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Summary of Significant Accounting Policies (Tables) | 12 Months Ended
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Dec. 31, 2025
Accounting Policies [Abstract] |
Schedule of Significant Segment Expenses | In addition to net loss, the CODM is also provided information on certain significant segment expenses which are presented below:
| Year Ended December 31,
| 2025 |  | 2024 |  | 2023
Revenues: | $ | 3,948,719 |  |  | $ | 2,703,561 |  |  | $ | 1,823,630 |
Expenses: |  |  |  |  |
Medical expenses (less depreciation and equity-based compensation) | 3,453,944 |  |  | 2,401,750 |  |  | 1,614,805 |
Selling, general, and administrative expenses (less equity-based compensation) | 387,459 |  |  | 305,172 |  |  | 248,139 |
Other segment expenses (1) | 92,495 |  |  | 101,163 |  |  | 87,628 |
Interest expense | 15,799 |  |  | 23,547 |  |  | 21,231 |
Net loss | $ | (978) |  |  | $ | (128,071) |  |  | $ | (148,173) |
(1) Other segment items included in segment net loss includes equity-based compensation, depreciation and amortization, other expenses (income), and provision for income tax expenses (benefit).
Schedule of Earned Revenue | Earned premium revenue consisting of premium revenue and capitation revenue for the years ended December 31, 2025, 2024, and 2023 were as follows:
| Year Ended December 31,
| 2025 |  | 2024 |  | 2023
Premium | $ | 3,906,651 |  |  | $ | 2,666,813 |  |  | $ | 1,668,131 |
Capitation | 5,067 |  |  | 5,118 |  |  | 132,802 |
Total | $ | 3,911,718 |  |  | $ | 2,671,931 |  |  | $ | 1,800,933 |
Schedule of Property and Equipment Estimated Useful Lives | 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 December 31, 2025 and 2024:
| December 31, 2025 |  | December 31, 2024
Computers and equipment | $ | 13,815 |  |  | $ | 12,569 |
Office equipment and furniture | 4,338 |  |  | 4,341 |
Software | 218,023 |  |  | 179,336 |
Leasehold improvements | 6,224 |  |  | 6,231 |
Construction in progress | 983 |  |  | 14,049 |
Subtotal | 243,383 |  |  | 216,526 |
Less accumulated depreciation | (179,132) |  |  | (149,387) |
Property and equipment-net | $ | 64,251 |  |  | $ | 67,139 |
Schedule of Amounts Refundable to or Recoverable from CMS including Risk Corridor | These Subsidies received in excess of, or less than, actual subsidized benefits paid are refundable to or recoverable from CMS through an annual reconciliation process following the end of the contract year.:
| December 31, 2025 |  | December 31, 2024
| Risk Corridor |  | CMS Subsidies |  | Risk Corridor |  | CMS Subsidies
Current assets: |  |  |  |  |  |  |
Accounts receivable | $ | 36,615 |  |  | $ | — |  |  | $ | 10,427 |  |  | $ | — |
Prepaid expenses and other current assets | — |  |  | 68,361 |  |  | — |  |  | 25,782 |
Current liabilities: |  |  |  |  |  |  |
Medical expenses payable | $ | 144 |  |  | $ | 21,632 |  |  | $ | — |  |  | $ | 24,993 |
Schedule of Computation of Basic and Diluted Net Loss Per Share | The following table sets forth the computation of basic and diluted net income (loss) per share for the years ended December 31, 2025, 2024, and 2023:
| Year Ended December 31,
| 2025 |  | 2024 |  | 2023
Numerator: |  |  |  |  |
Net loss | $ | (978) |  |  | $ | (128,071) |  |  | $ | (148,173) |
Less: Net loss attributable to noncontrolling interests | (254) |  |  | (36) |  |  | (156) |
Net loss attributable to Alignment Healthcare, Inc. | $ | (724) |  |  | $ | (128,035) |  |  | $ | (148,017) |
Denominator: |  |  |  |  |
Total weighted-average common shares outstanding - basic and diluted | 198,017,704 |  | 191,150,693 |  | 188,420,487
Less: Restricted shares of common stock | (11,488) |  |  | (357,141) |  |  | (2,205,703) |
Total weighted-average common shares outstanding, net of restricted shares of common stock - basic and diluted | 198,006,216 |  |  | 190,793,552 |  |  | 186,214,784 |
Net loss per share: |  |  |  |  |
Net loss per share - basic and diluted | $ | 0.00 |  |  | $ | (0.67) |  |  | $ | (0.79) |
Schedule of Computation of Diluted Net Loss Per Share | In addition to the restricted shares of common stock, we also excluded the following potential common shares, presented based on amounts outstanding at each period end, from the computation of diluted net loss per share as of December 31, 2025, 2024, 2023:
| December 31,
| 2025 |  | 2024 |  | 2023
Stock options | 7,408,212 |  | 8,762,481 |  | 9,135,879
Restricted stock units | 11,042,096 |  | 21,419,556 |  | 17,774,830
Convertible senior notes | 25,720,959 |  | 25,720,959 |  |  | — |
Total | 44,171,267 |  |  | 55,902,996 |  |  | 26,910,709 |

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