<?xml version="1.0" encoding="UTF-8"?><edgarSubmission xmlns="http://www.sec.gov/edgar/ownership" xmlns:com="http://www.sec.gov/edgar/common">
  <!-- Generated by Workiva -->
  <headerData>
    <submissionType>144</submissionType>
    <filerInfo>
      <filer>
        <filerCredentials>
          <cik>0001209523</cik>
          <ccc>XXXXXXXX</ccc>
        </filerCredentials>
      </filer>
      <liveTestFlag>LIVE</liveTestFlag>



    </filerInfo>
  </headerData>
  <formData>
    <issuerInfo>
      <issuerCik>0001832466</issuerCik>
      <issuerName>Alignment Healthcare, Inc.</issuerName>
      <secFileNumber>001-40295</secFileNumber>
      <issuerAddress>
        <com:street1>1100 W. Town &amp; Country Road, Suite 1600</com:street1>
        <com:city>Orange</com:city>
        <com:stateOrCountry>CA</com:stateOrCountry>
        <com:zipCode>92868</com:zipCode>
      </issuerAddress>
      <issuerContactPhone>844-310-2247</issuerContactPhone>
      <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>Joseph Konowiecki</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
      <relationshipsToIssuer>
        <relationshipToIssuer>Director</relationshipToIssuer>
      </relationshipsToIssuer>
    </issuerInfo>
    <securitiesInformation>
      <securitiesClassTitle>Common Stock</securitiesClassTitle>
      <brokerOrMarketmakerDetails>
        <name>E-Trade Finance</name>
        <address>
          <com:street1>PO Box 101600</com:street1>
          <com:city>Arlington</com:city>
          <com:stateOrCountry>VA</com:stateOrCountry>
          <com:zipCode>22210-4600</com:zipCode>
        </address>
      </brokerOrMarketmakerDetails>
      <noOfUnitsSold>6920</noOfUnitsSold>
      <aggregateMarketValue>93143</aggregateMarketValue>
      <noOfUnitsOutstanding>191299946</noOfUnitsOutstanding>
      <approxSaleDate>11/11/2024</approxSaleDate>
      <securitiesExchangeName>Nasdaq</securitiesExchangeName>
    </securitiesInformation>
    <securitiesToBeSold>
      <securitiesClassTitle>Common Stock</securitiesClassTitle>
      <acquiredDate>11/07/2022</acquiredDate>
      <natureOfAcquisitionTransaction>The Common Stock was acquired through the vesting of restricted stock units granted on 11/07/2022 under the Issuer's 2021 Equity Incentive Plan</natureOfAcquisitionTransaction>
      <nameOfPersonfromWhomAcquired>Alignment Healthcare, Inc. (Issuer)</nameOfPersonfromWhomAcquired>
      <isGiftTransaction>N</isGiftTransaction>
      <amountOfSecuritiesAcquired>13477</amountOfSecuritiesAcquired>
      <paymentDate>11/07/2022</paymentDate>
      <natureOfPayment>n/a</natureOfPayment>
    </securitiesToBeSold>
    <nothingToReportFlagOnSecuritiesSoldInPast3Months>N</nothingToReportFlagOnSecuritiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>Joseph Konowiecki</name>
        <address>
          <com:street1>1100 W. Town &amp; Country Road</com:street1>
          <com:street2>Suite 1600</com:street2>
          <com:city>Orange</com:city>
          <com:stateOrCountry>CA</com:stateOrCountry>
          <com:zipCode>92868</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common Stock</securitiesClassTitle>
      <saleDate>09/17/2024</saleDate>
      <amountOfSecuritiesSold>16413</amountOfSecuritiesSold>
      <grossProceeds>193181</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>Joseph Konowiecki</name>
        <address>
          <com:street1>1100 W. Town &amp; Country Road</com:street1>
          <com:street2>Suite 1600</com:street2>
          <com:city>Orange</com:city>
          <com:stateOrCountry>CA</com:stateOrCountry>
          <com:zipCode>92868</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common Stock</securitiesClassTitle>
      <saleDate>09/13/2024</saleDate>
      <amountOfSecuritiesSold>25000</amountOfSecuritiesSold>
      <grossProceeds>300013</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>Joseph Konowiecki</name>
        <address>
          <com:street1>1100 W. Town &amp; Country Road</com:street1>
          <com:street2>Suite 1600</com:street2>
          <com:city>Orange</com:city>
          <com:stateOrCountry>CA</com:stateOrCountry>
          <com:zipCode>92868</com:zipCode>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common Stock</securitiesClassTitle>
      <saleDate>09/12/2024</saleDate>
      <amountOfSecuritiesSold>25000</amountOfSecuritiesSold>
      <grossProceeds>275093</grossProceeds>
    </securitiesSoldInPast3Months>
    <remarks>Sales that were executed on November 11, 2024 are being reported on this Form 144 filed on November 12, 2024 given the EDGAR system was not accepting filings November 11, 2024 in observance of the federal holiday.</remarks>
    <noticeSignature>
      <noticeDate>11/12/2024</noticeDate>
      <signature>/s/ Joseph Konowiecki</signature>
    </noticeSignature>
  </formData>
</edgarSubmission>
