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.
| Quarter | Holders | Value |
|---|---|---|
| Q2 2026 | 196 | $2.41B |
| Q1 2026 | 176 | $1.52B |
| Q4 2025 | 174 | $1.93B |
| Q3 2025 | 149 | $1.10B |
| Q2 2025 | 140 | $1.13B |
| Q1 2025 | 138 | $1.08B |
| Q4 2024 | 123 | $1.22B |
| Q3 2024 | 130 | $1.04B |
| Q2 2024 | 123 | $1.08B |
| Q1 2024 | 118 | $1.17B |
| Q4 2023 | 99 | $514.3M |
| Q3 2023 | 106 | $1.02B |
| Q2 2023 | 108 | $1.39B |
| Q1 2023 | 111 | $1.26B |
| Q4 2022 | 102 | $1.22B |
| Q3 2022 | 93 | $1.00B |
| Q2 2022 | 96 | $1.00B |
| Q1 2022 | 105 | $1.15B |
| Q4 2021 | 100 | $1.17B |
| Q3 2021 | 97 | $1.07B |
| Q2 2021 | 97 | $1.25B |
| Q1 2021 | 68 | $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.
| Institution | Shares | Value | % of portfolio | Change in shares | Action |
|---|---|---|---|---|---|
| Landscape Capital Management, L.L.C. | 11,457 | $835.0K | 0.06% | +11,457 | New |
| Hudson Bay Capital Management LP | 10,400 | $758.0K | 0.00% | +10,400 | New |
| Pathstone Holdings, LLC | 10,146 | $739.4K | 0.00% | 00.0% | Unchanged |
| SkyView Investment Advisors, LLC | 10,000 | $729.0K | 0.09% | −1,000−9.1% | Reduced |
| GWM Advisors LLC | 8,957 | $652.8K | 0.00% | −511−5.4% | Reduced |
| Handelsbanken Fonder AB | 8,800 | $641.0K | 0.00% | +600+7.3% | Added |
| Legato Capital Management LLC | 8,509 | $620.1K | 0.05% | −485−5.4% | Reduced |
| Wells Fargo & Company | 8,443 | $615.4K | 0.00% | +2,896+52.2% | Added |
| Janus Henderson Group PLC | 8,376 | $610.7K | 0.00% | 00.0% | Unchanged |
| Marex Group plc | 7,600 | $553.9K | 0.01% | 00.0% | Unchanged |
| Aquatic Capital Management LLC | 6,717 | $489.5K | 0.01% | −4,402−39.6% | Reduced |
| ARS Investment Partners, LLC | 5,250 | $382.6K | 0.02% | −4,500−46.2% | Reduced |
| Private Advisor Group, LLC | 5,250 | $382.6K | 0.00% | −200−3.7% | Reduced |
| HighTower Advisors, LLC | 5,167 | $376.6K | 0.00% | −1,829−26.1% | Reduced |
| Arizona State Retirement System | 4,982 | $363.1K | 0.00% | −131−2.6% | Reduced |
| Sigma Planning Corp | 4,800 | $349.8K | 0.01% | +4,800 | New |
| Lighthouse Investment Partners, LLC | 4,788 | $348.9K | 0.01% | +4,788 | New |
| Patriot Financial Group Insurance Agency, LLC | 4,525 | $329.8K | 0.04% | −1,850−29.0% | Reduced |
| Brian Low Financial Group, LLC | 4,174 | $304.2K | 0.22% | −1,264−23.2% | Reduced |
| Scientech Research LLC | 4,031 | $293.8K | 0.18% | +4,031 | New |
| Satovsky Asset Management LLC | 3,957 | $288.4K | 0.06% | +3,957 | New |
| NBC Securities, Inc. | 3,732 | $272.0K | 0.02% | +3,732 | New |
| Envestnet Asset Management Inc | 3,731 | $271.9K | 0.00% | +3,731 | New |
| KLP Kapitalforvaltning AS | 3,500 | $255.1K | 0.00% | 00.0% | Unchanged |
| Prelude Capital Management, LLC | 3,220 | $234.7K | 0.02% | −7,636−70.3% | Reduced |
| Victory Capital Management Inc | 3,015 | $219.7K | 0.00% | +3,015 | New |
| Skopos Labs, Inc. | 3,011 | $219.6K | 0.01% | +3,011 | New |
| Farallon Capital Management, L.L.C. | 3,000 | $218.6K | 0.00% | +3,000 | New |
| Colter Lewis Investment Partners LLC | 3,000 | $218.6K | 0.25% | +3,000 | New |
| CIBC Private Wealth Group, LLC | 2,976 | $216.9K | 0.00% | +17+0.6% | Added |
| Twinbeech Capital LP | 2,937 | $214.0K | 0.02% | +2,937 | New |
| Twin Lakes Capital Management, LLC | 2,931 | $213.6K | 0.09% | 00.0% | Unchanged |
| Verdence Capital Advisors LLC | 2,850 | $207.7K | 0.01% | +2,850 | New |
| RSM US Wealth Management LLC | 2,794 | $203.7K | 0.00% | +2,794 | New |
| Truist Financial Corp | 2,747 | $200.2K | 0.00% | +2,747 | New |
| Zurcher Kantonalbank (Zurich Cantonalbank) | 2,746 | $200.1K | 0.00% | 00.0% | Unchanged |
| CWM, LLC | 2,014 | $147.0K | 0.00% | −23−1.1% | Reduced |
| MV Capital Management, Inc. | 2,000 | $145.8K | 0.01% | 00.0% | Unchanged |
| State of Wyoming | 1,675 | $122.1K | 0.01% | −51−3.0% | Reduced |
| Royal Bank of Canada | 1,562 | $114.0K | 0.00% | −92,749−98.3% | Reduced |
| Ensign Peak Advisors, Inc | 1,374 | $100.1K | 0.00% | −4,050−74.7% | Reduced |
| Tower Research Capital LLC (TRC) | 1,305 | $95.1K | 0.00% | +1,273+3,978.1% | Added |
| Steward Partners Investment Advisory, LLC | 1,000 | $72.9K | 0.00% | −1,000−50.0% | Reduced |
| Antipodes Partners Ltd | 969 | $70.6K | 0.00% | −338−25.9% | Reduced |
| Walleye Trading LLC | 845 | $61.6K | 0.00% | +845 | New |
| Jones Financial Companies LLLP | 684 | $49.9K | 0.00% | +160+30.5% | Added |
| Kestra Advisory Services, LLC | 650 | $47.4K | 0.00% | +650 | New |
| Bessemer Group Inc | 439 | $32.0K | 0.00% | +9+2.1% | Added |
| GPS Wealth Strategies Group, LLC | 370 | $27.0K | 0.02% | 00.0% | Unchanged |
| US Bancorp | 357 | $26.0K | 0.00% | +9+2.6% | Added |
| Advisor Group Holdings, Inc. | 209 | $15.2K | 0.00% | −1,791−89.6% | Reduced |
| City Holding Co | 140 | $10.2K | 0.00% | +140 | New |
| Private Wealth Asset Management, LLC | 125 | $9.11K | 0.00% | 00.0% | Unchanged |
| Trust Co of Toledo NA | 85 | $6.20K | 0.00% | −85−50.0% | Reduced |
| Parallel Advisors, LLC | 85 | $6.20K | 0.00% | −85−50.0% | Reduced |
| Smartleaf Asset Management LLC | 76 | $5.54K | 0.00% | +76 | New |
| Signaturefd, LLC | 71 | $5.17K | 0.00% | 00.0% | Unchanged |
| Clearstead Advisors, LLC | 70 | $5.10K | 0.00% | 00.0% | Unchanged |
| Farther Finance Advisors, LLC | 52 | $3.79K | 0.00% | −4−7.1% | Reduced |
| Harbour Investments, Inc. | 50 | $3.64K | 0.00% | +50 | New |
| EverSource Wealth Advisors, LLC | 46 | $3.35K | 0.00% | 00.0% | Unchanged |
| Russell Investments Group, Ltd. | 37 | $2.70K | 0.00% | −3−7.5% | Reduced |
| Quadrant Capital Group LLC | 35 | $2.55K | 0.00% | +35 | New |
| Rachor Investment Advisory Services, LLC | 33 | $2.41K | 0.00% | +33 | New |
| Caitong International Asset Management Co., Ltd | 32 | $2.33K | 0.00% | +32 | New |
| Essential Partners LLC | 26 | $1.90K | 0.00% | 00.0% | Unchanged |
| Allworth Financial LP | 24 | $1.75K | 0.00% | +7+41.2% | Added |
| FMR LLC | 21 | $1.53K | 0.00% | 00.0% | Unchanged |
| Sunbelt Securities, Inc. | 15 | $1.09K | 0.00% | 00.0% | Unchanged |
| Global Retirement Partners, LLC | 5 | $364 | 0.00% | 00.0% | Unchanged |
| The PNC Financial Services Group, Inc. | 5 | $364 | 0.00% | +5 | New |
| GAMMA Investing LLC | 4 | $292 | 0.00% | 00.0% | Unchanged |
| SBI Securities Co., Ltd. | 3 | $219 | 0.00% | −18−85.7% | Reduced |
| Rothschild Investment LLC | 1 | $73 | 0.00% | +1 | New |
| Viking Global Investors LPSuperinvestorViking Global Investors | 0 | $0 | 0.00% | −343,465−100.0% | Sold out |
| Divisadero Street Capital Management, LP | 0 | $0 | 0.00% | −147,858−100.0% | Sold out |
| Soleus Capital Management, L.P. | 0 | $0 | 0.00% | −139,512−100.0% | Sold out |
| Vestal Point Capital, LP | 0 | $0 | 0.00% | −100,000−100.0% | Sold out |
| GMT Capital Corp | 0 | $0 | 0.00% | −98,766−100.0% | Sold out |
| Federated Hermes, Inc. | 0 | $0 | 0.00% | −40,649−100.0% | Sold out |
| Kennedy Capital Management, Inc. | 0 | $0 | 0.00% | −39,467−100.0% | Sold out |
| Ci Investments Inc. | 0 | $0 | 0.00% | −12,000−100.0% | Sold out |
| Centiva Capital, LP | 0 | $0 | 0.00% | −11,509−100.0% | Sold out |
| Milestone Asset Management, LLC | 0 | $0 | 0.00% | −10,681−100.0% | Sold out |
| Stonepine Capital Management, LLC | 0 | $0 | 0.00% | −10,585−100.0% | Sold out |
| Rangeley Capital, LLC | 0 | $0 | 0.00% | −6,499−100.0% | Sold out |
| PharVision Advisers, LLC | 0 | $0 | 0.00% | −4,948−100.0% | Sold out |
| Quarry LP | 0 | $0 | 0.00% | −826−100.0% | Sold out |
| Group One Trading, L.P. | 0 | $0 | 0.00% | −719−100.0% | Sold out |
| SRS Capital Advisors, Inc. | 0 | $0 | 0.00% | −180−100.0% | Sold out |
| IFP Advisors, Inc | 0 | $0 | 0.00% | −158−100.0% | Sold out |
| Toth Financial Advisory Corp | 0 | $0 | 0.00% | −135−100.0% | Sold out |
| Simplex Trading, LLC | 0 | $0 | 0.00% | −123−100.0% | Sold out |
| Northwestern Mutual Wealth Management Co | 0 | $0 | 0.00% | −72−100.0% | Sold out |
| Larson Financial Group LLC | 0 | $0 | 0.00% | −18−100.0% | Sold out |
| Shell Asset Management Co | – | – | – | – | Not filed |