ESTABLISHMENT LABS HLDGS INC (ESTA)
Institutional ownership reported to the SEC as of Q2 2026, across 31 quarters.
194
Reporting holders
$2.3B
Reported value
89.9%
Of shares outstanding
1.8%
Held as options
+22
Holder change
Institutions report 26,780,361 shares against 29,801,891 outstanding. Shares only - option lines are excluded, which is why this can be compared with the company at all. The count comes from the cover page of the company's own most recent report, so it is dated when that was filed rather than at quarter end. A figure this high can overstate: where an adviser and a sub-adviser both report the same shares, both are counted.
Options share is the part of reported value carried in derivative lines rather than shares. A high figure means institutions are expressing a view on this security without owning much of it.
Holders
| Filer | Value | Shares | Their book | Held | Change |
|---|---|---|---|---|---|
| JW Asset Management, LLC | $231.1M | 2,692,856 | 72.24% | 31q | -12.0%-$31.6M |
| RTW INVESTMENTS, LP | $227.9M | 2,655,695 | 1.95% | 31q | HELD |
| BlackRock, Inc. | $135.8M | 1,582,005 | 0.00% | 8q | +1140.6%+$124.8M |
| BROWN ADVISORY INC | $112.7M | 1,313,148 | 0.17% | 27q | -14.0%-$18.3M |
| FINDELL CAPITAL MANAGEMENT LLC | $94.0M | 1,096,000 | 13.24% | 11q | +9.8%+$8.4M |
| Mudita Advisors LLP | $62.0M | 723,063 | 12.90% | 19q | -5.4%-$3.6M |
| WILLIAM BLAIR INVESTMENT MANAGEMENT, LLC | $61.3M | 714,051 | 0.18% | 10q | +3.6%+$2.2M |
| Rubric Capital Management LP | $59.1M | 688,325 | 0.54% | new | NEW |
| Nantahala Capital Management, LLC | $57.6M | 671,660 | 0.96% | 31q | -19.4%-$13.8M |
| FRANKLIN RESOURCES INC | $52.7M | 613,698 | 0.01% | 3q | +156.5%+$32.1M |
| BANK OF AMERICA CORP /DE/ | $52.2M | 608,040 | 0.00% | 21q | +45.9%+$16.4M |
| Tyro Capital Management LLC | $52.0M | 605,559 | 11.66% | 6q | -73.7%-$145.6M |
| D. E. Shaw & Co., Inc. | $48.6M | 566,910 | 0.02% | 5q | +39.0%+$13.7M |
| RICE HALL JAMES & ASSOCIATES, LLC | $48.1M | 560,935 | 2.34% | 25q | +2.2%+$1.1M |
| UBS Group AG | $47.1M | 548,960 | 0.01% | 28q | +271.8%+$34.4M |
| TORONTO DOMINION BANK | $46.3M | 540,024 | 0.05% | 7q | HELD |
| SUMMIT PARTNERS PUBLIC ASSET MANAGEMENT, LLC | $42.2M | 491,486 | 0.74% | 10q | +25.1%+$8.5M |
| ROYCE & ASSOCIATES LP | $40.5M | 472,316 | 0.33% | 7q | +10.5%+$3.8M |
| STATE STREET CORP | $39.1M | 455,315 | 0.00% | 21q | +908.9%+$35.2M |
| TWO SIGMA INVESTMENTS, LP | $38.5M | 448,425 | 0.03% | 4q | +3.9%+$1.5M |
| JANE STREET GROUP, LLC | $37.1M | 361,302 | 0.00% | 4q | -42.4%-$27.4M |
| GEODE CAPITAL MANAGEMENT, LLC | $33.1M | 386,142 | 0.00% | 25q | +1279.2%+$30.7M |
| GILDER GAGNON HOWE & CO LLC | $29.3M | 342,033 | 0.30% | 3q | +27.4%+$6.3M |
| Nuveen, LLC | $27.6M | 321,498 | 0.01% | 6q | HELD |
| MORGAN STANLEY | $25.7M | 299,347 | 0.00% | 32q | -26.3%-$9.2M |
| BAMCO INC /NY/ | $24.6M | 286,098 | 0.04% | 21q | -70.3%-$58.2M |
| BNP PARIBAS FINANCIAL MARKETS | $24.0M | 279,169 | 0.01% | 21q | +35.0%+$6.2M |
| Woodson Capital Management, LP | $23.6M | 275,000 | 3.95% | 5q | -21.4%-$6.4M |
| Assenagon Asset Management S.A. | $23.3M | 271,794 | 0.01% | 7q | +429.8%+$18.9M |
| BOOTHBAY FUND MANAGEMENT, LLC | $21.7M | 253,091 | 0.29% | 14q | +9.1%+$1.8M |
| First Light Asset Management, LLC | $21.2M | 246,577 | 1.29% | 6q | -19.9%-$5.2M |
| VANGUARD PORTFOLIO MANAGEMENT LLC | $20.8M | 242,438 | 0.00% | 2q | +363.8%+$16.3M |
| NORTHERN TRUST CORP | $20.2M | 235,169 | 0.00% | 31q | +187.2%+$13.2M |
| CITADEL ADVISORS LLC | $17.7M | 100,838 | 0.00% | 23q | -81.6%-$78.8M |
| RAYMOND JAMES FINANCIAL INC | $17.2M | 200,694 | 0.00% | 7q | -6.9%-$1.3M |
| Capital Research Global Investors | $16.2M | 189,029 | 0.00% | 10q | +83.7%+$7.4M |
| JPMORGAN CHASE & CO | $16.0M | 181,748 | 0.00% | 21q | -49.9%-$15.9M |
| ADAR1 Capital Management, LLC | $15.9M | 185,619 | 0.73% | 6q | -13.0%-$2.4M |
| Voleon Capital Management LP | $14.9M | 173,778 | 0.27% | 4q | +35.1%+$3.9M |
| GARNET EQUITY CAPITAL HOLDINGS, INC. | $14.6M | 170,490 | 2.76% | 5q | -35.5%-$8.1M |
| GOLDMAN SACHS GROUP INC | $14.4M | 167,277 | 0.00% | 23q | -73.5%-$39.9M |
| SUSQUEHANNA INTERNATIONAL GROUP, LLP | $14.2M | 4,864 | 0.00% | 23q | HELD |
| Affinity Asset Advisors, LLC | $12.7M | 148,013 | 0.57% | 22q | +48.0%+$4.1M |
| HEALTHCARE OF ONTARIO PENSION PLAN TRUST FUND | $12.5M | 145,300 | 0.02% | new | NEW |
| Granite Investment Partners, LLC | $12.3M | 143,485 | 0.63% | 6q | HELD |
| Pier Capital, LLC | $11.5M | 133,810 | 1.52% | 5q | HELD |
| BARCLAYS PLC | $11.3M | 131,867 | 0.00% | 13q | +21.1%+$2.0M |
| Tejara Capital Ltd | $11.2M | 130,979 | 4.62% | 6q | -57.6%-$15.2M |
| DEUTSCHE BANK AG\ | $11.0M | 128,138 | 0.00% | 13q | +26.2%+$2.3M |
| STATE OF WISCONSIN INVESTMENT BOARD | $10.8M | 125,967 | 0.02% | 10q | -9.1%-$1.1M |
| Hood River Capital Management LLC | $10.1M | 117,321 | 0.07% | 9q | +34.6%+$2.6M |
| KORNITZER CAPITAL MANAGEMENT INC /KS | $9.9M | 115,530 | 0.21% | 31q | -1.0%-$95.8K |
| Divisadero Street Capital Management, LP | $9.2M | 106,675 | 0.21% | new | NEW |
| Union Square Park Capital Management, LLC | $9.0M | 105,000 | 3.24% | 10q | HELD |
| FIRST TRUST ADVISORS LP | $8.5M | 99,004 | 0.00% | new | NEW |
| Trexquant Investment LP | $8.4M | 97,791 | 0.05% | 3q | -28.0%-$3.3M |
| Redmile Group, LLC | $7.6M | 88,964 | 0.51% | 10q | -14.0%-$1.2M |
| RENAISSANCE TECHNOLOGIES LLC | $7.1M | 82,300 | 0.01% | 2q | +47.5%+$2.3M |
| Walleye Capital LLC | $6.9M | 80,123 | 0.02% | new | NEW |
| Walleye Trading LLC | $6.4M | options only | 0.01% | 3q | OPTIONS |
| Bank of New York Mellon Corp | $5.8M | 68,145 | 0.00% | new | NEW |
| CHARLES SCHWAB INVESTMENT MANAGEMENT INC | $5.6M | 65,816 | 0.00% | new | NEW |
| Sixth Street Partners Management Company, L.P. | $5.6M | 65,816 | 0.00% | new | NEW |
| Simplify Asset Management Inc. | $5.2M | 60,540 | 0.07% | 4q | +14.2%+$646.2K |
| Strategic Wealth Partners, Ltd. | $4.9M | 56,533 | 0.30% | 6q | -2.6%-$130.8K |
| Invesco Ltd. | $4.8M | 56,212 | 0.00% | new | NEW |
| Caption Management, LLC | $4.8M | options only | 0.02% | 3q | OPTIONS |
| SEI INVESTMENTS CO | $4.5M | 51,879 | 0.00% | 10q | +9.8%+$396.4K |
| PURA VIDA INVESTMENTS, LLC | $3.9M | 45,000 | 10.44% | 32q | HELD |
| WELLS FARGO & COMPANY/MN | $3.7M | 42,745 | 0.00% | 22q | +78.9%+$1.6M |
| Squarepoint Ops LLC | $3.5M | 40,784 | 0.00% | 2q | -31.5%-$1.6M |
| SummitTX Capital, L.P. | $3.5M | 40,400 | 0.09% | 3q | -10.1%-$388.1K |
| AQR CAPITAL MANAGEMENT LLC | $3.4M | 39,321 | 0.00% | 5q | +18.6%+$530.1K |
| NorthRock Partners, LLC | $3.2M | 36,931 | 0.05% | 22q | -5.1%-$171.6K |
| Swiss National Bank | $3.2M | 36,800 | 0.00% | 21q | +7.6%+$223.1K |
| Jump Financial, LLC | $3.1M | 36,150 | 0.02% | 3q | -59.0%-$4.5M |
| NEW YORK STATE COMMON RETIREMENT FUND | $3.0M | 34,888 | 0.00% | 6q | +38.0%+$823.8K |
| RHUMBLINE ADVISERS | $2.8M | 33,118 | 0.00% | new | NEW |
| Engineers Gate Manager LP | $2.7M | 31,458 | 0.04% | 3q | +7.5%+$188.0K |
| Guided Capital Wealth Management, LLC | $2.4M | 28,361 | 1.42% | 6q | HELD |
| Dauntless Investment Group, LLC | $2.2M | 25,728 | 1.73% | 3q | +172.9%+$1.4M |
| VANGUARD FIDUCIARY TRUST CO | $2.2M | 25,642 | 0.00% | new | NEW |
| ExodusPoint Capital Management, LP | $2.2M | 25,461 | 0.01% | 3q | -67.8%-$4.6M |
| Buckley Capital Advisors, LLC | $2.1M | 25,000 | 1.33% | 3q | -73.4%-$5.9M |
| LPL Financial LLC | $2.1M | 24,638 | 0.00% | 4q | +13.5%+$250.8K |
| AMERIPRISE FINANCIAL INC | $2.1M | 24,253 | 0.00% | 14q | -61.0%-$3.3M |
| Qube Research & Technologies Ltd | $2.0M | 23,100 | 0.00% | 2q | -89.9%-$17.6M |
| POLEN CAPITAL MANAGEMENT LLC | $1.9M | 22,541 | 0.02% | 3q | -7.3%-$153.0K |
| Kerrisdale Advisers, LLC | $1.7M | 20,390 | 0.44% | new | NEW |
| ALLIANCEBERNSTEIN L.P. | $1.7M | 29,955 | 0.00% | new | NEW |
| ADAGE CAPITAL PARTNERS GP, L.L.C. | $1.6M | 18,079 | 0.00% | new | NEW |
| Legal & General Group Plc | $1.4M | 16,839 | 0.00% | 21q | +35.7%+$380.1K |
| IMC-Chicago, LLC | $1.4M | options only | 0.00% | 3q | OPTIONS |
| XTX Topco Ltd | $1.4M | 16,002 | 0.02% | 2q | -68.8%-$3.0M |
| MetLife Investment Management, LLC | $1.4M | 15,868 | 0.01% | new | NEW |
| STABLEFORD CAPITAL II LLC | $1.3M | 15,395 | 0.46% | 10q | -31.1%-$597.6K |
| NewEdge Advisors, LLC | $1.2M | 13,871 | 0.00% | new | NEW |
| AlTi Global, Inc. | $1.2M | 13,829 | 0.02% | 2q | -6.7%-$85.5K |
| Headlands Technologies LLC | $1.2M | 13,681 | 0.12% | new | NEW |
| CITIGROUP INC | $1.2M | 13,432 | 0.00% | 8q | +74.1%+$490.5K |
Five percent filings
Anyone crossing 5% of a company must say so within days - far sooner than the next quarterly holdings report. A 13D declares an intent to influence the company; a 13G is the passive version. See all activist filings →
| Filed | Form | Filer | % of class |
|---|---|---|---|
| 2026-07-31 | 13G | JW Asset Management, LLCwith 4 co-filers | 9.2% |
| 2026-07-28 | 13G | BlackRock, Inc. | 5.4% |
Quarter by quarter
Coverage begins with the quarter ending 2018-12-31. Earlier filings exist only as occasional late amendments, too sparse to describe a market, so they are not shown.
| Quarter | Holders | Value | Shares | New | Added | Trimmed | Options |
|---|---|---|---|---|---|---|---|
| Q2 2026 | 194 | $2.3B | 26,780,361 | 55 | 63 | 46 | 1.8% |
| Q1 2026 | 172 | $1.8B | 27,772,909 | 30 | 59 | 49 | 14.4% |
| Q4 2025 | 170 | $2.2B | 26,282,818 | 45 | 34 | 59 | 12.1% |
| Q3 2025 | 142 | $1.1B | 26,781,162 | 20 | 39 | 43 | 0.8% |
| Q2 2025 | 133 | $1.1B | 26,425,218 | 20 | 49 | 22 | 0.8% |
| Q1 2025 | 136 | $1.2B | 26,574,161 | 31 | 41 | 23 | 6.2% |
| Q4 2024 | 124 | $1.3B | 26,308,421 | 19 | 44 | 28 | 7.0% |
| Q3 2024 | 122 | $1.1B | 24,900,858 | 27 | 36 | 29 | 2.6% |
| Q2 2024 | 115 | $1.2B | 26,871,505 | 21 | 38 | 32 | 1.1% |
| Q1 2024 | 115 | $1.4B | 25,101,153 | 33 | 36 | 25 | 7.7% |
| Q4 2023 | 98 | $703.5M | 23,515,090 | 25 | 23 | 28 | 13.5% |
| Q3 2023 | 101 | $1.1B | 20,657,426 | 12 | 38 | 27 | 5.1% |
| Q2 2023 | 103 | $1.4B | 20,142,080 | 16 | 39 | 28 | 1.4% |
| Q1 2023 | 100 | $1.3B | 18,247,103 | 16 | 36 | 29 | 1.9% |
| Q4 2022 | 93 | $1.2B | 17,368,569 | 17 | 34 | 23 | 1.7% |
| Q3 2022 | 94 | $1.0B | 18,331,296 | 15 | 35 | 25 | 1.6% |
| Q2 2022 | 99 | $1.0B | 18,419,570 | 13 | 42 | 23 | 3.0% |
| Q1 2022 | 105 | $1.2B | 17,017,646 | 17 | 45 | 27 | 7.6% |
| Q4 2021 | 101 | $1.3B | 17,963,225 | 23 | 34 | 23 | 3.4% |
| Q3 2021 | 97 | $1.1B | 14,948,874 | 13 | 49 | 20 | 2.5% |
| Q2 2021 | 99 | $1.3B | 15,017,781 | 36 | 29 | 17 | 2.7% |
| Q1 2021 | 69 | $900.6M | 13,838,940 | 31 | 14 | 14 | 3.5% |
| Q4 2020 | 51 | $509.0M | 12,959,959 | 12 | 5 | 16 | 2.7% |
| Q3 2020 | 42 | $248.3M | 12,867,425 | 5 | 13 | 11 | 0.0% |
| Q2 2020 | 41 | $249.5M | 12,827,018 | 8 | 11 | 12 | 0.0% |
| Q1 2020 | 44 | $191.7M | 12,537,565 | 15 | 16 | 7 | 0.0% |
| Q4 2019 | 35 | $285.8M | 10,022,024 | 11 | 10 | 6 | 0.0% |
| Q3 2019 | 33 | $182.9M | 9,150,750 | 8 | 9 | 6 | 0.0% |
| Q2 2019 | 29 | $218.8M | 9,519,599 | 8 | 10 | 7 | 0.0% |
| Q1 2019 | 26 | $152.8M | 5,974,450 | 3 | 8 | 7 | 0.0% |
| Q4 2018 | 25 | $128.3M | 4,732,774 | 1 | 2 | 2 | 0.0% |