors include medical diagnostic companies and specialized biotechnology firms, as well as
pharmaceutical companies with biotechnology divisions.

Our
OraQuick® HCV test that is now available in Europe is expected to compete against laboratory-based HCV blood
tests. In non-U.S. countries outside of Europe, we expect this product to compete against other rapid HCV blood tests in addition to the laboratory-based tests.

The current economic downturn, including disruptions in the capital and credit markets, may continue for the foreseeable future and intensify, and has
adversely affected and could continue to adversely affect our financial performance and condition or those of our customers and suppliers. These circumstances could adversely affect our access to liquidity needed to conduct or expand our business or
conduct acquisitions or make other discretionary investments. Some of our customers rely on public funding provided by state and local governments, and this funding has been and may continue to be reduced or deferred as a result of current economic
conditions. These circumstances may adversely impact our customers and suppliers, which, in turn, could adversely affect their ability to purchase our products or supply us with necessary equipment, raw materials or components. In addition, demand
for our products may also be adversely affected by the economic downturn.



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##### Table of Contents

Current Financial Results

During the three months ended March 31, 2010, our total revenues were $17.9 million, which represents a 4% increase from the same
period in 2009. Revenues include a $1.0 million milestone payment we received under the terms of our collaboration agreement with Merck & Co., Inc. (formerly called Schering-Plough) (Merck) for the development and promotion of
our OraQuick® rapid HCV test. Our net loss for the three months ended March 31, 2010 was $2.2 million or
$0.05 per share, compared to a net loss of $1.6 million or $0.04 per share for the three months ended March 31, 2009.

Cash flow used in
operating activities for the three months ended March 31, 2010 was $5.0 million compared to the $2.7 million used in operating activities for the three months ended March 31, 2009. As of March 31, 2010, we had $73.4 million in cash,
cash equivalents and short-term investments, compared to $79.7 million at December 31, 2009.

Recent Developments

OraQuick®HCV Test

During the fourth quarter of 2009, we received approval to affix the CE mark to our
OraQuick® rapid HCV test. CE mark approval is the first step required in order to allow us to sell our HCV test
in the 27 countries that make up the European Union. Our HCV test is the first and only rapid HCV test bearing a CE mark that can be used with oral fluid. We are currently pursuing certain additional registrations in specific European countries
where required.

In April 2010, we formally launched the commercialization of our
OraQuick® HCV test in Europe at a meeting of the European Association for the Study of the Liver. Although we
now can begin selling the OraQuick® HCV test internationally, our initial focus is on finding distributors and
building awareness and acceptance for this product.

Results of Operations

Three months ended March 31, 2010 compared to March 31, 2009

Total revenues increased 4% to $17.9 million in the first quarter of 2010 from $17.3 million in the comparable quarter in 2009. Increased sales in the
cryosurgical systems market and higher licensing and product development revenues were partially offset by lower revenues from our infectious disease testing and insurance risk assessment businesses. Revenues derived from products sold to customers
outside the U.S. were $3.1 million and $2.4 million, or 17% and 14% of total revenues, in the first quarters of 2010 and 2009, respectively. Because the majority of our international sales are denominated in U.S. dollars, the impact of fluctuating
foreign currency exchange rates was not material to our operating results.

The table below shows the amount of total revenues (in thousands,
except %) generated in each of our principal markets and by licensing and product development activities.



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##### Table of Contents

|                                  |  |                              |        |      |   |         |                             |     |      |  |     |      |  |     |  
|--------------------------------- |  | ---------------------------- | ------ | ---- | - | ------- | --------------------------- | --- | ---- |  | --- | ---- |  | --- | -
|                                  |  | Three Months Ended March 31, |       
|                                  |  | Dollars                      |        |      |   |         | Percentage of TotalRevenues |    
|Market                            |  | 2010                         |        | 2009 |   | %Change |                             |     | 2010 |  |     | 2009 | 
|                                  |  |                              |        |      |  
|Infectious disease testing        |  | $                            | 9,481  |      | $ | 10,451  |                             | (9  | )%   |  | 53  | %    |  | 61  | %
|Substance abuse testing           |  |                              | 2,713  |      |   | 2,690   |                             | 1   |      |  | 15  |      |  | 16  |  
|Cryosurgical systems              |  |                              | 2,994  |      |   | 2,145   |                             | 40  |      |  | 17  |      |  | 12  |  
|Insurance risk assessment         |  |                              | 1,384  |      |   | 1,635   |                             | (15 | )    |  | 7   |      |  | 9   |  
|                                  |  |                              |        |      |   |         |                             |     |      |  |     |      |  |     |  
|Product revenues                  |  |                              | 16,572 |      |   | 16,921  |                             | (2  | )    |  | 92  |      |  | 98  |  
|Licensing and product development |  |                              | 1,373  |      |   | 335     |                             | 310 |      |  | 8   |      |  | 2   |  
|                                  |  |                              |        |      |   |         |                             |     |      |  |     |      |  |     |  
|Total revenues                    |  | $                            | 17,945 |      | $ | 17,256  |                             | 4   | %    |  | 100 | %    |  | 100 | %
|                                  |  |                              |        |      |   |         |                             |     |      |  |     |      |  |     |  

Infectious Disease Testing Market

Sales to the infectious disease testing market decreased 9% to $9.5 million in the first quarter of 2010.
OraQuick® sales totaled $9.1 million and $9.8 million in the first quarters of 2010 and 2009, respectively.
Sales of our OraSure® oral fluid collection device totaled $412,000 and $693,000 in the first quarters of 2010
and 2009, respectively.

As previously disclosed, an increasing number of our public health customers are supplying
hospitals with OraQuick ADVANCE® HIV tests purchased from us. This is a positive development as it
indicates increased support of hospital testing initiatives by public health agencies. However, this overlap is making it more difficult to separately track
OraQuick® sales into these markets. Since this trend is likely to continue, we are now reporting public health
and hospitals sales of our OraQuick ADVANCE® HIV-1/2 test in the U.S. as a combined domestic market.
Prior year amounts have been reclassified to conform to the current presentation.

The table below shows a breakdown of
our total OraQuick® HIV revenues (in thousands, except %) during the first quarters of 2010 and 2009.



|                         |  |                              |       |      |   |          |  |     |   
|------------------------ |  | ---------------------------- | ----- | ---- | - | -------- |  | --- | --
|                         |  | Three Months Ended March 31, |      
|Market                   |  | 2010                         |       | 2009 |   | % Change | 
|                         |  |                              |      
|Domestic                 |  | $                            | 8,733 |      | $ | 9,299    |  | (6  | )%
|International            |  |                              | 336   |      |   | 459      |  | (27 | ) 
|                         |  |                              |       |      |   |          |  |     |   
|Total
OraQuick® revenues |  | $                            | 9,069 |      | $ | 9,758    |  | (7  | )%
|                         |  |                              |       |      |   |          |  |     |   

During the three months ended March 31, 2010, sales of the OraQuick
ADVANCE® HIV test in the U.S. market decreased 6%, or $566,000, when compared to the same period in 2009.
This decrease is largely due to lower average selling prices, as well as slightly lower sales volume resulting from reduced public health funding by state and local governments.

International sales of our
OraQuick® HIV test decreased 27% to $336,000 for the three months ended March 31, 2010 from $459,000 for
the three months ended March 31, 2009. This decrease resulted from customer losses due to price competition and non-recurrence of customer orders from the prior year period.

Sales of our
OraSure® oral fluid collection device decreased from $693,000 in the first quarter of 2009 to $412,000 in the
first quarter of 2010 largely due to the ordering patterns of one of our largest OraSure® public health



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customers. In addition, some customers who have purchased our
OraSure® device for laboratory HIV-1 testing in the past are now electing to purchase our OraQuick
ADVANCE® test. We believe this is the result of customers recognizing the benefits of rapid HIV testing,
especially with oral fluids. OraSure® sales are expected to continue to decline in 2010.

Substance Abuse Testing Market

Substance abuse testing revenues remained flat at $2.7 million in the first quarters of 2010 and 2009 as lower sales of our
Intercept® drug testing system were offset by increased sales of the
Q.E.D.® rapid point-of-care saliva alcohol test.

As a result of declining economic conditions and consolidations in the laboratory industry, several of our laboratory testing
partners are performing substance abuse testing for both the criminal justice and workplace testing markets. As such, it is becoming increasingly difficult to track
Intercept® revenues separately in these markets. We expect this to continue and accordingly, we are now
reporting Intercept® sales to the U.S. criminal justice and workplace testing markets on a combined basis. Prior
year amounts have been reclassified to conform to the current presentation.

The table below shows a breakdown of our
total Intercept® revenues (in thousands, except %) generated in each market during the first quarters of 2010
and 2009.



|                          |  |                              |       |      |   |          |  |    |   
|------------------------- |  | ---------------------------- | ----- | ---- | - | -------- |  | -- | --
|                          |  | Three Months Ended March 31, |      
|Market                    |  | 2010                         |       | 2009 |   | % Change | 
|                          |  |                              |      
|Domestic                  |  | $                            | 1,528 |      | $ | 1,577    |  | (3 | )%
|International             |  |                              | 517   |      |   | 523      |  | (1 | ) 
|                          |  |                              |       |      |   |          |  |    |   
|Total
Intercept® revenues |  | $                            | 2,045 |      | $ | 2,100    |  | (3 | )%
|                          |  |                              |       |      |   |          |  |    |   

Domestic
Intercept® revenues decreased 3% from $1.6 million in the first quarter of 2009 to $1.5 million in the first
quarter of 2010. During the first quarter of 2010, our primary drug testing laboratory customer changed its business model by bringing device inventory storage in-house. This change and the customers reassessment of its inventory levels caused
a temporary disruption to their ordering patterns during the first quarter of 2010.

International
Intercept® revenues for the first quarter of 2010 remained flat when compared to the first quarter of 2009.

We do not expect renewed growth in
Intercept® sales until employment conditions in the U.S. recover and overall economic conditions improve. In
addition, the microplate oral fluid drug assays, which are sold for use with the Intercept® collection device,
have come under increasing competitive pressure from home-brew assays developed internally by our laboratory customers and compete with urine-based homogeneous assays that are run on fully-automated, random access analyzers. We believe
our competitors are developing oral fluid tests suitable for use on these fully automated homogeneous assay systems and these assays, if and when they are developed and commercialized, could represent a significant competitive threat to our oral
fluid microplate business. Pursuant to a development agreement with Roche Diagnostics, homogenous fully-automated oral fluid drugs of abuse assays are being developed for use with our
Intercept® collection device. The assays use Roches technology and will run on various automated analyzers
to allow oral fluid samples to be processed with the same efficiency currently achieved with urine-based drug tests. We have also entered into a commercialization agreement with Roche pursuant to which a drug testing system comprised of our
Intercept® device and the newly developed homogenous assays will be marketed and sold on a worldwide basis.



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Cryosurgical Systems Market

Sales in the cryosurgical systems market (which includes both the physicians office and OTC markets) increased 40% to $3.0 million in the first
quarter of 2010, compared to $2.1 million in the same period of the prior year.

The table below shows a breakdown of our total cryosurgical
systems revenues (in thousands, except %) generated in each market during the first quarters of 2010 and 2009.



|                                    |  |                              |       |      |   |          |  |     |  
|----------------------------------- |  | ---------------------------- | ----- | ---- | - | -------- |  | --- | -
|                                    |  | Three Months Ended March 31, |      
|Market                              |  | 2010                         |       | 2009 |   | % Change | 
|                                    |  |                              |      
|Professional domestic               |  | $                            | 1,210 |      | $ | 942      |  | 28  | %
|Professional international          |  |                              | 270   |      |   | 629      |  | (57 | )
|OTC domestic                        |  |                              | 45    |      |   | 57       |  | (21 | )
|OTC international                   |  |                              | 1,469 |      |   | 517      |  | 184 |  
|                                    |  |                              |       |      |   |          |  |     |  
|Total cryosurgical systems revenues |  | $                            | 2,994 |      | $ | 2,145    |  | 40  | %
|                                    |  |                              |       |      |   |          |  |     |  

The overall increase in cryosurgical systems revenues was primarily the result of a $952,000 increase in sales of
our international OTC products. During the three months ended March 31, 2010, we experienced increased sales to our Latin American OTC distributor, Genomma, which were partially offset by a decrease in sales to our European OTC distributor,
SSL.

During 2008, Genomma reduced its purchases in response to an increase in product returns from retailers in Mexico who overstocked
during the winter months of 2007. Throughout 2008 and early in 2009, Genomma worked through its excess inventory levels and resumed purchasing product during the second quarter of 2009 with no purchases made during the first quarter of 2009. During
the first quarter of 2010, Genommas purchases totaled $1.1 million. This increase represents product required to support Genommas launch of our OTC cryosurgical wart removal product in Brazil.

Sales to SSL were $406,000 and $517,000 in the first quarter of 2010 and 2009, respectively. First quarter 2009 revenues were favorably impacted by
product purchases to support SSLs expansion into the French mass merchandise market. Current quarter revenues reflect purchases made for multiple European markets and are more reflective of on-going business operations.

During the first quarter of 2009, we reentered the U.S. OTC cryosurgery marketplace through the launch of our own cryosurgical wart removal product under
a new national brand, Freeze n Clear Skin Clinic , and shipped product to one major retailer. In accordance with U.S. generally accepted accounting principles, retail revenues are reduced by costs associated with promotional rebates,
advertising, slotting and return allowances provided to the retail trade. Gross sales into the domestic OTC market were $55,000 in the first quarter of 2010 compared to $99,000 in the first quarter of 2009.

Sales of our
Histofreezer® product to physicians offices in the United States increased 28% to $1.2 million in the
first quarter of 2010, compared to $942,000 in 2009, largely due to increased purchases by our Canadian and U.S. distributors in anticipation of price increases implemented in January and April 2010, respectively. Sales of
Histofreezer® in the international market decreased 57% in the first quarter of 2010, as compared to the first
quarter of 2009. This decline was largely due to a discontinuance of sales to certain foreign distributors that we believe were diverting product to the U.S. market. The selling prices for our
Histofreezer® product are lower in some foreign countries due to differences in the healthcare systems in those
countries. During 2008 and early 2009, some distributors in these countries purchased English-labeled Histofreezer® product and resold it into the domestic distribution network to distributors who employ alternate sourcing programs. Although we aggressively tried to address this diversion issue, we believe it negatively impacted sales in the domestic
physicians office market during the first quarter of 2010 and may continue to do so until the supply of diverted product is exhausted.



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In early 2010, we signed agreements with two manufacturers sales representative
organizations to support sales of our Histofreezer® product in the U.S. Under these arrangements, over 40
additional sales representatives will be working with our physicians office distributors throughout the United States. The addition of these sales representatives is expected to contribute to domestic
Histofreezer® sales growth during 2010.

In the European professional marketplace, healthcare reimbursement has been or may be reduced or eliminated for certain treatment
types, including treatments for common warts. The reduction in or elimination of reimbursement for wart treatments could negatively affect international sales of our
Histofreezer® product. We are also seeing evidence that sales of OTC cryosurgical products may reduce the number
of individuals that will seek to obtain treatment of their warts by a physician, which in turn could negatively affect sales of our
Histofreezer® product in the domestic professional market. However, it is not possible at this time to estimate
the likelihood or financial impact of these changes.

Insurance Risk Assessment Market

Sales to the insurance risk assessment market decreased 15% to $1.4 million in 2010 from $1.6 million in the first quarter of 2009, due to variations in
laboratory ordering patterns and a decrease in the issuance of new insurance policies.

Licensing and Product
Development

Licensing and product development revenues increased to $1.4 million during the first quarter of 2010
from $335,000 during the first quarter of 2009. This increase was primarily due to a $1.0 million milestone payment received as a result of our achievement of certain regulatory objectives pursuant to our collaboration agreement with Merck for the
development and promotion of an OraQuick® rapid HCV test. The remaining licensing revenues for the first
quarters of both 2010 and 2009 represent royalties received on domestic outsales of Mercks OTC cryosurgical wart removal product, pursuant to our license and settlement agreement executed in January 2008.

Gross Margin

Gross margin in the first quarter of 2010 was 64%, which is essentially unchanged from the gross margin achieved in the first quarter
of 2009. Gross margin in the current quarter benefitted from the increase in licensing and product development revenues and decrease in royalty and licensing expenses. Gross margin was negatively affected by an increase in unabsorbed overhead costs
due to lower product production in light of existing inventory levels coupled with the lower selling price realized from our OraQuick
ADVANCE® HIV product.

Operating Expenses

Research and development expenses decreased 7% from $3.4 million in the first quarter of 2009 to $3.1 million in the same period in
2010, primarily as a result of decreased validation, vendor qualification, and clinical trial costs related to the development of our
OraQuick® HCV and HIV OTC tests. These decreases were partially offset by higher laboratory supplies expense
related to the development of new infectious disease products. We expect our research and development costs will increase in 2010 as a result of clinical trials for the HIV OTC and
OraQuick® HCV products and development of other new products.

Sales and marketing expenses increased 13% from $5.0 million in the first quarter of 2009 to $5.7 million in the first quarter of
2010. This increase was the result of additional market research activities, increased recruiting and consulting costs and the commissions paid to the two new manufacturers sales representative organizations that we retained during the first
quarter to support sales of our Histofreezer® product in the U.S. physician office market.



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General and administrative expenses increased 7% to $4.8 million in the first quarter of 2010 from $4.5
million in the same period in 2009. This increase was primarily attributed to an increase in consulting costs, partially offset by a decrease in legal expenses.

Interest Income/Expense

Interest expense decreased to $76,000 in the first quarter of 2010 from $90,000 in the first quarter of 2009 as a result of lower average debt balances.
Interest income decreased to $42,000 in the first quarter of 2010 from $335,000 in the first quarter of 2009, primarily as a result of lower yields earned on our investment portfolio, lower investment balances, and an overall conservative,
shorter-term investment approach.

Income Taxes

In 2008, we established a full valuation allowance against our total net deferred tax asset. Management has continued to evaluate whether the full
valuation is still appropriate. At the end of the three-month period ended March 31, 2010, we concluded that the full valuation allowance still remains appropriate as the facts and circumstances during 2010 have not changed. As a result, no
income tax benefit was recorded in the first quarters of 2010 or 2009.

Liquidity and Capital Resources



|                          |  |                |        |                  |   |       
|------------------------- |  | -------------- | ------ | ---------------- | - | ------
|                          |  | March 31,2010  |        | December 31,2009
|                          |  | (In thousands)
|                          |  |               
|Cash and cash equivalents |  | $              | 69,374 |                  | $ | 74,934
|Short-term investments    |  |                | 3,986  |                  |   | 4,737 
|Working capital           |  |                | 86,583 |                  |   | 89,435

Our cash, cash equivalents and
short-term investments decreased $6.3 million to $73.4 million at March 31, 2010, primarily as a result of $5.0 million in net cash used in operations during the first quarter, $532,000 of cash used for property and equipment purchases,
$639,000 associated with the retirement of common stock to pay minimum tax withholding obligations on the vesting of restricted shares, and $135,000 for debt repayments.

The $5.0 million of net cash used in operating activities in the first quarter of 2010 represented an increase of $2.4 million when compared to the same
period in 2009. This increase resulted from our net loss of $2.2 million and reduced scrap and spoilage of $89,000, partially offset by non-cash stock-based compensation expense of $891,000 and depreciation and amortization of $650,000. Also
contributing to the higher net cash used in operations were increases in inventory and prepaid expenses of $375,000 and $673,000, respectively. Inventory increased largely due to increased raw material purchases for our cryosurgical product line to
take advantage of price discounts on bulk purchases. Prepaid expenses increased primarily as a result of $530,000 in prepaid royalties recorded in the first quarter of 2010 associated with the termination and buy-out of a license and supply
agreement with our HIV peptide supplier. Additional uses of cash during the first quarter of 2010 resulted from a decrease in accounts payable of $254,000 and a $4.5 million decrease in accrued expenses and other liabilities associated with payment
of our 2009 royalty obligations, management incentive bonuses and other accruals. Offsetting these uses of cash during the quarter was a $1.6 million decrease in accounts receivable, resulting from the timely collections of amounts due and the
decrease in product revenues experienced in the first quarter of 2010 as compared to the fourth quarter of 2009.

Net cash provided by
investing activities during the first three months of 2010 was $218,000. Proceeds of $750,000 from maturities and redemptions of short-term investments were partially offset by $532,000 in purchases of property and equipment.



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During the remainder of the year ending December 31, 2010, we expect to invest approximately $2.0
million in additional capital expenditures, primarily related to purchases of additional new equipment, and improvements to our facilities.

Net cash used in financing activities was $773,000 for the three months ended March 31, 2010, primarily as a result of $135,000 in loan principal
repayments and $639,000 used for the withholding and retirement of common stock related to the vesting of restricted shares.

At
December 31, 2009, we had in place a $10,000,000 credit advance with Comerica Bank (Comerica). Pursuant to the terms of the advance, principal, and interest fixed at 4.15%, are payable monthly through June 2011, at which time the
remaining unpaid principal balance is payable. Accordingly, at June 30, 2010, our remaining unpaid principal balance will be classified as a current liability since it will be payable within the ensuing twelve months. As of March 31, 2010,
we had $8.2 million in outstanding borrowings under this advance.

All borrowings from Comerica are collateralized by a first priority
security interest in all of our assets, including present and future accounts receivable, chattel paper, contracts and contract rights, equipment and accessories, general intangibles, investments, instruments, inventories, and a mortgage on our
three facilities in Bethlehem, Pennsylvania. The Comerica agreement contains certain covenants that set forth minimum requirements for our quick ratio, liquidity, and tangible net worth. We were in full compliance with all covenants at
March 31, 2010. The agreement also restricts our ability to pay dividends, to make certain investments, to incur additional indebtedness, to sell or otherwise dispose of a substantial portion of assets, and to merge or consolidate operations
with an unaffiliated entity, without the consent of Comerica.

At December 31, 2009, we had NOL carryforwards of $54.1 million for
federal income tax purposes. In the fourth quarter of 2008, we recorded a full valuation allowance against the deferred tax asset generated by these NOLs. Establishment of this valuation allowance does not change our view of the Companys
long-term financial outlook or the expected utilization of our NOL carryforwards.

The combination of our current cash, cash equivalents and
short-term investments is expected to be more than sufficient to fund our operating and capital needs through at least the next twelve months. Our cash requirements, however, may vary materially from those now planned due to many factors, including,
but not limited to, the scope and timing of strategic acquisitions, the cost and timing of the expansion of our manufacturing capacity, the progress of our 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 time and cost of obtaining regulatory approvals, 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, the timing of market launch of new products, market acceptance of new products, competing technological and market developments, the impact of the
ongoing economic downturn and other factors.

Summary of Contractual Obligations

A summary of our obligations to make future payments under contracts existing at December 31, 2009 is included in Item 7, Managements
Discussion and Analysis of Financial Condition and Results of Operations, of our Annual Report on Form 10-K for the year ended December 31, 2009. As of March 31, 2010, there were no significant changes to this information.

Critical Accounting Policies and Estimates

This Managements Discussion and Analysis of Financial Condition and Results of Operations discusses our financial statements, which have been
prepared in accordance with accounting principles generally accepted in the United States of America. The preparation of these financial statements requires that we make estimates and assumptions that affect the reported amounts of assets and
liabilities, the disclosure of contingent assets and liabilities at the date of the financial statements, and the reported amounts of revenues and expenses during the reporting period. On an on-going basis, we evaluate our judgments and estimates,
including those related to bad debts, inventories, investments, intangible assets, income taxes and realization of the related deferred tax assets,



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revenue recognition, restructuring costs, contingencies and litigation. We base our judgments and estimates on historical experience and on various other factors that are believed to be
reasonable under the circumstances, the results of which form the basis for making judgments about the carrying value of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these estimates under
different assumptions or conditions.

A more detailed review of our critical accounting policies is contained in our 2009 Annual Report on
Form 10-K filed with the SEC. During the first three months of 2010, there were no material changes in our critical accounting policies.



|Item 3. | QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
|------- | ----------------------------------------------------------

We do not hold any amounts of derivative financial instruments or derivative commodity instruments and, accordingly, we have no material derivative risk
to report under this Item.

The majority of our assets is comprised of cash and cash equivalents and as a result we have little exposure to
market risks associated with available-for-sale securities.

In January 2008, we elected to fix the interest rate on our long-term debt at
4.15% until the debts maturity in June 2011. As a result, we have no exposure to interest rate changes.

As of March 31, 2010, we
did not have any foreign currency exchange contracts or purchase currency options to hedge local currency cash flows. We have operations in Europe and Africa, which are subject to foreign currency fluctuations. As currency rates change, translation
of revenues and expenses for these operations from foreign currencies to U.S. dollars affects year-to-year comparability of operating results. Sales denominated in a foreign currency were minimal compared to our total revenues for the three months
ended March 31, 2010. We do not expect the risk of foreign currency fluctuations to be material to us in the near future.



|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, 2010. Based on that evaluation, the Companys management, including such officers, concluded that the
Companys disclosure controls and procedures were adequate and effective as of March 31, 2010 to ensure that information required to be disclosed by the Company in the reports that we file or submit under the Securities 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 SEC.

(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, 2010 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
|------- | -----------------

Cryosurgical Patent Infringement Litigation

In December 2009, we filed legal proceedings in the Patents Court of the High Court of England and Wales against D.D.D. Limited, DioMed Developments
Limited and Sixtem Life Srl, alleging that the import and/or sale of the Bazuka Sub-Zero OTC cryosurgical product by the defendants in the United Kingdom infringes our European Patent (UK) 0 608 954. We are seeking injunctive relief and damages,
among other remedies, in this matter. The defendants have filed a response denying infringement and alleging that our patent is invalid. We have filed a further response denying the defendants allegations of invalidity.



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|Item 1A. | RISK FACTORS
|-------- | ------------

There have been no material
changes to the factors disclosed in Item 1A., entitled Risk Factors, in our Annual Report on Form 10-K for the year ended December 31, 2009.



|Item 2. | UNREGISTERED SALE OF EQUITY SECURITIES AND USE OF PROCEEDS
|------- | ----------------------------------------------------------

During the quarter ended March 31, 2010, pursuant to our 2000 Stock Award Plan and in connection with the vesting of restricted shares, we retired
121,529 shares to satisfy minimum tax withholding obligations at an average price paid per share of $5.25.

On August 5, 2008, our Board
of Directors approved a share repurchase program pursuant to which we are permitted to acquire up to $25.0 million of outstanding shares. We did not purchase any shares under this program during the three months ended March 31, 2010. As of
March 31, 2010, we had remaining authority to purchase up to $19,570,287 of shares under this share repurchase program. We have no commitments to purchase any additional shares and the share repurchase program may be discontinued at any time.



|Item 6. | EXHIBITS
|------- | --------

Exhibits are listed on the
Exhibit Index following the signature page of this Report.



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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/    RONALD H.
SPAIR                             
|Date: May 6, 2010 |  |  |  | Ronald H. Spair                                    
|                  |  |  |  | Chief Operating Officer and
Chief Financial Officer
|                  |  |  |  | (Principal Financial Officer)                      
|                  |  | 
|                  |  |  |  | /S/    MARK L.
KUNA                                
|Date: May 6, 2010 |  |  |  | Mark L. Kuna                                       
|                  |  |  |  | Senior Vice President, Finance and Controller      
|                  |  |  |  | (Principal Accounting Officer)                     



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EXHIBIT INDEX



|        |  |                                                                                                                                                                                                                                          
|------- |  | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
|Exhibit |  |                                                                                                                                                                                                                                          
|        | 
|31.1    |  | Certification of Douglas A. Michels required by Rule 13a-14(a) or Rule 15d-14(a) under the Securities Exchange Act of 1934, as amended.                                                                                                  
|        | 
|31.2    |  | Certification of Ronald H. Spair required by Rule 13a-14(a) or Rule 15d-14(a) under the Securities Exchange Act of 1934, as amended.                                                                                                     
|        | 
|32.1    |  | Certification of Douglas A. Michels 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 Ronald H. Spair 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.   



24