First Trust Exchange-Traded AlphaDEX Fund - First Trust Health Care AlphaDEX Fund
US ˙ ARCA ˙ US33734X1431

SecurityFXH / First Trust Exchange-Traded AlphaDEX Fund - First Trust Health Care AlphaDEX Fund
InstitutionKovack Advisors, Inc.
Latest Disclosed Ownership4,573 shares
Latest Disclosed Value $ 505,302
Kovack Advisors, Inc. reports 1.99% decrease in ownership of FXH / First Trust Exchange-Traded AlphaDEX Fund - First Trust Health Care AlphaDEX Fund

On May 12, 2026 - Kovack Advisors, Inc. filed a 13F-HR form disclosing ownership of 4,573 shares of First Trust Exchange-Traded AlphaDEX Fund - First Trust Health Care AlphaDEX Fund (US:FXH) valued at $501,978 USD as of March 31, 2026. The entity filed a previous 13F-HR/A on February 17, 2026 disclosing 4,666 shares of First Trust Exchange-Traded AlphaDEX Fund - First Trust Health Care AlphaDEX Fund. This represents a change in shares of -1.99% during the quarter. The current value of the position is $533,532 USD.

Institutional Ownership: 13F and NPORT Filings

The Security and Class in the table below are shown exactly as filed by the investor. We do our best to track continuity of investments through acquisitions, and this will be reflected in the table as changes in names. In addition to descriptive data, performance of the investment is shown over time. To calculate quarterly performance, we first calculate cost basis of the shares purchased during the quarter, then use that to calculate gross profit. Quarterly return is Gross Profit / Starting Portfolio value.

Note that cost basis is calculated and stored in thousands, so small quarterly changes in shares frequently result in a cost basis of zero.

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Disclosed Equity Positions (from 13F/NPORT Filings)
File
Date		 Effective
Date		Form Security Class ID Avg Price
Paid (Est)		 Reported
Shares		 ΔShares ΔShares
(%)		 Reported
Value
(x1000)		 ΔValue
(%)		 Alloc
(%)		 ΔAlloc ΔAlloc (%) Cost Basis
(x1000)		 Unrealized
Gain/Loss
(x1000)
2026-05-12 2026-03-31 13F FIRST TR EXCHANGE-TRADED FD HLTH CARE ALPH 33734X143 4,573 -93 -1.99 505 -4.90 0.0270
2026-02-17 2025-12-31 13F/A-1 FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 4,666 707 17.86 531 22.35 0.0247
2026-02-12 2025-12-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 4,666 707 456
2025-11-10 2025-09-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 3,959 1,582 66.55 434 76.42 0.0409
2025-08-04 2025-06-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 2,377 -2,276 -48.91 246 -48.96 0.0242
2025-05-06 2025-03-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 4,653 1 0.02 482 -0.41 0.0510
2025-02-05 2024-12-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 4,652 2,200 89.72 484 76.64 0.0475
2024-11-05 2024-09-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 2,452 2,452 274 0.0291
2023-10-19 2023-09-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 0 -2,216 -100.00 0 -100.00
2023-07-21 2023-06-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 2,216 0 0.00 240 0.84 0.0308
2023-04-21 2023-03-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 2,216 -66 -2.89 238 -4.03 0.0325
2023-02-22 2022-12-31 13F FIRST TRUST HEALTH CARE ALPHADEX ETF ETF 33734X143 2,282 -34 -1.47 248 10.22 0.0363
2022-11-14 2022-09-30 13F FIRST TRUST HEALTH CARE ALPHADEX ETF ETF 33734X143 2,316 107 4.84 225 -1.32 0.0330
2022-08-10 2022-06-30 13F FIRST TRUST HEALTH CARE ALPHADEX ETF ETF 33734X143 2,209 -4 -0.18 228 -9.88 0.0301
2022-05-16 2022-03-31 13F FIRST TRUST HEALTH CARE ALPHADEX ETF ETF 33734X143 2,213 359 19.36 253 10.00 0.0260
2022-01-18 2021-12-31 13F FIRST TRUST HEALTH CARE ALPHADEX ETF ETF 33734X143 1,854 0 0.00 230 4.07 0.0222
2021-11-03 2021-09-30 13F FIRST TRUST HEALTH CARE ALPHADEX ETF ETF 33734X143 1,854 0 0.00 221 1.84 0.0240
2021-07-29 2021-06-30 13F FIRST TRUST HEALTH CARE ALPHADEX ETF ETF 33734X143 1,854 1,854 217 0.0247
2021-05-04 2021-03-31 13F FIRST TRUST HEALTH CARE ALPHADEX ETF ETF 33734X143 0 -2,948 -100.00 0 -100.00
2021-01-14 2020-12-31 13F FIRST TRUST HEALTH CARE ALPHADEX ETF ETF 33734X143 2,948 -3 -0.10 318 13.57 0.0458
2020-11-02 2020-09-30 13F FIRST TRUST HEALTH CARE ALPHADEX ETF ALPHADEX ETF 33734X143 2,951 -840 -22.16 280 -18.13 0.0498
2020-07-31 2020-06-30 13F FIRST TRUST HEALTH CARE ALPHADEX ETF ETF 33734X143 3,791 740 24.25 342 51.33 0.0666
2020-04-30 2020-03-31 13F FIRST TRUST HEALTH CARE ALPHADEX ETF ALPHADEX ETF 33734X143 3,051 3,051 -19.52 226 -33.92 0.0522
2019-08-14 2019-06-30 13F FIRST TR EXCHANGE TRADED FD II HLTH CARE ALPH II HLTH CARE ALPH 33734X143 0 -4,826 -100.00 0 -100.00
2019-05-03 2019-03-31 13F FIRST TR EXCHANGE TRADED FD II HLTH CARE ALPH II HLTH CARE ALPH 33734X143 4,826 366 8.21 369 20.20 0.0920
2019-02-06 2018-12-31 13F FIRST TR EXCHANGE TRADED FD II HLTH CARE ALPH II HLTH CARE ALPH 33734X143 4,460 4,460 307 0.0898
Legend
Shares
The total number of shares held by the institution at the end of the reporting period (the effective date). This is provided in the filing.
Value
The total value of the shares as of the effective date. This is provided in the filing.
Avg. Share Price
The weighted average share price of the shares held by the institution. We use FIFO accounting to determine this price
Class
This is the security class as indicated by the filer. There are a variety of values for this field. Common values include "EC" = equity common, "EP" - equity preferred
Allocation (%)
The percent of the institution's portfolio that this position represents. This is provided in NPORT filings. For 13F filings, we calculate it.
Change in Allocation
The change in allocation from the prior reporting period. This is calculated as current allocation - prior allocation.
Change in Allocation (%)
The percent change in allocation from the prior reporting period. This is calculated as (current allocation - prior allocation) / prior allocation.
Cost Basis
The total cost of the shares held. This is calculated as reported shares * avg. share price
Unrealized Gain/Loss
This is the market value of the position as of the effective date minus the cost basis.