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      <invstOrSec>
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        <name>Illuminoss Inc.</name>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
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        <name>Abbott Laboratories</name>
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        <name>Options Clearing Corp.</name>
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        <name>Options Clearing Corp.</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Stryker Corp</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Global Medical REIT Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Bristol-Myers Squibb Co</name>
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        <fairValLevel>2</fairValLevel>
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      <invstOrSec>
        <name>Illuminoss Inc.</name>
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        <fairValLevel>3</fairValLevel>
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      <invstOrSec>
        <name>ILLUMINOSS INC. CONVERTIBLE PROMISSORY NOTE</name>
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          <other otherDesc="Internal Identifier" value="935SRWII2"/>
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        <fairValLevel>3</fairValLevel>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
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          <other otherDesc="Internal Identifier" value="ADI1K0ZP5"/>
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        <fairValLevel>1</fairValLevel>
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        <name>FIXED INC CLEARING CORP.REPO</name>
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      <invstOrSec>
        <name>UnitedHealth Group Inc</name>
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        <fairValLevel>2</fairValLevel>
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        <name>Anthem Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Medtronic Inc</name>
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        <name>LTC Properties Inc</name>
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        <name>Illuminoss Inc.</name>
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        <name>Allergan PLC</name>
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        <name>Align Technology Inc</name>
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        <name>Exelixis Inc</name>
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        <name>Healthcare Trust of America Inc</name>
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        <name>Sabra Health Care REIT Inc</name>
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        <title>Sabra Health Care REIT Inc</title>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Intuitive Surgical Inc</name>
        <lei>54930052SRG011710797</lei>
        <title>Intuitive Surgical Inc</title>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
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        <name>Tenet Healthcare Corp</name>
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        <name>Teleflex Inc</name>
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        <name>IDEXX Laboratories Inc</name>
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        <name>Merck &amp; Co Inc</name>
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        <name>Thermo Fisher Scientific Inc</name>
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        <name>DENTSPLY SIRONA Inc</name>
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        <name>Teva Pharmaceutical Industries Ltd</name>
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        <name>Acadia Healthcare Co Inc</name>
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        <name>Welltower Inc</name>
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        <name>Laboratory Corp of America Holdings</name>
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        <name>Options Clearing Corp.</name>
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        <name>Illuminoss Inc.</name>
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        <name>Amgen Inc</name>
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        <name>Options Clearing Corp.</name>
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        <name>Decipher Biosciences, Inc.</name>
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        <name>Options Clearing Corp.</name>
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        <name>Options Clearing Corp.</name>
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        <name>Gilead Sciences Inc</name>
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        <name>Anthem Inc</name>
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        <name>Johnson &amp; Johnson</name>
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        <name>Options Clearing Corp.</name>
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        <name>Options Clearing Corp.</name>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
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        <name>Illuminoss Medical Inc.</name>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
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        <name>Options Clearing Corp.</name>
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        <name>AmerisourceBergen Corp</name>
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        <name>Options Clearing Corp.</name>
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        <name>Illuminoss Inc.</name>
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        <name>Illuminoss Inc.</name>
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        <name>Illumina Inc</name>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
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        <name>HealthEquity Inc</name>
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        <name>Cigna Corp</name>
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        <name>UnitedHealth Group Inc</name>
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        <name>Options Clearing Corp.</name>
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        <name>Illuminoss Inc.</name>
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        <name>Options Clearing Corp.</name>
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        <name>Healthcare Realty Trust Inc</name>
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        <name>ILLUMINOSS INC. WARRANTS WARRANTS</name>
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        <name>Edwards Lifesciences Corp</name>
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        <name>AstraZeneca PLC</name>
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        <name>Ventas Inc</name>
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        <name>Baxter International Inc</name>
        <lei>J5OIVXX3P24RJRW5CK77</lei>
        <title>Baxter International Inc</title>
        <cusip>071813109</cusip>
        <identifiers>
          <isin value="US0718131099"/>
        </identifiers>
        <balance>51226.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>4159038.94000000</valUSD>
        <pctVal>0.574129604294</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Bristol-Myers Squibb Co</name>
        <lei>HLYYNH7UQUORYSJQCN42</lei>
        <title>Bristol-Myers Squibb Co</title>
        <cusip>110122108</cusip>
        <identifiers>
          <isin value="US1101221083"/>
        </identifiers>
        <balance>538323.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>30006124.02000000</valUSD>
        <pctVal>4.142159849554</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>ResMed Inc</name>
        <lei>529900T3QE5253CCXF22</lei>
        <title>ResMed Inc</title>
        <cusip>761152107</cusip>
        <identifiers>
          <isin value="US7611521078"/>
        </identifiers>
        <balance>20452.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>3012375.08000000</valUSD>
        <pctVal>0.415839749907</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Decipher Biosciences, Inc.</name>
        <lei>N/A</lei>
        <title>DECIPHER BIOSCIENCES, INC. SERIES III CONVERTIBLE PFD</title>
        <cusip>000000000</cusip>
        <identifiers>
          <other otherDesc="Internal Identifier" value="964DAS905"/>
        </identifiers>
        <balance>905797.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>2273641.05000000</valUSD>
        <pctVal>0.313862085730</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EP</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>Y</isRestrictedSec>

        <fairValLevel>3</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Centene Corp</name>
        <lei>549300Z7JJ4TQSQGT333</lei>
        <title>Centene Corp</title>
        <cusip>15135B101</cusip>
        <identifiers>
          <isin value="US15135B1017"/>
        </identifiers>
        <balance>172520.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>10249413.20000000</valUSD>
        <pctVal>1.414868105265</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Gilead Sciences Inc</name>
        <lei>549300WTZWR07K8MNV44</lei>
        <title>Gilead Sciences Inc</title>
        <cusip>375558103</cusip>
        <identifiers>
          <isin value="US3755581036"/>
        </identifiers>
        <balance>317890.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>23765456.40000000</valUSD>
        <pctVal>3.280674279717</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
    </invstOrSecs>
    <explntrNotes>
      <explntrNote note="Conversion of Illuminoss Medical, Inc. notes are dependent upon unknown future events therefore underlying reference instrument cannot be determined at this time.     Conversion of Rainier Therapeutics, Inc. notes are dependent upon unknown future events therefore underlying reference instrument cannot be determined at this time." noteItem="C.9.f.iii"/>
    </explntrNotes>
    <signature>
      <ncom:dateSigned>2020-04-29</ncom:dateSigned>
      <ncom:nameOfApplicant>Tekla Healthcare Opportunities Fund</ncom:nameOfApplicant>
      <ncom:signature>Laura Woodward</ncom:signature>
      <ncom:signerName>Laura Woodward</ncom:signerName>
      <ncom:title>CCO</ncom:title>
    </signature>
  </formData>
</edgarSubmission>
