UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM N-PX ANNUAL REPORT OF PROXY VOTING RECORD OF REGISTERED MANAGEMENT INVESTMENT COMPANY INVESTMENT COMPANY ACT FILE NUMBER: 811-23144 NAME OF REGISTRANT: NexPoint Healthcare Opportunities Fund ADDRESS OF PRINCIPAL EXECUTIVE OFFICES: 300 Crescent Court Suite 700 Dallas, TX 75201 NAME AND ADDRESS OF AGENT FOR SERVICE: NexPoint Advisors, L.P. 300 Crescent Court Suite 700 Dallas, TX 75201 REGISTRANT'S TELEPHONE NUMBER: 972-628-4100 DATE OF FISCAL YEAR END: 12/31 DATE OF REPORTING PERIOD: 07/01/2018 - 06/30/2019 The fund held no voting securities during the reporting period and did not vote any securities or have any securities that were subject to a vote during the reporting period. NexPoint Healthcare Opportunities Fund -------------------------------------------------------------------------------------------------------------------------- ABBOTT LABORATORIES Agenda Number: 934941736 -------------------------------------------------------------------------------------------------------------------------- Security: 002824100 Meeting Type: Annual Meeting Date: 26-Apr-2019 Ticker: ABT ISIN: US0028241000 -------------------------------------------------------------------------------------------------------------------------- Prop.# Proposal Proposal Proposal Vote For/Against Type Management 1. DIRECTOR R.J. Alpern Mgmt No vote R.S. Austin Mgmt No vote S.E. Blount Mgmt No vote M.A. Kumbier Mgmt No vote E.M. Liddy Mgmt No vote N. McKinstry Mgmt No vote P.N. Novakovic Mgmt No vote W.A. Osborn Mgmt No vote S.C. Scott III Mgmt No vote D.J. Starks Mgmt No vote J.G. Stratton Mgmt No vote G.F. Tilton Mgmt No vote M.D. White Mgmt No vote 2. Ratification of Ernst & Young LLP as Mgmt No vote Auditors 3. Say on Pay - An Advisory Vote to Approve Mgmt No vote Executive Compensation 4. Shareholder Proposal - Independent Board Shr No vote Chairman -------------------------------------------------------------------------------------------------------------------------- ACADIA HEALTHCARE COMPANY, INC. Agenda Number: 934950189 -------------------------------------------------------------------------------------------------------------------------- Security: 00404A109 Meeting Type: Annual Meeting Date: 02-May-2019 Ticker: ACHC ISIN: US00404A1097 -------------------------------------------------------------------------------------------------------------------------- Prop.# Proposal Proposal Proposal Vote For/Against Type Management 1.1 Election of Director: William F. Grieco Mgmt No vote 1.2 Election of Director: Reeve B. Waud Mgmt No vote 2. Advisory vote on the compensation of the Mgmt No vote Company's named executive officers as presented in the Proxy Statement. 3. Advisory vote on the frequency of the Mgmt No vote advisory vote on the compensation of the Company's named executive officers. 4. Ratify the appointment of Ernst & Young LLP Mgmt No vote as the Company's independent registered public accounting firm for the fiscal year ending December 31, 2019. -------------------------------------------------------------------------------------------------------------------------- AERIE PHARMACEUTICALS, INC. Agenda Number: 934982679 -------------------------------------------------------------------------------------------------------------------------- Security: 00771V108 Meeting Type: Annual Meeting Date: 23-May-2019 Ticker: AERI ISIN: US00771V1089 -------------------------------------------------------------------------------------------------------------------------- Prop.# Proposal Proposal Proposal Vote For/Against Type Management 1. DIRECTOR G. D. Cagle, Ph.D. Mgmt For For R. Croarkin Mgmt For For 2. Ratification of the appointment of Mgmt For For PricewaterhouseCoopers LLP as the Company's independent registered public accounting firm for the fiscal year ending December 31, 2019. 3. To approve, by a non-binding vote, the Mgmt For For compensation of our named executive officers ("say-on-pay"). -------------------------------------------------------------------------------------------------------------------------- AMARIN CORPORATION PLC Agenda Number: 935013196 -------------------------------------------------------------------------------------------------------------------------- Security: 023111206 Meeting Type: Annual Meeting Date: 20-May-2019 Ticker: AMRN ISIN: US0231112063 -------------------------------------------------------------------------------------------------------------------------- Prop.# Proposal Proposal Proposal Vote For/Against Type Management 1. To re-elect Mr. Jan van Heek as a director. Mgmt For For 2. To re-elect Ms. Kristine Peterson as a Mgmt For For director. 3. To hold an advisory (non-binding) vote to Mgmt For For approve the compensation of the Company's "named executive officers" as described in full in the "Executive Compensation Discussion and Analysis" section, the tabular disclosure regarding such compensation, and the accompanying narrative disclosure on pages 25 to 55 of the accompanying Proxy Statement. 4. To appoint Ernst & Young LLP as auditors of Mgmt For For the Company to hold office until the conclusion of the next general meeting at which accounts are laid before the Company and to authorize the Audit Committee of the Board of Directors of the Company to fix the auditors' remuneration as described in full on pages 9 to 10 of the accompanying Proxy Statement. 5. To generally and unconditionally Mgmt Against Against reauthorize the Board of Directors of the Company to exercise all powers of the Company to allot shares in the Company or grant rights to subscribe for or to convert any security into shares of the Company up to an aggregate nominal amount of GBP 148,000,000 (being the aggregate nominal amount of GBP 125,000,000 in respect of ordinary shares and GBP 23,000,000 in respect of preference shares) as described in full on pages 11 to 12 of the accompanying Proxy Statement. 6. To, subject to the passing of Resolution Mgmt Against Against No. 5, disapply statutory pre-emption rights otherwise applicable to shares in the Company allotted by the Board of Directors, up to an aggregate nominal amount of GBP 148,000,000 (being the aggregate nominal amount of GBP 125,000,000 in respect of ordinary shares and GBP 23,000,000 in respect of preference shares) as described in full on pages 13 to 14 of the accompanying Proxy Statement. -------------------------------------------------------------------------------------------------------------------------- AMGEN INC. Agenda Number: 934979266 -------------------------------------------------------------------------------------------------------------------------- Security: 031162100 Meeting Type: Annual Meeting Date: 21-May-2019 Ticker: AMGN ISIN: US0311621009 -------------------------------------------------------------------------------------------------------------------------- Prop.# Proposal Proposal Proposal Vote For/Against Type Management 1a. Election of Director: Dr. Wanda M. Austin Mgmt For For 1b. Election of Director: Mr. Robert A. Bradway Mgmt For For 1c. Election of Director: Dr. Brian J. Druker Mgmt For For 1d. Election of Director: Mr. Robert A. Eckert Mgmt For For 1e. Election of Director: Mr. Greg C. Garland Mgmt For For 1f. Election of Director: Mr. Fred Hassan Mgmt For For 1g. Election of Director: Dr. Rebecca M. Mgmt For For Henderson 1h. Election of Director: Mr. Charles M. Mgmt For For Holley, Jr. 1i. Election of Director: Dr. Tyler Jacks Mgmt For For 1j. Election of Director: Ms. Ellen J. Kullman Mgmt For For 1k. Election of Director: Dr. Ronald D. Sugar Mgmt For For 1l. Election of Director: Dr. R. Sanders Mgmt For For Williams 2. Advisory vote to approve our executive Mgmt For For compensation. 3. To ratify the selection of Ernst & Young Mgmt For For LLP as our independent registered public accountants for the fiscal year ending December 31, 2019. -------------------------------------------------------------------------------------------------------------------------- BIO-RAD LABORATORIES, INC. Agenda Number: 934985904 -------------------------------------------------------------------------------------------------------------------------- Security: 090572207 Meeting Type: Annual Meeting Date: 29-Apr-2019 Ticker: BIO ISIN: US0905722072 -------------------------------------------------------------------------------------------------------------------------- Prop.# Proposal Proposal Proposal Vote For/Against Type Management 1.1 Election of Director: Arnold A. Pinkston Mgmt For For 1.2 Election of Director: Melinda Litherland Mgmt For For 2. PROPOSAL to ratify the selection of KPMG Mgmt For For LLP to serve as the Company's independent auditors. -------------------------------------------------------------------------------------------------------------------------- CHARLES RIVER LABORATORIES INTL., INC. Agenda Number: 934978579 -------------------------------------------------------------------------------------------------------------------------- Security: 159864107 Meeting Type: Annual Meeting Date: 21-May-2019 Ticker: CRL ISIN: US1598641074 -------------------------------------------------------------------------------------------------------------------------- Prop.# Proposal Proposal Proposal Vote For/Against Type Management 1A. Election of Director: James C. Foster Mgmt For For 1B. Election of Director: Robert J. Bertolini Mgmt For For 1C. Election of Director: Stephen D. Chubb Mgmt For For 1D. Election of Director: Deborah T. Kochevar Mgmt For For 1E. Election of Director: Martin W. MacKay Mgmt For For 1F. Election of Director: Jean-Paul Mangeolle Mgmt For For 1G. Election of Director: George E. Massaro Mgmt For For 1H. Election of Director: George M. Milne, Jr. Mgmt For For 1I. Election of Director: C. Richard Reese Mgmt For For 1J. Election of Director: Richard F. Wallman Mgmt For For 2. Say on Pay - An advisory vote to approve Mgmt For For our executive compensation. 3. Proposal to ratify the appointment of Mgmt For For PricewaterhouseCoopers LLP as our independent registered public accountants for the fiscal year ending December 28, 2019. -------------------------------------------------------------------------------------------------------------------------- COLLEGIUM PHARMACEUTICAL, INC. Agenda Number: 934946344 -------------------------------------------------------------------------------------------------------------------------- Security: 19459J104 Meeting Type: Annual Meeting Date: 25-Apr-2019 Ticker: COLL ISIN: US19459J1043 -------------------------------------------------------------------------------------------------------------------------- Prop.# Proposal Proposal Proposal Vote For/Against Type Management 1A Election of Class I Director to hold office Mgmt No vote until the 2022 Annual Meeting: John A. Fallon, M.D. 1B Election of Class I Director to hold office Mgmt No vote until the 2022 Annual Meeting: John G. Freund, M.D. 1C Election of Class I Director to hold office Mgmt No vote until the 2022 Annual Meeting: David Hirsch, M.D., Ph.D. 1D Election of Class II Director to hold Mgmt No vote office until the 2020 Annual Meeting: Joseph Ciaffoni 2. Approval of, on an advisory basis, the Mgmt No vote compensation of the Company's named executive officers 3. Indication of, on an advisory basis, the Mgmt No vote preferred frequency of future shareholder advisory votes on the compensation of the Company's named executive officers 4. Ratification of Deloitte & Touche LLP as Mgmt No vote the Company's independent registered public accounting firm for the fiscal year ending December 31, 2019 -------------------------------------------------------------------------------------------------------------------------- HERON THERAPEUTICS, INC. Agenda Number: 935021232 -------------------------------------------------------------------------------------------------------------------------- Security: 427746102 Meeting Type: Annual Meeting Date: 18-Jun-2019 Ticker: HRTX ISIN: US4277461020 -------------------------------------------------------------------------------------------------------------------------- Prop.# Proposal Proposal Proposal Vote For/Against Type Management 1A Election of Director: Kevin Tang Mgmt For For 1B Election of Director: Barry Quart, Pharm.D. Mgmt For For 1C Election of Director: Craig Johnson Mgmt For For 1D Election of Director: John Poyhonen Mgmt For For 1E Election of Director: Christian Waage Mgmt For For 2. To ratify the appointment of OUM & Co. LLP Mgmt For For as the Company's independent registered public accounting firm for the year ending December 31, 2019. 3. To approve, on an advisory basis, Mgmt Against Against compensation paid to the Company's Named Executive Officers during the year ended December 31, 2018. 4. To approve, on an advisory basis, the Mgmt 1 Year For frequency of future advisory votes to approve compensation paid to the Company's Named Executive Officers. 5. To amend the Company's 2007 Amended and Mgmt Against Against Restated Equity Incentive Plan to increase the number of shares of common stock authorized for issuance thereunder from 18,800,000 to 25,800,000. 6. To amend the Company's 1997 Employee Stock Mgmt For For Purchase Plan, as amended to increase the number of shares of common stock authorized for issuance thereunder from 475,000 to 775,000. -------------------------------------------------------------------------------------------------------------------------- HUMANA INC. Agenda Number: 934935694 -------------------------------------------------------------------------------------------------------------------------- Security: 444859102 Meeting Type: Annual Meeting Date: 18-Apr-2019 Ticker: HUM ISIN: US4448591028 -------------------------------------------------------------------------------------------------------------------------- Prop.# Proposal Proposal Proposal Vote For/Against Type Management 1a) Election of Director: Kurt J. Hilzinger Mgmt No vote 1b) Election of Director: Frank J. Bisignano Mgmt No vote 1c) Election of Director: Bruce D. Broussard Mgmt No vote 1d) Election of Director: Frank A. D'Amelio Mgmt No vote 1e) Election of Director: Karen B. DeSalvo, Mgmt No vote M.D. 1f) Election of Director: W. Roy Dunbar Mgmt No vote 1g) Election of Director: David A. Jones, Jr. Mgmt No vote 1h) Election of Director: William J. McDonald Mgmt No vote 1i) Election of Director: James J. O'Brien Mgmt No vote 1j) Election of Director: Marissa T. Peterson Mgmt No vote 2. The ratification of the appointment of Mgmt No vote PricewaterhouseCoopers LLP as the Company's independent registered public accounting firm. 3. The approval of the compensation of the Mgmt No vote named executive officers as disclosed in the 2019 proxy statement. 4. The approval of the Amended and Restated Mgmt No vote Humana Inc. Stock Incentive Plan. -------------------------------------------------------------------------------------------------------------------------- LHC GROUP, INC. Agenda Number: 935010289 -------------------------------------------------------------------------------------------------------------------------- Security: 50187A107 Meeting Type: Annual Meeting Date: 13-Jun-2019 Ticker: LHCG ISIN: US50187A1079 -------------------------------------------------------------------------------------------------------------------------- Prop.# Proposal Proposal Proposal Vote For/Against Type Management 1. DIRECTOR Monica F. Azare Mgmt For For Teri G. Fontenot Mgmt For For John L. Indest Mgmt For For 2. To adopt, on an advisory basis, a Mgmt For For resolution approving the compensation of our named executive officers. 3. The ratification of the selection of KPMG Mgmt For For LLP as the independent registered public accounting firm for the fiscal year ending December 31, 2019. -------------------------------------------------------------------------------------------------------------------------- MOLINA HEALTHCARE, INC. Agenda Number: 934945936 -------------------------------------------------------------------------------------------------------------------------- Security: 60855R100 Meeting Type: Annual Meeting Date: 08-May-2019 Ticker: MOH ISIN: US60855R1005 -------------------------------------------------------------------------------------------------------------------------- Prop.# Proposal Proposal Proposal Vote For/Against Type Management 1A. Election of Class II Director: Barbara L. Mgmt No vote Brasier 1B. Election of Class II Director: Steven J. Mgmt No vote Orlando 1C. Election of Class II Director: Richard C. Mgmt No vote Zoretic 2. To consider and approve, on a non-binding, Mgmt No vote advisory basis, the compensation of our named executive officers. 3. To adopt amendments to the Company's Mgmt No vote Certificate of Incorporation, as amended, to phase out and eliminate the classified Board of Directors to provide for the annual election of all directors. 4. To approve the Molina Healthcare, Inc. 2019 Mgmt No vote Equity Incentive Plan. 5. To approve the Molina Healthcare, Inc. 2019 Mgmt No vote Employee Stock Purchase Plan. 6. To ratify the appointment of Ernst & Young Mgmt No vote LLP as our independent registered public accounting firm for 2019. -------------------------------------------------------------------------------------------------------------------------- PARATEK PHARMACEUTICALS, INC. Agenda Number: 935012411 -------------------------------------------------------------------------------------------------------------------------- Security: 699374302 Meeting Type: Annual Meeting Date: 12-Jun-2019 Ticker: PRTK ISIN: US6993743029 -------------------------------------------------------------------------------------------------------------------------- Prop.# Proposal Proposal Proposal Vote For/Against Type Management 1. DIRECTOR Thomas J. Dietz, Ph.D. Mgmt For For Timothy R. Franson, M.D Mgmt For For Evan Loh, M.D. Mgmt For For 2. To ratify the selection by the Audit Mgmt For For Committee of the Board of Directors of Ernst & Young LLP as our independent registered public accounting firm for the year ending December 31, 2019. -------------------------------------------------------------------------------------------------------------------------- PORTOLA PHARMACEUTICALS, INC. Agenda Number: 935007371 -------------------------------------------------------------------------------------------------------------------------- Security: 737010108 Meeting Type: Annual Meeting Date: 13-Jun-2019 Ticker: PTLA ISIN: US7370101088 -------------------------------------------------------------------------------------------------------------------------- Prop.# Proposal Proposal Proposal Vote For/Against Type Management 1. DIRECTOR Laura Brege Mgmt For For Scott Garland Mgmt For For Hollings Renton Mgmt For For 2. To approve, on an advisory basis, the Mgmt For For compensation of the Company's named executive officers, as disclosed in this proxy statement. 3. To ratify the selection of Ernst & Young Mgmt For For LLP as the Company's independent registered public accounting firm for the fiscal year ending December 31, 2019. -------------------------------------------------------------------------------------------------------------------------- TG THERAPEUTICS, INC. Agenda Number: 935011938 -------------------------------------------------------------------------------------------------------------------------- Security: 88322Q108 Meeting Type: Annual Meeting Date: 13-Jun-2019 Ticker: TGTX ISIN: US88322Q1085 -------------------------------------------------------------------------------------------------------------------------- Prop.# Proposal Proposal Proposal Vote For/Against Type Management 1. DIRECTOR Laurence Charney Mgmt For For Yann Echelard Mgmt For For William J. Kennedy Mgmt For For Kenneth Hoberman Mgmt For For Daniel Hume Mgmt For For Mark Schoenebaum, M.D. Mgmt Withheld Against Michael S. Weiss Mgmt For For 2. To ratify the appointment of CohnReznick Mgmt For For LLP as our independent registered public accounting firm for the year ending December 31, 2019. 3. An advisory vote to approve the Mgmt Against Against compensation of our named executive officers. 4. To recommend, by non-binding vote, the Mgmt 1 Year Against frequency of executive compensation votes. 5. A shareholder proposal on an amendment to Shr For Against the Company's articles/bylaws to require majority vote in director elections. -------------------------------------------------------------------------------------------------------------------------- THERMO FISHER SCIENTIFIC INC. Agenda Number: 934979519 -------------------------------------------------------------------------------------------------------------------------- Security: 883556102 Meeting Type: Annual Meeting Date: 22-May-2019 Ticker: TMO ISIN: US8835561023 -------------------------------------------------------------------------------------------------------------------------- Prop.# Proposal Proposal Proposal Vote For/Against Type Management 1a. Election of Director: Marc N. Casper Mgmt No vote 1b. Election of Director: Nelson J. Chai Mgmt No vote 1c. Election of Director: C. Martin Harris Mgmt No vote 1d. Election of Director: Tyler Jacks Mgmt No vote 1e. Election of Director: Judy C. Lewent Mgmt No vote 1f. Election of Director: Thomas J. Lynch Mgmt No vote 1g. Election of Director: Jim P. Manzi Mgmt No vote 1h. Election of Director: James C. Mullen Mgmt No vote 1i. Election of Director: Lars R. Sorensen Mgmt No vote 1j. Election of Director: Scott M. Sperling Mgmt No vote 1k. Election of Director: Elaine S. Ullian Mgmt No vote 1l. Election of Director: Dion J. Weisler Mgmt No vote 2. An advisory vote to approve named executive Mgmt No vote officer compensation. 3. Ratification of the Audit Committee's Mgmt No vote selection of PricewaterhouseCoopers LLP as the Company's independent auditors for 2019. * Management position unknown SIGNATURES Pursuant to the requirements of the Investment Company Act of 1940, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized. (Registrant) NexPoint Healthcare Opportunities Fund By (Signature) /s/ Lauren Thedford Name Lauren Thedford Title Secretary Date 08/21/2019