FORM10-K (Mark One) xANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the fiscal year endedDecember 31, 2024or oTRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from _________ toCommission File No.001-16537__________________________________________________________ ORASURE TECHNOLOGIES, INC. (Exact name of registrant as specified in its charter)__________________________________________________________ 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 1934during 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 filingrequirements for the past 90 days.YesxNoo Indicate by check mark whether the Registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 ofRegulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the Registrant was required to submit such files).YesxNoo Indicate by check mark whether the Registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or anemerging growth company. See the definitions of “large accelerated filer,” “accelerated filer”, “smaller reporting company” and “emerging growth company”in Rule 12b-2 of the Exchange Act. If an emerging growth company, indicate by check mark if the Registrant has elected not to use the extended transition period for complying with anynew or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.oIndicate by check mark whether the Registrant has filed a report on and attestation to its management’s assessment of the effectiveness of its internal control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C.7262(b)) by the registered public accounting firm that prepared orissued its audit report.x If securities are registered pursuant to Section 12(b) of the Act, indicate by check mark whether the financial statements of the registrant included in thefiling reflect the correction of an error to previously issued financial statements.o Indicate by check mark whether any of those error corrections are restatements that required a recovery analysis of incentive-based compensationreceived by any of the registrant's executive officers during the relevant recovery period pursuant to§240.10D-1(b).o Indicate by check mark whether the Registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). YesoNox State the aggregate market value of the voting and non-voting common equity held by non-affiliates, computed by reference to the price at which thecommon equity was last sold, or the average bid and asked price of such common equity, as of the last business day of the Registrant’s most recentlycompleted second fiscal quarter (June 30, 2024):$314,835,036. Indicate the number of shares outstanding of each of the Registrant’s classes of common stock, as of February24, 2025:74,800,131shares. Documents Incorporated by Reference: Part III of this Annual Report on Form 10-K will be incorporated by reference from certain portions of the Registrant's Definitive Proxy Statement for its2025 Annual Meeting of Shareholders, or will be included in an amendment hereto, to be filed not later than 120 days after the close of the fiscal year endedDecember31, 2024. Except with respect to information specifically incorporated by reference in the Annual Report on Form 10-K, the Definitive ProxyStatement is not deemed to be filed as part hereof. Table of Contents PART I ITEM 1.Business2ITEM 1A.Risk Factors21ITEM 1B.Unresolved Staff Comments57ITEM IC.Cybersecurity57ITEM 2.Properties58ITEM 3.Legal Proceedings58ITEM 4.Mine Safety Disclosures58 PART IIITEM 5.Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of EquitySecurities59ITEM 6.Reserved60ITEM 7.Management’s Discussion and Analysis of Financial Condition and Results of Operations60ITEM 7A.Quantitative and Qualitative Disclosures About Market Risk67ITEM 8.Financial Statements and Supplementary Data67ITEM 9.Changes in and Disagreements with Accountants on Accounting and Financial Disclosure68ITEM 9A.Controls and Procedures68ITEM 9B.Other Information69ITEM 9C.Disclosure Regarding Foreign Jurisdictions That Prevent Inspections70PART IIIITEM 10.Directors, Executive Officers and Corporate Governance71ITEM 11.Executive Compensation71ITEM 12.Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters71ITEM 13.Certain Relationships and Related Transactions, and Director Independence71ITEM 14.Principal Accountant Fees and Services71PART IVITEM 15.Exhibits and Consolidated Financial Statement Schedules72ITEM 16.Form