0001752724-23-195600.txt : 20230828 0001752724-23-195600.hdr.sgml : 20230828 20230828153158 ACCESSION NUMBER: 0001752724-23-195600 CONFORMED SUBMISSION TYPE: NPORT-P PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20230630 FILED AS OF DATE: 20230828 DATE AS OF CHANGE: 20230828 PERIOD START: 20230930 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Tekla Healthcare Opportunities Fund CENTRAL INDEX KEY: 0001604522 IRS NUMBER: 465317248 STATE OF INCORPORATION: MA FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: NPORT-P SEC ACT: 1940 Act SEC FILE NUMBER: 811-22955 FILM NUMBER: 231214811 BUSINESS ADDRESS: STREET 1: 100 FEDERAL STREET STREET 2: 19TH FLOOR CITY: BOSTON STATE: MA ZIP: 02110 BUSINESS PHONE: 617-772-8500 MAIL ADDRESS: STREET 1: 100 FEDERAL STREET STREET 2: 19TH FLOOR CITY: BOSTON STATE: MA ZIP: 02110 FORMER COMPANY: FORMER CONFORMED NAME: Tekla Healthcare Growth & Income Fund DATE OF NAME CHANGE: 20140402 NPORT-P 1 primary_doc.xml NPORT-P false 0001604522 XXXXXXXX Tekla Healthcare Opportunities Fund 811-22955 0001604522 549300WT8EMZSV1XVW72 100 FEDERAL STREET, 19TH FLOOR BOSTON 02110 617-772-8500 Tekla Healthcare Opportunities Fund 549300WT8EMZSV1XVW72 2023-09-30 2023-06-30 N 1120820364.09 236554177.88 884266186.21 0.00000000 0.00000000 0.00000000 0.00000000 0.00000000 0.00000000 225000000.00000000 0.00000000 0.00000000 0.00000000 0.00000000 0.00000000 0.00000000 678.12000000 N Options Clearing Corp. 549300CII6SLYGKNHA04 DEXCOM INC 000000000 -106.00000000 NC USD -28620.00000000 -0.00323658197 N/A DE US N 1 Options Clearing Corp. 549300CII6SLYGKNHA04 Call Written Dexcom, Inc. 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Amgen, Inc. 100.00000000 235.00000000 USD 2023-08-18 XXXX -11540.15000000 N N N Dexcom Inc 549300YSK3QDSFR5EU59 Dexcom Inc 252131107 107929.00000000 NS USD 13869955.79000000 1.568527215707 Long EC CORP US N 1 N N N AbbVie Inc FR5LCKFTG8054YNNRU85 AbbVie Inc 00287YAY5 3245000.00000000 PA USD 3074228.24000000 0.347658690102 Long DBT CORP US N 2 2026-05-14 Fixed 3.20000000 N N N N N N Johnson & Johnson 549300G0CFPGEF6X2043 Johnson & Johnson 478160CK8 2200000.00000000 PA USD 2069170.07000000 0.233998551823 Long DBT CORP US N 2 2028-01-15 Fixed 2.90000000 N N N N N N Options Clearing Corp. 549300CII6SLYGKNHA04 ABBVIE INC 000000000 -292.00000000 NC USD -52268.00000000 -0.00591088982 N/A DE US N 1 Options Clearing Corp. 549300CII6SLYGKNHA04 Call Written AbbVie, Inc. AbbVie, Inc. 100.00000000 140.00000000 USD 2023-08-18 XXXX -17914.49000000 N N N Pfizer Inc 765LHXWGK1KXCLTFYQ30 Pfizer Inc 717081103 971961.00000000 NS USD 35651529.48000000 4.031764420711 Long EC CORP US N 1 N N N Options Clearing Corp. 549300CII6SLYGKNHA04 MCKESSON CORP 000000000 -31.00000000 NC USD -16771.00000000 -0.00189660084 N/A DE US N 1 Options Clearing Corp. 549300CII6SLYGKNHA04 Call Written McKesson Corp. McKesson Corp. 100.00000000 430.00000000 USD 2023-07-21 XXXX -11474.08000000 N N N MUFG Bank Ltd/New York NY C3GTMMZIHMY46P4OIX74 MUFG Bank Ltd/New York NY 62479MU68 20000000.00000000 PA USD 19986111.14000000 2.260191721868 Long STIV CORP JP N 2 2023-07-06 None 0.00000000 N N N N N N Jazz Pharmaceuticals PLC 635400GAUMJCLEZRRV50 Jazz Pharmaceuticals PLC 000000000 31345.00000000 NS USD 3885839.65000000 0.439442298099 Long EC CORP IE N 1 N N N Molina Healthcare Inc 549300NQQCEQ46YHZ591 Molina Healthcare Inc 60855R100 29112.00000000 NS USD 8769698.88000000 0.991748753572 Long EC CORP US N 1 N N N Sarepta Therapeutics Inc 549300IKDPIED8J8IG21 Sarepta Therapeutics Inc 803607100 2700.00000000 NS USD 309204.00000000 0.034967298854 Long EC CORP US N 1 N N N UNITEDHEALTH GROUP INC 549300GHBMY8T5GXDE41 UnitedHealth Group Inc 91324PEJ7 10940000.00000000 PA USD 10439616.65000000 1.180596613644 Long DBT CORP US N 2 2032-05-15 Fixed 4.20000000 N N N N N N Edwards Lifesciences Corp YA13X31F3V31L8TMPR58 Edwards Lifesciences Corp 28176E108 115471.00000000 NS USD 10892379.43000000 1.231798704944 Long EC CORP US N 1 N N N Argenx SE 7245009C5FZE6G9ODQ71 Argenx SE 04016X101 7604.00000000 NS USD 2963506.92000000 0.335137424252 Long EC CORP NL N 1 N N N BRISTOL-MYERS SQUIBB CO HLYYNH7UQUORYSJQCN42 Bristol-Myers Squibb Co 110122CP1 2100000.00000000 PA USD 1949858.17000000 0.220505793437 Long DBT CORP US N 2 2029-07-26 Fixed 3.40000000 N N N N N N Abbott Laboratories HQD377W2YR662HK5JX27 Abbott Laboratories 002824BG4 10498000.00000000 PA USD 10516006.59000000 1.189235408296 Long DBT CORP US N 2 2036-11-30 Fixed 4.75000000 N N N N N N Veradigm Inc Y68YJHVB1GU4TAU3C223 Veradigm Inc 01988P108 338217.00000000 NS USD 4261534.20000000 0.481928888207 Long EC CORP US N 1 N N N AmerisourceBergen Corp AI8GXW8LG5WK7E9UD086 AmerisourceBergen Corp 03073E105 20417.00000000 NS USD 3928843.31000000 0.444305501134 Long EC CORP US N 1 N N N Fusion Pharmaceuticals Inc N/A Fusion Pharmaceuticals Inc 36118A100 14319.00000000 NS USD 67012.92000000 0.007578365094 Long EC CORP CA N 1 N N N I-Mab 549300L1A5T19703RR64 I-Mab 44975P103 43738.00000000 NS USD 130776.62000000 0.014789282010 Long EC CORP KY N 1 N N N Assertio Holdings Inc N/A Assertio Holdings Inc 04546C205 410575.00000000 NS USD 2225316.50000000 0.251656857935 Long EC CORP US N 1 N N Acadia Healthcare Co Inc 5493005CW985Y9D0NC11 Acadia Healthcare Co Inc 00404A109 74939.00000000 NS USD 5968141.96000000 0.674925950248 Long EC CORP US N 1 N N N Options Clearing Corp. 549300CII6SLYGKNHA04 PFIZER INC 000000000 -1413.00000000 NC USD -100323.00000000 -0.01134533939 N/A DE US N 1 Options Clearing Corp. 549300CII6SLYGKNHA04 Call Written Pfizer, Inc. Pfizer, Inc. 100.00000000 37.50000000 USD 2023-08-18 XXXX -12632.94000000 N N N Tenet Healthcare Corp 0W9AIBT6U6ADJ2I8HK17 Tenet Healthcare Corp 88033G407 105224.00000000 NS USD 8563129.12000000 0.968388167900 Long EC CORP US N 1 N N N CVS Health Corp 549300EJG376EN5NQE29 CVS Health Corp 126650CX6 789000.00000000 PA USD 760475.43000000 0.086000736187 Long DBT CORP US N 2 2028-03-25 Fixed 4.30000000 N N N N N N HCA Healthcare Inc 529900PH4ZGUH2MNEU89 HCA Healthcare Inc 40412C101 41863.00000000 NS USD 12704583.24000000 1.436737425689 Long EC CORP US N 1 N N N Avantor Inc N/A Avantor Inc 05352A100 317100.00000000 NS USD 6513234.00000000 0.736569383922 Long EC CORP US N 1 N N N McKesson Corp 549300WZWOM80UCFSF54 McKesson Corp 58155Q103 31638.00000000 NS USD 13519233.78000000 1.528864723182 Long EC CORP US N 1 N N N Humana Inc 529900YLDW34GJAO4J06 Humana Inc 444859102 22522.00000000 NS USD 10070261.86000000 1.138826975072 Long EC CORP US N 1 N N N Options Clearing Corp. 549300CII6SLYGKNHA04 JOHNSON + JOHNSON 000000000 -440.00000000 NC USD -127160.00000000 -0.01438028525 N/A DE US N 1 Options Clearing Corp. 549300CII6SLYGKNHA04 Call Written Johnson & Johnson Johnson & Johnson 100.00000000 165.00000000 USD 2023-07-21 XXXX -52360.61000000 N N N Danaher Corp S4BKK9OTCEWQ3YHPFM11 Danaher Corp 235851102 87564.00000000 NS USD 21015360.00000000 2.376587539785 Long EC CORP US N 1 N N N Options Clearing Corp. 549300CII6SLYGKNHA04 DEXCOM INC 000000000 -106.00000000 NC USD -13250.00000000 -0.00149841758 N/A DE US N 1 Options Clearing Corp. 549300CII6SLYGKNHA04 Call Written Dexcom, Inc. Dexcom, Inc. 100.00000000 135.00000000 USD 2023-07-21 XXXX -2916.15000000 N N N Regeneron Pharmaceuticals Inc 549300RCBFWIRX3HYQ56 Regeneron Pharmaceuticals Inc 75886F107 21161.00000000 NS USD 15205024.94000000 1.719507675077 Long EC CORP US N 1 N N N State Street Institutional US Government Money Market Fund N/A State Street Institutional US Government Money Market Fund 857492573 4612350.00000000 NS USD 4612350.00000000 0.521601987266 Long STIV RF US N 1 N N Medical Properties Trust Inc 254900U6E39J1MQCCY14 Medical Properties Trust Inc 58463J304 266557.00000000 NS USD 2468317.82000000 0.279137420212 Long EC US N 1 N N Options Clearing Corp. 549300CII6SLYGKNHA04 MEDTRONIC PLC 000000000 -129.00000000 NC USD -20769.00000000 -0.00234872715 N/A DE IE N 1 Options Clearing Corp. 549300CII6SLYGKNHA04 Call Written Medtronic PLC Medtronic PLC 100.00000000 90.00000000 USD 2023-08-18 XXXX -8096.15000000 N N N Community Health Systems Inc N/A Community Health Systems Inc 203668108 79635.00000000 NS USD 350394.00000000 0.039625398490 Long EC CORP US N 1 N N N UnitedHealth Group Inc 549300GHBMY8T5GXDE41 UnitedHealth Group Inc 91324PDP4 4970000.00000000 PA USD 4759219.77000000 0.538211213344 Long DBT CORP US N 2 2028-12-15 Fixed 3.88000000 N N N N N N Options Clearing Corp. 549300CII6SLYGKNHA04 CHARLES RIVER LABORATORIES INT 000000000 -39.00000000 NC USD -15210.00000000 -0.00172007029 N/A DE US N 1 Options Clearing Corp. 549300CII6SLYGKNHA04 Call Written Charles River Laboratories International, Inc. Charles River Laboratories International, Inc. 100.00000000 230.00000000 USD 2023-08-18 XXXX -4036.99000000 N N N Options Clearing Corp. 549300CII6SLYGKNHA04 IQVIA HOLDINGS INC 000000000 -59.00000000 NC USD -37996.00000000 -0.00429689618 N/A DE US N 1 Options Clearing Corp. 549300CII6SLYGKNHA04 Call Written IQVIA Holdings, Inc. IQVIA Holdings, Inc. 100.00000000 230.00000000 USD 2023-08-18 XXXX -12391.39000000 N N N Teva Pharmaceutical Industries Ltd 549300BAFGM4RC74ZJ94 Teva Pharmaceutical Industries Ltd 881624209 77704.00000000 NS USD 585111.12000000 0.066169116169 Long EC CORP IL N 1 N N N Healthcare Realty Trust Inc 549300L0I14L7I0VLX84 Healthcare Realty Trust Inc 42226K105 25119.00000000 NS USD 473744.34000000 0.053574856461 Long EC US N 1 N N N Merck & Co Inc 4YV9Y5M8S0BRK1RP0397 Merck & Co Inc 58933Y105 423628.00000000 NS USD 48882434.92000000 5.528022634169 Long EC CORP US N 1 N N N Healthpeak Properties Inc 254900M6MTMZM0I22L81 Healthpeak Properties Inc 42250P103 66791.00000000 NS USD 1342499.10000000 0.151820698443 Long EC US N 1 N N N STERIS PLC N/A STERIS PLC 000000000 31072.00000000 NS USD 6990578.56000000 0.790551382492 Long EC CORP IE N 1 N N N West Pharmaceutical Services Inc 5493007NKRGM1RJQ1P16 West Pharmaceutical Services Inc 955306105 6192.00000000 NS USD 2368254.24000000 0.267821418135 Long EC CORP US N 1 N N N Options Clearing Corp. 549300CII6SLYGKNHA04 HUMANA INC 000000000 -33.00000000 NC USD -12870.00000000 -0.00145544409 N/A DE US N 1 Options Clearing Corp. 549300CII6SLYGKNHA04 Call Written Humana, Inc. Humana, Inc. 100.00000000 460.00000000 USD 2023-07-21 XXXX -995.71000000 N N N Eli Lilly & Co FRDRIPF3EKNDJ2CQJL29 Eli Lilly & Co 532457108 114982.00000000 NS USD 53924258.36000000 6.098192965075 Long EC CORP US N 1 N N N Galera Therapeutics Inc N/A Galera Therapeutics Inc 36338D108 314430.00000000 NS USD 981021.60000000 0.110941887782 Long EC CORP US N 1 N N N CIGNA GROUP/THE 549300VIWYMSIGT1U456 Cigna Group/The 125523CM0 5800000.00000000 PA USD 4867408.72000000 0.550446098234 Long DBT CORP US N 2 2031-03-15 Fixed 2.38000000 N N N N N N BECTON DICKINSON & CO ICE2EP6D98PQUILVRZ91 Becton Dickinson & Co 075887BW8 2413000.00000000 PA USD 2293681.59000000 0.259388137392 Long DBT CORP US N 2 2027-06-06 Fixed 3.70000000 N N N N N N Options Clearing Corp. 549300CII6SLYGKNHA04 THERMO FISHER SCIENTIFIC INC 000000000 -80.00000000 NC USD -85440.00000000 -0.00966224891 N/A DE US N 1 Options Clearing Corp. 549300CII6SLYGKNHA04 Call Written Thermo Fisher Scientific, Inc. Thermo Fisher Scientific, Inc. 100.00000000 540.00000000 USD 2023-08-18 XXXX -33716.42000000 N N N IDEXX Laboratories Inc OGMTXK0LUU1HKV2P0J84 IDEXX Laboratories Inc 45168D104 24307.00000000 NS USD 12207704.61000000 1.380546355879 Long EC CORP US N 1 N N N Amgen Inc 62QBXGPJ34PQ72Z12S66 Amgen Inc 031162CQ1 2200000.00000000 PA USD 2053759.86000000 0.232255840156 Long DBT CORP US N 2 2027-11-02 Fixed 3.20000000 N N N N N N Baxter International Inc J5OIVXX3P24RJRW5CK77 Baxter International Inc 071813109 198244.00000000 NS USD 9031996.64000000 1.021411513959 Long EC CORP US N 1 N N N Bristol-Myers Squibb Co HLYYNH7UQUORYSJQCN42 Bristol-Myers Squibb Co 110122108 276824.00000000 NS USD 17702894.80000000 2.001987079917 Long EC CORP US N 1 N N N UnitedHealth Group Inc 549300GHBMY8T5GXDE41 UnitedHealth Group Inc 91324PDK5 1460000.00000000 PA USD 1399206.08000000 0.158233584165 Long DBT CORP US N 2 2028-06-15 Fixed 3.85000000 N N N N N N Options Clearing Corp. 549300CII6SLYGKNHA04 THERMO FISHER SCIENTIFIC INC 000000000 -80.00000000 NC USD -53920.00000000 -0.00609771139 N/A DE US N 1 Options Clearing Corp. 549300CII6SLYGKNHA04 Call Written Thermo Fisher Scientific, Inc. Thermo Fisher Scientific, Inc. 100.00000000 530.00000000 USD 2023-07-21 XXXX -29673.00000000 N N N Gilead Sciences Inc 549300WTZWR07K8MNV44 Gilead Sciences Inc 375558103 214756.00000000 NS USD 16551244.92000000 1.871749160842 Long EC CORP US N 1 N N N 2023-07-27 Tekla Healthcare Opportunities Fund Laura Woodward Laura Woodward CCO XXXX NPORT-EX 2 NPORT_TN01_12781684_0623.htm

 

TEKLA HEALTHCARE OPPORTUNITIES FUND

 

SCHEDULE OF INVESTMENTS

JUNE 30, 2023 (Unaudited)

 

Convertible Preferreds (Restricted) (a)(b) - 0.8%  Shares   Value 
Health Care Equipment & Supplies – 0.1%          
IO Light Holdings, Inc. Series A2   189,858   $540,716 
           
Pharmaceuticals – 0.7%          
Aristea Therapeutics, Inc. Series B, 8.00%   616,645    3,399,995 
Endeavor Biomedicines, Inc. Series B, 8.00%   742,138    3,499,997 
         6,899,992 
Total Convertible Preferreds (Cost $7,532,724)        7,440,708 

 

Non-Convertible Notes - 17.3%  Principal
Amount
     
Biotechnology – 2.8%        
AbbVie, Inc., 3.20% due 05/14/26  $3,245,000    3,074,228 
AbbVie, Inc., 4.25% due 11/14/28   5,303,000    5,141,798 
AbbVie, Inc., 4.45% due 05/14/46   3,080,000    2,707,306 
Amgen, Inc., 3.20% due 11/02/27   2,200,000    2,053,760 
Amgen, Inc., 2.00% due 01/15/32   2,795,000    2,206,006 
Gilead Sciences, Inc., 2.95% due 03/01/27   10,000,000    9,388,689 
         24,571,787 
Health Care Equipment & Supplies  – 2.8%          
Abbott Laboratories, 3.40% due 11/30/23   2,100,000    2,081,363 
Abbott Laboratories, 4.75% due 11/30/36   10,498,000    10,516,007 
Becton, Dickinson and Co., 3.70% due 06/06/27   2,413,000    2,293,682 
DH Europe Finance II Sarl, 3.25% due 11/15/39   1,760,000    1,428,351 
Stryker Corp., 3.65% due 03/07/28   3,500,000    3,325,414 
Zimmer Biomet Holdings, Inc., 4.25% due 08/15/35   6,000,000    5,180,168 
         24,824,985 
Health Care Providers & Services – 7.1%          
CVS Health Corp., 4.30% due 03/25/28   789,000    760,475 
CVS Health Corp., 1.88% due 02/28/31   4,400,000    3,491,981 
CVS Health Corp., 4.78% due 03/25/38   2,100,000    1,935,482 
CVS Health Corp., 5.05% due 03/25/48   3,700,000    3,404,769 
Elevance Health, Inc., 3.50% due 08/15/24   10,500,000    10,228,930 
Elevance Health, Inc., 4.10% due 03/01/28   2,975,000    2,854,732 
Elevance Health, Inc., 2.55% due 03/15/31   5,800,000    4,869,405 
Elevance Health, Inc., 4.65% due 08/15/44   2,325,000    2,084,157 
The Cigna Group, 3.50% due 06/15/24   2,100,000    2,057,114 
The Cigna Group, 4.38% due 10/15/28   1,504,000    1,453,794 
The Cigna Group, 2.38% due 03/15/31   5,800,000    4,867,409 
The Cigna Group, 6.13% due 11/15/41   8,250,000    8,759,385 
UnitedHealth Group, Inc., 3.85% due 06/15/28   1,460,000    1,399,206 
UnitedHealth Group, Inc., 3.88% due 12/15/28   4,970,000    4,759,220 

  

THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THIS SCHEDULE OF INVESTMENTS.

 

 

 

 

Health Care Providers & Services – continued  Principal
Amount
   Value 
UnitedHealth Group, Inc., 4.20% due 05/15/32  $10,940,000   $10,439,616 
         63,365,675 
Healthcare Services – 0.7%          
Laboratory Corporation of America Holdings, 3.60% due 02/01/25   2,100,000    2,028,972 
Syneos Health, Inc., 3.63% due 01/15/29(c)     4,100,000    4,008,078 
         6,037,050 
Pharmaceuticals – 3.9%          
AstraZeneca plc, 6.45% due 09/15/37 (d)    4,750,000    5,440,858 
Bristol-Myers Squibb Co., 3.20% due 06/15/26   7,500,000    7,175,406 
Bristol-Myers Squibb Co., 3.40% due 07/26/29   2,100,000    1,949,858 
IQVIA, Inc., 5.00% due 05/15/27(c)     1,290,000    1,240,900 
Johnson & Johnson, 2.90% due 01/15/28   2,200,000    2,069,170 
Merck & Co., Inc., 2.75% due 02/10/25   2,100,000    2,020,631 
Merck & Co., Inc., 3.40% due 03/07/29   4,000,000    3,741,929 
Pfizer, Inc., 3.45% due 03/15/29   8,100,000    7,621,076 
Pfizer, Inc., 4.00% due 12/15/36   3,200,000    2,979,917 
         34,239,745 
Total Non-Convertible Notes (Cost $162,354,284)        153,039,242 

 

Common Stocks - 102.4%   Shares  
Biotechnology – 16.1%        
AbbVie, Inc. (e)   297,919    40,138,627 
Amgen, Inc. (e)   166,595    36,987,422 
argenx SE ADR (b)   7,604    2,963,507 
Biogen, Inc. (b)   33,464    9,532,220 
Fusion Pharmaceuticals, Inc. (b)(d)   14,319    67,013 
Fusion Pharmaceuticals, Inc. (Restricted) (a)(b)(d)   7,160    30,158 
Galera Therapeutics, Inc. (b)   314,430    981,022 
Gilead Sciences, Inc.   214,756    16,551,245 
I-Mab ADR (b)   43,738    130,777 
Moderna, Inc. (b)   38,588    4,688,442 
Rallybio Corp. (b)(f)   594,616    3,365,526 
Regeneron Pharmaceuticals, Inc. (b)   21,161    15,205,025 
Sarepta Therapeutics, Inc. (b)   2,700    309,204 
Vertex Pharmaceuticals, Inc. (b)   31,999    11,260,768 
         142,210,956 
Equity Real Estate Investment Trusts – 3.4%          
Diversified Healthcare Trust REIT   293,879    661,228 
Global Medical REIT, Inc.   31,668    289,129 
Healthcare Realty Trust, Inc.   25,119    473,744 
Healthpeak Properties, Inc.   66,791    1,342,499 

 

THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THIS SCHEDULE OF INVESTMENTS.

  

 

 

 

Equity Real Estate Investment Trusts – continued  Shares       Value 
LTC Properties, Inc.   135,390   $4,470,578 
Medical Properties Trust, Inc. (f)   266,557    2,468,318 
National Health Investors, Inc.   5,596    293,342 
Omega Healthcare Investors, Inc.   235,358    7,223,137 
Physicians Realty Trust   582,346    8,147,021 
Sabra Health Care REIT, Inc.   419,879    4,941,976 
Universal Health Realty Income Trust   3,075    146,308 
         30,457,280 
Health Care Equipment & Supplies  – 16.5%          
Abbott Laboratories (e)   307,502    33,523,868 
Baxter International, Inc.   198,244    9,031,997 
DexCom, Inc. (b)(e)   107,929    13,869,956 
Edwards Lifesciences Corp. (b)   115,471    10,892,379 
Guardant Health, Inc. (b)   74,536    2,668,389 
IDEXX Laboratories, Inc. (b)   24,307    12,207,705 
Inspire Medical Systems, Inc. (b)   11,690    3,795,042 
Insulet Corp. (b)   22,211    6,404,320 
LivaNova plc (b)   108,480    5,579,126 
Medtronic plc (e)    212,554    18,726,007 
STERIS plc   31,072    6,990,579 
Stryker Corp. (e)   51,917    15,839,357 
Zimmer Biomet Holdings, Inc. (e)   43,370    6,314,672 
         145,843,397 
Health Care Providers & Services – 20.3%          
Acadia Healthcare Co., Inc. (b)   74,939    5,968,142 
AmerisourceBergen Corp.   20,417    3,928,843 
Charles River Laboratories International, Inc. (b)(e)   41,069    8,634,757 
Community Health Systems, Inc. (b)   79,635    350,394 
CVS Health Corp.   93,621    6,472,020 
Elevance Health, Inc.   64,880    28,825,535 
HCA Healthcare, Inc.   41,863    12,704,583 
Humana, Inc. (e)   22,522    10,070,262 
Molina Healthcare, Inc. (b)(e)   29,112    8,769,699 
R1 RCM, Inc. (b)   232,554    4,290,621 
Tenet Healthcare Corp. (b)(e)   105,224    8,563,129 
The Cigna Group (e)   52,243    14,659,386 
UnitedHealth Group, Inc.   137,979    66,318,227 
         179,555,598 
Health Care Technology – 0.5%(b)          
Veradigm, Inc.   338,217    4,261,534 
           
Life Sciences Tools & Services – 6.4%          
Agilent Technologies, Inc.   43,191    5,193,718 
Avantor, Inc. (b)   317,100    6,513,234 
ICON plc (b)   2,800    700,560 

 

THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THIS SCHEDULE OF INVESTMENTS.

 

 

 

 

Life Sciences Tools & Services – continued   Shares     Value  
Illumina, Inc. (b)(e)      57,986     $ 10,871,795  
Thermo Fisher Scientific, Inc. (e)     59,825       31,213,694  
West Pharmaceutical Services, Inc.     6,192       2,368,254  
              56,861,255  
Medical Devices and Diagnostics – 6.6%                
Boston Scientific Corp. (b)(e)     346,489       18,741,590  
Danaher Corp.     87,564       21,015,360  
Intuitive Surgical, Inc. (b)     39,948       13,659,819  
ResMed, Inc.     24,600       5,375,100  
              58,791,869  
Pharmaceuticals – 32.6%                
Assertio Holdings, Inc. (b)(f)     410,575       2,225,317  
AstraZeneca plc ADR     16,300       1,166,591  
Bristol-Myers Squibb Co.     276,824       17,702,895  
Eli Lilly & Co.     114,982       53,924,258  
IQVIA Holdings, Inc. (b)(e)   61,434    13,808,520 
Jazz Pharmaceuticals plc (b)   31,345    3,885,840 
Johnson & Johnson (e)   445,417    73,725,422 
McKesson Corp. (e)   31,638    13,519,234 
Merck & Co., Inc.   423,628    48,882,435 
Oculis Holding AG (Restricted) (a)(d)   591,759    6,588,053 
Perrigo Co. plc (d)   28,292    960,513 
Pfizer, Inc. (e)   971,961    35,651,529 
Teva Pharmaceutical Industries Ltd. ADR (b)   77,704    585,111 
Zoetis, Inc. (e)   89,682    15,444,137 
         288,069,855 
Total Common Stocks (Cost $770,791,266)        906,051,744 

 

Short-Term Investments - 5.9%  Principal
Amount
     
MUFG Bank Ltd. Commercial Paper, 5.00%, due 07/06/23  $20,000,000    19,986,111 
Repurchase Agreement, Fixed Income Clearing Corp., repurchase value $27,436,475, 1.52%, dated 06/30/23, due 07/03/23 (collateralized by U.S. Treasury Note 1.500%, due 01/31/27, market value $27,981,726)   27,433,000    27,433,000 

  

    SHARES        
State Street Institutional U.S. Government Money Market Fund, Institutional Class, 5.03% (g)      4,612,350       4,612,350  
Total Short-Term Investments (Cost $52,031,461)             52,031,461  
Total Investments Before Milestone Interest 126.5% (Cost $992,709,735)               1,118,563,155  

 

THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THIS SCHEDULE OF INVESTMENTS.

  

 

 

 

Milestone Interests (Restricted) (a)(b) – 0.0%  Interests   Value 
Biotechnology – 0.0%          
Rainier Therapeutics Milestone Interest   1   $0 
Total Milestone Interests (Cost $277,782)        0 
           
Option Contracts Written- (0.1)%  Number Of
Contracts
(100 Shares
Each)/
Notional Amount ($)
        
Call Option Contracts Written - (0.1)%           
Abbott Laboratories Aug23 115 Call   451/(5,186,500)     (35,178)
Abbott Laboratories Jul23 112 Call   460/(5,152,000)     (37,720)
AbbVie, Inc. Aug23 140 Call   292/(4,088,000)     (52,268)
AbbVie, Inc. Jul23 135 Call   297/(4,009,500)     (50,787)
Amgen, Inc. Aug23 235 Call   246/(5,781,000)     (46,986)
Amgen, Inc. Jul23 230 Call   246/(5,658,000)     (23,124)
Boston Scientific Corp. Aug23 57.5 Call   337/(1,937,750)     (13,143)
Charles River Laboratories International, Inc. Aug23 230 Call   39/(897,000)     (15,210)
DexCom, Inc. Aug23 140 Call   106/(1,484,000)     (28,620)
DexCom, Inc. Jul23 135 Call   106/(1,431,000)     (13,250)
Humana, Inc. Aug23 470 Call   33/(1,551,000)     (21,780)
Humana, Inc. Jul23 460 Call   33/(1,518,000)     (12,870)
Illumina, Inc. Aug23 200 Call   57/(1,140,000)     (37,620)
IQVIA Holdings, Inc. Aug23 230 Call   59/(1,357,000)     (37,996)
Johnson & Johnson Aug23 170 Call   440/(7,480,000)     (72,600)
Johnson & Johnson Jul23 165 Call   440/(7,260,000)     (127,160)
McKesson Corp. Aug23 440 Call   31/(1,364,000)     (27,900)
McKesson Corp. Jul23 430 Call   31/(1,333,000)     (16,771)
Medtronic plc Aug23 90 Call   129/(1,161,000)     (20,769)
Molina Healthcare, Inc. Aug23 310 Call   28/(868,000)     (25,900)
Pfizer, Inc. Aug23 37.5 Call   1,413/(5,298,750)     (100,323)
Pfizer, Inc. Jul23 37.5 Call   1,452/(5,445,000)     (47,916)
Stryker Corp. Aug23 320 Call   37/(1,184,000)     (11,840)
Tenet Healthcare Corp. Aug23 85 Call   104/(884,000)     (31,200)
The Cigna Group Aug23 290 Call   77/(2,233,000)     (52,360)
The Cigna Group Jul23 290 Call   77/(2,233,000)     (15,015)
Thermo Fisher Scientific, Inc. Aug23 540 Call   80/(4,320,000)     (85,440)
Thermo Fisher Scientific, Inc. Jul23 530 Call   80/(4,240,000)     (53,920)
Zimmer Biomet Holdings, Inc. Aug23 155 Call   43/(666,500)     (6,880)
Zoetis, Inc. Aug23 180 Call   87/(1,566,000)     (24,360)
Total Call Option Contracts Written (Premiums received $(784,445))          (1,146,906)
Total Investments - 126.4% (Cost $992,203,072)          1,117,416,249 
Other Liabilities In Excess Of Assets - (26.4)%          (233,148,884)
Net Assets - 100%         $884,267,365 

 

The percentage shown for each investment category in the Schedule of Investments is based on net assets.

(a)Security fair valued using significant unobservable inputs. See Investment Valuation and Fair Value Measurements.
(b)Non-income producing security.
(c)Security exempt from registration under Rule 144A of the Securities Act of 1933, as amended.  These securities may be resold in transactions exempt from registration, normally to qualified institutional buyers.

 

THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THIS SCHEDULE OF INVESTMENTS.

 

 

 

 

(d)Foreign security.
(e)A portion of security is pledged as collateral for call options written.
(f)All or a portion of this security is on loan as of June 30, 2023.
(g)This security represents the investment of cash collateral received for securities lending and is a registered investment company advised by State Street Global Advisors. The rate shown is the annualized seven-day yield as of June 30, 2023.

 

ADR   American Depository Receipt

           

THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THIS SCHEDULE OF INVESTMENTS.

  

 

 

 

Investment Valuation

 

Shares of publicly traded companies listed on national securities exchanges or trading in the over-the-counter market are typically valued at the last sale price, as of the close of trading, generally 4 p.m., Eastern Time. The Board of Trustees of the Fund (the Trustees) has established and approved fair valuation policies and procedures with respect to securities for which quoted prices may not be available or which do not reflect fair value. Convertible, corporate and government bonds are valued using a third-party pricing service. Convertible bonds are valued using this pricing service only on days when there is no sale reported. Puts and calls generally are valued at the close of regular trading on the securities or commodities exchange on which they are primarily traded. Options on securities generally are valued at their last bid price in the case of exchange traded options or, in the case of OTC-traded options, the average of the last bid price as obtained from two or more dealers unless there is only one dealer, in which case that dealer’s price is used. Forward foreign currency contracts are valued on the basis of the value of the underlying currencies at the prevailing currency exchange rate. Restricted securities of companies that are publicly traded are typically valued based on the closing market quote on the valuation date adjusted for the impact of the restriction as determined in good faith by Tekla Capital Management LLC (the Adviser) also using fair valuation policies and procedures approved by the Trustees described below. Non-exchange traded warrants of publicly traded companies are generally valued using the Black-Scholes model, which incorporates both observable and unobservable inputs. Short-term investments with a maturity of 60 days or less are generally valued at amortized cost, which approximates fair value.

  

Convertible preferred shares, warrants or convertible note interests in private companies, milestone interests and other restricted securities, as well as shares of publicly traded companies for which market quotations are not readily available, such as stocks for which trading has been halted or for which there are no current day sales, or which do not reflect fair value, are typically valued in good faith, based upon the recommendations made by the Adviser pursuant to fair valuation policies and procedures approved by the Trustees.

  

The Adviser has a Valuation Sub-Committee comprised of senior management which reports to the Valuation Committee of the Board at least quarterly. Each fair value determination is based on a consideration of relevant factors, including both observable and unobservable inputs. Observable and unobservable inputs may include (i) the existence of any contractual restrictions on the disposition of securities; (ii) information obtained from the company, which may include an analysis of the company’s financial statements, products, intended markets or technologies; (iii) the price of the same or similar security negotiated at arm’s length in an issuer’s completed subsequent round of financing; (iv) the price and extent of public trading in similar securities of the issuer or of comparable companies; or (v) a probability and time value adjusted analysis of contractual terms. Where available and appropriate, multiple valuation methodologies are applied to confirm fair value. Significant unobservable inputs identified by the Adviser are often used in the fair value determination. A significant change in any of these inputs may result in a significant change in the fair value measurement. Due to the uncertainty inherent in the valuation process, such estimates of fair value may differ significantly from the values that would have been used had a ready market for the investments existed, and differences could be material. Additionally, changes in the market environment and other events that may occur over the life of the investments may cause the gains or losses ultimately realized on these investments to be different from the valuations used at the date of this schedule of investments.

  

Federal Income Tax Cost

  

At June 30, 2023, the cost of securities for Federal income tax purposes was $993,834,181. The net unrealized gain on securities held by the Fund was $123,582,068, including gross unrealized gain of $198,657,548 and gross unrealized loss of $75,075,480.

  

Securities Lending

  

The Fund may lend its securities to approved borrowers to earn additional income. The Fund receives cash collateral from the borrower and the initial collateral received by the Fund is required to have a value of at least 102% of the current value of the loaned securities traded on U.S. exchanges, and a value of at least 105% for all other securities. The Fund will invest its cash collateral in State Street Institutional U.S. Government Money Market Fund (SAHXX), which is registered with the Securities and Exchange Commission (SEC) as an investment company. SAHXX invests substantially all of its assets in the State Street U.S. Government Money

  

Market Portfolio. The Fund will receive the benefit of any gains and bear any losses generated by SAHXX with respect to the cash collateral.

  

 

 

 

The Fund has the right to recall loaned securities on demand. If a borrower fails to return loaned securities when due, then the lending agent is responsible and indemnifies the Fund for the lent securities. The lending agent uses the collateral received from the borrower to purchase replacement securities of the same issue, type, class and series of the loaned securities. If the value of the collateral is less than the purchase cost of replacement securities, the lending agent is responsible for satisfying the shortfall but only to the extent that the shortfall is not due to any decrease in the value of SAHXX.

  

Although the risk of loss on securities lent is mitigated by receiving collateral from the borrower and through lending agent indemnification, the Fund could experience a delay in recovering securities or could experience a lower than expected return if the borrower fails to return the securities on a timely basis. The Fund receives compensation for lending its securities by retaining a portion of the return on the investment of the collateral and compensation from fees earned from borrowers of the securities. Securities lending income received by the Fund is net of fees retained by the securities lending agent. Net income received from SAHXX is a component of securities lending income as recorded by the Fund.

 

As of June 30, 2023, the Fund loaned securities valued at $4,517,568 and received $4,612,350 of cash collateral.

 

Fair Value Measurements

  

The Fund uses a three-tier hierarchy to prioritize the assumptions, referred to as inputs, used in valuation techniques to measure fair value. The three-tier hierarchy of inputs is summarized in the three broad levels. Level 1 includes quoted prices in active markets for identical investments. Level 2 includes prices determined using other significant observable inputs (including quoted prices for similar investments, interest rates, credit risk, etc.). The independent pricing vendor may value bank loans and debt securities at an evaluated bid price by employing methodologies that utilize actual market transactions, broker-supplied valuations, and/or other methodologies designed to identify the market value for such securities and such securities are considered Level 2 in the fair value hierarchy. Level 3 includes prices determined using significant unobservable inputs (including the Fund’s own assumptions in determining the fair value of investments). These inputs or methodology used for valuing securities are not necessarily an indication of the risk associated with investing in those securities.

  

For the period ended June 30, 2023, there were no transfers between levels.

 

 

 

 

The following is a summary of the levels used as of June 30, 2023 to value the Fund’s investments.

  

Assets at Value  Level 1   Level 2   Level 3   Total 
Convertible Preferreds                    
Health Care Equipment & Supplies  $-   $-   $540,716   $540,716 
Pharmaceuticals   -    -    6,899,992    6,899,992 
Non-convertible Notes                    
Biotechnology   -    24,571,787    -    24,571,787 
Health Care Equipment & Supplies   -    24,824,985    -    24,824,985 
Health Care Providers & Services   -    63,365,675    -    63,365,675 
Healthcare Services   -    6,037,050    -    6,037,050 
Pharmaceuticals   -    34,239,745    -    34,239,745 
Common Stocks                    
Biotechnology   142,180,798    30,158    -    142,210,956 
Equity Real Estate Investment Trusts   30,457,280    -    -    30,457,280 
Health Care Equipment & Supplies   145,843,397    -    -    145,843,397 
Health Care Providers & Services   179,555,598    -    -    179,555,598 
Health Care Technology   4,261,534    -    -    4,261,534 
Life Sciences Tools & Services   56,861,255    -    -    56,861,255 
Medical Devices and Diagnostics   58,791,869    -    -    58,791,869 
Pharmaceuticals   281,481,802    6,588,053    -    288,069,855 
Short-term Investments   4,612,350    47,419,111         52,031,461 
Milestone Interest                    
Biotechnology   -    -    0*   0*
Total  $904,045,883   $207,076,564   $7,440,708   $1,118,563,155 
Other Financial Instruments                    
Options Contracts Written  $(1,146,906)  $-   $-   $(1,146,906)
Total  $(1,146,906)  $-   $-   $(1,146,906)

  

*Represents security valued at zero.

 

The following is a reconciliation of Level 3 assets for which significant unobservable inputs were used to determine fair value.

 

Investments in Securities  Balance as of
September 30,
2022
   Net realized
gain (loss) and
change in
unrealized
appreciation
(depreciation)
   Cost of
purchases
and
conversions
   Proceeds
from
sales and
conversions
   Net
transfers
into
(out of)
Level 3
   Balance as
of June 30,
2023
 
Convertible Preferreds                              
     Biotechnology  $3,981,414   $(653,670)  $-   $(3,327,744)  $-   $- 
     Health Care Equipment & Supplies   640,771    (100,394)   339    -    -    540,716 
     Pharmaceuticals   6,899,992    -    -    -    -    6,899,992 
Milestone Interest                              
     Biotechnology   268,893    (268,893)   -    -    -    0*
Total  $11,791,070   $(1,022,957)  $339   $(3,327,744)  $   -   $7,440,708 
Net change in unrealized appreciation (depreciation) from investments still held as of June 30, 2023    $369,287 

 

*Represents security valued at zero.  

  

 

 

 

The following is a quantitative disclosure about significant unobservable inputs used in the determination of the fair value of Level 3 assets.

  

    Fair Value at
June 30, 2023  
    Valuation Technique     Unobservable Input     Range
(Weighted Average)  
Convertible Preferreds   $ 7,440,708     Transaction price   (a)   N/A
Milestone Interest     0         Probability of events
Timing of events
  90.00%-100.00% (N/A) 1.25-12.25 years (N/A)
    $ 7,440,708              

  

(a) The valuation technique used as a basis to approximate fair value of these investments is based on a transaction price or subsequent financing rounds.

  

Private Companies and Other Restricted Securities

  

The Fund may invest in private companies and other restricted securities if these securities would currently comprise 10% or less of Managed Assets. The value of these securities represented 1% of the Fund’s Managed Assets at June 30, 2023.

 

The following table details the acquisition date, cost, carrying value per unit, and value of the Fund’s private companies and other restricted securities at June 30, 2023. The Fund on its own does not have the right to demand that such securities be registered.

  

Security (#)  Acquisition
Date
  Cost   Carrying Value
per Unit
   Value 
Aristea Therapeutics, Inc. Series B, Cvt. Pfd  07/27/21  $3,399,996   $5.51   $3,399,995 
Endeavor Biomedicines, Inc. Series B, Cvt. Pfd  01/21/22   3,504,343    4.72    3,499,997 
Fusion Pharmaceuticals, Inc. Common  09/20/22   0    4.21    30,158 
IO Light Holdings, Inc. Series A2 Cvt. Pfd  04/30/20,05/17/21,09/15/21  628,386    2.85    540,716 
Oculis Holding AG  03/06/23   4,975,839    11.13    6,588,053 
Rainier Therapeutics Milestone Interest  09/28/21   277,782    0.00    0 
      $12,786,345        $14,058,919 

 

(#)See Schedule of Investments and corresponding footnotes for more information on each issuer.
Interest received as part of a corporate action for a previously owned security.