Ranked by reported Q1 2026 13F market value
Share of total reported institutional value in ESTA held by the largest 10 / 25 filers.
| # | Institution | Shares Held | Market Value | QoQ Change | Ownership % | % of Fund |
|---|---|---|---|---|---|---|
| 1 | JW Asset Management, LLC | 3.1M | $173.8M | 0.0% | 10.419% | 71.39% |
| 2 | RTW INVESTMENTS, LP | 2.7M | $150.8M | +2.6% | 9.038% | 1.50% |
| 3 | Tyro Capital Management LLC | 2.4M | $136.3M | +15.6% | 8.172% | 29.26% |
| 4 | BROWN ADVISORY INC | 1.5M | $86.7M | -23.4% | 5.196% | 0.14% |
| 5 | FINDELL CAPITAL MANAGEMENT LLC | 998K | $56.7M | -11.7% | 3.395% | 16.59% |
| 6 | BAMCO INC /NY/ | 964K | $54.7M | +0.3% | 3.281% | 0.17% |
| 7 | Nantahala Capital Management, LLC | 833K | $47.3M | -15.7% | 2.835% | 2.43% |
| 8 | Mudita Advisors LLP | 765K | $43.4M | +9.3% | 2.602% | 8.86% |
| 9 | CITADEL ADVISORS LLC | 732K | $41.6M | β | 2.492% | 0.02% |
| 10 | WILLIAM BLAIR INVESTMENT MANAGEMENT, LLC | 689K | $39.1M | +7.7% | 2.345% | 0.13% |
| 11 | GOLDMAN SACHS GROUP INC | 632K | $35.9M | -22.1% | 2.152% | 0.00% |
| 12 | RICE HALL JAMES & ASSOCIATES, LLC | 549K | $31.2M | -15.8% | 1.867% | 1.73% |
| 13 | TORONTO DOMINION BANK | 540K | $30.7M | 0.0% | 1.838% | 0.04% |
| 14 | BRAIDWELL LP | 464K | $26.3M | β | 1.578% | 0.88% |
| 15 | TWO SIGMA INVESTMENTS, LP | 431K | $24.5M | +47.6% | 1.468% | 0.02% |
| 16 | ROYCE & ASSOCIATES LP | 427K | $24.3M | +19.2% | 1.455% | 0.24% |
| 17 | BANK OF AMERICA CORP /DE/ | 417K | $23.7M | +56.7% | 1.419% | 0.00% |
| 18 | D. E. Shaw & Co., Inc. | 408K | $23.2M | -16.4% | 1.388% | 0.02% |
| 19 | MORGAN STANLEY | 406K | $23.1M | +7.4% | 1.383% | 0.00% |
| 20 | SUMMIT PARTNERS PUBLIC ASSET MANAGEMENT, LLC | 393K | $22.3M | +0.2% | 1.337% | 1.18% |
| 21 | MILLENNIUM MANAGEMENT LLC | 380K | $21.6M | β | 1.294% | 0.01% |
| 22 | Woodson Capital Management, LP | 350K | $19.9M | -6.7% | 1.191% | 3.17% |
| 23 | Nuveen, LLC | 323K | $18.3M | -8.3% | 1.098% | 0.00% |
| 24 | Tejara Capital Ltd | 309K | $17.5M | +146.3% | 1.050% | 5.78% |
| 25 | First Light Asset Management, LLC | 308K | $17.5M | -17.5% | 1.047% | 1.57% |
denotes a marquee investor (Buffett, Burry, ARK, Tiger Global, Pershing Square, Baupost and other widely-followed managers). β% of Fundβ shows how much of that investorβs total 13F portfolio is invested in ESTA β a direct measure of their conviction.
Filings activity in ESTA during Q1 2026, grouped by how each filer changed its position.
Institutions that opened a new ESTA position in Q1 2026
Institutions that fully closed their ESTA position in Q1 2026
8 quarters of 13F filings Β· Ξ columns show change vs prior quarter
| Quarter | Inst. Holders | Ξ Holders | Ownership % | Ξ Ownership | Total 13F Value | Ξ Value |
|---|---|---|---|---|---|---|
| Q1 2026 | 170 | +0.6% | 63.60% | 19.06 pp | $1.54B | 23% |
| Q4 2025 | 169 | +18% | 82.66% | +37.43 pp | $2.00B | +83% |
| Q3 2025 | 143 | +4.4% | 45.23% | 1.12 pp | $1.09B | 2.4% |
| Q2 2025 | 137 | +1.5% | 46.35% | +1.29 pp | $1.12B | +2.8% |
| Q1 2025 | 135 | +14% | 45.06% | 3.71 pp | $1.09B | 7.6% |
| Q4 2024 | 118 | 4.8% | 48.77% | +6.50 pp | $1.18B | +15% |
| Q3 2024 | 124 | +2.5% | 42.27% | +0.33 pp | $1.02B | +0.8% |
| Q2 2024 | 121 | β | 41.94% | β | $1.01B | β |
Source: SEC 13F institutional filings. Ownership % requires market cap data and will show once linked. Ξ columns compare to the immediately prior filed quarter.
Quick answers to the most common questions about buying ESTA stock.
Based on Q1 2026 13F filings, institutional ownership of Establishment Labs Holdings Inc. stands at 63.6%, held across 170 reporting institutions.
JW Asset Management, LLC is the largest reported institutional holder of ESTA, with approximately 3,061,694 shares worth $0.17B as of Q1 2026.
Yes β 3 widely-followed marquee investors appear among the top 25 institutional holders of ESTA, including CITADEL ADVISORS LLC, TWO SIGMA INVESTMENTS, LP, MILLENNIUM MANAGEMENT LLC.
Our composite Smart Money Score for ESTA is 51 out of 100 (Neutral). It combines net institutional buying activity, ownership shift, marquee investor presence, and holder-count growth.
34 institutions opened new positions in ESTA during Q1 2026, while 33 fully exited. 31 added to existing positions and 104 trimmed.
ESTA institutional ownership fell by 19.06 percentage points quarter-over-quarter, with a net change of +1 holders.
The top 10 institutions account for 54.1% of all reported 13F value in ESTA, and the top 25 account for 77.5%.
All data is sourced from SEC Form 13F filings, which institutional investment managers with at least $100M in assets are required to file each quarter. We process every 13F filing from EDGAR and recompute the aggregates after each cycle. Insider transactions are sourced from Form 4 filings.
Establishment Labs Holdings Inc. (ESTA) Institutional Ownership