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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
Y-Intercept (Hong Kong) Ltd36,042$2.63M0.06%+36,042New
NorthRock Partners, LLC40,930$2.98M0.05%−2,002−4.7%Reduced
UBS Group AG41,389$3.02M0.00%−44,656−51.9%Reduced
Pura Vida Investments, LLC45,000$3.28M12.26%00.0%Unchanged
Guided Capital Wealth Management, LLC45,490$3.32M2.32%−6,160−11.9%Reduced
Voloridge Investment Management, LLC46,945$3.42M0.01%+46,945New
UBS Asset Management Americas Inc48,326$3.52M0.00%−2,777−5.4%Reduced
State Street Corp48,604$3.54M0.00%−758−1.5%Reduced
SEI Investments Co51,306$3.74M0.00%+1,536+3.1%Added
Strategic Wealth Partners, Ltd.54,994$4.01M0.27%−16,813−23.4%Reduced
4D Advisors, LLC55,000$4.01M2.20%−20,000−26.7%Reduced
CenterBook Partners LP55,616$4.05M0.20%−167,229−75.0%Reduced
Jump Financial, LLC56,130$4.09M0.05%+56,130New
Barclays PLC57,411$4.18M0.00%+57,396+382,640.0%Added
Hood River Capital Management LLC58,309$4.25M0.05%+5,185+9.8%Added
Principal Financial Group Inc67,126$4.89M0.00%−35,561−34.6%Reduced
Vanguard Group Inc68,061$4.96M0.00%+245+0.4%Added
Simplify Asset Management Inc.72,894$5.31M0.09%+34,946+92.1%Added
Northern Trust Corp89,398$6.52M0.00%−12,816−12.5%Reduced
Union Square Park Capital Management, LLC90,000$6.56M5.13%−85,000−48.6%Reduced
Buckley Capital Advisors, LLC94,000$6.85M5.96%+94,000New
Portolan Capital Management, LLC94,648$6.90M0.37%−60,448−39.0%Reduced
HRT Financial LP105,012$7.65M0.02%+105,012New
Redmile Group, LLC112,664$8.21M0.60%−16,700−12.9%Reduced
Assenagon Asset Management S.A.115,876$8.45M0.01%+43,164+59.4%Added
Kornitzer Capital Management Inc118,920$8.67M0.18%−58,560−33.0%Reduced
Trexquant Investment LP119,936$8.74M0.08%+119,936New
Voleon Capital Management LP121,432$8.85M0.19%+90,043+286.9%Added
BlackRock, Inc.121,536$8.86M0.00%+27,138+28.7%Added
Tejara Capital Ltd125,294$9.13M3.80%+22,800+22.2%Added
ExodusPoint Capital Management, LP125,752$9.16M0.10%+125,752New
Franklin Resources Inc142,553$10.4M0.00%+142,553New
Pier Capital, LLC143,842$10.5M1.67%−43,837−23.4%Reduced
JPMorgan Chase & Co147,439$10.7M0.00%+28,855+24.3%Added
Granite Investment Partners, LLC151,495$11.0M0.65%−9,522−5.9%Reduced
State of Wisconsin Investment Board151,523$11.0M0.02%−14,891−8.9%Reduced
Discovery Capital Management, LLC155,275$11.3M0.61%00.0%Unchanged
Gilder Gagnon Howe & Co LLC170,757$12.4M0.13%+170,757New
ADAR1 Capital Management, LLC171,422$12.5M0.93%+80,734+89.0%Added
Tudor Investment Corp Et Al176,347$12.9M0.07%+176,347New
Science & Technology Partners, L.P.193,071$14.1M3.93%+193,071New
Deutsche Bank AG194,380$14.2M0.00%+92,875+91.5%Added
BNP Paribas Arbitrage, SA196,120$14.3M0.01%+146,697+296.8%Added
Marshall Wace, LLP198,374$14.5M0.01%+62,362+45.9%Added
Garnet Equity Capital Holdings, Inc.199,138$14.5M7.22%−26,005−11.6%Reduced
Citadel Advisors LLC199,587$14.5M0.01%+199,587New
Affinity Asset Advisors, LLC200,000$14.6M1.05%−110,000−35.5%Reduced
Two Sigma Advisers, LP201,800$14.7M0.03%+201,800New
Raymond James Financial Inc209,589$15.3M0.00%−6,534−3.0%Reduced
Point72 Asset Management, L.P.249,762$18.2M0.03%+249,762New
Bank of America Corp266,043$19.4M0.00%+76,004+40.0%Added
Two Sigma Investments, LP292,275$21.3M0.03%+250,822+605.1%Added
Boothbay Fund Management, LLC299,291$21.8M0.57%−133,415−30.8%Reduced
Nuveen, LLC352,074$25.7M0.01%+38,487+12.3%Added
Jane Street Group, LLC355,475$25.9M0.03%+319,931+900.1%Added
Royce & Associates LP358,541$26.1M0.26%+69,766+24.2%Added
First Light Asset Management, LLC373,082$27.2M2.08%−45,276−10.8%Reduced
Woodson Capital Management, LP375,000$27.3M4.22%−105,000−21.9%Reduced
Morgan Stanley378,448$27.6M0.00%−460,016−54.9%Reduced
Summit Partners Public Asset Management, LLC391,850$28.6M0.80%−38,310−8.9%Reduced
D. E. Shaw & Co., Inc.488,040$35.6M0.03%+316,896+185.2%Added
Toronto Dominion Bank540,024$39.4M0.07%00.0%Unchanged
William Blair Investment Management, LLC639,790$46.6M0.13%−377,753−37.1%Reduced
Rice Hall James & Associates, LLC651,559$47.5M2.61%−108,638−14.3%Reduced
Mudita Advisors LLP699,703$51.0M11.02%+12,939+1.9%Added
Capital Research Global Investors807,826$58.9M0.01%−6,665−0.8%Reduced
Goldman Sachs Group Inc811,536$59.1M0.01%+438,206+117.4%Added
Bamco Inc961,226$70.1M0.19%−220,598−18.7%Reduced
Nantahala Capital Management, LLC987,689$72.0M4.29%−985,803−50.0%Reduced
Tyro Capital Management LLC1,077,456$78.5M24.44%00.0%Unchanged
Findell Capital Management LLC1,130,460$82.4M27.37%−164,960−12.7%Reduced
Brown Advisory Inc1,994,298$145.3M0.20%−172,684−8.0%Reduced
RTW Investments, LP2,588,831$188.7M1.89%00.0%Unchanged
JW Asset Management, LLC3,061,694$223.1M72.63%−21,091−0.7%Reduced
Viking Global Investors LPSuperinvestorViking Global Investors0$00.00%−343,465−100.0%Sold out
Divisadero Street Capital Management, LP0$00.00%−147,858−100.0%Sold out
Soleus Capital Management, L.P.0$00.00%−139,512−100.0%Sold out
Vestal Point Capital, LP0$00.00%−100,000−100.0%Sold out
GMT Capital Corp0$00.00%−98,766−100.0%Sold out
Federated Hermes, Inc.0$00.00%−40,649−100.0%Sold out
Kennedy Capital Management, Inc.0$00.00%−39,467−100.0%Sold out
Ci Investments Inc.0$00.00%−12,000−100.0%Sold out
Centiva Capital, LP0$00.00%−11,509−100.0%Sold out
Milestone Asset Management, LLC0$00.00%−10,681−100.0%Sold out
Stonepine Capital Management, LLC0$00.00%−10,585−100.0%Sold out
Rangeley Capital, LLC0$00.00%−6,499−100.0%Sold out
PharVision Advisers, LLC0$00.00%−4,948−100.0%Sold out
Quarry LP0$00.00%−826−100.0%Sold out
Group One Trading, L.P.0$00.00%−719−100.0%Sold out
SRS Capital Advisors, Inc.0$00.00%−180−100.0%Sold out
IFP Advisors, Inc0$00.00%−158−100.0%Sold out
Toth Financial Advisory Corp0$00.00%−135−100.0%Sold out
Simplex Trading, LLC0$00.00%−123−100.0%Sold out
Northwestern Mutual Wealth Management Co0$00.00%−72−100.0%Sold out
Larson Financial Group LLC0$00.00%−18−100.0%Sold out
Shell Asset Management Co––––Not filed