Ranked by reported Q2 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 | 2.7M | $231.1M | -12.0% | 9.150% | 72.24% |
| 2 | RTW INVESTMENTS, LP | 2.7M | $227.9M | 0.0% | 9.024% | 1.95% |
| 3 | BlackRock, Inc. | 1.6M | $135.8M | +1140.6% | 5.375% | 0.00% |
| 4 | BROWN ADVISORY INC | 1.3M | $112.7M | -14.0% | 4.462% | 0.17% |
| 5 | FINDELL CAPITAL MANAGEMENT LLC | 1.1M | $94.0M | +9.8% | 3.724% | 13.24% |
| 6 | Mudita Advisors LLP | 723K | $62.0M | -5.4% | 2.457% | 12.90% |
| 7 | WILLIAM BLAIR INVESTMENT MANAGEMENT, LLC | 714K | $61.3M | +3.6% | 2.426% | 0.18% |
| 8 | Rubric Capital Management LP | 688K | $59.1M | — | 2.339% | 0.54% |
| 9 | FRANKLIN RESOURCES INC | 614K | $52.7M | +156.5% | 2.085% | 0.01% |
| 10 | BANK OF AMERICA CORP /DE/ | 608K | $52.2M | +45.9% | 2.066% | 0.00% |
| 11 | Tyro Capital Management LLC | 606K | $52.0M | -74.8% | 2.058% | 11.66% |
| 12 | D. E. Shaw & Co., Inc. | 567K | $48.6M | +39.0% | 1.926% | 0.02% |
| 13 | RICE HALL JAMES & ASSOCIATES, LLC | 561K | $48.1M | +2.2% | 1.906% | 2.34% |
| 14 | UBS Group AG | 549K | $47.1M | +271.8% | 1.865% | 0.01% |
| 15 | TORONTO DOMINION BANK | 540K | $46.3M | 0.0% | 1.835% | 0.05% |
| 16 | SUMMIT PARTNERS PUBLIC ASSET MANAGEMENT, LLC | 491K | $42.2M | +25.1% | 1.670% | 0.74% |
| 17 | ROYCE & ASSOCIATES LP | 472K | $40.5M | +10.5% | 1.605% | 0.33% |
| 18 | STATE STREET CORP | 455K | $39.1M | +908.9% | 1.547% | 0.00% |
| 19 | TWO SIGMA INVESTMENTS, LP | 448K | $38.5M | +3.9% | 1.524% | 0.03% |
| 20 | JANE STREET GROUP, LLC | 432K | $37.1M | -45.6% | 1.469% | 0.00% |
| 21 | GEODE CAPITAL MANAGEMENT, LLC | 386K | $33.1M | +1279.2% | 1.312% | 0.00% |
| 22 | GILDER GAGNON HOWE & CO LLC | 342K | $29.3M | +27.4% | 1.162% | 0.30% |
| 23 | Nantahala Capital Management, LLC | 336K | $28.8M | -59.7% | 1.141% | 0.48% |
| 24 | Nuveen, LLC | 321K | $27.6M | -0.4% | 1.092% | 0.01% |
| 25 | MORGAN STANLEY | 299K | $25.7M | -26.3% | 1.017% | 0.00% |
denotes a marquee investor (Buffett, Burry, ARK, Tiger Global, Pershing Square, Baupost and other widely-followed managers). “% of Fund” shows how much of that investor’s total 13F portfolio is invested in ESTA — a direct measure of their conviction.
Filings activity in ESTA during Q2 2026, grouped by how each filer changed its position.
Institutions that opened a new ESTA position in Q2 2026
Institutions that fully closed their ESTA position in Q2 2026
8 quarters of 13F filings · Δ columns show change vs prior quarter
| Quarter | Inst. Holders | Δ Holders | Ownership % | Δ Ownership | Total 13F Value | Δ Value |
|---|---|---|---|---|---|---|
| Q2 2026 | 198 | +11% | 96.99% | 4.93 pp | $2.29B | +36% |
| Q1 2026 | 178 | +2.9% | 101.92% | +0.44 pp | $1.69B | 22% |
| Q4 2025 | 173 | +19% | 101.48% | +8.90 pp | $2.16B | +96% |
| Q3 2025 | 145 | +5.8% | 92.58% | +1.58 pp | $1.10B | 1.6% |
| Q2 2025 | 137 | +1.5% | 91.00% | 1.30 pp | $1.12B | +2.8% |
| Q1 2025 | 135 | +14% | 92.30% | +3.18 pp | $1.09B | 7.6% |
| Q4 2024 | 118 | 4.8% | 89.12% | +4.28 pp | $1.18B | +15% |
| Q3 2024 | 124 | — | 84.84% | — | $1.02B | — |
Source: SEC 13F institutional filings. Ownership % requires market cap data and will show once linked. Δ columns compare to the immediately prior filed quarter.
Quick answers to the most common questions about buying ESTA stock.
Based on Q2 2026 13F filings, institutional ownership of Establishment Labs Holdings Inc. stands at 97.0%, held across 198 reporting institutions.
JW Asset Management, LLC is the largest reported institutional holder of ESTA, with approximately 2,692,856 shares worth $0.23B as of Q2 2026.
Yes — 2 widely-followed marquee investors appear among the top 25 institutional holders of ESTA, including TWO SIGMA INVESTMENTS, LP, JANE STREET GROUP, LLC.
Our composite Smart Money Score for ESTA is 49 out of 100 (Neutral). It combines net institutional buying activity, ownership shift, marquee investor presence, and holder-count growth.
53 institutions opened new positions in ESTA during Q2 2026, while 31 fully exited. 120 added to existing positions and 22 trimmed.
ESTA institutional ownership fell by 4.93 percentage points quarter-over-quarter, with a net change of +20 holders.
The top 10 institutions account for 47.5% of all reported 13F value in ESTA, and the top 25 account for 72.9%.
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