How many employees work at Alto Pharmacy?
Alto Pharmacy LLC has approximately 719 total employees worldwide as of March 2026, according to Revelio Labs workforce intelligence data. Alto Pharmacy's total headcount has declined 30.7% from 1,037 employees in 2023 to 719 in 2026.
Data source: Revelio LabsCoverage: Global workforce, 2023–2026Published July 2026
Is Alto Pharmacy hiring right now?
Yes, Alto Pharmacy is actively hiring. Alto Pharmacy had 44 active job postings in 2026, a 16.7% decline from 2025 — see job openings & hiring trends.
About Alto Pharmacy's Workforce
Alto Pharmacy LLC is a Healthcare and Wellness Services company that employs 719 people worldwide as of March 2026. It is the 8th-largest by headcount among its peers. Founded in 2015, the company is headquartered in San Francisco, California.
Alto Pharmacy's workforce has declined 30.7% from 2023 to 2026, down 10.1% year over year in 2026. It fell to a low of 719 in 2026 Q1 before recovering. Its workforce is concentrated most in the United States (83.8%), followed by India (7.9%) and Egypt (1.3%), with Egypt, its fastest-growing location.
Alto Pharmacy's largest functional groups are Finance and Operations (69.6%), Engineering (18.7%), and Sales and Marketing (11.7%). Median employee tenure is 2.7 years. The average salary is $87,332, ranging from a median of $73,000 in Northern America to $9,000 in Northern Africa.
Alto Pharmacy's active job postings fell 16.7% in 2026 to 44, with new postings per month cooling from 32 in 2023 to 26 in 2026. Overall employee sentiment is negative but improving.
Sourced from Revelio Labs workforce data.
As of March 2026
Alto Pharmacy
workforce metrics
Headcount
719
10.1% YoY
Avg. Salary
$87.3k
9.0% YoY
Tenure
2.7yr
0.1yr YoY
Growth Rate
-10.1%
2.8pts YoY
Hiring Rate
Attrition Rate
Unlock hiring rate, attrition rate, and 12 additional workforce metrics for Alto Pharmacy. Compare to peers, export the dataset, and access the full quarterly history.
- Alto Pharmacy had 719 employees in 2026, a 10.1% decline (-76) from 2025.
- Alto Pharmacy had 744 employees in 2025, a 5.0% decline (-38) from 2024.
- Alto Pharmacy had 782 employees in 2024, a 23.7% decline (-211) from 2023.
- Alto Pharmacy had 993 employees in 2023, a 15.6% decline (-168) from 2022.
Alto Pharmacy's total workforce has declined from 1,037 employees in 2023 to 719 in 2026.
Alto Pharmacy LLC — quarterly employee count (2023–2026)
| Year | Qtr | Employees | YoY Change | YoY % |
|---|---|---|---|---|
| 2026 | Q1 | 719 | -76 | -10.1% |
| 2025 | Q4 | 744 | -38 | -5.0% |
| 2025 | Q3 | 751 | -44 | -5.7% |
| 2025 | Q2 | 790 | -39 | -4.9% |
| 2025 | Q1 | 795 | -110 | -12.9% |
| 2024 | Q4 | 782 | -211 | -23.7% |
| 2024 | Q3 | 795 | -227 | -25.1% |
| 2024 | Q2 | 829 | -208 | -22.3% |
| 2024 | Q1 | 905 | -181 | -18.2% |
| 2023 | Q4 | 993 | -168 | -15.6% |
| 2023 | Q3 | 1,022 | -136 | -12.4% |
| 2023 | Q2 | 1,037 | -197 | -17.4% |
Want to see Alto Pharmacy's complete headcount history back to 2008, including quarterly breakdowns?
The United States accounts for the largest share of Alto Pharmacy's global workforce with approximately 84% of total employees, followed by India and Egypt.
Alto Pharmacy employees by country — 2026
| Country | Employees | % of Total | YoY % |
|---|---|---|---|
| United States | 591 | 83.8% | -6.5% |
| India | 55 | 7.9% | -6.7% |
| Egypt | 9 | 1.3% | +0.0% |
| Nigeria | 9 | 1.2% | +0.0% |
| South Africa | 8 | 1.1% | +0.0% |
| Bangladesh | 3 | 0.4% | +0.0% |
| Yemen | 3 | 0.4% | +0.0% |
| Sudan | 3 | 0.4% | +0.0% |
| Saudi Arabia | 3 | 0.4% | +0.0% |
| United Kingdom | 2 | 0.3% | +0.0% |
Drill into city-level data, hiring trends by region and historic geographic shifts
Alto Pharmacy's largest employee groups are Finance and Operations (69.6%), Engineering (18.7%), and Sales and Marketing (11.7%).
Alto Pharmacy employees by department — 2026
| Department | Employees | % of Total | YoY % |
|---|---|---|---|
| Finance and Operations | 501 | 69.6% | -5.6% |
| Engineering | 134 | 18.7% | -8.5% |
| Sales and Marketing | 84 | 11.7% | -6.7% |
Compare Alto Pharmacy's department mix to industry peers.
Alto Pharmacy's average employee salary is $87,332 globally. Employees in Northern America receive the highest compensation. Pay is lowest in Northern Africa, at a median of $9,000.
Alto Pharmacy median employee salary by region — 2026 (USD)
| Region | Median Salary |
|---|---|
| Northern America | $73,000 |
| Arab States | $37,000 |
| Sub-Saharan Africa | $14,000 |
| Southern America | $11,000 |
| Northern Africa | $9,000 |
| Southern Asia | $9,000 |
Unlock salary by role, level, and city — and compare to Alto Pharmacy's industry peers.
- Alto Pharmacy had 44 active job postings in 2026, a 16.7% decline (-13) from 2025.
- Alto Pharmacy had 57 active job postings in 2025, a 45.2% increase (+21) from 2024.
- Alto Pharmacy had 36 active job postings in 2024, a 36.1% increase (+11) from 2023.
- Alto Pharmacy had 25 active job postings in 2023, a 103.8% decline from 2022.
- Hiring velocity in 2026: 26 new roles/month, up from 25 in 2025 and 33 in 2024. New metric
Alto Pharmacy's hiring is slowing: active job postings fell 16.7% in 2026 to 44, with new postings per month cooling from 32 in 2023 to 26 in 2026.
Track new postings per month, role-level demand, and hiring velocity vs. peers.
Revelio Labs tracks employee sentiment across Alto Pharmacy's workforce based on public professional data. Overall sentiment is negative and has improved year over year in 2026.
Overall
Unlock the full sentiment breakdown by department, tenure, and trend over time.
Similar Healthcare and Wellness Services Companies by Employee Count
- How fast is Alto Pharmacy growing?
- In 2026, Alto Pharmacy's headcount shrank 10.1% to 719 employees, down from 795 in 2025.
- Where are Alto Pharmacy employees located?
- Most Alto Pharmacy employees are based in the United States (83.8% of headcount), followed by India and Egypt.
- What is the average salary at Alto Pharmacy?
- The average employee salary at Alto Pharmacy is approximately $87.3k per year.
- How many people does Alto Pharmacy hire per year?
- In 2026, Alto Pharmacy opened roughly 312 new roles — about 26 per month.
- When was Alto Pharmacy founded and where is it headquartered?
- Alto Pharmacy was founded in 2015 and is headquartered in San Francisco, California.
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