Who owns Establishment Labs Holdings Inc. (ESTA)
Which tracked institutional funds hold ESTA, how they are positioned, and who is buying versus exiting — from SEC Form 13F-HR filings. See ESTA company fundamentals →
Ownership as of the 2026-Q1 13F filings (latest filed 2026-05-18). 13F is disclosed up to 45 days after quarter-end, so the most recent quarter fills in over the following weeks.
How the tape is positioned
35 tracked funds added or opened ESTA while 76 trimmed or exited it between 2025-Q4 and 2026-Q1 — the tape is split. When large holders disagree on a name, the funds moving first are sometimes ahead of the story.
A prompt to read the filings, not a verdict. 13F is a quarter-end snapshot disclosed up to 45 days late; a fund adds or exits for mandate, benchmark, and timing reasons that have nothing to do with a view on the stock. This is a starting question, not a signal to trade.
Conviction spread
ESTA’s largest tracked holder by dollar value, JW Asset Management, LLC, sizes it at 71.4% of its own reported 13F book, while the median holder sizes it at 0.0% of theirs — a 71.3pp conviction gap — its largest holder concentrates the name more heavily than the typical one.
Book-share is each fund’s reported value in ESTA divided by its whole reported 13F book, so it is comparable across funds of different sizes and is unaffected by stock splits. A higher share means a fund has committed more of its book to the name — a starting question about conviction, not a verdict or a signal to trade.
Institutional & insider positioning
Between 2025-Q4 and 2026-Q1, across 175 tracked filers holding ESTA, 95 increased or opened the position and 83 reduced or closed it; over the same quarter, open-market insider Form 4 buying and selling roughly offset.
This fuses two public signals for the same quarter — how tracked institutions changed their positions and whether insiders bought or sold in the open market. It describes what was filed; it is a starting question, not a verdict or a signal to trade.
New buyers & exits
Funds opening or closing a position in ESTA between the 2025-Q4 and 2026-Q1 13F filings, and the largest changes among funds holding it in both. New buyers and exits are counted on fund presence (split-invariant); adds and trims are measured on reported value.
New buyers 15
- BRAIDWELL LP$26M
- Qube Research & Technologies Ltd$13M
- Squarepoint Ops LLC$3M
- RENAISSANCE TECHNOLOGIES LLC$3M
- VANGUARD PORTFOLIO MANAGEMENT LLC$3M
- XTX Topco Ltd$3M
Full exits 9
- Point72 Asset Management, L.P.$18M
- TWO SIGMA ADVISERS, LP$15M
- Science & Technology Partners, L.P.$14M
- DISCOVERY CAPITAL MANAGEMENT, LLC / CT$11M
- VANGUARD GROUP INC$5M
- PRINCIPAL FINANCIAL GROUP INC$5M
Largest adds
- MILLENNIUM MANAGEMENT LLC$20M
- CITADEL ADVISORS LLC$17M
- JANE STREET GROUP, LLC$10M
- JPMORGAN CHASE & CO$9M
- Tejara Capital Ltd$8M
- UBS Group AG$5M
Largest trims
- BROWN ADVISORY INC$59M
- Capital Research Global Investors$53M
- JW Asset Management, LLC$49M
- RTW INVESTMENTS, LP$38M
- FINDELL CAPITAL MANAGEMENT LLC$26M
- Nantahala Capital Management, LLC$25M
Institutional holders
One row per tracked fund, largest reported value first. “% of value” is the fund’s share of this security’s tracked institutional value — not of shares outstanding. Rows marked stale are from an earlier filing than the security’s latest quarter — that fund is absent from the newest snapshot (position exited, or reported under a different name).
| Fund | Shares | Reported value | % of value | Quarter |
|---|---|---|---|---|
| JW Asset Management, LLC | 3,061,694 | $174M | 10.5% | 2026-Q1 |
| RTW INVESTMENTS, LP added | 2,655,695 | $151M | 9.1% | 2026-Q1 |
| BROWN ADVISORY INC trimmed | 1,526,872 | $87M | 5.3% | 2026-Q1 |
| Tyro Capital Management LLC added | 1,151,309 | $65M | 4.0% | 2026-Q1 |
| FINDELL CAPITAL MANAGEMENT LLC trimmed | 997,747 | $57M | 3.4% | 2026-Q1 |
| BAMCO INC /NY/ added | 964,167 | $55M | 3.3% | 2026-Q1 |
| Nantahala Capital Management, LLC trimmed | 832,956 | $47M | 2.9% | 2026-Q1 |
| Mudita Advisors LLP added | 764,563 | $43M | 2.6% | 2026-Q1 |
| WILLIAM BLAIR INVESTMENT MANAGEMENT, LLC added | 688,927 | $39M | 2.4% | 2026-Q1 |
| GOLDMAN SACHS GROUP INC trimmed | 632,280 | $36M | 2.2% | 2026-Q1 |
| JANE STREET GROUP, LLC added | 627,700 | $36M | 2.2% | 2026-Q1 |
| CITADEL ADVISORS LLC added | 549,287 | $31M | 1.9% | 2026-Q1 |
| RICE HALL JAMES & ASSOCIATES, LLC trimmed | 548,674 | $31M | 1.9% | 2026-Q1 |
| TORONTO DOMINION BANK | 540,024 | $31M | 1.9% | 2026-Q1 |
| BRAIDWELL LP new | 463,600 | $26M | 1.6% | 2026-Q1 |
| TWO SIGMA INVESTMENTS, LP added | 431,485 | $24M | 1.5% | 2026-Q1 |
| ROYCE & ASSOCIATES LP added | 427,472 | $24M | 1.5% | 2026-Q1 |
| BANK OF AMERICA CORP /DE/ added | 416,840 | $24M | 1.4% | 2026-Q1 |
| D. E. Shaw & Co., Inc. trimmed | 407,781 | $23M | 1.4% | 2026-Q1 |
| MORGAN STANLEY added | 406,337 | $23M | 1.4% | 2026-Q1 |
| SUMMIT PARTNERS PUBLIC ASSET MANAGEMENT, LLC added | 392,805 | $22M | 1.4% | 2026-Q1 |
| MILLENNIUM MANAGEMENT LLC added | 368,298 | $21M | 1.3% | 2026-Q1 |
| Woodson Capital Management, LP trimmed | 350,000 | $20M | 1.2% | 2026-Q1 |
| JPMORGAN CHASE & CO added | 362,899 | $20M | 1.2% | 2026-Q1 |
| Nuveen, LLC trimmed | 322,675 | $18M | 1.1% | 2026-Q1 |
| Tejara Capital Ltd added | 308,623 | $18M | 1.1% | 2026-Q1 |
| First Light Asset Management, LLC trimmed | 307,738 | $17M | 1.1% | 2026-Q1 |
| GILDER GAGNON HOWE & CO LLC added | 268,533 | $15M | 0.9% | 2026-Q1 |
| GARNET EQUITY CAPITAL HOLDINGS, INC. added | 264,442 | $15M | 0.9% | 2026-Q1 |
| FRANKLIN RESOURCES INC added | 239,214 | $14M | 0.8% | 2026-Q1 |
| BOOTHBAY FUND MANAGEMENT, LLC trimmed | 231,980 | $13M | 0.8% | 2026-Q1 |
| MARSHALL WACE, LLP added | 231,428 | $13M | 0.8% | 2026-Q1 |
| Qube Research & Technologies Ltd added | 228,565 | $13M | 0.8% | 2026-Q1 |
| ADAR1 Capital Management, LLC added | 213,473 | $12M | 0.7% | 2026-Q1 |
| RAYMOND JAMES FINANCIAL INC added | 215,634 | $12M | 0.7% | 2026-Q1 |
| BNP PARIBAS FINANCIAL MARKETS added | 206,756 | $12M | 0.7% | 2026-Q1 |
| TUDOR INVESTMENT CORP ET AL trimmed | 171,430 | $10M | 0.6% | 2026-Q1 |
| UBS Group AG added | 147,657 | $8M | 0.5% | 2026-Q1 |
| Granite Investment Partners, LLC trimmed | 143,549 | $8M | 0.5% | 2026-Q1 |
| STATE OF WISCONSIN INVESTMENT BOARD trimmed | 138,520 | $8M | 0.5% | 2026-Q1 |
| Trexquant Investment LP added | 135,867 | $8M | 0.5% | 2026-Q1 |
| CenterBook Partners LP added | 134,973 | $8M | 0.5% | 2026-Q1 |
| Pier Capital, LLC trimmed | 133,567 | $8M | 0.5% | 2026-Q1 |
| Voleon Capital Management LP added | 128,644 | $7M | 0.4% | 2026-Q1 |
| BlackRock, Inc. added | 127,523 | $7M | 0.4% | 2026-Q1 |
| KORNITZER CAPITAL MANAGEMENT INC /KS trimmed | 116,646 | $7M | 0.4% | 2026-Q1 |
| Union Square Park Capital Management, LLC | 90,000 | $7M | 0.4% | 2026-Q1 |
| BARCLAYS PLC added | 108,867 | $6M | 0.4% | 2026-Q1 |
| HRT FINANCIAL LP added | 108,802 | $6M | 0.4% | 2026-Q1 |
| Redmile Group, LLC trimmed | 103,464 | $6M | 0.4% | 2026-Q1 |
| Capital Research Global Investors trimmed | 102,895 | $6M | 0.4% | 2026-Q1 |
| DEUTSCHE BANK AG\ trimmed | 101,531 | $6M | 0.3% | 2026-Q1 |
| Affinity Asset Advisors, LLC trimmed | 100,000 | $6M | 0.3% | 2026-Q1 |
| Buckley Capital Advisors, LLC | 94,000 | $5M | 0.3% | 2026-Q1 |
| Jump Financial, LLC added | 88,076 | $5M | 0.3% | 2026-Q1 |
| Hood River Capital Management LLC added | 87,179 | $5M | 0.3% | 2026-Q1 |
| NORTHERN TRUST CORP trimmed | 81,884 | $5M | 0.3% | 2026-Q1 |
| ExodusPoint Capital Management, LP trimmed | 79,027 | $4M | 0.3% | 2026-Q1 |
| Schonfeld Strategic Advisors LLC added | 68,488 | $4M | 0.2% | 2026-Q1 |
| Squarepoint Ops LLC added | 59,535 | $3M | 0.2% | 2026-Q1 |
| Strategic Wealth Partners, Ltd. added | 58,057 | $3M | 0.2% | 2026-Q1 |
| RENAISSANCE TECHNOLOGIES LLC added | 55,800 | $3M | 0.2% | 2026-Q1 |
| Simplify Asset Management Inc. trimmed | 53,009 | $3M | 0.2% | 2026-Q1 |
| VANGUARD PORTFOLIO MANAGEMENT LLC new | 52,276 | $3M | 0.2% | 2026-Q1 |
| XTX Topco Ltd new | 51,355 | $3M | 0.2% | 2026-Q1 |
| Assenagon Asset Management S.A. trimmed | 51,305 | $3M | 0.2% | 2026-Q1 |
| UBS AM, a distinct business unit of UBS ASSET MANAGEMENT AMERICAS LLC added | 48,415 | $3M | 0.2% | 2026-Q1 |
| SEI INVESTMENTS CO trimmed | 47,260 | $3M | 0.2% | 2026-Q1 |
| STATE STREET CORP trimmed | 45,130 | $3M | 0.2% | 2026-Q1 |
| PURA VIDA INVESTMENTS, LLC | 45,000 | $3M | 0.2% | 2026-Q1 |
| SummitTX Capital, L.P. added | 44,923 | $3M | 0.2% | 2026-Q1 |
| Brevan Howard Capital Management LP new | 43,726 | $2M | 0.2% | 2026-Q1 |
| NorthRock Partners, LLC trimmed | 38,931 | $2M | 0.1% | 2026-Q1 |
| SG Americas Securities, LLC added | 37,928 | $2M | 0.1% | 2026-Q1 |
| Swiss National Bank | 34,200 | $2M | 0.1% | 2026-Q1 |
| Sofinnova Investments, Inc. added | 33,930 | $2M | 0.1% | 2026-Q1 |
| AQR CAPITAL MANAGEMENT LLC added | 32,899 | $2M | 0.1% | 2026-Q1 |
| AMERIPRISE FINANCIAL INC added | 31,131 | $2M | 0.1% | 2026-Q1 |
| Engineers Gate Manager LP added | 29,267 | $2M | 0.1% | 2026-Q1 |
| Campbell & CO Investment Adviser LLC added | 28,625 | $2M | 0.1% | 2026-Q1 |
| Guided Capital Wealth Management, LLC trimmed | 28,367 | $2M | 0.1% | 2026-Q1 |
| GEODE CAPITAL MANAGEMENT, LLC trimmed | 27,998 | $2M | 0.1% | 2026-Q1 |
| NEW YORK STATE COMMON RETIREMENT FUND | 25,288 | $1M | 0.1% | 2026-Q1 |
| Polar Capital Holdings Plc | 546,519 | $22M | 1.4% | 2025-Q1 stale |
| BALYASNY ASSET MANAGEMENT L.P. added | 488,688 | $21M | 1.3% | 2025-Q2 stale |
| Point72 Asset Management, L.P. trimmed | 249,762 | $18M | 1.1% | 2025-Q4 stale |
| TWO SIGMA ADVISERS, LP added | 201,800 | $15M | 0.9% | 2025-Q4 stale |
| VIKING GLOBAL INVESTORS LP | 343,465 | $14M | 0.9% | 2025-Q3 stale |
| Science & Technology Partners, L.P. new | 193,071 | $14M | 0.9% | 2025-Q4 stale |
| DISCOVERY CAPITAL MANAGEMENT, LLC / CT | 155,275 | $11M | 0.7% | 2025-Q4 stale |
| VOYA INVESTMENT MANAGEMENT LLC trimmed | 208,723 | $9M | 0.5% | 2025-Q1 stale |
| Divisadero Street Capital Management, LP | 147,858 | $6M | 0.4% | 2025-Q3 stale |
| Soleus Capital Management, L.P. trimmed | 139,512 | $6M | 0.3% | 2025-Q3 stale |
| VANGUARD GROUP INC added | 68,061 | $5M | 0.3% | 2025-Q4 stale |
| PRINCIPAL FINANCIAL GROUP INC trimmed | 67,126 | $5M | 0.3% | 2025-Q4 stale |
| Vestal Point Capital, LP trimmed | 100,000 | $4M | 0.2% | 2025-Q3 stale |
| GMT CAPITAL CORP | 98,766 | $4M | 0.2% | 2025-Q3 stale |
| 4D Advisors, LLC trimmed | 55,000 | $4M | 0.2% | 2025-Q4 stale |
| FEDERATED HERMES, INC. added | 40,649 | $2M | 0.1% | 2025-Q3 stale |
| KENNEDY CAPITAL MANAGEMENT LLC trimmed | 39,467 | $2M | 0.1% | 2025-Q3 stale |
Ownership over time
Tracked institutional holder count and total shares held by filing quarter (independent scales). The curated-era tail and any mid-ingest latest quarter are handled honestly — a partial quarter is not drawn as a collapse.
Reading this table
Funds hold the same stock for different reasons — an index fund “holds” almost everything, an active manager sizes a name to a mandate and a benchmark, and each fund entered at its own price and time. Because 13F is filed up to 45 days after quarter-end, every row is a backward-looking snapshot; a manager may have traded since. Share-class siblings (a company’s A and C shares) are rolled up to one line so a dual-class name is never double-counted. Compare like-for-like. A large holder is not an endorsement, and a fund exiting is not a warning — this is a starting question, not a verdict.
About 13F filings
A Form 13F is a quarterly disclosure that institutional investment managers with over $100 million in US-listed equities must file with the SEC. In plain English: it is a snapshot of the long stock positions a fund held at the end of a quarter. It covers long US-listed equities only — not short positions, options, cash, or private holdings — and the funds shown are the large sample we track, not the complete 13F universe.