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( Mark One ) ANNUAL REPORT PURSUANT TO SECTION 13 OR 15 ( d ) OF THE SECURITIES EXCHANGE ACT OF 1934 For the fiscal year ended December 31 , 2020 or ■ UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington , D.C. 20549 FORM 10 - K TRANSITION REPORT PURSUANT TO SECTION 13 OR 15 ( d ) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to ORASURE TECHNOLOGIES , INC . ( Exact Name of Registrant as Specified in Its Charter ) Delaware ( State or Other Jurisdiction of Incorporation or Organization ) 220 East First Street Bethlehem , Pennsylvania ( Address of Principal Executive Offices ) Large accelerated filer Non - accelerated filer Commission File No. 001-16537 36-4370966 ( I.R.S. Employer Identification No. ) ( Registrant's Telephone Number , Including Area Code ) : ( 610 ) 882-1 20 Securities registered pursuant to Section 12 ( b ) of the Act : Trading Symbol OSUR Title of Each Class Common Stock , $ 0.000001 par value per share Securities registered pursuant to Section 12 ( g ) of the Act : None Indicate by check mark if the Registrant is a well - known seasoned issuer , as defined in Rule 405 of the Securities Act . Yes No Indicate by check mark if the Registrant is not required to file reports pursuant to Section 13 or Section 15 ( d ) of the Exchange Act . Yes No > 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 No Indicate by check mark whether the Registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S - T ( §232.405 of this chapter ) during the preceding 12 months ( or for such shorter period that the Registrant was required to submit such files ) . Yes No X □ 18015 ( Zip Code ) Indicate by check mark whether the Registrant is a large accelerated filer , an accelerated filer , a non - accelerated filer , a smaller reporting company , or an emerging growth company . See the definitions of " large accelerated filer , ” “ accelerated filer ” , “ smaller reporting company ” and “ emerging growth company " in Rule 12b - 2 of the Exchange Act . Name of Each Exchange on Which Registered The NASDAQ Stock Market LLC Accelerated filer Smaller reporting company Emerging Growth Company ■ 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 . □ Indicate 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 or issued its audit report . Indicate by check mark whether the Registrant is a shell company ( as defined in Rule 12b - 2 of the Exchange Act ) . Yes No - State the aggregate market value of the voting and non - voting common equity held by nonaffiliates , computed by reference to the price at which the common 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 recently completed second fiscal quarter ( June 30 , 2020 ) : $ 829,039,107 Indicate the number of shares outstanding of each of the Registrant's classes of common stock , as of February 22 , 2021 : 71,945,502 shares . Documents Incorporated by Reference : Portions of the Registrant's Definitive Proxy Statement for the 2021 Annual Meeting of Stockholders are incorporated by reference into Part III of this Annual Report .