<?xml version="1.0" encoding="UTF-8"?><own:edgarSubmission xmlns:own="http://www.sec.gov/edgar/ownership" xmlns:com="http://www.sec.gov/edgar/common">
  <!-- Generated by Workiva -->
  <own:headerData>
    <own:submissionType>144</own:submissionType>
    <own:filerInfo>
      <own:filer>
        <own:filerCredentials>
          <own:cik>0001993255</own:cik>
          <own:ccc>XXXXXXXX</own:ccc>
        </own:filerCredentials>
      </own:filer>
      <own:liveTestFlag>LIVE</own:liveTestFlag>



    </own:filerInfo>
  </own:headerData>
  <own:formData>
    <own:issuerInfo>
      <own:issuerCik>0001832466</own:issuerCik>
      <own:issuerName>Alignment Healthcare, Inc.</own:issuerName>
      <own: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>
      </own:issuerAddress>
      <own:issuerContactPhone>844-310-2247</own:issuerContactPhone>
      <own:nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>Hyong (Ken) Kim, M.D.</own:nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
      <own:relationshipsToIssuer>
        <own:relationshipToIssuer>Chief Medical Officer</own:relationshipToIssuer>
      </own:relationshipsToIssuer>
    </own:issuerInfo>
    <own:securitiesInformation>
      <own:securitiesClassTitle>Common Stock</own:securitiesClassTitle>
      <own:brokerOrMarketmakerDetails>
        <own:name>E-Trade Finance</own:name>
        <own:address>
          <com:street1>PO Box 101600</com:street1>
          <com:city>Arlington</com:city>
          <com:stateOrCountry>VA</com:stateOrCountry>
          <com:zipCode>22210-4600</com:zipCode>
        </own:address>
      </own:brokerOrMarketmakerDetails>
      <own:noOfUnitsSold>36000</own:noOfUnitsSold>
      <own:aggregateMarketValue>305280</own:aggregateMarketValue>
      <own:noOfUnitsOutstanding>207435149</own:noOfUnitsOutstanding>
      <own:approxSaleDate>10/06/2026</own:approxSaleDate>
      <own:securitiesExchangeName>Nasdaq Stock Market</own:securitiesExchangeName>
    </own:securitiesInformation>
    <own:securitiesToBeSold>
      <own:securitiesClassTitle>Common Stock</own:securitiesClassTitle>
      <own:acquiredDate>10/04/2023</own:acquiredDate>
      <own:natureOfAcquisitionTransaction>The Common Stock was acquired through the vesting of restricted stock units granted on 10/04/2023 under the Issuer's 2021 Equity Incentive Plan</own:natureOfAcquisitionTransaction>
      <own:nameOfPersonfromWhomAcquired>Alignment Healthcare, Inc. (Issuer)</own:nameOfPersonfromWhomAcquired>
      <own:isGiftTransaction>N</own:isGiftTransaction>
      <own:amountOfSecuritiesAcquired>85034</own:amountOfSecuritiesAcquired>
      <own:paymentDate>10/04/2023</own:paymentDate>
      <own:natureOfPayment>n/a</own:natureOfPayment>
    </own:securitiesToBeSold>
    <own:nothingToReportFlagOnSecuritiesSoldInPast3Months>Y</own:nothingToReportFlagOnSecuritiesSoldInPast3Months>
    <own: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.</own:remarks>
    <own:noticeSignature>
      <own:noticeDate>10/05/2026</own:noticeDate>
      <own:signature>/s/ Hyong (Ken) Kim, M.D.</own:signature>
    </own:noticeSignature>
  </own:formData>
</own:edgarSubmission>
