Stock Analysis
Data Source: SEC EDGAR 13F
Updated Hourly

Establishment Labs Hldgs Inc (ESTA)

176 + Investors. Track Smart Money conviction in ESTA. See who's accumulating, reducing, or initiating positions.

Current Price
-- USD
Analyst Target
-- (0 analysts)
Upside
0.00%
Net Flow Q/Q
↑ +2
Streak
3Q ▲
Buyers last Q
52%

Smart Money Signals — ESTA

Based on 177 hedge funds · latest filing: 2026 Q1 · updated quarterly

📈

Buying streak — 3 quarters in a row

last 6Q
For 3 consecutive quarters, more hedge funds added ESTA than sold it. That's a consistent pattern of professional buying — not a one-time trade. When institutions keep buying quarter after quarter, it usually means they see a multi-year opportunity, not just a short-term momentum flip.
🏔️

At the ownership peak (100% of max)

100% of all-time peak
177 hedge funds hold ESTA right now — the highest count in 3.0 years. When ownership is this concentrated, any bad news can trigger a chain reaction: one big fund sells, others follow. This is a classic 'crowded trade' — high popularity doesn't equal safety.
🚀

Fast accumulation — +25% more funds vs a year ago

fund count last 6Q
+35 new funds entered over the past year (+25% YoY). That's a rapid rush of institutional money. Fast accumulation often signals a major thesis — but it also means the stock could fall quickly if that thesis breaks.
🟡

Slight buying edge — 52% buying

97 buying89 selling
Last quarter: 97 funds bought or added vs 89 that reduced or exited. It's nearly a 50/50 split — some institutions are convinced, others are taking profits. This mixed picture is normal near price highs.
⚠️

Fewer new buyers each quarter (-16 vs last Q)

new funds entering per quarter
Funds opening this position for the first time: 23 → 21 → 50 → 34. Each quarter fewer new institutions are entering. This usually means most funds that wanted in are already in — the stock is well-known but the pool of potential new buyers is shrinking.
🔒

47% of holders stayed for 2+ years

■ 47% conviction (2yr+) ■ 26% medium ■ 27% new
83 out of 177 hedge funds have held ESTA for over 2 years without selling. Long-term investors are generally harder to shake out during market stress, creating a stable ownership base that limits the risk of sudden capitulation.
💎

Buying through price weakness — shares +0%, value -22%

Value
-22%
Shares
+0%
Last quarter: funds added +0% more shares while total portfolio value only changed -22%. Institutions were buying while the price was falling — a high-conviction accumulation signal. They're deliberately loading up on the dip.
🚀

Acceleration phase — new buyers rushing in

36 → 23 → 21 → 50 → 34 new funds/Q
New funds entering each quarter: 23 → 21 → 50 → 34. The pace of institutional discovery is accelerating sharply. This is the 'hot idea' phase — the thesis is being passed from fund to fund. You are not late — the accumulation wave is still building.
🏛️

Veteran-anchored — 55% veterans vs 32% newcomers

■ 55% veterans ■ 13% 1-2yr ■ 32% new
Entry-cohort mix of 186 holders: 102 (55%) are 2+ year veterans, 24 entered 1–2 years ago, and 60 (32%) joined within the past year. A veteran-weighted cap table skews toward institutional memory over fresh momentum.
📋

Smaller funds dominant — 18% AUM from top-100

18% from top-100 AUM funds
31 of 173 holders rank in the top 100 by AUM, but together hold only 18% of total institutional value. The stock is held primarily by smaller and mid-sized funds.
4.1
out of 10
Moderate Exit Risk
Exit risk score 4.1/10 — some crowding factors present, but no critical concentration. Watch ownership trend over the next 1–2 quarters for direction.

Methodology note: these Smart Money cards use consecutive 13F disclosure snapshots, not trade-by-trade execution data. "Buying", "selling", "new holders", and "trimmed" refer to quarter-over-quarter changes in reported holders, aggregate shares, or disclosed position values between filings. They are useful for ownership regime analysis and crowding, but they do not imply exact trade timing on the filing date.

Institutional Sentiment Summary — ESTA

In 2026 Q1, 97 hedge funds were net buyers of ESTA (34 opened a new position, 63 added to an existing one), while 89 reduced or exited (57 trimmed, 32 sold completely) — a 52% buyer ratio, indicating a slight buying edge. This marks 3 consecutive quarters of net institutional buying — a persistent conviction signal. Net fund flow last quarter: +2 funds (more new holders than closures). Total institutional holders: 177.

Hedge Fund Ownership: ESTA

How many hedge funds hold ESTA — quarterly history vs. share price
Quarterly hedge fund ownership of ESTA vs. share price

Market Analysis: ESTA

Analyst Price Targets

Avg. Price Target
--

Analyst Recommendations

Stock Performance

Real-time

Company Profile: ESTA

-- --

Institutional ownership data sourced from SEC EDGAR Form 13F-HR filings.

Is It Too Late to Buy Establishment Labs Hldgs Inc (ESTA) Based on Hedge Fund 13F Filings?

Signal Freshness measures how much ESTA has moved relative to its sector benchmark (XLV) since the 2026 Q1 13F filing. A stock that has barely outrun its sector is still a relatively fresh entry point — the fund's thesis has not yet been priced in by the broader market.

Since Quarter End March 31, 2026 · 77d ago
ESTA
+45.4%
XLV
+4.3%

ESTA outperformed XLV by +41.1% since March 31, 2026.

Since 13F Filing Date May 15, 2026 · 32d ago
ESTA
+25.6%
XLV
+5.4%

Since the filing became public, ESTA outperformed XLV by +20.2% .

Interpretation: The stock has meaningfully outrun its sector. The trade has partially played out; entry is at a premium to the fund's implied reference. Learn more →

Smart Money Signal ?
Limited Smart Money Interest

No strong consensus or elite conviction detected among institutional holders.

19 top-rated funds 4 high-conviction
Consensus
5.6
/ 10
breadth
×
Elite
4.2
/ 10
conviction
Hedge Fund Positioning: ESTA
176 + Investors

Track Smart Money conviction in ESTA. See who's accumulating, reducing, or initiating positions.

Metric All 13F Filers (2026 Q1) Prior (2025 Q4) Change
Funds Holding 176 175 0.57%
13F Shares 30M 30M 0.1%
Total Value $1.69B $2.17B -22.03%
New Positions 33 50 -17
Increased Positions 61 42 +19
Closed Positions 32 23 +9
Reduced Positions 54 60 -6
Total Calls 8 5 60.0%
Total Puts 5 8 -37.5%
PUT/CALL Ratio 0.62 1.6 Bullish

Statistics: ESTA

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Valuation Measures Data as of: --

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Enterprise Value/EBITDA --
Beta (5Y Monthly) --
Short Ratio (Days to Cover) --
Short % of Float --

Financial Highlights

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Profit Margin --
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Total Cash (mrq) --
Total Debt/Equity (mrq) --
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Institutional Holders (2026 Q1)

176 + investors

Explore institutional interest and hedge fund ownership dynamics. Analyze portfolio weights, new positions, and conviction trends in ESTA. Verified SEC 13F-HR filings.

QUARTER:
Top 25 ESTA holders by conviction (% of portfolio weight) — 2026 Q1 · Source: SEC Form 13F
# Investor % of Portfolio Shares Mkt Value
1 JW Asset Management, LLC 71.39% 3,061,694 $173.8M
2 Pura Vida Investments, LLC 17.17% 45,000 $2.6M
3 Findell Capital Management LLC 16.59% 997,747 $56.7M
4 Mudita Advisors LLP 8.86% 764,563 $43.4M
5 Tyro Capital Management LLC 7.71% 1,250,000 $71.0M
6 Tyro Capital Management LLC 7.10% 1,151,309 $65.4M
7 Tejara Capital Ltd 5.78% 308,623 $17.5M
8 Buckley Capital Advisors, LLC 3.84% 94,000 $5.3M
9 Union Square Park Capital Management, LLC 3.15% 90,000 $6.6M
10 Woodson Capital Management, LP 3.12% 350,000 $19.9M
11 Garnet Equity Capital Holdings, INC. 2.34% 264,442 $15.0M
12 Nantahala Capital Management, LLC 1.74% 832,956 $47.3M
13 Rice Hall James & Associates, LLC 1.73% 548,674 $31.2M
14 First Light Asset Management, LLC 1.57% 307,738 $17.5M
15 Rtw Investments, LP 1.50% 2,655,695 $150.8M
16 Cannon Global Investment Management, LLC 1.44% 13,000 $738K
17 Pier Capital, LLC 1.25% 133,567 $7.6M
18 Stonepine Capital Management, LLC 1.14% 50,000 $2.8M
19 Guided Capital Wealth Management, LLC 1.06% 28,367 $1.6M
20 Braidwell LP 0.88% 463,600 $26.3M
21 ADAR1 Capital Management, LLC 0.71% 213,473 $12.1M
22 Summit Partners Public Asset Management, LLC 0.60% 392,805 $22.3M
23 Granite Investment Partners, LLC 0.50% 143,549 $8.2M
24 Stableford Capital II LLC 0.47% 22,359 $1.3M
25 CenterBook Partners LP 0.41% 134,973 $7.7M
Investor Ownership
History 		% of Portfolio Prev % Rank Conviction Avg Buy Price 13F Score™ 3Y / 7Y Sell Timing Shares Mkt Value Change Change % Source Quarter Filed

Frequently Asked Questions — Establishment Labs Hldgs Inc (ESTA)

What does the Smart Money Trend signal show for ESTA?

Buying streak — 3 quarters in a row: For 3 consecutive quarters, more hedge funds added ESTA than sold it. That's a consistent pattern of professional buying — not a one-time trade. When institutions keep buying quarter after quarter, it usually means they see a multi-year opportunity, not just a short-term momentum flip.

What is the institutional breadth score for ESTA?

Slight buying edge — 52% buying: Last quarter: 97 funds bought or added vs 89 that reduced or exited. It's nearly a 50/50 split — some institutions are convinced, others are taking profits. This mixed picture is normal near price highs.

What is the fund quality score for ESTA holders?

Smaller funds dominant — 18% AUM from top-100: 31 of 173 holders rank in the top 100 by AUM, but together hold only 18% of total institutional value. The stock is held primarily by smaller and mid-sized funds.

How long have hedge funds held ESTA?

47% of holders stayed for 2+ years: 83 out of 177 hedge funds have held ESTA for over 2 years without selling. Long-term investors are generally harder to shake out during market stress, creating a stable ownership base that limits the risk of sudden capitulation.

Is it too late to buy Establishment Labs Hldgs Inc (ESTA) following the 2026 Q1 hedge fund 13F filings?

As of today, ESTA has moved +25.6% since the 2026 Q1 13F filing date (May 15, 2026), compared to +5.4% for the XLV sector ETF — an outperformance of +20.2%. Since the quarter end (March 31, 2026), ESTA has gained +45.4% vs +4.3% for XLV. The stock has meaningfully outrun its sector. The trade has partially played out; entry is at a premium to the fund's implied reference.

Where does this institutional ownership data come from?

All holdings data is sourced from SEC Form 13F filings, which institutional investment managers with over $100 million in assets are required to submit quarterly. Data is parsed directly from SEC EDGAR.

Disclaimer: The information on this page is for informational purposes only and does not constitute investment advice, a recommendation, or an offer to buy or sell any security. Institutional holdings data is sourced from SEC Form 13F filings and reflects positions as of the filing date. Past performance of any fund or portfolio is not indicative of future results. 13Foresight is not a registered investment adviser. Always conduct your own due diligence before making investment decisions.

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