UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM N-PX

ANNUAL REPORT OF PROXY VOTING RECORD OF REGISTERED MANAGEMENT

INVESTMENT COMPANY

Investment Company Act file number: 811-21702

Name of Fund: BlackRock Health Sciences Trust (BME)

Fund Address:    100 Bellevue Parkway, Wilmington, DE 19809

Name and address of agent for service: John Perlowski, Chief Executive Officer, BlackRock Health Sciences Trust, 50 Hudson Yards, New York, NY 10001.

Registrant’s telephone number, including area code: (800) 882-0052, Option 4

Date of fiscal year end: 12/31

Date of reporting period: 07/01/2022 – 06/30/2023

Item 1 – Proxy Voting Record – Attached hereto.

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

ICA File Number: 811-21702
Reporting Period: 07/01/2022 - 06/30/2023
BlackRock Health Sciences Trust









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


10X GENOMICS, INC.

Ticker:       TXG            Security ID:  88025U109
Meeting Date: JUN 14, 2023   Meeting Type: Annual
Record Date:  APR 19, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Benjamin J. Hindson      For       For          Management
1.2   Elect Director Serge Saxonov            For       For          Management
1.3   Elect Director John R. Stuelpnagel      For       For          Management
2     Ratify Ernst & Young LLP as Auditors    For       For          Management
3     Advisory Vote to Ratify Named           For       Against      Management
      Executive Officers' Compensation


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ABBOTT LABORATORIES

Ticker:       ABT            Security ID:  002824100
Meeting Date: APR 28, 2023   Meeting Type: Annual
Record Date:  MAR 01, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Robert J. Alpern         For       For          Management
1.2   Elect Director Claire                   For       For          Management
      Babineaux-Fontenot
1.3   Elect Director Sally E. Blount          For       For          Management
1.4   Elect Director Robert B. Ford           For       For          Management
1.5   Elect Director Paola Gonzalez           For       For          Management
1.6   Elect Director Michelle A. Kumbier      For       For          Management
1.7   Elect Director Darren W. McDew          For       For          Management
1.8   Elect Director Nancy McKinstry          For       Against      Management
1.9   Elect Director Michael G. O'Grady       For       For          Management
1.10  Elect Director Michael F. Roman         For       For          Management
1.11  Elect Director Daniel J. Starks         For       For          Management
1.12  Elect Director John G. Stratton         For       Against      Management
2     Ratify Ernst & 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
5     Reduce Ownership Threshold for          Against   Against      Shareholder
      Shareholders to Call Special Meeting
6     Require Independent Board Chair         Against   Against      Shareholder
7     Report on Lobbying Payments and Policy  Against   Against      Shareholder
8     Adopt Policy to Include Legal and       Against   Against      Shareholder
      Compliance Costs in Incentive
      Compensation Metrics


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ABBVIE INC.

Ticker:       ABBV           Security ID:  00287Y109
Meeting Date: MAY 05, 2023   Meeting Type: Annual
Record Date:  MAR 06, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Robert J. Alpern         For       For          Management
1.2   Elect Director Melody B. Meyer          For       For          Management
1.3   Elect Director Frederick H. Waddell     For       For          Management
2     Ratify Ernst & 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
5     Adopt Simple Majority Vote              Against   Against      Shareholder
6     Report on Congruency of Political       Against   Against      Shareholder
      Spending with Company Values and
      Priorities
7     Report on Lobbying Payments and Policy  Against   Against      Shareholder
8     Report on Impact of Extended Patent     Against   Against      Shareholder
      Exclusivities on Product Access


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ABIOMED, INC.

Ticker:       ABMD           Security ID:  003654100
Meeting Date: AUG 10, 2022   Meeting Type: Annual
Record Date:  JUN 13, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Michael R. Minogue       For       For          Management
1.2   Elect Director Martin P. Sutter         For       Withhold     Management
1.3   Elect Director Paula A. Johnson         For       For          Management
2     Advisory Vote to Ratify Named           For       Against      Management
      Executive Officers' Compensation
3     Ratify Deloitte & Touche LLP as         For       For          Management
      Auditors


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AGILENT TECHNOLOGIES, INC.

Ticker:       A              Security ID:  00846U101
Meeting Date: MAR 15, 2023   Meeting Type: Annual
Record Date:  JAN 24, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Heidi K. Kunz            For       For          Management
1.2   Elect Director Susan H. Rataj           For       For          Management
1.3   Elect Director George A. Scangos        For       For          Management
1.4   Elect Director Dow R. Wilson            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 Call Special Meeting   For       For          Management
5     Advisory Vote on Say on Pay Frequency   One Year  One Year     Management


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AGILITI, INC.

Ticker:       AGTI           Security ID:  00848J104
Meeting Date: MAY 04, 2023   Meeting Type: Annual
Record Date:  MAR 13, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Gary L. Gottlieb         For       For          Management
1.2   Elect Director Diane B. Patrick         For       For          Management
1.3   Elect Director Scott M. Sperling        For       For          Management
2     Ratify KPMG LLP as Auditors             For       For          Management
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


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ALCON INC.

Ticker:       ALC            Security ID:  H01301128
Meeting Date: MAY 05, 2023   Meeting Type: Annual
Record Date:

#     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 0.21 per Share
4.1   Approve Remuneration Report             For       For          Management
      (Non-Binding)
4.2   Approve Remuneration of Directors in    For       For          Management
      the Amount of CHF 3.9 Million
4.3   Approve Remuneration of Executive       For       For          Management
      Committee in the Amount of CHF 41.9
      Million
5.1   Reelect Michael Ball as Director and    For       For          Management
      Board Chair
5.2   Reelect Lynn Bleil as Director          For       For          Management
5.3   Reelect Raquel Bono as Director         For       For          Management
5.4   Reelect Arthur Cummings as Director     For       For          Management
5.5   Reelect David Endicott as Director      For       For          Management
5.6   Reelect Thomas Glanzmann as Director    For       For          Management
5.7   Reelect Keith Grossman as Director      For       For          Management
5.8   Reelect Scott Maw as Director           For       For          Management
5.9   Reelect Karen May as Director           For       For          Management
5.10  Reelect Ines Poeschel as Director       For       For          Management
5.11  Reelect Dieter Spaelti as Director      For       For          Management
6.1   Reappoint Thomas Glanzmann as Member    For       For          Management
      of the Compensation Committee
6.2   Reappoint Scott Maw as Member of the    For       For          Management
      Compensation Committee
6.3   Reappoint Karen May as Member of the    For       For          Management
      Compensation Committee
6.4   Reappoint Ines Poeschel as Member of    For       For          Management
      the Compensation Committee
7     Designate Hartmann Dreyer as            For       For          Management
      Independent Proxy
8     Ratify PricewaterhouseCoopers SA as     For       For          Management
      Auditors
9.1   Approve Creation of Capital Band        For       For          Management
      within the Upper Limit of CHF 22
      Million and the Lower Limit of CHF 19
      Million with or without Exclusion of
      Preemptive Rights
9.2   Approve Creation of CHF 2 Million Pool  For       For          Management
      of Conditional Capital for Financings,
      Mergers and Acquisitions
9.3   Amend Articles Re: Conversion of        For       For          Management
      Shares; Subscription Rights
9.4   Amend Articles Re: General Meetings     For       For          Management
9.5   Amend Articles Re: Board Meetings;      For       For          Management
      Powers of the Board of Directors
9.6   Amend Articles Re: Compensation;        For       For          Management
      External Mandates for Members of the
      Board of Directors and Executive
      Committee
10    Transact Other Business (Voting)        For       Abstain      Management


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ALIGN TECHNOLOGY, INC.

Ticker:       ALGN           Security ID:  016255101
Meeting Date: MAY 17, 2023   Meeting Type: Annual
Record Date:  MAR 23, 2023

#     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       Against      Management
1.4   Elect Director C. Raymond Larkin, Jr.   For       For          Management
1.5   Elect Director George J. Morrow         For       For          Management
1.6   Elect Director Anne M. Myong            For       For          Management
1.7   Elect Director Andrea L. Saia           For       For          Management
1.8   Elect Director Susan E. Siegel          For       For          Management
2     Amend Certificate of Incorporation to   For       For          Management
      Reflect New Delaware Law Provisions
      Regarding Officer Exculpation
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
5     Amend Omnibus Stock Plan                For       For          Management
6     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors


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ALKERMES PLC

Ticker:       ALKS           Security ID:  G01767105
Meeting Date: JUL 07, 2022   Meeting Type: Annual
Record Date:  JUN 01, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A    Elect Director Emily Peterson Alva      For       For          Management
1B    Elect Director Cato T. Laurencin        For       For          Management
1C    Elect Director Brian P. McKeon          For       For          Management
1D    Elect Director Christopher I. Wright    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     Amend Omnibus Stock Plan                For       For          Management
5     Renew the Board's Authority to Issue    For       For          Management
      Shares Under Irish Law
6     Renew the Board's Authority to Opt-Out  For       For          Management
      of Statutory Pre-Emptions Rights


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ALKERMES PLC

Ticker:       ALKS           Security ID:  G01767105
Meeting Date: JUN 29, 2023   Meeting Type: Proxy Contest
Record Date:  APR 17, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
      Management Universal Proxy (White
      Proxy Card)
#     Proposal                                Diss Rec  Vote Cast    Sponsor
      From the Combined List of Management &
      Dissident Nominees - Elect 7 Directors
1A    Elect Management Nominee Director       For       For          Management
      Emily Peterson Alva
1B    Elect Management Nominee Director       For       For          Management
      Shane M. Cooke
1C    Elect Management Nominee Director       For       For          Management
      Richard B. Gaynor
1D    Elect Management Nominee Director Cato  For       For          Management
      T. Laurencin
1E    Elect Management Nominee Director       For       For          Management
      Brian P. McKeon
1F    Elect Management Nominee Director       For       For          Management
      Richard F. Pops
1G    Elect Management Nominee Director       For       For          Management
      Christopher I. Wright
1H    Elect Dissident Nominee Director        Withhold  Withhold     Shareholder
      Patrice Bonfiglio
1I    Elect Dissident Nominee Director        Withhold  Withhold     Shareholder
      Alexander J. Denner
1J    Elect Dissident Nominee Director Sarah  Withhold  Withhold     Shareholder
      J. Schlesinger
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     Amend Omnibus Stock Plan                For       For          Management
5     Renew the Board's Authority to Issue    For       For          Management
      Shares Under Irish Law
6     Renew the Board's Authority to Opt-Out  For       For          Management
      of Statutory Pre-Emptions Rights
#     Proposal                                Diss Rec  Vote Cast    Sponsor
      Dissident Universal Proxy (Blue Proxy
      Card)
#     Proposal                                Diss Rec  Vote Cast    Sponsor
      From the Combined List of Management &
      Dissident Nominees - Elect 7 Directors
      SARISSA NOMINEES
1A    Elect Dissident Nominee Director        For       Did Not Vote Shareholder
      Patrice Bonfiglio
1B    Elect Dissident Nominee Director        For       Did Not Vote Shareholder
      Alexander J. Denner
1C    Elect Dissident Nominee Director Sarah  For       Did Not Vote Shareholder
      J. Schlesinger
      UNOPPOSED COMPANY NOMINEES
1D    Elect Management Nominee Director       For       Did Not Vote Management
      Emily Peterson Alva
1E    Elect Management Nominee Director Cato  For       Did Not Vote Management
      T. Laurencin
1F    Elect Management Nominee Director       For       Did Not Vote Management
      Brian P. McKeon
1G    Elect Management Nominee Director       For       Did Not Vote Management
      Christopher I. Wright
      OPPOSED COMPANY NOMINEES
1H    Elect Management Nominee Director       Withhold  Did Not Vote Management
      Shane M. Cooke
1I    Elect Management Nominee Director       Withhold  Did Not Vote Management
      Richard B. Gaynor
1J    Elect Management Nominee Director       Withhold  Did Not Vote Management
      Richard F. Pops
2     Advisory Vote to Ratify Named           Against   Did Not Vote Management
      Executive Officers' Compensation
3     Approve PricewaterhouseCoopers LLP as   For       Did Not Vote Management
      Auditors and Authorize Board to Fix
      Their  Remuneration
4     Amend Omnibus Stock Plan                For       Did Not Vote Management
5     Renew the Board's Authority to Issue    For       Did Not Vote Management
      Shares Under Irish Law
6     Renew the Board's Authority to Opt-Out  For       Did Not Vote Management
      of Statutory Pre-Emptions Rights


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ALNYLAM PHARMACEUTICALS, INC.

Ticker:       ALNY           Security ID:  02043Q107
Meeting Date: MAY 18, 2023   Meeting Type: Annual
Record Date:  MAR 24, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Michael W. Bonney        For       For          Management
1b    Elect Director Yvonne L. Greenstreet    For       For          Management
1c    Elect Director Phillip A. Sharp         For       For          Management
1d    Elect Director Elliott Sigal            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 PricewaterhouseCoopers LLP as    For       For          Management
      Auditors


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AMERISOURCEBERGEN CORPORATION

Ticker:       ABC            Security ID:  03073E105
Meeting Date: MAR 09, 2023   Meeting Type: Annual
Record Date:  JAN 09, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Ornella Barra            For       For          Management
1b    Elect Director Steven H. Collis         For       For          Management
1c    Elect Director D. Mark Durcan           For       For          Management
1d    Elect Director Richard W. Gochnauer     For       For          Management
1e    Elect Director Lon R. Greenberg         For       For          Management
1f    Elect Director Kathleen W. Hyle         For       For          Management
1g    Elect Director Lorence H. Kim           For       For          Management
1h    Elect Director Henry W. McGee           For       For          Management
1i    Elect Director Redonda G. Miller        For       For          Management
1j    Elect Director Dennis M. Nally          For       For          Management
2     Ratify Ernst & 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
5     Submit Severance Agreement              Against   Against      Shareholder
      (Change-in-Control) to Shareholder Vote


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AMGEN INC.

Ticker:       AMGN           Security ID:  031162100
Meeting Date: MAY 19, 2023   Meeting Type: Annual
Record Date:  MAR 20, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Wanda M. Austin          For       For          Management
1b    Elect Director Robert A. Bradway        For       For          Management
1c    Elect Director Michael V. Drake         For       For          Management
1d    Elect Director Brian J. Druker          For       For          Management
1e    Elect Director Robert A. Eckert         For       For          Management
1f    Elect Director Greg C. Garland          For       For          Management
1g    Elect Director Charles M. Holley, Jr.   For       For          Management
1h    Elect Director S. Omar Ishrak           For       For          Management
1i    Elect Director Tyler Jacks              For       For          Management
1j    Elect Director Ellen J. Kullman         For       For          Management
1k    Elect Director Amy E. Miles             For       For          Management
1l    Elect Director Ronald D. Sugar          For       For          Management
1m    Elect Director R. Sanders Williams      For       For          Management
2     Advisory Vote on Say on Pay Frequency   One Year  One Year     Management
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
4     Ratify Ernst & Young LLP as Auditors    For       For          Management


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APELLIS PHARMACEUTICALS, INC.

Ticker:       APLS           Security ID:  03753U106
Meeting Date: JUN 01, 2023   Meeting Type: Annual
Record Date:  APR 03, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Gerald Chan              For       For          Management
1.2   Elect Director Cedric Francois          For       For          Management
2     Ratify Deloitte & Touche LLP as         For       For          Management
      Auditors
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


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ARCUTIS BIOTHERAPEUTICS, INC.

Ticker:       ARQT           Security ID:  03969K108
Meeting Date: MAY 31, 2023   Meeting Type: Annual
Record Date:  APR 03, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Patrick J. Heron         For       For          Management
1b    Elect Director Neha Krishnamohan        For       For          Management
1c    Elect Director Todd Franklin Watanabe   For       For          Management
2     Ratify Ernst & Young LLP as Auditors    For       For          Management
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


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ARGENX SE

Ticker:       ARGX           Security ID:  04016X101
Meeting Date: SEP 08, 2022   Meeting Type: Extraordinary Shareholders
Record Date:  AUG 02, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Open Meeting                            None      None         Management
2     Elect Camilla Sylvest as Non-Executive  For       For          Management
      Director
3     Other Business (Non-Voting)             None      None         Management
4     Close Meeting                           None      None         Management


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ARGENX SE

Ticker:       ARGX           Security ID:  04016X101
Meeting Date: DEC 12, 2022   Meeting Type: Extraordinary Shareholders
Record Date:  NOV 08, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Open Meeting                            None      None         Management
2     Elect Ana Cespedes as Non-Executive     For       For          Management
      Director
3     Other Business (Non-Voting)             None      None         Management
4     Close Meeting                           None      None         Management


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ARGENX SE

Ticker:       ARGX           Security ID:  04016X101
Meeting Date: MAY 02, 2023   Meeting Type: Annual
Record Date:  APR 04, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Open Meeting                            None      None         Management
2     Receive Report of Management Board      None      None         Management
      (Non-Voting)
3     Approve Remuneration Report             For       Against      Management
4.a   Discuss Annual Report for FY 2022       None      None         Management
4.b   Adopt Financial Statements and          For       For          Management
      Statutory Reports
4.c   Discussion on Company's Corporate       None      None         Management
      Governance Structure
4.d   Approve Allocation of Losses to the     For       For          Management
      Retained Earnings of the Company
4.e   Approve Discharge of Directors          For       For          Management
5     Reelect Don deBethizy as Non-Executive  For       Against      Management
      Director
6     Grant Board Authority to Issue Shares   For       For          Management
      Up To 10 Percent of Issued Capital and
      Exclude Pre-emptive Rights
7     Ratify Deloitte Accountants B.V. as     For       For          Management
      Auditors
8     Other Business (Non-Voting)             None      None         Management
9     Close Meeting                           None      None         Management


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ARVINAS, INC.

Ticker:       ARVN           Security ID:  04335A105
Meeting Date: JUN 15, 2023   Meeting Type: Annual
Record Date:  APR 18, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Sunil Agarwal            For       For          Management
1.2   Elect Director Leslie V. Norwalk        For       For          Management
1.3   Elect Director John Young               For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify Deloitte & Touche LLP as         For       For          Management
      Auditors


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ASTRAZENECA PLC

Ticker:       AZN            Security ID:  G0593M107
Meeting Date: APR 27, 2023   Meeting Type: Annual
Record Date:  APR 25, 2023

#     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 Michel Demare as Director      For       For          Management
5b    Re-elect Pascal Soriot as Director      For       For          Management
5c    Re-elect Aradhana Sarin as Director     For       For          Management
5d    Re-elect Philip Broadley as Director    For       For          Management
5e    Re-elect Euan Ashley as Director        For       For          Management
5f    Re-elect Deborah DiSanzo as Director    For       For          Management
5g    Re-elect Diana Layfield as Director     For       For          Management
5h    Re-elect Sheri McCoy as Director        For       For          Management
5i    Re-elect Tony Mok as Director           For       For          Management
5j    Re-elect Nazneen Rahman as Director     For       For          Management
5k    Re-elect Andreas Rummelt as Director    For       For          Management
5l    Re-elect Marcus Wallenberg as Director  For       For          Management
6     Approve Remuneration Report             For       For          Management
7     Authorise UK 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
13    Adopt New Articles of Association       For       For          Management


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ASTRAZENECA PLC

Ticker:       AZN            Security ID:  046353108
Meeting Date: APR 27, 2023   Meeting Type: Annual
Record Date:  APR 04, 2023

#     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 Michel Demare as Director      For       For          Management
5b    Re-elect Pascal Soriot as Director      For       For          Management
5c    Re-elect Aradhana Sarin as Director     For       For          Management
5d    Re-elect Philip Broadley as Director    For       For          Management
5e    Re-elect Euan Ashley as Director        For       For          Management
5f    Re-elect Deborah DiSanzo as Director    For       For          Management
5g    Re-elect Diana Layfield as Director     For       For          Management
5h    Re-elect Sheri McCoy as Director        For       For          Management
5i    Re-elect Tony Mok as Director           For       For          Management
5j    Re-elect Nazneen Rahman as Director     For       For          Management
5k    Re-elect Andreas Rummelt as Director    For       For          Management
5l    Re-elect Marcus Wallenberg as Director  For       For          Management
6     Approve Remuneration Report             For       For          Management
7     Authorise UK 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
13    Adopt New Articles of Association       For       For          Management


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AVANTOR, INC.

Ticker:       AVTR           Security ID:  05352A100
Meeting Date: MAY 11, 2023   Meeting Type: Annual
Record Date:  MAR 17, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Juan Andres              For       For          Management
1b    Elect Director John Carethers           For       For          Management
1c    Elect Director Lan Kang                 For       For          Management
1d    Elect Director Joseph Massaro           For       For          Management
1e    Elect Director Mala Murthy              For       For          Management
1f    Elect Director Jonathan Peacock         For       For          Management
1g    Elect Director Michael Severino         For       For          Management
1h    Elect Director Christi Shaw             For       For          Management
1i    Elect Director Michael Stubblefield     For       For          Management
1j    Elect Director Gregory Summe            For       For          Management
2     Ratify Deloitte & Touche LLP as         For       For          Management
      Auditors
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


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BAUSCH + LOMB CORPORATION

Ticker:       BLCO           Security ID:  071705107
Meeting Date: APR 24, 2023   Meeting Type: Annual
Record Date:  FEB 24, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Nathalie Bernier         For       For          Management
1b    Elect Director Richard U. De Schutter   For       For          Management
1c    Elect Director Gary Hu                  For       For          Management
1d    Elect Director Brett Icahn              For       For          Management
1e    Elect Director Sarah B. Kavanagh        For       For          Management
1f    Elect Director John A. Paulson          For       For          Management
1g    Elect Director Russel C. Robertson      For       For          Management
1h    Elect Director Thomas W. Ross, Sr.      For       For          Management
1i    Elect Director Brenton L. Saunders      For       For          Management
1j    Elect Director Andrew C. von Eschenbach For       For          Management
2     Advisory Vote on Executive              For       For          Management
      Compensation Approach
3     Advisory Vote on Say on Pay Frequency   One Year  One Year     Management
4     Amend Omnibus Incentive Plan            For       For          Management
5     Approve PricewaterhouseCoopers LLP as   For       For          Management
      Auditors and Authorize Board to Fix
      Their Remuneration


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

BAXTER INTERNATIONAL INC.

Ticker:       BAX            Security ID:  071813109
Meeting Date: MAY 02, 2023   Meeting Type: Annual
Record Date:  MAR 10, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Jose (Joe) E. Almeida    For       For          Management
1b    Elect Director Michael F. Mahoney       For       For          Management
1c    Elect Director Patricia B. Morrison     For       For          Management
1d    Elect Director Stephen N. Oesterle      For       For          Management
1e    Elect Director Nancy M. Schlichting     For       For          Management
1f    Elect Director Brent Shafer             For       For          Management
1g    Elect Director Cathy R. Smith           For       For          Management
1h    Elect Director Amy A. Wendell           For       For          Management
1i    Elect Director David S. Wilkes          For       For          Management
1j    Elect Director Peter M. Wilver          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 PricewaterhouseCoopers LLP as    For       For          Management
      Auditors
5     Submit Severance Agreement              Against   Against      Shareholder
      (Change-in-Control) to Shareholder Vote
6     Adopt Share Retention Policy For        Against   Against      Shareholder
      Senior Executives


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

BIOGEN INC.

Ticker:       BIIB           Security ID:  09062X103
Meeting Date: JUN 26, 2023   Meeting Type: Annual
Record Date:  APR 20, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Alexander J. Denner -    None      None         Management
      Withdrawn
1b    Elect Director Caroline D. Dorsa        For       For          Management
1c    Elect Director Maria C. Freire          For       For          Management
1d    Elect Director William A. Hawkins       For       For          Management
1e    Elect Director William D. Jones-        None      None         Management
      Withdrawn
1f    Elect Director Jesus B. Mantas          For       For          Management
1g    Elect Director Richard C. Mulligan-     None      None         Management
      Withdrawn
1h    Elect Director Eric K. Rowinsky         For       Against      Management
1i    Elect Director Stephen A. Sherwin       For       For          Management
1j    Elect Director Christopher A.           For       For          Management
      Viehbacher
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
5     Elect Director Susan K. Langer          For       Against      Management


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

BIOMARIN PHARMACEUTICAL INC.

Ticker:       BMRN           Security ID:  09061G101
Meeting Date: MAY 23, 2023   Meeting Type: Annual
Record Date:  MAR 27, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Mark J. Alles            For       For          Management
1.2   Elect Director Elizabeth McKee Anderson For       For          Management
1.3   Elect Director Jean-Jacques Bienaime    For       For          Management
1.4   Elect Director Willard Dere             For       For          Management
1.5   Elect Director Elaine J. Heron          For       For          Management
1.6   Elect Director Maykin Ho                For       For          Management
1.7   Elect Director Robert J. Hombach        For       For          Management
1.8   Elect Director V. Bryan Lawlis          For       For          Management
1.9   Elect Director Richard A. Meier         For       For          Management
1.10  Elect Director David E.I. Pyott         For       For          Management
1.11  Elect Director Dennis J. Slamon         For       For          Management
2     Ratify KPMG LLP as Auditors             For       For          Management
3     Advisory Vote on Say on Pay Frequency   One Year  One Year     Management
4     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
5     Amend Omnibus Stock Plan                For       For          Management


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

BIOMEA FUSION, INC.

Ticker:       BMEA           Security ID:  09077A106
Meeting Date: JUN 14, 2023   Meeting Type: Annual
Record Date:  APR 24, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Rainer (Ramses) Erdtmann For       For          Management
1.2   Elect Director Eric Aguiar              For       For          Management
2     Ratify Deloitte & Touche LLP as         For       For          Management
      Auditors


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

BIONTECH SE

Ticker:       BNTX           Security ID:  09075V102
Meeting Date: MAY 25, 2023   Meeting Type: Annual
Record Date:  APR 17, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Receive Financial Statements and        None      None         Management
      Statutory Reports for Fiscal Year 2022
      (Non-Voting)
2     Approve Allocation of Income and        For       For          Management
      Dividends of EUR 2.00 per Share for
      Fiscal Year 2021
3     Approve Allocation of Income and        For       For          Management
      Omission of Dividends for Fiscal Year
      2022
4     Approve Discharge of Management Board   For       For          Management
      for Fiscal Year 2022
5     Approve Discharge of Supervisory Board  For       For          Management
      for Fiscal Year 2022
6     Ratify Ernst & Young GmbH as Auditors   For       For          Management
      for Fiscal Year 2023
7     Approve Remuneration Report             For       Against      Management
8.1   Elect Nicola Blackwood to the           For       For          Management
      Supervisory Board
8.2   Elect Ulrich Wandschneider to the       For       For          Management
      Supervisory Board
8.3   Elect Michael Motschmann to the         For       Against      Management
      Supervisory Board
9     Approve Virtual-Only Shareholder        For       For          Management
      Meetings Until 2026
10    Amend Articles Re: Participation of     For       For          Management
      Supervisory Board Members in the
      Annual General Meeting by Means of
      Audio and Video Transmission
11.1  Approve Affiliation Agreement with      For       For          Management
      BioNTech Idar-Oberstein Services GmbH
11.2  Approve Affiliation Agreement with NT   For       For          Management
      Security and Services GmbH
11.3  Approve Affiliation Agreement with      For       For          Management
      BioNTech BioNTainer Holding GmbH
11.4  Approve Affiliation Agreement with      For       For          Management
      BioNTech Individualized mRNA
      Manufacturing GmbH


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

BLUEPRINT MEDICINES CORPORATION

Ticker:       BPMC           Security ID:  09627Y109
Meeting Date: JUN 21, 2023   Meeting Type: Annual
Record Date:  APR 24, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Alexis Borisy            For       Withhold     Management
1.2   Elect Director Lonnel Coats             For       Withhold     Management
1.3   Elect Director Kathryn Haviland         For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify Ernst & Young LLP as Auditors    For       For          Management


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

BOSTON SCIENTIFIC CORPORATION

Ticker:       BSX            Security ID:  101137107
Meeting Date: MAY 04, 2023   Meeting Type: Annual
Record Date:  MAR 10, 2023

#     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 Edward J. Ludwig         For       For          Management
1e    Elect Director Michael F. Mahoney       For       For          Management
1f    Elect Director David J. Roux            For       For          Management
1g    Elect Director John E. Sununu           For       For          Management
1h    Elect Director David S. Wichmann        For       For          Management
1i    Elect Director Ellen M. Zane            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 & Young LLP as Auditors    For       For          Management


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

BRISTOL-MYERS SQUIBB COMPANY

Ticker:       BMY            Security ID:  110122108
Meeting Date: MAY 02, 2023   Meeting Type: Annual
Record Date:  MAR 13, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A    Elect Director Peter J. Arduini         For       For          Management
1B    Elect Director Deepak L. Bhatt          For       For          Management
1C    Elect Director Giovanni Caforio         For       For          Management
1D    Elect Director Julia A. Haller          For       For          Management
1E    Elect Director Manuel Hidalgo Medina    For       For          Management
1F    Elect Director Paula A. Price           For       For          Management
1G    Elect Director Derica W. Rice           For       For          Management
1H    Elect Director Theodore R. Samuels      For       For          Management
1I    Elect Director Gerald L. Storch         For       For          Management
1J    Elect Director Karen H. Vousden         For       For          Management
1K    Elect Director Phyllis R. Yale          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 Deloitte & Touche LLP as         For       For          Management
      Auditors
5     Require Independent Board Chair         Against   Against      Shareholder
6     Commission a Civil Rights and           Against   Against      Shareholder
      Non-Discrimination Audit
7     Amend Right to Call Special Meeting     Against   Against      Shareholder


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

CATALENT, INC.

Ticker:       CTLT           Security ID:  148806102
Meeting Date: OCT 27, 2022   Meeting Type: Annual
Record Date:  SEP 06, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Madhavan "Madhu"         For       For          Management
      Balachandran
1b    Elect Director Michael J. Barber        For       For          Management
1c    Elect Director J. Martin Carroll        For       For          Management
1d    Elect Director John Chiminski           For       For          Management
1e    Elect Director Rolf Classon             For       For          Management
1f    Elect Director Rosemary A. Crane        For       For          Management
1g    Elect Director Karen Flynn              For       For          Management
1h    Elect Director John J. Greisch          For       For          Management
1i    Elect Director Christa Kreuzburg        For       For          Management
1j    Elect Director Gregory T. Lucier        For       For          Management
1k    Elect Director Donald E. Morel, Jr.     For       For          Management
1l    Elect Director Alessandro Maselli       For       For          Management
1m    Elect Director Jack Stahl               For       For          Management
1n    Elect Director Peter Zippelius          For       For          Management
2     Ratify Ernst & Young LLP as Auditors    For       For          Management
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


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

CENTENE CORPORATION

Ticker:       CNC            Security ID:  15135B101
Meeting Date: SEP 27, 2022   Meeting Type: Special
Record Date:  AUG 10, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Declassify the Board of Directors       For       For          Management
2     Provide Right to Call Special Meeting   For       For          Management
3     Provide Right to Act by Written Consent For       For          Management
4     Adjourn Meeting                         For       For          Management


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

CENTENE CORPORATION

Ticker:       CNC            Security ID:  15135B101
Meeting Date: MAY 10, 2023   Meeting Type: Annual
Record Date:  MAR 13, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Jessica L. Blume         For       For          Management
1b    Elect Director Kenneth A. Burdick       For       For          Management
1c    Elect Director Christopher J. Coughlin  For       For          Management
1d    Elect Director H. James Dallas          For       For          Management
1e    Elect Director Wayne S. DeVeydt         For       For          Management
1f    Elect Director Frederick H. Eppinger    For       For          Management
1g    Elect Director Monte E. Ford            For       For          Management
1h    Elect Director Sarah M. London          For       For          Management
1i    Elect Director Lori J. Robinson         For       For          Management
1j    Elect Director Theodore R. Samuels      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 KPMG LLP as Auditors             For       For          Management
5     Submit Severance Agreement              Against   Against      Shareholder
      (Change-in-Control) to Shareholder Vote
6     Report on Maternal Morbidity Reduction  Against   Against      Shareholder
      Metrics in Executive Compensation


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

CEREVEL THERAPEUTICS HOLDINGS, INC.

Ticker:       CERE           Security ID:  15678U128
Meeting Date: JUN 07, 2023   Meeting Type: Annual
Record Date:  APR 10, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Marijn Dekkers           For       For          Management
1.2   Elect Director Deval Patrick            For       For          Management
1.3   Elect Director Norbert G. Riedel        For       For          Management
1.4   Elect Director Gabrielle Sulzberger     For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify Ernst & Young LLP as Auditors    For       For          Management


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

CUREVAC NV

Ticker:       CVAC           Security ID:  N2451R105
Meeting Date: MAR 28, 2023   Meeting Type: Extraordinary Shareholders
Record Date:  FEB 28, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Alexander Zehnder to Management   For       For          Management
      Board
2     Elect Myriam Mendila to Management      For       For          Management
      Board


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

CUREVAC NV

Ticker:       CVAC           Security ID:  N2451R105
Meeting Date: JUN 19, 2023   Meeting Type: Annual
Record Date:  MAY 22, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Adopt Financial Statements and          For       For          Management
      Statutory Reports
2     Approve Discharge of Management Board   For       For          Management
3     Approve Discharge of Supervisory Board  For       Against      Management
4     Elect Michael Brosnan to Supervisory    For       For          Management
      Board
5     Ratify KPMG N.V. as Auditors            For       For          Management


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

DAIICHI SANKYO CO., LTD.

Ticker:       4568           Security ID:  J11257102
Meeting Date: JUN 19, 2023   Meeting Type: Annual
Record Date:  MAR 31, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve Allocation of Income, with a    For       For          Management
      Final Dividend of JPY 15
2.1   Elect Director Manabe, Sunao            For       For          Management
2.2   Elect Director Okuzawa, Hiroyuki        For       For          Management
2.3   Elect Director Hirashima, Shoji         For       For          Management
2.4   Elect Director Otsuki, Masahiko         For       For          Management
2.5   Elect Director Fukuoka, Takashi         For       For          Management
2.6   Elect Director Kama, Kazuaki            For       For          Management
2.7   Elect Director Nohara, Sawako           For       For          Management
2.8   Elect Director Komatsu, Yasuhiro        For       For          Management
2.9   Elect Director Nishii, Takaaki          For       For          Management
3.1   Appoint Statutory Auditor Sato, Kenji   For       For          Management
3.2   Appoint Statutory Auditor Arai, Miyuki  For       For          Management
4     Approve Trust-Type Equity Compensation  For       For          Management
      Plan


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

DANAHER CORPORATION

Ticker:       DHR            Security ID:  235851102
Meeting Date: MAY 09, 2023   Meeting Type: Annual
Record Date:  MAR 10, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Rainer M. Blair          For       For          Management
1b    Elect Director Feroz Dewan              For       For          Management
1c    Elect Director Linda Filler             For       For          Management
1d    Elect Director Teri List                For       For          Management
1e    Elect Director Walter G. Lohr, Jr.      For       For          Management
1f    Elect Director Jessica L. Mega          For       For          Management
1g    Elect Director Mitchell P. Rales        For       For          Management
1h    Elect Director Steven M. Rales          For       For          Management
1i    Elect Director Pardis C. Sabeti         For       For          Management
1j    Elect Director A. Shane Sanders         For       For          Management
1k    Elect Director John T. Schwieters       For       For          Management
1l    Elect Director Alan G. Spoon            For       For          Management
1m    Elect Director Raymond C. Stevens       For       For          Management
1n    Elect Director Elias A. Zerhouni        For       For          Management
2     Ratify Ernst & 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
5     Require Independent Board Chair         Against   Against      Shareholder
6     Report on Effectiveness of Diversity,   Against   Against      Shareholder
      Equity, and Inclusion Efforts


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

DECIBEL THERAPEUTICS, INC.

Ticker:       DBTX           Security ID:  24343R106
Meeting Date: JUN 13, 2023   Meeting Type: Annual
Record Date:  APR 17, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Saraswathy Nochur        For       For          Management
2     Amend Certificate of Incorporation to   For       For          Management
      Reflect New Delaware Law Provisions
      Regarding Officer Exculpation
3     Ratify Ernst & Young LLP as Auditors    For       For          Management


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

DESIGN THERAPEUTICS, INC.

Ticker:       DSGN           Security ID:  25056L103
Meeting Date: MAY 31, 2023   Meeting Type: Annual
Record Date:  APR 03, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Simeon George            For       For          Management
1.2   Elect Director Arsani William           For       For          Management
1.3   Elect Director Deepa Prasad             For       For          Management
2     Ratify Ernst & Young LLP as Auditors    For       For          Management


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

DEXCOM, INC.

Ticker:       DXCM           Security ID:  252131107
Meeting Date: MAY 18, 2023   Meeting Type: Annual
Record Date:  MAR 29, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Steven R. Altman         For       For          Management
1.2   Elect Director Richard A. Collins       For       For          Management
1.3   Elect Director Karen Dahut              For       For          Management
1.4   Elect Director Mark G. Foletta          For       For          Management
1.5   Elect Director Barbara E. Kahn          For       For          Management
1.6   Elect Director Kyle Malady              For       For          Management
1.7   Elect Director Eric J. Topol            For       For          Management
2     Ratify Ernst & 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
5     Report on Median Gender/Racial Pay Gap  Against   Against      Shareholder


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

EDWARDS LIFESCIENCES CORPORATION

Ticker:       EW             Security ID:  28176E108
Meeting Date: MAY 11, 2023   Meeting Type: Annual
Record Date:  MAR 13, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Kieran T. Gallahue       For       For          Management
1.2   Elect Director Leslie S. Heisz          For       For          Management
1.3   Elect Director Paul A. LaViolette       For       For          Management
1.4   Elect Director Steven R. Loranger       For       For          Management
1.5   Elect Director Martha H. Marsh          For       For          Management
1.6   Elect Director Michael A. Mussallem     For       For          Management
1.7   Elect Director Ramona Sequeira          For       For          Management
1.8   Elect Director Nicholas J. Valeriani    For       For          Management
1.9   Elect Director Bernard J. Zovighian     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 PricewaterhouseCoopers LLP as    For       For          Management
      Auditors
5     Amend Certificate of Incorporation to   For       For          Management
      Provide for Exculpation of Certain
      Officers
6     Require Independent Board Chair         Against   Against      Shareholder


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

ELEVANCE HEALTH, INC.

Ticker:       ELV            Security ID:  036752103
Meeting Date: MAY 10, 2023   Meeting Type: Annual
Record Date:  MAR 17, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Gail K. Boudreaux        For       For          Management
1.2   Elect Director R. Kerry Clark           For       For          Management
1.3   Elect Director Robert L. Dixon, Jr.     For       For          Management
1.4   Elect Director Deanna D. Strable        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 & Young LLP as Auditors    For       For          Management
5     Reduce Ownership Threshold for          Against   Against      Shareholder
      Shareholders to Call Special Meeting
6     Annually Report Third Party Political   Against   Against      Shareholder
      Contributions


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

ELI LILLY AND COMPANY

Ticker:       LLY            Security ID:  532457108
Meeting Date: MAY 01, 2023   Meeting Type: Annual
Record Date:  FEB 21, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director William G. Kaelin, Jr.   For       For          Management
1b    Elect Director David A. Ricks           For       For          Management
1c    Elect Director Marschall S. Runge       For       For          Management
1d    Elect Director Karen Walker             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 & Young LLP as Auditors    For       For          Management
5     Declassify the Board of Directors       For       For          Management
6     Eliminate Supermajority Vote            For       For          Management
      Requirement
7     Report on Lobbying Payments and Policy  Against   Against      Shareholder
8     Adopt Simple Majority Vote              Against   Against      Shareholder
9     Report on Impact of Extended Patent     Against   Against      Shareholder
      Exclusivities on Product Access
10    Report on Risks of Supporting Abortion  Against   Against      Shareholder
11    Publish Third-Party Review of           Against   Against      Shareholder
      Alignment of Company's Lobbying
      Activities with its Public Statements
12    Report on Effectiveness of Diversity,   Against   Against      Shareholder
      Equity and Inclusion Efforts and
      Metrics
13    Adopt Policy to Require Third-Party     Against   Against      Shareholder
      Organizations to Annually Report
      Expenditures for Political Activities


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

ENANTA PHARMACEUTICALS, INC.

Ticker:       ENTA           Security ID:  29251M106
Meeting Date: MAR 02, 2023   Meeting Type: Annual
Record Date:  JAN 10, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Bruce L.A. Carter        For       For          Management
1.2   Elect Director Jay R. Luly              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


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

ENCOMPASS HEALTH CORPORATION

Ticker:       EHC            Security ID:  29261A100
Meeting Date: MAY 04, 2023   Meeting Type: Annual
Record Date:  MAR 09, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Greg D. Carmichael       For       For          Management
1b    Elect Director John W. Chidsey          For       For          Management
1c    Elect Director Donald L. Correll        For       For          Management
1d    Elect Director Joan E. Herman           For       For          Management
1e    Elect Director Leslye G. Katz           For       For          Management
1f    Elect Director Patricia A. Maryland     For       For          Management
1g    Elect Director Kevin J. O'Connor        For       For          Management
1h    Elect Director Christopher R. Reidy     For       For          Management
1i    Elect Director Nancy M. Schlichting     For       For          Management
1j    Elect Director Mark J. Tarr             For       For          Management
1k    Elect Director Terrance Williams        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     Advisory Vote on Say on Pay Frequency   One Year  One Year     Management


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

ENVISTA HOLDINGS CORPORATION

Ticker:       NVST           Security ID:  29415F104
Meeting Date: MAY 23, 2023   Meeting Type: Annual
Record Date:  MAR 27, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Kieran T. Gallahue       For       For          Management
1.2   Elect Director Barbara Hulit            For       For          Management
1.3   Elect Director Amir Aghdaei             For       For          Management
1.4   Elect Director Vivek Jain               For       For          Management
1.5   Elect Director Daniel Raskas            For       For          Management
2     Ratify Ernst & Young LLP as Auditors    For       For          Management
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


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

EXACT SCIENCES CORPORATION

Ticker:       EXAS           Security ID:  30063P105
Meeting Date: JUN 08, 2023   Meeting Type: Annual
Record Date:  APR 13, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director D. Scott Coward          For       For          Management
1b    Elect Director James Doyle              For       For          Management
1c    Elect Director Freda Lewis-Hall         For       For          Management
1d    Elect Director Kathleen Sebelius        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     Advisory Vote on Say on Pay Frequency   One Year  One Year     Management
5     Declassify the Board of Directors       For       For          Management
6     Amend Omnibus Stock Plan                For       For          Management


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

GE HEALTHCARE TECHNOLOGIES, INC.

Ticker:       GEHC           Security ID:  36266G107
Meeting Date: MAY 23, 2023   Meeting Type: Annual
Record Date:  MAR 27, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Peter J. Arduini         For       For          Management
1b    Elect Director H. Lawrence Culp, Jr.    For       For          Management
1c    Elect Director Rodney F. Hochman        For       For          Management
1d    Elect Director Lloyd W. Howell, Jr.     For       For          Management
1e    Elect Director Risa Lavizzo-Mourey      For       For          Management
1f    Elect Director Catherine Lesjak         For       For          Management
1g    Elect Director Anne T. Madden           For       For          Management
1h    Elect Director Tomislav Mihaljevic      For       For          Management
1i    Elect Director William J. Stromberg     For       For          Management
1j    Elect Director Phoebe L. Yang           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 Deloitte & Touche LLP as         For       For          Management
      Auditors


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

GENMAB A/S

Ticker:       GMAB           Security ID:  372303206
Meeting Date: MAR 29, 2023   Meeting Type: Annual
Record Date:  FEB 17, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Receive Report of Board                 None      None         Management
2     Accept Financial Statements and         For       For          Management
      Statutory Reports; Approve Discharge
      of Management and Board
3     Approve Allocation of Income and        For       For          Management
      Omission of Dividends
4     Approve Remuneration Report (Advisory   For       For          Management
      Vote)
5.a   Reelect Deirdre P. Connelly as Director For       Abstain      Management
5.b   Reelect Pernille Erenbjerg as Director  For       Abstain      Management
5.c   Reelect Rolf Hoffmann as Director       For       For          Management
5.d   Reelect Elizabeth OFarrell as Director  For       For          Management
5.e   Reelect Paolo Paoletti as Director      For       Abstain      Management
5.f   Reelect Anders Gersel Pedersen as       For       Abstain      Management
      Director
6     Ratify PricewaterhouseCoopers as        For       For          Management
      Auditors
7.a   Approve Remuneration of Directors in    For       For          Management
      the Amount of DKK 1.2 Million for
      Chairman, DKK 900,000 for Vice
      Chairman, and DKK 600,000 for Other
      Directors; Approve Remuneration for
      Committee Work
7.b   Amend Remuneration Policy               For       For          Management
7.c   Amendment to Remuneration Policy for    For       Against      Management
      Board of Directors and Executive
      Management
7.d   Authorize Share Repurchase Program      For       For          Management
8     Authorize Editorial Changes to Adopted  For       For          Management
      Resolutions in Connection with
      Registration with Danish Authorities
9     Other Business                          None      None         Management


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

GENMAB A/S

Ticker:       GMAB           Security ID:  K3967W102
Meeting Date: MAR 29, 2023   Meeting Type: Annual
Record Date:  MAR 22, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Receive Report of Board                 None      None         Management
2     Accept Financial Statements and         For       For          Management
      Statutory Reports; Approve Discharge
      of Management and Board
3     Approve Allocation of Income and        For       For          Management
      Omission of Dividends
4     Approve Remuneration Report (Advisory   For       For          Management
      Vote)
5.a   Reelect Deirdre P. Connelly as Director For       Abstain      Management
5.b   Reelect Pernille Erenbjerg as Director  For       Abstain      Management
5.c   Reelect Rolf Hoffmann as Director       For       For          Management
5.d   Reelect Elizabeth OFarrell as Director  For       For          Management
5.e   Reelect Paolo Paoletti as Director      For       Abstain      Management
5.f   Reelect Anders Gersel Pedersen as       For       Abstain      Management
      Director
6     Ratify PricewaterhouseCoopers as        For       For          Management
      Auditors
7.a   Approve Remuneration of Directors in    For       For          Management
      the Amount of DKK 1.2 Million for
      Chairman, DKK 900,000 for Vice
      Chairman, and DKK 600,000 for Other
      Directors; Approve Remuneration for
      Committee Work
7.b   Amend Remuneration Policy               For       For          Management
7.c   Amendment to Remuneration Policy for    For       Against      Management
      Board of Directors and Executive
      Management
7.d   Authorize Share Repurchase Program      For       For          Management
8     Authorize Editorial Changes to Adopted  For       For          Management
      Resolutions in Connection with
      Registration with Danish Authorities
9     Other Business                          None      None         Management


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

GILEAD SCIENCES, INC.

Ticker:       GILD           Security ID:  375558103
Meeting Date: MAY 03, 2023   Meeting Type: Annual
Record Date:  MAR 15, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Jacqueline K. Barton     For       For          Management
1b    Elect Director Jeffrey A. Bluestone     For       For          Management
1c    Elect Director Sandra J. Horning        For       For          Management
1d    Elect Director Kelly A. Kramer          For       For          Management
1e    Elect Director Kevin E. Lofton          For       For          Management
1f    Elect Director Harish Manwani           For       For          Management
1g    Elect Director Daniel P. O'Day          For       For          Management
1h    Elect Director Javier J. Rodriguez      For       For          Management
1i    Elect Director Anthony Welters          For       For          Management
2     Ratify Ernst & 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
5     Amend Qualified Employee Stock          For       For          Management
      Purchase Plan
6     Require More Director Nominations Than  Against   Against      Shareholder
      Open Seats
7     Amend Right to Call Special Meeting     Against   Against      Shareholder
8     Report on Impact of Extended Patent     Against   Against      Shareholder
      Exclusivities on Product Access


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

GLAUKOS CORPORATION

Ticker:       GKOS           Security ID:  377322102
Meeting Date: JUN 01, 2023   Meeting Type: Annual
Record Date:  APR 05, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Denice M. Torres         For       For          Management
1.2   Elect Director Aimee S. Weisner         For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify Ernst & Young LLP as Auditors    For       For          Management


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

GUARDANT HEALTH, INC.

Ticker:       GH             Security ID:  40131M109
Meeting Date: JUN 14, 2023   Meeting Type: Annual
Record Date:  APR 17, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Ian Clark                For       Withhold     Management
1b    Elect Director Meghan Joyce             For       For          Management
1c    Elect Director Samir Kaul               For       For          Management
2     Ratify Deloitte & Touche LLP as         For       For          Management
      Auditors
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


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

HCA HEALTHCARE, INC.

Ticker:       HCA            Security ID:  40412C101
Meeting Date: APR 19, 2023   Meeting Type: Annual
Record Date:  FEB 24, 2023

#     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       For          Management
1e    Elect Director Nancy-Ann DeParle        For       For          Management
1f    Elect Director William R. Frist         For       For          Management
1g    Elect Director Hugh F. Johnston         For       For          Management
1h    Elect Director Michael W. Michelson     For       For          Management
1i    Elect Director Wayne J. Riley           For       For          Management
1j    Elect Director Andrea B. Smith          For       For          Management
2     Ratify Ernst & Young LLP as Auditors    For       For          Management
3     Approve Nonqualified Employee Stock     For       For          Management
      Purchase Plan
4     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
5     Report on Political Contributions and   Against   Against      Shareholder
      Expenditures
6     Amend Charter of Patient Safety and     Against   Against      Shareholder
      Quality of Care Committee


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

HEALTH SCIENCES ACQUISITIONS CORPORATION 2

Ticker:       HSAQ           Security ID:  G4411D109
Meeting Date: JUL 26, 2022   Meeting Type: Extraordinary Shareholders
Record Date:  JUN 27, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Amend Memorandum and Articles of        For       For          Management
      Association to Extend Consummation of
      Business Combination to November 6,
      2022
2     Adjourn Meeting                         For       For          Management


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

HEALTH SCIENCES ACQUISITIONS CORPORATION 2

Ticker:       HSAQ           Security ID:  G4411D109
Meeting Date: JAN 24, 2023   Meeting Type: Extraordinary Shareholders
Record Date:  DEC 07, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve SPAC Transaction                For       For          Management
2     Change Country of Incorporation         For       For          Management
      [Cayman Islands to Delaware]
3     Amend Charter                           For       For          Management
4     Amend Bylaws                            For       For          Management
5a    Increase Authorized Preferred and       For       Against      Management
      Common Stock
5b    Adopt Supermajority Vote Requirement    For       For          Management
      to Amend the Proposed Charter
5c    Adopt Supermajority Vote Requirement    For       For          Management
      to Amend the Proposed Bylaws
5d    Eliminate Right to Act by Written       For       Against      Management
      Consent
5e    Changes in Connection with Adoption of  For       For          Management
      the Proposed Charter
5f    Change Company Name to Orchestra        For       For          Management
      BioMed Holdings, Inc.
6     Approve Issuance of Shares for a        For       For          Management
      Private Placement
7a    Elect Director Eric A. Rose             For       For          Management
7b    Elect Director Jason Aryeh              For       For          Management
7c    Elect Director Pamela Y. Connealy       For       For          Management
7d    Elect Director Geoffrey W. Smith        For       For          Management
7e    Elect Director David P. Hochman         For       For          Management
7f    Elect Director Darren R. Sherman        For       For          Management
7g    Elect Director Eric S. Fain             For       For          Management
8     Approve Omnibus Stock Plan              For       For          Management
9     Adjourn Meeting                         For       For          Management


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

HORIZON THERAPEUTICS PUBLIC LIMITED COMPANY

Ticker:       HZNP           Security ID:  G46188111
Meeting Date: FEB 24, 2023   Meeting Type: Court
Record Date:  JAN 19, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve Scheme of Arrangement           For       For          Management


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

HORIZON THERAPEUTICS PUBLIC LIMITED COMPANY

Ticker:       HZNP           Security ID:  G46188101
Meeting Date: FEB 24, 2023   Meeting Type: Extraordinary Shareholders
Record Date:  JAN 19, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve Scheme of Arrangement           For       For          Management
2     Amend Articles of Association           For       For          Management
3     Advisory Vote on Golden Parachutes      For       For          Management
4     Adjourn Meeting                         For       For          Management


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

ICON PLC

Ticker:       ICLR           Security ID:  G4705A100
Meeting Date: JUL 26, 2022   Meeting Type: Annual
Record Date:  JUN 06, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Steve Cutler             For       For          Management
1.2   Elect Director John Climax              For       For          Management
1.3   Elect Director Ronan Murphy             For       For          Management
2     Accept Financial Statements and         For       For          Management
      Statutory Reports
3     Authorise Board to Fix Remuneration of  For       For          Management
      Auditors
4     Authorize Issue of Equity               For       For          Management
5     Authorize Issue of Equity without       For       For          Management
      Pre-emptive Rights
6     Authorize Issue of Equity without       For       For          Management
      Pre-emptive Rights in Connection with
      an Acquisition or Other Capital
      Investment
7     Authorize Share Repurchase Program      For       For          Management
8     Approve the Price Range for the         For       For          Management
      Reissuance of Shares


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

IDEXX LABORATORIES, INC.

Ticker:       IDXX           Security ID:  45168D104
Meeting Date: MAY 17, 2023   Meeting Type: Annual
Record Date:  MAR 20, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Daniel M. Junius         For       For          Management
1b    Elect Director Lawrence D. Kingsley     For       For          Management
1c    Elect Director Sophie V. Vandebroek     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     Advisory Vote on Say on Pay Frequency   One Year  One Year     Management


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

ILLUMINA, INC.

Ticker:       ILMN           Security ID:  452327109
Meeting Date: MAY 25, 2023   Meeting Type: Proxy Contest
Record Date:  APR 03, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
      Management Universal Proxy (White
      Proxy Card)
#     Proposal                                Diss Rec  Vote Cast    Sponsor
      From the Combined List of Management &
      Dissident Nominees - Elect 9 Directors
1A    Elect Management Nominee Director       For       For          Management
      Frances Arnold
1B    Elect Management Nominee Director       For       For          Management
      Francis A. deSouza
1C    Elect Management Nominee Director       For       For          Management
      Caroline D. Dorsa
1D    Elect Management Nominee Director       For       For          Management
      Robert S. Epstein
1E    Elect Management Nominee Director       For       For          Management
      Scott Gottlieb
1F    Elect Management Nominee Director Gary  For       For          Management
      S. Guthart
1G    Elect Management Nominee Director       For       For          Management
      Philip W. Schiller
1H    Elect Management Nominee Director       For       For          Management
      Susan E. Siegel
1I    Elect Management Nominee Director John  For       For          Management
      W. Thompson
1J    Elect Dissident Nominee Director        Against   Withhold     Shareholder
      Vincent J. Intrieri
1K    Elect Dissident Nominee Director Jesse  Against   Withhold     Shareholder
      A. Lynn
1L    Elect Dissident Nominee Director        Against   Withhold     Shareholder
      Andrew J. Teno
2     Ratify Ernst & Young LLP as Auditors    For       For          Management
3     Advisory Vote to Ratify Named           For       Against      Management
      Executive Officers' Compensation
4     Advisory Vote on Say on Pay Frequency   One Year  One Year     Management
5     Amend Omnibus Stock Plan                For       For          Management
#     Proposal                                Diss Rec  Vote Cast    Sponsor
      Dissident Universal Proxy (Gold Proxy
      Card)
#     Proposal                                Diss Rec  Vote Cast    Sponsor
      From the Combined List of Management &
      Dissident Nominees - Elect 9 Directors
1.1   Elect Dissident Nominee Director        For       Did Not Vote Shareholder
      Vincent J. Intrieri
1.2   Elect Dissident Nominee Director Jesse  For       Did Not Vote Shareholder
      A. Lynn
1.3   Elect Dissident Nominee Director        For       Did Not Vote Shareholder
      Andrew J. Teno
1.4   Elect Management Nominee Director       None      Did Not Vote Management
      Frances Arnold
1.5   Elect Management Nominee Director       None      Did Not Vote Management
      Caroline D. Dorsa
1.6   Elect Management Nominee Director       None      Did Not Vote Management
      Scott Gottlieb
1.7   Elect Management Nominee Director Gary  None      Did Not Vote Management
      S. Guthart
1.8   Elect Management Nominee Director       None      Did Not Vote Management
      Philip W. Schiller
1.9   Elect Management Nominee Director       None      Did Not Vote Management
      Susan E. Siegel
1.10  Elect Management Nominee Director       Against   Did Not Vote Management
      Francis A. deSouza
1.11  Elect Management Nominee Director       Against   Did Not Vote Management
      Robert S. Epstein
1.12  Elect Management Nominee Director John  Against   Did Not Vote Management
      W. Thompson
2     Ratify Ernst & Young LLP as Auditors    For       Did Not Vote Management
3     Advisory Vote to Ratify Named           Against   Did Not Vote Management
      Executive Officers' Compensation
4     Advisory Vote on Say on Pay Frequency   One Year  Did Not Vote Management
5     Amend Omnibus Stock Plan                None      Did Not Vote Management


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

IMMUNEERING CORP.

Ticker:       IMRX           Security ID:  45254E107
Meeting Date: JUN 14, 2023   Meeting Type: Annual
Record Date:  APR 20, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Peter Feinberg           For       For          Management
1.2   Elect Director Laurie B. Keating        For       For          Management
2     Ratify RSM US LLP as Auditors           For       For          Management


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

IMMUNOCORE HOLDINGS PLC

Ticker:       IMCR           Security ID:  45258D105
Meeting Date: MAY 16, 2023   Meeting Type: Annual
Record Date:  APR 10, 2023

#     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 Director Robert Perez             For       For          Management
4     Elect Director Kristine Peterson        For       For          Management
5     Elect Director Siddharth Kaul           For       For          Management
6     Appoint Deloitte LLP as Auditors        For       For          Management
7     Authorize Board to Fix Remuneration of  For       For          Management
      Auditors
8     Authorize UK Political Donations and    For       For          Management
      Expenditure


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

INCYTE CORPORATION

Ticker:       INCY           Security ID:  45337C102
Meeting Date: JUN 14, 2023   Meeting Type: Annual
Record Date:  APR 18, 2023

#     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 Otis W. Brawley          For       For          Management
1.4   Elect Director Paul J. Clancy           For       For          Management
1.5   Elect Director Jacqualyn A. Fouse       For       For          Management
1.6   Elect Director Edmund P. Harrigan       For       For          Management
1.7   Elect Director Katherine A. High        For       For          Management
1.8   Elect Director Herve Hoppenot           For       For          Management
1.9   Elect Director Susanne Schaffert        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     Amend Omnibus Stock Plan                For       For          Management
5     Amend Qualified Employee Stock          For       For          Management
      Purchase Plan
6     Ratify Ernst & Young LLP as Auditors    For       For          Management


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

INSULET CORPORATION

Ticker:       PODD           Security ID:  45784P101
Meeting Date: MAY 23, 2023   Meeting Type: Annual
Record Date:  MAR 27, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Luciana Borio            For       For          Management
1.2   Elect Director Michael R. Minogue       For       For          Management
1.3   Elect Director Corinne H. Nevinny       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 Grant Thornton LLP as Auditors   For       For          Management


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

INTUITIVE SURGICAL, INC.

Ticker:       ISRG           Security ID:  46120E602
Meeting Date: APR 27, 2023   Meeting Type: Annual
Record Date:  FEB 28, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Craig H. Barratt         For       For          Management
1b    Elect Director Joseph C. Beery          For       For          Management
1c    Elect Director Gary S. Guthart          For       For          Management
1d    Elect Director Amal M. Johnson          For       For          Management
1e    Elect Director Don R. Kania             For       For          Management
1f    Elect Director Amy L. Ladd              For       For          Management
1g    Elect Director Keith R. Leonard, Jr.    For       For          Management
1h    Elect Director Alan J. Levy             For       For          Management
1i    Elect Director Jami Dover Nachtsheim    For       For          Management
1j    Elect Director Monica P. Reed           For       For          Management
1k    Elect Director Mark J. Rubash           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 PricewaterhouseCoopers LLP as    For       For          Management
      Auditors
5     Report on Gender/Racial Pay Gap         Against   Against      Shareholder


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

IONIS PHARMACEUTICALS, INC.

Ticker:       IONS           Security ID:  462222100
Meeting Date: JUN 01, 2023   Meeting Type: Annual
Record Date:  APR 03, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Spencer R. Berthelsen    For       For          Management
1.2   Elect Director Joan E. Herman           For       For          Management
1.3   Elect Director B. Lynne Parshall        For       For          Management
1.4   Elect Director Joseph H. Wender         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     Amend Omnibus Stock Plan                For       For          Management
5     Amend Non-Employee Director Stock       For       For          Management
      Option Plan
6     Ratify Ernst & Young LLP as Auditors    For       For          Management


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

IQVIA HOLDINGS INC.

Ticker:       IQV            Security ID:  46266C105
Meeting Date: APR 18, 2023   Meeting Type: Annual
Record Date:  FEB 17, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Carol J. Burt            For       For          Management
1b    Elect Director Colleen A. Goggins       For       For          Management
1c    Elect Director Sheila A. Stamps         For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Provide Right to Call a Special         For       For          Management
      Meeting at a 25 Percent Ownership
      Threshold
4     Provide Right to Call a Special         Against   Against      Shareholder
      Meeting at a 10 Percent Ownership
      Threshold
5     Require Independent Board Chair         Against   Against      Shareholder
6     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors


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

IRHYTHM TECHNOLOGIES, INC.

Ticker:       IRTC           Security ID:  450056106
Meeting Date: MAY 24, 2023   Meeting Type: Annual
Record Date:  MAR 30, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Cathleen Noel Bairey     For       For          Management
      Merz
1.2   Elect Director Quentin S. Blackford     For       For          Management
1.3   Elect Director Bruce G. Bodaken         For       For          Management
1.4   Elect Director Karen Ling               For       For          Management
1.5   Elect Director Mark J. Rubash           For       For          Management
1.6   Elect Director Ralph Snyderman          For       For          Management
1.7   Elect Director Abhijit Y. Talwalkar     For       For          Management
2     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


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

IVERIC BIO, INC.

Ticker:       ISEE           Security ID:  46583P102
Meeting Date: MAY 17, 2023   Meeting Type: Annual
Record Date:  MAR 27, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Jane P. Henderson        For       For          Management
1.2   Elect Director Pravin U. Dugel          For       For          Management
1.3   Elect Director Glenn P. Sblendorio      For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Increase Authorized Common Stock        For       For          Management
4     Approve Omnibus Stock Plan              For       For          Management
5     Ratify Ernst & Young LLP as Auditors    For       For          Management


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

JOHNSON & JOHNSON

Ticker:       JNJ            Security ID:  478160104
Meeting Date: APR 27, 2023   Meeting Type: Annual
Record Date:  FEB 28, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Darius Adamczyk          For       For          Management
1b    Elect Director Mary C. Beckerle         For       For          Management
1c    Elect Director D. Scott Davis           For       For          Management
1d    Elect Director Jennifer A. Doudna       For       For          Management
1e    Elect Director Joaquin Duato            For       For          Management
1f    Elect Director Marillyn A. Hewson       For       For          Management
1g    Elect Director Paula A. Johnson         For       For          Management
1h    Elect Director Hubert Joly              For       For          Management
1i    Elect Director Mark B. McClellan        For       For          Management
1j    Elect Director Anne M. Mulcahy          For       For          Management
1k    Elect Director Mark A. Weinberger       For       For          Management
1l    Elect Director Nadja Y. West            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 PricewaterhouseCoopers LLP as    For       For          Management
      Auditors
5     Adopt Mandatory Arbitration Bylaw -     None      None         Shareholder
      Withdrawn
6     Report on Government Financial Support  Against   Against      Shareholder
      and Equitable Access to Covid-19
      Products
7     Adopt Policy to Include Legal and       Against   Against      Shareholder
      Compliance Costs in Incentive
      Compensation Metrics
8     Report on Impact of Extended Patent     Against   Against      Shareholder
      Exclusivities on Product Access


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

KARUNA THERAPEUTICS, INC.

Ticker:       KRTX           Security ID:  48576A100
Meeting Date: JUN 20, 2023   Meeting Type: Annual
Record Date:  APR 24, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Bill Meury               For       For          Management
1b    Elect Director Laurie Olson             For       For          Management
1c    Elect Director David Wheadon            For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify KPMG LLP as Auditors             For       For          Management


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

KRYSTAL BIOTECH, INC.

Ticker:       KRYS           Security ID:  501147102
Meeting Date: MAY 19, 2023   Meeting Type: Annual
Record Date:  MAR 22, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Krish S. Krishnan        For       For          Management
1.2   Elect Director Kirti Ganorkar           For       For          Management
1.3   Elect Director Christopher Mason        For       For          Management
2     Ratify KPMG LLP as Auditors             For       For          Management
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


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

LEGEND BIOTECH CORPORATION

Ticker:       LEGN           Security ID:  52490G102
Meeting Date: OCT 14, 2022   Meeting Type: Annual
Record Date:  SEP 13, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accept Financial Statements and         For       For          Management
      Statutory Reports
2     Ratify Ernst & Young LLP as Auditors    For       For          Management
3     Elect Director Patrick Casey            For       For          Management
4     Elect Director Philip Yau               For       For          Management
5     Elect Director Fangliang Zhang          For       For          Management
6     Authorize Board to Ratify and Execute   For       For          Management
      Approved Resolutions


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

MASIMO CORPORATION

Ticker:       MASI           Security ID:  574795100
Meeting Date: JUN 26, 2023   Meeting Type: Proxy Contest
Record Date:  MAY 11, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
      Management Universal Proxy (White
      Proxy Card)
#     Proposal                                Diss Rec  Vote Cast    Sponsor
      From the Combined List of Management &
      Dissident Nominees - Elect 2 Directors
1a    Elect Management Nominee Director H     For       Withhold     Management
      Michael Cohen
1b    Elect Management Nominee Director       For       For          Management
      Julie A. Shimer
1c    Elect Dissident Nominee Director        Withhold  For          Shareholder
      Michelle Brennan
1d    Elect Dissident Nominee Director        Withhold  Withhold     Shareholder
      Quentin Koffey
2     Ratify Grant Thornton 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
5     Declassify the Board of Directors       For       For          Management
6     Approve Increase in Size of Board from  For       For          Management
      Five to Seven
7     Approve Repeal Any Provision of or      Against   For          Shareholder
      Amendment to Bylaws of the Company
      Adopted Without the Approval of
      Shareholders after April 20, 2023 and
      Through the Conclusion of the Annual
      Meeting
#     Proposal                                Diss Rec  Vote Cast    Sponsor
      Dissident Universal Proxy (Blue Proxy
      Card)
#     Proposal                                Diss Rec  Vote Cast    Sponsor
      From the Combined List of Management &
      Dissident Nominees - Elect 2 Directors
      Politan Nominees
1a    Elect Dissident Nominee Director        For       Did Not Vote Shareholder
      Michelle Brennan
1b    Elect Dissident Nominee Director        For       Did Not Vote Shareholder
      Quentin Koffey
      Company Nominees Opposed by Politan
1a    Elect Management Nominee Director H     Withhold  Did Not Vote Management
      Michael Cohen
1b    Elect Management Nominee Director       Withhold  Did Not Vote Management
      Julie A. Shimer
2     Ratify Grant Thornton LLP as Auditors   For       Did Not Vote Management
3     Advisory Vote to Ratify Named           Against   Did Not Vote Management
      Executive Officers' Compensation
4     Advisory Vote on Say on Pay Frequency   One Year  Did Not Vote Management
5     Declassify the Board of Directors       For       Did Not Vote Management
6     Approve Increase in Size of Board from  Abstain   Did Not Vote Management
      Five to Seven
7     Approve Repeal Any Provision of or      For       Did Not Vote Shareholder
      Amendment to Bylaws of the Company
      Adopted Without the Approval of
      Shareholders after April 20, 2023 and
      Through the Conclusion of the Annual
      Meeting


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

MCKESSON CORPORATION

Ticker:       MCK            Security ID:  58155Q103
Meeting Date: JUL 22, 2022   Meeting Type: Annual
Record Date:  MAY 27, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Richard H. Carmona       For       For          Management
1b    Elect Director Dominic J. Caruso        For       For          Management
1c    Elect Director W. Roy Dunbar            For       For          Management
1d    Elect Director James H. Hinton          For       For          Management
1e    Elect Director Donald R. Knauss         For       For          Management
1f    Elect Director Bradley E. Lerman        For       For          Management
1g    Elect Director Linda P. Mantia          For       For          Management
1h    Elect Director Maria Martinez           For       For          Management
1i    Elect Director Susan R. Salka           For       For          Management
1j    Elect Director Brian S. Tyler           For       For          Management
1k    Elect Director Kathleen Wilson-Thompson For       For          Management
2     Ratify Deloitte & Touche 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
5     Amend Qualified Employee Stock          For       For          Management
      Purchase Plan
6     Reduce Ownership Threshold for          Against   Against      Shareholder
      Shareholders to Call Special Meeting
7     Adopt Policy on 10b5-1 Plans            Against   Against      Shareholder


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

MEDTECH ACQUISITION CORPORATION

Ticker:       MTAC           Security ID:  58507N105
Meeting Date: DEC 12, 2022   Meeting Type: Special
Record Date:  OCT 24, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Amend Certificate of Incorporation to   For       Against      Management
      Extend Consummation of Business
      Combination from December 22, 2022 to
      June 22, 2023
2.1   Elect Director Karim Karti              For       For          Management
2.2   Elect Director Martin W. Roche          For       For          Management
2.3   Elect Director Thierry Thaure           For       For          Management
2.4   Elect Director Manuel Aguero            For       For          Management
3     Adjourn Meeting                         For       Against      Management


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

MEDTRONIC PLC

Ticker:       MDT            Security ID:  G5960L103
Meeting Date: DEC 08, 2022   Meeting Type: Annual
Record Date:  OCT 11, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    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 Lidia L. Fonseca         For       For          Management
1e    Elect Director Andrea J. Goldsmith      For       For          Management
1f    Elect Director Randall J. Hogan, III    For       For          Management
1g    Elect Director Kevin E. Lofton          For       For          Management
1h    Elect Director Geoffrey S. Martha       For       For          Management
1i    Elect Director Elizabeth G. Nabel       For       For          Management
1j    Elect Director Denise M. O'Leary        For       For          Management
1k    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
4     Renew the Board's Authority to Issue    For       For          Management
      Shares Under Irish Law
5     Renew the Board's Authority to Opt-Out  For       For          Management
      of Statutory Pre-Emptions Rights Under
      Irish Law
6     Authorize Overseas Market Purchases of  For       For          Management
      Ordinary Shares


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

MERCK & CO., INC.

Ticker:       MRK            Security ID:  58933Y105
Meeting Date: MAY 23, 2023   Meeting Type: Annual
Record Date:  MAR 24, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Douglas M. Baker, Jr.    For       For          Management
1b    Elect Director Mary Ellen Coe           For       For          Management
1c    Elect Director Pamela J. Craig          For       For          Management
1d    Elect Director Robert M. Davis          For       For          Management
1e    Elect Director Thomas H. Glocer         For       For          Management
1f    Elect Director Risa J. Lavizzo-Mourey   For       For          Management
1g    Elect Director Stephen L. Mayo          For       For          Management
1h    Elect Director Paul B. Rothman          For       For          Management
1i    Elect Director Patricia F. Russo        For       For          Management
1j    Elect Director Christine E. Seidman     For       For          Management
1k    Elect Director Inge G. Thulin           For       For          Management
1l    Elect Director Kathy J. Warden          For       For          Management
1m    Elect Director Peter C. Wendell         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 PricewaterhouseCoopers LLP as    For       For          Management
      Auditors
5     Report on Risks Related to Operations   Against   Against      Shareholder
      in China
6     Report on Access to COVID-19 Products   Against   Against      Shareholder
7     Adopt Policy to Require Third-Party     Against   Against      Shareholder
      Organizations to Annually Report
      Expenditures for Political Activities
8     Report on Impact of Extended Patent     Against   Against      Shareholder
      Exclusivities on Product Access
9     Publish a Congruency Report of          Against   Against      Shareholder
      Partnerships with Globalist
      Organizations
10    Require Independent Board Chair         Against   Against      Shareholder


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

METTLER-TOLEDO INTERNATIONAL INC.

Ticker:       MTD            Security ID:  592688105
Meeting Date: MAY 04, 2023   Meeting Type: Annual
Record Date:  MAR 06, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Robert F. Spoerry        For       For          Management
1.2   Elect Director Roland Diggelmann        For       For          Management
1.3   Elect Director Domitille Doat-Le Bigot  For       For          Management
1.4   Elect Director Elisha W. Finney         For       For          Management
1.5   Elect Director Richard Francis          For       For          Management
1.6   Elect Director Michael A. Kelly         For       For          Management
1.7   Elect Director Thomas P. Salice         For       For          Management
1.8   Elect Director Ingrid Zhang             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     Advisory Vote on Say on Pay Frequency   One Year  One Year     Management


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

MIRATI THERAPEUTICS, INC.

Ticker:       MRTX           Security ID:  60468T105
Meeting Date: MAY 11, 2023   Meeting Type: Annual
Record Date:  MAR 15, 2023

#     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 Julie M. Cherrington     For       For          Management
1.4   Elect Director Aaron I. Davis           For       For          Management
1.5   Elect Director Faheem Hasnain           For       Withhold     Management
1.6   Elect Director Craig Johnson            For       Withhold     Management
1.7   Elect Director Maya Martinez-Davis      For       For          Management
1.8   Elect Director David Meek               For       For          Management
1.9   Elect Director Shalini Sharp            For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify Ernst & Young, LLP as Auditors   For       For          Management
4     Amend Qualified Employee Stock          For       For          Management
      Purchase Plan


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

MODERNA, INC.

Ticker:       MRNA           Security ID:  60770K107
Meeting Date: MAY 03, 2023   Meeting Type: Annual
Record Date:  MAR 08, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Stephen Berenson         For       For          Management
1.2   Elect Director Sandra Horning           For       For          Management
1.3   Elect Director Paul Sagan               For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify Ernst & Young LLP as Auditors    For       For          Management
4     Report on Feasibility of Technology     Against   Against      Shareholder
      Transfer to Boost Covid-19 Vaccine
      Production


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

MONTE ROSA THERAPEUTICS, INC.

Ticker:       GLUE           Security ID:  61225M102
Meeting Date: JUN 14, 2023   Meeting Type: Annual
Record Date:  APR 19, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Andrew Schiff            For       For          Management
1.2   Elect Director Chandra P. Leo           For       For          Management
2     Amend Certificate of Incorporation to   For       For          Management
      Limit the Liability of Officers
3     Ratify Deloitte & Touche, LLP as        For       For          Management
      Auditors


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

MORPHIC HOLDING, INC.

Ticker:       MORF           Security ID:  61775R105
Meeting Date: JUN 01, 2023   Meeting Type: Annual
Record Date:  APR 10, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Norbert Bischofberger    For       Withhold     Management
1.2   Elect Director Joseph P. Slattery       For       For          Management
1.3   Elect Director Timothy A. Springer      For       For          Management
2     Ratify Ernst & Young LLP as Auditors    For       For          Management
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
4     Amend Certificate of Incorporation to   For       For          Management
      Reflect New Delaware Law Provisions
      Regarding Officer Exculpation


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

NAUTILUS BIOTECHNOLOGY, INC.

Ticker:       NAUT           Security ID:  63909J108
Meeting Date: JUN 14, 2023   Meeting Type: Annual
Record Date:  APR 17, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Parag Mallick            For       For          Management
1.2   Elect Director Matthew McIlwain         For       For          Management
1.3   Elect Director Farzad Nazem             For       For          Management
2     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors


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

NEUROCRINE BIOSCIENCES, INC.

Ticker:       NBIX           Security ID:  64125C109
Meeting Date: MAY 17, 2023   Meeting Type: Annual
Record Date:  MAR 20, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Kevin C. Gorman          For       For          Management
1.2   Elect Director Gary A. Lyons            For       For          Management
1.3   Elect Director Johanna Mercier          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     Amend Omnibus Stock Plan                For       For          Management
5     Ratify Ernst & Young LLP as Auditors    For       For          Management


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

NOVO NORDISK A/S

Ticker:       NOVO.B         Security ID:  K72807132
Meeting Date: MAR 23, 2023   Meeting Type: Annual
Record Date:  MAR 16, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Receive Report of Board                 None      None         Management
2     Accept Financial Statements and         For       For          Management
      Statutory Reports
3     Approve Allocation of Income and        For       For          Management
      Dividends of DKK 8.15 Per Share
4     Approve Remuneration Report (Advisory   For       For          Management
      Vote)
5.1   Approve Remuneration of Directors in    For       For          Management
      the Aggregate Amount of DKK 20.2
      Million
5.2   Approve Remuneration of Directors in    For       For          Management
      the Amount of DKK 3.1 Million for the
      Chairman, DKK 1.56 Million for the
      Vice Chairman, and DKK 784,000 for
      Other Directors; Approve Remuneration
      for Committee Work
5.3   Amendment to Remuneration Policy for    For       For          Management
      Board of Directors and Executive
      Management
6.1   Reelect Helge Lund as Board Chairman    For       Abstain      Management
6.2   Reelect Henrik Poulsen as Vice Chairman For       For          Management
6.3a  Reelect Laurence Debroux as Director    For       For          Management
6.3b  Reelect Andreas Fibig as Director       For       For          Management
6.3c  Reelect Sylvie Gregoire as Director     For       For          Management
6.3d  Reelect Kasim Kutay as Director         For       For          Management
6.3e  Reelect Christina Law as Director       For       For          Management
6.3f  Reelect Martin Mackay as Director       For       Abstain      Management
7     Ratify Deloitte as Auditor              For       For          Management
8.1   Approve DKK 5 Million Reduction in      For       For          Management
      Share Capital via Share Cancellation
      of B Shares
8.2   Authorize Share Repurchase Program      For       For          Management
8.3   Approve Creation of DKK 45.1 Million    For       For          Management
      Pool of Capital with Preemptive
      Rights; Approve Creation of DKK 45.1
      Million Pool of Capital without
      Preemptive Rights; Maximum Increase in
      Share Capital under Both
      Authorizations up to DKK 45.1 Million
8.4   Product Pricing Proposal                Against   Against      Shareholder
9     Other Business                          None      None         Management


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

NOVOCURE LIMITED

Ticker:       NVCR           Security ID:  G6674U108
Meeting Date: JUN 07, 2023   Meeting Type: Annual
Record Date:  APR 04, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Asaf Danziger            For       For          Management
1b    Elect Director William Doyle            For       For          Management
1c    Elect Director Jeryl Hilleman           For       For          Management
1d    Elect Director David Hung               For       For          Management
1e    Elect Director Kinyip Gabriel Leung     For       For          Management
1f    Elect Director Martin Madden            For       For          Management
1g    Elect Director Allyson Ocean            For       For          Management
1h    Elect Director Timothy Scannell         For       For          Management
1i    Elect Director Kristin Stafford         For       For          Management
1j    Elect Director William Vernon           For       For          Management
2     Ratify Kost Forer Gabbay & Kasierer as  For       For          Management
      Auditors
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


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

NUVALENT, INC.

Ticker:       NUVL           Security ID:  670703107
Meeting Date: JUN 15, 2023   Meeting Type: Annual
Record Date:  APR 18, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Gary Gilliland           For       Withhold     Management
1b    Elect Director Michael L. Meyers        For       For          Management
1c    Elect Director Joseph Pearlberg         For       For          Management
1d    Elect Director Matthew Shair            For       For          Management
2     Ratify KPMG LLP as Auditors             For       For          Management
3     Amend Certificate of Incorporation to   For       For          Management
      Reflect New Delaware Law Provisions
      Regarding Officer Exculpation


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

OMNICELL, INC.

Ticker:       OMCL           Security ID:  68213N109
Meeting Date: MAY 23, 2023   Meeting Type: Annual
Record Date:  MAR 27, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Joanne B. Bauer          For       For          Management
1.2   Elect Director Robin G. Seim            For       Withhold     Management
1.3   Elect Director Sara J. White            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     Amend Qualified Employee Stock          For       For          Management
      Purchase Plan
5     Amend Omnibus Stock Plan                For       For          Management
6     Ratify Deloitte & Touche LLP as         For       For          Management
      Auditors


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

PENUMBRA, INC.

Ticker:       PEN            Security ID:  70975L107
Meeting Date: MAY 31, 2023   Meeting Type: Annual
Record Date:  APR 06, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Arani Bose               For       For          Management
1.2   Elect Director Bridget O'Rourke         For       For          Management
1.3   Elect Director Surbhi Sarna             For       For          Management
2     Ratify Deloitte & Touche 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


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

PFIZER INC.

Ticker:       PFE            Security ID:  717081103
Meeting Date: APR 27, 2023   Meeting Type: Annual
Record Date:  MAR 01, 2023

#     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 Susan Desmond-Hellmann   For       For          Management
1.4   Elect Director Joseph J. Echevarria     For       For          Management
1.5   Elect Director Scott Gottlieb           For       For          Management
1.6   Elect Director Helen H. Hobbs           For       For          Management
1.7   Elect Director Susan Hockfield          For       For          Management
1.8   Elect Director Dan R. Littman           For       For          Management
1.9   Elect Director Shantanu Narayen         For       For          Management
1.10  Elect Director Suzanne Nora Johnson     For       For          Management
1.11  Elect Director James Quincey            For       For          Management
1.12  Elect Director James C. Smith           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     Advisory Vote on Say on Pay Frequency   One Year  One Year     Management
5     Submit Severance Agreement              Against   Against      Shareholder
      (Change-in-Control) to Shareholder Vote
6     Require Independent Board Chair         Against   Against      Shareholder
7     Report on Feasibility of Intellectual   Against   Against      Shareholder
      Property Transfer to Boost Covid-19
      Vaccine Production
8     Report on Impact of Extended Patent     Against   Against      Shareholder
      Exclusivities on Product Access
9     Report on Political Expenditures        Against   Against      Shareholder
      Congruence


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

PLIANT THERAPEUTICS, INC.

Ticker:       PLRX           Security ID:  729139105
Meeting Date: JUN 07, 2023   Meeting Type: Annual
Record Date:  APR 14, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Bernard Coulie           For       For          Management
1b    Elect Director Gayle Crowell            For       For          Management
1c    Elect Director Suzanne Bruhn            For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify Deloitte & Touche LLP as         For       For          Management
      Auditors


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

PMV PHARMACEUTICALS, INC.

Ticker:       PMVP           Security ID:  69353Y103
Meeting Date: JUN 08, 2023   Meeting Type: Annual
Record Date:  APR 12, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Richard Heyman           For       For          Management
1.2   Elect Director David H. Mack            For       For          Management
1.3   Elect Director Laurie Stelzer           For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify Ernst & Young LLP as Auditors    For       For          Management


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

PRIME MEDICINE, INC.

Ticker:       PRME           Security ID:  74168J101
Meeting Date: JUN 14, 2023   Meeting Type: Annual
Record Date:  APR 18, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Michael A. Kelly         For       For          Management
1.2   Elect Director David Schenkein          For       For          Management
2     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors


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

PROMETHEUS BIOSCIENCES, INC.

Ticker:       RXDX           Security ID:  74349U108
Meeting Date: JUN 15, 2023   Meeting Type: Special
Record Date:  MAY 15, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve Merger Agreement                For       For          Management
2     Advisory Vote on Golden Parachutes      For       Against      Management
3     Adjourn Meeting                         For       For          Management


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

PROTAGONIST THERAPEUTICS, INC.

Ticker:       PTGX           Security ID:  74366E102
Meeting Date: MAY 25, 2023   Meeting Type: Annual
Record Date:  MAR 31, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Dinesh V. Patel          For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify Ernst & Young LLP as Auditors    For       For          Management


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

PROTHENA CORPORATION PLC

Ticker:       PRTA           Security ID:  G72800108
Meeting Date: MAY 16, 2023   Meeting Type: Annual
Record Date:  MAR 06, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Helen S. Kim             For       For          Management
1b    Elect Director Gene G. Kinney           For       For          Management
1c    Elect Director Oleg Nodelman            For       For          Management
1d    Elect Director Dennis J. Selkoe         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


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

PTC THERAPEUTICS, INC.

Ticker:       PTCT           Security ID:  69366J200
Meeting Date: JUN 06, 2023   Meeting Type: Annual
Record Date:  APR 13, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director William F. Bell, Jr.     For       For          Management
1.2   Elect Director Matthew B. Klein         For       For          Management
1.3   Elect Director Stephanie S. Okey        For       For          Management
1.4   Elect Director Jerome B. Zeldis         For       For          Management
2     Ratify Ernst & Young LLP as Auditors    For       For          Management
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


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

QIAGEN NV

Ticker:       QGEN           Security ID:  N72482123
Meeting Date: JUN 22, 2023   Meeting Type: Annual
Record Date:  MAY 25, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Adopt Financial Statements and          For       For          Management
      Statutory Reports
2     Approve Remuneration Report             For       For          Management
3     Approve Discharge of Management Board   For       For          Management
4     Approve Discharge of Supervisory Board  For       For          Management
5.a   Reelect Metin Colpan to Supervisory     For       For          Management
      Board
5.b   Reelect Toralf Haag to Supervisory      For       For          Management
      Board
5.c   Reelect Ross L. Levine to Supervisory   For       For          Management
      Board
5.d   Reelect Elaine Mardis to Supervisory    For       For          Management
      Board
5.e   Reelect Eva Pisa to Supervisory Board   For       For          Management
5.f   Reelect Lawrence A. Rosen to            For       For          Management
      Supervisory Board
5.g   Reelect Stephen H. Rusckowski to        For       For          Management
      Supervisory Board
5.h   Reelect Elizabeth E. Tallett to         For       For          Management
      Supervisory Board
6.a   Reelect Thierry Bernard to Management   For       For          Management
      Board
6.b   Reelect Roland Sackers to Management    For       For          Management
      Board
7     Reappoint KPMG Accountants N.V. as      For       For          Management
      Auditors
8.a   Grant Supervisory Board Authority to    For       For          Management
      Issue Shares
8.b   Authorize Supervisory Board to Exclude  For       For          Management
      Preemptive Rights from Share Issuances
9     Authorize Repurchase of Shares          For       For          Management
10    Approve Discretionary Rights for the    For       For          Management
      Managing Board to Implement Capital
      Repayment by Means of Synthetic Share
      Repurchase
11    Approve Cancellation of Shares          For       For          Management
12    Approve QIAGEN N.V. 2023 Stock Plan     For       For          Management


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

QUEST DIAGNOSTICS INCORPORATED

Ticker:       DGX            Security ID:  74834L100
Meeting Date: MAY 17, 2023   Meeting Type: Annual
Record Date:  MAR 20, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director James E. Davis           For       For          Management
1.2   Elect Director Luis A. Diaz, Jr.        For       For          Management
1.3   Elect Director Tracey C. Doi            For       For          Management
1.4   Elect Director Vicky B. Gregg           For       For          Management
1.5   Elect Director Wright L. Lassiter, III  For       For          Management
1.6   Elect Director Timothy L. Main          For       For          Management
1.7   Elect Director Denise M. Morrison       For       For          Management
1.8   Elect Director Gary M. Pfeiffer         For       For          Management
1.9   Elect Director Timothy M. Ring          For       For          Management
1.10  Elect Director Gail R. Wilensky         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 PricewaterhouseCoopers LLP as    For       For          Management
      Auditors
5     Amend Omnibus Stock Plan                For       For          Management
6     Adopt GHG Emissions Reduction Targets   Against   Against      Shareholder
      Aligned with the Paris Agreement Goal


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

RAPID MICRO BIOSYSTEMS, INC.

Ticker:       RPID           Security ID:  75340L104
Meeting Date: MAY 04, 2023   Meeting Type: Annual
Record Date:  MAR 10, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Jeffrey Schwartz         For       For          Management
1.2   Elect Director Richard Kollender        For       Withhold     Management
1.3   Elect Director Natale Ricciardi         For       For          Management
2     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors


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

REGENERON PHARMACEUTICALS, INC.

Ticker:       REGN           Security ID:  75886F107
Meeting Date: JUN 09, 2023   Meeting Type: Annual
Record Date:  APR 11, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Joseph L. Goldstein      For       For          Management
1b    Elect Director Christine A. Poon        For       For          Management
1c    Elect Director Craig B. Thompson        For       For          Management
1d    Elect Director Huda Y. Zoghbi           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     Advisory Vote on Say on Pay Frequency   One Year  One Year     Management
5     Report on Impact of Extended Patent     Against   Against      Shareholder
      Exclusivities on Product Access


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

REPLIGEN CORPORATION

Ticker:       RGEN           Security ID:  759916109
Meeting Date: MAY 18, 2023   Meeting Type: Annual
Record Date:  MAR 20, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Tony J. Hunt             For       For          Management
1b    Elect Director Karen A. Dawes           For       For          Management
1c    Elect Director Nicolas M. Barthelemy    For       For          Management
1d    Elect Director Carrie Eglinton Manner   For       For          Management
1e    Elect Director Konstantin Konstantinov  For       For          Management
1f    Elect Director Martin D. Madaus         For       For          Management
1g    Elect Director Rohin Mhatre             For       For          Management
1h    Elect Director Glenn P. Muir            For       For          Management
2     Ratify Ernst & 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
5     Permit Board to Amend Bylaws Without    For       For          Management
      Shareholder Consent
6     Provide Proxy Access Right              For       For          Management


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

RESMED INC.

Ticker:       RMD            Security ID:  761152107
Meeting Date: NOV 16, 2022   Meeting Type: Annual
Record Date:  SEP 20, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Carol Burt               For       For          Management
1b    Elect Director Jan De Witte             For       For          Management
1c    Elect Director Karen Drexler            For       For          Management
1d    Elect Director Michael 'Mick' Farrell   For       For          Management
1e    Elect Director Peter Farrell            For       For          Management
1f    Elect Director Harjit Gill              For       For          Management
1g    Elect Director John Hernandez           For       For          Management
1h    Elect Director Richard Sulpizio         For       For          Management
1i    Elect Director Desney Tan               For       For          Management
1j    Elect Director Ronald Taylor            For       For          Management
2     Ratify KPMG LLP as Auditors             For       For          Management
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


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

REVOLUTION MEDICINES, INC.

Ticker:       RVMD           Security ID:  76155X100
Meeting Date: JUN 08, 2023   Meeting Type: Annual
Record Date:  APR 20, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Alexis A. Borisy         For       Withhold     Management
1.2   Elect Director Mark A. Goldsmith        For       For          Management
1.3   Elect Director Barbara Weber            For       For          Management
2     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


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

RHYTHM PHARMACEUTICALS, INC.

Ticker:       RYTM           Security ID:  76243J105
Meeting Date: JUN 21, 2023   Meeting Type: Annual
Record Date:  APR 24, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Camille L. Bedrosian     For       For          Management
1.2   Elect Director David W.J. McGirr        For       For          Management
1.3   Elect Director David P. Meeker          For       For          Management
2     Ratify Ernst & Young LLP as Auditors    For       For          Management
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


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

ROCKET PHARMACEUTICALS, INC.

Ticker:       RCKT           Security ID:  77313F106
Meeting Date: NOV 30, 2022   Meeting Type: Special
Record Date:  OCT 24, 2022

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


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

ROCKET PHARMACEUTICALS, INC.

Ticker:       RCKT           Security ID:  77313F106
Meeting Date: JUN 22, 2023   Meeting Type: Annual
Record Date:  APR 24, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Elisabeth Bjork          For       For          Management
1b    Elect Director Carsten Boess            For       For          Management
1c    Elect Director Pedro Granadillo         For       For          Management
1d    Elect Director Gotham Makker            For       For          Management
1e    Elect Director Fady Malik               For       For          Management
1f    Elect Director Gaurav D. Shah           For       For          Management
1g    Elect Director David P. Southwell       For       For          Management
1h    Elect Director Roderick Wong            For       For          Management
1i    Elect Director Naveen Yalamanchi        For       For          Management
2     Ratify EisnerAmper LLP as Auditors      For       For          Management
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


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

SAGE THERAPEUTICS, INC.

Ticker:       SAGE           Security ID:  78667J108
Meeting Date: JUN 15, 2023   Meeting Type: Annual
Record Date:  APR 17, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Michael F. Cola          For       For          Management
1.2   Elect Director Barry E. Greene          For       For          Management
1.3   Elect Director Jeffrey M. Jonas         For       For          Management
1.4   Elect Director Jessica J. Federer       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     Amend Qualified Employee Stock          For       For          Management
      Purchase Plan


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

SANOFI

Ticker:       SAN            Security ID:  F5548N101
Meeting Date: MAY 25, 2023   Meeting Type: Annual/Special
Record Date:  MAY 23, 2023

#     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 3.56 per Share
4     Elect Frederic Oudea as Director        For       For          Management
5     Approve Compensation Report of          For       For          Management
      Corporate Officers
6     Approve Compensation of Serge           For       For          Management
      Weinberg, Chairman of the Board
7     Approve Compensation of Paul Hudson,    For       For          Management
      CEO
8     Approve Remuneration of Directors in    For       For          Management
      the Aggregate Amount of EUR 2.5 Million
9     Approve Remuneration Policy of          For       For          Management
      Directors
10    Approve Remuneration Policy of          For       For          Management
      Chairman of the Board
11    Approve Remuneration Policy of CEO      For       For          Management
12    Renew Appointment of                    For       For          Management
      PricewaterhouseCoopers Audit as Auditor
13    Ratify Change Location of Registered    For       For          Management
      Office to 46, Avenue de la Grande
      Armee, 75017 Paris and Amend Article 4
      of Bylaws Accordingly
14    Authorize Repurchase of Up to 10        For       For          Management
      Percent of Issued Share Capital
15    Authorize Decrease in Share Capital     For       For          Management
      via Cancellation of Repurchased Shares
16    Authorize Issuance of Equity or         For       For          Management
      Equity-Linked Securities with
      Preemptive Rights up to Aggregate
      Nominal Amount of EUR 997 Million
17    Authorize Issuance of Equity or         For       For          Management
      Equity-Linked Securities without
      Preemptive Rights up to Aggregate
      Nominal Amount of EUR 240 Million
18    Approve Issuance of Equity or           For       For          Management
      Equity-Linked Securities for Private
      Placements, up to Aggregate Nominal
      Amount of EUR 240 Million
19    Approve Issuance of Debt Securities     For       For          Management
      Giving Access to New Shares of
      Subsidiaries and/or Debt Securities,
      up to Aggregate Amount of EUR 7 Billion
20    Authorize Board to Increase Capital in  For       For          Management
      the Event of Additional Demand Related
      to Delegation Submitted to Shareholder
      Vote Under Items 16-18
21    Authorize Capital Increase of up to 10  For       For          Management
      Percent of Issued Capital for
      Contributions in Kind
22    Authorize Capitalization of Reserves    For       For          Management
      of Up to EUR 500 Million for Bonus
      Issue or Increase in Par Value
23    Authorize Capital Issuances for Use in  For       For          Management
      Employee Stock Purchase Plans
24    Authorize Filing of Required            For       For          Management
      Documents/Other Formalities


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

SAREPTA THERAPEUTICS, INC.

Ticker:       SRPT           Security ID:  803607100
Meeting Date: JUN 08, 2023   Meeting Type: Annual
Record Date:  APR 14, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Richard J. Barry         For       Against      Management
1.2   Elect Director M. Kathleen Behrens      For       For          Management
1.3   Elect Director Stephen L. Mayo          For       For          Management
1.4   Elect Director Claude Nicaise           For       Against      Management
2     Advisory Vote to Ratify Named           For       Against      Management
      Executive Officers' Compensation
3     Amend Omnibus Stock Plan                For       For          Management
4     Amend Qualified Employee Stock          For       For          Management
      Purchase Plan
5     Advisory Vote on Say on Pay Frequency   One Year  One Year     Management
6     Ratify KPMG LLP as Auditors             For       For          Management


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

SEAGEN INC.

Ticker:       SGEN           Security ID:  81181C104
Meeting Date: MAY 30, 2023   Meeting Type: Special
Record Date:  APR 17, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve Merger Agreement                For       For          Management
2     Advisory Vote on Golden Parachutes      For       Against      Management


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

SEAGEN INC.

Ticker:       SGEN           Security ID:  81181C104
Meeting Date: MAY 31, 2023   Meeting Type: Annual
Record Date:  APR 03, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director David W. Gryska          For       For          Management
1b    Elect Director John A. Orwin            For       Against      Management
1c    Elect Director Alpna H. Seth            For       For          Management
2     Advisory Vote to Ratify Named           For       Against      Management
      Executive Officers' Compensation
3     Advisory Vote on Say on Pay Frequency   One Year  One Year     Management
4     Amend Omnibus Stock Plan                For       For          Management
5     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors


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

SIGILON THERAPEUTICS, INC.

Ticker:       SGTX           Security ID:  82657L107
Meeting Date: MAY 19, 2023   Meeting Type: Annual
Record Date:  MAR 27, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Douglas Cole             For       For          Management
1.2   Elect Director Stephen Oesterle         For       For          Management
2     Approve Reverse Stock Split             For       For          Management
3     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors


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

STRYKER CORPORATION

Ticker:       SYK            Security ID:  863667101
Meeting Date: MAY 10, 2023   Meeting Type: Annual
Record Date:  MAR 13, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Mary K. Brainerd         For       For          Management
1b    Elect Director Giovanni Caforio         For       For          Management
1c    Elect Director Srikant M. Datar         For       For          Management
1d    Elect Director Allan C. Golston         For       For          Management
1e    Elect Director Kevin A. Lobo            For       For          Management
1f    Elect Director Sherilyn S. McCoy        For       For          Management
1g    Elect Director Andrew K. Silvernail     For       For          Management
1h    Elect Director Lisa M. Skeete Tatum     For       For          Management
1i    Elect Director Ronda E. Stryker         For       For          Management
1j    Elect Director Rajeev Suri              For       For          Management
2     Ratify Ernst & 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
5     Report on Political Contributions and   Against   Against      Shareholder
      Expenditures


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

TENAYA THERAPEUTICS, INC.

Ticker:       TNYA           Security ID:  87990A106
Meeting Date: JUN 08, 2023   Meeting Type: Annual
Record Date:  APR 10, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Amy Burroughs            For       For          Management
1.2   Elect Director Jin-Long Chen            For       For          Management
1.3   Elect Director Catherine Stehman-Breen  For       For          Management
2     Ratify Deloitte & Touche LLP as         For       For          Management
      Auditors
3     Amend Certificate of Incorporation to   For       For          Management
      Reflect New Delaware Law Provisions
      Regarding Officer Exculpation


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

THE CIGNA GROUP

Ticker:       CI             Security ID:  125523100
Meeting Date: APR 26, 2023   Meeting Type: Annual
Record Date:  MAR 07, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director David M. Cordani         For       For          Management
1b    Elect Director William J. DeLaney       For       For          Management
1c    Elect Director Eric J. Foss             For       For          Management
1d    Elect Director Elder Granger            For       For          Management
1e    Elect Director Neesha Hathi             For       For          Management
1f    Elect Director George Kurian            For       For          Management
1g    Elect Director Kathleen M. Mazzarella   For       For          Management
1h    Elect Director Mark B. McClellan        For       For          Management
1i    Elect Director Kimberly A. Ross         For       For          Management
1j    Elect Director Eric C. Wiseman          For       For          Management
1k    Elect Director Donna F. Zarcone         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 PricewaterhouseCoopers LLP as    For       For          Management
      Auditors
5     Amend Certificate of Incorporation to   For       For          Management
      Limit the Liability of Certain Officers
6     Reduce Ownership Threshold for          Against   Against      Shareholder
      Shareholders to Call Special Meeting
7     Report on Congruency of Political       Against   Against      Shareholder
      Spending with Company Values and
      Priorities


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

THE COOPER COMPANIES, INC.

Ticker:       COO            Security ID:  216648402
Meeting Date: MAR 15, 2023   Meeting Type: Annual
Record Date:  JAN 19, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Colleen E. Jay           For       For          Management
1.2   Elect Director William A. Kozy          For       For          Management
1.3   Elect Director Cynthia L. Lucchese      For       For          Management
1.4   Elect Director Teresa S. Madden         For       For          Management
1.5   Elect Director Gary S. Petersmeyer      For       For          Management
1.6   Elect Director Maria Rivas              For       For          Management
1.7   Elect Director Robert S. Weiss          For       For          Management
1.8   Elect Director Albert G. White, III     For       For          Management
2     Ratify KPMG LLP as Auditors             For       For          Management
3     Approve Omnibus Stock Plan              For       For          Management
4     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
5     Advisory Vote on Say on Pay Frequency   One Year  One Year     Management


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

THERMO FISHER SCIENTIFIC INC.

Ticker:       TMO            Security ID:  883556102
Meeting Date: MAY 24, 2023   Meeting Type: Annual
Record Date:  MAR 27, 2023

#     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 Ruby R. Chandy           For       For          Management
1d    Elect Director C. Martin Harris         For       For          Management
1e    Elect Director Tyler Jacks              For       For          Management
1f    Elect Director R. Alexandra Keith       For       For          Management
1g    Elect Director James C. Mullen          For       For          Management
1h    Elect Director Lars R. Sorensen         For       For          Management
1i    Elect Director Debora L. Spar           For       For          Management
1j    Elect Director Scott M. Sperling        For       For          Management
1k    Elect Director Dion J. Weisler          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 PricewaterhouseCoopers LLP as    For       For          Management
      Auditors
5     Amend Omnibus Stock Plan                For       For          Management
6     Approve Qualified Employee Stock        For       For          Management
      Purchase Plan


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

TSCAN THERAPEUTICS, INC.

Ticker:       TCRX           Security ID:  89854M101
Meeting Date: JUN 13, 2023   Meeting Type: Annual
Record Date:  APR 17, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Katina Dorton            For       For          Management
2     Ratify Deloitte & Touche LLP as         For       For          Management
      Auditors
3     Amend Omnibus Stock Plan                For       Against      Management


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

ULTRAGENYX PHARMACEUTICAL INC.

Ticker:       RARE           Security ID:  90400D108
Meeting Date: JUN 07, 2023   Meeting Type: Annual
Record Date:  APR 17, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Emil D. Kakkis           For       For          Management
1b    Elect Director Shehnaaz Suliman         For       For          Management
1c    Elect Director Daniel G. Welch          For       For          Management
2     Approve Omnibus Stock Plan              For       For          Management
3     Amend Qualified Employee Stock          For       For          Management
      Purchase Plan
4     Ratify Ernst & Young LLP as Auditors    For       For          Management
5     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


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

UNITEDHEALTH GROUP INCORPORATED

Ticker:       UNH            Security ID:  91324P102
Meeting Date: JUN 05, 2023   Meeting Type: Annual
Record Date:  APR 10, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Timothy Flynn            For       For          Management
1b    Elect Director Paul Garcia              For       For          Management
1c    Elect Director Kristen Gil              For       For          Management
1d    Elect Director Stephen Hemsley          For       For          Management
1e    Elect Director Michele Hooper           For       For          Management
1f    Elect Director F. William McNabb, III   For       For          Management
1g    Elect Director Valerie Montgomery Rice  For       For          Management
1h    Elect Director John Noseworthy          For       For          Management
1i    Elect Director Andrew Witty             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 Deloitte & Touche LLP as         For       For          Management
      Auditors
5     Report on Third-Party Racial Equity     Against   Against      Shareholder
      Audit
6     Report on Congruency of Political       Against   Against      Shareholder
      Spending with Company Values and
      Priorities
7     Submit Severance Agreement              Against   Against      Shareholder
      (Change-in-Control) to Shareholder Vote


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

VERTEX PHARMACEUTICALS INCORPORATED

Ticker:       VRTX           Security ID:  92532F100
Meeting Date: MAY 17, 2023   Meeting Type: Annual
Record Date:  MAR 23, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Sangeeta Bhatia          For       For          Management
1.2   Elect Director Lloyd Carney             For       For          Management
1.3   Elect Director Alan Garber              For       For          Management
1.4   Elect Director Terrence Kearney         For       For          Management
1.5   Elect Director Reshma Kewalramani       For       For          Management
1.6   Elect Director Jeffrey Leiden           For       For          Management
1.7   Elect Director Diana McKenzie           For       For          Management
1.8   Elect Director Bruce Sachs              For       For          Management
1.9   Elect Director Suketu Upadhyay          For       For          Management
2     Ratify Ernst & 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


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

VIKING THERAPEUTICS, INC.

Ticker:       VKTX           Security ID:  92686J106
Meeting Date: JUN 13, 2023   Meeting Type: Annual
Record Date:  APR 21, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director J. Matthew Singleton     For       Withhold     Management
1.2   Elect Director S. Kathy Rouan           For       For          Management
2     Ratify Marcum LLP as Auditors           For       For          Management
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
4     Amend Certificate of Incorporation to   For       For          Management
      Reflect New Delaware Law Provisions
      Regarding Officer Exculpation


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

WATERS CORPORATION

Ticker:       WAT            Security ID:  941848103
Meeting Date: MAY 23, 2023   Meeting Type: Annual
Record Date:  MAR 24, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Flemming Ornskov         For       For          Management
1.2   Elect Director Linda Baddour            For       For          Management
1.3   Elect Director Udit Batra               For       For          Management
1.4   Elect Director Dan Brennan              For       For          Management
1.5   Elect Director Richard Fearon           For       For          Management
1.6   Elect Director Pearl S. Huang           For       For          Management
1.7   Elect Director Wei Jiang                For       For          Management
1.8   Elect Director Christopher A. Kuebler   For       For          Management
1.9   Elect Director Mark Vergnano            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     Advisory Vote on Say on Pay Frequency   One Year  One Year     Management


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

WEST PHARMACEUTICAL SERVICES, INC.

Ticker:       WST            Security ID:  955306105
Meeting Date: APR 25, 2023   Meeting Type: Annual
Record Date:  MAR 03, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Mark A. Buthman          For       For          Management
1b    Elect Director William F. Feehery       For       For          Management
1c    Elect Director Robert F. Friel          For       For          Management
1d    Elect Director Eric M. Green            For       For          Management
1e    Elect Director Thomas W. Hofmann        For       For          Management
1f    Elect Director Molly E. Joseph          For       For          Management
1g    Elect Director Deborah L. V. Keller     For       For          Management
1h    Elect Director Myla P. Lai-Goldman      For       For          Management
1i    Elect Director Stephen H. Lockhart      For       For          Management
1j    Elect Director Douglas A. Michels       For       For          Management
1k    Elect Director Paolo Pucci              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     Advisory Vote on Say on Pay Frequency   One Year  One Year     Management
5     Amend Bylaws                            Against   Against      Shareholder


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

ZIMMER BIOMET HOLDINGS, INC.

Ticker:       ZBH            Security ID:  98956P102
Meeting Date: MAY 12, 2023   Meeting Type: Annual
Record Date:  MAR 13, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Christopher B. Begley    For       For          Management
1b    Elect Director Betsy J. Bernard         For       For          Management
1c    Elect Director Michael J. Farrell       For       For          Management
1d    Elect Director Robert A. Hagemann       For       For          Management
1e    Elect Director Bryan C. Hanson          For       For          Management
1f    Elect Director Arthur J. Higgins        For       For          Management
1g    Elect Director Maria Teresa Hilado      For       For          Management
1h    Elect Director Syed Jafry               For       For          Management
1i    Elect Director Sreelakshmi Kolli        For       For          Management
1j    Elect Director Michael W. Michelson     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     Advisory Vote on Say on Pay Frequency   One Year  One Year     Management


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

ZOETIS INC.

Ticker:       ZTS            Security ID:  98978V103
Meeting Date: MAY 18, 2023   Meeting Type: Annual
Record Date:  MAR 24, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Paul M. Bisaro           For       For          Management
1b    Elect Director Vanessa Broadhurst       For       For          Management
1c    Elect Director Frank A. D'Amelio        For       For          Management
1d    Elect Director Michael B. McCallister   For       For          Management
1e    Elect Director Gregory Norden           For       For          Management
1f    Elect Director Louise M. Parent         For       For          Management
1g    Elect Director Kristin C. Peck          For       For          Management
1h    Elect Director Robert W. Scully         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     Provide Right to Call Special Meeting   For       For          Management
5     Provide Right to Call a Special         Against   Against      Shareholder
      Meeting at a 10 Percent Ownership
      Threshold

========== END NPX REPORT

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.

BlackRock Health Sciences Trust
By:	/s/ John Perlowski
	John Perlowski
	Chief Executive Officer of
	BlackRock Health Sciences Trust
Date:	August 25, 2023