PUTNAM TAX FREE HEALTH CARE FUND
N-30D, 1995-02-01
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<PAGE>
 
                                                PUTNAM
                                                TAX-FREE
                                                HEALTH CARE
                                                FUND

SEMIANNUAL REPORT
November 30, 1994

                              [LOGO APPEARS HERE]
                            BOSTON * LONDON * TOKYO
<PAGE>
 
PERFORMANCE HIGHLIGHTS

Lipper Analytical Services ranked the fund first out of 44 closed-end general 
municipal debt funds for two-year performance and 9th out of 60 funds for 
one-year performance as of November 30, 1994.*

Performance should always be considered in light of a fund's investment 
strategy. Putnam Tax-Free Health Care Fund is designed for investors seeking 
high current income free from federal income tax and consistent with 
preservation of capital through a portfolio of securities in the health care 
sector.

- --------------------------------------------------------------------------------
SEMIANNUAL RESULTS AT A GLANCE
- --------------------------------------------------------------------------------
<TABLE> 
<CAPTION> 
TOTAL RETURN                             NAV                 MARKET PRICE
<S>                                      <C>                 <C> 
(change in value during           
period plus reinvested            
distributions)                       
                                  
6 months ended 11/30/94               -2.54%                       -6.22%

<CAPTION>                                
<S>                                      <C>                  <C> 
SHARE VALUE                              NAV                 MARKET PRICE

5/31/94                               $14.29                      $14.375
11/30/94                               13.43                       13.000
<CAPTION>                         
                                                CAPITAL GAINS/1/
                                                LONG-   SHORT-
DISTRIBUTIONS                NO.     INCOME     TERM    TERM       TOTAL
<S>                          <C>    <C>        <C>      <C>      <C> 
                              6     $0.5064    $0.00    $0.00    $0.5064
<CAPTION>                         
CURRENT RETURN                           NAV                 MARKET PRICE
<S>                                      <C>                 <C> 
End of period                                 
Current dividend rate/2/               7.54%                        7.79%
Taxable equivalent/3/                 12.48                        12.90

<FN>  
Performance data represent past results. For performance over longer periods, 
see page 8. /1/Capital gains are taxable for federal and, in most cases, 
state tax purposes.  For some investors, investment income may also be 
subject to the federal Alternative Minimum Tax.  Investment income may be 
subject to state and local taxes. /2/Income portion of most recent 
distribution, annualized and divided by NAV or market price at end of period. 
/3/Assumes maximum 39.6% federal tax rate. Results for investors subject to 
lower tax rates would not be as advantageous.  

*Rankings by this independent mutual fund rating company vary over time and 
 do not reflect the effects of sales charges. Past performance is not 
 indicative of future results.
</FN> 
</TABLE> 
2
<PAGE>
 
FROM THE CHAIRMAN


                                           [PHOTO OF GEORGE PUTNAM APPEARS HERE]
                                            (C) Karsh, Ottowa

DEAR SHAREHOLDER:

AS WE BEGIN A NEW YEAR, MOST INVESTORS WON'T REGRET THE PASSING OF THE OLD. 
SINCE LAST FEBRUARY, WHEN THE FEDERAL RESERVE BOARD BEGAN A SERIES OF 
INCREASES IN INTEREST RATES, 1994 WAS MARKED BY SHARP CORRECTIONS FOLLOWED BY 
SMALL GAINS AND EXTENDED UNCERTAINTY FOR VIRTUALLY ALL FINANCIAL MARKETS. 

WELL IN ADVANCE OF THE FED'S FIRST INCREASE, FUND MANAGER HOWARD MANNING HAD 
ADOPTED DEFENSIVE STRATEGIES DESIGNED TO REDUCE THE IMPACT OF RISING RATES ON 
PUTNAM TAX-FREE HEALTH CARE FUND'S PORTFOLIO. WHILE DEFENSIVE STRATEGIES 
PROVED RELATIVELY SUCCESSFUL, FUND PERFORMANCE GENERALLY EDGED INTO THE 
NEGATIVE NUMBERS. 

BONDS BORE THE BRUNT OF THE DOWNTURN AND TAX-FREE MUNICIPALS INCURRED THE 
STEEPEST DECLINE. ALTHOUGH SHIFTS IN THE MARKET AS A WHOLE INEVITABLY AFFECT 
YOUR FUND, PUTNAM MANAGEMENT'S PHILOSOPHY OF SELECTING SECURITIES ON AN 
ISSUE-BY-ISSUE BASIS WITH A THOROUGH EXAMINATION OF EACH ISSUER'S CREDIT 
QUALITY SHOULD CONTINUE TO HELP PROTECT YOUR FUND'S PORTFOLIO.

IN THE ACCOMPANYING REPORT, HOWARD DISCUSSES THE FIRST HALF OF FISCAL 1995 
AND PROSPECTS FOR THE CHALLENGING MONTHS AHEAD.

RESPECTFULLY YOURS, 

/S/ GEORGE PUTNAM

GEORGE PUTNAM
CHAIRMAN OF THE TRUSTEES

JANUARY 18, 1995
 
3
 
<PAGE>
 
REPORT FROM THE FUND MANAGER
HOWARD MANNING

Damage control in a turbulent municipal bond market and positioning for a 
market recovery have been our major priorities in managing Putnam Tax-Free 
Health Care Fund over the past several months. The fund's total return for 
the six months ended November 30, 1994, was disappointing, but understandably 
so in light of the period's market conditions. Still, the fund's results of 
- -2.54% at net asset value compare favorably with the broader-based Lehman 
Brothers Municipal Bond Index, which returned -3.48% over the same period.

Your fund continues to deliver a competitive stream of income. Its tax-free 
current dividend rate of 7.54% at net asset value at the end of the period 
was comparable with a 12.48% taxable return for an investor taxed at the maximum
39.6% federal rate. Investors in lower brackets would also have benefited,
though not to the same extent.

PROFILE OF A NERVOUS MARKET

As we have seen as recently as mid-November, the Federal Reserve Board 
remains determined to use increases in short-term interest rates to keep 
inflation in check. The overall result of the policy is to raise rates across 
the board. While this may have positive implications for the income stream of 
many tax-exempt bond portfolios, including your fund's, the most significant 
result thus far has been to keep the fixed-income markets jittery and, 
therefore, volatile. 

Some relative calm returned briefly as the bond market stabilized over the 
summer. In early October, when many large tax-exempt bond funds started 
making fiscal-year-end portfolio adjustments for tax purposes, municipal 
bonds began selling at large discounts to taxable bonds. This sell-off 
created yet another disruption in the battered municipal bond market.
 
4
 
<PAGE>
 
Opportunity is often the companion of turmoil. In this oversold market, we 
are seeking out attractively priced issues to add to your fund's portfolio. 
Perhaps more significantly, however, we believe the market is now near the 
bottom. If it recovers over the next several months, as we believe it will, 
the effect should be an increase in your fund's net asset value. 

EMPHASIS REMAINS ON CAUTION

Since the current unsettled market environment seems destined to persist for 
a while, we will continue to use a cautious approach in managing your fund. 
Keeping the portfolio's duration relatively short has been one of our most 
effective defensive tactics. Duration measures the price sensitivity of a 
bond or a portfolio of bonds to a change in interest rates. The shorter the 
duration, the less volatility you can generally expect from the portfolio. 

Many higher-coupon bonds contain provisions allowing them to be called, that 
is, retired or refinanced at lower rates before maturity. We are targeting 
bonds that cannot be called for several years. By selecting bonds not only 
with relatively distant call dates, but with relatively high yields, we are 
seeking to reduce the likelihood that we would need to reinvest assets from a 
retired issue at more current, lower rates. This strategy can also help 
protect the portfolio's income stream. Because these 
 
           [TAX-FREE VERSUS TAXABLE BOND YIELDS CHART APPEARS HERE]

5
 
<PAGE>
 
attributes also tend to make the bonds more attractive to other investors, 
their prices can rise, thereby adding to the fund's net asset value.

Despite recent financial problems in Orange County, California, we believe 
the state's municipal bond market offers tremendous value. While the fund has 
no direct or indirect exposure to Orange County, it currently holds 10.2% of 
its assets in California securities. We will continue to draw on Putnam 
Management's strong research capabilities in order to find attractive 
opportunities.

HOSPITALS CURRENTLY HOLD GREATEST INVESTMENT POTENTIAL

This year's bond market decline hit some sectors harder than others. Through 
September, hospital securities had held up better than most other municipal 
bond market sectors. It was only in the last two months of your fund's fiscal 
year that their decline began to match that of the market in general. Even 
so, we believe hospital bonds retain the strongest appreciation potential 
within the health care universe. 

Despite congressional failure to pass health care reform, dramatic changes 
have been taking place in the nation's hospitals. For several years, 
significant cost cutting and consolidation have made this sector immensely 
more efficient and cost effective. We are uncovering undervalued health care 
facilities in all parts of the country. 

Furthermore, some of the health care debt the fund owns has been or appears 
likely to be, in our opinion, the target of takeovers by for-profit 
organizations or merger/affiliation with stronger not-for-profits. This is 
typically a positive event for bondholders because it often leads to a 
refunding of the bond issue. When refunding occurs, the revenue source for 
interest payments of the bonds shifts from the underlying cash flow of the 
project itself to AAA-rated U.S. government securities. This leads to credit 
upgrades of the original bonds, which, in turn, often contributes to an 
increase in their market price.

TAX-CONSCIOUS INVESTORS SHOULD KEEP DEMAND STEADY

Several issuers represented in the portfolio are currently in the process of 
being acquired or merged by for-profit enterprises. The net effect of the 
trend nationwide will be a reduction in the number of attractive hospital and 
health facility issues available to investors seeking tax-
 
6
 
<PAGE>
 
- --------------------------------------------------------------------------------
TOP 10 HOLDINGS*
- --------------------------------------------------------------------------------
MASSACHUSETTS STATE HEALTH AND EDUCATIONAL FACILITIES
AUTHORITY REVENUE BONDS

MICHIGAN STATE HOSPITAL FINANCING AUTHORITY REVENUE BONDS

SIERRA VISTA, ARIZONA, INDUSTRIAL DEVELOPMENT
AUTHORITY HOSPITAL REVENUE BONDS

CALIFORNIA HEALTH FACILITIES AUTHORITY REVENUE BONDS

ORANGE COUNTY, FLORIDA, HEALTH FACILITIES 
AUTHORITY RESIDUAL INTEREST BONDS

ALLEGHENY COUNTY, PENNSYLVANIA, HOSPITAL DEVELOPMENT
AUTHORITY REVENUE BONDS

KANSAS CITY, MISSOURI, INDUSTRIAL DEVELOPMENT 
AUTHORITY HEALTH FACILITIES REVENUE BONDS

NEW YORK STATE MEDICAL CARE FACILITIES 
FINANCING AGENCY REVENUE BONDS

BEXAR COUNTY, TEXAS, HEALTH FACILITIES DEVELOPMENT
CORPORATION REVENUE BONDS

TULSA, OKLAHOMA, INDUSTRIAL AUTHORITY
HOSPITAL REVENUE BONDS                                                       
 
* These holdings represent 39.3% of the fund's net assets as of 11/30/94. 
  Portfolio holdings are subject to change.


free securities. Furthermore, the pace of refinancing older 
higher-interest-rate debt has fallen off. Overall issuance of new municipal 
debt is more than 40% behind year-earlier levels. 

While demand has also been somewhat soft over the past several months, we 
believe the situation will reverse as the bond market overcomes current 
uncertainties. Furthermore, implementation of the new changes in the federal 
income tax law at the beginning of 1994 resulted in tax increases for many 
investors. In our view, higher federal income tax rates, as well as rising 
taxes in many states, eventually will add to demand for tax-free securities. 
 
OUTLOOK: POSITIONED FOR RECOVERY
 
The combined prospect of short supply and heightened demand should ultimately 
translate into a stronger tax-free bond market. We believe the sacrifice of 
some short-term performance gains in order to position the fund for an 
eventual improvement in the market will ultimately prove worthwhile. Because 
we are locking in higher yields as opportunities arise, we believe the fund 
will also continue to provide a competitive stream of tax-free income in the 
months ahead.

The views expressed here are exclusively those of Putnam Management and are 
not meant as investment advice. While Putnam Management viewed the industry 
and market sectors mentioned in their report favorably as of 11/30/94, there 
is no assurance this will be the case in the future.
 
7
 
<PAGE>
 
PERFORMANCE SUMMARY

This section provides, at a glance, information about your fund's 
performance. Total return shows how the value of the fund's shares changed 
over time, assuming you held the shares through the entire period and 
reinvested all distributions back into the fund.

TOTAL RETURN FOR PERIODS ENDED 11/30/94

<TABLE> 
<CAPTION> 
                                                         Lehman Bros.  
                                             Market       Municipal    
                                 NAV         Price       Bond Index       CPI
- -------------------------------------------------------------------------------
<S>                             <C>         <C>          <C>              <C> 
6 months                        -2.54%      -6.22%         -3.48%         1.49%
- -------------------------------------------------------------------------------
1 year                          -3.76       -5.06          -5.25          2.68
- -------------------------------------------------------------------------------
Life of fund                                                          
(since 6/29/92)                 15.56        3.58           8.91          6.78
Annual average                   6.16        1.47           3.59          2.75
- -------------------------------------------------------------------------------
</TABLE> 
 
TOTAL RETURN FOR PERIODS ENDED 12/31/94
(most recent calendar quarter)

<TABLE> 
<CAPTION> 
                                                           Market
                                               NAV         Price
- -----------------------------------------------------------------
<S>                                          <C>           <C> 
6 months                                     -2.26%        -9.35%
- -----------------------------------------------------------------
1 year                                       -4.70%        -6.95%
- -----------------------------------------------------------------
Life of fund (since 6/29/92)                 16.16          1.59
Annual average                                6.17          0.63
- -----------------------------------------------------------------

<FN> 
Performance data represent past results. Investment returns and net asset 
value will fluctuate so an investor's shares, when sold, may be worth more or 
less than their original cost. Fund performance data do not take into account 
any adjustment for taxes payable on reinvested distributions.

NET ASSET VALUE (NAV) is the value of all your fund's assets, minus any 
liabilities, divided by the number of outstanding shares.

MARKET PRICE is the current trading price of one share of the fund.  Market 
prices are set by transactions between buyers and sellers on the New York 
Stock Exchange.

BOND BUYER MUNICIPAL BOND INDEX is an unmanaged list of tax-exempt bonds that 
is frequently used as a general gauge of the municipal bond market.

LEHMAN BROTHERS LONG-TERM TREASURY BOND INDEX is an unmanaged list of 
publicly issued U.S. Treasury obligations with maturities of 10 years or more 
that is representative of the Treasury bond market.

LEHMAN BROTHERS MUNICIPAL BOND INDEX is an unmanaged list of long-term 
fixed-rate investment-grade tax-exempt bonds representative of the municipal 
bond market.

CONSUMER PRICE INDEX (CPI) is a commonly used measure of inflation; it does 
not represent an investment return.

The indexes do not take into account brokerage commissions or other costs, 
may include bonds different from those in the fund, and may pose different 
risks than the fund.
</FN> 
</TABLE> 
 8
 
<PAGE>
 
PORTFOLIO OF INVESTMENTS OWNED
November 30, 1994 (Unaudited)

<TABLE> 
<CAPTION> 
MUNICIPAL BONDS AND NOTES (99.3%)(a)
PRINCIPAL AMOUNT                                                               RATINGS(b)              VALUE
<C>             <S>                                                            <C>              <C> 
ARIZONA (9.6%)
- ------------------------------------------------------------------------------------------------------------
$ 2,935,000     AZ Hlth. Fac. Auth. Hosp. Syst. Rev. Bonds
                (St. Luke's Hlth. Syst.), 7 1/4s, 11/1/14                              Ba       $  2,997,369
  4,000,000     Payson, Indl. Dev. Auth. Hosp. Rev. Bonds                                  
                (Payson Regl. Med. Ctr. Inc. Project), 7.7s, 10/1/23                  B/P          3,685,000
  4,285,000     Pinal Cnty., Indl. Dev. Auth. Rev. Bonds                                   
                (Casa Grande Regl. Med. Ctr.), 9s, 12/1/13                           BB/P          4,424,262
  6,480,000     Sierra Vista, Indl. Dev. Auth. Hosp. Rev. Bonds                            
                (Sierra Vista Cmnty. Hosp. Project), 8 1/2s, 12/1/21                BBB/P          6,698,700
                                                                                                ------------
                                                                                                  17,805,331
CALIFORNIA (10.2%)
- ------------------------------------------------------------------------------------------------------------
  4,000,000     Berkeley, Hlth. Fac. Rev. Bonds
                (Alta Bates Med. Ctr.), Ser. A, 6.55s, 12/1/22                        Baa          3,340,000
                CA Hlth. Fac. Auth. Rev. Bonds
  3,195,000     (Summit Med. Ctr.), Ser. 85A, 9s, 5/1/15                               Ba          3,214,968
  1,090,000     (Valley Presbyterian Hosp. Project), Ser. A, 9s, 5/1/12                 B          1,095,450
  2,215,000     CA Hlth. Fac. Fin. Auth. Rev. Bonds, Ser. A,
                (Summit Med. Ctr.), 7 1/2s, 5/1/09                                     Ba          2,035,031
                CA Hlth. Fac. Fin. Auth. Variable Rate Demand Notes
  1,100,000     (Sutter Hlth.), 3.55s, 3/1/20                                       VMIG1          1,100,000
  3,200,000     (St. Joseph Hlth. Syst.), 3.55s, 7/1/13                             VMIG1          3,200,000
  4,000,000     La Habra, Certif. of Participation
                (Friendly Hills Hlth. Care Foundation), Ser. A,
                7.15s, 7/1/23                                                        BB/P          4,020,000
    900,000     San Bernardino, Hosp. Rev. Bonds
                (San Bernardino Cmnty. Hosp.), 7 7/8s, 12/1/08                          B            817,875
                                                                                                ------------
                                                                                                  18,823,324
COLORADO (0.7%)
- ------------------------------------------------------------------------------------------------------------
  1,500,000     Denver, City & Cnty. Arpt. Rev. Bonds,
                Ser. A, 7 1/4s, 11/15/25                                              Baa          1,363,125
 
CONNECTICUT (0.7%)
- ------------------------------------------------------------------------------------------------------------
  1,200,000     CT Dev. Auth. Hlth. Care Rev. Bonds
                (AHF/Windsor Inc. Project), Ser. A, 9 1/2s, 1/1/22                    B/P          1,242,000

FLORIDA (5.4%)
- ------------------------------------------------------------------------------------------------------------
  2,000,000     Miami, Hlth. Fac. Auth. Rev. Bonds
                (Cedars Med. Ctr.), Ser. A, prerefunded 8 3/8s,                     AAA/P          2,182,500
                10/1/17 Orange Cnty., Hlth. Fac. Auth.
  4,000,000     1st. Mtge. Rev. Bonds (RHA/Princeton Hosp.), 9s, 7/1/21               B/P          3,850,000
  2,600,000     Inverse Floating Bonds (IFB), Ser. 91-C, Municipal
                Bond Insurance Association (MBIA), 7.605s, 10/29/21                   AAA          2,203,500
  1,610,000     Palm Beach Cnty., Hlth. Fac. Auth. Rev. Bonds
                (JFK Med. Ctr. Inc. Project), 8 7/8s, 12/1/18                         BBB          1,720,075
                                                                                                ------------
                                                                                                   9,956,075
GEORGIA (1.9%)
- ------------------------------------------------------------------------------------------------------------
  4,000,000     Savannah, Hosp. Auth. Rev. Bonds 
                (Impt.-Candler Hosp.), 7s, 1/1/23                                     Baa          3,435,000
</TABLE> 
 
9
 
<PAGE>
 
<TABLE> 
<CAPTION> 
MUNICIPAL BONDS AND NOTES
PRINCIPAL AMOUNT                                                               RATINGS(b)              VALUE
<C>             <S>                                                            <C>              <C> 
ILLINOIS (2.8%)
- ------------------------------------------------------------------------------------------------------------
                IL Hlth. Fac. Auth. Rev. Bonds
$ 2,720,000     (St. Elizabeth's Hosp.), prerefunded, 10 1/8s, 7/1/16                 AAA       $  2,886,600
                IL Dev. Fin. Auth. Rev. Bonds,                                             
  2,335,000     (Cmnty. Rehab. Providers Facs.) 8 3/4s, 7/1/11                      BBB/P          2,294,137
                                                                                                ------------
                                                                                                   5,180,737
KENTUCKY (1.8%)                                                                            
- ------------------------------------------------------------------------------------------------------------
  2,000,000     Jefferson Cnty., Hosp. IFB,                                                
                (Alliant Hlth. Syst. Project), MBIA, 9.09s, 10/1/14                   AAA          1,772,500
  1,520,000     Muhlenberg Cnty., Hosp. Rev. Bonds                                         
                (Muhlenberg Cmnty. Hosp. Project), 9 1/2s, 8/1/10                     BB/P         1,620,700
                                                                                                ------------
                                                                                                   3,393,200
MARYLAND (3.2%)                                                                            
- ------------------------------------------------------------------------------------------------------------
  2,910,000     Berlin, Hosp. Rev. Bonds                                                   
                (Atlantic Gen. Hosp. Fac.), 8 3/8s, 6/1/22                            BB/P         2,924,550
  3,765,000     Prince Georges Cnty., Hosp. Rev. Bonds                                     
                (Southeast Healthcare Syst.), 6 3/8s, 1/1/23                          Baa          3,021,412
                                                                                                ------------
                                                                                                   5,945,962
MASSACHUSETTS (13.8%)                                                                      
- ------------------------------------------------------------------------------------------------------------
  3,950,000     Boston, Rev. Rfdg. Bonds                                                   
                (City Hospital), Ser. B, 5 3/4s, 2/15/23                               AA          3,234,062
                MA Hlth. & Edl. Fac. Auth. Rev. Bonds                                      
  2,225,000     (St. Joseph's Hosp.), Ser. C, 9 1/2s, 10/1/20                       BBB/P          2,603,250
  3,300,000     (Waltham-Weston Hosp. & Med. Ctr.),                                        
                Ser. B, 8 3/8s, 7/1/15                                                Baa          3,353,625
  3,830,000     (Norwood Hosp.), Ser. E, 8s, 7/1/12                                    Ba          3,557,112
    115,000     (Norwood Hosp.), Ser. E, 8s, 7/1/05                                    Ba            108,675
  4,000,000     (Rehab. Hosp. Cape & Islands), Ser. A, 7 7/8s, 8/15/24               BB/P          3,710,000
  3,000,000     (MA Eye & Ear Infirmary), Ser. A, 7 3/8s, 7/1/11                      Baa          2,711,250
  2,930,000     (Cooley Dickinson Hosp.), Ser. A, 7 1/8s, 11/15/18                   BB/P          2,552,763
                MA Indl. Fin. Agcy. Rev. Bonds                                             
  1,000,000     (Oddfellows Home of MA), 9.6s, 1/1/15                                BB/P          1,030,000
  2,385,000     (Morton Hosp. & Med. Ctr.), Ser. A, 8 3/4s, 7/1/11                    Aaa          2,677,163
                                                                                                ------------
                                                                                                  25,537,900
MICHIGAN (7.8%)                                                                            
- ------------------------------------------------------------------------------------------------------------
  1,980,000     Detroit, Hosp. Fin. Auth. Rev. Bonds                                       
                (MI Hlth. Care Corp.), 10s, 12/1/20                                     B          1,683,000
  2,000,000     Dickinson Cnty., Hosp. Rev. Bonds (Mem. Hosp. Syst.),                      
                8 1/8s, 11/1/24                                                       BBB          1,960,000
     55,000     Highland Park, Fin. Auth. Hosp. Fac. Rev. Bonds                            
                (MI Hlth. Care Corp. Project), Ser. A, 9 3/4s, 12/1/06                  B             46,750
                MI Hosp. Fin. Auth. Rev. Bonds                                             
  4,500,000     (Garden City Hosp.), 8 1/2s, 9/1/17                                   BBB          4,561,875
  4,530,000     (Port Huron Hosp.), Ser. A, 7 5/8s, 7/1/15                            Baa          4,614,938
  1,465,000     Tawas City, Hosp. Fin. Auth. Rev. Bonds                                    
                (St. Joseph's Hosp. Project), Ser. A, 8 1/2s, 3/15/12                BB/P          1,503,456
                                                                                                ------------
                                                                                                  14,370,019
MINNESOTA (1.2%)                                                                           
- ------------------------------------------------------------------------------------------------------------
  2,300,000     Rochester, Hlth. Care Fac.                                                 
                Rev. Bonds (Olmsted Med. Group), 7 1/2s, 7/1/19                      BB/P          2,130,375
</TABLE> 

10
<PAGE>
 
<TABLE> 
<CAPTION> 
MUNICIPAL BONDS AND NOTES
PRINCIPAL AMOUNT                                                               RATINGS(b)              VALUE
<C>             <S>                                                            <C>              <C> 
MISSOURI (3.3%)
- ------------------------------------------------------------------------------------------------------------
$ 5,000,000     Kansas City, Indl. Dev. Auth. Hlth. Fac. Rev. Bonds
                (Park Lane Med. Ctr. Project), 8 3/4s, 1/1/15                        BBB/P      $  5,275,000
  1,000,000     MO Hlth. & Edl. Facs. Auth. Rev. Bonds
                (BJC Hlth. Syst.), Ser. A, 6 1/2s, 5/15/20                             AA            913,750
                                                                                                ------------
                                                                                                   6,188,750
NEW HAMPSHIRE (1.0%)
- ------------------------------------------------------------------------------------------------------------
  1,945,000     NH Higher Edl. & Hlth. Fac. Auth. Rev. Bonds
                (Alice Peck Day Mem. Hosp. Project),
                9 3/8s, 11/1/20                                                     Baa/P          1,920,688
 
NEW JERSEY (3.2%)
- ------------------------------------------------------------------------------------------------------------
  3,000,000     NJ Econ. Dev. Auth. Rev. Bonds
                (Ocean Nursing Pavilion), Ser. A, 7 3/8s, 12/1/25                    BB/P          2,737,500
  3,200,000     NJ Hlth. Care Fac. Fin. Auth. Rev. Bonds
                (St. Elizabeth Hosp.), Ser. B, 8 1/4s, 7/1/20                         Baa          3,276,000
                                                                                                ------------
                                                                                                   6,013,500
NEW MEXICO (0.8%)
- ------------------------------------------------------------------------------------------------------------
  1,350,000     Grant Cnty., Hosp. Fac. Rev. Bonds
                (Gila Regl. Med. Ctr. Project), 10s, 2/1/12                         BBB/P          1,437,750
 
NEW YORK (2.8%)
- ------------------------------------------------------------------------------------------------------------
                NY Med. Care Fac. Fin. Agcy. Rev. Bonds
                (Mental Hlth. Svcs. Fac.), Ser. B,
  2,015,000     7 7/8s, 8/15/20                                                       Baa          2,113,231
  2,810,000     Prerefunded, 7 7/8s, 8/15/20                                          AAA          3,129,638
                                                                                                ------------
                                                                                                   5,242,869
OHIO (1.2%)
- ------------------------------------------------------------------------------------------------------------
  2,118,002     Holland, Indl. Dev. Mtge. Rev. Bonds
                (Spring Meadow Extended Care Project),
                11s, 4/15/13                                                          A/P          2,279,500
 
OKLAHOMA (2.6%)
- ------------------------------------------------------------------------------------------------------------
                Tulsa, Indl. Auth. Hosp. Rev. Bonds 
                (Tulsa Regl. Med. Ctr.)
  2,395,000     Ser. A, 7 5/8s, 6/1/17                                                BBB          2,239,325
  3,000,000     7.2s, 6/1/17                                                          BBB          2,655,000
                                                                                                ------------
                                                                                                   4,894,325
PENNSYLVANIA (11.7%)
- ------------------------------------------------------------------------------------------------------------
                Allegheny Cnty., Hosp. Dev. Auth. Rev. Bonds
  1,000,000     (Divine Providence Hosp.), Ser. A, 8 3/4s, 1/1/14                     BBB          1,117,500
  3,000,000     (Divine Providence Hosp.), Ser. B, 8 3/4s, 1/1/14                     BBB          3,180,000
  1,000,000     (Southside Hosp.-Pittsburgh), Ser. A, 8 3/4s, 6/1/10                  BBB          1,040,000
  2,260,000     Chartiers Valley, Indl. & Coml. Dev. Auth. Rev. Bonds
                (Beverly Enterprises Project), 6 1/2s, 2/1/07                        BB/P          1,963,375
  3,525,000     College Township, Indl. Dev. Auth. 1st Mtge. Hlth.
                Facs. Rev. Bonds (Nittany Valley Rehab.
                Hosp. Project), 7 5/8s, 11/1/07                                     BBB/P          3,428,063
  1,800,000     Lebanon Cnty., Good Samaritan Hosp. Auth.
                Rev. Bonds, Ser. B, 8 1/4s, 11/1/18                                   BBB          2,013,750
</TABLE> 

11
<PAGE>
 
<TABLE> 
<CAPTION> 
MUNICIPAL BONDS AND NOTES
PRINCIPAL AMOUNT                                                               RATINGS(b)              VALUE
<C>             <S>                                                            <C>              <C> 
PENNSYLVANIA (continued)
- ------------------------------------------------------------------------------------------------------------
$ 2,000,000     Montgomery Cnty., Higher Edl. & Hlth. Auth. Hosp. 
                Rev. Bonds (UTD Hosp. Project), Ser. B, 
                8 3/8s, 11/1/11                                                        Ba       $  2,015,000
  2,950,000     Philadelphia, Hosp. & Higher Edl. Fac. Auth. IFB,
                Federal Guaranty Insurance Co. (FGIC) 
                7.767s, 3/6/12                                                        AAA          1,924,875
  2,500,000     Washington Cnty., Hosp. Auth. Rev. Bonds
                (Canonsburg Gen. Hosp. Project), 7.35s, 6/1/13                       BB/P          2,259,375
  2,900,000     York Cnty., Indl. Dev. Auth. 1st Mtge. Hlth. Fac. Rev.
                Bonds (Rehabilitation Hosp. of York Project),
                7 1/2s, 9/1/07                                                      BBB/P          2,813,000
                                                                                                ------------
                                                                                                  21,754,938
TENNESSEE (0.8%)
- ------------------------------------------------------------------------------------------------------------
                Meigs Cnty., Hlth. Edl. & Hsg. Fac. Board Rev. Bonds
  1,308,646     (Meigs Cnty. Hlth. Ctr.), Federal Housing Administration
                Insd., 12s, 7/15/25                                                   A/P          1,401,887
 
TEXAS (8.3%)
- ------------------------------------------------------------------------------------------------------------
  1,000,000     Amarillo, Hlth. Fac. Hosp. Corp. IFB
                (High Plains Baptist Hosp.), Financial Security
                Assurance, Inc. 9.443s, 1/3/22                                        AAA            851,250
                Bexar Cnty., Hlth. Fac. Dev. Corp. Rev. Bonds
                (St. Luke's Lutheran Hosp. Project),
  5,000,000     7.9s, 5/1/11                                                          Baa          5,050,000
    200,000     7s, 5/1/21                                                            Baa            178,250
  1,085,000     Cherokee Cnty., Hlth. Fac. Dev. Corp. Hosp. Rev. Bonds
                (Nancy Travis Mem. Hosp. Project), 10s, 5/15/13                       B/P          1,108,056
  1,655,000     Montgomery Cnty., Hlth. Fac. Dev. Corp. Rev. Bonds
                (Woodlands Med. Ctr. Project), 8.85s, 8/15/14                        BB/P          1,739,819
  2,000,000     North Central TX Hlth. Fac. Dev. Corp. IFB
                (Baylor Hlth. Care Syst.), Ser. B, 9s, 5/15/08                         AA          1,912,500
  3,500,000     Northeast Hosp. Auth. Rev. Bonds
                (Northeast Med. Ctr. Hosp.), Ser. B, FGIC, 
                7 1/4s, 7/1/22                                                        AAA          3,163,125
  1,415,000     Tarrant Cnty., Hlth. Facs. Dev. Corp. Hosp. Rev. Bonds
                (Cmnty. Hlth. Care Foundation, Inc. Project), 
                10 1/8s, 4/1/21                                                       B/P          1,432,688
                                                                                                ------------
                                                                                                  15,435,688
VIRGINIA (2.5%)
- ------------------------------------------------------------------------------------------------------------
  1,000,000     Fairfax Cnty., Indl. Dev. Auth. IFB
                (Fairfax Hosp. Syst.), Ser. C, 9.937s, 8/29/23                         AA          1,128,750
  4,000,000     Roanoke, Indl. Dev. Auth. Hosp. IFB
                (Roanoke Mem. Hosp.), Ser. B, MBIA, 5.95s, 7/1/20                     AAA          3,505,000
                                                                                                ------------
                                                                                                   4,633,750
WASHINGTON (1.3%)
- ------------------------------------------------------------------------------------------------------------
  2,250,000     Grant Cnty., Pub. Hosp. Dist. No. 1 Rev. Bonds
                (Samaritan Hosp.), 9 1/4s, 9/1/10                                   BBB/P          2,430,000

WEST VIRGINIA (0.7%)
- ------------------------------------------------------------------------------------------------------------
  1,280,000     WV State Hosp. Fin. Auth. Hosp. Rev. Bonds
                (St. Francis Hosp.-Charleston), 7 3/4s, 8/15/13                         B          1,300,800
                                                                                                ------------
                TOTAL INVESTMENTS (cost $192,441,282)(c)                                        $184,117,493
                                                                                                ============
</TABLE> 
 
12
 
<PAGE>

[FN] 
(a) Percentages indicated are based on total net assets of $185,480,993, 
    which correspond to a net asset value per share of $13.43.

(b) The Moody's or Standard & Poor's ratings indicated are believed to be the 
    most recent ratings available at November 30, 1994 for the securities
    listed. Ratings are generally ascribed to securities at the time of
    issuance. While the agencies may from time to time revise such ratings, they
    undertake no obligation to do so, and the ratings do not necessarily
    represent what the agencies would ascribe to these securities at November
    30, 1994. Securities rated by Putnam are indicated by "/P" and are not
    publicly rated.

(c) The aggregate identified cost for tax purposes is $192,441,282, resulting 
    in gross unrealized appreciation and depreciation of $2,073,395 and 
    $10,397,184, respectively, or net unrealized depreciation of $8,323,789.

The rates shown on Inverse Floating Bonds (IFB), which are securities paying 
variable interest rates that vary inversely to changes in market interest 
rates and Variable Rate Demand Notes, are the current interest rates at 
November 30, 1994, which are subject to change based on the terms of the 
security.
[/FN] 

The accompanying notes are an integral part of these financial statements.

13
<PAGE>
 
STATEMENT OF ASSETS AND LIABILITIES
November 30, 1994 (Unaudited)

<TABLE>
<S>                                                                    <C> 
ASSETS
- -----------------------------------------------------------------------------------
Investments in securities at value
(identified cost $192,441,282) (Note 1)                                $184,117,493
- -----------------------------------------------------------------------------------
Cash                                                                        232,982
- -----------------------------------------------------------------------------------
Interest receivable                                                       4,639,807
- -----------------------------------------------------------------------------------
Unamortized organization expenses (Note 1)                                   21,163
- -----------------------------------------------------------------------------------
Total assets                                                            189,011,445
 
LIABILITIES
- -----------------------------------------------------------------------------------
Distributions payable to shareholders                                     1,165,273
- -----------------------------------------------------------------------------------
Payable for securities purchased                                          1,974,390
- -----------------------------------------------------------------------------------
Payable for compensation of Manager (Note 2)                                326,289
- -----------------------------------------------------------------------------------
Payable for compensation of Trustees (Note 2)                                   871
- -----------------------------------------------------------------------------------
Payable for investor servicing and custodian fees (Note 2)                   36,011
- -----------------------------------------------------------------------------------
Payable for administrative services (Note 2)                                  3,312
- -----------------------------------------------------------------------------------
Other accrued expenses                                                       24,306
- -----------------------------------------------------------------------------------
TOTAL LIABILITIES                                                         3,530,452
- -----------------------------------------------------------------------------------
NET ASSETS                                                             $185,480,993
- -----------------------------------------------------------------------------------
REPRESENTED BY
Paid-in capital                                                        $191,832,474
Undistributed net investment income                                         697,410
Accumulated net realized gain on investments                              1,274,898
Net unrealized depreciation of investments                               (8,323,789)
- -----------------------------------------------------------------------------------
TOTAL--REPRESENTING NET ASSETS APPLICABLE TO
CAPITAL SHARES OUTSTANDING                                             $185,480,993
- -----------------------------------------------------------------------------------
COMPUTATION OF NET ASSET VALUE
Net asset value per share
($185,480,993 divided by 13,807,168 shares)                                  $13.43
- -----------------------------------------------------------------------------------
</TABLE>

The accompanying notes are an integral part of these financial statements.

14
<PAGE>
 
STATEMENT OF OPERATIONS
Six months ended November 30, 1994*

<TABLE>
<S>                                                                    <C>
TAX EXEMPT INTEREST INCOME                                             $  7,534,807
- -----------------------------------------------------------------------------------
 
EXPENSES:
- -----------------------------------------------------------------------------------
Compensation of Manager (Note 2)                                       $    686,046
- -----------------------------------------------------------------------------------
Investor servicing and custodian fees (Note 2)                               90,679
- -----------------------------------------------------------------------------------
Compensation of Trustees (Note 2)                                             6,268
- -----------------------------------------------------------------------------------
Reports to shareholders                                                      16,906
- -----------------------------------------------------------------------------------
Postage                                                                      12,721
- -----------------------------------------------------------------------------------
Auditing                                                                      8,885
- -----------------------------------------------------------------------------------
Legal                                                                         2,608
- -----------------------------------------------------------------------------------
Administrative services (Note 2)                                              4,011
- -----------------------------------------------------------------------------------
Amortization of organization expenses (Note 1)                                4,174
- -----------------------------------------------------------------------------------
Registration fees                                                             1,185
- -----------------------------------------------------------------------------------
Exchange listing fees                                                        12,133
- -----------------------------------------------------------------------------------
Other expenses                                                                5,734
- -----------------------------------------------------------------------------------
TOTAL EXPENSES                                                              851,350
- -----------------------------------------------------------------------------------
NET INVESTMENT INCOME                                                     6,683,457
- -----------------------------------------------------------------------------------
Net realized loss on investments (Notes 1 and 3)                           (643,351)
- -----------------------------------------------------------------------------------
Net realized gain on futures contracts (Notes 1 and 3)                        8,188
- -----------------------------------------------------------------------------------
Net unrealized depreciation of investments
during the period                                                       (10,899,497)
- -----------------------------------------------------------------------------------
NET LOSS ON INVESTMENTS                                                 (11,534,660)
- -----------------------------------------------------------------------------------
NET DECREASE IN NET ASSETS RESULTING FROM OPERATIONS                   $ (4,851,203)
- -----------------------------------------------------------------------------------
</TABLE>
 
*  Unaudited
 
The accompanying notes are an integral part of these financial statements.
 
15
<PAGE>
 
STATEMENT OF CHANGES IN NET ASSETS

<TABLE> 
<CAPTION> 
                                                          Six months ended         For the year ended
                                                               November 30                     May 31
- -----------------------------------------------------------------------------------------------------
                                                                     1994*                       1994
<S>                                                       <C>                      <C> 
DECREASE IN NET ASSETS    
- -----------------------------------------------------------------------------------------------------
Operations:                 
- -----------------------------------------------------------------------------------------------------
Net investment income                                        $  6,683,457                $ 13,543,620
- -----------------------------------------------------------------------------------------------------
Net realized gain (loss) on investments                          (643,351)                  3,171,219
- -----------------------------------------------------------------------------------------------------
Net realized gain on futures contracts                              8,188                          --
- -----------------------------------------------------------------------------------------------------
Net unrealized depreciation of investments                    (10,899,497)                 (6,258,248)
- -----------------------------------------------------------------------------------------------------
NET INCREASE (DECREASE) IN NET ASSETS 
RESULTING FROM OPERATIONS                                      (4,851,203)                 10,456,591
- -----------------------------------------------------------------------------------------------------

DISTRIBUTIONS TO SHAREHOLDERS:
- -----------------------------------------------------------------------------------------------------
From net investment income                                     (6,993,692)                (13,984,155)
- -----------------------------------------------------------------------------------------------------
From net realized gain on investments                                  --                  (2,554,233)
- -----------------------------------------------------------------------------------------------------
TOTAL DECREASE IN NET ASSETS                                  (11,844,895)                 (6,081,797)

NET ASSETS:
- -----------------------------------------------------------------------------------------------------
Beginning of period                                           197,325,888                 203,407,685
- -----------------------------------------------------------------------------------------------------
END OF PERIOD (including undistributed 
net investment income of $697,410
and $1,007,645, respectively)                                $185,480,993                $197,325,888
- -----------------------------------------------------------------------------------------------------
NUMBER OF FUND SHARES:
- -----------------------------------------------------------------------------------------------------
Shares outstanding at beginning and end of period              13,807,168                  13,807,168
- -----------------------------------------------------------------------------------------------------
</TABLE> 
* Unaudited

The accompanying notes are an integral part of these financial statements.

16
<PAGE>
 
FINANCIAL HIGHLIGHTS
(For a share outstanding throughout the year)

<TABLE>
<CAPTION>
                                                                                        For the period
                                                                                         June 29, 1992
                                                 Six months                           (commencement of
                                                      ended          Year ended         operations) to
                                                November 30              May 31                 May 31
- ------------------------------------------------------------------------------------------------------------
                                                       1994*               1994                   1993
- ------------------------------------------------------------------------------------------------------------
<S>                                             <C>                  <C>              <C> 
NET ASSET VALUE, BEGINNING OF PERIOD                 $14.29              $14.73                 $13.89**
- ------------------------------------------------------------------------------------------------------------
INVESTMENT OPERATIONS
Net Investment Income                                   .48                 .98                 .95(a)
- ------------------------------------------------------------------------------------------------------------
Net Realized and Unrealized
Gain (Loss) on Investments                            (.83)               (.22)                    .80
- ------------------------------------------------------------------------------------------------------------
TOTAL FROM INVESTMENT OPERATIONS                      (.35)                 .76                   1.75
- ------------------------------------------------------------------------------------------------------------
LESS DISTRIBUTIONS FROM:
Net Investment Income                                 (.51)              (1.01)                  (.84)
- ------------------------------------------------------------------------------------------------------------
Net Realized Gain on
Investments (Note 1)                                     --               (.19)                  (.07)
- ------------------------------------------------------------------------------------------------------------
TOTAL DISTRIBUTIONS                                   (.51)              (1.20)                  (.91)
- ------------------------------------------------------------------------------------------------------------
NET ASSET VALUE, END OF PERIOD                       $13.43              $14.29                 $14.73
- ------------------------------------------------------------------------------------------------------------
MARKET VALUE, END OF PERIOD                         $13.000             $14.375                $14.625
- ------------------------------------------------------------------------------------------------------------
TOTAL INVESTMENT RETURN AT
MARKET VALUE (%) (A)                              (6.22)(b)                6.46                3.75(b)
- ------------------------------------------------------------------------------------------------------------
NET ASSETS, END OF PERIOD (in thousands)           $185,481            $197,326               $203,408
- ------------------------------------------------------------------------------------------------------------
Ratio of Expenses to Average
Net Assets (%)                                       .44(b)                 .91              .49(a)(b)
- ------------------------------------------------------------------------------------------------------------
Ratio of Net Investment Income
to Average Net Assets (%)                           3.43(b)                6.58             6.71(a)(b)
- ------------------------------------------------------------------------------------------------------------
Portfolio Turnover (%)                                15.47               36.92               69.11(b)
- ------------------------------------------------------------------------------------------------------------
<FN> 
*   Unaudited.

**  Represents initial net asset value of $13.95 less offering expenses of 
    approximately $0.06.

(a) Reflects an absorption of expenses incurred by the fund. As a result of 
    this limitation, expenses for the period ended May 31, 1993 reflect a 
    reduction of $0.05 per share.

(b) Not annualized.
</FN> 
</TABLE> 
17
<PAGE>
 
NOTES TO FINANCIAL STATEMENTS
November 30, 1994 (Unaudited)



NOTE 1

SIGNIFICANT ACCOUNTING POLICIES

The fund is registered under the Investment Company Act of 1940, as amended, 
as a diversified, closed-end management investment company. The fund seeks as 
high a level of current income exempt from federal income tax as Putnam 
Management believes is consistent with preservation of capital by investing 
primarily in a portfolio of tax-exempt securities in the healthcare sector of 
the tax-exempt securities market. 

The following is a summary of significant accounting policies consistently 
followed by the fund in the preparation of its financial statements. The 
policies are in conformity with generally accepted accounting principles. 

A  SECURITY VALUATION Tax-exempt bonds and notes are stated on the basis of 
valuations provided by a pricing service, approved by the Trustees, which 
uses information with respect to transactions in bonds, quotations from bond 
dealers, market transactions in comparable securities and various 
relationships between securities in determining value.  The fair value of 
restricted securities is determined by the Manager following procedures 
approved by the Trustees and such valuations and procedures as reviewed 
periodically by Trustees.

B  SECURITY TRANSACTIONS AND RELATED INVESTMENT INCOME Security transactions 
are accounted for on the trade date (date the order to buy or sell is 
executed). Interest income is recorded on the accrual basis. 

C  FEDERAL TAXES It is the policy of the fund to distribute all of its income 
within the prescribed time and otherwise comply with the provisions of the 
Internal Revenue Code applicable to regulated investment companies. It is 
also the intention of the fund to distribute an amount sufficient to avoid 
imposition of any excise tax under Section 4982 of the Internal Revenue Code 
of 1986. Therefore, no provision has been made for federal taxes on income, 
capital gains or unrealized appreciation of securities held and excise tax on 
income and capital gains. 

D  DISTRIBUTIONS TO SHAREHOLDERS Distributions to shareholders are recorded 
by the fund on the ex-dividend date.

The amount and character of income and gains to be distributed are determined 
in accordance with income tax regulations which may differ from generally 
accepted accounting principles. The differences include treatment of wash 
sales and post October loss deferrals. Reclassifications are made to the 
fund's capital accounts to reflect income and gains available for 
distribution (or available capital loss carry-overs) under income tax 
regulations.

E  AMORTIZATION OF BOND PREMIUM AND DISCOUNT Any premium resulting from the 
purchase of securities in excess of maturity value is amortized on a 
yield-to-maturity basis. Discount on zero-coupon bonds is accreted according 
to the effective yield method. 

F  UNAMORTIZED ORGANIZATION EXPENSES Expenses incurred by the fund in 
connection with its organization, its registration with the Securities and 
Exchange Commission and with various states, and the initial public offering 
of its shares aggregated 

18
<PAGE>
 
$41,646. These expenses are being amortized over a five-year period based on 
a straight line basis.

NOTE 2

MANAGEMENT FEE, ADMINISTRATIVE SERVICES, AND OTHER TRANSACTIONS 

Compensation of Putnam Investment Management, Inc. ("Putnam Management"), the 
fund's Manager, a wholly-owned subsidiary of Putnam Investments, Inc., for 
management and investment advisory services is paid quarterly based on the 
average net assets of the fund.  Such fee is based on the annual rate of 
0.70% of average weekly net assets. 

The fund also reimburses the Manager for the compensation and related 
expenses of certain officers of the fund and their staff who provide 
administrative services to the fund. The aggregate amount of all such 
reimbursements is determined annually by the Trustees. 

Trustees of the fund receive an annual Trustee's fee of $780 and an 
additional fee for each Trustees' meeting attended. Trustees who are not 
interested persons of the Manager and who serve on committees of the Trustees 
receive additional fees for attendance at certain committee meetings. 

Custodial functions for the fund are provided by Putnam Fiduciary Trust 
Company (PFTC), a wholly-owned subsidiary of Putnam Investments, Inc. 
Investor servicing agent functions are provided by Putnam Investor Services, 
a division of PFTC. 

Investor servicing and custodian fees reported in the Statement of operations 
for the period ended November 30, 1994 have been reduced by credits allowed 
by PFTC.

NOTE 3

PURCHASES AND SALES OF SECURITIES

During the six months ended November 30, 1994, purchases and sales of 
investment securities other than short-term municipal obligations aggregated 
$31,496,930 and $29,682,007 respectively.  Purchases and sales of short-term 
municipal obligations aggregated $9,900,000 and $8,190,000, respectively.  In 
determining the net gain or loss on securities sold, the cost of securities 
has been determined on the identified cost basis.

The following is a summary of futures contracts activity during the period:

<TABLE> 
<CAPTION> 
                       Sales of futures contracts
- -------------------------------------------------
                        Number of    Aggregate
                        Contracts    Face Value
- -------------------------------------------------
<S>                    <C>           <C> 
Contracts opened            75       $ 7,488,125
Contracts closed           (75)       (7,488,125)
- -------------------------------------------------
Open at end
of period                   --       $        --
- -------------------------------------------------
</TABLE> 

19
<PAGE>
 
SELECTED QUARTERLY DATA

<TABLE>
<CAPTION>
                                                              Three months ended
- ---------------------------------------------------------------------------------------------------------
                                   November 30          August 31             May 31          February 28
- ---------------------------------------------------------------------------------------------------------
                                          1994               1994               1994                 1994
- ---------------------------------------------------------------------------------------------------------
<S>                              <C>                 <C>                <C>                  <C> 
TOTAL INVESTMENT
INCOME
Total                            $   3,763,452       $  3,771,355       $  3,775,827         $  3,833,864
Per share                        $         .27       $        .27       $        .27         $        .28
- ---------------------------------------------------------------------------------------------------------
NET INVESTMENT
INCOME
Total                            $   3,365,265       $  3,318,192       $  3,339,676         $  3,373,354
Per share                        $         .24       $        .24       $        .24         $        .25
- ---------------------------------------------------------------------------------------------------------
NET REALIZED AND
UNREALIZED GAIN (LOSS)
ON INVESTMENTS
Total                            $ (11,789,485)      $    254,825       $ (8,917,744)        $   (264,663)
Per share                        $       ( .85)      $        .02       $       (.65)        $       (.02)
- ---------------------------------------------------------------------------------------------------------
NET INCREASE (DECREASE)
IN ASSETS RESULTING FROM
OPERATIONS
Total                            $  (8,424,220)      $  3,573,017       $ (5,578,068)        $  3,108,691
Per share                        $        (.61)      $        .26       $       (.41)        $        .23
- ---------------------------------------------------------------------------------------------------------
NET ASSETS AT THE
END OF THE PERIOD
Total                            $ 185,480,993       $197,401,016       $197,325,888         $206,407,850
Per share                        $       13.43       $      14.30       $      14.29         $      14.95
- ---------------------------------------------------------------------------------------------------------
</TABLE>
 
20
 
<PAGE>
 
<TABLE>
<CAPTION>
                                                                                                                     For the period
                                                                                                                      June 29, 1992
                                                                                                                   (commencement of
- ----------------------------------------------------------------------------------------------------------------     operations) to
                             November 30         August 31            May 31       February 28       November 30          August 31
- -----------------------------------------------------------------------------------------------------------------------------------
                                    1993              1993              1993              1993              1992               1992
- -----------------------------------------------------------------------------------------------------------------------------------
<S>                         <C>               <C>               <C>               <C>               <C>                <C> 
TOTAL INVESTMENT
INCOME
Total                       $  3,883,176      $  3,906,776      $  3,880,955      $  3,867,862      $  3,893,481       $  2,419,259
Per share                   $        .27      $        .29      $        .28      $        .28      $        .29       $        .17
- -----------------------------------------------------------------------------------------------------------------------------------
NET INVESTMENT
INCOME
Total                       $  3,414,063      $  3,416,527      $  3,414,250      $  3,540,227      $  3,765,663       $  2,384,870
Per share                   $        .24      $        .25      $        .25      $        .25      $        .28       $        .17
- -----------------------------------------------------------------------------------------------------------------------------------
NET REALIZED AND
UNREALIZED GAIN (LOSS)
ON INVESTMENTS
Total                       $  1,802,283      $  4,293,095      $ (1,139,899)     $  8,705,014      $    (57,854)      $  3,565,044
Per share                   $        .14      $        .31      $       (.08)     $        .63      $       (.01)      $        .26
- -----------------------------------------------------------------------------------------------------------------------------------
NET INCREASE (DECREASE)
IN ASSETS RESULTING FROM
OPERATIONS
Total                       $  5,216,346     $   7,709,622      $  2,274,351      $ 12,245,241      $  3,707,809       $  5,949,914
Per share                   $        .38     $         .56      $        .17      $        .88      $        .27       $        .43
- -----------------------------------------------------------------------------------------------------------------------------------
NET ASSETS AT THE
END OF THE PERIOD
Total                       $209,341,170      $207,629,192      $203,407,685      $204,627,026      $196,953,640       $196,620,029
Per share                   $      15.16      $      15.04      $      14.73      $      14.82      $      14.26       $      14.24
- -----------------------------------------------------------------------------------------------------------------------------------
</TABLE>

21
<PAGE>
 
FUND INFORMATION

INVESTMENT 
MANAGER
Putnam Investment 
Management, Inc.
One Post Office Square
Boston, MA  02109

MARKETING SERVICES
Putnam Mutual Funds Corp. 
One Post Office Square
Boston, MA  02109

CUSTODIAN
Putnam Fiduciary Trust Company

LEGAL COUNSEL
Ropes & Gray

TRUSTEES
George Putnam, Chairman
William F. Pounds, Vice Chairman
Jameson Adkins Baxter
Hans H. Estin
John A. Hill
Elizabeth T. Kennan
Lawrence J. Lasser
Robert E. Patterson
Donald S. Perkins
George Putnam, III
A.J.C. Smith
W. Nicholas Thorndike

OFFICERS

George Putnam
President 

Charles E. Porter
Executive Vice President 

Patricia C. Flaherty
Senior Vice President 

Lawrence J. Lasser
Vice President 

Gordon H. Silver
Vice President 

Gary N. Coburn
Vice President 

James E. Erickson
Vice President 

Howard Manning
Vice President and Fund Manager 

William N. Shiebler
Vice President 

John R. Verani
Vice President 

Paul M. O'Neil
Vice President 

John D. Hughes
Vice President and Treasurer 

Beverly Marcus
Clerk and Assistant Treasurer 

22
<PAGE>
 
Call 1-800-225-1581 weekdays from 9 a.m. to 5 p.m. Eastern Time for 
up-to-date information about the fund's NAV or to request Putnam's quarterly 
Closed-End Fund Commentary.
 
23
 
<PAGE>
 
PUTNAM INVESTMENTS                                                ------------
       THE PUTNAM FUNDS                                            Bulk Rate  
       One Post Office Square                                     U.S. Postage
       Boston, Massachusetts 02109                                   PAID     
                                                                    Putnam    
                                                                  Investments 
                                                                  ------------ 
             
             
168-15834


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