<SEC-DOCUMENT>0001193125-19-233444.txt : 20190829
<SEC-HEADER>0001193125-19-233444.hdr.sgml : 20190829
<ACCEPTANCE-DATETIME>20190829112557
ACCESSION NUMBER:		0001193125-19-233444
CONFORMED SUBMISSION TYPE:	N-PX
PUBLIC DOCUMENT COUNT:		1
CONFORMED PERIOD OF REPORT:	20190630
FILED AS OF DATE:		20190829
DATE AS OF CHANGE:		20190829
EFFECTIVENESS DATE:		20190829

FILER:

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			BlackRock Health Sciences Trust
		CENTRAL INDEX KEY:			0001314966
		IRS NUMBER:				000000000
		STATE OF INCORPORATION:			DE

	FILING VALUES:
		FORM TYPE:		N-PX
		SEC ACT:		1940 Act
		SEC FILE NUMBER:	811-21702
		FILM NUMBER:		191064618

	BUSINESS ADDRESS:	
		STREET 1:		100 BELLEVUE PARKWAY
		CITY:			WILMINGTON
		STATE:			DE
		ZIP:			19809
		BUSINESS PHONE:		(888) 825-2257

	MAIL ADDRESS:	
		STREET 1:		100 BELLEVUE PARKWAY
		CITY:			WILMINGTON
		STATE:			DE
		ZIP:			19809
</SEC-HEADER>
<DOCUMENT>
<TYPE>N-PX
<SEQUENCE>1
<FILENAME>d786629dnpx.htm
<DESCRIPTION>BLACKROCK HEALTH SCIENCES TRUST
<TEXT>
<HTML><HEAD>
<TITLE>BlackRock Health Sciences Trust</TITLE>
</HEAD>
 <BODY BGCOLOR="WHITE">
 <P STYLE="line-height:1.0pt;margin-top:0pt;margin-bottom:0pt;border-bottom:1px solid #000000">&nbsp;</P>
<P STYLE="line-height:3.0pt;margin-top:0pt;margin-bottom:2pt;border-bottom:1px solid #000000">&nbsp;</P> <P STYLE="margin-top:4pt; margin-bottom:0pt; font-size:18pt; font-family:Times New Roman" ALIGN="center"><B>UNITED STATES </B></P>
<P STYLE="margin-top:0pt; margin-bottom:0pt; font-size:18pt; font-family:Times New Roman" ALIGN="center"><B>SECURITIES AND EXCHANGE COMMISSION </B></P>
<P STYLE="margin-top:0pt; margin-bottom:0pt; font-size:12pt; font-family:Times New Roman" ALIGN="center"><B>Washington, D.C. 20549 </B></P> <P STYLE="font-size:12pt;margin-top:0pt;margin-bottom:0pt">&nbsp;</P><center>
<P STYLE="line-height:6.0pt;margin-top:0pt;margin-bottom:2pt;border-bottom:1.00pt solid #000000;width:21%">&nbsp;</P></center> <P STYLE="margin-top:12pt; margin-bottom:0pt; font-size:18pt; font-family:Times New Roman" ALIGN="center"><B>FORM <FONT
STYLE="white-space:nowrap">N-PX</FONT> </B></P> <P STYLE="font-size:12pt;margin-top:0pt;margin-bottom:0pt">&nbsp;</P><center>
<P STYLE="line-height:6.0pt;margin-top:0pt;margin-bottom:2pt;border-bottom:1.00pt solid #000000;width:21%">&nbsp;</P></center> <P STYLE="margin-top:12pt; margin-bottom:0pt; font-size:12pt; font-family:Times New Roman" ALIGN="center"><B>ANNUAL REPORT
OF PROXY VOTING RECORD OF REGISTERED MANAGEMENT INVESTMENT COMPANY </B></P> <P STYLE="margin-top:12pt; margin-bottom:0pt; font-size:10pt; font-family:Times New Roman">Investment Company Act file number:
<FONT STYLE="white-space:nowrap">811-21702</FONT> </P> <P STYLE="margin-top:12pt; margin-bottom:0pt; font-size:10pt; font-family:Times New Roman">Name of Fund: BlackRock Health Sciences Trust (BME) </P>
<P STYLE="margin-top:12pt; margin-bottom:0pt; font-size:10pt; font-family:Times New Roman">Fund Address: 100 Bellevue Parkway, Wilmington, DE 19809 </P> <P STYLE="margin-top:12pt; margin-bottom:0pt; font-size:10pt; font-family:Times New Roman">Name
and address of agent for service: John Perlowski, Chief Executive Officer, BlackRock Health Sciences Trust, 55 East 52<SUP STYLE="font-size:85%; vertical-align:top">nd </SUP>Street, New York City, NY 10055. </P>
<P STYLE="margin-top:12pt; margin-bottom:0pt; font-size:10pt; font-family:Times New Roman">Registrant&#146;s telephone number, including area code: (800) <FONT STYLE="white-space:nowrap">882-0052,</FONT> Option 4 </P>
<P STYLE="margin-top:12pt; margin-bottom:0pt; font-size:10pt; font-family:Times New Roman">Date of fiscal year end: 12/31 </P> <P STYLE="margin-top:12pt; margin-bottom:0pt; font-size:10pt; font-family:Times New Roman">Date of reporting period:
07/01/2018 &#150; 06/30/2019 </P> <P STYLE="font-size:10pt;margin-top:0pt;margin-bottom:0pt">&nbsp;</P> <P STYLE="line-height:1.0pt;margin-top:0pt;margin-bottom:0pt;border-bottom:1px solid #000000">&nbsp;</P>
<P STYLE="line-height:3.0pt;margin-top:0pt;margin-bottom:2pt;border-bottom:1px solid #000000">&nbsp;</P>

<p Style='page-break-before:always'>
<HR SIZE="3" style="COLOR:#999999" WIDTH="100%" ALIGN="CENTER">
 <P STYLE="margin-top:0pt; margin-bottom:0pt; font-size:10pt; font-family:Times New Roman">Item 1 &#150; Proxy Voting Record &#150; Attached hereto. </P>

<p Style='page-break-before:always'>
<HR SIZE="3" style="COLOR:#999999" WIDTH="100%" ALIGN="CENTER"><DIV ALIGN="LEFT">
<PRE>

******************************* FORM N-Px REPORT *******************************

ICA File Number: 811-21702
Reporting Period: 07/01/2018 - 06/30/2019
BlackRock Health Sciences Trust









======================= BlackRock Health Sciences Trust ========================


ABBOTT LABORATORIES

Ticker:       ABT            Security ID:  002824100
Meeting Date: APR 26, 2019   Meeting Type: Annual
Record Date:  FEB 27, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Robert J. Alpern         For       For          Management
1.2   Elect Director Roxanne S. Austin        For       For          Management
1.3   Elect Director Sally E. Blount          For       For          Management
1.4   Elect Director Michelle A. Kumbier      For       For          Management
1.5   Elect Director Edward M. Liddy          For       For          Management
1.6   Elect Director Nancy McKinstry          For       For          Management
1.7   Elect Director Phebe N. Novakovic       For       For          Management
1.8   Elect Director William A. Osborn        For       For          Management
1.9   Elect Director Samuel C. Scott, III     For       For          Management
1.10  Elect Director Daniel J. Starks         For       For          Management
1.11  Elect Director John G. Stratton         For       For          Management
1.12  Elect Director Glenn F. Tilton          For       For          Management
1.13  Elect Director Miles D. White           For       For          Management
2     Ratify Ernst &amp; Young LLP as Auditors    For       For          Management
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
4     Require Independent Board Chairman      Against   Against      Shareholder


--------------------------------------------------------------------------------

ACADIA PHARMACEUTICALS INC.

Ticker:       ACAD           Security ID:  004225108
Meeting Date: JUN 26, 2019   Meeting Type: Annual
Record Date:  APR 29, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Laura Brege              For       For          Management
1.2   Elect Director Stephen R. Davis         For       For          Management
2     Amend Omnibus Stock Plan                For       For          Management
3     Amend Qualified Employee Stock          For       For          Management
      Purchase Plan
4     Advisory Vote to Ratify Named           For       Against      Management
      Executive Officers' Compensation
5     Ratify Ernst &amp; Young LLP as Auditors    For       For          Management


--------------------------------------------------------------------------------

ACCELERON PHARMA INC.

Ticker:       XLRN           Security ID:  00434H108
Meeting Date: JUN 06, 2019   Meeting Type: Annual
Record Date:  APR 09, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Tom Maniatis             For       Against      Management
1b    Elect Director Richard F. Pops          For       Against      Management
1c    Elect Director Joseph S. Zakrzewski     For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify Ernst &amp; Young LLP as Auditors    For       For          Management


--------------------------------------------------------------------------------

AGILENT TECHNOLOGIES, INC.

Ticker:       A              Security ID:  00846U101
Meeting Date: MAR 20, 2019   Meeting Type: Annual
Record Date:  JAN 22, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Hans E. Bishop           For       For          Management
1.2   Elect Director Paul N. Clark            For       For          Management
1.3   Elect Director Tadataka Yamada          For       For          Management
2     Amend Omnibus Stock Plan                For       For          Management
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
4     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors


--------------------------------------------------------------------------------

AGIOS PHARMACEUTICALS, INC.

Ticker:       AGIO           Security ID:  00847X104
Meeting Date: MAY 29, 2019   Meeting Type: Annual
Record Date:  APR 08, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Jacqualyn A. Fouse       For       For          Management
1.2   Elect Director David Scadden            For       For          Management
1.3   Elect Director David P. Schenkein       For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors


--------------------------------------------------------------------------------

ALEXION PHARMACEUTICALS, INC.

Ticker:       ALXN           Security ID:  015351109
Meeting Date: MAY 14, 2019   Meeting Type: Annual
Record Date:  MAR 15, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Felix J. Baker           For       Against      Management
1.2   Elect Director David R. Brennan         For       For          Management
1.3   Elect Director Christopher J. Coughlin  For       For          Management
1.4   Elect Director Deborah Dunsire          For       For          Management
1.5   Elect Director Paul A. Friedman         For       Against      Management
1.6   Elect Director Ludwig N. Hantson        For       For          Management
1.7   Elect Director John T. Mollen           For       For          Management
1.8   Elect Director Francois Nader           For       For          Management
1.9   Elect Director Judith A. Reinsdorf      For       For          Management
1.10  Elect Director Andreas Rummelt          For       For          Management
2     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditor
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
4     Amend Proxy Access Right                Against   Against      Shareholder


--------------------------------------------------------------------------------

ALIGN TECHNOLOGY, INC.

Ticker:       ALGN           Security ID:  016255101
Meeting Date: MAY 15, 2019   Meeting Type: Annual
Record Date:  MAR 20, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Kevin J. Dallas          For       For          Management
1.2   Elect Director Joseph M. Hogan          For       For          Management
1.3   Elect Director Joseph Lacob             For       For          Management
1.4   Elect Director C. Raymond Larkin, Jr.   For       For          Management
1.5   Elect Director George J. Morrow         For       Against      Management
1.6   Elect Director Thomas M. Prescott       For       For          Management
1.7   Elect Director Andrea L. Saia           For       Against      Management
1.8   Elect Director Greg J. Santora          For       Against      Management
1.9   Elect Director Susan E. Siegel          For       For          Management
1.10  Elect Director Warren S. Thaler         For       For          Management
2     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors
3     Advisory Vote to Ratify Named           For       Against      Management
      Executive Officers' Compensation


--------------------------------------------------------------------------------

ALLAKOS INC.

Ticker:       ALLK           Security ID:  01671P100
Meeting Date: JUN 06, 2019   Meeting Type: Annual
Record Date:  APR 25, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Robert Alexander         For       For          Management
1.2   Elect Director Steven P. James          For       For          Management
2     Ratify Ernst &amp; Young LLP as Auditors    For       For          Management


--------------------------------------------------------------------------------

ALLERGAN PLC

Ticker:       AGN            Security ID:  G0177J108
Meeting Date: MAY 01, 2019   Meeting Type: Annual
Record Date:  MAR 05, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Nesli Basgoz             For       For          Management
1b    Elect Director Joseph H. Boccuzi        For       For          Management
1c    Elect Director Christopher W. Bodine    For       For          Management
1d    Elect Director Adriane M. Brown         For       For          Management
1e    Elect Director Christopher J. Coughlin  For       For          Management
1f    Elect Director Carol Anthony (John)     For       For          Management
      Davidson
1g    Elect Director Thomas C. Freyman        For       For          Management
1h    Elect Director Michael E. Greenberg     For       For          Management
1i    Elect Director Robert J. Hugin          For       For          Management
1j    Elect Director Peter J. McDonnell       For       For          Management
1k    Elect Director Brenton L. Saunders      For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Approve PricewaterhouseCoopers LLP as   For       For          Management
      Auditors and Authorize Board to Fix
      Their  Remuneration
4     Authorize Issue of Equity               For       For          Management
5a    Authorize Issuance of Equity or         For       For          Management
      Equity-Linked Securities without
      Preemptive Rights
5b    Authorize Issuance of Equity or         For       For          Management
      Equity-Linked Securities without
      Preemptive Rights
6     Require Independent Board Chairman      Against   Against      Shareholder


--------------------------------------------------------------------------------

ALLOGENE THERAPEUTICS, INC.

Ticker:       ALLO           Security ID:  019770106
Meeting Date: JUN 06, 2019   Meeting Type: Annual
Record Date:  APR 22, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Arie Belldegrun          For       For          Management
1b    Elect Director David Bonderman          For       For          Management
1c    Elect Director David Chang              For       For          Management
2     Ratify Ernst &amp; Young LLP as Auditor     For       For          Management


--------------------------------------------------------------------------------

ALNYLAM PHARMACEUTICALS, INC.

Ticker:       ALNY           Security ID:  02043Q107
Meeting Date: APR 25, 2019   Meeting Type: Annual
Record Date:  MAR 01, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Margaret A. Hamburg      For       For          Management
1b    Elect Director Steven M. Paul           For       For          Management
1c    Elect Director Colleen F. Reitan        For       For          Management
1d    Elect Director Amy W. Schulman          For       For          Management
2     Provide Right to Call Special Meeting   For       For          Management
3     Increase Authorized Common Stock        For       For          Management
4     Amend Omnibus Stock Plan                For       For          Management
5     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
6     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditor


--------------------------------------------------------------------------------

AMEDISYS, INC.

Ticker:       AMED           Security ID:  023436108
Meeting Date: JUN 07, 2019   Meeting Type: Annual
Record Date:  APR 11, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A    Elect Director Julie D. Klapstein       For       For          Management
1B    Elect Director Paul B. Kusserow         For       For          Management
1C    Elect Director Richard A. Lechleiter    For       For          Management
1D    Elect Director Jake L. Netterville      For       For          Management
1E    Elect Director Bruce D. Perkins         For       For          Management
1F    Elect Director Jeffrey A. Rideout       For       For          Management
1G    Elect Director Donald A. Washburn       For       For          Management
2     Ratify KPMG LLP as Auditors             For       For          Management
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


--------------------------------------------------------------------------------

AMERISOURCEBERGEN CORP.

Ticker:       ABC            Security ID:  03073E105
Meeting Date: FEB 28, 2019   Meeting Type: Annual
Record Date:  DEC 31, 2018

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Ornella Barra            For       For          Management
1.2   Elect Director Steven H. Collis         For       For          Management
1.3   Elect Director D. Mark Durcan           For       For          Management
1.4   Elect Director Richard W. Gochnauer     For       For          Management
1.5   Elect Director Lon R. Greenberg         For       For          Management
1.6   Elect Director Jane E. Henney           For       For          Management
1.7   Elect Director Kathleen W. Hyle         For       For          Management
1.8   Elect Director Michael J. Long          For       For          Management
1.9   Elect Director Henry W. McGee           For       For          Management
2     Ratify Ernst &amp; Young LLP as Auditors    For       For          Management
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
4     Provide Right to Act by Written Consent Against   Against      Shareholder
5     Prohibit Adjusting Compensation         Against   Against      Shareholder
      Metrics for Legal or Compliance Costs


--------------------------------------------------------------------------------

AMGEN, INC.

Ticker:       AMGN           Security ID:  031162100
Meeting Date: MAY 21, 2019   Meeting Type: Annual
Record Date:  MAR 22, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Wanda M. Austin          For       For          Management
1.2   Elect Director Robert A. Bradway        For       For          Management
1.3   Elect Director Brian J. Druker          For       For          Management
1.4   Elect Director Robert A. Eckert         For       For          Management
1.5   Elect Director Greg C. Garland          For       For          Management
1.6   Elect Director Fred Hassan              For       For          Management
1.7   Elect Director Rebecca M. Henderson     For       For          Management
1.8   Elect Director Charles M. Holley, Jr.   For       For          Management
1.9   Elect Director Tyler Jacks              For       For          Management
1.10  Elect Director Ellen J. Kullman         For       For          Management
1.11  Elect Director Ronald D. Sugar          For       For          Management
1.12  Elect Director R. Sanders Williams      For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify Ernst &amp; Young LLP as Auditors    For       For          Management


--------------------------------------------------------------------------------

AMICUS THERAPEUTICS, INC.

Ticker:       FOLD           Security ID:  03152W109
Meeting Date: JUN 27, 2019   Meeting Type: Annual
Record Date:  APR 29, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director John F. Crowley          For       For          Management
1.2   Elect Director Margaret G. McGlynn      For       For          Management
1.3   Elect Director Michael G. Raab          For       For          Management
1.4   Elect Director Glenn P. Sblendorio      For       Withhold     Management
2     Amend Omnibus Stock Plan                For       For          Management
3     Ratify Ernst &amp; Young LLP as Auditors    For       For          Management
4     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


--------------------------------------------------------------------------------

ANAPTYSBIO, INC.

Ticker:       ANAB           Security ID:  032724106
Meeting Date: JUN 11, 2019   Meeting Type: Annual
Record Date:  APR 18, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Hamza Suria              For       For          Management
1.2   Elect Director J. Anthony Ware          For       Withhold     Management
2     Ratify KPMG LLP as Auditors             For       For          Management
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
4     Advisory Vote on Say on Pay Frequency   One Year  One Year     Management


--------------------------------------------------------------------------------

ANTHEM, INC.

Ticker:       ANTM           Security ID:  036752103
Meeting Date: MAY 15, 2019   Meeting Type: Annual
Record Date:  MAR 08, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Bahija Jallal            For       For          Management
1.2   Elect Director Elizabeth E. Tallett     For       For          Management
2     Ratify Ernst &amp; Young LLP as Auditors    For       For          Management
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
4     Declassify the Board of Directors       For       For          Management
5     Declassify the Board of Directors       None      For          Shareholder


--------------------------------------------------------------------------------

APELLIS PHARMACEUTICALS, INC.

Ticker:       APLS           Security ID:  03753U106
Meeting Date: JUN 18, 2019   Meeting Type: Annual
Record Date:  APR 23, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director A. Sinclair Dunlop       For       For          Management
1.2   Elect Director Alec Machiels            For       For          Management
2     Ratify Deloitte &amp; Touche LLP as Auditor For       For          Management
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
4     Advisory Vote on Say on Pay Frequency   One Year  One Year     Management


--------------------------------------------------------------------------------

ARENA PHARMACEUTICALS, INC.

Ticker:       ARNA           Security ID:  040047607
Meeting Date: JUN 13, 2019   Meeting Type: Annual
Record Date:  APR 24, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Jayson Dallas            For       For          Management
1.2   Elect Director Oliver Fetzer            For       For          Management
1.3   Elect Director Kieran T. Gallahue       For       For          Management
1.4   Elect Director Jennifer Jarrett         For       For          Management
1.5   Elect Director Amit D. Munshi           For       For          Management
1.6   Elect Director Garry A. Neil            For       For          Management
1.7   Elect Director Tina S. Nova             For       For          Management
1.8   Elect Director Manmeet S. Soni          For       For          Management
1.9   Elect Director Randall E. Woods         For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Amend Omnibus Stock Plan                For       For          Management
4     Approve Qualified Employee Stock        For       For          Management
      Purchase Plan
5     Ratify KPMG LLP as Auditor              For       For          Management


--------------------------------------------------------------------------------

ASSEMBLY BIOSCIENCES, INC.

Ticker:       ASMB           Security ID:  045396108
Meeting Date: MAY 17, 2019   Meeting Type: Annual
Record Date:  MAR 22, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Anthony E. Altig         For       For          Management
1.2   Elect Director Mark Auerbach            For       For          Management
1.3   Elect Director Richard D. DiMarchi      For       For          Management
1.4   Elect Director Myron Z. Holubiak        For       For          Management
1.5   Elect Director Helen S. Kim             For       For          Management
1.6   Elect Director Alan J. Lewis            For       For          Management
1.7   Elect Director Susan Mahony             For       For          Management
1.8   Elect Director William R. Ringo, Jr.    For       For          Management
1.9   Elect Director Derek A. Small           For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify Ernst &amp; Young LLP as Auditors    For       For          Management
4     Amend Omnibus Stock Plan                For       For          Management


--------------------------------------------------------------------------------

ASTRAZENECA PLC

Ticker:       AZN            Security ID:  G0593M107
Meeting Date: APR 26, 2019   Meeting Type: Annual
Record Date:  APR 24, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accept Financial Statements and         For       For          Management
      Statutory Reports
2     Approve Dividends                       For       For          Management
3     Reappoint PricewaterhouseCoopers LLP    For       For          Management
      as Auditors
4     Authorise Board to Fix Remuneration of  For       For          Management
      Auditors
5a    Re-elect Leif Johansson as Director     For       For          Management
5b    Re-elect Pascal Soriot as Director      For       For          Management
5c    Re-elect Marc Dunoyer as Director       For       For          Management
5d    Re-elect Genevieve Berger as Director   For       For          Management
5e    Re-elect Philip Broadley as Director    For       For          Management
5f    Re-elect Graham Chipchase as Director   For       For          Management
5g    Re-elect Deborah DiSanzo as Director    For       For          Management
5h    Re-elect Sheri McCoy as Director        For       For          Management
5i    Elect Tony Mok as Director              For       For          Management
5j    Re-elect Nazneen Rahman as Director     For       For          Management
5k    Re-elect Marcus Wallenberg as Director  For       For          Management
6     Approve Remuneration Report             For       For          Management
7     Authorise EU Political Donations and    For       For          Management
      Expenditure
8     Authorise Issue of Equity               For       For          Management
9     Authorise Issue of Equity without       For       For          Management
      Pre-emptive Rights
10    Authorise Issue of Equity without       For       For          Management
      Pre-emptive Rights in Connection with
      an Acquisition or Other Capital
      Investment
11    Authorise Market Purchase of Ordinary   For       For          Management
      Shares
12    Authorise the Company to Call General   For       For          Management
      Meeting with Two Weeks' Notice


--------------------------------------------------------------------------------

ASTRAZENECA PLC

Ticker:       AZN            Security ID:  046353108
Meeting Date: APR 26, 2019   Meeting Type: Annual
Record Date:  MAR 05, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accept Financial Statements and         For       For          Management
      Statutory Reports
2     Approve Dividends                       For       For          Management
3     Reappoint PricewaterhouseCoopers LLP    For       For          Management
      as Auditors
4     Authorise Board to Fix Remuneration of  For       For          Management
      Auditors
5a    Re-elect Leif Johansson as Director     For       For          Management
5b    Re-elect Pascal Soriot as Director      For       For          Management
5c    Re-elect Marc Dunoyer as Director       For       For          Management
5d    Re-elect Genevieve Berger as Director   For       For          Management
5e    Re-elect Philip Broadley as Director    For       For          Management
5f    Re-elect Graham Chipchase as Director   For       For          Management
5g    Re-elect Deborah DiSanzo as Director    For       For          Management
5h    Re-elect Sheri McCoy as Director        For       For          Management
5i    Elect Tony Mok as Director              For       For          Management
5j    Re-elect Nazneen Rahman as Director     For       For          Management
5k    Re-elect Marcus Wallenberg as Director  For       For          Management
6     Approve Remuneration Report             For       For          Management
7     Authorise EU Political Donations and    For       For          Management
      Expenditure
8     Authorise Issue of Equity               For       For          Management
9     Authorise Issue of Equity without       For       For          Management
      Pre-emptive Rights
10    Authorise Issue of Equity without       For       For          Management
      Pre-emptive Rights in Connection with
      an Acquisition or Other Capital
      Investment
11    Authorise Market Purchase of Ordinary   For       For          Management
      Shares
12    Authorise the Company to Call General   For       For          Management
      Meeting with Two Weeks' Notice


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BAXTER INTERNATIONAL INC.

Ticker:       BAX            Security ID:  071813109
Meeting Date: MAY 07, 2019   Meeting Type: Annual
Record Date:  MAR 14, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Jose "Joe" E. Almeida    For       For          Management
1b    Elect Director Thomas F. Chen           For       For          Management
1c    Elect Director John D. Forsyth          For       For          Management
1d    Elect Director James R. Gavin, III      For       For          Management
1e    Elect Director Peter S. Hellman         For       For          Management
1f    Elect Director Michael F. Mahoney       For       For          Management
1g    Elect Director Patricia B. Morrrison    For       For          Management
1h    Elect Director Stephen N. Oesterle      For       For          Management
1i    Elect Director Cathy R. Smith           For       For          Management
1j    Elect Director Thomas T. Stallkamp      For       For          Management
1k    Elect Director Albert P.L. Stroucken    For       For          Management
1l    Elect Director Amy A. Wendell           For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors
4     Require Independent Board Chairman      Against   Against      Shareholder
5     Provide Right to Act by Written Consent Against   Against      Shareholder


--------------------------------------------------------------------------------

BECTON, DICKINSON &amp; CO.

Ticker:       BDX            Security ID:  075887109
Meeting Date: JAN 22, 2019   Meeting Type: Annual
Record Date:  DEC 07, 2018

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Catherine M. Burzik      For       For          Management
1.2   Elect Director R. Andrew Eckert         For       For          Management
1.3   Elect Director Vincent A. Forlenza      For       For          Management
1.4   Elect Director Claire M. Fraser         For       For          Management
1.5   Elect Director Jeffrey W. Henderson     For       For          Management
1.6   Elect Director Christopher Jones        For       For          Management
1.7   Elect Director Marshall O. Larsen       For       For          Management
1.8   Elect Director David F. Melcher         For       For          Management
1.9   Elect Director Claire Pomeroy           For       For          Management
1.10  Elect Director Rebecca W. Rimel         For       For          Management
1.11  Elect Director Timothy M. Ring          For       For          Management
1.12  Elect Director Bertram L. Scott         For       For          Management
2     Ratify Ernst &amp; Young LLP as Auditors    For       For          Management
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
4     Eliminate Supermajority Vote            For       For          Management
      Requirement


--------------------------------------------------------------------------------

BIOGEN INC.

Ticker:       BIIB           Security ID:  09062X103
Meeting Date: JUN 19, 2019   Meeting Type: Annual
Record Date:  APR 22, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director John R. Chiminski        None      None         Management
      *Withdrawn Resolution*
1b    Elect Director Alexander J. Denner      For       For          Management
1c    Elect Director Caroline D. Dorsa        For       For          Management
1d    Elect Director William A. Hawkins       For       For          Management
1e    Elect Director Nancy L. Leaming         For       For          Management
1f    Elect Director Jesus B. Mantas          For       For          Management
1g    Elect Director Richard C. Mulligan      For       For          Management
1h    Elect Director Robert W. Pangia         For       For          Management
1i    Elect Director Stelios Papadopoulos     For       For          Management
1j    Elect Director Brian S. Posner          For       For          Management
1k    Elect Director Eric K. Rowinsky         For       For          Management
1l    Elect Director Lynn Schenk              For       For          Management
1m    Elect Director Stephen A. Sherwin       For       For          Management
1n    Elect Director Michel Vounatsos         For       For          Management
2     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


--------------------------------------------------------------------------------

BIOHAVEN PHARMACEUTICAL HOLDING COMPANY LTD.

Ticker:       BHVN           Security ID:  G11196105
Meeting Date: MAY 21, 2019   Meeting Type: Annual
Record Date:  MAR 28, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A    Elect Director Gregory H. Bailey        For       Against      Management
1B    Elect Director John W. Childs           For       For          Management
2     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors
3     Advisory Vote on Say on Pay Frequency   One Year  One Year     Management


--------------------------------------------------------------------------------

BIOMARIN PHARMACEUTICAL INC.

Ticker:       BMRN           Security ID:  09061G101
Meeting Date: JUN 04, 2019   Meeting Type: Annual
Record Date:  APR 08, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Jean-Jacques Bienaime    For       For          Management
1.2   Elect Director Willard Dere             For       Withhold     Management
1.3   Elect Director Michael Grey             For       For          Management
1.4   Elect Director Elaine J. Heron          For       Withhold     Management
1.5   Elect Director Robert J. Hombach        For       For          Management
1.6   Elect Director V. Bryan Lawlis          For       Withhold     Management
1.7   Elect Director Alan J. Lewis            For       For          Management
1.8   Elect Director Richard A. Meier         For       For          Management
1.9   Elect Director David E.I. Pyott         For       Withhold     Management
1.10  Elect Director Dennis J. Slamon         For       Withhold     Management
2     Ratify KPMG LLP as Auditors             For       For          Management
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
4     Amend Omnibus Stock Plan                For       For          Management
5     Amend Qualified Employee Stock          For       For          Management
      Purchase Plan


--------------------------------------------------------------------------------

BLACKROCK LIQUIDITY FUNDS

Ticker:                      Security ID:  09248U718
Meeting Date: NOV 21, 2018   Meeting Type: Special
Record Date:  SEP 24, 2018

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.1  Elect Director Bruce R. Bond            For       For          Management
1a.2  Elect Director Susan J. Carter          For       For          Management
1a.3  Elect Director Collette Chilton         For       For          Management
1a.4  Elect Director Neil A. Cotty            For       For          Management
1a.5  Elect Director Robert Fairbairn         For       For          Management
1a.6  Elect Director Lena G. Goldberg         For       For          Management
1a.7  Elect Director Robert M. Hernandez      For       For          Management
1a.8  Elect Director Henry R. Keizer          For       For          Management
1a.9  Elect Director Cynthia A. Montgomery    For       For          Management
1a.10 Elect Director Donald C. Opatrny        For       For          Management
1a.11 Elect Director John M. Perlowski        For       For          Management
1a.12 Elect Director Joseph P. Platt          For       For          Management
1a.13 Elect Director Mark Stalnecker          For       For          Management
1a.14 Elect Director Kenneth L. Urish         For       For          Management
1a.15 Elect Director Claire A. Walton         For       For          Management


--------------------------------------------------------------------------------

BLUEPRINT MEDICINES CORPORATION

Ticker:       BPMC           Security ID:  09627Y109
Meeting Date: JUN 18, 2019   Meeting Type: Annual
Record Date:  APR 22, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Jeffrey W. Albers        For       For          Management
1.2   Elect Director Mark Goldberg            For       Withhold     Management
1.3   Elect Director Nicholas Lydon           For       Withhold     Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify Ernst &amp; Young LLP as Auditors    For       For          Management


--------------------------------------------------------------------------------

BOSTON SCIENTIFIC CORPORATION

Ticker:       BSX            Security ID:  101137107
Meeting Date: MAY 09, 2019   Meeting Type: Annual
Record Date:  MAR 15, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Nelda J. Connors         For       For          Management
1b    Elect Director Charles J. Dockendorff   For       For          Management
1c    Elect Director Yoshiaki Fujimori        For       For          Management
1d    Elect Director Donna A. James           For       For          Management
1e    Elect Director Edward J. Ludwig         For       For          Management
1f    Elect Director Stephen P. MacMillan     For       For          Management
1g    Elect Director Michael F. Mahoney       For       For          Management
1h    Elect Director David J. Roux            For       For          Management
1i    Elect Director John E. Sununu           For       For          Management
1j    Elect Director Ellen M. Zane            For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Adopt Majority Voting for Uncontested   For       For          Management
      Election of Directors
4     Ratify Ernst &amp; Young LLP as Auditor     For       For          Management


--------------------------------------------------------------------------------

BRISTOL-MYERS SQUIBB COMPANY

Ticker:       BMY            Security ID:  110122108
Meeting Date: APR 12, 2019   Meeting Type: Proxy Contest
Record Date:  MAR 01, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
      Management Proxy                        None
1     Issue Shares in Connection with Merger  For       Against      Management
2     Adjourn Meeting                         For       Against      Management
#     Proposal                                Diss Rec  Vote Cast    Sponsor
      Dissident Proxy (Blue Proxy Card)       None
1     Issue Shares in Connection with Merger  Against   Did Not Vote Management
2     Adjourn Meeting                         Against   Did Not Vote Management


--------------------------------------------------------------------------------

BRISTOL-MYERS SQUIBB COMPANY

Ticker:       BMY            Security ID:  110122108
Meeting Date: MAY 29, 2019   Meeting Type: Annual
Record Date:  APR 30, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A    Elect Director Peter J. Arduini         For       For          Management
1B    Elect Director Robert J. Bertolini      For       For          Management
1C    Elect Director Giovanni Caforio         For       For          Management
1D    Elect Director Matthew W. Emmens        For       For          Management
1E    Elect Director Michael Grobstein        For       For          Management
1F    Elect Director Alan J. Lacy             For       For          Management
1G    Elect Director Dinesh C. Paliwal        For       For          Management
1H    Elect Director Theodore R. Samuels      For       For          Management
1I    Elect Director Vicki L. Sato            For       For          Management
1J    Elect Director Gerald L. Storch         For       For          Management
1K    Elect Director Karen H. Vousden         For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify Deloitte &amp; Touche LLP as         For       For          Management
      Auditors
4     Provide Right to Act by Written Consent Against   Against      Shareholder


--------------------------------------------------------------------------------

CELLECTIS SA

Ticker:       ALCLS          Security ID:  15117K103
Meeting Date: JUN 25, 2019   Meeting Type: Annual/Special
Record Date:  MAY 21, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve Financial Statements and        For       For          Management
      Statutory Reports
2     Approve Consolidated Financial          For       For          Management
      Statements and Statutory Reports
3     Approve Treatment of Losses             For       For          Management
4     Approve Transaction with Andre          For       For          Management
      Choulika Re: Share Purchase Agreement
5     Approve Transaction with Jean-Marie     For       For          Management
      Messier Re: Share Purchase Agreement
6     Ratify Amendment of Transaction with    For       Against      Management
      Godard et Co Re: Consultant Agreement
7     Approve Board's Special Report on       For       For          Management
      Stock Option Grants
8     Authorize Repurchase of Up to 10        For       For          Management
      Percent of Issued Share Capital
9     Authorize Decrease in Share Capital     For       For          Management
      via Cancellation of Repurchased Shares
10    Approve Issuance of Equity or           For       Against      Management
      Equity-Linked Securities Reserved for
      Specific Beneficiaries up to Aggregate
      Nominal Amount of EUR 1,060,751
11    Approve Issuance of Equity or           For       Against      Management
      Equity-Linked Securities Reserved for
      Specific Beneficiaries, up to
      Aggregate Nominal Amount of EUR
      1,060,751
12    Approve Issuance of Equity or           For       Against      Management
      Equity-Linked Securities Reserved for
      Specific Beneficiaries in the
      Framework of an Equity Line up to
      Aggregate Nominal Amount of EUR
      1,060,751
13    Authorize Issuance of Equity or         For       For          Management
      Equity-Linked Securities with
      Preemptive Rights up to Aggregate
      Nominal Amount of EUR 1,060,751
14    Authorize Issuance of Equity or         For       Against      Management
      Equity-Linked Securities without
      Preemptive Rights up to Aggregate
      Nominal Amount of EUR 1,060,751
15    Approve Issuance of Equity or           For       Against      Management
      Equity-Linked Securities Reserved for
      Qualified Investors and/or Restricted
      Number of Investors, up to Aggregate
      Nominal Amount of EUR 1,060,751
16    Authorize Board to Increase Capital in  For       Against      Management
      the Event of Additional Demand Related
      to Delegation Submitted to Shareholder
      Vote Above
17    Set Total Limit for Capital Increase    For       For          Management
      to Result from Issuance Requests Under
      Items 10 to 16 at EUR 1,060,751
18    Authorize Capitalization of Reserves    For       For          Management
      of Up to EUR 2 Million for Bonus Issue
      or Increase in Par Value
19    Authorize up to 4,243,006 Shares for    For       Against      Management
      Use in Stock Option Plans
20    Authorize up to 4,243,006 Shares for    For       Against      Management
      Use in Restricted Stock Plans
21    Authorize Issuance of 3,394,405         For       Against      Management
      Warrants (BSA) Reserved for
      Non-executive Directors, Censors,
      Members of Board committees, Employees
      of Subsidiaries and Consultants
22    Approve Issuance of 4,243,006 Warrants  For       Against      Management
      (BSAAR and/or BSA) Reserved for
      Employees and Executives
23    Authorize up to 1,272,902 Shares for    For       Against      Management
      Use in Preference Share Plans
24    Set Limit for Potential Share Grants    For       For          Management
      Pursuant to Items 19-23 Above at
      4,243,006 Shares
25    Authorize Capital Issuances for Use in  For       For          Management
      Employee Stock Purchase Plans


--------------------------------------------------------------------------------

CENTENE CORP.

Ticker:       CNC            Security ID:  15135B101
Meeting Date: JAN 28, 2019   Meeting Type: Special
Record Date:  DEC 24, 2018

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Increase Authorized Common Stock        For       For          Management


--------------------------------------------------------------------------------

CENTENE CORPORATION

Ticker:       CNC            Security ID:  15135B101
Meeting Date: APR 23, 2019   Meeting Type: Annual
Record Date:  FEB 22, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A    Elect Director Orlando Ayala            For       For          Management
1B    Elect Director John R. Roberts          For       For          Management
1C    Elect Director Tommy G. Thompson        For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify KPMG LLP as Auditors             For       For          Management
4     Report on Political Contributions       Against   Against      Shareholder


--------------------------------------------------------------------------------

CENTENE CORPORATION

Ticker:       CNC            Security ID:  15135B101
Meeting Date: JUN 24, 2019   Meeting Type: Special
Record Date:  MAY 08, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Issue Shares in Connection with Merger  For       For          Management
2     Adjourn Meeting                         For       For          Management


--------------------------------------------------------------------------------

CERNER CORPORATION

Ticker:       CERN           Security ID:  156782104
Meeting Date: MAY 30, 2019   Meeting Type: Annual
Record Date:  APR 30, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Gerald E. Bisbee, Jr.    For       For          Management
1b    Elect Director Linda M. Dillman         For       For          Management
1c    Elect Director George A. Riedel         For       For          Management
1d    Elect Director R. Halsey Wise           For       For          Management
2     Ratify KPMG LLP as Auditors             For       For          Management
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
4     Amend Omnibus Stock Plan                For       For          Management


--------------------------------------------------------------------------------

CHARLES RIVER LABORATORIES INTERNATIONAL, INC.

Ticker:       CRL            Security ID:  159864107
Meeting Date: MAY 21, 2019   Meeting Type: Annual
Record Date:  MAR 22, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director James C. Foster          For       For          Management
1.2   Elect Director Robert J. Bertolini      For       For          Management
1.3   Elect Director Stephen D. Chubb         For       For          Management
1.4   Elect Director Deborah T. Kochevar      For       Against      Management
1.5   Elect Director Martin W. Mackay         For       For          Management
1.6   Elect Director Jean-Paul Mangeolle      For       For          Management
1.7   Elect Director George E. Massaro        For       For          Management
1.8   Elect Director George M. Milne, Jr.     For       Against      Management
1.9   Elect Director C. Richard Reese         For       For          Management
1.10  Elect Director Richard F. Wallman       For       Against      Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditor


--------------------------------------------------------------------------------

CHECKPOINT THERAPEUTICS, INC.

Ticker:       CKPT           Security ID:  162828107
Meeting Date: JUN 12, 2019   Meeting Type: Annual
Record Date:  APR 15, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Michael S. Weiss         For       Withhold     Management
1.2   Elect Director Christian Bechon         For       For          Management
1.3   Elect Director Scott Boilen             For       For          Management
1.4   Elect Director Neil Herskowitz          For       For          Management
1.5   Elect Director James F. Oliviero, III   For       For          Management
1.6   Elect Director Lindsay A. Rosenwald     For       Withhold     Management
1.7   Elect Director Barry Salzman            For       For          Management
2     Ratify BDO USA, LLP as Auditor          For       For          Management


--------------------------------------------------------------------------------

CHUGAI PHARMACEUTICAL CO., LTD.

Ticker:       4519           Security ID:  J06930101
Meeting Date: MAR 28, 2019   Meeting Type: Annual
Record Date:  DEC 31, 2018

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve Allocation of Income, with a    For       For          Management
      Final Dividend of JPY 55
2.1   Elect Director Oku, Masayuki            For       For          Management
2.2   Elect Director Ichimaru, Yoichiro       For       For          Management
2.3   Elect Director Christoph Franz          For       For          Management
2.4   Elect Director William N. Anderson      For       For          Management
2.5   Elect Director James H. Sabry           For       For          Management
3.1   Appoint Statutory Auditor Sato, Atsushi For       For          Management
3.2   Appoint Statutory Auditor Maeda, Yuko   For       For          Management


--------------------------------------------------------------------------------

CIGNA CORP.

Ticker:       CI             Security ID:  125509109
Meeting Date: AUG 24, 2018   Meeting Type: Special
Record Date:  JUL 10, 2018

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve Merger Agreement                For       For          Management
2     Adjourn Meeting                         For       For          Management


--------------------------------------------------------------------------------

CIGNA CORPORATION

Ticker:       CI             Security ID:  125523100
Meeting Date: APR 24, 2019   Meeting Type: Annual
Record Date:  FEB 25, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director David M. Cordani         For       For          Management
1.2   Elect Director William J. DeLaney       For       For          Management
1.3   Elect Director Eric J. Foss             For       For          Management
1.4   Elect Director Elder Granger            For       For          Management
1.5   Elect Director Isaiah Harris, Jr.       For       For          Management
1.6   Elect Director Roman Martinez, IV       For       For          Management
1.7   Elect Director Kathleen M. Mazzarella   For       For          Management
1.8   Elect Director Mark B. McClellan        For       For          Management
1.9   Elect Director John M. Partridge        For       For          Management
1.10  Elect Director William L. Roper         For       For          Management
1.11  Elect Director Eric C. Wiseman          For       For          Management
1.12  Elect Director Donna F. Zarcone         For       For          Management
1.13  Elect Director William D. Zollars       For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors
4     Provide Right to Act by Written Consent Against   For          Shareholder
5     Report on Cyber Risk *Withdrawn         None      None         Shareholder
      Resolution*
6     Report on Gender Pay Gap                Against   Against      Shareholder


--------------------------------------------------------------------------------

CONVATEC GROUP PLC

Ticker:       CTEC           Security ID:  G23969101
Meeting Date: MAY 09, 2019   Meeting Type: Annual
Record Date:  MAY 07, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accept Financial Statements and         For       For          Management
      Statutory Reports
2     Approve Remuneration Report             For       Against      Management
3     Approve Final Dividend                  For       For          Management
4     Re-elect Rick Anderson as Director      For       For          Management
5     Re-elect Frank Schulkes as Director     For       For          Management
6     Re-elect Jesper Ovesen as Director      For       Against      Management
7     Re-elect Dr Ros Rivaz as Director       For       Against      Management
8     Re-elect Dr Regina Benjamin as Director For       For          Management
9     Re-elect Margaret Ewing as Director     For       For          Management
10    Elect Sten Scheibye as Director         For       For          Management
11    Reappoint Deloitte LLP Auditors         For       For          Management
12    Authorise Board to Fix Remuneration of  For       For          Management
      Auditors
13    Authorise Issue of Equity               For       For          Management
14    Approve Scrip Dividend Scheme           For       For          Management
15    Authorise Issue of Equity without       For       For          Management
      Pre-emptive Rights
16    Authorise Issue of Equity without       For       For          Management
      Pre-emptive Rights in Connection with
      an Acquisition or Other Capital
      Investment
17    Authorise Market Purchase of Ordinary   For       For          Management
      Shares
18    Authorise EU Political Donations and    For       For          Management
      Expenditure
19    Authorise the Company to Call General   For       For          Management
      Meeting with Two Weeks' Notice


--------------------------------------------------------------------------------

CORBUS PHARMACEUTICALS HOLDINGS, INC.

Ticker:       CRBP           Security ID:  21833P103
Meeting Date: MAY 22, 2019   Meeting Type: Annual
Record Date:  APR 01, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Yuval Cohen              For       For          Management
1.2   Elect Director Alan Holmer              For       For          Management
1.3   Elect Director David P. Hochman         For       For          Management
1.4   Elect Director Avery W. "Chip" Catlin   For       For          Management
1.5   Elect Director Paris Panayiotopoulos    For       Withhold     Management
1.6   Elect Director John K. Jenkins          For       For          Management
1.7   Elect Director Rachelle S. Jacques      For       For          Management
2     Ratify EisnerAmper LLP as Auditors      For       For          Management


--------------------------------------------------------------------------------

CYTOKINETICS, INCORPORATED

Ticker:       CYTK           Security ID:  23282W605
Meeting Date: MAY 15, 2019   Meeting Type: Annual
Record Date:  MAR 26, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Santo J. Costa           For       Withhold     Management
1.2   Elect Director John T. Henderson        For       Withhold     Management
1.3   Elect Director B. Lynne Parshall        For       For          Management
2     Amend Omnibus Stock Plan                For       For          Management
3     Ratify Ernst &amp; Young LLP as Auditors    For       For          Management
4     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


--------------------------------------------------------------------------------

DAIICHI SANKYO CO., LTD.

Ticker:       4568           Security ID:  J11257102
Meeting Date: JUN 17, 2019   Meeting Type: Annual
Record Date:  MAR 31, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve Allocation of Income, With a    For       For          Management
      Final Dividend of JPY 35
2.1   Elect Director Nakayama, Joji           For       For          Management
2.2   Elect Director Manabe, Sunao            For       For          Management
2.3   Elect Director Sai, Toshiaki            For       For          Management
2.4   Elect Director Tojo, Toshiaki           For       For          Management
2.5   Elect Director Uji, Noritaka            For       For          Management
2.6   Elect Director Fukui, Tsuguya           For       For          Management
2.7   Elect Director Kimura, Satoru           For       For          Management
2.8   Elect Director Kama, Kazuaki            For       For          Management
2.9   Elect Director Nohara, Sawako           For       For          Management
3.1   Appoint Statutory Auditor Watanabe,     For       For          Management
      Ryoichi
3.2   Appoint Statutory Auditor Sato, Kenji   For       For          Management
4     Approve Annual Bonus                    For       For          Management


--------------------------------------------------------------------------------

EDWARDS LIFESCIENCES CORPORATION

Ticker:       EW             Security ID:  28176E108
Meeting Date: MAY 08, 2019   Meeting Type: Annual
Record Date:  MAR 13, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Michael A. Mussallem     For       For          Management
1b    Elect Director Kieran T. Gallahue       For       For          Management
1c    Elect Director Leslie S. Heisz          For       For          Management
1d    Elect Director William J. Link          For       For          Management
1e    Elect Director Steven R. Loranger       For       For          Management
1f    Elect Director Martha H. Marsh          For       For          Management
1g    Elect Director Wesley W. von Schack     For       For          Management
1h    Elect Director Nicholas J. Valeriani    For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors
4     Require Independent Board Chairman      Against   Against      Shareholder


--------------------------------------------------------------------------------

EIDOS THERAPEUTICS, INC.

Ticker:       EIDX           Security ID:  28249H104
Meeting Date: JUN 12, 2019   Meeting Type: Annual
Record Date:  APR 15, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Neil Kumar               For       For          Management
1b    Elect Director Eric Aguiar              For       For          Management
1c    Elect Director William Lis              For       For          Management
1d    Elect Director Ali Satvat               For       For          Management
1e    Elect Director Rajeev Shah              For       For          Management
2     Ratify Ernst &amp; Young LLP as Auditors    For       For          Management
3     Amend Omnibus Stock Plan                For       Against      Management


--------------------------------------------------------------------------------

ELANCO ANIMAL HEALTH INCORPORATED

Ticker:       ELAN           Security ID:  28414H103
Meeting Date: MAY 08, 2019   Meeting Type: Annual
Record Date:  MAR 22, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Kapila Kapur Anand       For       For          Management
1b    Elect Director John "J.P." P. Bilbrey   For       For          Management
1c    Elect Director R. David Hoover          For       For          Management
1d    Elect Director Lawrence E. Kurzius      For       For          Management
2     Ratify Ernst &amp; Young LLP as Auditors    For       For          Management
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
4     Advisory Vote on Say on Pay Frequency   One Year  One Year     Management


--------------------------------------------------------------------------------

ELI LILLY AND COMPANY

Ticker:       LLY            Security ID:  532457108
Meeting Date: MAY 06, 2019   Meeting Type: Annual
Record Date:  FEB 26, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Ralph Alvarez            For       For          Management
1b    Elect Director Carolyn R. Bertozzi      For       For          Management
1c    Elect Director Juan R. Luciano          For       For          Management
1d    Elect Director Kathi P. Seifert         For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify Ernst &amp; Young LLP as Auditor     For       For          Management
4     Declassify the Board of Directors       For       For          Management
5     Eliminate Supermajority Vote            For       For          Management
      Requirement
6     Report on Lobbying Payments and Policy  Against   For          Shareholder


--------------------------------------------------------------------------------

GALAPAGOS NV

Ticker:       GLPG           Security ID:  36315X101
Meeting Date: APR 30, 2019   Meeting Type: Annual
Record Date:  MAR 22, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Receive Directors' and Auditors'        None      None         Management
      Reports (Non-Voting)
2     Approve Financial Statements and        For       For          Management
      Allocation of Income
3     Receive Auditors' Reports (Non-Voting)  None      None         Management
4     Receive Consolidated Financial          None      None         Management
      Statements and Statutory Reports
      (Non-Voting)
5     Approve Remuneration Report             For       Against      Management
6     Approve Discharge of Directors and      For       For          Management
      Auditor
7     Approve Auditors' Remuneration          For       For          Management
8     Elect Peter Guenter as Independent      For       For          Management
      Director
9     Approve Remuneration of Directors       For       For          Management
10    Approve Galapagos Warrant Plan 2019     For       Against      Management
11    Approve Change-of-Control Clause        For       For          Management
12    Transact Other Business                 None      None         Management


--------------------------------------------------------------------------------

GENFIT SA

Ticker:       GNFT           Security ID:  372279109
Meeting Date: JUN 13, 2019   Meeting Type: Annual
Record Date:  MAY 08, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve Financial Statements and        For       For          Management
      Discharge Directors and Auditors
2     Approve Consolidated Financial          For       For          Management
      Statements and Statutory Reports
3     Approve Treatment of Losses             For       For          Management
4     Approve Auditors' Special Report on     For       For          Management
      Related-Party Transactions
5     Approve Transaction with Jean-Francois  For       For          Management
      Mouney, Chairman and CEO
6     Approve Transaction with Xavier Guille  For       For          Management
      Des Buttes
7     Approve Transaction with Biotech Avenir For       For          Management
8     Approve Transaction with Frederic       For       For          Management
      Desdouits
9     Approve Transaction with Catherine      For       For          Management
      Larue
10    Approve Transaction with Anne-Helene    For       For          Management
      Monsellato
11    Approve Transaction with Philippe Moons For       For          Management
12    Approve Remuneration of Directors in    For       For          Management
      the Aggregate Amount of EUR 600,000
13    Approve Compensation of Jean-Francois   For       Against      Management
      Mouney, Chairman and CEO
14    Approve Remuneration Policy of          For       Against      Management
      Jean-Francois Mouney, Chairman and CEO
15    Authorize Filing of Required            For       For          Management
      Documents/Other Formalities


--------------------------------------------------------------------------------

GENMAB A/S

Ticker:       GEN            Security ID:  K3967W102
Meeting Date: MAR 29, 2019   Meeting Type: Annual
Record Date:  MAR 22, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Receive Report of Board                 None      None         Management
2     Accept Financial Statements and         For       Did Not Vote Management
      Statutory Reports; Approve Discharge
      of Management and Board
3     Approve Allocation of Income and        For       Did Not Vote Management
      Omission of Dividends
4a    Reelect Mats Pettersson as Director     For       Did Not Vote Management
4b    Reelect Deirdre P. Connelly as Director For       Did Not Vote Management
4c    Reelect Pernille Erenbjerg as Director  For       Did Not Vote Management
4d    Reelect Rolf Hoffmann as Director       For       Did Not Vote Management
4e    Reelect Paolo Paoletti as Director      For       Did Not Vote Management
4f    Reelect Anders Gersel Pedersen as       For       Did Not Vote Management
      Director
5     Ratify PricewaterhouseCoopers as        For       Did Not Vote Management
      Auditors
6a    Approve Guidelines for Incentive-Based  For       Did Not Vote Management
      Compensation for Executive Management
      and Board
6b    Approve Remuneration of Directors in    For       Did Not Vote Management
      the Amount of DKK 1.2 Million for
      Chairman, DKK 800,000 for Vice
      Chairman, and DKK 400,000 for Other
      Directors; Approve Remuneration for
      Committee Work; Approve Meeting Fees
6c    Approve Equity Plan Financing Through   For       Did Not Vote Management
      Issuance of Warrants up to a Nominal
      Value of DKK 500,000
6d    Authorize Share Repurchase Program      For       Did Not Vote Management
7     Authorize Editorial Changes to Adopted  For       Did Not Vote Management
      Resolutions in Connection with
      Registration with Danish Authorities
8     Other Business                          None      None         Management


--------------------------------------------------------------------------------

GILEAD SCIENCES, INC.

Ticker:       GILD           Security ID:  375558103
Meeting Date: MAY 08, 2019   Meeting Type: Annual
Record Date:  MAR 15, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Jacqueline K. Barton     For       For          Management
1b    Elect Director John F. Cogan            For       For          Management
1c    Elect Director Kelly A. Kramer          For       For          Management
1d    Elect Director Kevin E. Lofton          For       For          Management
1e    Elect Director Harish Manwani           For       For          Management
1f    Elect Director Daniel P. O'Day          For       For          Management
1g    Elect Director Richard J. Whitley       For       For          Management
1h    Elect Director Gayle E. Wilson          For       For          Management
1i    Elect Director Per Wold-Olsen           For       For          Management
2     Ratify Ernst &amp; Young LLP as Auditors    For       For          Management
3     Provide Right to Act by Written Consent For       For          Management
4     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
5     Require Independent Board Chairman      Against   Against      Shareholder
6     Report on Corporate Tax Savings         Against   Against      Shareholder
      Allocation


--------------------------------------------------------------------------------

GLAXOSMITHKLINE PLC

Ticker:       GSK            Security ID:  G3910J112
Meeting Date: MAY 08, 2019   Meeting Type: Annual
Record Date:  MAY 03, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accept Financial Statements and         For       For          Management
      Statutory Reports
2     Approve Remuneration Report             For       For          Management
3     Elect Iain Mackay as Director           For       For          Management
4     Re-elect Philip Hampton as Director     For       For          Management
5     Re-elect Emma Walmsley as Director      For       For          Management
6     Re-elect Vindi Banga as Director        For       For          Management
7     Re-elect Dr Hal Barron as Director      For       For          Management
8     Re-elect Dr Vivienne Cox as Director    For       For          Management
9     Re-elect Lynn Elsenhans as Director     For       For          Management
10    Re-elect Dr Laurie Glimcher as Director For       For          Management
11    Re-elect Dr Jesse Goodman as Director   For       For          Management
12    Re-elect Judy Lewent as Director        For       For          Management
13    Re-elect Urs Rohner as Director         For       For          Management
14    Reappoint Deloitte LLP as Auditors      For       For          Management
15    Authorise the Audit &amp; Risk Committee    For       For          Management
      to Fix Remuneration of Auditors
16    Authorise EU Political Donations and    For       For          Management
      Expenditure
17    Authorise Issue of Equity               For       For          Management
18    Authorise Issue of Equity without       For       For          Management
      Pre-emptive Rights
19    Authorise Issue of Equity without       For       For          Management
      Pre-emptive Rights in Connection with
      an Acquisition or Other Capital
      Investment
20    Authorise Market Purchase of Ordinary   For       For          Management
      Shares
21    Approve the Exemption from Statement    For       For          Management
      of the Name of the Senior Statutory
      Auditor in Published Copies of the
      Auditors' Reports
22    Authorise the Company to Call General   For       For          Management
      Meeting with Two Weeks' Notice


--------------------------------------------------------------------------------

GLAXOSMITHKLINE PLC

Ticker:       GSK            Security ID:  G3910J112
Meeting Date: MAY 08, 2019   Meeting Type: Special
Record Date:  MAY 03, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve Consumer Healthcare Joint       For       For          Management
      Venture with Pfizer Inc.


--------------------------------------------------------------------------------

GUARDANT HEALTH, INC.

Ticker:       GH             Security ID:  40131M109
Meeting Date: JUN 18, 2019   Meeting Type: Annual
Record Date:  APR 22, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A    Elect Director Aaref Hilaly             For       For          Management
1B    Elect Director Stanley Meresman         For       For          Management
2     Ratify Ernst &amp; Young LLP as Auditors    For       For          Management


--------------------------------------------------------------------------------

HALOZYME THERAPEUTICS, INC.

Ticker:       HALO           Security ID:  40637H109
Meeting Date: MAY 02, 2019   Meeting Type: Annual
Record Date:  MAR 04, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Jeffrey W. Henderson     For       For          Management
1.2   Elect Director Connie L. Matsui         For       For          Management
1.3   Elect Director Helen I. Torley          For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify Ernst &amp; Young LLP as Auditors    For       For          Management
4     Increase Authorized Common Stock        For       For          Management


--------------------------------------------------------------------------------

HCA HEALTHCARE, INC.

Ticker:       HCA            Security ID:  40412C101
Meeting Date: APR 26, 2019   Meeting Type: Annual
Record Date:  MAR 07, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Thomas F. Frist, III     For       For          Management
1b    Elect Director Samuel N. Hazen          For       For          Management
1c    Elect Director Meg G. Crofton           For       For          Management
1d    Elect Director Robert J. Dennis         For       Against      Management
1e    Elect Director Nancy-Ann DeParle        For       For          Management
1f    Elect Director William R. Frist         For       For          Management
1g    Elect Director Charles O. Holliday, Jr. For       For          Management
1h    Elect Director Geoffrey G. Meyers       For       For          Management
1i    Elect Director Michael W. Michelson     For       For          Management
1j    Elect Director Wayne J. Riley           For       For          Management
1k    Elect Director John W. Rowe             For       For          Management
2     Ratify Ernst &amp; Young LLP as Auditors    For       For          Management
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
4     Eliminate Supermajority Vote            For       For          Management
      Requirement


--------------------------------------------------------------------------------

HUA MEDICINE

Ticker:       2552           Security ID:  G4644K102
Meeting Date: JUN 24, 2019   Meeting Type: Annual
Record Date:  JUN 18, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accept Financial Statements and         For       For          Management
      Statutory Reports
2a    Elect Li Chen as Director               For       For          Management
2b    Elect George Chien Cheng Lin as         For       For          Management
      Director
2c    Elect Robert Taylor Nelsen as Director  For       For          Management
2d    Elect Lian Yong Chen as Director        For       For          Management
2e    Elect Walter Teh-Ming Kwauk as Director For       For          Management
2f    Elect William Robert Keller as Director For       For          Management
2g    Elect Junling Liu as Director           For       For          Management
2h    Elect Yiu Wa Alec Tsui as Director      For       For          Management
2i    Authorize Board to Fix Remuneration of  For       For          Management
      Directors
3     Approve Deloitte Touche Tohmatsu as     For       For          Management
      Auditor and Authorize Board to Fix
      Their Remuneration
4     Authorize Repurchase of Issued Share    For       For          Management
      Capital
5     Approve Issuance of Equity or           For       Against      Management
      Equity-Linked Securities without
      Preemptive Rights
6     Approve Grant of Share Options to Li    For       For          Management
      Chen Under the Share Option Scheme
7     Authorize Reissuance of Repurchased     For       Against      Management
      Shares


--------------------------------------------------------------------------------

HUMANA INC.

Ticker:       HUM            Security ID:  444859102
Meeting Date: APR 18, 2019   Meeting Type: Annual
Record Date:  FEB 25, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Kurt J. Hilzinger        For       For          Management
1b    Elect Director Frank J. Bisignano       For       For          Management
1c    Elect Director Bruce D. Broussard       For       For          Management
1d    Elect Director Frank A. D'Amelio        For       For          Management
1e    Elect Director Karen B. DeSalvo         For       For          Management
1f    Elect Director W. Roy Dunbar            For       For          Management
1g    Elect Director David A. Jones, Jr.      For       For          Management
1h    Elect Director William J. McDonald      For       For          Management
1i    Elect Director James J. O'Brien         For       For          Management
1j    Elect Director Marissa T. Peterson      For       For          Management
2     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
4     Approve Omnibus Stock Plan              For       For          Management


--------------------------------------------------------------------------------

ILLUMINA, INC.

Ticker:       ILMN           Security ID:  452327109
Meeting Date: MAY 29, 2019   Meeting Type: Annual
Record Date:  APR 01, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A    Elect Director Frances Arnold           For       For          Management
1B    Elect Director Francis A. deSouza       For       For          Management
1C    Elect Director Susan E. Siegel          For       For          Management
2     Ratify Ernst &amp; Young LLP as Auditors    For       For          Management
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
4     Declassify the Board of Directors       For       For          Management
5     Report on Political Contributions       Against   Against      Shareholder


--------------------------------------------------------------------------------

IMMUNOGEN, INC.

Ticker:       IMGN           Security ID:  45253H101
Meeting Date: JUN 20, 2019   Meeting Type: Annual
Record Date:  APR 23, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Fix Number of Directors at Seven        For       For          Management
2.1   Elect Director Stephen C. McCluski      For       For          Management
2.2   Elect Director Richard J. Wallace       For       For          Management
2.3   Elect Director Mark Goldberg            For       Withhold     Management
2.4   Elect Director Dean J. Mitchell         For       Withhold     Management
2.5   Elect Director Kristine Peterson        For       Withhold     Management
2.6   Elect Director Mark J. Enyedy           For       For          Management
2.7   Elect Director Stuart A. Arbuckle       For       For          Management
3     Advisory Vote to Ratify Named           For       Against      Management
      Executive Officers' Compensation
4     Ratify Ernst &amp; Young LLP as Auditor     For       For          Management


--------------------------------------------------------------------------------

INCYTE CORPORATION

Ticker:       INCY           Security ID:  45337C102
Meeting Date: APR 26, 2019   Meeting Type: Annual
Record Date:  MAR 12, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Julian C. Baker          For       For          Management
1.2   Elect Director Jean-Jacques Bienaime    For       For          Management
1.3   Elect Director Paul A. Brooke           For       For          Management
1.4   Elect Director Paul J. Clancy           For       For          Management
1.5   Elect Director Wendy L. Dixon           For       Against      Management
1.6   Elect Director Jacqualyn A. Fouse       For       For          Management
1.7   Elect Director Paul A. Friedman         For       Against      Management
1.8   Elect Director Herve Hoppenot           For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Amend Omnibus Stock Plan                For       For          Management
4     Ratify Ernst &amp; Young LLP as Auditors    For       For          Management
5     Require Independent Board Chairman      Against   Against      Shareholder


--------------------------------------------------------------------------------

INFLARX NV

Ticker:       IFRX           Security ID:  N44821101
Meeting Date: SEP 21, 2018   Meeting Type: Special
Record Date:  AUG 24, 2018

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Open Meeting                            None      None         Management
2     Elect Jens H. Holstein as               For       For          Management
      Non-Executive Director
3     Close Meeting                           None      None         Management


--------------------------------------------------------------------------------

INFLARX NV

Ticker:       IFRX           Security ID:  N44821101
Meeting Date: MAY 23, 2019   Meeting Type: Annual
Record Date:  APR 25, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Open Meeting                            None      None         Management
2     Receive Report of Management Board      None      None         Management
      (Non-Voting)
3     Discuss Implementation of Remuneration  None      None         Management
      Policy
4     Adopt Financial Statements and          For       For          Management
      Statutory Reports
5     Receive Explanation on Company's        None      None         Management
      Reserves and Dividend Policy
6     Ratify KPMG Accountants N.V. as         For       For          Management
      Auditors
7     Elect Richard Brudnick as               For       For          Management
      Non-Executive Director
8     Approve Discharge of Directors          For       For          Management
9     Grant Board Authority to Issue Shares   For       Against      Management
10    Authorize Board to Exclude Preemptive   For       Against      Management
      Rights from Share Issuances
11    Authorize Repurchase of Shares          For       For          Management
12    Close Meeting                           None      None         Management


--------------------------------------------------------------------------------

INSMED INCORPORATED

Ticker:       INSM           Security ID:  457669307
Meeting Date: MAY 16, 2019   Meeting Type: Annual
Record Date:  MAR 22, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Alfred F. Altomari       For       Withhold     Management
1.2   Elect Director Steinar J. Engelsen      For       For          Management
1.3   Elect Director William H. Lewis         For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify Ernst &amp; Young LLP as Auditors    For       For          Management
4     Approve Omnibus Stock Plan              For       For          Management


--------------------------------------------------------------------------------

INTUITIVE SURGICAL, INC.

Ticker:       ISRG           Security ID:  46120E602
Meeting Date: APR 25, 2019   Meeting Type: Annual
Record Date:  MAR 01, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Craig H. Barratt         For       For          Management
1b    Elect Director Gary S. Guthart          For       For          Management
1c    Elect Director Amal M. Johnson          For       For          Management
1d    Elect Director Don R. Kania             For       For          Management
1e    Elect Director Keith R. Leonard, Jr.    For       Against      Management
1f    Elect Director Alan J. Levy             For       For          Management
1g    Elect Director Jami Dover Nachtsheim    For       For          Management
1h    Elect Director Mark J. Rubash           For       For          Management
1i    Elect Director Lonnie M. Smith          For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors
4     Amend Omnibus Stock Plan                For       For          Management
5     Adopt Simple Majority Vote              Against   For          Shareholder


--------------------------------------------------------------------------------

IQVIA HOLDINGS, INC.

Ticker:       IQV            Security ID:  46266C105
Meeting Date: APR 09, 2019   Meeting Type: Annual
Record Date:  FEB 14, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Carol J. Burt            For       For          Management
1.2   Elect Director John P. Connaughton      For       For          Management
1.3   Elect Director John G. Danhakl          For       For          Management
1.4   Elect Director James A. Fasano          For       For          Management
2     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors


--------------------------------------------------------------------------------

JAZZ PHARMACEUTICALS PLC

Ticker:       JAZZ           Security ID:  G50871105
Meeting Date: AUG 02, 2018   Meeting Type: Annual
Record Date:  JUN 06, 2018

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Peter Gray               For       For          Management
1b    Elect Director Kenneth W. O'Keefe       For       For          Management
1c    Elect Director Elmar Schnee             For       For          Management
1d    Elect Director Catherine A. Sohn        For       For          Management
2     Approve KPMG, Dublin as Auditors and    For       For          Management
      Authorize Board to Fix Their
      Remuneration
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
4     Advisory Vote on Say on Pay Frequency   One Year  One Year     Management


--------------------------------------------------------------------------------

LHC GROUP, INC.

Ticker:       LHCG           Security ID:  50187A107
Meeting Date: JUN 13, 2019   Meeting Type: Annual
Record Date:  APR 16, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Monica F. Azare          For       For          Management
1.2   Elect Director Teri G. Fontenot         For       For          Management
1.3   Elect Director John L. Indest           For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify KPMG LLP as Auditor              For       For          Management


--------------------------------------------------------------------------------

MASIMO CORPORATION

Ticker:       MASI           Security ID:  574795100
Meeting Date: MAY 30, 2019   Meeting Type: Annual
Record Date:  APR 01, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Adam Mikkelson           For       For          Management
1.2   Elect Director Craig Reynolds           For       For          Management
2     Ratify Grant Thornton LLP as Auditors   For       For          Management
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
4     Adopt Proxy Access Right                Against   Against      Shareholder


--------------------------------------------------------------------------------

MEDTRONIC PLC

Ticker:       MDT            Security ID:  G5960L103
Meeting Date: DEC 07, 2018   Meeting Type: Annual
Record Date:  OCT 09, 2018

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Richard H. Anderson      For       For          Management
1b    Elect Director Craig Arnold             For       For          Management
1c    Elect Director Scott C. Donnelly        For       For          Management
1d    Elect Director Randall J. Hogan, III    For       For          Management
1e    Elect Director Omar Ishrak              For       For          Management
1f    Elect Director Michael O. Leavitt       For       For          Management
1g    Elect Director James T. Lenehan         For       For          Management
1h    Elect Director Elizabeth G. Nabel       For       For          Management
1i    Elect Director Denise M. O'Leary        For       For          Management
1j    Elect Director Kendall J. Powell        For       For          Management
2     Approve PricewaterhouseCoopers LLP as   For       For          Management
      Auditors and Authorize Board to Fix
      Their  Remuneration
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


--------------------------------------------------------------------------------

MERCK &amp; CO., INC.

Ticker:       MRK            Security ID:  58933Y105
Meeting Date: MAY 28, 2019   Meeting Type: Annual
Record Date:  MAR 29, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Leslie A. Brun           For       For          Management
1b    Elect Director Thomas R. Cech           For       For          Management
1c    Elect Director Mary Ellen Coe           For       For          Management
1d    Elect Director Pamela J. Craig          For       For          Management
1e    Elect Director Kenneth C. Frazier       For       For          Management
1f    Elect Director Thomas H. Glocer         For       For          Management
1g    Elect Director Rochelle B. Lazarus      For       For          Management
1h    Elect Director Paul B. Rothman          For       For          Management
1i    Elect Director Patricia F. Russo        For       For          Management
1j    Elect Director Inge G. Thulin           For       For          Management
1k    Elect Director Wendell P. Weeks         For       Against      Management
1l    Elect Director Peter C. Wendell         For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Approve Omnibus Stock Plan              For       For          Management
4     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors
5     Require Independent Board Chairman      Against   Against      Shareholder
6     Adopt Policy Disclosing Rationale       Against   Against      Shareholder
      Behind Approval of Sale of
      Compensation Shares by a Senior
      Executive During a Buyback
7     Report on Integrating Risks Related to  Against   Against      Shareholder
      Drug Pricing into Senior Executive
      Compensation


--------------------------------------------------------------------------------

MERCK KGAA

Ticker:       MRK            Security ID:  D5357W103
Meeting Date: APR 26, 2019   Meeting Type: Annual
Record Date:  APR 04, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Receive Financial Statements and        None      None         Management
      Statutory Reports for Fiscal 2018
      (Non-Voting)
2     Accept Financial Statements and         For       For          Management
      Statutory Reports for Fiscal 2018
3     Approve Allocation of Income and        For       For          Management
      Dividends of EUR 1.25 per Share
4     Approve Discharge of Management Board   For       For          Management
      for Fiscal 2018
5     Approve Discharge of Supervisory Board  For       For          Management
      for Fiscal 2018
6     Ratify KPMG AG as Auditors for Fiscal   For       For          Management
      2019
7.1   Elect Wolfgang Buechele to the          For       For          Management
      Supervisory Board
7.2   Elect Michael Kleinemeier to the        For       For          Management
      Supervisory Board
7.3   Elect Renate Koehler to the             For       For          Management
      Supervisory Board
7.4   Elect Helene von Roeder to the          For       For          Management
      Supervisory Board
7.5   Elect Helga Ruebsamen-Schaeff to the    For       For          Management
      Supervisory Board
7.6   Elect Daniel Thelen to the Supervisory  For       For          Management
      Board


--------------------------------------------------------------------------------

MIRATI THERAPEUTICS, INC.

Ticker:       MRTX           Security ID:  60468T105
Meeting Date: MAY 15, 2019   Meeting Type: Annual
Record Date:  MAR 22, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Charles M. Baum          For       For          Management
1.2   Elect Director Bruce L.A. Carter        For       For          Management
1.3   Elect Director Aaron I. Davis           For       For          Management
1.4   Elect Director Henry J. Fuchs           For       For          Management
1.5   Elect Director Michael Grey             For       For          Management
1.6   Elect Director Faheem Hasnain           For       For          Management
1.7   Elect Director Craig Johnson            For       For          Management
1.8   Elect Director Maya Martinez-Davis      For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Advisory Vote on Say on Pay Frequency   One Year  One Year     Management
4     Ratify Ernst &amp; Young LLP as Auditors    For       For          Management
5     Amend Omnibus Stock Plan                For       For          Management


--------------------------------------------------------------------------------

MYOKARDIA, INC.

Ticker:       MYOK           Security ID:  62857M105
Meeting Date: JUN 13, 2019   Meeting Type: Annual
Record Date:  APR 15, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Sunil Agarwal            For       For          Management
1.2   Elect Director Kimberly Popovits        For       Withhold     Management
2     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
4     Advisory Vote on Say on Pay Frequency   One Year  One Year     Management


--------------------------------------------------------------------------------

MYOVANT SCIENCES LTD.

Ticker:       MYOV           Security ID:  G637AM102
Meeting Date: AUG 31, 2018   Meeting Type: Annual
Record Date:  JUL 02, 2018

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A    Elect Director Mark Altmeyer            For       For          Management
1B    Elect Director Terrie Curran            For       For          Management
1C    Elect Director Mark Guinan              For       For          Management
1D    Elect Director Keith Manchester         For       For          Management
1E    Elect Director Vivek Ramaswamy          For       For          Management
1F    Elect Director Kathleen Sebelius        For       For          Management
1G    Elect Director Lynn Seely               For       For          Management
2     Approve Ernst &amp; Young LLP Auditors and  For       For          Management
      Authorize Board to Fix Their
      Remuneration


--------------------------------------------------------------------------------

NEKTAR THERAPEUTICS

Ticker:       NKTR           Security ID:  640268108
Meeting Date: JUN 12, 2019   Meeting Type: Annual
Record Date:  APR 15, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director R. Scott Greer           For       For          Management
1b    Elect Director Lutz Lingnau             For       For          Management
2     Ratify Ernst &amp; Young LLP as Auditors    For       For          Management
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


--------------------------------------------------------------------------------

NEUROCRINE BIOSCIENCES, INC.

Ticker:       NBIX           Security ID:  64125C109
Meeting Date: MAY 22, 2019   Meeting Type: Annual
Record Date:  MAR 29, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Richard F. Pops          For       For          Management
1.2   Elect Director Stephen A. Sherwin       For       Withhold     Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Amend Omnibus Stock Plan                For       For          Management
4     Ratify Ernst &amp; Young LLP as Auditors    For       For          Management


--------------------------------------------------------------------------------

NEVRO CORP.

Ticker:       NVRO           Security ID:  64157F103
Meeting Date: MAY 20, 2019   Meeting Type: Annual
Record Date:  APR 02, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Elizabeth "Bess"         For       For          Management
      Weatherman
1.2   Elect Director Wilfred E. Jaeger        For       For          Management
1.3   Elect Director D. Keith Grossman        For       For          Management
2     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
4     Declassify the Board of Directors       For       For          Management
5     Eliminate Supermajority Vote            For       For          Management
      Requirement


--------------------------------------------------------------------------------

NOVARTIS AG

Ticker:       NOVN           Security ID:  66987V109
Meeting Date: FEB 28, 2019   Meeting Type: Annual
Record Date:  JAN 25, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accept Financial Statements and         For       For          Management
      Statutory Reports
2     Approve Discharge of Board and Senior   For       For          Management
      Management
3     Approve Allocation of Income and        For       For          Management
      Dividends of CHF 2.85 per Share
4     Approve CHF 11.6 Million Reduction in   For       For          Management
      Share Capital via Cancellation of
      Repurchased Shares
5     Authorize Repurchase of up to CHF 10    For       For          Management
      Billion in Issued Share Capital
6     Approve Special Distribution by Way of  For       For          Management
      a Dividend in Kind to Effect the
      Spin-Off of Alcon Inc.
7.1   Approve Maximum Remuneration of         For       For          Management
      Directors in the Amount of CHF 8.2
      Million
7.2   Approve Maximum Remuneration of         For       For          Management
      Executive Committee in the Amount of
      CHF 92 Million
7.3   Approve Remuneration Report             For       For          Management
8.1   Reelect Joerg Reinhardt as Director     For       For          Management
      and Board Chairman
8.2   Reelect Nancy Andrews as Director       For       For          Management
8.3   Reelect Ton Buechner as Director        For       For          Management
8.4   Reelect Srikant Datar as Director       For       For          Management
8.5   Reelect Elizabeth Doherty as Director   For       For          Management
8.6   Reelect Ann Fudge as Director           For       For          Management
8.7   Reelect Frans van Houten as Director    For       For          Management
8.8   Reelect Andreas von Planta as Director  For       For          Management
8.9   Reelect Charles Sawyers as Director     For       For          Management
8.10  Reelect Enrico Vanni as Director        For       For          Management
8.11  Reelect William Winters as Director     For       For          Management
8.12  Elect Patrice Bula as Director          For       For          Management
9.1   Reappoint Srikant Datar as Member of    For       For          Management
      the Compensation Committee
9.2   Reappoint Ann Fudge as Member of the    For       For          Management
      Compensation Committee
9.3   Reappoint Enrico Vanni as Member of     For       For          Management
      the Compensation Committee
9.4   Reappoint William Winters as Member of  For       For          Management
      the Compensation Committee
9.5   Appoint Patrice Bula as Member of the   For       For          Management
      Compensation Committee
10    Ratify PricewaterhouseCoopers AG as     For       For          Management
      Auditors
11    Designate Peter Zahn as Independent     For       For          Management
      Proxy
12    Transact Other Business (Voting)        For       Abstain      Management


--------------------------------------------------------------------------------

PFIZER INC.

Ticker:       PFE            Security ID:  717081103
Meeting Date: APR 25, 2019   Meeting Type: Annual
Record Date:  FEB 26, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Ronald E. Blaylock       For       For          Management
1.2   Elect Director Albert Bourla            For       For          Management
1.3   Elect Director W. Don Cornwell          For       For          Management
1.4   Elect Director Joseph J. Echevarria     For       For          Management
1.5   Elect Director Helen H. Hobbs           For       For          Management
1.6   Elect Director James M. Kilts           For       For          Management
1.7   Elect Director Dan R. Littman           For       For          Management
1.8   Elect Director Shantanu Narayen         For       For          Management
1.9   Elect Director Suzanne Nora Johnson     For       For          Management
1.10  Elect Director Ian C. Read              For       For          Management
1.11  Elect Director James C. Smith           For       For          Management
2     Ratify KPMG LLP as Auditor              For       For          Management
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
4     Approve Omnibus Stock Plan              For       For          Management
5     Provide Right to Act by Written Consent Against   Against      Shareholder
6     Report on Lobbying Payments and Policy  Against   Against      Shareholder
7     Require Independent Board Chairman      Against   Against      Shareholder
8     Report on Integrating Risks Related to  Against   Against      Shareholder
      Drug Pricing into Senior Executive
      Compensation


--------------------------------------------------------------------------------

PRINCIPIA BIOPHARMA INC.

Ticker:       PRNB           Security ID:  74257L108
Meeting Date: JUN 11, 2019   Meeting Type: Annual
Record Date:  APR 15, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Martin Babler            For       For          Management
1.2   Elect Director Shao-Lee Lin             For       For          Management
2     Ratify Ernst &amp; Young LLP as Auditors    For       For          Management


--------------------------------------------------------------------------------

QIAGEN NV

Ticker:       QGEN           Security ID:  N72482123
Meeting Date: JUN 17, 2019   Meeting Type: Annual
Record Date:  MAY 20, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Open Meeting                            None      None         Management
2     Receive Report of Management Board      None      None         Management
      (Non-Voting)
3.a   Receive Report of Supervisory Board     None      None         Management
      (Non-Voting)
3.b   Discuss Remuneration Report Containing  None      None         Management
      Remuneration Policy for Supervisory
      Board Members
4     Adopt Financial Statements and          For       For          Management
      Statutory Reports
5     Receive Explanation on Company's        None      None         Management
      Reserves and Dividend Policy
6     Approve Discharge of Management Board   For       For          Management
7     Approve Discharge of Supervisory Board  For       For          Management
8.a   Reelect Stephane Bancel to Supervisory  For       For          Management
      Board
8.b   Reelect Hakan Bjorklund to Supervisory  For       Against      Management
      Board
8.c   Reelect Metin Colpan to Supervisory     For       For          Management
      Board
8.d   Reelect Ross L. Levine to Supervisory   For       For          Management
      Board
8.e   Reelect Elaine Mardis to Supervisory    For       For          Management
      Board
8.f   Reelect Lawrence A. Rosen to            For       For          Management
      Supervisory Board
8.g   Reelect Elizabeth E. Tallett to         For       Against      Management
      Supervisory Board
9.a   Reelect Peer M. Schatz to Management    For       For          Management
      Board
9.b   Reelect Roland Sackers to Management    For       For          Management
      Board
10    Ratify KPMG as Auditors                 For       For          Management
11.a  Grant Board Authority to Issue Shares   For       For          Management
11.b  Authorize Board to Exclude Preemptive   For       For          Management
      Rights from Share Issuances
11.c  Authorize Board to Exclude Preemptive   For       For          Management
      Rights from Share Issuances in
      Connection to Mergers, Acquisitions or
      Strategic Alliances
12    Authorize Repurchase of Issued Share    For       For          Management
      Capital
13    Amend Articles of Association           For       For          Management
14    Allow Questions                         None      None         Management
15    Close Meeting                           None      None         Management


--------------------------------------------------------------------------------

QUEST DIAGNOSTICS INCORPORATED

Ticker:       DGX            Security ID:  74834L100
Meeting Date: MAY 14, 2019   Meeting Type: Annual
Record Date:  MAR 15, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Vicky B. Gregg           For       For          Management
1.2   Elect Director Timothy L. Main          For       For          Management
1.3   Elect Director Denise M. Morrison       For       For          Management
1.4   Elect Director Gary M. Pfeiffer         For       For          Management
1.5   Elect Director Timothy M. Ring          For       For          Management
1.6   Elect Director Stephen H. Rusckowski    For       For          Management
1.7   Elect Director Daniel C. Stanzione      For       For          Management
1.8   Elect Director Helen I. Torley          For       For          Management
1.9   Elect Director Gail R. Wilensky         For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditor
4     Amend Omnibus Stock Plan                For       For          Management


--------------------------------------------------------------------------------

RA PHARMACEUTICALS, INC.

Ticker:       RARX           Security ID:  74933V108
Meeting Date: JUN 11, 2019   Meeting Type: Annual
Record Date:  APR 15, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Aoife M. Brennan         For       For          Management
1.2   Elect Director Timothy R. Pearson       For       For          Management
2     Ratify Deloitte &amp; Touche LLP as Auditor For       For          Management


--------------------------------------------------------------------------------

REATA PHARMACEUTICALS, INC.

Ticker:       RETA           Security ID:  75615P103
Meeting Date: JUN 12, 2019   Meeting Type: Annual
Record Date:  APR 18, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director J. Warren Huff           For       For          Management
1.2   Elect Director Jack B. Nielsen          For       Withhold     Management
2     Amend Omnibus Stock Plan                For       Against      Management
3     Ratify Ernst &amp; Young LLP as Auditor     For       For          Management


--------------------------------------------------------------------------------

REGENERON PHARMACEUTICALS, INC.

Ticker:       REGN           Security ID:  75886F107
Meeting Date: JUN 14, 2019   Meeting Type: Annual
Record Date:  APR 17, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Bonnie L. Bassler        For       For          Management
1b    Elect Director Michael S. Brown         For       For          Management
1c    Elect Director  Leonard S. Schleifer    For       For          Management
1d    Elect Director George D. Yancopoulos    For       For          Management
2     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors


--------------------------------------------------------------------------------

RESMED, INC.

Ticker:       RMD            Security ID:  761152107
Meeting Date: NOV 15, 2018   Meeting Type: Annual
Record Date:  SEP 17, 2018

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Peter Farrell            For       For          Management
1b    Elect Director Harjit Gill              For       For          Management
1c    Elect Director Ron Taylor               For       For          Management
2     Ratify KPMG LLP as Auditors             For       For          Management
3     Amend Qualified Employee Stock          For       For          Management
      Purchase Plan
4     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


--------------------------------------------------------------------------------

SANOFI

Ticker:       SAN            Security ID:  F5548N101
Meeting Date: APR 30, 2019   Meeting Type: Annual/Special
Record Date:  APR 25, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve Financial Statements and        For       For          Management
      Statutory Reports
2     Approve Consolidated Financial          For       For          Management
      Statements and Statutory Reports
3     Approve Allocation of Income and        For       For          Management
      Dividends of EUR 3.07 per Share
4     Reelect Serge Weinberg as Director      For       For          Management
5     Reelect Suet Fern Lee as Director       For       For          Management
6     Ratify Appointment of Christophe        For       For          Management
      Babule as Director
7     Approve Remuneration Policy for         For       For          Management
      Chairman of the Board
8     Approve Remuneration Policy for CEO     For       For          Management
9     Approve Compensation of Serge           For       For          Management
      Weinberg, Chairman of the Board
10    Approve Compensation of Olivier         For       For          Management
      Brandicourt, CEO
11    Authorize Repurchase of Up to 10        For       For          Management
      Percent of Issued Share Capital
12    Authorize Decrease in Share Capital     For       For          Management
      via Cancellation of Repurchased Shares
13    Authorize Issuance of Equity or         For       For          Management
      Equity-Linked Securities with
      Preemptive Rights up to Aggregate
      Nominal Amount of EUR 997 Million
14    Authorize Issuance of Equity or         For       For          Management
      Equity-Linked Securities without
      Preemptive Rights up to Aggregate
      Nominal Amount of EUR 240 Million
15    Approve Issuance of Equity or           For       For          Management
      Equity-Linked Securities for Private
      Placements, up to Aggregate Nominal
      Amount of EUR 240 Million
16    Approve Issuance of Debt Securities     For       For          Management
      Giving Access to New Shares of
      Subsidiaries and/or Existing Shares
      and/or Debt Securities, up to
      Aggregate Amount of EUR 7 Billion
17    Authorize Board to Increase Capital in  For       For          Management
      the Event of Additional Demand Related
      to Delegation Submitted to Shareholder
      Vote Under Items 13-15
18    Authorize Capital Increase of up to 10  For       For          Management
      Percent of Issued Capital for
      Contributions in Kind
19    Authorize up to 0.5 Percent of Issued   For       For          Management
      Capital for Use in Stock Option Plans
20    Authorize up to 1.5 Percent of Issued   For       For          Management
      Capital for Use in Restricted Stock
      Plans
21    Authorize Capitalization of Reserves    For       For          Management
      of Up to EUR 500 Million for Bonus
      Issue or Increase in Par Value
22    Authorize Capital Issuances for Use in  For       For          Management
      Employee Stock Purchase Plans
23    Authorize Filing of Required            For       For          Management
      Documents/Other Formalities


--------------------------------------------------------------------------------

SANOFI

Ticker:       SAN            Security ID:  80105N105
Meeting Date: APR 30, 2019   Meeting Type: Annual/Special
Record Date:  MAR 27, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve Financial Statements and        For       For          Management
      Statutory Reports
2     Approve Consolidated Financial          For       For          Management
      Statements and Statutory Reports
3     Approve Allocation of Income and        For       For          Management
      Dividends of EUR 3.07 per Share
4     Reelect Serge Weinberg as Director      For       For          Management
5     Reelect Suet Fern Lee as Director       For       For          Management
6     Ratify Appointment of Christophe        For       For          Management
      Babule as Director
7     Approve Remuneration Policy for         For       For          Management
      Chairman of the Board
8     Approve Remuneration Policy for CEO     For       For          Management
9     Approve Compensation of Serge           For       For          Management
      Weinberg, Chairman of the Board
10    Approve Compensation of Olivier         For       For          Management
      Brandicourt, CEO
11    Authorize Repurchase of Up to 10        For       For          Management
      Percent of Issued Share Capital
12    Authorize Decrease in Share Capital     For       For          Management
      via Cancellation of Repurchased Shares
13    Authorize Issuance of Equity or         For       For          Management
      Equity-Linked Securities with
      Preemptive Rights up to Aggregate
      Nominal Amount of EUR 997 Million
14    Authorize Issuance of Equity or         For       For          Management
      Equity-Linked Securities without
      Preemptive Rights up to Aggregate
      Nominal Amount of EUR 240 Million
15    Approve Issuance of Equity or           For       For          Management
      Equity-Linked Securities for Private
      Placements, up to Aggregate Nominal
      Amount of EUR 240 Million
16    Approve Issuance of Debt Securities     For       For          Management
      Giving Access to New Shares of
      Subsidiaries and/or Existing Shares
      and/or Debt Securities, up to
      Aggregate Amount of EUR 7 Billion
17    Authorize Board to Increase Capital in  For       For          Management
      the Event of Additional Demand Related
      to Delegation Submitted to Shareholder
      Vote Under Items 13-15
18    Authorize Capital Increase of up to 10  For       For          Management
      Percent of Issued Capital for
      Contributions in Kind
19    Authorize up to 0.5 Percent of Issued   For       For          Management
      Capital for Use in Stock Option Plans
20    Authorize up to 1.5 Percent of Issued   For       For          Management
      Capital for Use in Restricted Stock
      Plans
21    Authorize Capitalization of Reserves    For       For          Management
      of Up to EUR 500 Million for Bonus
      Issue or Increase in Par Value
22    Authorize Capital Issuances for Use in  For       For          Management
      Employee Stock Purchase Plans
23    Authorize Filing of Required            For       For          Management
      Documents/Other Formalities


--------------------------------------------------------------------------------

SAREPTA THERAPEUTICS, INC.

Ticker:       SRPT           Security ID:  803607100
Meeting Date: JUN 06, 2019   Meeting Type: Annual
Record Date:  APR 11, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Richard J. Barry         For       For          Management
1.2   Elect Director M. Kathleen Behrens      For       For          Management
1.3   Elect Director Claude Nicaise           For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Amend Qualified Employee Stock          For       For          Management
      Purchase Plan
4     Ratify KPMG LLP as Auditors             For       For          Management


--------------------------------------------------------------------------------

SEATTLE GENETICS, INC.

Ticker:       SGEN           Security ID:  812578102
Meeting Date: MAY 20, 2019   Meeting Type: Annual
Record Date:  MAR 22, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Srinivas Akkaraju        For       Withhold     Management
1.2   Elect Director Marc E. Lippman          For       For          Management
1.3   Elect Director Daniel G. Welch          For       For          Management
2     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors
3     Amend Qualified Employee Stock          For       For          Management
      Purchase Plan
4     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


--------------------------------------------------------------------------------

SERVICE CORPORATION INTERNATIONAL

Ticker:       SCI            Security ID:  817565104
Meeting Date: MAY 08, 2019   Meeting Type: Annual
Record Date:  MAR 11, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Alan R. Buckwalter       For       For          Management
1b    Elect Director Jakki L. Haussler        For       For          Management
1c    Elect Director Victor L. Lund           For       For          Management
1d    Elect Director Ellen Ochoa              For       For          Management
2     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
4     Require Independent Board Chairman      Against   Against      Shareholder


--------------------------------------------------------------------------------

SI-BONE, INC.

Ticker:       SIBN           Security ID:  825704109
Meeting Date: JUN 13, 2019   Meeting Type: Annual
Record Date:  APR 15, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Timothy E. Davis, Jr.    For       For          Management
1b    Elect Director Heyward R. Donigan       For       For          Management
1c    Elect Director Mark J. Foley            For       For          Management
2     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors


--------------------------------------------------------------------------------

STRYKER CORPORATION

Ticker:       SYK            Security ID:  863667101
Meeting Date: MAY 01, 2019   Meeting Type: Annual
Record Date:  MAR 04, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Mary K. Brainerd         For       For          Management
1b    Elect Director Srikant M. Datar         For       For          Management
1c    Elect Director Roch Doliveux            For       For          Management
1d    Elect Director Louise L. Francesconi    For       For          Management
1e    Elect Director Allan C. Golston         For       For          Management
1f    Elect Director Kevin A. Lobo            For       For          Management
1g    Elect Director Sherilyn S. McCoy        For       For          Management
1h    Elect Director Andrew K. Silvernail     For       For          Management
1i    Elect Director Ronda E. Stryker         For       For          Management
1j    Elect Director Rajeev Suri              For       For          Management
2     Ratify Ernst &amp; Young LLP as Auditor     For       For          Management
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


--------------------------------------------------------------------------------

SYNDAX PHARMACEUTICALS, INC.

Ticker:       SNDX           Security ID:  87164F105
Meeting Date: JUN 10, 2019   Meeting Type: Annual
Record Date:  APR 22, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Keith A. Katkin          For       Withhold     Management
1b    Elect Director Briggs W. Morrison       For       For          Management
1c    Elect Director Dennis G. Podlesak       For       For          Management
2     Ratify Deloitte &amp; Touche LLP as         For       For          Management
      Auditors


--------------------------------------------------------------------------------

TELADOC HEALTH, INC.

Ticker:       TDOC           Security ID:  87918A105
Meeting Date: MAY 30, 2019   Meeting Type: Annual
Record Date:  APR 05, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Helen Darling            For       For          Management
1.2   Elect Director William H. Frist         For       For          Management
1.3   Elect Director Michael Goldstein        For       For          Management
1.4   Elect Director Jason Gorevic            For       For          Management
1.5   Elect Director Brian McAndrews          For       For          Management
1.6   Elect Director Thomas G. McKinley       For       For          Management
1.7   Elect Director Arneek Multani           For       For          Management
1.8   Elect Director Kenneth H. Paulus        For       For          Management
1.9   Elect Director David Shedlarz           For       For          Management
1.10  Elect Director David B. Snow, Jr.       For       For          Management
1.11  Elect Director Mark Douglas Smith       For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify Ernst &amp; Young LLP as Auditors    For       For          Management


--------------------------------------------------------------------------------

TELEFLEX INCORPORATED

Ticker:       TFX            Security ID:  879369106
Meeting Date: MAY 03, 2019   Meeting Type: Annual
Record Date:  MAR 04, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director John C. Heinmiller       For       For          Management
1b    Elect Director Andrew A. Krakauer       For       For          Management
1c    Elect Director Richard A. Packer        For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors


--------------------------------------------------------------------------------

THERAVANCE BIOPHARMA, INC.

Ticker:       TBPH           Security ID:  G8807B106
Meeting Date: APR 30, 2019   Meeting Type: Annual
Record Date:  MAR 04, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Rick E. Winningham       For       For          Management
1.2   Elect Director Robert V. Gunderson, Jr. For       For          Management
1.3   Elect Director Susan M. Molineaux       For       Against      Management
1.4   Elect Director Donal O'Connor           For       For          Management
2     Ratify Ernst &amp; Young LLP as Auditors    For       For          Management


--------------------------------------------------------------------------------

THERMO FISHER SCIENTIFIC INC.

Ticker:       TMO            Security ID:  883556102
Meeting Date: MAY 22, 2019   Meeting Type: Annual
Record Date:  MAR 27, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Marc N. Casper           For       For          Management
1b    Elect Director Nelson J. Chai           For       For          Management
1c    Elect Director C. Martin Harris         For       For          Management
1d    Elect Director Tyler Jacks              For       For          Management
1e    Elect Director Judy C. Lewent           For       For          Management
1f    Elect Director Thomas J. Lynch          For       For          Management
1g    Elect Director Jim P. Manzi             For       For          Management
1h    Elect Director James C. Mullen          For       For          Management
1i    Elect Director Lars R. Sorensen         For       For          Management
1j    Elect Director Scott M. Sperling        For       For          Management
1k    Elect Director Elaine S. Ullian         For       For          Management
1l    Elect Director Dion J. Weisler          For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditor


--------------------------------------------------------------------------------

TRICIDA, INC.

Ticker:       TCDA           Security ID:  89610F101
Meeting Date: MAY 31, 2019   Meeting Type: Annual
Record Date:  APR 05, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Sandra I. Coufal         For       For          Management
1.2   Elect Director David Hirsch             For       For          Management
2     Ratify Ernst &amp; Young LLP as Auditors    For       For          Management


--------------------------------------------------------------------------------

ULTRAGENYX PHARMACEUTICAL, INC.

Ticker:       RARE           Security ID:  90400D108
Meeting Date: JUN 11, 2019   Meeting Type: Annual
Record Date:  APR 15, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director William Aliski           For       For          Management
1b    Elect Director Lars Ekman               For       Withhold     Management
1c    Elect Director Matthew K. Fust          For       Withhold     Management
2     Ratify Ernst &amp; Young LLP as Auditors    For       For          Management
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


--------------------------------------------------------------------------------

UNITEDHEALTH GROUP INCORPORATED

Ticker:       UNH            Security ID:  91324P102
Meeting Date: JUN 03, 2019   Meeting Type: Annual
Record Date:  APR 09, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director William C. Ballard, Jr.  For       For          Management
1b    Elect Director Richard T. Burke         For       For          Management
1c    Elect Director Timothy P. Flynn         For       For          Management
1d    Elect Director Stephen J. Hemsley       For       For          Management
1e    Elect Director Michele J. Hooper        For       For          Management
1f    Elect Director F. William McNabb, III   For       For          Management
1g    Elect Director Valerie C. Montgomery    For       For          Management
      Rice
1h    Elect Director John H. Noseworthy       For       For          Management
1i    Elect Director Glenn M. Renwick         For       For          Management
1j    Elect Director David S. Wichmann        For       For          Management
1k    Elect Director Gail R. Wilensky         For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify Deloitte &amp; Touche LLP as         For       For          Management
      Auditors
4     Amend Proxy Access Right                Against   Against      Shareholder


--------------------------------------------------------------------------------

VERTEX PHARMACEUTICALS INCORPORATED

Ticker:       VRTX           Security ID:  92532F100
Meeting Date: JUN 05, 2019   Meeting Type: Annual
Record Date:  APR 10, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Sangeeta N. Bhatia       For       For          Management
1.2   Elect Director Lloyd Carney             For       For          Management
1.3   Elect Director Terrence C. Kearney      For       For          Management
1.4   Elect Director Yuchun Lee               For       For          Management
1.5   Elect Director Jeffrey M. Leiden        For       For          Management
1.6   Elect Director Bruce I. Sachs           For       For          Management
2     Amend Omnibus Stock Plan                For       For          Management
3     Amend Qualified Employee Stock          For       For          Management
      Purchase Plan
4     Ratify Ernst &amp; Young LLP as Auditors    For       For          Management
5     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
6     Report on Integrating Risks Related to  Against   Against      Shareholder
      Drug Pricing into Senior Executive
      Compensation
7     Report on Lobbying Payments and Policy  Against   Against      Shareholder


--------------------------------------------------------------------------------

WELLCARE HEALTH PLANS, INC.

Ticker:       WCG            Security ID:  94946T106
Meeting Date: MAY 22, 2019   Meeting Type: Annual
Record Date:  MAR 25, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Richard C. Breon         For       For          Management
1b    Elect Director Kenneth A. Burdick       For       For          Management
1c    Elect Director Amy L. Compton-Phillips  For       For          Management
1d    Elect Director H. James Dallas          For       For          Management
1e    Elect Director Kevin F. Hickey          For       For          Management
1f    Elect Director Christian P. Michalik    For       For          Management
1g    Elect Director Bobby Jindal             For       For          Management
1h    Elect Director William L. Trubeck       For       For          Management
1i    Elect Director Kathleen E. Walsh        For       For          Management
2     Approve Omnibus Stock Plan              For       For          Management
3     Ratify Deloitte &amp; Touche LLP as Auditor For       For          Management
4     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


--------------------------------------------------------------------------------

WRIGHT MEDICAL GROUP N.V.

Ticker:       WMGI           Security ID:  N96617118
Meeting Date: JUN 28, 2019   Meeting Type: Annual
Record Date:  MAY 31, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Robert J. Palmisano      For       For          Management
1b    Elect Director David D. Stevens         For       For          Management
1c    Elect Director Gary D. Blackford        For       For          Management
1d    Elect Director J. Patrick Mackin        For       For          Management
1e    Elect Director John L. Miclot           For       For          Management
1f    Elect Director Kevin C. O'Boyle         For       For          Management
1g    Elect Director Amy S. Paul              For       For          Management
1h    Elect Director Richard F. Wallman       For       Against      Management
1i    Elect Director Elizabeth H. Weatherman  For       For          Management
2     Ratify KPMG LLP as Auditor              For       For          Management
3     Ratify KPMG N.V. as Auditor             For       For          Management
4     Adopt Financial Statements and          For       For          Management
      Statutory Reports
5     Approve Discharge of Management Board   For       For          Management
6     Authorize Repurchase of Up to 10        For       For          Management
      Percent of Issued Share Capital
7     Authorize Board to Issue Shares         For       For          Management
8     Authorize Board to Exclude Preemptive   For       For          Management
      Rights from Share Issuances
9     Amend Omnibus Stock Plan                For       For          Management
10    Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


--------------------------------------------------------------------------------

WUXI APPTEC CO., LTD.

Ticker:       2359           Security ID:  Y971B1118
Meeting Date: JUN 03, 2019   Meeting Type: Annual
Record Date:  MAY 03, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve 2018 Report of the Board of     For       For          Management
      Directors
2     Approve 2018 Report of Supervisory      For       For          Management
      Committee
3     Approve 2018 Annual Reports and Its     For       For          Management
      Summary
4     Approve 2018 Financial Report           For       For          Management
5     Approve Provision of External           For       For          Management
      Guarantees
6     Approve Remuneration of Directors       For       For          Management
7     Approve Remuneration of Supervisors     For       For          Management
8     Approve Deloitte Touche Tohmatsu as     For       For          Management
      PRC Auditor and Internal Control
      Auditor
9     Approve Deloitte Touche Tohmatsu as     For       For          Management
      Offshore Financial Report Auditors
10    Approve Foreign Exchange Hedging Limit  For       For          Management
11    Approve Expansion of Business Scope     For       For          Management
12    Approve Amendments to the Management    For       For          Management
      Measures on Raised Funds
13    Approve 2018 Profit Distribution Plan   For       For          Management
14    Approve Issuance of Equity or           For       Against      Management
      Equity-Linked Securities without
      Preemptive Rights for A Shares and/or
      H shares
15    Authorize Repurchase of Issued A and H  For       For          Management
      Share Capital
16    Approve Issuance of Debt Financing      For       For          Management
      Instruments
17    Approve Increase in Registered Capital  For       For          Management
18    Amend Articles of Association           For       For          Management
19    Amend Rules and Procedures Regarding    For       For          Management
      General Meetings of Shareholders
20    Amend Rules and Procedures Regarding    For       For          Management
      Meetings of Board of Directors


--------------------------------------------------------------------------------

WUXI APPTEC CO., LTD.

Ticker:       2359           Security ID:  Y971B1118
Meeting Date: JUN 03, 2019   Meeting Type: Special
Record Date:  MAY 03, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve 2018 Profit Distribution Plan   For       For          Management
2     Authorize Repurchase of Issued A and H  For       For          Management
      Share Capital


--------------------------------------------------------------------------------

WUXI BIOLOGICS (CAYMAN), INC.

Ticker:       2269           Security ID:  G97008109
Meeting Date: JUN 05, 2019   Meeting Type: Annual
Record Date:  MAY 30, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accept Financial Statements and         For       For          Management
      Statutory Reports
2a    Elect Weichang Zhou as Director         For       For          Management
2b    Elect Yibing Wu as Director             For       For          Management
2c    Elect Yanling Cao as Director           For       For          Management
3     Authorize Board to Fix Remuneration of  For       For          Management
      Directors
4     Approve Deloitte Touche Tohmatsu as     For       For          Management
      Auditors and Authorize Board to Fix
      Their Remuneration
5     Approve Issuance of Equity or           For       Against      Management
      Equity-Linked Securities without
      Preemptive Rights
6     Authorize Repurchase of Issued Share    For       For          Management
      Capital
7     Authorize Reissuance of Repurchased     For       Against      Management
      Shares
8     Approve Grant of Specific Mandate to    For       For          Management
      the Directors to Issue and Allot the
      Connected Restricted Shares and
      Related Transactions
9     Approve Grant of Connected Restricted   For       For          Management
      Shares Pursuant to the Scheme to
      Zhisheng Chen
10    Approve Grant of Connected Restricted   For       For          Management
      Shares Pursuant to the Scheme to
      Weichang Zhou
11    Approve Grant of Connected Restricted   For       For          Management
      Shares Pursuant to the Scheme to
      Edward Hu
12    Approve Grant of Connected Restricted   For       For          Management
      Shares Pursuant to the Scheme to
      William Robert Keller
13    Approve Grant of Connected Restricted   For       For          Management
      Shares Pursuant to the Scheme to Wo
      Felix


--------------------------------------------------------------------------------

ZOETIS INC.

Ticker:       ZTS            Security ID:  98978V103
Meeting Date: MAY 15, 2019   Meeting Type: Annual
Record Date:  MAR 21, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Juan Ramon Alaix         For       For          Management
1.2   Elect Director Paul M. Bisaro           For       For          Management
1.3   Elect Director Frank A. D'Amelio        For       For          Management
1.4   Elect Director Michael B. McCallister   For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify KPMG LLP as Auditor              For       For          Management

========== END NPX REPORT</PRE>
 </DIV>
<p Style='page-break-before:always'>
<HR SIZE="3" style="COLOR:#999999" WIDTH="100%" ALIGN="CENTER">
 <P STYLE="margin-top:0pt; margin-bottom:0pt; font-size:10pt; font-family:Times New Roman">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. </P> <P STYLE="margin-top:12pt; margin-bottom:0pt; font-size:10pt; font-family:Times New Roman">BlackRock Health Sciences Trust </P>
<P STYLE="font-size:12pt;margin-top:0pt;margin-bottom:0pt">&nbsp;</P>
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<TR>

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<TD VALIGN="bottom" WIDTH="1%"></TD>
<TD WIDTH="88%"></TD></TR>


<TR STYLE="page-break-inside:avoid ; font-family:Times New Roman; font-size:10pt">
<TD VALIGN="top">By:</TD>
<TD VALIGN="bottom">&nbsp;</TD>
<TD VALIGN="top"> <P STYLE="margin-top:0pt; margin-bottom:1pt; border-bottom:1px solid #000000; font-size:10pt; font-family:Times New Roman">/s/ John Perlowski</P></TD></TR>
<TR STYLE="page-break-inside:avoid ; font-family:Times New Roman; font-size:10pt">
<TD VALIGN="top"></TD>
<TD VALIGN="bottom">&nbsp;</TD>
<TD VALIGN="top">John Perlowski</TD></TR>
<TR STYLE="page-break-inside:avoid ; font-family:Times New Roman; font-size:10pt">
<TD VALIGN="top"></TD>
<TD VALIGN="bottom">&nbsp;</TD>
<TD VALIGN="top">Chief Executive Officer of</TD></TR>
<TR STYLE="page-break-inside:avoid ; font-family:Times New Roman; font-size:10pt">
<TD VALIGN="top"></TD>
<TD VALIGN="bottom">&nbsp;</TD>
<TD VALIGN="top">BlackRock Health Sciences Trust</TD></TR>
<TR STYLE="font-size:1pt">
<TD HEIGHT="16"></TD>
<TD HEIGHT="16" COLSPAN="2"></TD></TR>
<TR STYLE="page-break-inside:avoid ; font-family:Times New Roman; font-size:10pt">
<TD VALIGN="top">Date:</TD>
<TD VALIGN="bottom">&nbsp;</TD>
<TD VALIGN="top">August&nbsp;29, 2019</TD></TR>
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</SEC-DOCUMENT>
