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
InstitutionLevel Four Advisory Services, Llc
Latest Disclosed Ownership5,809 shares
Latest Disclosed Value $ 637,654
Level Four Advisory Services, Llc reports 4.05% increase in ownership of FXH / First Trust Exchange-Traded AlphaDEX Fund - First Trust Health Care AlphaDEX Fund

On May 14, 2026 - Level Four Advisory Services, Llc filed a 13F-HR form disclosing ownership of 5,809 shares of First Trust Exchange-Traded AlphaDEX Fund - First Trust Health Care AlphaDEX Fund (US:FXH) valued at $637,654 USD as of March 31, 2026. The entity filed a previous 13F-HR on February 13, 2026 disclosing 5,583 shares of First Trust Exchange-Traded AlphaDEX Fund - First Trust Health Care AlphaDEX Fund. This represents a change in shares of 4.05% during the quarter. The current value of the position is $664,553 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)
2026-05-14 2026-03-31 13F FIRST TR EXCHANGE-TRADED FD HLTH CARE ALPH 33734X143 5,809 226 4.05 638 0.31 0.0209
2026-02-13 2025-12-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 5,583 -556 -9.06 635 -5.65 0.0208
2025-11-12 2025-09-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 6,139 4 0.07 673 5.82 0.0231
2025-08-13 2025-06-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 6,135 -353 -5.44 636 -5.36 0.0234
2025-05-14 2025-03-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 6,488 -453 -6.53 672 -6.93 0.0276
2025-02-12 2024-12-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 6,941 -1,400 -16.78 723 -19.06 0.0295
2024-11-14 2024-09-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 8,341 -1 -0.01 893 2.41 0.0376
2024-08-09 2024-06-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 8,342 75 0.91 872 1.75 0.0393
2024-05-13 2024-03-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 8,267 0 0.00 856 0.00 0.0470
2024-02-08 2023-12-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 8,267 -192 -2.27 856 4.26 0.0480
2023-11-13 2023-09-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 8,459 -3,133 -27.03 822 -34.58 0.0530
2023-07-10 2023-06-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 11,592 -50 -0.43 1,256 0.32 0.0754
2023-06-05 2023-03-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 11,642 3,304 39.63 1,252 38.08 0.0821
2023-02-13 2022-12-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 8,338 -1,525 -15.46 907 -5.53 0.0673
2022-11-07 2022-09-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 9,863 883 9.83 959 3.56 0.0932
2022-08-08 2022-06-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 8,980 -2,015 -18.33 926 -26.57 0.0873
2022-05-10 2022-03-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 10,995 -732 -6.24 1,261 -13.39 0.0988
2022-02-11 2021-12-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 11,727 -61 -0.52 1,456 3.78 0.1110
2021-10-12 2021-09-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 11,788 -6,590 -35.86 1,403 -34.80 0.1459
2021-08-09 2021-06-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 18,378 -773 -4.04 2,152 3.46 0.1488
2021-05-10 2021-03-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 19,151 -429 -2.19 2,080 -1.42 0.1615
2021-02-10 2020-12-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 19,580 -86 -0.44 2,110 13.26 0.1694
2020-11-02 2020-09-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 19,666 -366 -1.83 1,863 3.10 0.1435
2020-08-17 2020-06-30 13F/A-1 FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 20,032 306 1.55 1,807 24.11 0.1398
2020-05-13 2020-03-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 19,726 -19,391 -49.57 1,456 -55.80 0.1746
2020-02-13 2019-12-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 39,117 -15,947 -28.96 3,294 -19.19 0.1304
2019-11-12 2019-09-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 55,064 -163 -0.30 4,076 -4.72 0.4217
2019-08-14 2019-06-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 55,227 1,740 3.25 4,278 4.67 0.4318
2019-05-15 2019-03-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 53,487 1,703 3.29 4,087 14.61 0.4502
2019-02-07 2018-12-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 51,784 -226 -0.43 3,566 -19.23 0.4447
2018-11-14 2018-09-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 52,010 1,226 2.41 4,415 17.14 0.4772
2018-08-14 2018-06-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 50,784 1,006 2.02 3,769 9.09 0.2746
2018-05-14 2018-03-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 49,778 757 1.54 3,455 0.96 0.2679
2018-02-13 2017-12-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 49,021 4,746 10.72 3,422 14.64 0.2662
2018-04-03 2017-09-30 13F/A-1 FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 44,275 -1,820 -3.95 2,985 4.44 0.2646
2017-11-15 2017-09-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 45,946 -149 3,103
2017-09-20 2017-06-30 13F/A-1 FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 46,095 -270 -0.58 2,858 -0.59 0.4400
2017-07-12 2017-06-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 46,095 2,858
2017-09-20 2017-03-31 13F/A-1 FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 46,365 3,295 7.65 2,875 16.49 0.2928
2017-05-15 2017-03-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 46,365 3,295 2,875
2017-02-14 2016-12-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 43,070 43,070 2,468 0.3150
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.