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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
Rothschild Investment LLC1$730.00%+1New
SBI Securities Co., Ltd.3$2190.00%−18−85.7%Reduced
GAMMA Investing LLC4$2920.00%00.0%Unchanged
Global Retirement Partners, LLC5$3640.00%00.0%Unchanged
The PNC Financial Services Group, Inc.5$3640.00%+5New
Sunbelt Securities, Inc.15$1.09K0.00%00.0%Unchanged
FMR LLC21$1.53K0.00%00.0%Unchanged
Allworth Financial LP24$1.75K0.00%+7+41.2%Added
Essential Partners LLC26$1.90K0.00%00.0%Unchanged
Caitong International Asset Management Co., Ltd32$2.33K0.00%+32New
Rachor Investment Advisory Services, LLC33$2.41K0.00%+33New
Quadrant Capital Group LLC35$2.55K0.00%+35New
Russell Investments Group, Ltd.37$2.70K0.00%−3−7.5%Reduced
EverSource Wealth Advisors, LLC46$3.35K0.00%00.0%Unchanged
Harbour Investments, Inc.50$3.64K0.00%+50New
Farther Finance Advisors, LLC52$3.79K0.00%−4−7.1%Reduced
Clearstead Advisors, LLC70$5.10K0.00%00.0%Unchanged
Signaturefd, LLC71$5.17K0.00%00.0%Unchanged
Smartleaf Asset Management LLC76$5.54K0.00%+76New
Trust Co of Toledo NA85$6.20K0.00%−85−50.0%Reduced
Parallel Advisors, LLC85$6.20K0.00%−85−50.0%Reduced
Private Wealth Asset Management, LLC125$9.11K0.00%00.0%Unchanged
City Holding Co140$10.2K0.00%+140New
Advisor Group Holdings, Inc.209$15.2K0.00%−1,791−89.6%Reduced
US Bancorp357$26.0K0.00%+9+2.6%Added
GPS Wealth Strategies Group, LLC370$27.0K0.02%00.0%Unchanged
Bessemer Group Inc439$32.0K0.00%+9+2.1%Added
Kestra Advisory Services, LLC650$47.4K0.00%+650New
Jones Financial Companies LLLP684$49.9K0.00%+160+30.5%Added
Walleye Trading LLC845$61.6K0.00%+845New
Antipodes Partners Ltd969$70.6K0.00%−338−25.9%Reduced
Steward Partners Investment Advisory, LLC1,000$72.9K0.00%−1,000−50.0%Reduced
Tower Research Capital LLC (TRC)1,305$95.1K0.00%+1,273+3,978.1%Added
Ensign Peak Advisors, Inc1,374$100.1K0.00%−4,050−74.7%Reduced
Royal Bank of Canada1,562$114.0K0.00%−92,749−98.3%Reduced
State of Wyoming1,675$122.1K0.01%−51−3.0%Reduced
MV Capital Management, Inc.2,000$145.8K0.01%00.0%Unchanged
CWM, LLC2,014$147.0K0.00%−23−1.1%Reduced
Zurcher Kantonalbank (Zurich Cantonalbank)2,746$200.1K0.00%00.0%Unchanged
Truist Financial Corp2,747$200.2K0.00%+2,747New
RSM US Wealth Management LLC2,794$203.7K0.00%+2,794New
Verdence Capital Advisors LLC2,850$207.7K0.01%+2,850New
Twin Lakes Capital Management, LLC2,931$213.6K0.09%00.0%Unchanged
Twinbeech Capital LP2,937$214.0K0.02%+2,937New
CIBC Private Wealth Group, LLC2,976$216.9K0.00%+17+0.6%Added
Farallon Capital Management, L.L.C.3,000$218.6K0.00%+3,000New
Colter Lewis Investment Partners LLC3,000$218.6K0.25%+3,000New
Skopos Labs, Inc.3,011$219.6K0.01%+3,011New
Victory Capital Management Inc3,015$219.7K0.00%+3,015New
Prelude Capital Management, LLC3,220$234.7K0.02%−7,636−70.3%Reduced
KLP Kapitalforvaltning AS3,500$255.1K0.00%00.0%Unchanged
Envestnet Asset Management Inc3,731$271.9K0.00%+3,731New
NBC Securities, Inc.3,732$272.0K0.02%+3,732New
Satovsky Asset Management LLC3,957$288.4K0.06%+3,957New
Scientech Research LLC4,031$293.8K0.18%+4,031New
Brian Low Financial Group, LLC4,174$304.2K0.22%−1,264−23.2%Reduced
Patriot Financial Group Insurance Agency, LLC4,525$329.8K0.04%−1,850−29.0%Reduced
Lighthouse Investment Partners, LLC4,788$348.9K0.01%+4,788New
Sigma Planning Corp4,800$349.8K0.01%+4,800New
Arizona State Retirement System4,982$363.1K0.00%−131−2.6%Reduced
HighTower Advisors, LLC5,167$376.6K0.00%−1,829−26.1%Reduced
ARS Investment Partners, LLC5,250$382.6K0.02%−4,500−46.2%Reduced
Private Advisor Group, LLC5,250$382.6K0.00%−200−3.7%Reduced
Aquatic Capital Management LLC6,717$489.5K0.01%−4,402−39.6%Reduced
Marex Group plc7,600$553.9K0.01%00.0%Unchanged
Janus Henderson Group PLC8,376$610.7K0.00%00.0%Unchanged
Wells Fargo & Company8,443$615.4K0.00%+2,896+52.2%Added
Legato Capital Management LLC8,509$620.1K0.05%−485−5.4%Reduced
Handelsbanken Fonder AB8,800$641.0K0.00%+600+7.3%Added
GWM Advisors LLC8,957$652.8K0.00%−511−5.4%Reduced
SkyView Investment Advisors, LLC10,000$729.0K0.09%−1,000−9.1%Reduced
Pathstone Holdings, LLC10,146$739.4K0.00%00.0%Unchanged
Hudson Bay Capital Management LP10,400$758.0K0.00%+10,400New
Landscape Capital Management, L.L.C.11,457$835.0K0.06%+11,457New
Dauntless Investment Group, LLC12,495$910.6K3.35%+12,495New
Exome Asset Management LLC13,100$954.7K0.47%00.0%Unchanged
Citigroup Inc13,919$1.01M0.00%+12,637+985.7%Added
AQR Capital Management LLC14,615$1.07M0.00%−6,521−30.9%Reduced
Schonfeld Strategic Advisors LLC15,013$1.09M0.01%+15,013New
California State Teachers Retirement System15,541$1.13M0.00%+1,431+10.1%Added
Mangrove Partners15,834$1.15M0.09%+15,834New
Legal & General Group Plc15,876$1.16M0.00%+1,412+9.8%Added
Gsa Capital Partners LLP15,917$1.16M0.10%−23,822−59.9%Reduced
SG Americas Securities, LLC16,186$1.18M0.00%+6,076+60.1%Added
Roehl & Yi Investment Advisors, LLC17,147$1.25M0.50%00.0%Unchanged
Polen Capital Management LLC17,475$1.27M0.01%+17,475New
Engineers Gate Manager LP17,868$1.30M0.02%+17,868New
Millennium Management LLC18,508$1.35M0.00%+12,770+222.6%Added
LPL Financial LLC19,384$1.41M0.00%−4,533−19.0%Reduced
Diametric Capital, LP19,973$1.46M0.39%−11,066−35.7%Reduced
BigSur Wealth Management LLC19,982$1.46M0.35%00.0%Unchanged
Sit Investment Associates Inc21,600$1.57M0.03%00.0%Unchanged
Stableford Capital II LLC23,024$1.68M0.61%−1,575−6.4%Reduced
New York State Common Retirement Fund25,288$1.84M0.00%00.0%Unchanged
Ameriprise Financial Inc25,750$1.88M0.00%+5,489+27.1%Added
Geode Capital Management, LLC28,070$2.04M0.00%+2,157+8.3%Added
Sofinnova Investments, Inc.28,366$2.07M0.09%+17,579+163.0%Added
Quantbot Technologies LP33,975$2.48M0.08%+33,975New
Swiss National Bank34,200$2.49M0.00%+600+1.8%Added
SummitTX Capital, L.P.34,567$2.52M0.08%+34,567New