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Establishment Labs Holdings Inc.

ESTA
Exchange
Nasdaq
Industry
Orthopedic, Prosthetic & Surgical Appliances & Supplies
SEC CIK
0001688757

No open-market purchases or sales by Establishment Labs Holdings Inc. insiders were filed in the last 90 days; 196 institutions reported holding it in 13F filings for Q2 2026, worth $2.41B in total; no superinvestor holds it.

13F holders, Q4 2025

Institutional positions in Establishment Labs Holdings Inc. as of Dec 31, 2025. Investment managers with $100 million or more in US stocks report their long positions on Form 13F within 45 days after each quarter ends. How 13F works

Institutional holders
174
+26 vs. Q3 2025
Shares held
26.5M
−301.0K (−1.1%) vs. Q3 2025
Total value
$1.93B
+$831.5M (+75.8%) vs. Q3 2025
New holders
47
39 more added
Sold out
21
61 more reduced

1 institution that held it in Q3 2025 haven't filed for Q4 2025 yet. Not filing isn't selling, so they aren't counted as sold out or in the changes above.

Compare with Q3 2025: new holders, sold out and not filed yet

Holders and value by quarter

Institutions reporting ESTA on Form 13F each quarter since Q1 2021, and the total value they reported. Values are as of each quarter end, so they also move with the share price.

Institutional holdersQ4 2025: 174 institutions
Q1 2021: 68 institutionsQ2 2021: 97 institutionsQ3 2021: 97 institutionsQ4 2021: 100 institutionsQ1 2022: 105 institutionsQ2 2022: 96 institutionsQ3 2022: 93 institutionsQ4 2022: 102 institutionsQ1 2023: 111 institutionsQ2 2023: 108 institutionsQ3 2023: 106 institutionsQ4 2023: 99 institutionsQ1 2024: 118 institutionsQ2 2024: 123 institutionsQ3 2024: 130 institutionsQ4 2024: 123 institutionsQ1 2025: 138 institutionsQ2 2025: 140 institutionsQ3 2025: 149 institutionsQ4 2025: 174 institutionsQ1 2026: 176 institutionsQ2 2026: 196 institutions
Value heldQ4 2025: $1.93B
Q1 2021: $869.4MQ2 2021: $1.25BQ3 2021: $1.07BQ4 2021: $1.17BQ1 2022: $1.15BQ2 2022: $1.00BQ3 2022: $1.00BQ4 2022: $1.22BQ1 2023: $1.26BQ2 2023: $1.39BQ3 2023: $1.02BQ4 2023: $514.3MQ1 2024: $1.17BQ2 2024: $1.08BQ3 2024: $1.04BQ4 2024: $1.22BQ1 2025: $1.08BQ2 2025: $1.13BQ3 2025: $1.10BQ4 2025: $1.93BQ1 2026: $1.52BQ2 2026: $2.41B
Institutions holding ESTA and their total value by quarter
QuarterHoldersValue
Q2 2026196$2.41B
Q1 2026176$1.52B
Q4 2025174$1.93B
Q3 2025149$1.10B
Q2 2025140$1.13B
Q1 2025138$1.08B
Q4 2024123$1.22B
Q3 2024130$1.04B
Q2 2024123$1.08B
Q1 2024118$1.17B
Q4 202399$514.3M
Q3 2023106$1.02B
Q2 2023108$1.39B
Q1 2023111$1.26B
Q4 2022102$1.22B
Q3 202293$1.00B
Q2 202296$1.00B
Q1 2022105$1.15B
Q4 2021100$1.17B
Q3 202197$1.07B
Q2 202197$1.25B
Q1 202168$869.4M

Institutions, Q4 2025

Shares, value and share of portfolio for each institution holding Establishment Labs Holdings Inc.; share changes are against Q3 2025.

Institutions holding ESTA in Q4 2025
InstitutionSharesValue% of portfolioChange in sharesAction
JW Asset Management, LLC3,061,694$223.1M72.63%−21,091−0.7%Reduced
RTW Investments, LP2,588,831$188.7M1.89%00.0%Unchanged
Brown Advisory Inc1,994,298$145.3M0.20%−172,684−8.0%Reduced
Findell Capital Management LLC1,130,460$82.4M27.37%−164,960−12.7%Reduced
Tyro Capital Management LLC1,077,456$78.5M24.44%00.0%Unchanged
Nantahala Capital Management, LLC987,689$72.0M4.29%−985,803−50.0%Reduced
Bamco Inc961,226$70.1M0.19%−220,598−18.7%Reduced
Goldman Sachs Group Inc811,536$59.1M0.01%+438,206+117.4%Added
Capital Research Global Investors807,826$58.9M0.01%−6,665−0.8%Reduced
Mudita Advisors LLP699,703$51.0M11.02%+12,939+1.9%Added
Rice Hall James & Associates, LLC651,559$47.5M2.61%−108,638−14.3%Reduced
William Blair Investment Management, LLC639,790$46.6M0.13%−377,753−37.1%Reduced
Toronto Dominion Bank540,024$39.4M0.07%00.0%Unchanged
D. E. Shaw & Co., Inc.488,040$35.6M0.03%+316,896+185.2%Added
Summit Partners Public Asset Management, LLC391,850$28.6M0.80%−38,310−8.9%Reduced
Morgan Stanley378,448$27.6M0.00%−460,016−54.9%Reduced
Woodson Capital Management, LP375,000$27.3M4.22%−105,000−21.9%Reduced
First Light Asset Management, LLC373,082$27.2M2.08%−45,276−10.8%Reduced
Royce & Associates LP358,541$26.1M0.26%+69,766+24.2%Added
Jane Street Group, LLC355,475$25.9M0.03%+319,931+900.1%Added
Nuveen, LLC352,074$25.7M0.01%+38,487+12.3%Added
Boothbay Fund Management, LLC299,291$21.8M0.57%−133,415−30.8%Reduced
Two Sigma Investments, LP292,275$21.3M0.03%+250,822+605.1%Added
Bank of America Corp266,043$19.4M0.00%+76,004+40.0%Added
Point72 Asset Management, L.P.249,762$18.2M0.03%+249,762New
Raymond James Financial Inc209,589$15.3M0.00%−6,534−3.0%Reduced
Two Sigma Advisers, LP201,800$14.7M0.03%+201,800New
Affinity Asset Advisors, LLC200,000$14.6M1.05%−110,000−35.5%Reduced
Citadel Advisors LLC199,587$14.5M0.01%+199,587New
Garnet Equity Capital Holdings, Inc.199,138$14.5M7.22%−26,005−11.6%Reduced
Marshall Wace, LLP198,374$14.5M0.01%+62,362+45.9%Added
BNP Paribas Arbitrage, SA196,120$14.3M0.01%+146,697+296.8%Added
Deutsche Bank AG194,380$14.2M0.00%+92,875+91.5%Added
Science & Technology Partners, L.P.193,071$14.1M3.93%+193,071New
Tudor Investment Corp Et Al176,347$12.9M0.07%+176,347New
ADAR1 Capital Management, LLC171,422$12.5M0.93%+80,734+89.0%Added
Gilder Gagnon Howe & Co LLC170,757$12.4M0.13%+170,757New
Discovery Capital Management, LLC155,275$11.3M0.61%00.0%Unchanged
State of Wisconsin Investment Board151,523$11.0M0.02%−14,891−8.9%Reduced
Granite Investment Partners, LLC151,495$11.0M0.65%−9,522−5.9%Reduced
JPMorgan Chase & Co147,439$10.7M0.00%+28,855+24.3%Added
Pier Capital, LLC143,842$10.5M1.67%−43,837−23.4%Reduced
Franklin Resources Inc142,553$10.4M0.00%+142,553New
ExodusPoint Capital Management, LP125,752$9.16M0.10%+125,752New
Tejara Capital Ltd125,294$9.13M3.80%+22,800+22.2%Added
BlackRock, Inc.121,536$8.86M0.00%+27,138+28.7%Added
Voleon Capital Management LP121,432$8.85M0.19%+90,043+286.9%Added
Trexquant Investment LP119,936$8.74M0.08%+119,936New
Kornitzer Capital Management Inc118,920$8.67M0.18%−58,560−33.0%Reduced
Assenagon Asset Management S.A.115,876$8.45M0.01%+43,164+59.4%Added
Redmile Group, LLC112,664$8.21M0.60%−16,700−12.9%Reduced
HRT Financial LP105,012$7.65M0.02%+105,012New
Portolan Capital Management, LLC94,648$6.90M0.37%−60,448−39.0%Reduced
Buckley Capital Advisors, LLC94,000$6.85M5.96%+94,000New
Union Square Park Capital Management, LLC90,000$6.56M5.13%−85,000−48.6%Reduced
Northern Trust Corp89,398$6.52M0.00%−12,816−12.5%Reduced
Simplify Asset Management Inc.72,894$5.31M0.09%+34,946+92.1%Added
Vanguard Group Inc68,061$4.96M0.00%+245+0.4%Added
Principal Financial Group Inc67,126$4.89M0.00%−35,561−34.6%Reduced
Hood River Capital Management LLC58,309$4.25M0.05%+5,185+9.8%Added
Barclays PLC57,411$4.18M0.00%+57,396+382,640.0%Added
Jump Financial, LLC56,130$4.09M0.05%+56,130New
CenterBook Partners LP55,616$4.05M0.20%−167,229−75.0%Reduced
4D Advisors, LLC55,000$4.01M2.20%−20,000−26.7%Reduced
Strategic Wealth Partners, Ltd.54,994$4.01M0.27%−16,813−23.4%Reduced
SEI Investments Co51,306$3.74M0.00%+1,536+3.1%Added
State Street Corp48,604$3.54M0.00%−758−1.5%Reduced
UBS Asset Management Americas Inc48,326$3.52M0.00%−2,777−5.4%Reduced
Voloridge Investment Management, LLC46,945$3.42M0.01%+46,945New
Guided Capital Wealth Management, LLC45,490$3.32M2.32%−6,160−11.9%Reduced
Pura Vida Investments, LLC45,000$3.28M12.26%00.0%Unchanged
UBS Group AG41,389$3.02M0.00%−44,656−51.9%Reduced
NorthRock Partners, LLC40,930$2.98M0.05%−2,002−4.7%Reduced
Y-Intercept (Hong Kong) Ltd36,042$2.63M0.06%+36,042New
SummitTX Capital, L.P.34,567$2.52M0.08%+34,567New
Swiss National Bank34,200$2.49M0.00%+600+1.8%Added
Quantbot Technologies LP33,975$2.48M0.08%+33,975New
Sofinnova Investments, Inc.28,366$2.07M0.09%+17,579+163.0%Added
Geode Capital Management, LLC28,070$2.04M0.00%+2,157+8.3%Added
Ameriprise Financial Inc25,750$1.88M0.00%+5,489+27.1%Added
New York State Common Retirement Fund25,288$1.84M0.00%00.0%Unchanged
Stableford Capital II LLC23,024$1.68M0.61%−1,575−6.4%Reduced
Sit Investment Associates Inc21,600$1.57M0.03%00.0%Unchanged
BigSur Wealth Management LLC19,982$1.46M0.35%00.0%Unchanged
Diametric Capital, LP19,973$1.46M0.39%−11,066−35.7%Reduced
LPL Financial LLC19,384$1.41M0.00%−4,533−19.0%Reduced
Millennium Management LLC18,508$1.35M0.00%+12,770+222.6%Added
Engineers Gate Manager LP17,868$1.30M0.02%+17,868New
Polen Capital Management LLC17,475$1.27M0.01%+17,475New
Roehl & Yi Investment Advisors, LLC17,147$1.25M0.50%00.0%Unchanged
SG Americas Securities, LLC16,186$1.18M0.00%+6,076+60.1%Added
Gsa Capital Partners LLP15,917$1.16M0.10%−23,822−59.9%Reduced
Legal & General Group Plc15,876$1.16M0.00%+1,412+9.8%Added
Mangrove Partners15,834$1.15M0.09%+15,834New
California State Teachers Retirement System15,541$1.13M0.00%+1,431+10.1%Added
Schonfeld Strategic Advisors LLC15,013$1.09M0.01%+15,013New
AQR Capital Management LLC14,615$1.07M0.00%−6,521−30.9%Reduced
Citigroup Inc13,919$1.01M0.00%+12,637+985.7%Added
Exome Asset Management LLC13,100$954.7K0.47%00.0%Unchanged
Dauntless Investment Group, LLC12,495$910.6K3.35%+12,495New