TEKLA HEALTHCARE INVS

Institution	Shares	Value ($000)
Shaker Financial Services, LLC	21,555	$408
Concorde Asset Management, LLC	10,811	$205
ABOUND FINANCIAL, LLC	7,482	$142
WOLVERINE ASSET MANAGEMENT LLC	146,779	$2,780
Kovack Advisors, Inc.	11,130	$211
EVOLUTION WEALTH MANAGEMENT INC.	628	$12
Pinnacle Wealth Planning Services, Inc.	2,159	$41
Global Retirement Partners, LLC	5,610	$106
JANE STREET GROUP, LLC	15,141	$287
FLAGSHIP HARBOR ADVISORS, LLC	2,555	$48
PNC Financial Services Group, Inc.	5,631	$107
MAI Capital Management	1,029	$19
JONES FINANCIAL COMPANIES LLLP	676	$13

Increased Positions (35)

Advisors Asset Management, Inc.

Value ($000) $8,776 (+31.0%) Shares 463,367 (+27.6%)

Penserra Capital Management LLC

Value ($000) $25 (+13.1%) Shares 1,321,145 (+10.2%)

VISTA INVESTMENT PARTNERS II, LLC

Value ($000) $249 (+20.5%) Shares 13,154 (+17.4%)

LANDSCAPE CAPITAL MANAGEMENT, L.L.C.

Value ($000) $655 (+37.5%) Shares 34,599 (+34.0%)

CITY OF LONDON INVESTMENT MANAGEMENT CO LTD

Value ($000) $1,322 (+13.9%) Shares 69,776 (+11.0%)

UHLMANN PRICE SECURITIES, LLC

Value ($000) $487 (+5.8%) Shares 25,711 (+3.1%)

MORGAN STANLEY

Value ($000) $88,705 (+14.4%) Shares 4,683,466 (+11.5%)

STEPHENS INC /AR/

Value ($000) $792 (+60.0%) Shares 41,807 (+55.9%)

LPL Financial LLC

Value ($000) $9,490 (+26.8%) Shares 501,067 (+23.6%)

AMERIPRISE FINANCIAL INC

Value ($000) $8,639 (+13.4%) Shares 456,049 (+10.7%)

Cetera Investment Advisers

Value ($000) $1,340 (+51.5%) Shares 70,754 (+47.7%)

NewEdge Advisors, LLC

Value ($000) $2,166 (+15.5%) Shares 114,345 (+12.6%)

Kestra Advisory Services, LLC

Value ($000) $2,274 (+13.5%) Shares 120,072 (+10.6%)

OPPENHEIMER & CO INC

Value ($000) $2,464 (+7.0%) Shares 130,117 (+4.3%)

ROYAL BANK OF CANADA

Value ($000) $9,794 (+6.4%) Shares 517,085 (+3.7%)

Invesco Ltd.

Value ($000) $2,087 (+20.9%) Shares 110,164 (+17.9%)

BLUE BELL PRIVATE WEALTH MANAGEMENT, LLC

Value ($000) $485 (+6.7%) Shares 25,612 (+4.0%)

STIFEL FINANCIAL CORP

Value ($000) $469 (+63.7%) Shares 24,772 (+59.6%)

Private Advisor Group, LLC

Value ($000) $918 (+17.5%) Shares 48,476 (+14.5%)

WELLS FARGO & COMPANY/MN

Value ($000) $204 (+158.3%) Shares 10,756 (+151.7%)

Institution	Prev Shares	Curr Shares	Change
Advisors Asset Management, Inc.	363,020	463,367	+100,347 (+27.6%)
Penserra Capital Management LLC	1,198,855	1,321,145	+122,290 (+10.2%)
VISTA INVESTMENT PARTNERS II, LLC	11,204	13,154	+1,950 (+17.4%)
LANDSCAPE CAPITAL MANAGEMENT, L.L.C.	25,823	34,599	+8,776 (+34.0%)
CITY OF LONDON INVESTMENT MANAGEMENT CO LTD	62,845	69,776	+6,931 (+11.0%)
UHLMANN PRICE SECURITIES, LLC	24,930	25,711	+781 (+3.1%)
MORGAN STANLEY	4,201,918	4,683,466	+481,548 (+11.5%)
STEPHENS INC /AR/	26,809	41,807	+14,998 (+55.9%)
LPL Financial LLC	405,400	501,067	+95,667 (+23.6%)
AMERIPRISE FINANCIAL INC	411,938	456,049	+44,111 (+10.7%)
Cetera Investment Advisers	47,902	70,754	+22,852 (+47.7%)
NewEdge Advisors, LLC	101,586	114,345	+12,759 (+12.6%)
Kestra Advisory Services, LLC	108,526	120,072	+11,546 (+10.6%)
OPPENHEIMER & CO INC	124,811	130,117	+5,306 (+4.3%)
ROYAL BANK OF CANADA	498,478	517,085	+18,607 (+3.7%)
Invesco Ltd.	93,451	110,164	+16,713 (+17.9%)
BLUE BELL PRIVATE WEALTH MANAGEMENT, LLC	24,623	25,612	+989 (+4.0%)
STIFEL FINANCIAL CORP	15,522	24,772	+9,250 (+59.6%)
Private Advisor Group, LLC	42,329	48,476	+6,147 (+14.5%)
WELLS FARGO & COMPANY/MN	4,273	10,756	+6,483 (+151.7%)

Decreased Positions (26)

Samalin Investment Counsel, LLC

Value ($000) $1,548 (-9.1%) Shares 81,749 (-11.4%)

NWF Advisory Services Inc.

Value ($000) $1,944 (-24.2%) Shares 102,618 (-26.2%)

WESPAC Advisors, LLC

Value ($000) $450 (-12.3%) Shares 23,777 (-14.5%)

PREVAIL INNOVATIVE WEALTH ADVISORS, LLC

Value ($000) $2,090 (-3.3%) Shares 110,374 (-5.8%)

Triumph Capital Management

Value ($000) $823 (-4.0%) Shares 43,477 (-6.4%)

Sage Capital Advisors,llc

Value ($000) $338 (-16.0%) Shares 17,843 (-18.1%)

Sage Capital Management, LLC

Value ($000) $1,137 (+1.2%) Shares 60,044 (-1.3%)

UBS Group AG

Value ($000) $2,352 (-19.8%) Shares 124,182 (-21.8%)

AlphaCore Capital LLC

Value ($000) $753 (-5.4%) Shares 39,738 (-7.8%)

Creative Planning

Value ($000) $192 (-48.8%) Shares 10,118 (-50.1%)

Pinnacle Bancorp, Inc.

Value ($000) $4 (-77.0%) Shares 205 (-77.6%)

AE Wealth Management LLC

Value ($000) $832 (-4.5%) Shares 43,942 (-6.9%)

Atlantic Union Bankshares Corp

Value ($000) $140 (-21.2%) Shares 7,396 (-23.2%)

FIRST TRUST ADVISORS LP

Value ($000) $1,944 (-0.7%) Shares 102,628 (-3.2%)

Baird Financial Group, Inc.

Value ($000) $1,218 (-1.5%) Shares 64,307 (-4.0%)

BANK OF AMERICA CORP /DE/

Value ($000) $3,570 (+1.2%) Shares 188,495 (-1.3%)

Steward Partners Investment Advisory, LLC

Value ($000) $429 (-3.6%) Shares 22,630 (-6.1%)

NATIONS FINANCIAL GROUP INC, /IA/ /ADV

Value ($000) $637 (+0.8%) Shares 33,658 (-1.8%)

TRUST CO OF VERMONT

Value ($000) $0 (-96.9%) Shares 26 (-97.0%)

World Investment Advisors

Value ($000) $927 (+0.9%) Shares 48,962 (-1.6%)

Institution	Prev Shares	Curr Shares	Change
Samalin Investment Counsel, LLC	92,286	81,749	-10,537 (-11.4%)
NWF Advisory Services Inc.	138,988	102,618	-36,370 (-26.2%)
WESPAC Advisors, LLC	27,818	23,777	-4,041 (-14.5%)
PREVAIL INNOVATIVE WEALTH ADVISORS, LLC	117,129	110,374	-6,755 (-5.8%)
Triumph Capital Management	46,442	43,477	-2,965 (-6.4%)
Sage Capital Advisors,llc	21,793	17,843	-3,950 (-18.1%)
Sage Capital Management, LLC	60,857	60,044	-813 (-1.3%)
UBS Group AG	158,851	124,182	-34,669 (-21.8%)
AlphaCore Capital LLC	43,085	39,738	-3,347 (-7.8%)
Creative Planning	20,268	10,118	-10,150 (-50.1%)
Pinnacle Bancorp, Inc.	914	205	-709 (-77.6%)
AE Wealth Management LLC	47,211	43,942	-3,269 (-6.9%)
Atlantic Union Bankshares Corp	9,634	7,396	-2,238 (-23.2%)
FIRST TRUST ADVISORS LP	105,993	102,628	-3,365 (-3.2%)
Baird Financial Group, Inc.	67,017	64,307	-2,710 (-4.0%)
BANK OF AMERICA CORP /DE/	191,036	188,495	-2,541 (-1.3%)
Steward Partners Investment Advisory, LLC	24,092	22,630	-1,462 (-6.1%)
NATIONS FINANCIAL GROUP INC, /IA/ /ADV	34,258	33,658	-600 (-1.8%)
TRUST CO OF VERMONT	868	26	-842 (-97.0%)
World Investment Advisors	49,775	48,962	-813 (-1.6%)

Exited Positions (11)

Thomas J. Herzfeld Advisors, Inc.

Value ($000) $1,747 Shares 94,616

Saba Capital Management, L.P.

Value ($000) $1,487 Shares 80,556

RFG Advisory, LLC

Value ($000) $222 Shares 12,009

Newbridge Financial Services Group, Inc.

Value ($000) $41 Shares 2,235

HIGHLINE WEALTH PARTNERS LLC

Value ($000) $18 Shares 1,000

Advisory Services Network, LLC

Value ($000) $97 Shares 5,249

Ameritas Advisory Services, LLC

Value ($000) $37 Shares 2,025

Larson Financial Group LLC

Value ($000) $11 Shares 600

Russell Investments Group, Ltd.

Value ($000) $9 Shares 470

MATHER GROUP, LLC.

Value ($000) $8 Shares 416

HRT FINANCIAL LP

Value ($000) $0 Shares 10,099

Institution	Prev Shares	Prev Value ($000)
Thomas J. Herzfeld Advisors, Inc.	94,616	$1,747
Saba Capital Management, L.P.	80,556	$1,487
RFG Advisory, LLC	12,009	$222
Newbridge Financial Services Group, Inc.	2,235	$41
HIGHLINE WEALTH PARTNERS LLC	1,000	$18
Advisory Services Network, LLC	5,249	$97
Ameritas Advisory Services, LLC	2,025	$37
Larson Financial Group LLC	600	$11
Russell Investments Group, Ltd.	470	$9
MATHER GROUP, LLC.	416	$8
HRT FINANCIAL LP	10,099	$0