How many employees work at Alter?

Alter SL has approximately 1,161 total employees worldwide as of March 2026, according to Revelio Labs workforce intelligence data. Alter’s total headcount has grown 18.3% from 981 employees in 2023 to 1,161 in 2026.

Data source: Revelio LabsCoverage: Global workforce, 20232026Published August 2026

Is Alter hiring right now?

Yes, Alter is actively hiring. Alter had 12 active job postings in 2026, a 100.0% increase from 2025 see job openings & hiring trends.

About Alter’s Workforce

Alter SL is a Healthcare and Wellness Services company that employs 1,161 people worldwide as of March 2026. It is the 9th-largest by headcount among its peers. Founded in 1997, the company is headquartered in Madrid, Spain.

Alter's workforce has grown 18.3% from 2023 to 2026, up 1.2% year over year in 2026. Its workforce is concentrated most in Southern Europe (90.6%), followed by Central America and the Caribbean (5.0%) and South America (3.5%).

Alter's functional groups are Finance and Operations (41.1%), Engineering (31.3%), and Sales and Marketing (27.6%), with Finance and Operations growing fastest (up 2.7%). The average salary is $37,969, ranging from a median of $31,000 in Southern Europe to $12,000 in South America, up 0.6% year over year in 2026.

Alter's active job postings rose 100.0% in 2026 to 12, with new postings per month climbing from 7 in 2023 to 9 in 2026. Overall employee sentiment is negative and declining.

Sourced from Revelio Labs workforce data.

Headquarters
Madrid, Spain
Founded
1997
Industry
Healthcare and Wellness Services
Employees
1,161
YoY
+1.2% (+46)

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Alter Annual Employee Count (2023-2026)

Interactive chart of Alter annual worldwide employee count from 2023 to 2026.
  • Alter had 1,161 employees in 2026, a 1.2% increase (+46) from 2025.
  • Alter had 1,157 employees in 2025, a 2.6% increase (+72) from 2024.
  • Alter had 1,085 employees in 2024, a 1.6% increase (+54) from 2023.
  • Alter had 1,031 employees in 2023, a 1.3% increase (+54) from 2022.

Alter's total workforce has grown from 981 employees in 2023 to 1,161 in 2026.

Alter SL quarterly employee count

YearQtrEmployeesYoY ChangeYoY %
2026Q11,161+46+1.2%
2025Q41,157+72+2.6%
2025Q31,151+83+1.7%
2025Q21,148+94+1.8%
2025Q11,115+65+1.5%
2024Q41,085+54+1.6%
2024Q31,068+69+2.3%
2024Q21,054+73+3.0%
2024Q11,050+82+3.2%
2023Q41,031+54+1.3%
2023Q3999+38+1.1%
2023Q2981+34+0.9%

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Alter Employee Count by Region (2026)

Southern Europe accounts for the largest share of Alter's global workforce with approximately 91% of total employees, followed by Central America and the Caribbean and South America.

Alter employees by region

RegionEmployees% of Total
Southern Europe1,04390.6%
Central America and the Caribbean585.0%
South America413.5%
Western Europe40.3%
North Africa30.3%
South Asia10.1%
North America10.1%
Central and Western Asia10.1%

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Alter Employee Count by Department (2026)

Alter's employee groups are Finance and Operations (41.1%), Engineering (31.3%), and Sales and Marketing (27.6%).

Alter employees by department

DepartmentEmployees% of Total
Finance and Operations47141.1%
Engineering35831.3%
Sales and Marketing31727.6%

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Alter Employee Salary by Region (2026)

Alter's average employee salary is $37,969 globally. Employees in Southern Europe receive the highest compensation. Pay is lowest in South America, at a median of $12,000.

Alter median employee salary by region (USD)

RegionMedian Salary
Southern Europe$31,000
Western Europe$24,000
Central America and the Caribbean$14,000
South America$12,000

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Alter Job Openings and Hiring Trends (2023-2026)

Interactive chart of Alter annual active job postings from 2023 to 2026.
  • Alter had 12 active job postings in 2026, a 100.0% increase (+2) from 2025.
  • Alter had 10 active job postings in 2025, a 85.7% increase (+6) from 2024.
  • Alter had 4 active job postings in 2024, a 120.0% decline (-12) from 2023.
  • Alter had 16 active job postings in 2023, a 155.6% increase from 2022.
  • Hiring velocity in 2026: 9 new roles/month, up from 6 in 2025 and 6 in 2024.

Alter's hiring is accelerating: active job postings rose 100.0% in 2026 to 12, with new postings per month climbing from 7 in 2023 to 9 in 2026.

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Alter Employee Sentiment (2026)

Revelio Labs tracks employee sentiment across Alter's workforce based on public professional data. Overall sentiment is negative and has declined year over year in 2026.

Overall

NegativePositive

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Frequently Asked Questions About Alter

How fast is Alter growing?
In 2026, Alter's headcount grew 1.2% to 1,161 employees, up from 1,115 in 2025.
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Where are Alter employees located?
Most Alter employees are based in Southern Europe (90.6% of headcount), followed by Central America and the Caribbean and South America.
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What is the average salary at Alter?
The average employee salary at Alter is approximately $38k per year.
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How many new job postings does Alter open per year?
In Q1 2026, Alter opened 27 new job postings. In 2025, Alter opened 77 new job postings — about 6 per month.
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When was Alter founded and where is it headquartered?
Alter was founded in 1997 and is headquartered in Madrid, Spain.
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