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DaveManuel.com · Institutional Ownership · Who Owns It

ESTABLISHMENT LABS HLDGS INC (ESTA)

Institutional ownership reported to the SEC as of Q2 2026, across 32 quarters.

200
Reporting holders
$2.5B
Reported value
95.8%
Of shares outstanding
1.1%
Calls
0.6%
Puts
+18
Holder change

Institutions report 28,547,039 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.

Calls and puts are the parts of reported value carried in derivative lines rather than shares, and they point in opposite directions: a manager holding calls is positioned for the security, one holding puts against it - or hedging shares they already own, which is why index funds carry so many. Most sites add the two together and report one figure, which averages away the only interesting part.

Holders

Download these holders as CSV

FilerValueShares Their book Held Change
JW Asset Management, LLC$231.1M2,692,85672.24%31q-12.0%-$31.6M
RTW INVESTMENTS, LP$227.9M2,655,6951.95%31qHELD
BlackRock, Inc.$135.8M1,582,0050.00%8q+1140.6%+$124.8M
PRICE T ROWE ASSOCIATES INC /MD/$131.6M1,533,4970.01%newNEW
BROWN ADVISORY INC$112.7M1,313,1480.17%27q-14.0%-$18.3M
FINDELL CAPITAL MANAGEMENT LLC$94.0M1,096,00013.24%11q+9.8%+$8.4M
Mudita Advisors LLP$62.0M723,06312.90%19q-5.4%-$3.6M
WILLIAM BLAIR INVESTMENT MANAGEMENT, LLC$61.3M714,0510.18%10q+3.6%+$2.2M
Rubric Capital Management LP$59.1M688,3250.54%newNEW
Nantahala Capital Management, LLC$57.6M671,6600.96%31q-19.4%-$13.8M
FRANKLIN RESOURCES INC$52.7M613,6980.01%3q+156.5%+$32.1M
BANK OF AMERICA CORP /DE/$52.2M608,0400.00%21q+45.9%+$16.4M
Tyro Capital Management LLC$52.0M605,55911.66%6q-47.4%-$46.8M
D. E. Shaw & Co., Inc.$48.6M566,9100.02%5q+39.0%+$13.7M
RICE HALL JAMES & ASSOCIATES, LLC$48.1M560,9352.34%25q+2.2%+$1.1M
UBS Group AG$47.1M548,9600.01%28q+271.8%+$34.4M
TORONTO DOMINION BANK$46.3M540,0240.05%7qHELD
SUMMIT PARTNERS PUBLIC ASSET MANAGEMENT, LLC$42.2M491,4860.74%10q+25.1%+$8.5M
ROYCE & ASSOCIATES LP$40.5M472,3160.33%7q+10.5%+$3.8M
STATE STREET CORP$39.1M455,3150.00%21q+908.9%+$35.2M
TWO SIGMA INVESTMENTS, LP$38.5M448,4250.03%4q+3.9%+$1.5M
JANE STREET GROUP, LLC$37.1M
incl. $6.1M options CALL+PUT
361,3020.00%4q-42.4%-$27.4M
GEODE CAPITAL MANAGEMENT, LLC$33.1M386,1420.00%25q+1279.2%+$30.7M
GILDER GAGNON HOWE & CO LLC$29.3M342,0330.30%3q+27.4%+$6.3M
Nuveen, LLC$27.6M321,4980.01%6qHELD
MORGAN STANLEY$25.7M299,3470.00%32q-26.3%-$9.2M
BAMCO INC /NY/$24.6M286,0980.04%21q-70.3%-$58.2M
BNP PARIBAS FINANCIAL MARKETS$24.0M279,1690.01%21q+35.0%+$6.2M
Woodson Capital Management, LP$23.6M275,0003.95%5q-21.4%-$6.4M
Assenagon Asset Management S.A.$23.3M271,7940.01%7q+429.8%+$18.9M
BOOTHBAY FUND MANAGEMENT, LLC$21.7M253,0910.29%14q+9.1%+$1.8M
First Light Asset Management, LLC$21.2M246,5771.29%6q-19.9%-$5.2M
VANGUARD PORTFOLIO MANAGEMENT LLC$20.8M242,4380.00%2q+363.8%+$16.3M
HRT FINANCIAL LP$20.2M235,9800.04%3q+116.9%+$10.9M
NORTHERN TRUST CORP$20.2M235,1690.00%31q+187.2%+$13.2M
CITADEL ADVISORS LLC$17.7M
incl. $9.1M options CALL+PUT
100,8380.00%23q-81.6%-$78.8M
RAYMOND JAMES FINANCIAL INC$17.2M200,6940.00%7q-6.9%-$1.3M
Capital Research Global Investors$16.2M189,0290.00%10q+83.7%+$7.4M
JPMORGAN CHASE & CO$16.0M181,7480.00%21q-49.9%-$15.9M
ADAR1 Capital Management, LLC$15.9M185,6190.73%6q-13.0%-$2.4M
Voleon Capital Management LP$14.9M173,7780.27%4q+35.1%+$3.9M
GARNET EQUITY CAPITAL HOLDINGS, INC.$14.6M170,4902.76%5q-35.5%-$8.1M
GOLDMAN SACHS GROUP INC$14.4M167,2770.00%23q-73.5%-$39.9M
SUSQUEHANNA INTERNATIONAL GROUP, LLP$14.2M
incl. $13.8M options CALL+PUT
4,8640.00%23qHELD
Affinity Asset Advisors, LLC$12.7M148,0130.57%22q+48.0%+$4.1M
HEALTHCARE OF ONTARIO PENSION PLAN TRUST FUND$12.5M145,3000.02%newNEW
Granite Investment Partners, LLC$12.3M143,4850.63%6qHELD
Pier Capital, LLC$11.5M133,8101.52%5qHELD
BARCLAYS PLC$11.3M131,8670.00%13q+21.1%+$2.0M
Tejara Capital Ltd$11.2M130,9794.62%6q-57.6%-$15.2M
DEUTSCHE BANK AG\$11.0M128,1380.00%13q+26.2%+$2.3M
STATE OF WISCONSIN INVESTMENT BOARD$10.8M125,9670.02%10q-9.1%-$1.1M
Hood River Capital Management LLC$10.1M117,3210.07%9q+34.6%+$2.6M
KORNITZER CAPITAL MANAGEMENT INC /KS$9.9M115,5300.21%31q-1.0%-$95.8K
Divisadero Street Capital Management, LP$9.2M106,6750.21%newNEW
Union Square Park Capital Management, LLC$9.0M105,0003.24%10qHELD
FIRST TRUST ADVISORS LP$8.5M99,0040.00%newNEW
Trexquant Investment LP$8.4M97,7910.05%3q-28.0%-$3.3M
Redmile Group, LLC$7.6M88,9640.51%10q-14.0%-$1.2M
RENAISSANCE TECHNOLOGIES LLC$7.1M82,3000.01%2q+47.5%+$2.3M
Walleye Capital LLC$6.9M
incl. $34.3K options PUT
80,1230.02%newNEW
Walleye Trading LLC$6.4M CALL+PUToptions only0.01%3qOPTIONS
Bank of New York Mellon Corp$5.8M68,1450.00%newNEW
CHARLES SCHWAB INVESTMENT MANAGEMENT INC$5.6M65,8160.00%newNEW
Simplify Asset Management Inc.$5.2M60,5400.07%4q+14.2%+$646.2K
Strategic Wealth Partners, Ltd.$4.9M56,5330.30%6q-2.6%-$130.8K
Invesco Ltd.$4.8M56,2120.00%newNEW
Caption Management, LLC$4.8M CALL+PUToptions only0.02%3qOPTIONS
SEI INVESTMENTS CO$4.5M51,8790.00%10q+9.8%+$396.4K
PURA VIDA INVESTMENTS, LLC$3.9M45,00010.44%32qHELD
WELLS FARGO & COMPANY/MN$3.7M42,7450.00%22q+257.8%+$2.6M
Squarepoint Ops LLC$3.5M40,7840.00%2q-31.5%-$1.6M
SummitTX Capital, L.P.$3.5M40,4000.09%3q-10.1%-$388.1K
AQR CAPITAL MANAGEMENT LLC$3.4M39,3210.00%5q+18.6%+$530.1K
NorthRock Partners, LLC$3.2M36,9310.05%22q-5.1%-$171.6K
Swiss National Bank$3.2M36,8000.00%21q+7.6%+$223.1K
Jump Financial, LLC$3.1M36,1500.02%3q-59.0%-$4.5M
NEW YORK STATE COMMON RETIREMENT FUND$3.0M34,8880.00%6q+38.0%+$823.8K
RHUMBLINE ADVISERS$2.8M33,1180.00%newNEW
Engineers Gate Manager LP$2.7M31,4580.04%3q+7.5%+$188.0K
Guided Capital Wealth Management, LLC$2.4M28,3611.42%6qHELD
Dauntless Investment Group, LLC$2.2M25,7281.73%3q+172.9%+$1.4M
VANGUARD FIDUCIARY TRUST CO$2.2M25,6420.00%newNEW
ExodusPoint Capital Management, LP$2.2M25,4610.01%3q-67.8%-$4.6M
Buckley Capital Advisors, LLC$2.1M25,0001.33%3q-73.4%-$5.9M
LPL Financial LLC$2.1M24,6380.00%4q+13.5%+$250.8K
AMERIPRISE FINANCIAL INC$2.1M24,2530.00%14q-22.1%-$590.2K
Qube Research & Technologies Ltd$2.0M23,1000.00%2q-89.9%-$17.6M
POLEN CAPITAL MANAGEMENT LLC$1.9M22,5410.02%3q-7.3%-$153.0K
CALIFORNIA STATE TEACHERS RETIREMENT SYSTEM$1.9M22,4930.00%20q+1.7%+$32.0K
SIT INVESTMENT ASSOCIATES INC$1.9M21,6000.04%10qHELD
Kerrisdale Advisers, LLC$1.7M20,3900.44%newNEW
ALLIANCEBERNSTEIN L.P.$1.7M29,9550.00%newNEW
ADAGE CAPITAL PARTNERS GP, L.L.C.$1.6M18,0790.00%newNEW
Legal & General Group Plc$1.4M16,8390.00%21q+35.7%+$380.1K
IMC-Chicago, LLC$1.4M CALLoptions only0.00%3qOPTIONS
XTX Topco Ltd$1.4M16,0020.02%2q-68.8%-$3.0M
MetLife Investment Management, LLC$1.4M15,8680.01%newNEW
STABLEFORD CAPITAL II LLC$1.3M15,3950.46%10q-31.1%-$597.6K
NewEdge Advisors, LLC$1.2M13,8710.00%7q+34.9%+$307.8K

Showing the largest 100 of 200 reported holders.

What the company announced

Form 8-K filings from the last 120 days, showing only the items worth a reader's attention. Earnings releases, exhibit attachments and general disclosures are filed constantly and are left out. Filed is when the SEC received it; event is the date the company says the thing happened.

FiledEvent dateWhatSource
2026-10-152026-10-14Material agreement enteredfiling

What the insiders did

Open market purchases and sales reported on Form 4 in the last 180 days. Grants, option exercises and shares surrendered to cover tax are left out: they are compensation rather than a decision to buy or sell. Where a broker filled one order in tranches the lines are summed, because it was one decision.

Ten percent owners and entities

Usually an institution that crossed a reporting threshold, or a company taking a strategic stake, rather than an individual with a view.

DateInsiderRoleSideSharesValue
2026-05-28JW Asset Management, LLCOtherSold65,100$4.7M
2026-05-26JW Asset Management, LLCOtherSold25,320$1.9M
2026-05-21JW Asset Management, LLC10% ownerSold16,999$1.2M
2026-05-20JW Asset Management, LLC10% ownerSold3,580$252.6K

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.

QuarterHoldersValue SharesNewAdded TrimmedOptions
Q3 202628$12.4M193,9716770.0%
Q2 2026200$2.5B28,547,0395367471.7%
Q1 2026182$1.7B26,781,15632635111.3%
Q4 2025178$2.2B26,461,41246376212.0%
Q3 2025151$1.1B26,881,2542041480.8%
Q2 2025143$1.1B26,563,1802252250.8%
Q1 2025145$1.2B26,650,9003341286.3%
Q4 2024131$1.3B26,450,4921948307.2%
Q3 2024132$1.1B25,053,5612839332.7%
Q2 2024126$1.2B27,166,0782641341.2%
Q1 2024124$1.4B25,309,8533936288.0%
Q4 2023105$712.6M23,753,14429252913.7%
Q3 2023109$1.1B20,783,1561439295.3%
Q2 2023111$1.4B20,253,5731740311.5%
Q1 2023112$1.3B18,601,3882039322.2%
Q4 2022105$1.2B18,589,7282134312.1%
Q3 202290$1.0B18,011,5051533231.6%
Q2 202296$2.5B44,819,5361240231.3%
Q1 2022103$1.2B16,999,3511743277.6%
Q4 202199$4.1B59,862,7372334221.1%
Q3 202195$1.1B14,938,0251348202.5%
Q2 202197$1.3B15,009,4203429172.7%
Q1 202169$900.6M13,838,9403114143.5%
Q4 202051$509.0M12,959,959125162.7%
Q3 202042$248.3M12,867,425513110.0%
Q2 202041$249.5M12,827,018811120.0%
Q1 202044$191.7M12,537,565151670.0%
Q4 201935$285.8M10,022,024111060.0%
Q3 201933$182.9M9,150,7508960.0%
Q2 201929$218.8M9,519,59981070.0%
Q1 201926$152.8M5,974,4503870.0%
Q4 201825$128.3M4,732,7741220.0%