Market Overview

Tekla Healthcare Opportunities Fund Paid Distribution


On August 31, 2018, Tekla Healthcare Opportunities Fund paid a monthly
distribution of $0.1125 per share. It is currently estimated that this
distribution is derived from net investment income, short-term capital
gains and long-term capital gains. 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 gains on sale of securities is $105,469,518, of which
$87,081,162 represents net unrealized appreciation of portfolio

The following table sets forth the estimated amounts of the current
distribution, paid on August 31, 2018, 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.




Breakdown of


Total Cumulative
Distributions for the
Year to Date


Percentage Breakdown
of the Total Cumulative
for the

Fiscal Year to Date1

Net Investment Income   $0.0145   13 %   $0.2816   23 %
Net Realized ST Cap Gains   $0.0452   40 %   $0.2518   20 %
Net Realized LT Cap Gains   $0.0528   47 %   $0.0548   4 %
Return of Capital or Other Capital Source   $0.0000   0 %   $0.6493   53 %
TOTAL (per common share):   $0.1125   100 %   $1.2375   100 %

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

Average annual return at NAV for the period from inception through
July 31, 20182
Annualized current distribution rate expressed as a percentage of
NAV as of July 31, 2018
Cumulative total return at NAV for the fiscal year, through July 31,
Cumulative fiscal year-to-date distribution rate expressed as a
percentage of NAV as of July 31, 20181

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.

The amounts and sources of distributions reported in this press release
are only estimates and are not being provided for tax reporting
purposes. The actual amounts and sources of the amounts for tax
reporting purposes will depend upon the Fund's investment experience
during the remainder of its fiscal year and may be subject to changes
based on tax regulations. The Fund will send you a Form 1099-DIV for the
calendar year that will tell you how to report these distributions for
federal income tax purposes.

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

Tekla Capital Management LLC, the Fund's investment adviser, is a
Boston, MA based healthcare-focused investment manager with
approximately $3.0 billion of assets under management as of June 30,
2018. Tekla also serves as investment adviser to Tekla Healthcare
Investors (NYSE:HQH), Tekla Life Sciences Investors (NYSE:HQL) and
Tekla World Healthcare Fund (NYSE:THW), closed-end funds that invest in
companies in the healthcare and life sciences industries. Information
regarding the Funds and Tekla Capital Management LLC can be found at

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

1 The Fund's current fiscal year began on October 1, 2017.
Inception date was July 29, 2014, which is the date of the initial
public offering.
3 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, 2017
through July 31, 2018.

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