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Institutional Ownership · SEC Form 13F

Who owns Establishment Labs Holdings (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-Q2 13F filings (latest filed 2026-09-22). 13F is disclosed up to 45 days after quarter-end, so the most recent quarter fills in over the following weeks.

188
Institutional holders
28M
Shares held (tracked funds)
94.8%
Of shares outstanding

How the tape is positioned

96 tracked funds added or opened ESTA while 39 trimmed or exited it between 2026-Q1 and 2026-Q2 — 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 72.2% of its own reported 13F book, while the median holder sizes it at 0.0% of theirs — a 72.2pp 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 2026-Q1 and 2026-Q2, across 188 tracked filers holding ESTA, 121 increased or opened the position and 91 reduced or closed it; over the same quarter, open-market insider Form 4s were net sales.

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 2026-Q1 and 2026-Q2 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 23

  • PRICE T ROWE ASSOCIATES INC /MD/$132M
  • Rubric Capital Management LP$59M
  • HEALTHCARE OF ONTARIO PENSION PLAN TRUST FUND$12M
  • Divisadero Street Capital Management, LP$9M
  • FIRST TRUST ADVISORS LP$8M
  • Walleye Capital LLC$7M

Full exits 20

  • BRAIDWELL LP$26M
  • MILLENNIUM MANAGEMENT LLC$21M
  • TUDOR INVESTMENT CORP ET AL$10M
  • HRT FINANCIAL LP$6M
  • Brevan Howard Capital Management LP$2M
  • SG Americas Securities, LLC$2M

Largest adds

  • BlackRock, Inc.$129M
  • RTW INVESTMENTS, LP$77M
  • JW Asset Management, LLC$57M
  • FRANKLIN RESOURCES INC$39M
  • UBS Group AG$39M
  • FINDELL CAPITAL MANAGEMENT LLC$37M

Largest trims

  • BAMCO INC /NY/$30M
  • GOLDMAN SACHS GROUP INC$22M
  • CITADEL ADVISORS LLC$21M
  • Nantahala Capital Management, LLC$18M
  • Tyro Capital Management LLC$13M
  • MARSHALL WACE, LLP$13M

Institutional holders

One row per tracked fund, most shares held first (every row is from one quarter; reported value breaks ties). “% of value” is the fund’s share of this security’s tracked institutional value — not of shares outstanding.

FundSharesReported value% of valueQuarter
JW Asset Management, LLC trimmed2,692,856$231M9.8%2026-Q2
RTW INVESTMENTS, LP2,655,695$228M9.7%2026-Q2
BlackRock, Inc. added1,582,005$136M5.8%2026-Q2
PRICE T ROWE ASSOCIATES INC /MD/ new1,533,497$132M5.6%2026-Q2
BROWN ADVISORY INC trimmed1,313,148$113M4.8%2026-Q2
FINDELL CAPITAL MANAGEMENT LLC added1,096,000$94M4.0%2026-Q2
Mudita Advisors LLP trimmed723,063$62M2.6%2026-Q2
WILLIAM BLAIR INVESTMENT MANAGEMENT, LLC added714,051$61M2.6%2026-Q2
Rubric Capital Management LP new688,325$59M2.5%2026-Q2
FRANKLIN RESOURCES INC added613,698$53M2.2%2026-Q2
BANK OF AMERICA CORP /DE/ added608,040$52M2.2%2026-Q2
Tyro Capital Management LLC trimmed605,559$52M2.2%2026-Q2
D. E. Shaw & Co., Inc. added566,910$49M2.1%2026-Q2
RICE HALL JAMES & ASSOCIATES, LLC added560,935$48M2.0%2026-Q2
UBS Group AG added548,960$47M2.0%2026-Q2
TORONTO DOMINION BANK540,024$46M2.0%2026-Q2
SUMMIT PARTNERS PUBLIC ASSET MANAGEMENT, LLC added491,486$42M1.8%2026-Q2
ROYCE & ASSOCIATES LP added472,316$41M1.7%2026-Q2
STATE STREET CORP added455,315$39M1.7%2026-Q2
TWO SIGMA INVESTMENTS, LP added448,425$38M1.6%2026-Q2
GEODE CAPITAL MANAGEMENT, LLC added386,142$33M1.4%2026-Q2
JANE STREET GROUP, LLC trimmed361,302$31M1.3%2026-Q2
GILDER GAGNON HOWE & CO LLC added342,033$29M1.2%2026-Q2
Nantahala Capital Management, LLC trimmed335,830$29M1.2%2026-Q2
Nuveen, LLC trimmed321,498$28M1.2%2026-Q2
MORGAN STANLEY trimmed299,347$26M1.1%2026-Q2
BAMCO INC /NY/ trimmed286,098$25M1.0%2026-Q2
BNP PARIBAS FINANCIAL MARKETS added279,169$24M1.0%2026-Q2
Woodson Capital Management, LP trimmed275,000$24M1.0%2026-Q2
BOOTHBAY FUND MANAGEMENT, LLC added253,091$22M0.9%2026-Q2
First Light Asset Management, LLC trimmed246,577$21M0.9%2026-Q2
VANGUARD PORTFOLIO MANAGEMENT LLC added242,438$21M0.9%2026-Q2
NORTHERN TRUST CORP added235,169$20M0.9%2026-Q2
RAYMOND JAMES FINANCIAL INC trimmed200,694$17M0.7%2026-Q2
Capital Research Global Investors added189,029$16M0.7%2026-Q2
ADAR1 Capital Management, LLC trimmed185,619$16M0.7%2026-Q2
JPMORGAN CHASE & CO trimmed181,748$16M0.7%2026-Q2
Voleon Capital Management LP added173,778$15M0.6%2026-Q2
GARNET EQUITY CAPITAL HOLDINGS, INC. trimmed170,490$15M0.6%2026-Q2
GOLDMAN SACHS GROUP INC trimmed167,277$14M0.6%2026-Q2
Affinity Asset Advisors, LLC added148,013$13M0.5%2026-Q2
HEALTHCARE OF ONTARIO PENSION PLAN TRUST FUND added145,300$12M0.5%2026-Q2
Granite Investment Partners, LLC trimmed143,485$12M0.5%2026-Q2
Assenagon Asset Management S.A. added135,897$12M0.5%2026-Q2
Pier Capital, LLC added133,810$11M0.5%2026-Q2
BARCLAYS PLC added131,867$11M0.5%2026-Q2
Tejara Capital Ltd trimmed130,979$11M0.5%2026-Q2
DEUTSCHE BANK AG\ added128,138$11M0.5%2026-Q2
STATE OF WISCONSIN INVESTMENT BOARD trimmed125,967$11M0.5%2026-Q2
Hood River Capital Management LLC added117,321$10M0.4%2026-Q2
KORNITZER CAPITAL MANAGEMENT INC /KS trimmed115,530$10M0.4%2026-Q2
Divisadero Street Capital Management, LP trimmed106,675$9M0.4%2026-Q2
Union Square Park Capital Management, LLC added105,000$9M0.4%2026-Q2
CITADEL ADVISORS LLC trimmed100,838$9M0.4%2026-Q2
FIRST TRUST ADVISORS LP new99,004$8M0.4%2026-Q2
Trexquant Investment LP trimmed97,791$8M0.4%2026-Q2
Redmile Group, LLC trimmed88,964$8M0.3%2026-Q2
RENAISSANCE TECHNOLOGIES LLC added82,300$7M0.3%2026-Q2
Walleye Capital LLC added80,123$7M0.3%2026-Q2
Bank of New York Mellon Corp new68,145$6M0.2%2026-Q2
CHARLES SCHWAB INVESTMENT MANAGEMENT INC new65,816$6M0.2%2026-Q2
Simplify Asset Management Inc. added60,540$5M0.2%2026-Q2
Strategic Wealth Partners, Ltd. trimmed56,533$5M0.2%2026-Q2
Invesco Ltd. new56,212$5M0.2%2026-Q2
SEI INVESTMENTS CO added51,879$4M0.2%2026-Q2
PURA VIDA INVESTMENTS, LLC45,000$4M0.2%2026-Q2
WELLS FARGO & COMPANY/MN added42,745$4M0.2%2026-Q2
Squarepoint Ops LLC trimmed40,784$3M0.1%2026-Q2
SummitTX Capital, L.P. trimmed40,400$3M0.1%2026-Q2
AQR CAPITAL MANAGEMENT LLC added39,321$3M0.1%2026-Q2
NorthRock Partners, LLC trimmed36,931$3M0.1%2026-Q2
Swiss National Bank added36,800$3M0.1%2026-Q2
Jump Financial, LLC trimmed36,150$3M0.1%2026-Q2
NEW YORK STATE COMMON RETIREMENT FUND added34,888$3M0.1%2026-Q2
RHUMBLINE ADVISERS added33,118$3M0.1%2026-Q2
Engineers Gate Manager LP added31,458$3M0.1%2026-Q2
ALLIANCEBERNSTEIN L.P. new29,955$2M0.1%2026-Q2
Guided Capital Wealth Management, LLC trimmed28,361$2M0.1%2026-Q2
Dauntless Investment Group, LLC added25,728$2M0.1%2026-Q2
VANGUARD FIDUCIARY TRUST CO new25,642$2M0.1%2026-Q2
ExodusPoint Capital Management, LP trimmed25,461$2M0.1%2026-Q2
Buckley Capital Advisors, LLC trimmed25,000$2M0.1%2026-Q2
LPL Financial LLC added24,638$2M0.1%2026-Q2
AMERIPRISE FINANCIAL INC trimmed24,253$2M0.1%2026-Q2
Qube Research & Technologies Ltd trimmed23,100$2M0.1%2026-Q2
POLEN CAPITAL MANAGEMENT LLC trimmed22,541$2M0.1%2026-Q2
CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM added22,493$2M0.1%2026-Q2
Kerrisdale Advisers, LLC new20,390$2M0.1%2026-Q2
ADAGE CAPITAL PARTNERS GP, L.L.C. trimmed18,079$2M0.1%2026-Q2
Legal & General Group Plc added16,839$1M0.1%2026-Q2
XTX Topco Ltd trimmed16,002$1M0.1%2026-Q2
MetLife Investment Management, LLC new15,868$1M0.1%2026-Q2
STABLEFORD CAPITAL II LLC trimmed15,395$1M0.1%2026-Q2
NewEdge Advisors, LLC added13,871$1M0.1%2026-Q2
AlTi Global, Inc. trimmed13,829$1M0.1%2026-Q2
Headlands Technologies LLC new13,681$1M0.0%2026-Q2
CITIGROUP INC added13,432$1M0.0%2026-Q2
Exome Asset Management LLC13,100$1M0.0%2026-Q2
HCR Wealth Advisors12,639$1M0.0%2026-Q2
MANUFACTURERS LIFE INSURANCE COMPANY, THE added12,429$1M0.0%2026-Q2

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.

HoldersTotal shares

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.

Learn how to read institutional ownership