XML 45 R27.htm IDEA: XBRL DOCUMENT v3.25.4

Summary of Significant Accounting Policies (Tables)

12 Months Ended

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

X

- Definition

Schedule Of Amounts Refundable To Recoverable From Cms Including Risk Corridor

+ References

No definition available.

+ Details

Name:	alhc_ScheduleOfAmountsRefundableToRecoverableFromCmsIncludingRiskCorridorTableTextBlock
Namespace Prefix:	alhc_
Data Type:	dtr-types:textBlockItemType
Balance Type:	na
Period Type:	duration

X

- References

No definition available.

+ Details

Name:	us-gaap_AccountingPoliciesAbstract
Namespace Prefix:	us-gaap_
Data Type:	xbrli:stringItemType
Balance Type:	na
Period Type:	duration

X

- Definition

Tabular disclosure of disaggregation of revenue into categories depicting how nature, amount, timing, and uncertainty of revenue and cash flows are affected by economic factor.

+ References

Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 606
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 5
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147479806/606-10-50-5

+ Details

Name:	us-gaap_DisaggregationOfRevenueTableTextBlock
Namespace Prefix:	us-gaap_
Data Type:	dtr-types:textBlockItemType
Balance Type:	na
Period Type:	duration

X

- Definition

Tabular disclosure of physical assets used in the normal conduct of business and not intended for resale. Includes, but is not limited to, balances by class of assets, depreciation and depletion expense and method used, including composite depreciation, and accumulated deprecation.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Name Accounting Standards Codification
-Section 50
-Paragraph 1
-SubTopic 10
-Topic 360
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482099/360-10-50-1

+ Details

Name:	us-gaap_PropertyPlantAndEquipmentTextBlock
Namespace Prefix:	us-gaap_
Data Type:	dtr-types:textBlockItemType
Balance Type:	na
Period Type:	duration

X

- Definition

Tabular disclosure of an entity's basic and diluted earnings per share calculations, including a reconciliation of numerators and denominators of the basic and diluted per-share computations for income from continuing operations.

+ References

Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 260
-SubTopic 10
-Name Accounting Standards Codification
-Section 50
-Paragraph 1
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482662/260-10-50-1

+ Details

Name:	us-gaap_ScheduleOfEarningsPerShareBasicAndDilutedTableTextBlock
Namespace Prefix:	us-gaap_
Data Type:	dtr-types:textBlockItemType
Balance Type:	na
Period Type:	duration

X

- Definition

Tabular disclosure of the effect of income (loss) on an entity's diluted earnings per share.

+ References

Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 260
-SubTopic 10
-Name Accounting Standards Codification
-Section 45
-Paragraph 3
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482689/260-10-45-3

Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef
-Name Accounting Standards Codification
-Topic 260
-SubTopic 10
-Section 50
-Paragraph 1
-Subparagraph (a)
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482662/260-10-50-1

Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef
-Name Accounting Standards Codification
-Topic 260
-SubTopic 10
-Section 55
-Paragraph 52
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482635/260-10-55-52

+ Details

Name:	us-gaap_ScheduleOfEarningsPerShareDilutedByCommonClassTextBlock
Namespace Prefix:	us-gaap_
Data Type:	dtr-types:textBlockItemType
Balance Type:	na
Period Type:	duration

X

- Definition

Tabular disclosure of the profit or loss and total assets for each reportable segment. An entity discloses certain information on each reportable segment if the amounts (a) are included in the measure of segment profit or loss reviewed by the chief operating decision maker or (b) are otherwise regularly provided to the chief operating decision maker, even if not included in that measure of segment profit or loss.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 25
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482810/280-10-50-25

Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 22
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482810/280-10-50-22

Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 30
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482810/280-10-50-30

+ Details

Name:	us-gaap_ScheduleOfSegmentReportingInformationBySegmentTextBlock
Namespace Prefix:	us-gaap_
Data Type:	dtr-types:textBlockItemType
Balance Type:	na
Period Type:	duration