<?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>0001222028</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</com:street1>
        <com:street2>Suite 1600</com:street2>
        <com:city>Orange</com:city>
        <com:stateOrCountry>CA</com:stateOrCountry>
        <com:zipCode>92868</com:zipCode>
      </issuerAddress>
      <issuerContactPhone>844-310-2247</issuerContactPhone>
      <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>John Kao</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
      <relationshipsToIssuer>
        <relationshipToIssuer>Chief Executive Officer</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>80788</noOfUnitsSold>
      <aggregateMarketValue>1372585.34</aggregateMarketValue>
      <noOfUnitsOutstanding>204296493</noOfUnitsOutstanding>
      <approxSaleDate>03/18/2026</approxSaleDate>
      <securitiesExchangeName>Nasdaq Stock Market</securitiesExchangeName>
    </securitiesInformation>
    <securitiesToBeSold>
      <securitiesClassTitle>Common Stock</securitiesClassTitle>
      <acquiredDate>03/13/2024</acquiredDate>
      <natureOfAcquisitionTransaction>The Common Stock was acquired through the vesting of restricted stock units granted on 03/13/2024 under the Issuer's 2021 Equity Incentive Plan</natureOfAcquisitionTransaction>
      <nameOfPersonfromWhomAcquired>Alignment Healthcare, Inc. (Issuer)</nameOfPersonfromWhomAcquired>
      <isGiftTransaction>N</isGiftTransaction>
      <amountOfSecuritiesAcquired>82500</amountOfSecuritiesAcquired>
      <paymentDate>03/13/2024</paymentDate>
      <natureOfPayment>n/a</natureOfPayment>
    </securitiesToBeSold>
    <securitiesToBeSold>
      <securitiesClassTitle>Common Stock</securitiesClassTitle>
      <acquiredDate>03/13/2025</acquiredDate>
      <natureOfAcquisitionTransaction>The Common Stock was acquired through the vesting of restricted stock units granted on 03/13/2025 under the Issuer's 2021 Equity Incentive Plan</natureOfAcquisitionTransaction>
      <nameOfPersonfromWhomAcquired>Alignment Healthcare, Inc. (Issuer)</nameOfPersonfromWhomAcquired>
      <isGiftTransaction>N</isGiftTransaction>
      <amountOfSecuritiesAcquired>91398</amountOfSecuritiesAcquired>
      <paymentDate>03/13/2025</paymentDate>
      <natureOfPayment>n/a</natureOfPayment>
    </securitiesToBeSold>
    <nothingToReportFlagOnSecuritiesSoldInPast3Months>N</nothingToReportFlagOnSecuritiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>John Kao</name>
        <address>
          <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>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common Stock</securitiesClassTitle>
      <saleDate>03/12/2026</saleDate>
      <amountOfSecuritiesSold>48899</amountOfSecuritiesSold>
      <grossProceeds>853125.5</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>10b5-1 Sales Plan for JEK TRUST U/A DTD 02/08/2021</name>
        <address>
          <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>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common Stock</securitiesClassTitle>
      <saleDate>03/10/2026</saleDate>
      <amountOfSecuritiesSold>180000</amountOfSecuritiesSold>
      <grossProceeds>3273552</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>10b5-1 Sales Plan for JEK TRUST U/A DTD 02/08/2021</name>
        <address>
          <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>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common Stock</securitiesClassTitle>
      <saleDate>02/10/2026</saleDate>
      <amountOfSecuritiesSold>180000</amountOfSecuritiesSold>
      <grossProceeds>3687354</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>10b5-1 Sales Plan for JEK TRUST U/A DTD 02/08/2021</name>
        <address>
          <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>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common Stock</securitiesClassTitle>
      <saleDate>01/12/2026</saleDate>
      <amountOfSecuritiesSold>180000</amountOfSecuritiesSold>
      <grossProceeds>3799218.96</grossProceeds>
    </securitiesSoldInPast3Months>
    <securitiesSoldInPast3Months>
      <sellerDetails>
        <name>John Kao</name>
        <address>
          <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>
        </address>
      </sellerDetails>
      <securitiesClassTitle>Common Stock</securitiesClassTitle>
      <saleDate>12/29/2025</saleDate>
      <amountOfSecuritiesSold>605648</amountOfSecuritiesSold>
      <grossProceeds>11351466.51</grossProceeds>
    </securitiesSoldInPast3Months>
    <remarks>Shares sold pursuant to a sale-to-cover transaction and does not represent a discretionary trade by the reporting person. Actual number of shares sold will be determined based on applicable tax withholding rates and stock price at the time of sale.</remarks>
    <noticeSignature>
      <noticeDate>03/16/2026</noticeDate>
      <signature>/s/ John Kao</signature>
    </noticeSignature>
  </formData>
</edgarSubmission>
