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Summary of Significant Accounting Policies (Tables) | 9 Months Ended
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Sep. 30, 2025
Accounting Policies [Abstract] |
Schedule of Significant Segment Expenses | In addition to net income (loss), the CODM is also provided information on certain significant segment expenses which are presented below:
| Three Months Ended September 30, |  | Nine Months Ended September 30,
| 2025 |  | 2024 |  | 2025 |  | 2024
Revenues: | $ | 993,695 |  |  | $ | 692,433 |  |  | $ | 2,935,915 |  |  | $ | 2,002,320 |
Expenses: |  |  |  |  |  |  |
Medical expenses (less depreciation and equity-based compensation) | 866,239 |  |  | 611,909 |  |  | 2,566,067 |  |  | 1,788,446 |
Selling, general, and administrative expenses (less equity-based compensation) | 95,563 |  |  | 75,102 |  |  | 273,197 |  |  | 217,734 |
Other segment expenses (1) | 24,214 |  |  | 24,914 |  |  | 74,773 |  |  | 75,092 |
Interest expense | 3,950 |  |  | 6,937 |  |  | 11,850 |  |  | 18,055 |
Net income (loss) | $ | 3,729 |  |  | $ | (26,429) |  |  | $ | 10,028 |  |  | $ | (97,007) |
(1) Other segment items included in segment net income (loss) include equity-based compensation, depreciation and amortization, other expenses (income), and provision for income taxes.
Schedule of Earned Revenue | Earned premium revenue consisted of premium revenue and capitation revenue for the three and nine months ended September 30, 2025 and 2024 were as follows:
| Three Months Ended September 30, |  | Nine Months Ended September 30,
| 2025 |  | 2024 |  | 2025 |  | 2024
Premium | $ | 982,634 |  |  | $ | 683,270 |  |  | $ | 2,903,836 |  |  | $ | 1,976,524 |
Capitation | 1,047 |  |  | 1,226 |  |  | 4,091 |  |  | 3,622 |
Total | $ | 983,681 |  |  | $ | 684,496 |  |  | $ | 2,907,927 |  |  | $ | 1,980,146 |
Schedule of Property and Equipment | Depreciation expense is computed using the straight-line method generally based on the following estimated useful lives:
Description | Estimated Service Lives (years)
Computer and equipment | 5
Office equipment and furniture | 5-7
Software | 3-5
Leasehold improvements | 15 (or lease term, if shorter)
Property and equipment consisted of the following as of September 30, 2025 and December 31, 2024:
| September 30, 2025 |  | December 31, 2024
Computers and equipment | $ | 13,657 |  |  | $ | 12,569 |
Office equipment and furniture | 4,338 |  |  | 4,341 |
Software | 213,368 |  |  | 179,336 |
Leasehold improvements | 6,224 |  |  | 6,231 |
Construction in progress | 749 |  |  | 14,049 |
Subtotal | 238,336 |  |  | 216,526 |
Less accumulated depreciation | (171,319) |  |  | (149,387) |
Property and equipment-net | $ | 67,017 |  |  | $ | 67,139 |
Schedule of Computation of Basic and Diluted Net Loss Per Share | The following table sets forth the computation of basic and diluted net income or loss per share for the three and nine months ended September 30, 2025 and 2024:
| Three Months Ended September 30, |  | Nine Months Ended September 30,
| 2025 |  | 2024 |  | 2025 |  | 2024
Numerator: |  |  |  |  |  |  |
Net income (loss) | $ | 3,729 |  |  | $ | (26,429) |  |  | $ | 10,028 |  |  | $ | (97,007) |
Less: Net income (loss) attributable to noncontrolling interests | — |  |  | (16) |  |  | (254) |  |  | (63) |
Net income (loss) attributable to Alignment Healthcare, Inc. | $ | 3,729 |  |  | $ | (26,413) |  |  | $ | 10,282 |  |  | $ | (96,944) |
Denominator: |  |  |  |  |  |  |
Total weighted-average common shares outstanding | 199,026,808 |  | 191,610,696 |  | 197,022,500 |  | 190,882,849
Less: Restricted shares of common stock | — |  |  | (249,413) |  | (15,359) |  | (459,835)
Total weighted-average common shares outstanding, net of restricted shares of common stock - basic | 199,026,808 |  | 191,361,283 |  | 197,007,141 |  | 190,423,014
Dilutive effect of: |  |  |  |  |  |  |
Stock options | 309,030 |  |  | — |  |  | 354,209 |  |  | — |
RSUs | 7,297,588 |  |  | — |  |  | 8,057,026 |  |  | — |
PSUs | 2,294,554 |  |  | — |  |  | 3,020,824 |  |  | — |
Shares used to compute diluted income (loss) per common share | 208,927,980 |  |  | 191,361,283 |  |  | 208,439,200 |  |  | 190,423,014 |
Net income (loss) per share: |  |  |  |  |  |  |
Basic income (loss) per share | $ | 0.02 |  |  | $ | (0.14) |  |  | $ | 0.05 |  |  | $ | (0.51) |
Diluted income (loss) per share | $ | 0.02 |  |  | $ | (0.14) |  |  | $ | 0.05 |  |  | $ | (0.51) |

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