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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, Q1 2026

Institutional positions in Establishment Labs Holdings Inc. as of Mar 31, 2026. 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
176
+6 vs. Q4 2025
Shares held
26.8M
+391.2K (+1.5%) vs. Q4 2025
Total value
$1.52B
−$403.9M (−21.0%) vs. Q4 2025
New holders
31
66 more added
Sold out
25
52 more reduced

4 institutions that held it in Q4 2025 haven't filed for Q1 2026 yet. Not filing isn't selling, so they aren't counted as sold out or in the changes above.

Compare with Q4 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 holdersQ1 2026: 176 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 heldQ1 2026: $1.52B
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, Q1 2026

Shares, value and share of portfolio for each institution holding Establishment Labs Holdings Inc.; share changes are against Q4 2025.

Institutions holding ESTA in Q1 2026
InstitutionSharesValue% of portfolioChange in sharesAction
Rothschild Investment LLC1$570.00%00.0%Unchanged
Quadrant Capital Group LLC2$1140.00%−33−94.3%Reduced
Rockefeller Capital Management L.P.2$1140.00%+2New
MAI Capital Management3$1710.00%+3New
GAMMA Investing LLC4$2270.00%00.0%Unchanged
Sunbelt Securities, Inc.15$8520.00%00.0%Unchanged
The PNC Financial Services Group, Inc.16$9090.00%+11+220.0%Added
FMR LLC21$1.19K0.00%00.0%Unchanged
Essential Partners LLC26$1.48K0.00%00.0%Unchanged
Russell Investments Group, Ltd.37$2.10K0.00%00.0%Unchanged
Allworth Financial LP37$2.10K0.00%+13+54.2%Added
Rachor Investment Advisory Services, LLC42$2.38K0.00%+9+27.3%Added
EverSource Wealth Advisors, LLC49$2.78K0.00%+3+6.5%Added
Farther Finance Advisors, LLC56$3.29K0.00%+4+7.7%Added
Advisory Services Network, LLC64$3.63K0.00%+64New
Clearstead Advisors, LLC70$3.98K0.00%00.0%Unchanged
Signaturefd, LLC71$4.03K0.00%00.0%Unchanged
Smartleaf Asset Management LLC76$4.16K0.00%00.0%Unchanged
Harbour Investments, Inc.80$4.54K0.00%+30+60.0%Added
Trust Co of Toledo NA85$4.83K0.00%00.0%Unchanged
Parallel Advisors, LLC91$5.17K0.00%+6+7.1%Added
Advisor Group Holdings, Inc.97$5.51K0.00%−112−53.6%Reduced
Richardson Capital Management LLC100$5.68K0.00%+100New
Private Wealth Asset Management, LLC125$7.10K0.00%00.0%Unchanged
US Bancorp357$20.3K0.00%00.0%Unchanged
Jones Financial Companies LLLP459$25.4K0.00%−225−32.9%Reduced
Bessemer Group Inc463$26.0K0.00%+24+5.5%Added
KBC Group NV487$28.0K0.00%+487New
Steward Partners Investment Advisory, LLC750$42.6K0.00%−250−25.0%Reduced
Larson Financial Group LLC769$43.7K0.00%+769New
Tower Research Capital LLC (TRC)1,073$60.9K0.00%−232−17.8%Reduced
Royal Bank of Canada1,168$66.0K0.00%−394−25.2%Reduced
Eurizon Capital SGR S.p.A.1,212$66.6K0.00%+1,212New
State of Wyoming1,279$72.6K0.01%−396−23.6%Reduced
Ensign Peak Advisors, Inc1,374$78.0K0.00%00.0%Unchanged
Caitong International Asset Management Co., Ltd1,588$90.2K0.02%+1,556+4,862.5%Added
CWM, LLC1,947$110.6K0.00%−67−3.3%Reduced
MV Capital Management, Inc.2,000$113.6K0.01%00.0%Unchanged
NBC Securities, Inc.2,553$145.0K0.01%−1,179−31.6%Reduced
Twin Lakes Capital Management, LLC2,931$166.4K0.08%00.0%Unchanged
Zurcher Kantonalbank (Zurich Cantonalbank)3,173$180.2K0.00%+427+15.5%Added
Acadian Asset Management LLC3,406$192.0K0.00%+3,406New
Mount Yale Investment Advisors, LLC3,687$209.3K0.00%+3,687New
KLP Kapitalforvaltning AS3,800$215.8K0.00%+300+8.6%Added
Quantbot Technologies LP3,915$222.3K0.01%−30,060−88.5%Reduced
Jain Global LLC4,137$234.9K0.00%+4,137New
Omers Administration Corp4,200$238.5K0.00%+4,200New
Brian Low Financial Group, LLC4,598$261.1K0.18%+424+10.2%Added
Vanguard Investments Australia, Ltd.4,663$264.8K0.00%+4,663New
Arizona State Retirement System4,789$271.9K0.00%−193−3.9%Reduced
Private Advisor Group, LLC4,950$281.1K0.00%−300−5.7%Reduced
Patriot Financial Group Insurance Agency, LLC5,450$309.5K0.02%+925+20.4%Added
SkyView Investment Advisors, LLC5,500$312.0K0.04%−4,500−45.0%Reduced
Manufacturers Life Insurance Company, The5,601$318.0K0.00%+5,601New
Y-Intercept (Hong Kong) Ltd5,864$333.0K0.01%−30,178−83.7%Reduced
Stonepine Capital Management, LLC6,000$340.7K0.30%+6,000New
Envestnet Asset Management Inc6,215$352.9K0.00%+2,484+66.6%Added
Legato Capital Management LLC6,363$361.3K0.03%−2,146−25.2%Reduced
Gsa Capital Partners LLP6,736$382.0K0.02%−9,181−57.7%Reduced
Satovsky Asset Management LLC7,075$401.7K0.07%+3,118+78.8%Added
Centiva Capital, LP7,288$413.8K0.02%+7,288New
Jefferies Financial Group Inc.7,500$425.9K0.01%+7,500New
Citigroup Inc7,716$438.1K0.00%−6,203−44.6%Reduced
Diametric Capital, LP7,885$447.7K0.12%−12,088−60.5%Reduced
Voloridge Investment Management, LLC8,156$463.1K0.00%−38,789−82.6%Reduced
Janus Henderson Group PLC8,376$475.0K0.00%00.0%Unchanged
Handelsbanken Fonder AB8,800$500.0K0.00%00.0%Unchanged
HighTower Advisors, LLC9,224$523.7K0.00%+4,057+78.5%Added
Dauntless Investment Group, LLC9,428$535.3K1.50%−3,067−24.5%Reduced
Portolan Capital Management, LLC9,573$543.6K0.03%−85,075−89.9%Reduced
GWM Advisors LLC10,284$583.9K0.00%+1,327+14.8%Added
Catalyst Funds Management Pty Ltd10,300$584.8K0.10%+10,300New
Marex Group plc10,600$601.9K0.01%+3,000+39.5%Added
Pathstone Holdings, LLC11,023$625.9K0.00%+877+8.6%Added
Fox Run Management, L.L.C.11,575$633.0K0.11%+11,575New
Landscape Capital Management, L.L.C.11,422$648.5K0.04%−35−0.3%Reduced
Wells Fargo & Company11,947$678.4K0.00%+3,504+41.5%Added
Vanguard Asset Management, Ltd12,146$689.6K0.00%+12,146New
Legal & General Group Plc12,409$704.6K0.00%−3,467−21.8%Reduced
HCR Wealth Advisors12,639$717.6K0.07%+12,639New
Cannon Global Investment Management, LLC13,000$738.1K1.79%+13,000New
Exome Asset Management LLC13,100$743.8K0.44%00.0%Unchanged
Capital Fund Management S.A.13,701$777.9K0.01%+13,701New
AlTi Global, Inc.14,825$841.8K0.02%+14,825New
Hudson Bay Capital Management LP16,205$920.1K0.01%+5,805+55.8%Added
Roehl & Yi Investment Advisors, LLC17,147$973.6K0.37%00.0%Unchanged
BigSur Wealth Management LLC19,982$1.13M0.32%00.0%Unchanged
Sigma Planning Corp20,424$1.16M0.03%+15,624+325.5%Added
Sit Investment Associates Inc21,600$1.23M0.02%00.0%Unchanged
LPL Financial LLC21,715$1.23M0.00%+2,331+12.0%Added
California State Teachers Retirement System22,120$1.26M0.00%+6,579+42.3%Added
Stableford Capital II LLC22,359$1.27M0.47%−665−2.9%Reduced
Polen Capital Management LLC24,324$1.38M0.01%+6,849+39.2%Added
New York State Common Retirement Fund25,288$1.44M0.00%00.0%Unchanged
Geode Capital Management, LLC27,998$1.59M0.00%−72−0.3%Reduced
Guided Capital Wealth Management, LLC28,367$1.61M1.06%−17,123−37.6%Reduced
Campbell & CO Investment Adviser LLC28,625$1.63M0.09%+28,625New
Engineers Gate Manager LP29,267$1.66M0.02%+11,399+63.8%Added
Ameriprise Financial Inc31,131$1.77M0.00%+5,381+20.9%Added
AQR Capital Management LLC33,143$1.88M0.00%+18,528+126.8%Added