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Condensed Consolidated Statements of Operations - USD ($)
$ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Sep. 30, 2025
Sep. 30, 2024
Revenues:        
Earned premiums $ 983,681 $ 684,496 $ 2,907,927 $ 1,980,146
Other 10,014 7,937 27,988 22,174
Total revenues 993,695 692,433 2,935,915 2,002,320
Expenses:        
Medical expenses 868,022 613,444 2,570,662 1,791,974
Selling, general, and administrative expenses 110,015 90,871 317,643 269,246
Depreciation and amortization 7,977 7,640 22,574 20,110
Total expenses 986,014 711,955 2,910,879 2,081,330
Income (loss) from operations 7,681 (19,522) 25,036 (79,010)
Other expenses:        
Interest expense 3,950 6,937 11,850 18,055
Other income, net 0 (22) (89) (72)
Total other expense 3,950 6,915 11,761 17,983
Income (loss) before income taxes 3,731 (26,437) 13,275 (96,993)
Provision (benefit) for income taxes 2 (8) 3,247 14
Net income (loss) 3,729 (26,429) 10,028 (97,007)
Less: Net loss attributable to noncontrolling interest 0 (16) (254) (63)
Net income (loss) attributable to Alignment Healthcare, Inc. $ 3,729 $ (26,413) $ 10,282 $ (96,944)
Net income (loss) per share attributable to Alignment Healthcare, Inc.:        
Basic (in dollars per share) $ 0.02 $ (0.14) $ 0.05 $ (0.51)
Diluted (in dollars per share) $ 0.02 $ (0.14) $ 0.05 $ (0.51)
Weighted-average common shares outstanding:        
Basic (in shares) 199,026,808 191,361,283 197,007,141 190,423,014
Diluted (in shares) 208,927,980 191,361,283 208,439,200 190,423,014