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Summary of Significant Accounting Policies (Tables)
 12 Months Ended
Dec. 31, 2024
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,
 202420232022
Revenues:$2,703,561 $1,823,630 $1,434,159 
Expenses:
Medical expenses (less depreciation and equity-based compensation)2,401,750 1,614,805 1,240,538 
Selling, general, and administrative expenses (less equity-based compensation)305,172 248,139 223,056 
Other segment expenses (1)
101,163 87,628 101,915 
Interest expense23,547 21,231 18,289 
Net loss$(128,071)$(148,173)$(149,639)
(1) Other segment items included in segment net income includes equity-based compensation, depreciation and amortization in medical expense, other expenses (income), loss on extinguishment of debt, and provision for income taxes.
Schedule of Earned Revenue
Earned premium revenue consisting of premium revenue and capitation revenue for the years ended December 31, 2024, 2023, and 2022 were as follows:
Year Ended
December 31,
202420232022
Premium$2,666,813 $1,668,131 $1,372,334 
Capitation5,118 132,802 59,216 
$2,671,931 $1,800,933 $1,431,550 
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:
DescriptionEstimated Service Lives (years)
Computer and equipment5
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, 2024 and 2023:
 December 31,
2024		December 31,
2023
Computers and equipment$12,569 $11,447 
Office equipment and furniture4,341 4,396 
Software179,336 148,864 
Leasehold improvements6,231 6,347 
Construction in progress14,049 4,532 
Subtotal216,526 175,586 
Less accumulated depreciation(149,387)(123,685)
Property and equipment-net$67,139 $51,901 
Schedule of Amounts Refundable to or Recoverable from CMS including Risk Corridor The amounts refundable to or recoverable from CMS, including risk corridor as discussed above, were recorded in the following accounts within the consolidated balance sheets:
December 31, 2024December 31, 2023
Risk CorridorCMS SubsidiesRisk CorridorCMS Subsidies
Current assets:
 Accounts receivable$10,427 $— $1,120 $— 
 Prepaid expenses and other current assets— 25,782 — 28,134 
Current liabilities:
 Medical expenses payable$— $24,993 $16,776 $5,302 
Schedule of Computation of Basic and Diluted Net Loss Per Share The following table sets forth the computation of basic and diluted net loss per share for the years ended December 31, 2024, 2023, and 2022:
 Year Ended
December 31,
 202420232022
Numerator:
Net loss$(128,071)$(148,173)$(149,639)
Less: Net loss attributable to noncontrolling interests36 156 92 
Net loss attributable to Alignment Healthcare, Inc.$(128,035)$(148,017)$(149,547)
Denominator:
Total weighted-average common shares outstanding - basic and diluted191,150,693188,420,487187,227,877
Less: Restricted shares of common stock(357,141)(2,205,703)(6,015,120)
Total weighted-average common shares outstanding, net of restricted shares of common stock - basic and diluted190,793,552186,214,784181,212,757
Net loss per share:
Net loss per share - basic and diluted$(0.67)$(0.79)$(0.83)
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, 2024, 2023, 2022:
 December 31,
 202420232022
Stock options8,762,4819,135,87910,603,493
Restricted stock units21,419,55617,774,8308,728,936
Convertible senior notes25,720,959— — 
Total55,902,99626,910,70919,332,429