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
InstitutionCitadel Advisors Llc
ManagerKen Griffin
Latest Disclosed Ownership4,582 shares
Latest Disclosed Value $ 502,966
Citadel Advisors Llc ownership in FXH / First Trust Exchange-Traded AlphaDEX Fund - First Trust Health Care AlphaDEX Fund

On May 15, 2026 - Citadel Advisors Llc filed a 13F-HR form disclosing ownership of 4,582 shares of First Trust Exchange-Traded AlphaDEX Fund - First Trust Health Care AlphaDEX Fund (US:FXH) valued at $502,966 USD as of March 31, 2026. The entity filed a previous 13F-HR on February 17, 2026 disclosing 0 shares of First Trust Exchange-Traded AlphaDEX Fund - First Trust Health Care AlphaDEX Fund. The current value of the position is $534,350 USD.

Citadel Advisors Llc has a history of taking positions in derivatives of the underlying security (FXH) in the form of stock options. The firm currently holds call options representing 0 of underlying shares valued at $0 USD and put options representing 0 of underlying shares valued at $0 USD .

Note: prior versions of this page mistakenly stated that the share values represented the number of options, not the number of underlying shares. For more information on the data backing these reports, please see the SEC document Frequently Asked Questions About Form 13F.

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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Institutional Put/Call Ratios
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In addition to reporting standard equity and debt issues, institutions with more than 100MM assets under management must also disclose their put and call option holdings. Since put options generally indicate negative sentiment, and call options indicate positive sentiment, we can get a sense of the overall institutional sentiment by plotting the ratio of puts to calls. The chart to the right plots the historical put/call ratio for this instrument.

Using Put/Call Ratio as an indicator of investor sentiment overcomes one of the key deficiencies of using total institutional ownership, which is that a significant amount of assets under management are invested passively to track indices. Passively-managed funds do not typically buy options, so the put/call ratio indicator more closely tracks the sentiment of actively-managed funds.

FXH / First Trust Exchange-Traded AlphaDEX Fund - First Trust Health Care AlphaDEX Fund Historical Put/Call Ratio
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)
2026-05-15 2026-03-31 13F FIRST TR EXCHANGE-TRADED FD HLTH CARE ALPH 33734X143 4,582 4,582 503 0.0001
2026-02-17 2025-12-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 0 -39,438 -100.00 0 -100.00
2025-11-14 2025-09-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 39,438 -2,220 -5.33 4,325 0.14 0.0007
2025-08-14 2025-06-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 41,658 31,827 323.74 4,319 324.26 0.0007
2025-05-15 2025-03-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 9,831 -7,292 -42.59 1,018 -42.91 0.0002
2025-02-14 2024-12-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 17,123 -8,365 -32.82 1,783 -37.46 0.0003
2024-11-14 2024-09-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 25,488 -2,154 -7.79 2,851 -1.32 0.0006
2024-08-14 2024-06-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 27,642 8,283 42.79 2,889 36.21 0.0006
2024-05-15 2024-03-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 19,359 12,741 192.52 2,122 209.64 0.0004
2024-02-14 2023-12-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 6,618 4,783 260.65 685 284.83 0.0001
2023-11-14 2023-09-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 1,835 -6,730 -78.58 178 -80.80 0.0000
2023-08-14 2023-06-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 8,565 -15,920 -65.02 928 -64.78 0.0002
2023-05-15 2023-03-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 24,485 -25,343 -50.86 2,633 -51.41 0.0006
2023-02-14 2022-12-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 49,828 -52,890 -51.49 5,418 -45.74 0.0013
2022-11-14 2022-09-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 102,718 91,536 818.60 9,984 765.92 0.0023
2022-08-15 2022-06-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 11,182 -10,445 -48.30 1,153 -53.51 0.0003
2022-05-16 2022-03-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 21,627 -6,568 -23.29 2,480 -29.16 0.0005
2022-02-14 2021-12-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 28,195 16,393 138.90 3,501 149.18 0.0007
2021-11-15 2021-09-30 13F FIRST TR EXCHANGE TRADED FD Cmn 33734X143 11,802 -32,390 -73.29 1,405 -72.85 0.0003
2021-08-16 2021-06-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 44,192 3,139 7.65 5,175 16.06 0.0012
2021-05-21 2021-03-31 13F/A-1 FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 41,053 36,999 912.65 4,459 920.37 0.0011
2021-05-17 2021-03-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 41,053 36,999 4,459 0.0011
2021-02-16 2020-12-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 4,054 -178,655 -97.78 437 -97.48 0.0001
2020-11-16 2020-09-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH 33734X143 182,709 34,326 23.13 17,310 29.33 0.0049
2020-08-14 2020-06-30 13F FIRST TR EXCHANGE TRADED FD Cmn 33734X143 148,383 32,829 28.41 13,384 56.57 0.0048
2020-05-15 2020-03-31 13F FIRST TR EXCHANGE TRADED FD Cmn 33734X143 115,554 11,902 11.48 8,548 -2.05 0.0038
2020-02-14 2019-12-31 13F FIRST TR EXCHANGE TRADED FD Cmn 33734X143 103,652 -18,784 -15.34 8,727 -3.71 0.0038
2019-11-14 2019-09-30 13F FIRST TR EXCHANGE TRADED FD Cmn 33734X143 122,436 -33,010 -21.24 9,063 -24.72 0.0043
2019-08-14 2019-06-30 13F FIRST TR EXCHANGE TRADED FD Cmn 33734X143 155,446 55,092 54.90 12,039 57.00 0.0055
2019-05-15 2019-03-31 13F FIRST TR EXCHANGE TRADED FD Cmn 33734X143 100,354 -87,670 -46.63 7,668 -40.78 0.0038
2019-02-14 2018-12-31 13F FIRST TR EXCHANGE TRADED FD Cmn 33734X143 188,024 127,096 208.60 12,949 150.37 0.0071
2018-11-13 2018-09-30 13F FIRST TR EXCHANGE TRADED FD Cmn 33734X143 60,928 20,674 51.36 5,172 73.09 0.0023
2018-08-14 2018-06-30 13F/A-1 FIRST TR EXCHANGE TRADED FD Cmn 33734X143 40,254 -45,089 -52.83 2,988 -49.55 0.0015
2018-08-10 2018-06-30 13F FIRST TR EXCHANGE TRADED FD Cmn 33734X143 40,254 -45,089 2,988
2018-05-14 2018-03-31 13F/A-1 FIRST TR EXCHANGE TRADED FD Cmn 33734X143 85,343 41,604 95.12 5,923 94.01 0.0033
2018-05-11 2018-03-31 13F FIRST TR EXCHANGE TRADED FD Cmn 33734X143 85,343 41,604 5,923
2018-02-09 2017-12-31 13F FIRST TR EXCHANGE TRADED FD Cmn 33734X143 43,739 6,353 16.99 3,053 21.10 0.0019
2017-11-09 2017-09-30 13F FIRST TR EXCHANGE TRADED FD Cmn 33734X143 37,386 6,932 22.76 2,521 23.82 0.0019
2017-08-11 2017-06-30 13F FIRST TR EXCHANGE TRADED FD Cmn 33734X143 30,454 -10,543 -25.72 2,036 -20.44 0.0017
2017-05-12 2017-03-31 13F FIRST TR EXCHANGE TRADED FD Cmn 33734X143 40,997 -28,058 -40.63 2,559 -35.33 0.0023
2017-02-10 2016-12-31 13F FIRST TR EXCHANGE TRADED FD Cmn 33734X143 69,055 -17,627 -20.34 3,957 -24.99 0.0040
2017-01-31 2016-09-30 13F/A-1 FIRST TR EXCHANGE TRADED FD Cmn 33734X143 86,682 -620 -0.71 5,275 2.51 0.0053
2016-11-10 2016-09-30 13F FIRST TRUST HEALTH CARE ALPH Cmn 33734X143 86,682 5,275
2017-01-31 2016-06-30 13F/A-1 FIRST TR EXCHANGE TRADED FD Cmn 33734X143 87,302 -13,158 -13.10 5,146 -8.11 0.0057
2016-08-12 2016-06-30 13F FIRST TRUST HEALTH CARE ALPH Cmn 33734X143 87,302 5,146
2017-01-31 2016-03-31 13F/A-1 FIRST TR EXCHANGE TRADED FD Cmn 33734X143 100,460 81,494 429.68 5,600 388.66 0.0071
2016-05-13 2016-03-31 13F FIRST TRUST HEALTH CARE ALPH Cmn 33734X143 100,460 5,600
2017-01-31 2015-12-31 13F/A-1 FIRST TR EXCHANGE TRADED FD Cmn 33734X143 18,966 -6,417 -25.28 1,146 -22.41 0.0013
2016-02-12 2015-12-31 13F FIRST TRUST HEALTH CARE ALPH Cmn 33734X143 18,966 1,146
2015-11-16 2015-09-30 13F FIRST TRUST HEALTH CARE ALPH Cmn 33734X143 25,383 -9,072 -26.33 1,477 -37.73 0.0014
2015-08-14 2015-06-30 13F FIRST TRUST HEALTH CARE ALPH Cmn 33734X143 34,455 -14,991 -30.32 2,372 -28.42 0.0021
2015-06-26 2015-03-31 13F/A-1 FIRST TRUST HEALTH CARE ALPH Cmn 33734X143 49,446 49,446 43.51 3,314 39.71 0.0222
2014-08-14 2014-06-30 13F FIRST TRUST HEALTH CARE ALPH Cmn 33734X143 0 -10,787 -100.00 0 -100.00
2015-06-26 2014-03-31 13F/A-3 FIRST TRUST HEALTH CARE ALPH Cmn 33734X143 10,787 10,787 549 0.0043
Disclosed Call Options
File
Date		 Effective
Date		Form Security Class ID Opt Avg Share
Price		 Shares ΔShares
(%)		 Value
(x1000)		 ΔValue
(%)		 Prior Allocation
(%)		 Allocation
(%)		 ΔAllocation
(%)		 Cost Basis
(x1000)		 Profit
(x1000)		 Return
(%)
2025-02-14 2024-12-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH Call 0 -100.00 0 -100.00 n/a n/a n/a
2024-11-14 2024-09-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH Call 700 600.00 78 680.00 n/a n/a n/a
2024-08-14 2024-06-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH Call 100 -50.00 10 -52.38 n/a n/a n/a
2024-05-15 2024-03-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH Call 200 -66.67 22 -66.13 n/a n/a n/a
2024-02-14 2023-12-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH Call 600 -80.00 62 -78.69 n/a n/a n/a
2023-11-14 2023-09-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH Call 3,000 -18.92 291 -27.25 n/a n/a n/a
2023-08-14 2023-06-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH Call 3,700 516.67 401 525.00 n/a n/a n/a
2023-05-15 2023-03-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH Call 600 -86.96 65 -87.20 n/a n/a n/a
2023-02-14 2022-12-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH Call 4,600 500 n/a n/a n/a
2022-11-14 2022-09-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH Call 0 -100.00 0 -100.00 n/a n/a n/a
2022-08-15 2022-06-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH Call 4,000 -65.22 412 -68.76 n/a n/a n/a
2022-05-16 2022-03-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH Call 11,500 1,319 n/a n/a n/a
2022-03-11 2021-09-30 13F/A FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH Call 0 -100.00 0 -100.00 n/a n/a n/a
2021-11-15 2021-09-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH Call 0 0 n/a n/a n/a
2021-08-16 2021-06-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH Call 2,200 -67.16 258 -64.56 n/a n/a n/a
2021-05-21 2021-03-31 13F/A FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH Call 6,700 204.55 728 182.17 n/a n/a n/a
2021-05-17 2021-03-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH Call 6,700 728 n/a n/a n/a
2020-08-14 2020-06-30 13F FIRST TR EXCHANGE TRADED FD Cmn Call 0 -100.00 0 -100.00 n/a n/a n/a
2020-05-15 2020-03-31 13F FIRST TR EXCHANGE TRADED FD Cmn Call 3,100 -13.89 229 -17.92 n/a n/a n/a
2019-08-14 2019-06-30 13F FIRST TR EXCHANGE TRADED FD Cmn Call 3,600 16.13 279 21.83 n/a n/a n/a
2019-05-15 2019-03-31 13F FIRST TR EXCHANGE TRADED FD Cmn Call 0 -100.00 0 -100.00 n/a n/a n/a
2019-02-14 2018-12-31 13F FIRST TR EXCHANGE TRADED FD Cmn Call 10,400 197.14 716 141.08 n/a n/a n/a
2018-11-13 2018-09-30 13F FIRST TR EXCHANGE TRADED FD Cmn Call 3,500 -66.35 297 -58.52 n/a n/a n/a
2018-05-14 2018-03-31 13F/A FIRST TR EXCHANGE TRADED FD Cmn Call 0 -100.00 0 -100.00 n/a n/a n/a
2018-02-09 2017-12-31 13F FIRST TR EXCHANGE TRADED FD Cmn Call 9,200 642 n/a n/a n/a
2017-02-10 2016-12-31 13F FIRST TRUST HEALTH CARE ALPH Cmn Call 0 -100.00 0 -100.00 n/a n/a n/a
2017-01-31 2016-09-30 13F/A FIRST TR EXCHANGE TRADED FD Cmn Call 4,300 262 n/a n/a n/a
2016-11-10 2016-09-30 13F FIRST TRUST HEALTH CARE ALPH Cmn Call 4,300 262 n/a n/a n/a
Disclosed Put Options
File
Date		 Effective
Date		Form Security Class ID Opt Avg Share Price Shares ΔShares
(%)		 Value
(x1000)		 ΔValue
(%)		 Prior Allocation
(%)		 Allocation
(%)		 ΔAllocation
(%)		 Cost Basis
(x1000)		 Profit
(x1000)		 Return
(%)
2024-02-14 2023-12-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH Put 0 -100.00 0 -100.00 n/a n/a n/a
2023-11-14 2023-09-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH Put 100 10 n/a n/a n/a
2023-08-14 2023-06-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH Put 0 -100.00 0 -100.00 n/a n/a n/a
2023-05-15 2023-03-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH Put 100 0.00 11 0.00 n/a n/a n/a
2023-02-14 2022-12-31 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH Put 100 -98.65 11 -98.61 n/a n/a n/a
2022-11-14 2022-09-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH Put 7,400 719 n/a n/a n/a
2022-03-11 2021-09-30 13F/A FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH Put 0 -100.00 0 -100.00 n/a n/a n/a
2021-11-15 2021-09-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH Put 0 0 n/a n/a n/a
2021-08-16 2021-06-30 13F FIRST TR EXCHANGE TRADED FD HLTH CARE ALPH Put 3,600 422 n/a n/a n/a
2019-05-15 2019-03-31 13F FIRST TR EXCHANGE TRADED FD Cmn Put 0 -100.00 0 -100.00 n/a n/a n/a
2019-02-14 2018-12-31 13F FIRST TR EXCHANGE TRADED FD Cmn Put 21,600 1,488 n/a n/a n/a
2018-08-14 2018-06-30 13F/A FIRST TR EXCHANGE TRADED FD Cmn Put 0 -100.00 0 -100.00 n/a n/a n/a
2018-05-14 2018-03-31 13F/A FIRST TR EXCHANGE TRADED FD Cmn Put 3,000 208 n/a n/a n/a
2018-05-11 2018-03-31 13F FIRST TR EXCHANGE TRADED FD Cmn Put 3,000 208 n/a n/a n/a
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.