##### 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, 2011.

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 2, 2011: 46,688,307









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##### Table of Contents

PART I. FINANCIAL INFORMATION



|                                                                                               |  |          |    | 
|---------------------------------------------------------------------------------------------- |  | -------- | -- | 
|                                                                                               |  | Page No. |   
|Item 1. Financial Statements (unaudited)                                                       |  |          | 3  | 
|                                                                                               | 
|Balance Sheets at March 31, 2011 and December 31, 2010                                         |  |          | 3  | 
|                                                                                               | 
|Statements of Operations for the three months ended March 31, 2011 and 2010                    |  |          | 4  | 
|                                                                                               | 
|Statements of Cash Flows for the three months ended March 31, 2011 and 2010                    |  |          | 5  | 
|                                                                                               | 
|Notes to Financial Statements                                                                  |  |          | 6  | 
|                                                                                               | 
|Item 
2. Managements Discussion and Analysis of Financial Condition and Results of Operations |  |          | 11 | 
|                                                                                               | 
|Item 3. Quantitative and Qualitative Disclosures About Market Risk                             |  |          | 19 | 
|                                                                                               | 
|Item 4. Controls and Procedures                                                                |  |          | 20 | 
|                                                                                               | 
|PART II. OTHER INFORMATION                                                                     |  |          |    | 
|                                                                                               | 
|Item 1A. Risk Factors                                                                          |  |          | 20 | 
|                                                                                               | 
|Item 2. Unregistered Sales of Equity Securities and Use of Proceeds                            |  |          | 20 | 
|                                                                                               | 
|Item 6. Exhibits                                                                               |  |          | 20 | 
|                                                                                               | 
|Signatures                                                                                     |  |          | 21 | 



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##### Table of Contents

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

ORASURE TECHNOLOGIES, INC.

BALANCE SHEETS

(Unaudited)



|                                                                                                                         |  |                |              |   |                   |   |              |  
|------------------------------------------------------------------------------------------------------------------------ |  | -------------- | ------------ | - | ----------------- | - | ------------ | -
|                                                                                                                         |  | MARCH 31, 2011 |              |   | DECEMBER 31, 2010 |  
|ASSETS                                                                                                                   |  |                |              |   |                   |   |              |  
|                                                                                                                         |  |               
|CURRENT ASSETS:                                                                                                          |  |                |              |   |                   |   |              |  
|Cash and cash equivalents                                                                                                |  | $              | 70,544,284   |   |                   | $ | 73,843,402   |  
|Short-term investments                                                                                                   |  |                | 1,895,000    |   |                   |   | 1,895,000    |  
|Accounts receivable, net of allowance for doubtful accounts of $105,522 and $105,954                                     |  |                | 12,119,960   |   |                   |   | 12,471,249   |  
|Inventories                                                                                                              |  |                | 7,749,936    |   |                   |   | 7,345,594    |  
|Prepaid expenses                                                                                                         |  |                | 1,937,898    |   |                   |   | 1,930,108    |  
|                                                                                                                         |  |                |              |   |                   |   |              |  
|Total current assets                                                                                                     |  |                | 94,247,078   |   |                   |   | 97,485,353   |  
|                                                                                                                         |  |               
|PROPERTY AND EQUIPMENT, net                                                                                              |  |                | 19,849,944   |   |                   |   | 19,610,583   |  
|                                                                                                                         |  |               
|PATENTS AND PRODUCT RIGHTS, net                                                                                          |  |                | 4,620,919    |   |                   |   | 4,806,919    |  
|                                                                                                                         |  |               
|OTHER ASSETS                                                                                                             |  |                | 474,790      |   |                   |   | 617,238      |  
|                                                                                                                         |  |                |              |   |                   |   |              |  
|                                                                                                                         |  | $              | 119,192,731  |   |                   | $ | 122,520,093  |  
|                                                                                                                         |  |                |              |   |                   |   |              |  
|LIABILITIES AND STOCKHOLDERS EQUITY                                                                                     |  |                |              |   |                   |   |              |  
|                                                                                                                         |  |               
|CURRENT LIABILITIES:                                                                                                     |  |                |              |   |                   |   |              |  
|Current portion of long-term debt                                                                                        |  | $              | 7,666,680    |   |                   | $ | 7,791,680    |  
|Accounts payable                                                                                                         |  |                | 3,506,112    |   |                   |   | 2,898,846    |  
|Accrued expenses and other                                                                                               |  |                | 7,047,617    |   |                   |   | 8,986,879    |  
|                                                                                                                         |  |                |              |   |                   |   |              |  
|Total current liabilities                                                                                                |  |                | 18,220,409   |   |                   |   | 19,677,405   |  
|                                                                                                                         |  |                |              |   |                   |   |              |  
|COMMITMENTS AND CONTINGENCIES (Note 5)                                                                                   |  |                |              |   |                   |   |              |  
|                                                                                                                         |  |               
|STOCKHOLDERS EQUITY                                                                                                     |  |                |              |   |                   |   |              |  
|Preferred stock, par value $.000001, 25,000,000 shares authorized, none issued                                           |  |                |             |   |                   |   |             |  
|Common stock, par value $.000001, 120,000,000 shares authorized, 46,635,045 and 46,225,622 shares issued and
outstanding |  |                | 47           |   |                   |   | 46           |  
|Additional paid-in capital                                                                                               |  |                | 242,391,342  |   |                   |   | 241,663,337  |  
|Accumulated other comprehensive loss                                                                                     |  |                | (235,533     | ) |                   |   | (235,264     | )
|Accumulated deficit                                                                                                      |  |                | (141,183,534 | ) |                   |   | (138,585,431 | )
|                                                                                                                         |  |                |              |   |                   |   |              |  
|Total stockholders equity                                                                                               |  |                | 100,972,322  |   |                   |   | 102,842,688  |  
|                                                                                                                         |  |                |              |   |                   |   |              |  
|                                                                                                                         |  | $              | 119,192,731  |   |                   | $ | 122,520,093  |  
|                                                                                                                         |  |                |              |   |                   |   |              |  

See accompanying notes to the financial statements.



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ORASURE TECHNOLOGIES, INC.

STATEMENTS OF OPERATIONS

(Unaudited)



|                                        |  |                              |            |   |      |   |            |  
|--------------------------------------- |  | ---------------------------- | ---------- | - | ---- | - | ---------- | -
|                                        |  | Three Months Ended March 31, |           
|                                        |  | 2011                         |            |   | 2010 |  
|REVENUES:                               |  |                              |            |   |      |   |            |  
|Product                                 |  | $                            | 17,050,112 |   |      | $ | 16,572,754 |  
|Licensing and product development       |  |                              | 363,616    |   |      |   | 1,372,770  |  
|                                        |  |                              |            |   |      |   |            |  
|                                        |  |                              | 17,413,728 |   |      |   | 17,945,524 |  
|                                        |  |                             
|COST OF PRODUCTS SOLD                   |  |                              | 6,146,897  |   |      |   | 6,541,462  |  
|                                        |  |                              |            |   |      |   |            |  
|Gross profit                            |  |                              | 11,266,831 |   |      |   | 11,404,062 |  
|                                        |  |                              |            |   |      |   |            |  
|OPERATING EXPENSES:                     |  |                              |            |   |      |   |            |  
|Research and development                |  |                              | 4,420,240  |   |      |   | 3,106,775  |  
|Sales and marketing                     |  |                              | 4,931,876  |   |      |   | 5,694,344  |  
|General and administrative              |  |                              | 4,467,611  |   |      |   | 4,778,643  |  
|                                        |  |                              |            |   |      |   |            |  
|                                        |  |                              | 13,819,727 |   |      |   | 13,579,762 |  
|                                        |  |                              |            |   |      |   |            |  
|Operating loss                          |  |                              | (2,552,896 | ) |      |   | (2,175,700 | )
|                                        |  |                             
|INTEREST EXPENSE                        |  |                              | (78,187    | ) |      |   | (75,795    | )
|                                        |  |                             
|INTEREST INCOME                         |  |                              | 38,945     |   |      |   | 42,116     |  
|                                        |  |                             
|FOREIGN CURRENCY GAIN (LOSS)            |  |                              | (8,178     | ) |      |   | 14,689     |  
|                                        |  |                             
|OTHER INCOME (EXPENSE)                  |  |                              | 2,213      |   |      |   | (684       | )
|                                        |  |                              |            |   |      |   |            |  
|Loss before income taxes                |  |                              | (2,598,103 | ) |      |   | (2,195,374 | )
|                                        |  |                             
|INCOME TAXES                            |  |                              |           |   |      |   |           |  
|                                        |  |                              |            |   |      |   |            |  
|NET LOSS                                |  | $                            | (2,598,103 | ) |      | $ | (2,195,374 | )
|                                        |  |                              |            |   |      |   |            |  
|LOSS PER SHARE:                         |  |                              |            |   |      |   |            |  
|BASIC AND DILUTED                       |  | $                            | (0.06      | ) |      | $ | (0.05      | )
|                                        |  |                              |            |   |      |   |            |  
|SHARES USED IN COMPUTING LOSS PER SHARE |  |                              |            |   |      |   |            |  
|BASIC AND DILUTED                       |  |                              | 46,517,531 |   |      |   | 46,112,061 |  
|                                        |  |                              |            |   |      |   |            |  

See accompanying notes to the financial statements.



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ORASURE TECHNOLOGIES, INC.

STATEMENTS OF CASH FLOWS

(Unaudited)



|                                                                            |  |                              |            |   |      |   |            |  
|--------------------------------------------------------------------------- |  | ---------------------------- | ---------- | - | ---- | - | ---------- | -
|                                                                            |  | Three Months Ended March 31, |           
|                                                                            |  | 2011                         |            |   | 2010 |  
|OPERATING ACTIVITIES:                                                       |  |                              |            |   |      |   |            |  
|Net loss                                                                    |  | $                            | (2,598,103 | ) |      | $ | (2,195,374 | )
|Adjustments to reconcile net loss to net cash used in operating activities: |  |                              |            |   |      |   |            |  
|Stock-based compensation                                                    |  |                              | 972,552    |   |      |   | 891,373    |  
|Depreciation and amortization                                               |  |                              | 829,079    |   |      |   | 649,538    |  
|Reserve for excess and obsolete inventories                                 |  |                              | 117,290    |   |      |   | (89,464    | )
|Changes in assets and liabilities:                                          |  |                              |            |   |      |   |            |  
|Accounts receivable                                                         |  |                              | 351,789    |   |      |   | 1,589,712  |  
|Inventories                                                                 |  |                              | (521,632   | ) |      |   | (375,331   | )
|Prepaid expenses and other assets                                           |  |                              | 134,658    |   |      |   | (672,642   | )
|Accounts payable                                                            |  |                              | 606,497    |   |      |   | (253,794   | )
|Accrued expenses and other liabilities                                      |  |                              | (1,941,622 | ) |      |   | (4,547,585 | )
|                                                                            |  |                              |            |   |      |   |            |  
|Net cash used in operating activities                                       |  |                              | (2,049,492 | ) |      |   | (5,003,567 | )
|                                                                            |  |                              |            |   |      |   |            |  
|INVESTING ACTIVITIES:                                                       |  |                              |            |   |      |   |            |  
|Proceeds from maturities and redemptions of short-term investments          |  |                              |           |   |      |   | 750,000    |  
|Purchases of property and equipment                                         |  |                              | (882,440   | ) |      |   | (532,241   | )
|                                                                            |  |                              |            |   |      |   |            |  
|Net cash (used in) provided by investing activities                         |  |                              | (882,440   | ) |      |   | 217,759    |  
|                                                                            |  |                              |            |   |      |   |            |  
|FINANCING ACTIVITIES:                                                       |  |                              |            |   |      |   |            |  
|Repayments of long-term debt                                                |  |                              | (125,000   | ) |      |   | (134,760   | )
|Proceeds from exercise of stock options                                     |  |                              | 582,375    |   |      |   |           |  
|Repurchase of common stock                                                  |  |                              | (824,561   | ) |      |   | (638,628   | )
|                                                                            |  |                              |            |   |      |   |            |  
|Net cash used in financing activities                                       |  |                              | (367,186   | ) |      |   | (773,388   | )
|                                                                            |  |                              |            |   |      |   |            |  
|NET DECREASE IN CASH AND CASH EQUIVALENTS                                   |  |                              | (3,299,118 | ) |      |   | (5,559,196 | )
|                                                                            |  |                             
|CASH AND CASH EQUIVALENTS, BEGINNING OF PERIOD                              |  |                              | 73,843,402 |   |      |   | 74,933,630 |  
|                                                                            |  |                              |            |   |      |   |            |  
|CASH AND CASH EQUIVALENTS, END OF PERIOD                                    |  | $                            | 70,544,284 |   |      | $ | 69,374,434 |  
|                                                                            |  |                              |            |   |      |   |            |  
|SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION:                          |  |                              |            |   |      |   |            |  
|Cash paid for:                                                              |  |                              |            |   |      |   |            |  
|Interest                                                                    |  | $                            | 80,430     |   |      | $ | 85,645     |  
|Income taxes                                                                |  | $                            |           |   |      | $ | 10,000     |  

See accompanying notes
to the financial statements.





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ORASURE TECHNOLOGIES, INC.

Notes to the 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 immunoassays and other in vitro diagnostic tests that are used on other
specimen types. We also manufacture and sell 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 has been sold in the over-the-counter or consumer retail markets in North America, Europe, Central and South America and Australia.

The economic downturn, including disruptions in the capital and credit markets, may continue indefinitely 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 recent 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, 2010. Results of operations for the three months ended March 31, 2011 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. Since future events and their effects cannot be determined with precision, actual results could differ
significantly from these estimates. Changes in these 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, 2011 and December 31, 2010, cash equivalents consisted of money market accounts.



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Short-term Investments. We consider all short-term investments to be available-for-sale
securities. These securities are comprised of certificates of deposits 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, if
any, reported in stockholders equity as a component of accumulated other comprehensive loss.

Our available-for-sale securities as of
March 31, 2011 and December 31, 2010 consisted of certificates of deposits with amortized cost and fair value of $1,895,000. These certificates of deposits mature within less than one year.

Fair Value of Financial Instruments.As of March 31, 2011, 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 instrument, which does not have a readily ascertainable
market value, approximates fair value, given that the interest rate on outstanding borrowings approximates current 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.

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 31,2011 |           |  | December 31,2010 |  
|Raw materials   |  | $             | 4,410,894 |  |                  | $ | 4,453,560 | 
|Work in process |  |               | 520,447   |  |                  |   | 258,335   | 
|Finished goods  |  |               | 2,818,595 |  |                  |   | 2,633,699 | 
|                |  |               |           |  |                  |   |           | 
|                |  | $             | 7,749,936 |  |                  | $ | 7,345,594 | 
|                |  |               |           |  |                  |   |           | 

Property and Equipment.Property and equipment are stated at cost. Additions or improvements are capitalized,
while repairs and maintenance are charged to expense. Depreciation and amortization are provided using the straight-line method over the estimated useful lives of the related assets. Buildings are depreciated over twenty to forty years, while
computer equipment, machinery and equipment, and furniture and fixtures are depreciated over three to ten years. Building improvements are amortized over their estimated useful lives. When assets are sold or otherwise disposed of, the related
property amounts are relieved from the accounts, and any gain or loss is recorded in the statement of operations. Accumulated depreciation of property and equipment as of March 31, 2011 and December 31, 2010 was $20,241,929 and
$20,204,317, respectively.

Patents and Product Rights. Patents and product rights consist of costs associated with the
acquisition of patents, licenses and product distribution rights. Patents and product rights are amortized using the straight-line method over



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their estimated useful lives of three to ten years. Accumulated amortization of patents and product rights
as of March 31, 2011 and December 31, 2010 was $5,827,701 and $5,641,701, respectively.

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. Historically, returns arising from warranty issues have been infrequent and immaterial. Accordingly, we expense warranty returns as incurred.

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.

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 (greater than 10%) in revenues for both the three months ended March 31, 2011 and 2010. As of March 31, 2011 and December 31, 2010, one of our customers, Quest
Diagnostics, Incorporated, accounted for 10% 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.

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. Common stock options and unvested restricted stock
totaling 7,205,126 and 6,966,125 shares were outstanding as of March 31, 2011 and March 31, 2010, respectively. As a result of our net losses for the three months ended March 31, 2011 and 2010, these shares 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 as of March 31, 2011 and December 31, 2010 consisted of currency translation adjustments. Comprehensive loss was $2,598,372 and $2,195,037 for the three months ended March 31, 2011 and 2010,
respectively.



|3. | 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



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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, 2011 and 2010 was $2.82 and $2.26 per share,
respectively.

Total compensation cost related to stock options for the three months ended March 31, 2011 and 2010 was $341,948 and
$275,242, respectively, of which $7,028 and $13,807 was capitalized into inventory during the quarters ended March 31, 2011 and 2010, respectively. The amounts recognized in cost of products sold for amounts previously capitalized were $9,680
and $19,945 for the three months ended March 31, 2011 and 2010, respectively.

The following table summarizes the stock option activity
for the three months ended March 31, 2011:



|                               |  |         |           |  
|------------------------------ |  | ------- | --------- | -
|                               |  | Options |          
|Outstanding on January 1, 2011 |  |         | 5,503,533 |  
|Granted                        |  |         | 916,975   |  
|Exercised                      |  |         | (143,858  | )
|                               |  |         |           |  
|Outstanding on March 31, 2011  |  |         | 6,276,650 |  
|                               |  |         |           |  

As of March 31, 2011, there was $4,117,472 of unrecognized compensation expense related to unvested option awards that
is expected to be recognized over a weighted average period of 2.2 years.

Net cash proceeds from the exercise of stock options were $582,375
for the three months ended March 31, 2011. As a result of the Companys net operating loss carryforward position, no actual income tax benefit was realized from the stock option exercises during this period. No options were exercised
during the first quarter of 2010.

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, 2011, we granted 525,880 restricted shares of our common
stock, with a weighted average grant date fair value of $6.61 per share, to certain key officers, members of management and outside directors. Compensation cost of $630,604 and $616,131 related to restricted shares was recognized during the three
months ended March 31, 2011 and 2010, respectively.

The following table summarizes restricted stock award activity for the three months
ended March 31, 2011:



|                                     |  |        |          |  
|------------------------------------ |  | ------ | -------- | -
|                                     |  | Shares |         
|Issued and unvested, January 1, 2011 |  |        | 792,156  |  
|Granted                              |  |        | 525,880  |  
|Vested                               |  |        | (389,560 | )
|                                     |  |        |          |  
|Issued and unvested, March 31, 2011  |  |        | 928,476  |  
|                                     |  |        |          |  

As of March 31, 2011, there was $5,065,892 of unrecognized compensation expense related to unvested restricted stock
awards that is expected to be recognized over a weighted average period of 2.4 years. In connection with the vesting of restricted shares, during the three months ended March 31, 2011 and 2010, 123,995 and 121,529 shares,



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respectively, with aggregate values of $824,561 and $638,628, respectively, were withheld and retired in
satisfaction of minimum tax withholding obligations.



|4. | Accrued Expenses
|-- | ----------------



|                              |  |               |           |  |                  |   |           | 
|----------------------------- |  | ------------- | --------- |  | ---------------- | - | --------- | 
|                              |  | March 31,2011 |           |  | December 31,2010 |  
|Payroll and related benefits  |  | $             | 2,047,850 |  |                  | $ | 4,343,350 | 
|Royalties                     |  |               | 1,492,171 |  |                  |   | 1,985,799 | 
|Deferred revenue              |  |               | 897,799   |  |                  |   | 896,531   | 
|Clinical research obligations |  |               | 857,117   |  |                  |   | 400,860   | 
|Professional fees             |  |               | 530,075   |  |                  |   | 213,308   | 
|Other                         |  |               | 1,222,605 |  |                  |   | 1,147,031 | 
|                              |  |               |           |  |                  |   |           | 
|                              |  | $             | 7,047,617 |  |                  | $ | 8,986,879 | 
|                              |  |               |           |  |                  |   |           | 

Deferred revenue at March 31, 2011 and December 31, 2010 included customer prepayments of $855,199 and $851,031,
respectively.



|5. | Commitments and Contingencies
|-- | -----------------------------

Litigation. From time-to-time, we are involved in certain legal actions arising in the ordinary course of business. In managements
opinion, based upon the advice of counsel, the outcomes of such actions are not expected to have a material adverse effect on our future financial position or results of operations.



|6. | 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 Months EndedMarch 31, |       
|              |  | 2011                        |        |  | 2010 |  
|United States |  | $                           | 14,239 |  |      | $ | 14,869 | 
|Europe        |  |                             | 1,986  |  |      |   | 1,342  | 
|Other regions |  |                             | 1,189  |  |      |   | 1,735  | 
|              |  |                             |        |  |      |   |        | 
|              |  | $                           | 17,414 |  |      | $ | 17,946 | 
|              |  |                             |        |  |      |   |        | 



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|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, clinical trial or development activities, expected regulatory filings and approvals, planned business transactions, views of
future industry, competitive or market conditions, and other factors that could affect 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; 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 and testing algorithms; 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,
2010, 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 diagnostic tests that are used on other specimen types. We also manufacture and sell other medical devices used for



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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 nature, and cost effectiveness, our oral fluid tests represent a very competitive
alternative to the more traditional testing methods in the diagnostic space.

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 Reckitt
Benckiser (formerly SSL International plc) 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 OraQuick®
HCV 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.

Current Financial Results

During the three months ended March 31, 2011, our total revenues were $17.4 million compared to $17.9 million in the three months ended March 31, 2010. Product revenues during the three months
ended March 31, 2011 increased 3% when compared to the first quarter of 2010, which was offset by lower licensing and product development revenues. The reduction in licensing and product development revenues was caused by the absence of a $1.0
million in milestone payment received under the terms of our collaboration agreement with Merck & Co., Inc. (Merck) during the first quarter of 2010 for the development and promotion of our OraQuick® rapid HCV test in Europe. Our net loss for the three months ended March 31, 2011 was $2.6 million, or $0.06 per
share, compared to a net loss of $2.2 million, or $0.05 per share, for the three months ended March 31, 2010.

Cash used in operating
activities for the three months ended March 31, 2011 was approximately $2.0 million, compared to the $5.0 million used in operating activities for the three months ended March 31, 2010. As of March 31, 2011, we had $72.4 million
in cash, cash equivalents and short-term investments, compared to $75.7 million at December 31, 2010.

Recent Developments

OraQuick® HCV Test

We have continued our
efforts to obtain FDA approval of additional applications for our OraQuick® HCV test. To date our OraQuick® HCV test has received FDA approval for use in venous whole blood and fingerstick whole



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blood specimens. We also intend to pursue approval of an oral fluid claim for our OraQuick® HCV test. However, the filing of a pre-market approval supplement for oral fluid has been delayed pending the completion of additional testing and further discussions
with the FDA.

In March 2011, we submitted to the FDA an application for waiver under the Clinical Laboratory Improvement
Amendments of 1988 (CLIA) for our OraQuick® HCV test for use with venous whole blood and fingerstick
whole blood specimens. This application remains pending.

OraQuick® HIV OTC Test

We are conducting the
final phase of clinical testing for an OraQuick® HIV OTC test. In this study individuals will conduct
unsupervised self-testing using the investigational OTC version of our OraQuick ADVANCE® HIV test with an
oral fluid collection. All clinical sites for this phase have been initiated and over 2,500 patients have been enrolled in the study. We have also identified over half of the 100 newly-diagnosed HIV-infected individuals required by the FDA as part
of our protocol. Assuming enrollment continues as expected and we meet our anticipated prevalence rates among those enrolled, we believe this study will be completed during the third quarter of 2011.

Substance Abuse Testing

In the first quarter of 2011, the FDA issued 510(k) clearances for use of high throughput oral fluid assays for PCP, opiates, cocaine and methamphetamines with our Intercept® oral fluid collection device. These are the first such clearances resulting from our collaboration with Roche
Diagnostics. The FDA is in the final stages of review for one other assay for amphetamines and we expect the FDA to issue an additional 510(k) clearance for this product in the near future. Clinical work on an assay for marijuana (THC) is
continuing, but is not expected to be completed until late 2011 at the earliest. We expect to begin selling a panel of 510(k) cleared assays together with our Intercept® device during the third quarter of this year.

OraSure
QuickFlu Test

In the first quarter of 2011, we added a new infectious disease testing product to our product portfolio. The OraSure
QuickFlu Rapid Flu A+B is an FDA-cleared in vitrorapid qualitative test for the detection of influenza type A and type B, including H1N1 viral infections. We expect to sell this product principally into the U.S. hospital market.
OraSure QuickFlu is manufactured and supplied to us under an agreement with Princeton BioMeditech Corporation.

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. Competing rapid blood tests are often sold at a lower price than we charge for our OraQuick® HIV test. This competition can result in lost sales and degradation of the price we can charge for our product (and the resulting profit margin).

Our
OraQuick® HCV test is available in Europe and competes against laboratory-based HCV blood tests. Significant
sales in Europe have not yet materialized principally because of differences in European healthcare systems compared to our U.S. systems. Unlike the U.S., adoption of rapid point-of-care diagnostics is not widespread in Europe because laboratory
testing is entrenched and healthcare systems are structured around centralized testing models. We intend to continue working to build awareness and acceptance of our OraQuick® HCV test in European and other international markets. In non-U.S. countries outside of Europe, we expect the
OraQuick® HCV product to compete against other rapid HCV blood tests and laboratory-based tests.

Two factors are likely to impact domestic sales of our OraQuick® HCV test. First, since our test is currently classified by the FDA as moderately complex, we can only sell it to laboratories certified or accredited as meeting the
quality and training requirements under CLIA. However, with a CLIA waiver, we would be able to sell our test to many other



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customers that perform CLIA waived tests, such as outreach clinics, community-based organizations and physician offices. Thus, a CLIA waiver will be required for us to deploy the test extensively
in both the public health and hospital markets and to enable penetration, with the assistance of our collaborator, Merck, into the physician office market. Second, in the near future, we expect the FDA to approve two new therapeutic treatments for
HCV, both of which are reportedly more effective than currently available treatments. We believe the introduction of these new treatments will help drive more widespread awareness and testing for HCV, including with our OraQuick® rapid test.

In the substance abuse testing market, we expect competition for our products to intensify. Other companies have developed, and will continue to develop, competing oral fluid drug testing products. In
particular, there are at least two competitors that sell high-throughput fully automated oral fluid drug testing products in unregulated settings in the United States. In addition, we also believe that at least one of these competitors has recently
received 510(k) clearance of its product. These products will compete against both our Intercept® products and
the high-throughput assays we intend to commercialize jointly with Roche Diagnostics.

Finally, the 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. Many 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.

Results of Operations

Three months ended March 31, 2011 compared to March 31,
2010

Total revenues decreased to $17.4 million in the first quarter of 2011 from $17.9 million in the comparable quarter of 2010. Product
revenues during the three months ended March 31, 2011 increased 3% when compared to product revenues in the first quarter of 2010. Increased sales in our infectious disease and substance abuse markets were partially offset by lower sales of our
cryosurgical systems and insurance risk assessment products. In addition, the higher product revenues were offset by a $1.0 million reduction in licensing and product development revenues during the quarter.

Revenues derived from products sold to customers outside the U.S. were $3.2 million and $3.1 million, or 18% and 17% of total revenues, in the first
quarters of 2011 and 2010, 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 (dollars in thousands) generated in each of our principal markets and by licensing and product
development activities.



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|                                  |  |                              |        |  |         |   |        |                             |      |  |     |      |  |  |     |   |  |  |     |  
|--------------------------------- |  | ---------------------------- | ------ |  | ------- | - | ------ | --------------------------- | ---- |  | --- | ---- |  |  | --- | - |  |  | --- | -
|                                  |  | Three Months Ended March 31, |       
|                                  |  | Dollars                      |        |  | %Change |   |        | Percentage of TotalRevenues |     
|Market                            |  | 2011                         |        |  | 2010    |   |        |                             | 2011 |  |     | 2010 | 
|Infectious disease testing        |  | $                            | 9,962  |  |         | $ | 9,481  |                             |      |  | 5   | %    |  |  | 57  | % |  |  | 53  | %
|Substance abuse testing           |  |                              | 3,061  |  |         |   | 2,713  |                             |      |  | 13  |      |  |  | 18  |   |  |  | 15  |  
|Cryosurgical systems              |  |                              | 2,710  |  |         |   | 2,994  |                             |      |  | (9  | )    |  |  | 15  |   |  |  | 17  |  
|Insurance risk assessment         |  |                              | 1,317  |  |         |   | 1,384  |                             |      |  | (5  | )    |  |  | 8   |   |  |  | 7   |  
|                                  |  |                              |        |  |         |   |        |                             |      |  |     |      |  |  |     |   |  |  |     |  
|Product revenues                  |  |                              | 17,050 |  |         |   | 16,572 |                             |      |  | 3   |      |  |  | 98  |   |  |  | 92  |  
|Licensing and product development |  |                              | 364    |  |         |   | 1,373  |                             |      |  | (73 | )    |  |  | 2   |   |  |  | 8   |  
|                                  |  |                              |        |  |         |   |        |                             |      |  |     |      |  |  |     |   |  |  |     |  
|Total revenues                    |  | $                            | 17,414 |  |         | $ | 17,945 |                             |      |  | (3  | )%   |  |  | 100 | % |  |  | 100 | %
|                                  |  |                              |        |  |         |   |        |                             |      |  |     |      |  |  |     |   |  |  |     |  

Infectious Disease Testing Market

Sales to the infectious disease testing market increased 5% to $10.0 million in the first quarter of 2011. OraQuick® HIV sales totaled $9.6 million and $9.1 million in the first quarters of 2011 and 2010, respectively.

The table below shows a breakdown of our total OraQuick® HIV revenues (dollars in thousands) during the first quarters of 2011 and 2010.



|                             |  |                              |       |  |      |   |       |          |  |  |     |  
|---------------------------- |  | ---------------------------- | ----- |  | ---- | - | ----- | -------- |  |  | --- | -
|                             |  | Three Months Ended March 31, |      
|Market                       |  | 2011                         |       |  | 2010 |   |       | % Change | 
|Domestic                     |  | $                            | 8,866 |  |      | $ | 8,733 |          |  |  | 2   | %
|International                |  |                              | 698   |  |      |   | 324   |          |  |  | 115 |  
|                             |  |                              |       |  |      |   |       |          |  |  |     |  
|Total OraQuick® HIV revenues |  | $                            | 9,564 |  |      | $ | 9,057 |          |  |  | 6   | %
|                             |  |                              |       |  |      |   |       |          |  |  |     |  

During the three months ended March 31, 2011, sales of the OraQuick ADVANCE® HIV test in the U.S. market increased slightly by 2%, or $133,000, when compared to the same period of 2010.
International sales of our OraQuick® HIV test increased 115% to $698,000 for the three months ended
March 31, 2011 from $324,000 for the three months ended March 31, 2010. This increase in the international market resulted from higher sales in Asia, Africa and Europe, as certain private and government customers were able to fund
purchases.

Sales of our OraSure® oral fluid collection device decreased 23% from $412,000 in the first quarter of 2010 to $316,000 in the first quarter of 2011. 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 fluid.

Substance Abuse Testing Market

Substance abuse testing revenues increased 13% from $2.7 million in the first quarter of 2010 to $3.1 million in the first quarter of
2011 as a result of increased domestic sales of our Intercept® drug testing system.

The table below shows a breakdown of our total Intercept® revenues (dollars in thousands) generated in each market during the first quarters of 2011 and 2010.



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|                          |  |                              |       |  |      |   |       |          |  |  |    |  
|------------------------- |  | ---------------------------- | ----- |  | ---- | - | ----- | -------- |  |  | -- | -
|                          |  | Three Months Ended March 31, |      
|Market                    |  | 2011                         |       |  | 2010 |   |       | % Change | 
|Domestic                  |  | $                            | 1,877 |  |      | $ | 1,528 |          |  |  | 23 | %
|International             |  |                              | 519   |  |      |   | 517   |          |  |  | 0  |  
|                          |  |                              |       |  |      |   |       |          |  |  |    |  
|Total Intercept® revenues |  | $                            | 2,396 |  |      | $ | 2,045 |          |  |  | 17 | %
|                          |  |                              |       |  |      |   |       |          |  |  |    |  

Domestic Intercept® revenues increased 23% from $1.5 million in the first quarter of 2010 to $1.9 million in the first quarter of 2011. This increase is largely the result of the
resumption of more normal ordering patterns by a large laboratory customer. 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 in the
customers reassessment of its inventory levels caused a temporary disruption to its ordering patterns during the first quarter of 2010.

International Intercept® revenues for the first quarter of 2011 and
2010 remained essentially flat.

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 FDA has
issued 510(k) clearances on the high throughput assays for PCP, opiates, cocaine and methamphetamines and an application for 510(k) clearance of an amphetamines assay for use with the Intercept® device is currently pending before the FDA. 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. At least two
competitors have developed oral fluid tests suitable for use on fully automated homogeneous assay systems and these assays could represent a significant competitive threat to our Intercept® device and oral fluid microplate business and the assays being developed with Roche.

Cryosurgical Systems Market

Sales in the cryosurgical systems market (which includes both
the physicians office and OTC markets) decreased 9% to $2.7 million in the first quarter of 2011, compared to $3.0 million in the same period of the prior year.

The table below shows a breakdown of our total cryosurgical systems revenues (dollars in thousands) generated in each market during the first quarters of 2011 and 2010.



|                                    |  |                              |       |  |      |   |       |          |  |  |     |   
|----------------------------------- |  | ---------------------------- | ----- |  | ---- | - | ----- | -------- |  |  | --- | --
|                                    |  | Three Months Ended March 31, |      
|Market                              |  | 2011                         |       |  | 2010 |   |       | % Change | 
|Professional domestic               |  | $                            | 1,342 |  |      | $ | 1,210 |          |  |  | 11  | % 
|Professional international          |  |                              | 339   |  |      |   | 270   |          |  |  | 26  |   
|Over-the-counter                    |  |                              | 1,029 |  |      |   | 1,514 |          |  |  | (32 | ) 
|                                    |  |                              |       |  |      |   |       |          |  |  |     |   
|Total cryosurgical systems revenues |  | $                            | 2,710 |  |      | $ | 2,994 |          |  |  | (9  | )%
|                                    |  |                              |       |  |      |   |       |          |  |  |     |   

Domestic physicians office sales increased 11% or $132,000 for the first three months of
2011 as compared to the first three months of 2010, as a result of our distribution partners improved focus on our products and the continued impact of our manufacturers sales representative organizations. In early 2010, we signed
agreements with two manufacturers sales representative organizations to support sales of our Histofreezer®
product in the U.S. Under these arrangements, over 40 additional sales representatives have been working with our physicians office distributors throughout the United States, which resulted in additional sales growth during the quarter.



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During the three months ended March 31, 2011, sales of Histofreezer® in the international market increased 26% as compared to the first quarter of 2010. This increase was largely
experienced in the European market as a result of increased pricing and improved economic conditions in some local markets.

Sales of our
cryosurgical OTC products during the first quarter of 2011 decreased 32% primarily due to the absence of sales to our Latin America OTC distributor, Genomma. This decrease was partially offset by higher sales to our European OTC distributor, Reckitt
Benckiser (formerly, SSL International).

In the first quarter of 2010, Genomma had purchases totaling $1.1 million. In late 2010, the Mexican
government placed limitations on the advertising Genomma could use for our product. In addition, during the first quarter of 2011, Genomma informed us of some changes required by the Brazilian government to our package insert, which have since been
made. Both events negatively impacted sales of our product during the first quarter of 2011. The lower Genomma purchases also resulted from the absence of sales to Genomma in the first quarter of 2010 required for the initial commercial launch of
our product in Brazil.

Sales to our European OTC distributor Reckitt Benckiser increased $458,000 during the first quarter of 2011 compared
to the first quarter of 2010, largely due to variability in ordering patterns. Our distribution contract with Reckitt Benckiser was subject to an annual renewal at the end of 2010 and has been extended through June 2011. We are currently in
negotiations to extend this contract.

Insurance Risk Assessment Market

Sales to the insurance risk assessment market decreased 5% to $1.3 million in the first quarter of 2011 from $1.4 million in the first quarter of 2010 due to a decrease in the issuance of new insurance
policies.

Licensing and Product Development

Licensing and product development revenues decreased 73% to $364,000 during the first quarter of 2011 from $1.4 million during the first quarter of 2010. During the first quarter of 2010, we received a
$1.0 million milestone payment as a result of our achievement of certain regulatory objectives pursuant to our collaboration agreement with Merck for the development and promotion of our OraQuick® rapid HCV test in Europe. The remaining licensing revenues for these periods 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 2011 was 65% compared to 64% for the first quarter of 2010. Margins in the first quarter of 2011 benefited from
increased manufacturing efficiencies and improved product mix, partially offset by the decrease in licensing and product development revenues. Gross margins in the first quarter of 2010 had benefitted from the $1.0 million HCV milestone payment
described above.

Operating Expenses

Research and development expenses increased 42% from $3.1 million in the first quarter of 2010 to $4.4 million in the same period in 2011, primarily as a result of higher clinical trial costs related to
the development of our OraQuick® HIV OTC test. This increase was partially offset by lower clinical trial costs
related to our OraQuick® HCV test.

Sales and marketing expenses decreased 13% to $4.9 million in the first quarter of 2011 from $5.7 million in the first quarter of 2010, as a result of lower staffing, recruiting and market research costs.

General and administrative expenses decreased 7% to $4.5 million in the first quarter of 2011 from $4.8 million in the same period in 2010.
This decrease was primarily attributable to lower consulting and staffing expenses, partially offset by an increase in legal expenses.



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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. As of March 31, 2011
and 2010, we concluded that the full valuation allowance remained appropriate as the facts and circumstances since establishing the allowance had not changed. As a result, no income tax benefit was recorded in the first quarters of 2011 or 2010.

Liquidity and Capital Resources



|                          |  |                |        |  |                  |   |        | 
|------------------------- |  | -------------- | ------ |  | ---------------- | - | ------ | 
|                          |  | March 31,2011  |        |  | December 31,2010 |  
|                          |  | (In thousands) |       
|Cash and cash equivalents |  | $              | 70,544 |  |                  | $ | 73,843 | 
|Short-term investments    |  |                | 1,895  |  |                  |   | 1,895  | 
|Working capital           |  |                | 76,027 |  |                  |   | 77,808 | 

Our cash, cash equivalents and
short-term investments decreased $3.3 million from $75.7 million as of December 31, 2010 to $72.4 million as of March 31, 2011. Our working capital declined as a result of the reduction in our cash, cash equivalents and short-term
investments offset by a reduction in accrued expenses associated with the payment of various 2010 year-end accruals.

During the first three
months of 2011, we used $2.0 million in cash to finance our operating activities. Cash used in operating activities resulted from our net loss of $2.6 million, offset by non-cash stock-based compensation expense of $973,000, depreciation and
amortization of $829,000, and an increase in our scrap and spoilage reserve of $117,000. Also contributing to the cash used in operating activities were a $1.9 million decrease in accrued expenses and other liabilities associated with payment of our
2010 royalty obligations, management incentive bonuses and other accruals and a $522,000 increase in inventories. Offsetting these uses of cash were cash contributions from a $352,000 decrease in accounts receivable, $135,000 decrease in prepaid
expenses and other assets as well as a $606,000 increase in accounts payable.

Net cash used in investing activities of $882,000 during the
first three months of 2011 was a result of purchases of property and equipment.

Net cash used in financing activities was $367,000 for the
three months ended March 31, 2011, primarily as a result of $125,000 in loan principal repayments and $825,000 used for the repurchase of common stock related to the vesting of restricted shares offset by $582,000 of proceeds received from the
exercise of stock options.

As of March 31, 2011, we had in place a $10,000,000 credit facility with Comerica Bank
(Comerica). Pursuant to the terms of the facility, principal, and interest fixed at 4.15% per annum are payable monthly through June 2011, at which time the remaining unpaid principal balance is payable and the facility will expire.
As of March 31, 2011, we had no available borrowings under this credit facility. We are evaluating possible options to address the upcoming expiration of the facility, including refinancing with a new credit facility or other borrowings.

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 as of March 31, 2011. 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.



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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, 2010 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, 2010. As of March 31, 2011, there were no significant changes to this information, including the absence of any off-balance sheet arrangements.

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, 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 2010 Annual Report on Form 10-K filed with the SEC. During the first three months of 2011, 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 are 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, 2011, 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. Sales denominated in a foreign currency were immaterial as a
percentage of our total revenues for the quarter ended March 31, 2011. We do not expect the risk of foreign currency fluctuations to be material to us in the near future.



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|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, 2011. 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, 2011 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, 2011 that has materially affected, or is reasonably likely to materially affect, the Companys internal
control over financial reporting.

PART II. OTHER INFORMATION



|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, 2010.



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

During the quarter ended March 31, 2011, pursuant to our 2000 Stock Award Plan and in connection with the vesting of restricted shares, we retired 123,995 shares of our Common Stock to satisfy
minimum tax withholding obligations at an average price paid per share of $6.65.



|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 4, 2011 |  |  |  | Ronald H. Spair Chief
Operating Officer and Chief Financial Officer (Principal Financial Officer)
|                  |  | 
|                  |  |  |  | /s/ Mark L. Kuna                                                                                 
|Date: May 4, 2011 |  |  |  | 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.   



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