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OraSure (NASDAQ: OSUR) posts Q1 2026 revenue drop and wider net loss

Filing Impact
(High)
Filing Sentiment
(Neutral)
Form Type
8-K

Rhea-AI Filing Summary

OraSure Technologies reported first quarter 2026 net revenues of $27.9 million, down 7% from $29.9 million a year earlier, as COVID-19 and risk assessment testing revenue largely disappeared while core revenue declined slightly. GAAP gross margin improved to 42.3% from 41.1%, and non-GAAP gross margin rose to 43.4% from 41.7%, reflecting better mix and cost control.

The company posted a GAAP operating loss of $23.3 million and a GAAP net loss of $22.4 million, compared with losses of $17.8 million and $16.0 million in the prior-year quarter. Diluted GAAP loss per share was $0.32, with non-GAAP diluted loss per share of $0.24. Cash and cash equivalents were $177.0 million as of March 31, 2026 after using $5 million to repurchase about 1.8 million shares. For the second quarter of 2026, OraSure guides total revenues to $27–$30 million and expects non-GAAP gross margin similar to the first quarter.

Positive

  • None.

Negative

  • Losses widened materially despite cost improvements: GAAP net loss increased to $22.4 million from $16.0 million and GAAP operating loss rose to $23.3 million from $17.8 million, indicating profitability moved further away even as gross margin improved.

Insights

Q1 shows revenue pressure and higher losses, partly offset by stronger margins and solid cash.

OraSure delivered Q1 2026 revenue of $27.9M, a 7% decline year over year. The drop largely reflects the wind-down of COVID-19 and risk assessment testing, while core revenue slipped only modestly, indicating the remaining portfolio is relatively stable but not yet growing.

GAAP gross margin improved to 42.3% and non-GAAP to 43.4%, showing that cost actions are working despite lower volumes. However, operating loss widened to $23.3M and GAAP net loss to $22.4M, highlighting that higher R&D and operating expenses are still weighing on profitability.

Cash and cash equivalents of $176.964M and no debt give the company flexibility, even after a $5M share repurchase. Q2 2026 revenue guidance of $27–$30M with similar non-GAAP gross margin signals expectations for near-term stability rather than rapid acceleration, while future growth depends on execution of the disclosed product roadmap and regulatory milestones.

Item 2.02 Results of Operations and Financial Condition Financial
Disclosure of earnings results, typically an earnings press release or preliminary financials.
Item 7.01 Regulation FD Disclosure Disclosure
Material non-public information disclosed under Regulation Fair Disclosure, often investor presentations or guidance.
Item 9.01 Financial Statements and Exhibits Exhibits
Financial statements, pro forma financial information, and exhibit attachments filed with this report.
Q1 2026 net revenues $27.925M Three months ended March 31, 2026
Q1 2025 net revenues $29.931M Three months ended March 31, 2025; 7% higher than Q1 2026
GAAP gross margin 42.3% Q1 2026 vs 41.1% in Q1 2025
GAAP net loss $22.377M Three months ended March 31, 2026
GAAP diluted EPS $(0.32) Q1 2026 diluted loss per share
Cash and cash equivalents $176.964M Balance as of March 31, 2026
Share repurchases $5.0M / 1.8M shares Cash deployed in Q1 2026 to repurchase common stock
Q2 2026 revenue guidance $27M–$30M Total revenue guidance for second quarter 2026
Non-GAAP gross margin financial
"Non-GAAP gross margin in the first quarter of 2026 was 43.4% and increased compared to 41.7% in the first quarter of 2025"
Non-GAAP gross margin is a measure of a company's profitability that shows how much money it makes from sales after subtracting the direct costs of producing its products or services, but without applying certain accounting adjustments required by standard rules. It helps investors understand the company's core earning ability by excluding items like one-time expenses or accounting changes. This metric provides a clearer picture of ongoing business performance beyond official financial reports.
equity method investee financial
"Loss on equity investment | (1,088) | | | (524) | | |"
An equity method investee is a company in which an investor owns a substantial minority stake and can meaningfully influence its decisions without fully controlling it. It matters to investors because the investor reports its proportionate share of the investee’s profits or losses on its own financial statements and is exposed to the investee’s risks and rewards—like co-owning a bakery where you account for your share of its earnings even if you don’t run day-to-day operations.
Regulation FD Disclosure regulatory
"Item 7.01 – Regulation FD Disclosure."
Regulation FD disclosure requires public companies to share important, market-moving information with everyone at the same time instead of tipping off analysts or large investors first. Think of it as making sure all players on a field hear the same announcement simultaneously; that fairness helps investors trust that stock prices reflect the same information and reduces the risk of sudden, unfair trading advantages or regulatory penalties for selective leaks.
stock-based compensation financial
"Stock-based compensation | 2,768 | | | 2,687"
Stock-based compensation is when a company pays employees, directors or consultants with shares or the right to buy shares instead of or in addition to cash. It matters to investors because issuing stock or options spreads ownership thinner (like cutting a pie into more slices), which can reduce each existing share’s claim on profits and can also change reported earnings; investors watch it to assess true cost of running the business and how management is incentivized.
Net revenues $27.925M -7% YoY
GAAP net loss $22.377M NM vs prior-year loss of $16.040M
GAAP diluted EPS $(0.32) NM vs $(0.21) in Q1 2025
GAAP gross margin 42.3% up from 41.1% in Q1 2025
Non-GAAP gross margin 43.4% up from 41.7% in Q1 2025
Guidance

For Q2 2026, the company guides total revenues of $27 million to $30 million and expects non-GAAP gross margin to be similar to Q1 2026.

FALSE000111646300011164632026-05-062026-05-06

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 8-K
CURRENT REPORT
PURSUANT TO SECTION 13 OR 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934
Date of Report (Date of earliest event reported): May 6, 2026
OraSure Technologies, Inc.
(Exact Name of Registrant as Specified in Charter)
Delaware
001-16537
36-4370966
(State or Other Jurisdiction
of Incorporation)
(Commission
File Number)
(I.R.S. Employer
Identification No.)
220 East First Street
Bethlehem, Pennsylvania
18015-1360
(Address of Principal Executive Offices)
(Zip Code)
Registrant’s telephone number, including area code: 610-882-1820
Securities registered pursuant to Section 12(b) of the Act:
Title of each class
Trading
Symbol(s)
Name of each exchange on which registered
Common Stock, $0.000001 par value per share
OSUR
The NASDAQ Stock Market LLC
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the Registrant under any of the following provisions:
o Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
o Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
o Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
o Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Indicate by a check mark whether the Registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).
Emerging growth company o
If an emerging growth company, indicate by check mark if the Registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. o



Item 2.02 – Results of Operations and Financial Condition.
On May 6, 2026, OraSure Technologies, Inc. (the “Company”) issued a press release announcing its consolidated financial results for the quarter ended March 31, 2026 and certain other matters. A copy of the press release is furnished as Exhibit 99.1 to this Current Report on Form 8-K and is incorporated herein by reference.
Item 7.01 – Regulation FD Disclosure.
On May 6, 2026, the Company held a webcast conference call with analysts and investors, during which members of the Company’s management team, including Carrie Eglinton Manner, the Company’s President and Chief Executive Officer, and Kenneth J. McGrath, the Company’s Chief Financial Officer, discussed the Company’s consolidated financial results for the quarter ended March 31, 2026 and described certain business developments.

Investor Presentation

The Company hereby furnishes the investor presentation that the Company will present to analysts and investors on or after the date hereof, which is furnished as Exhibit 99.2 to this Current Report on Form 8-K and is incorporated herein by reference. The investor presentation will also be available on the Company’s website at www.orasure.com.

The information in Items 2.02 and 7.01, and attached as Exhibits 99.1 and 99.2, shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934 or otherwise subject to the liabilities of that section, nor shall such information and Exhibit be deemed incorporated by reference in any filing under the Securities Act of 1933, except as shall be expressly set forth by specific reference in such a filing. The fact that the information and Exhibit are being furnished should not be deemed an admission as to the materiality of any information contained therein. The Company undertakes no duty or obligation to publicly update or revise the information contained in this Current Report on Form 8-K or attached Exhibits.
Item 9.01 – Financial Statements and Exhibits.
(d)Exhibits
Exhibit
Number
Description
99.1
Press Release, dated May 6, 2026, announcing the consolidated financial results of OraSure Technologies, Inc. for the quarter ended March 31, 2026 and certain other matters.
99.2
Investor Presentation
104
Cover Page Interactive Data File (embedded within the Inline XBRL document).
    
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SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
ORASURE TECHNOLOGIES, INC.
Date: May 6, 2026By:/s/ Carrie Eglinton Manner
Carrie Eglinton Manner
President and Chief Executive Officer
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otiwordmark.jpg

EXHIBIT 99.1
Investor Contact:Media Contact:
Jason PlagmanAmy Koch
VP, Investor Relations Director, Corporate Communications
investorinfo@orasure.commedia@orasure.com
OraSure Announces First Quarter 2026 Financial Results

BETHLEHEM, PA, May 6, 2026 (GLOBE NEWSWIRE) – OraSure Technologies, Inc. (NASDAQ: OSUR), a leader in point-of-need and home diagnostic tests and sample management solutions, today announced its financial results for the three months ended March 31, 2026.
“Our Q1 results were consistent with our expectations, and revenue of $27.9 million was above the midpoint of our guidance range,” said Carrie Eglinton Manner, President and CEO of OTI. “We delivered gross margin expansion in Q1 and remain focused on leveraging our manufacturing capabilities and capacity to drive additional operating efficiencies.”
She continued, “OraSure is well positioned to accelerate our growth as we approach a series of regulatory and commercial milestones in 2026 and continue to transform our business through our strategy to decentralize diagnostics and connect people to care that is more accessible, convenient, affordable, and private. Additionally, our strong balance sheet gives us the flexibility to pursue acquisitions and partnerships that strengthen our portfolio, while continuing to invest in R&D aimed at high‑value growth markets in order to drive long‑term value for shareholders.”


Financial Highlights ($ in 000’s, except per share amounts)
For the Three Months Ended March 31,
20262025% Change
Core Business (1)
$27,907 $28,050 (1) %
COVID-1918 461 (96)
Risk Assessment Testing— 1,420 (100)
Total Net Revenues$27,925 $29,931 (7) %
(1) Includes Diagnostics, Sample Management Solutions, other products and services revenues, and non-product and services revenues.
1



For the Three Months Ended March 31,
20262025% Change
Net revenues27,925 29,931 (7)%
Gross profit11,804 12,299 (4)
Gross margin42.3 %41.1 %
Non-GAAP gross profit12,107 12,468 (3)
Non-GAAP gross margin43.4 %41.7 %
Operating loss(23,269)(17,750)NM
Operating margin(83.3)%(59.3)%
Non-GAAP operating loss(19,034)(15,280)NM
Non-GAAP operating margin(68.2)%(51.1)%
Net loss(22,377)(16,040)NM
Non-GAAP net (loss) income (17,022)(13,139)NM
Diluted GAAP EPS$(0.32)$(0.21)NM
Diluted Non-GAAP EPS$(0.24)$(0.18)NM
NM – not meaningful

Total net revenues for the first quarter of 2026 decreased 7% to $27.9 million from $29.9 million in the first quarter of 2025.
Core revenues (all revenues excluding COVID-19, Molecular Services, and Risk Assessment Testing revenues) of $27.9 million in the first quarter decreased 0.5% year-over-year. Diagnostics revenues in the first quarter decreased 5% year-over-year to $16.9 million, with the decline attributable to lower revenue from our HCV tests. Sample Management Solutions revenues of $9.1 million in the first quarter decreased 0.6% year-over-year.
GAAP gross margin was 42.3% in the first quarter of 2026 compared to 41.1% in the first quarter of 2025. Non-GAAP gross margin in the first quarter of 2026 was 43.4% and increased compared to 41.7% in the first quarter of 20251.
GAAP operating loss in the first quarter of 2026 was $23.3 million compared to GAAP operating loss of $17.8 million in the first quarter of 2025. Non-GAAP operating loss was $19.0 million in the first quarter of 2026 compared to non-GAAP operating loss of $15.3 million in the first quarter of 2025.
Cash and cash equivalents were $177 million as of March 31, 2026.
OTI deployed $5 million during the first quarter to repurchase approximately 1.8 million shares of our common stock.

Recent Developments
Appointed John D. Bertrand to our Board of Directors. Mr. Bertrand is a healthcare technology executive with more than a decade of experience driving AI-enabled innovation in diagnostics.
1 For additional information on non-GAAP financial measures and a reconciliation of the GAAP financial results to non-GAAP financial results, see the schedules below. A description of the adjustments made to the GAAP financial measures is included at the end of the schedules.
2


Published our 2025-2026 “OTI Cares” Impact and Governance report, which highlights our progress in advancing the impact of our sustainability and governance-related initiatives that are meaningful to our internal and external stakeholders.

Financial Guidance
The Company is guiding to Q2 2026 Total revenues of $27 million to $30 million.

Conference Call
The Company will host a conference call and audio webcast to discuss the Company’s first quarter 2026 results and certain business developments, beginning today at 5 p.m. Eastern Time. The call will include prepared remarks by management and a question and answer session.
A webcast of the conference call will be available on the investor relations page of OTI’s website at https://orasure.gcs-web.com/events-and-presentations. Please click on the webcast link and follow the prompts for registration and access at least 10 minutes prior to the call. The webcast will be archived on OTI’s website shortly after the call has ended.

Disclosure
OTI intends to use the Investor Relations Section of its website as a means of disclosing material non-public information (MNPI) and for complying with its disclosure obligations under Regulation FD. Accordingly, investors should monitor OTI’s website in addition to following its press releases, SEC filings, public conference calls, presentations, and webcasts.
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Financial Data (Unaudited, $ in 000’s, except per share amounts)
For the Three Months Ended March 31,
20262025
Results of Operations
Net revenues$27,925 $29,931 
Cost of products and services sold16,121 17,632 
Gross profit11,804 12,299 
Operating expenses:
Research and development13,654 9,603 
Sales and marketing6,770 6,859 
General and administrative14,556 14,102 
Change in the estimated fair value of acquisition-related contingent consideration93 478 
Gain on sale of assets
— (993)
Total operating expenses35,073 30,049 
Operating loss(23,269)(17,750)
Other income1,548 1,778 
Loss before income taxes and equity investment(21,721)(15,972)
Income tax benefit
(432)(456)
Loss before equity investment
(21,289)(15,516)
Loss on equity investment(1,088)(524)
Net loss$(22,377)$(16,040)
Loss per share:
Basic$(0.32)$(0.21)
Diluted$(0.32)$(0.21)
Weighted average shares outstanding:
Basic69,675 74,867 
Diluted69,675 74,867 

For the Three Months Ended March 31,
20262025% Change
Consolidated Net Revenues
Diagnostics$16,866 $17,689 (5)%
Sample Management Solutions9,058 9,110 (1)
Other products and services434 321 35 
COVID-19 Diagnostics18 457 (96)
Risk Assessment Testing— 1,420 (100)
Net product and services revenues26,376 28,997 (9)
Non-product and services revenues1,549 934 66 
Net revenues$27,925 $29,931 (7)%
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Condensed Consolidated Balance Sheets (Unaudited, $ in 000’s)
March 31, 2026December 31, 2025
Assets
Cash and cash equivalents$176,964 $199,278 
Accounts receivable, net24,807 22,203 
Inventories30,307 31,060 
Other current assets8,703 9,367 
Property, plant and equipment, net37,857 39,179 
Intangible assets, net18,940 19,046 
Goodwill43,047 43,363 
Investment in equity method investee24,868 25,956 
Other noncurrent assets13,676 13,716 
Total assets$379,169 $403,168 
Liabilities and Stockholders’ Equity
Accounts payable$10,628 $6,521 
Deferred revenue872 1,518 
Acquisition-related contingent consideration obligation
18,777 18,380 
Other current liabilities13,807 13,376 
Other noncurrent liabilities21,761 22,546 
Stockholders’ equity313,324 340,827 
Total liabilities and stockholders’ equity$379,169 $403,168 
Additional Financial Data (Unaudited, $ in 000’s)
For the Three Months Ended March 31,
20262025
Capital expenditures$913 $420 
Depreciation and amortization2,341 2,808 
Stock-based compensation2,768 2,687 
Cash used in operating activities
$(13,895)$(19,733)



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Consolidated Statement of Cash Flows (Unaudited, $ in 000’s)
For the Three Months Ended March 31,
20262025
OPERATING ACTIVITIES:
Net loss$(22,377)$(16,040)
Adjustments to reconcile net loss to net cash used in operating activities:
Stock-based compensation2,768 2,687 
Depreciation and amortization2,341 2,808 
Other non-cash amortization(82)(37)
Provision for credit losses66 (248)
Unrealized foreign currency (gain) loss
(153)194 
Interest expense on finance leases
Loss on equity investment1,088 524 
Deferred income taxes(354)(384)
Gain on sale of fixed assets— (780)
Change in the estimated fair value of acquisition-related contingent consideration93 478 
Changes in assets and liabilities:
Accounts receivable(2,621)2,413 
Inventories714 (1,482)
Prepaid expenses and other assets583 (2,075)
Accounts payable4,104 (726)
Deferred revenue(645)(451)
Accrued expenses and other liabilities577 (6,616)
Net cash used in operating activities(13,895)(19,733)
INVESTING ACTIVITIES:
Proceeds from sale of assets— 790 
Purchases of property and equipment(913)(420)
Net cash (used in) provided by investing activities(913)370 
FINANCING ACTIVITIES:
Cash payments for finance lease liabilities(21)(12)
Repurchase of common stock(5,000)— 
Payment of taxes related to net share settlement of equity awards(1,261)(941)
Net cash used in financing activities(6,282)(953)
EFFECT OF FOREIGN EXCHANGE RATE CHANGES ON CASH(1,224)122 
NET DECREASE IN CASH AND CASH EQUIVALENTS(22,314)(20,194)
CASH AND CASH EQUIVALENTS, BEGINNING OF PERIOD199,278 267,763 
CASH AND CASH EQUIVALENTS, END OF PERIOD$176,964 $247,569 






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About OraSure Technologies
OraSure Technologies, Inc. (“OraSure” and “OTI”) transforms health through actionable insight and decentralizes diagnostics to connect people to healthcare wherever they are. OraSure improves access, quality, and value of healthcare with innovation in effortless tests and sample management solutions. Together with its wholly-owned subsidiaries, DNA Genotek Inc., Sherlock Biosciences, Inc., and BioMedomics, Inc., OTI is a leader in the development, manufacture, and distribution of rapid diagnostic tests and sample collection and stabilization devices designed to discover and detect critical medical conditions. OraSure’s portfolio of products is sold globally to clinical laboratories, hospitals, physicians’ offices, clinics, public health and community-based organizations, research institutions, government agencies, pharmaceutical companies, and direct to consumers. For more information on OraSure Technologies, please visit www.orasure.com
Forward Looking Statements
This press release contains certain forward-looking statements, including with respect to products, product candidate development and manufacturing activities, regulatory submissions and authorizations, revenue growth and guidance, expected revenue from government orders, cost savings, cash flow, increasing margins and other matters. 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: our ability to satisfy customer demand; ability to reduce our spending rate, capitalize on manufacturing efficiencies and drive profitable growth; ability to market and sell our products and services, whether through our internal, direct sales force or third parties; failure of distributors or other customers to meet purchase forecasts, historic purchase levels or minimum purchase requirements for our products; significant customer concentrations that exist or may develop in the future; ability to manufacture or have manufactured products in accordance with applicable specifications, performance standards and quality requirements; 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; ability to effectively resolve warning letters, audit observations and other findings or comments from the FDA or other regulators; changes in relationships, including disputes or disagreements, with strategic partners or other parties and reliance on strategic partners for the performance of critical activities under collaborative arrangements; impact of replacing distributors; inventory levels at distributors and other customers; our ability to achieve its financial and strategic objectives and increase our revenues, including the ability to expand international sales and the ability to continue to reduce costs; impact of competitors, competing products and technology changes; 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 our products and services; ability to achieve the anticipated benefits from the BioMedomics transaction; changes in market acceptance of products based on product performance or other factors, including changes in testing guidelines, algorithms or other recommendations by the Centers for Disease Control and Prevention or other agencies; 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 products and components; availability of related products produced by third parties or products required for use of our products; impact of contracting with the U.S. government; impact of negative economic conditions; ability to achieve and maintain sustained profitability; ability to increase our gross margins; 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, trade secrets 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 on international sales; adverse movements in foreign currency exchange rates; loss or impairment of sources of capital; ability to attract and 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
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obtain needed raw materials and components; cybersecurity incidents and other disruptions involving our computer systems or those of our third-party IT service providers, suppliers and customers; the impact of terrorist attacks, civil unrest, hostilities and war; and general political, business and economic conditions, including interest rates, inflationary pressures, capital market disruptions, changes in governmental agencies, international tariffs, trade protection measures, economic sanctions and economic slowdowns or recessions. These and other factors that could affect our results are discussed more fully in our SEC filings, including our registration statements, Annual Report on Form 10-K for the year ended December 31, 2025, 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. Readers are cautioned not to place undue reliance on the forward-looking statements. The forward-looking statements are made as of the date of this press release and OraSure Technologies undertakes no duty to update these statements.

Statement Regarding Use of Non-GAAP Financial Measures
In this press release, the Company’s financial results and financial guidance are provided in accordance with accounting principles generally accepted in the United States (GAAP) and using certain non-GAAP financial measures, including non-GAAP gross margin, non-GAAP gross profit, non-GAAP net income (loss), non-GAAP operating income (loss), and non-GAAP earnings (loss) per share. Management believes that presentation of operating results using these non-GAAP financial measures provides useful supplemental information to investors and facilitates the analysis of the Company’s core operating results and comparison of operating results across reporting periods, while excluding certain expenses that may not be indicative of the Company’s recurring core business operating results. In addition, management believes these non-GAAP financial measures are useful to investors both because they (1) allow for greater transparency with respect to key metrics used by management in its financial and operational decision-making and (2) are used by OraSure’s institutional investors and the analysis community to help them analyze the health of OraSure’s business. Management also uses non-GAAP financial measures to establish budgets and to manage the Company’s business. A reconciliation of the GAAP financial results to non-GAAP financial results is included in the schedules below and a description of the adjustments made to the GAAP financial measures is included at the end of the schedules.
The Company encourages investors to carefully consider its results under GAAP, as well as its supplemental non-GAAP information and the reconciliation between these presentations, to more fully understand its business. Non-GAAP financial results are reported in addition to, and not as a substitute for, or superior to, financial measures calculated in accordance with GAAP. Further, non-GAAP financial measures, even if similarly titled, may not be calculated in the same manner by all companies, and therefore should not be compared.
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OraSure Technologies GAAP to Non-GAAP Reconciliation ($ in 000's, except per share amounts)
For the Three Months Ended March 31,
20262025
Net Revenues$27,925 $29,931 
GAAP Cost of Products and Services Sold16,121 17,632 
GAAP Gross Margin42.3 %41.1 %
Stock compensation190 169 
Amortization of acquisition-related intangible assets48 — 
Reduction in workforce severance65 — 
Non-GAAP Cost of Goods Sold15,818 17,463 
Non-GAAP Gross Margin43.4 %41.7 %
GAAP Operating Loss(23,269)(17,750)
Stock compensation2,768 2,687 
Amortization of acquisition-related intangible assets105 55 
Reduction in workforce severance1,269 — 
Gain on sale of assets under product line discontinuance— (750)
Change in fair value of acquisition-related contingent consideration93 478 
Non-GAAP Operating Loss(19,034)(15,280)
GAAP Net Loss(22,377)(16,040)
Stock compensation2,768 2,687 
Amortization of acquisition-related intangible assets105 55 
Reduction in workforce severance1,269 — 
Gain on sale of assets under product line discontinuance— (750)
Change in fair value of acquisition-related contingent consideration93 478 
Loss on equity investment1,088 524 
Tax effect of non-GAAP adjustments32 (93)
Non-GAAP Net Loss
$(17,022)$(13,139)
GAAP Loss Per Share:$(0.32)$(0.21)
Non-GAAP Loss Per Share:
$(0.24)$(0.18)
Diluted Shares Outstanding69,675 74,867 
Diluted Shares Outstanding Used For Computing Non-GAAP
Loss Per Share
69,675 74,867 
The following is a description of the adjustments made to GAAP financial measures:
Stock Compensation: non-cash equity-based compensation provided to OraSure employees and directors
Amortization of acquisition-related intangible assets: represents recurring amortization charges resulting from the acquisition of intangible assets associated with our business combinations
Reduction in workforce severance: termination benefits associated with the Company’s workforce reduction associated with certain business
Gain on sale of assets under product line discontinuance: represents the gain on the sale of fixed assets associated with the risk assessment line of business that was discontinued and sold to a 3rd party
Change in fair value of acquisition-related contingent consideration: changes in the fair value of contingent consideration liability associated with an adjustment for the passage of time
Loss on equity investment: we have excluded our proportionate share of our equity method investee’s net loss as we do not have direct control over the investee’s operations or resulting revenue and expenses
Tax impact associated with non-GAAP adjustments: tax expense/(benefit) due to non-GAAP adjustments
A reconciliation of our non-GAAP measures to their most directly comparable GAAP measures can also be found at: https://orasure.gcs-web.com/gaap-non-gaap-reconciliation
###
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OraSure Investor Update May 2026 EXHIBIT 99.2


 

© 2026 OraSure Technologies, Inc. 2OTI Proprietary Disclaimers Forward-Looking Statements: This presentation of OraSure Technologies, Inc. (the “Company” or “OraSure”) contains certain “forward-looking statements” within the meaning of federal securities laws, including with respect to products, product candidate development and manufacturing activities, regulatory submissions and authorizations, revenue growth and guidance, cost savings, cash flow, increasing margins and other matters. 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: OraSure’s ability to satisfy customer demand; ability to reduce OraSure’s spending rate, capitalize on manufacturing efficiencies and drive profitable growth; ability to market and sell products, whether through the Company’s internal, direct sales force or third parties; failure of distributors or other customers to meet purchase forecasts, historic purchase levels or minimum purchase requirements for our products; ability to manufacture products in accordance with applicable specifications, performance standards and quality requirements; 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; ability to effectively resolve warning letters, audit observations and other findings or comments from the FDA or other regulators; changes in relationships, including disputes or disagreements, with strategic partners or other parties and reliance on strategic partners for the performance of critical activities under collaborative arrangements; impact of replacing distributors; inventory levels at distributors and other customers; OraSure’s ability to achieve its financial and strategic objectives and increase its revenues, including the ability to expand international sales; ability to achieve the anticipated benefits from acquisition transactions; impact of competitors, competing products and technology changes; 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; changes in market acceptance of products based on product performance or other factors, including changes in testing guidelines, algorithms or other recommendations by the Centers for Disease Control and Prevention or other agencies; 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 products and components; availability of related products produced by third parties or products required for use of the Company’s products; impact of contracting with the U.S. government; impact of negative economic conditions; ability to achieve and maintain sustained profitability; ability to increase OraSure’s gross margins; ability to utilize net operating loss carry forwards or other deferred tax assets; uncertainty relating to patent protection and potential patent infringement claims; uncertainty and costs of litigation relating to patents, trade secrets 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; impact of changes in international funding sources and testing algorithms on international sales; adverse movements in foreign currency exchange rates; loss or impairment of sources of capital; ability to attract and 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 cybersecurity incidents and other disruptions involving the Company’s computer systems or those of our third-party IT service providers, suppliers and customers; the impact of terrorist attacks, civil unrest, hostilities and war; and general political, business and economic conditions, including interest rates, inflationary pressures, capital market disruptions, changes in governmental agencies, international tariffs, trade protection measures, economic sanctions and economic slowdowns or recession. These and other factors that could affect the Company’s results are discussed more fully in OraSure’s filings with the Securities and Exchange Commission (the “SEC”), including the Company’s registration statements, Annual Report on Form 10-K for the year ended December 31, 2025, 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. Readers are cautioned not to place undue reliance on the forward-looking statements. The forward-looking statements are made as of the date of this presentation and OraSure undertakes no duty to update these statements. Estimates and Other Data: This presentation contains estimates and other data made by independent parties and the Company relating to market size and growth and other data about its industry. Such data involves a number of assumptions and limitations, and you are cautioned not to give undue weight to such estimates. In addition, projections, assumptions and estimates of the Company’s future performance and the future performance of the markets in which it operates are necessarily subject to a high degree of uncertainty and risks. Non-GAAP Financial Measures This presentation makes use of certain financial measures that are not prepared in accordance with U.S. Generally Accepted Accounting Principles (“GAAP”). Please refer to the Appendix to this presentation for a reconciliation of any non-GAAP financial measures. We encourage investors to carefully consider the Company’s results under GAAP, as well as our supplemental non-GAAP information and the reconciliation between these presentations, to more fully understand the Company’s business. Non-GAAP financial results are reported in addition to, and not as a substitute for, or superior to, financial measures calculated in accordance with GAAP. Further, non-GAAP financial measures, even if similarly titled, may not be calculated in the same manner by all companies, and therefore should not be compared.


 

© 2026 OraSure Technologies, Inc. 3OTI Proprietary Disciplined execution driving stronger platform for growth 3+ years of progress in transformation strategy Strengthen our Foundation Elevate our Core Growth Accelerate our Profitable Growth Cost productivity • One OTI: combined 2 business units into 1 • Org right-sizing: reduced headcount • Footprint consolidation: closed 4 global sites and in-sourced to PA • Closures: wound down 2 declining, unprofitable product lines Leadership & talent upskilling • New executive leadership Return core business to breakeven; create low-cost manufacturing capabilities; drive efficiency in operations; upgrade key talent Sales • Customer diversification • New Chief Commercial Officer Product & process rigor • COGS reductions: automation, design for manufacturing, optimized logistics • AI and digital tools implementation • Multi-year innovation product planning • Continuous improvement methodology Drive core growth and profitability; diversify our customer base; continuously reduce product cost; implement enterprise-wide rigor Execute focused strategy to drive innovation and create value through disciplined capital allocation … internal investment, plus M&A Governance • Board refresh - 7 departed, 4 new independent directors • $40 million share buyback authorization with $20 million deployed Pipeline expansion Organic investments • Urine: Colli-PeeTM self-collection • Blood: HEMAcollectTM ●Protein RUO M&A and partnerships • Sherlock molecular Dx platform: initial CT/NG self-test and pipeline of assays • Sapphiros: lateral flow roadmap and Satio self-collected blood • BioMedomics: SickleSCAN® • Dx Direct: Syphilis Health CheckTM


 

© 2026 OraSure Technologies, Inc. 4OTI Proprietary Financial performance summary Innovating and operating with disciplined execution and accountability Q1 results • Total Revenue: $27.9 million • +4% q/q growth • Non-GAAP Gross Margin: 43.4% External environment: We are seeing stable demand in key segments in 2026, including improved visibility to funding for important testing programs. Growth: Positioned for growth in core business in 2026 and beyond ➢Pipeline of potential product milestones expected to accelerate growth Margin: Path to 50% adjusted gross margin ➢Opportunity for significant margin expansion as volumes grow Balance sheet: $177M of cash and no debt as of Q1 2026 Q2 guidance • Total Revenue: $27 to $30 million • Non-GAAP Gross Margin: similar to Q1


 

© 2026 OraSure Technologies, Inc. 5OTI Proprietary Clear strategy to innovate and accelerate growth … with near-term catalysts in attractive markets Delivering our near-term product roadmap Plan to launch differentiated innovation by executing on near-term milestones … aligned with long-term healthcare trends Expanding our long-term innovation pipeline Leveraging OTI strengths to compete and win in large and growing segments … expected to accelerate long-term growth


 

© 2026 OraSure Technologies, Inc. 6OTI Proprietary Product roadmap: anticipated near-term milestones Description Protein-specific blood collection & sample stabilization At-home first-void urine self-collection Disposable molecular dx, rapid test Blood self-collection; Dot = dried blood spot vs. capillary blood draw Global market $ $700M $500M $1.5B $92B (traditional collection) Status RUO launched July 2025 Regulatory review underway following submission to FDA in December 2025 Regulatory review underway following submission to FDA in December 2025 Future launch via distribution agreement, subject to regulatory submission and review Note: Market sizing based on Company projections, modeling, and external research.


 

© 2026 OraSure Technologies, Inc. 7OTI Proprietary Expanding our pipeline in high-value growth markets Illustrative examples leveraging OTI strengths Notes: •Example criteria are not all inclusive •Matrix excludes less attractive opportunities Example criteria: Market size Growth rate Profitability to serve Clinical need / decision-making Speed to scale Barriers to entry Example criteria: Portfolio fit Platform / tech expertise Development feasibility Channel alignment OTI’s ability to compete and win S e g m e n t a tt ra ct iv e n e ss Medium High High Anti-microbial resistance (AMR) ID: Bacterial STIs ID: Parasitic Blood disease Wellness Liquid biopsy Infectious disease (ID): Viral OTI strengths • Chemistries for sample stabilization, transport, and storage • Expertise in oral fluid, urine, blood … non- and less invasive • Commercial reach and relationships, including international distribution • Regulatory capabilities for market access • Manufacturing automation and capacity


 

© 2026 OraSure Technologies, Inc. 8OTI Proprietary OraSure today: stronger, focused, and executing for sustainable growth Strengthen our Foundation Elevate our Core Growth Accelerate our Profitable Growth


 

© 2026 OraSure Technologies, Inc. 9OTI Proprietary Appendix


 

© 2026 OraSure Technologies, Inc. 10OTI Proprietary Reconciliation of Non-GAAP Gross Margin OraSure Technologies GAAP to Non-GAAP Reconciliation ($ in 000's)


 

FAQ

How did OraSure Technologies (OSUR) perform financially in Q1 2026?

OraSure reported Q1 2026 net revenues of $27.9 million, down 7% from $29.9 million a year earlier. GAAP net loss was $22.4 million, compared with $16.0 million, and diluted GAAP loss per share was $0.32, with non-GAAP diluted loss per share of $0.24.

What happened to OraSure’s gross margin in the first quarter of 2026?

OraSure’s GAAP gross margin improved to 42.3% in Q1 2026 from 41.1% a year earlier. Non-GAAP gross margin rose to 43.4% from 41.7%, showing better underlying profitability on each dollar of revenue despite lower total sales.

What is OraSure Technologies’ cash position as of March 31, 2026?

As of March 31, 2026, OraSure held $176.964 million in cash and cash equivalents. This strong cash position comes despite using $13.9 million in operating cash during the quarter and deploying $5 million to repurchase approximately 1.8 million shares.

What revenue guidance did OraSure provide for Q2 2026?

OraSure guided to Q2 2026 total revenues of $27 million to $30 million. The company also stated it expects non-GAAP gross margin in the second quarter to be similar to Q1 2026 levels, indicating anticipated margin stability even as revenue remains in a similar range.

How are OraSure’s core diagnostics and sample management businesses performing?

In Q1 2026, core revenues (excluding COVID-19, Molecular Services, and Risk Assessment Testing) were $27.9 million, down 0.5% year over year. Diagnostics revenue decreased 5% to $16.9 million, mainly from lower HCV test revenue, while Sample Management Solutions revenue declined 0.6% to $9.1 million.

Did OraSure Technologies repurchase any shares in Q1 2026?

Yes. OraSure deployed $5 million during Q1 2026 to repurchase approximately 1.8 million shares of its common stock. This activity used part of its cash balance and is part of the previously authorized share buyback program referenced in the company’s materials.

Filing Exhibits & Attachments

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