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Summary of Significant Accounting Policies (Tables)

9 Months Ended

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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