<?xml version="1.0" encoding="UTF-8"?><edgarSubmission xmlns="http://www.sec.gov/edgar/ownership" xmlns:ns2="http://www.sec.gov/edgar/common">
    <headerData>
        <submissionType>144</submissionType>
        <filerInfo>
            <filer>
                <filerCredentials>
                    <cik>0001850414</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>
                <ns2:street1>1100 W. Town and Country Road Suite 1600</ns2:street1>
                <ns2:city>Orange</ns2:city>
                <ns2:stateOrCountry>CA</ns2:stateOrCountry>
                <ns2:zipCode>92868</ns2:zipCode>
            </issuerAddress>
            <issuerContactPhone>8443102247</issuerContactPhone>
            <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>FCO HOLDINGS LLC</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
            <relationshipsToIssuer>
                <relationshipToIssuer>Officer</relationshipToIssuer>
            </relationshipsToIssuer>
        </issuerInfo>
        <securitiesInformation>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <brokerOrMarketmakerDetails>
                <name>Morgan Stanley Smith Barney LLC Executive Financial Services</name>
                <address>
                    <ns2:street1>1 New York Plaza</ns2:street1>
                    <ns2:street2>8th Floor</ns2:street2>
                    <ns2:city>New York</ns2:city>
                    <ns2:stateOrCountry>NY</ns2:stateOrCountry>
                    <ns2:zipCode>10004</ns2:zipCode>
                </address>
            </brokerOrMarketmakerDetails>
            <noOfUnitsSold>61000</noOfUnitsSold>
            <aggregateMarketValue>698450.00</aggregateMarketValue>
            <noOfUnitsOutstanding>191299946</noOfUnitsOutstanding>
            <approxSaleDate>10/14/2024</approxSaleDate>
            <securitiesExchangeName>NASDAQ</securitiesExchangeName>
        </securitiesInformation>
        <securitiesToBeSold>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <acquiredDate>06/03/2016</acquiredDate>
            <natureOfAcquisitionTransaction>Shares issued pre IPO in exchange for partnership units</natureOfAcquisitionTransaction>
            <nameOfPersonfromWhomAcquired>Issuer</nameOfPersonfromWhomAcquired>
            <isGiftTransaction>N</isGiftTransaction>
            <amountOfSecuritiesAcquired>60000</amountOfSecuritiesAcquired>
            <paymentDate>06/03/2016</paymentDate>
            <natureOfPayment>N/A</natureOfPayment>
        </securitiesToBeSold>
        <securitiesToBeSold>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <acquiredDate>08/01/2024</acquiredDate>
            <natureOfAcquisitionTransaction>RSA</natureOfAcquisitionTransaction>
            <nameOfPersonfromWhomAcquired>Issuer</nameOfPersonfromWhomAcquired>
            <isGiftTransaction>N</isGiftTransaction>
            <amountOfSecuritiesAcquired>1000</amountOfSecuritiesAcquired>
            <paymentDate>08/01/2024</paymentDate>
            <natureOfPayment>N/A</natureOfPayment>
        </securitiesToBeSold>
        <nothingToReportFlagOnSecuritiesSoldInPast3Months>N</nothingToReportFlagOnSecuritiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>10b5-1 Sales for FCO HOLDINGS LLC C/OFCO ADVISOR LLC,ROBERT H FREEMAN</name>
                <address>
                    <ns2:street1>1100 W. Town and Country Road Suite 1600</ns2:street1>
                    <ns2:city>Orange</ns2:city>
                    <ns2:stateOrCountry>CA</ns2:stateOrCountry>
                    <ns2:zipCode>92868</ns2:zipCode>
                </address>
            </sellerDetails>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>10/08/2024</saleDate>
            <amountOfSecuritiesSold>39320</amountOfSecuritiesSold>
            <grossProceeds>473351.75</grossProceeds>
        </securitiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>10b5-1 Sales for FCO HOLDINGS LLC C/OFCO ADVISOR LLC,ROBERT H FREEMAN</name>
                <address>
                    <ns2:street1>1100 W. Town and Country Road Suite 1600</ns2:street1>
                    <ns2:city>Orange</ns2:city>
                    <ns2:stateOrCountry>CA</ns2:stateOrCountry>
                    <ns2:zipCode>92868</ns2:zipCode>
                </address>
            </sellerDetails>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>10/02/2024</saleDate>
            <amountOfSecuritiesSold>9125</amountOfSecuritiesSold>
            <grossProceeds>100432.49</grossProceeds>
        </securitiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>10b5-1 Sales for FCO HOLDINGS LLC C/OFCO ADVISOR LLC,ROBERT H FREEMAN</name>
                <address>
                    <ns2:street1>1100 W. Town and Country Road Suite 1600</ns2:street1>
                    <ns2:city>Orange</ns2:city>
                    <ns2:stateOrCountry>CA</ns2:stateOrCountry>
                    <ns2:zipCode>92868</ns2:zipCode>
                </address>
            </sellerDetails>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>10/01/2024</saleDate>
            <amountOfSecuritiesSold>21375</amountOfSecuritiesSold>
            <grossProceeds>227822.61</grossProceeds>
        </securitiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>10b5-1 Sales for FCO HOLDINGS LLC C/OFCO ADVISOR LLC,ROBERT H FREEMAN</name>
                <address>
                    <ns2:street1>1100 W. Town and Country Road Suite 1600</ns2:street1>
                    <ns2:city>Orange</ns2:city>
                    <ns2:stateOrCountry>CA</ns2:stateOrCountry>
                    <ns2:zipCode>92868</ns2:zipCode>
                </address>
            </sellerDetails>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>09/13/2024</saleDate>
            <amountOfSecuritiesSold>14500</amountOfSecuritiesSold>
            <grossProceeds>174013.05</grossProceeds>
        </securitiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>10b5-1 Sales for FCO HOLDINGS LLC C/OFCO ADVISOR LLC,ROBERT H FREEMAN</name>
                <address>
                    <ns2:street1>1100 W. Town and Country Road Suite 1600</ns2:street1>
                    <ns2:city>Orange</ns2:city>
                    <ns2:stateOrCountry>CA</ns2:stateOrCountry>
                    <ns2:zipCode>92868</ns2:zipCode>
                </address>
            </sellerDetails>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>09/12/2024</saleDate>
            <amountOfSecuritiesSold>120500</amountOfSecuritiesSold>
            <grossProceeds>1326054.30</grossProceeds>
        </securitiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>10b5-1 Sales for FCO HOLDINGS LLC C/OFCO ADVISOR LLC,ROBERT H FREEMAN</name>
                <address>
                    <ns2:street1>1100 W. Town and Country Road Suite 1600</ns2:street1>
                    <ns2:city>Orange</ns2:city>
                    <ns2:stateOrCountry>CA</ns2:stateOrCountry>
                    <ns2:zipCode>92868</ns2:zipCode>
                </address>
            </sellerDetails>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>09/11/2024</saleDate>
            <amountOfSecuritiesSold>8561</amountOfSecuritiesSold>
            <grossProceeds>85687.91</grossProceeds>
        </securitiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>10b5-1 Sales for FCO HOLDINGS LLC C/OFCO ADVISOR LLC,ROBERT H FREEMAN</name>
                <address>
                    <ns2:street1>1100 W. Town and Country Road Suite 1600</ns2:street1>
                    <ns2:city>Orange</ns2:city>
                    <ns2:stateOrCountry>CA</ns2:stateOrCountry>
                    <ns2:zipCode>92868</ns2:zipCode>
                </address>
            </sellerDetails>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>09/05/2024</saleDate>
            <amountOfSecuritiesSold>4789</amountOfSecuritiesSold>
            <grossProceeds>47912.99</grossProceeds>
        </securitiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>10b5-1 Sales for FCO HOLDINGS LLC C/OFCO ADVISOR LLC,ROBERT H FREEMAN</name>
                <address>
                    <ns2:street1>1100 W. Town and Country Road Suite 1600</ns2:street1>
                    <ns2:city>Orange</ns2:city>
                    <ns2:stateOrCountry>CA</ns2:stateOrCountry>
                    <ns2:zipCode>92868</ns2:zipCode>
                </address>
            </sellerDetails>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>09/04/2024</saleDate>
            <amountOfSecuritiesSold>1650</amountOfSecuritiesSold>
            <grossProceeds>16500.17</grossProceeds>
        </securitiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>10b5-1 Sales for FCO HOLDINGS LLC C/OFCO ADVISOR LLC,ROBERT H FREEMAN</name>
                <address>
                    <ns2:street1>1100 W. Town and Country Road Suite 1600</ns2:street1>
                    <ns2:city>Orange</ns2:city>
                    <ns2:stateOrCountry>CA</ns2:stateOrCountry>
                    <ns2:zipCode>92868</ns2:zipCode>
                </address>
            </sellerDetails>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>07/19/2024</saleDate>
            <amountOfSecuritiesSold>38858</amountOfSecuritiesSold>
            <grossProceeds>388789.83</grossProceeds>
        </securitiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>10b5-1 Sales for FCO HOLDINGS LLC C/OFCO ADVISOR LLC,ROBERT H FREEMAN</name>
                <address>
                    <ns2:street1>1100 W. Town and Country Road Suite 1600</ns2:street1>
                    <ns2:city>Orange</ns2:city>
                    <ns2:stateOrCountry>CA</ns2:stateOrCountry>
                    <ns2:zipCode>92868</ns2:zipCode>
                </address>
            </sellerDetails>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>07/18/2024</saleDate>
            <amountOfSecuritiesSold>44042</amountOfSecuritiesSold>
            <grossProceeds>440433.21</grossProceeds>
        </securitiesSoldInPast3Months>
        <securitiesSoldInPast3Months>
            <sellerDetails>
                <name>10b5-1 Sales for FCO HOLDINGS LLC C/OFCO ADVISOR LLC,ROBERT H FREEMAN</name>
                <address>
                    <ns2:street1>1100 W. Town and Country Road Suite 1600</ns2:street1>
                    <ns2:city>Orange</ns2:city>
                    <ns2:stateOrCountry>CA</ns2:stateOrCountry>
                    <ns2:zipCode>92868</ns2:zipCode>
                </address>
            </sellerDetails>
            <securitiesClassTitle>Common</securitiesClassTitle>
            <saleDate>07/17/2024</saleDate>
            <amountOfSecuritiesSold>22100</amountOfSecuritiesSold>
            <grossProceeds>221013.26</grossProceeds>
        </securitiesSoldInPast3Months>
        <remarks>Sales that were executed on October 14, 2024 are being reported on this Form 144 filed on October 15, 2024 given the EDGAR system was not accepting filings on October 14, 2024 in observance of the federal holiday.</remarks>
        <noticeSignature>
            <noticeDate>10/14/2024</noticeDate>
            <planAdoptionDates>
                <planAdoptionDate>03/15/2024</planAdoptionDate>
            </planAdoptionDates>
            <signature>/s/ Robert Thomas Freeman</signature>
        </noticeSignature>
    </formData>
</edgarSubmission>
[{"type": "144", "sequence": "1", "filename": "primary_doc.xml", "secsgml_size_bytes": 12602}]
144
0001850414
XXXXXXXX
LIVE
0001832466
ALIGNMENT HEALTHCARE INC
001-40295
1100 W. Town and Country Road Suite 1600
Orange
CA
92868
8443102247
FCO HOLDINGS LLC
Officer
Common
Morgan Stanley Smith Barney LLC Executive Financial Services
1 New York Plaza
8th Floor
New York
NY
10004
61000
698450.00
191299946
10/14/2024
NASDAQ
Common
06/03/2016
Shares issued pre IPO in exchange for partnership units
Issuer
N
60000
06/03/2016
N/A
Common
08/01/2024
RSA
Issuer
N
1000
08/01/2024
N/A
N
10b5-1 Sales for FCO HOLDINGS LLC C/OFCO ADVISOR LLC,ROBERT H FREEMAN
1100 W. Town and Country Road Suite 1600
Orange
CA
92868
Common
10/08/2024
39320
473351.75
10b5-1 Sales for FCO HOLDINGS LLC C/OFCO ADVISOR LLC,ROBERT H FREEMAN
1100 W. Town and Country Road Suite 1600
Orange
CA
92868
Common
10/02/2024
9125
100432.49
10b5-1 Sales for FCO HOLDINGS LLC C/OFCO ADVISOR LLC,ROBERT H FREEMAN
1100 W. Town and Country Road Suite 1600
Orange
CA
92868
Common
10/01/2024
21375
227822.61
10b5-1 Sales for FCO HOLDINGS LLC C/OFCO ADVISOR LLC,ROBERT H FREEMAN
1100 W. Town and Country Road Suite 1600
Orange
CA
92868
Common
09/13/2024
14500
174013.05
10b5-1 Sales for FCO HOLDINGS LLC C/OFCO ADVISOR LLC,ROBERT H FREEMAN
1100 W. Town and Country Road Suite 1600
Orange
CA
92868
Common
09/12/2024
120500
1326054.30
10b5-1 Sales for FCO HOLDINGS LLC C/OFCO ADVISOR LLC,ROBERT H FREEMAN
1100 W. Town and Country Road Suite 1600
Orange
CA
92868
Common
09/11/2024
8561
85687.91
10b5-1 Sales for FCO HOLDINGS LLC C/OFCO ADVISOR LLC,ROBERT H FREEMAN
1100 W. Town and Country Road Suite 1600
Orange
CA
92868
Common
09/05/2024
4789
47912.99
10b5-1 Sales for FCO HOLDINGS LLC C/OFCO ADVISOR LLC,ROBERT H FREEMAN
1100 W. Town and Country Road Suite 1600
Orange
CA
92868
Common
09/04/2024
1650
16500.17
10b5-1 Sales for FCO HOLDINGS LLC C/OFCO ADVISOR LLC,ROBERT H FREEMAN
1100 W. Town and Country Road Suite 1600
Orange
CA
92868
Common
07/19/2024
38858
388789.83
10b5-1 Sales for FCO HOLDINGS LLC C/OFCO ADVISOR LLC,ROBERT H FREEMAN
1100 W. Town and Country Road Suite 1600
Orange
CA
92868
Common
07/18/2024
44042
440433.21
10b5-1 Sales for FCO HOLDINGS LLC C/OFCO ADVISOR LLC,ROBERT H FREEMAN
1100 W. Town and Country Road Suite 1600
Orange
CA
92868
Common
07/17/2024
22100
221013.26
Sales that were executed on October 14, 2024 are being reported on this Form 144 filed on October 15, 2024 given the EDGAR system was not accepting filings on October 14, 2024 in observance of the federal holiday.
10/14/2024
03/15/2024
/s/ Robert Thomas Freeman