On August 30, 2019, Tekla Healthcare Opportunities Fund paid a monthly distribution of $0.1125 per share. It is currently estimated that this distribution is derived from return of capital or other capital source. The composition of this and subsequent distributions may vary from month to month because it may be materially impacted by future realized gains and losses on securities. The aggregate of the net unrealized appreciation of portfolio securities and net realized losses on sale of securities is $23,363,161, of which $30,504,583 represents net unrealized appreciation of portfolio securities.

The following table sets forth the estimated amounts of the current distribution, paid on August 30, 2019, and the cumulative distributions paid this fiscal year-to-date from the following sources: net investment income, net realized short-term capital gains, net realized long-term capital gains, and return of capital or other capital source. The Fund estimates that it has distributed more than its income and net realized capital gains; therefore, a portion of your distribution may be a return of capital. A return of capital may occur, for example, when some or all of the money that you have invested in the Fund is paid back to you. A return of capital distribution does not necessarily reflect the Fund's investment performance and should not be confused with ‘yield' or ‘income'. All amounts are expressed per common share.

The table below includes information relating to the Fund's performance based on its NAV for certain periods.

You should not draw any conclusions about the Fund's investment performance from the amount of this distribution or from the terms of the Fund's managed distribution policy.

Tekla Healthcare Opportunities Fund (NYSE:THQ) is a closed-end fund that invests in companies in the healthcare industry.

Please contact Destra Capital Advisors, the Fund's marketing and investor support services agent, at [email protected] or call (877) 855-3434 if you have any questions regarding THQ.

1 The Fund's current fiscal year began on October 1, 2018.
2 Cumulative total return at NAV is the percentage change in the Fund's NAV and includes all distributions and assumes the reinvestment of those distributions for the period of September 30, 2018 through July 31, 2019.

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