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: 811-23466

Name of Fund: BlackRock Health Sciences Trust II (BMEZ)

Fund Address: 100 Bellevue Parkway, Wilmington, DE 19809

Name and address of agent for service: John Perlowski, Chief Executive Officer, BlackRock Health Sciences Trust II, 55 East 52^nd Street, New York City, NY 10055.

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

Date of fiscal year end: 12/31

Date of reporting period: 07/01/2019 – 06/30/2020

Item 1 – Proxy Voting Record – Attached hereto.

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

ICA File Number: 811-23466
Reporting Period: 07/01/2019 - 06/30/2020
BlackRock Health Sciences Trust II









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


ACADIA PHARMACEUTICALS INC.

Ticker:       ACAD           Security ID:  004225108
Meeting Date: JUN 23, 2020   Meeting Type: Annual
Record Date:  APR 24, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director James M. Daly            For       Withhold     Management
1.2   Elect Director Edmund P. Harrigan       For       For          Management
2     Amend Qualified Employee Stock          For       For          Management
      Purchase Plan
3     Approve Non-Employee Director           For       For          Management
      Compensation Policy
4     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
5     Ratify Ernst & Young LLP as Auditors    For       For          Management


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ACCELERON PHARMA INC.

Ticker:       XLRN           Security ID:  00434H108
Meeting Date: JUN 04, 2020   Meeting Type: Annual
Record Date:  APR 07, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Thomas A. McCourt        For       For          Management
1b    Elect Director Francois Nader           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


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AGIOS PHARMACEUTICALS, INC.

Ticker:       AGIO           Security ID:  00847X104
Meeting Date: MAY 28, 2020   Meeting Type: Annual
Record Date:  APR 07, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Paul J. Clancy           For       For          Management
1b    Elect Director Ian T. Clark             For       Withhold     Management
2     Advisory Vote to Ratify Named           For       Against      Management
      Executive Officers' Compensation
3     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors


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ALCON INC.

Ticker:       ALC            Security ID:  H01301128
Meeting Date: MAY 06, 2020   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
      Omission of Dividends
4.1   Approve Remuneration Report             For       For          Management
      (Non-Binding)
4.2   Approve Remuneration of Directors in    For       For          Management
      the Amount of CHF 3.3 Million
4.3   Approve Remuneration of Executive       For       For          Management
      Committee in the Amount of CHF 35.3
      Million
5.1   Reelect Michael Ball as Director        For       For          Management
5.2   Reelect Lynn Bleil as Director          For       For          Management
5.3   Reelect Arthur Cummings as Director     For       For          Management
5.4   Reelect David Endicott as Director      For       For          Management
5.5   Reelect Thomas Glanzmann as Director    For       For          Management
5.6   Reelect Keith Grossmann as Director     For       For          Management
5.7   Reelect Scott Maw as Director           For       For          Management
5.8   Reelect Karen May as Director           For       For          Management
5.9   Reelect Ines Poeschel as Director       For       For          Management
5.10  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 Keith Grossmann as Member of  For       For          Management
      the 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               For       For          Management
      Attorneys-at-Law as Independent Proxy
8     Ratify PricewaterhouseCoopers SA as     For       For          Management
      Auditors
9     Transact Other Business (Voting)        For       Abstain      Management


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ALECTOR, INC.

Ticker:       ALEC           Security ID:  014442107
Meeting Date: MAY 11, 2020   Meeting Type: Annual
Record Date:  MAR 20, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Terry McGuire            For       For          Management
1.2   Elect Director Kristine Yaffe           For       For          Management
2     Ratify Ernst & Young LLP as Auditors    For       For          Management


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ALEXION PHARMACEUTICALS, INC.

Ticker:       ALXN           Security ID:  015351109
Meeting Date: MAY 13, 2020   Meeting Type: Annual
Record Date:  MAR 16, 2020

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


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ALIGN TECHNOLOGY, INC.

Ticker:       ALGN           Security ID:  016255101
Meeting Date: MAY 20, 2020   Meeting Type: Annual
Record Date:  MAR 25, 2020

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


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ALLAKOS INC.

Ticker:       ALLK           Security ID:  01671P100
Meeting Date: MAY 26, 2020   Meeting Type: Annual
Record Date:  APR 09, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director John McKearn             For       Withhold     Management
1.2   Elect Director Paul Walker              For       For          Management
2     Ratify Ernst & Young LLP as Auditors    For       For          Management
3     Advisory Vote on Say on Pay Frequency   Three     Three Years  Management
                                              Years


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ALNYLAM PHARMACEUTICALS, INC.

Ticker:       ALNY           Security ID:  02043Q107
Meeting Date: MAY 06, 2020   Meeting Type: Annual
Record Date:  MAR 09, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Michael W. Bonney        For       For          Management
1b    Elect Director John M. Maraganore       For       For          Management
1c    Elect Director Phillip A. Sharp         For       For          Management
2     Amend Omnibus Stock Plan                For       For          Management
3     Amend Qualified Employee Stock          For       For          Management
      Purchase Plan
4     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
5     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors


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AMEDISYS, INC.

Ticker:       AMED           Security ID:  023436108
Meeting Date: JUN 09, 2020   Meeting Type: Annual
Record Date:  APR 13, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A    Elect Director Vickie L. Capps          For       For          Management
1B    Elect Director Molly J. Coye            For       For          Management
1C    Elect Director Julie D. Klapstein       For       For          Management
1D    Elect Director Teresa L. Kline          For       For          Management
1E    Elect Director Paul B. Kusserow         For       For          Management
1F    Elect Director Richard A. Lechleiter    For       For          Management
1G    Elect Director Bruce D. Perkins         For       For          Management
1H    Elect Director Jeffrey A. Rideout       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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AMICUS THERAPEUTICS, INC.

Ticker:       FOLD           Security ID:  03152W109
Meeting Date: JUN 04, 2020   Meeting Type: Annual
Record Date:  APR 13, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Lynn D. Bleil            For       For          Management
1.2   Elect Director Bradley L. Campbell      For       For          Management
1.3   Elect Director Robert Essner            For       For          Management
1.4   Elect Director Ted W. Love              For       For          Management
2     Amend Omnibus Stock Plan                For       For          Management
3     Ratify Ernst & Young LLP as Auditors    For       For          Management
4     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


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AMPLIFON SPA

Ticker:       AMP            Security ID:  T0388E118
Meeting Date: APR 24, 2020   Meeting Type: Annual
Record Date:  APR 15, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Accept Financial Statements and         For       For          Management
      Statutory Reports
1b    Approve Allocation of Income            For       For          Management
2     Approve Remuneration of Directors       For       For          Management
3a    Approve Remuneration Policy             For       Against      Management
3b    Approve Second Section of the           For       Against      Management
      Remuneration Report
4     Authorize Share Repurchase Program and  For       For          Management
      Reissuance of Repurchased Shares


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APELLIS PHARMACEUTICALS, INC.

Ticker:       APLS           Security ID:  03753U106
Meeting Date: JUN 01, 2020   Meeting Type: Annual
Record Date:  APR 13, 2020

#     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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ARENA PHARMACEUTICALS, INC.

Ticker:       ARNA           Security ID:  040047607
Meeting Date: JUN 12, 2020   Meeting Type: Annual
Record Date:  APR 20, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Jayson Dallas            For       For          Management
1.2   Elect Director Oliver Fetzer            For       For          Management
1.3   Elect Director Kieran T. Gallahue       For       For          Management
1.4   Elect Director Jennifer Jarrett         For       For          Management
1.5   Elect Director Amit D. Munshi           For       For          Management
1.6   Elect Director Garry A. Neil            For       For          Management
1.7   Elect Director Tina S. Nova             For       For          Management
1.8   Elect Director Manmeet S. Soni          For       For          Management
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 KPMG LLP as Auditors             For       For          Management


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ARGENX SE

Ticker:       ARGX           Security ID:  04016X101
Meeting Date: MAY 12, 2020   Meeting Type: Annual
Record Date:  APR 14, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Open Meeting                            None      None         Management
2     Receive Report of Management Board      None      None         Management
      (Non-Voting)
3     Adopt Remuneration Policy               For       Against      Management
4     Approve Remuneration Report             For       Against      Management
5.a   Discuss Annual Report for FY 2019       None      None         Management
5.b   Adopt Financial Statements and          For       For          Management
      Statutory Reports
5.c   Discussion on Company's Corporate       None      None         Management
      Governance Structure
5.d   Approve Allocation of Losses to the     For       For          Management
      Retained Earnings of the Company
5.e   Approve Discharge of Directors          For       For          Management
6     Reelect Pamela Klein as Non-Executive   For       For          Management
      Director
7     Grant Board Authority to Issue Shares   For       Against      Management
      Up To 4 Percent of Outstanding Capital
      within the Limits of the Argenx Option
      Plan and Exclude Pre-emptive Rights
8     Grant Board Authority to Issue Shares   For       For          Management
      Up To 10 Percent of Issued Capital and
      Exclude Pre-emptive Rights
9     Grant Board Authority to Issue          For       Against      Management
      Additional Shares Up To 10 Percent of
      Issued Capital and Exclude Pre-emptive
      Rights
10    Ratify Deloitte as Auditors             For       For          Management
11    Other Business (Non-Voting)             None      None         Management
12    Close Meeting                           None      None         Management


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AVANTOR, INC.

Ticker:       AVTR           Security ID:  05352A100
Meeting Date: MAY 07, 2020   Meeting Type: Annual
Record Date:  MAR 23, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Juan Andres              For       For          Management
1.2   Elect Director Andre Moura              For       For          Management
1.3   Elect Director Jonathan Peacock         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


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BIOMARIN PHARMACEUTICAL INC.

Ticker:       BMRN           Security ID:  09061G101
Meeting Date: MAY 27, 2020   Meeting Type: Annual
Record Date:  MAR 30, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Jean-Jacques Bienaime    For       For          Management
1.2   Elect Director Elizabeth McKee Anderson For       For          Management
1.3   Elect Director Willard Dere             For       For          Management
1.4   Elect Director Michael Grey             For       For          Management
1.5   Elect Director Elaine J. Heron          For       For          Management
1.6   Elect Director Robert J. Hombach        For       For          Management
1.7   Elect Director V. Bryan Lawlis          For       For          Management
1.8   Elect Director Richard A. Meier         For       For          Management
1.9   Elect Director David E.I. Pyott         For       For          Management
1.10  Elect Director Dennis J. Slamon         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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BLUEPRINT MEDICINES CORPORATION

Ticker:       BPMC           Security ID:  09627Y109
Meeting Date: JUN 23, 2020   Meeting Type: Annual
Record Date:  APR 24, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Alexis Borisy            For       For          Management
1.2   Elect Director Charles A. Rowland, Jr.  For       For          Management
1.3   Elect Director Lonnel Coats             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


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CAREDX, INC.

Ticker:       CDNA           Security ID:  14167L103
Meeting Date: JUN 17, 2020   Meeting Type: Annual
Record Date:  APR 21, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Michael D. Goldberg      For       Withhold     Management
1b    Elect Director Peter Maag               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
5     Amend Omnibus Stock Plan                For       Against      Management


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CENTENE CORPORATION

Ticker:       CNC            Security ID:  15135B101
Meeting Date: APR 28, 2020   Meeting Type: Annual
Record Date:  FEB 28, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Michael F. Neidorff      For       For          Management
1b    Elect Director H. James Dallas          For       For          Management
1c    Elect Director Robert K. Ditmore        For       Against      Management
1d    Elect Director Richard A. Gephardt      For       Against      Management
1e    Elect Director Lori J. Robinson         For       For          Management
1f    Elect Director William L. Trubeck       For       For          Management
2     Advisory Vote to Ratify Named           For       Against      Management
      Executive Officers' Compensation
3     Ratify KPMG LLP as Auditors             For       For          Management
4     Amend Qualified Employee Stock          For       For          Management
      Purchase Plan
5     Report on Political Contributions       Against   Against      Shareholder
      Disclosure
6     Eliminate Supermajority Vote            Against   For          Shareholder
      Requirement


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CHARLES RIVER LABORATORIES INTERNATIONAL, INC.

Ticker:       CRL            Security ID:  159864107
Meeting Date: MAY 06, 2020   Meeting Type: Annual
Record Date:  MAR 16, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director James C. Foster          For       For          Management
1.2   Elect Director Nancy C. Andrews         For       For          Management
1.3   Elect Director Robert J. Bertolini      For       For          Management
1.4   Elect Director Stephen D. Chubb         For       For          Management
1.5   Elect Director Deborah T. Kochevar      For       For          Management
1.6   Elect Director Martin W. MacKay         For       For          Management
1.7   Elect Director George E. Massaro        For       For          Management
1.8   Elect Director George M. Milne, Jr.     For       For          Management
1.9   Elect Director C. Richard Reese         For       For          Management
1.10  Elect Director Richard F. Wallman       For       For          Management
1.11  Elect Director Virginia M. Wilson       For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Amend Omnibus Stock Plan                For       For          Management
4     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors


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CHEMOCENTRYX, INC.

Ticker:       CCXI           Security ID:  16383L106
Meeting Date: MAY 21, 2020   Meeting Type: Annual
Record Date:  MAR 31, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Thomas A. Edwards        For       For          Management
1b    Elect Director Rita I. Jain             For       For          Management
2     Ratify Ernst & Young LLP as Auditors    For       For          Management


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CONSTELLATION PHARMACEUTICALS, INC.

Ticker:       CNST           Security ID:  210373106
Meeting Date: JUN 04, 2020   Meeting Type: Annual
Record Date:  APR 06, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director James E. Audia           For       For          Management
1.2   Elect Director Steven L. Hoerter        For       For          Management
2     Ratify Ernst & Young LLP as Auditors    For       For          Management


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CONVATEC GROUP PLC

Ticker:       CTEC           Security ID:  G23969101
Meeting Date: MAY 07, 2020   Meeting Type: Annual
Record Date:  MAY 05, 2020

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


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DECIPHERA PHARMACEUTICALS, INC.

Ticker:       DCPH           Security ID:  24344T101
Meeting Date: JUN 10, 2020   Meeting Type: Annual
Record Date:  APR 13, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Patricia L. Allen        For       For          Management
1.2   Elect Director Edward J. Benz, Jr.      For       For          Management
1.3   Elect Director Dennis L. Walsh          For       For          Management
2     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors


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DEMANT A/S

Ticker:       DEMANT         Security ID:  K3008M105
Meeting Date: MAR 10, 2020   Meeting Type: Annual
Record Date:  MAR 03, 2020

#     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 Remuneration of Directors in    For       For          Management
      the Amount of DKK 1.05 Million for
      Chairman, DKK 700,000 for Vice
      Chairman, and DKK 350,000 for Other
      Directors
4     Approve Allocation of Income and        For       For          Management
      Omission of Dividends
5a    Reelect Niels B. Christiansen as        For       Abstain      Management
      Director
5b    Reelect Niels Jacobsen as Director      For       Abstain      Management
5c    Reelect Benedikte Leroy as Director     For       For          Management
5d    Reelect Lars Rasmussen as Director      For       Abstain      Management
5e    Elect Anja Madsen as New Director       For       For          Management
6     Ratify Deloitte as Auditors             For       For          Management
7a    Approve DKK 919.173,40 Reduction in     For       For          Management
      Share Capital
7b    Authorize Share Repurchase Program      For       For          Management
7c    Approve Guidelines for Incentive-Based  For       Against      Management
      Compensation for Executive Management
      and Board
7d    Authorize Editorial Changes to Adopted  For       For          Management
      Resolutions in Connection with
      Registration with Danish Authorities
8     Other Business                          None      None         Management


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DENALI THERAPEUTICS INC.

Ticker:       DNLI           Security ID:  24823R105
Meeting Date: JUN 03, 2020   Meeting Type: Annual
Record Date:  APR 13, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director David Schenkein          For       For          Management
1.2   Elect Director Jennifer Cook            For       For          Management
1.3   Elect Director Ryan J. Watts            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


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DEXCOM, INC.

Ticker:       DXCM           Security ID:  252131107
Meeting Date: MAY 21, 2020   Meeting Type: Annual
Record Date:  MAR 31, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Richard A. Collins       For       For          Management
1b    Elect Director Mark G. Foletta          For       For          Management
1c    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


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DICERNA PHARMACEUTICALS, INC.

Ticker:       DRNA           Security ID:  253031108
Meeting Date: JUN 15, 2020   Meeting Type: Annual
Record Date:  APR 16, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Douglas M. Fambrough,    For       For          Management
      III
1b    Elect Director J. Kevin Buchi           For       For          Management
1c    Elect Director Steven Doberstein        For       For          Management
1d    Elect Director Martin Freed             For       For          Management
1e    Elect Director Patrick Gray             For       For          Management
1f    Elect Director Stephen J. Hoffman       For       For          Management
1g    Elect Director Adam M. Koppel           For       For          Management
1h    Elect Director Marc Kozin               For       For          Management
1i    Elect Director Anna Protopapas          For       For          Management
1j    Elect Director Cynthia Smith            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


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EDWARDS LIFESCIENCES CORPORATION

Ticker:       EW             Security ID:  28176E108
Meeting Date: MAY 07, 2020   Meeting Type: Annual
Record Date:  MAR 13, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Michael A. Mussallem     For       For          Management
1b    Elect Director Kieran T. Gallahue       For       For          Management
1c    Elect Director Leslie S. Heisz          For       For          Management
1d    Elect Director William J. Link          For       For          Management
1e    Elect Director Steven R. Loranger       For       For          Management
1f    Elect Director Martha H. Marsh          For       For          Management
1g    Elect Director Ramona Sequeira          For       For          Management
1h    Elect Director Nicholas J. Valeriani    For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Approve Non-Employee Director Omnibus   For       For          Management
      Stock Plan
4     Approve Stock Split                     For       For          Management
5     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors
6     Provide Right to Act by Written Consent Against   Against      Shareholder


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

EIDOS THERAPEUTICS, INC.

Ticker:       EIDX           Security ID:  28249H104
Meeting Date: MAY 27, 2020   Meeting Type: Annual
Record Date:  APR 01, 2020

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


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

EISAI CO., LTD.

Ticker:       4523           Security ID:  J12852117
Meeting Date: JUN 19, 2020   Meeting Type: Annual
Record Date:  MAR 31, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Naito, Haruo             For       For          Management
1.2   Elect Director Kato, Yasuhiko           For       For          Management
1.3   Elect Director Kanai, Hirokazu          For       For          Management
1.4   Elect Director Tsunoda, Daiken          For       For          Management
1.5   Elect Director Bruce Aronson            For       For          Management
1.6   Elect Director Tsuchiya, Yutaka         For       For          Management
1.7   Elect Director Kaihori, Shuzo           For       For          Management
1.8   Elect Director Murata, Ryuichi          For       For          Management
1.9   Elect Director Uchiyama, Hideyo         For       For          Management
1.10  Elect Director Hayashi, Hideki          For       For          Management
1.11  Elect Director Miwa, Yumiko             For       For          Management


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

ENCOMPASS HEALTH CORPORATION

Ticker:       EHC            Security ID:  29261A100
Meeting Date: MAY 06, 2020   Meeting Type: Annual
Record Date:  MAR 09, 2020

#     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 Yvonne M. Curl           For       For          Management
1e    Elect Director Charles M. Elson         For       For          Management
1f    Elect Director Joan E. Herman           For       For          Management
1g    Elect Director Leo I. Higdon, Jr.       For       For          Management
1h    Elect Director Leslye G. Katz           For       For          Management
1i    Elect Director Patricia A. Maryland     For       For          Management
1j    Elect Director John E. Maupin, Jr.      For       For          Management
1k    Elect Director Nancy M. Schlichting     For       For          Management
1l    Elect Director L. Edward Shaw, Jr.      For       For          Management
1m    Elect Director Mark J. Tarr             For       For          Management
1n    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


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

ENVISTA HOLDINGS CORPORATION

Ticker:       NVST           Security ID:  29415F104
Meeting Date: MAY 27, 2020   Meeting Type: Annual
Record Date:  APR 06, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A    Elect Director Kieran T. Gallahue       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


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

FATE THERAPEUTICS, INC.

Ticker:       FATE           Security ID:  31189P102
Meeting Date: MAY 01, 2020   Meeting Type: Annual
Record Date:  MAR 06, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Robert S. Epstein        For       For          Management
1.2   Elect Director John D. Mendlein         For       For          Management
1.3   Elect Director Karin Jooss              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


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

FIBROGEN, INC.

Ticker:       FGEN           Security ID:  31572Q808
Meeting Date: JUN 04, 2020   Meeting Type: Annual
Record Date:  APR 09, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Enrique Conterno         For       For          Management
1b    Elect Director Thomas F. Kearns, Jr.    For       For          Management
1c    Elect Director Kalevi Kurkijarvi        For       For          Management
1d    Elect Director Gerald Lema              For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors


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

GALAPAGOS NV

Ticker:       GLPG           Security ID:  36315X101
Meeting Date: APR 28, 2020   Meeting Type: Annual/Special
Record Date:  MAR 20, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Receive Directors' and Auditors'        None      None         Management
      Reports (Non-Voting)
2     Approve Financial Statements and        For       For          Management
      Allocation of Income
3     Receive Auditors' Reports (Non-Voting)  None      None         Management
4     Receive Consolidated Financial          None      None         Management
      Statements and Statutory Reports
      (Non-Voting)
5     Approve Remuneration Policy             For       Against      Management
6     Approve Remuneration Report             For       Against      Management
7     Approve Discharge of Directors and      For       For          Management
      Auditor
8     Acknowledge Information on Auditors'    None      None         Management
      Remuneration
9     Ratify Deloitte as Auditor and Approve  For       For          Management
      Auditors' Remuneration
10    Re-elect Mary Kerr as Independent       For       For          Management
      Director
11    Elect Elisabeth Svanberg as             For       For          Management
      Independent Director
12    Approve Remuneration of Directors       For       For          Management
13    Approve Offer of 85,000 Subscription    For       Against      Management
      Rights
1     Receive Special Board Report Re:        None      None         Management
      Change Purpose of Company
2     Amend Corporate Purpose                 For       For          Management
3     Amend Articles Re: New Code of          For       For          Management
      Companies and Associations
4     Elect Supervisory Board Members         For       For          Management
5     Authorize Implementation of Approved    For       For          Management
      Resolutions and Coordination of Article
6     Authorize Filing of Required            For       For          Management
      Documents/Formalities at Trade Registry


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

GENMAB A/S

Ticker:       GMAB           Security ID:  K3967W102
Meeting Date: MAR 26, 2020   Meeting Type: Annual
Record Date:  MAR 19, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Receive Report of Board                 None      None         Management
2     Accept Financial Statements and         For       Did Not Vote Management
      Statutory Reports; Approve Discharge
      of Management and Board
3     Approve Allocation of Income and        For       Did Not Vote Management
      Omission of Dividends
4a    Reelect Deirdre P. Connelly as Director For       Did Not Vote Management
4b    Reelect Pernille Erenbjerg as Director  For       Did Not Vote Management
4c    Reelect Rolf Hoffmann as Director       For       Did Not Vote Management
4d    Reelect Paolo Paoletti as Director      For       Did Not Vote Management
4e    Reelect Anders Gersel Pedersen as       For       Did Not Vote Management
      Director
4f    Elect Jonathan Peacock as New Director  For       Did Not Vote Management
5     Ratify PricewaterhouseCoopers as        For       Did Not Vote Management
      Auditors
6a    Approve Guidelines for Incentive-Based  For       Did Not Vote Management
      Compensation for Executive Management
      and Board
6b    Approve Remuneration of Directors in    For       Did Not Vote Management
      the Amount of DKK 1.2 Million for
      Chairman, DKK 800,000 for Vice
      Chairman, and DKK 400,000 for Other
      Directors; Approve Remuneration for
      Committee Work; Approve Meeting Fees
6c    Amend Articles Re: Editorial Changes    For       Did Not Vote Management
      due to Merger of VP Securities A/S and
      VP Services A/S
7     Authorize Editorial Changes to Adopted  For       Did Not Vote Management
      Resolutions in Connection with
      Registration with Danish Authorities
8     Other Business                          None      None         Management


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

GENMAB A/S

Ticker:       GMAB           Security ID:  372303206
Meeting Date: MAR 26, 2020   Meeting Type: Annual
Record Date:  FEB 21, 2020

#     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
4a    Reelect Deirdre P. Connelly as Director For       Abstain      Management
4b    Reelect Pernille Erenbjerg as Director  For       For          Management
4c    Reelect Rolf Hoffmann as Director       For       Abstain      Management
4d    Reelect Paolo Paoletti as Director      For       For          Management
4e    Reelect Anders Gersel Pedersen as       For       Abstain      Management
      Director
4f    Elect Jonathan Peacock as New Director  For       Abstain      Management
5     Ratify PricewaterhouseCoopers as        For       For          Management
      Auditors
6a    Approve Guidelines for Incentive-Based  For       Against      Management
      Compensation for Executive Management
      and Board
6b    Approve Remuneration of Directors in    For       Against      Management
      the Amount of DKK 1.2 Million for
      Chairman, DKK 800,000 for Vice
      Chairman, and DKK 400,000 for Other
      Directors; Approve Remuneration for
      Committee Work; Approve Meeting Fees
6c    Amend Articles Re: Editorial Changes    For       For          Management
      due to Merger of VP Securities A/S and
      VP Services A/S
7     Authorize Editorial Changes to Adopted  For       For          Management
      Resolutions in Connection with
      Registration with Danish Authorities
8     Other Business                          None      None         Management


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

GERRESHEIMER AG

Ticker:       GXI            Security ID:  D2852S109
Meeting Date: JUN 24, 2020   Meeting Type: Annual
Record Date:  JUN 02, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Receive Financial Statements and        None      None         Management
      Statutory Reports for Fiscal 2019
      (Non-Voting)
2     Approve Allocation of Income and        For       For          Management
      Dividends of EUR 1.20 per Share
3     Approve Discharge of Management Board   For       For          Management
      for Fiscal 2019
4     Approve Discharge of Supervisory Board  For       For          Management
      for Fiscal 2019
5     Ratify Deloitte GmbH as Auditors for    For       For          Management
      Fiscal 2020
6     Amend Articles Re: Proof of Entitlement For       For          Management


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

GLOBAL BLOOD THERAPEUTICS, INC.

Ticker:       GBT            Security ID:  37890U108
Meeting Date: JUN 17, 2020   Meeting Type: Annual
Record Date:  APR 22, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Willie L. Brown, Jr.     For       For          Management
1.2   Elect Director Philip A. Pizzo          For       For          Management
1.3   Elect Director Wendy Yarno              For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify KPMG LLP as Auditors             For       For          Management


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

GN STORE NORD A/S

Ticker:       GN             Security ID:  K4001S214
Meeting Date: MAR 11, 2020   Meeting Type: Annual
Record Date:  MAR 04, 2020

#     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 Discharge of Management and     For       For          Management
      Board
4     Approve Allocation of Income and        For       For          Management
      Dividends of DKK 1.45 Per Share
5     Approve Remuneration of Directors in    For       For          Management
      the Amount of DKK 870,000 for
      Chairman, DKK 580,000 for Vice
      Chairman, and DKK 290,000 for Other
      Members; Approve Remuneration for
      Committee Work; Approve Meeting Fees
6.1   Reelect Per Wold-Olsen as Director      For       Abstain      Management
6.2   Reelect Wolfgang Reim as Director       For       For          Management
6.3   Reelect Helene Barnekow as Director     For       For          Management
6.4   Reelect Ronica Wang as Director         For       For          Management
6.5   Elect Jukka Pekka Pertola as New        For       Abstain      Management
      Director
6.6   Elect Montserrat Maresch Pascual as     For       For          Management
      New Director
6.7   Elect Anette Weber as New Director      For       For          Management
7     Ratify PricewaterhouseCoopers as        For       For          Management
      Auditors
8.1   Authorize Share Repurchase Program      For       For          Management
8.2   Approve DKK 16.7 Million Reduction in   For       For          Management
      Share Capital via Share Cancellation
8.3   Approve Guidelines for Incentive-Based  For       For          Management
      Compensation for Executive Management
      and Board
8.4   Amend Articles Re: Advisory Vote on     For       For          Management
      Remuneration Report on Annual General
      Meetings
9     Other Business (Non-Voting)             None      None         Management


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

GRITSTONE ONCOLOGY, INC.

Ticker:       GRTS           Security ID:  39868T105
Meeting Date: JUN 18, 2020   Meeting Type: Annual
Record Date:  APR 21, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Richard Heyman           For       For          Management
1.2   Elect Director Nicholas Simon           For       For          Management
1.3   Elect Director Thomas Woiwode           For       For          Management
2     Ratify Ernst & Young LLP as Auditors    For       For          Management


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

GW PHARMACEUTICALS PLC

Ticker:       GWPH           Security ID:  36197T103
Meeting Date: MAY 26, 2020   Meeting Type: Annual
Record Date:  MAR 31, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Re-elect Geoffrey Guy as Director       For       For          Management
2     Re-elect Cabot Brown as Director        For       For          Management
3     Approve Omnibus Stock Plan              For       For          Management
4     Approve Remuneration Report             For       For          Management
5     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
6     Ratify Deloitte and Touche LLP as       For       For          Management
      Auditors
7     Reappoint Deloitte LLP as Auditors      For       For          Management
8     Authorise Board to Fix Remuneration of  For       For          Management
      Auditors
9     Accept Financial Statements and         For       For          Management
      Statutory Reports
10    Authorise Issue of Equity               For       For          Management
11    Issue of Equity or Equity-Linked        For       For          Management
      Securities without Pre-emptive Rights


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

HALOZYME THERAPEUTICS, INC.

Ticker:       HALO           Security ID:  40637H109
Meeting Date: APR 30, 2020   Meeting Type: Annual
Record Date:  MAR 02, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Bernadette Connaughton   For       For          Management
1.2   Elect Director Kenneth J. Kelley        For       For          Management
1.3   Elect Director Matthew L. Posard        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


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

HANSOH PHARMACEUTICAL GROUP CO., LTD.

Ticker:       3692           Security ID:  G54958106
Meeting Date: JUN 05, 2020   Meeting Type: Annual
Record Date:  JUN 01, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accept Financial Statements and         For       For          Management
      Statutory Reports
2a    Elect Zhong Huijuan as Director         For       For          Management
2b    Elect Lyu Aifeng as Director            For       For          Management
2c    Elect Sun Yuan as Director              For       For          Management
2d    Elect Ma Cuifang as Director            For       For          Management
2e    Elect Lin Guoqiang as Director          For       For          Management
2f    Elect Chan Charles Sheung Wai as        For       For          Management
      Director
2g    Elect Yang Dongtao as Director          For       For          Management
2h    Authorize Board to Fix Remuneration of  For       For          Management
      Directors
3     Approve Ernst & Young as Auditors and   For       For          Management
      Authorize Board to Fix Their
      Remuneration
4     Authorize Repurchase of Issued Share    For       For          Management
      Capital
5     Approve Issuance of Equity or           For       Against      Management
      Equity-Linked Securities without
      Preemptive Rights
6     Authorize Reissuance of Repurchased     For       Against      Management
      Shares


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

HUMANA INC.

Ticker:       HUM            Security ID:  444859102
Meeting Date: APR 23, 2020   Meeting Type: Annual
Record Date:  FEB 24, 2020

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


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

ILLUMINA, INC.

Ticker:       ILMN           Security ID:  452327109
Meeting Date: MAY 27, 2020   Meeting Type: Annual
Record Date:  MAR 30, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A    Elect Director Caroline D. Dorsa        For       For          Management
1B    Elect Director Robert S. Epstein        For       For          Management
1C    Elect Director Scott Gottlieb           For       For          Management
1D    Elect Director Philip W. Schiller       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     Report on Political Contributions       Against   Against      Shareholder


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

IMMUNOMEDICS, INC.

Ticker:       IMMU           Security ID:  452907108
Meeting Date: JUN 18, 2020   Meeting Type: Annual
Record Date:  APR 24, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Election Director Behzad Aghazadeh      For       For          Management
1.2   Election Director Robert Azelby         For       For          Management
1.3   Election Director Charles M. Baum       For       For          Management
1.4   Election Director Scott Canute          For       For          Management
1.5   Election Director Barbara G. Duncan     For       For          Management
1.6   Election Director Peter Barton Hutt     For       For          Management
1.7   Election Director Khalid Islam          For       Against      Management
1.8   Election Director Harout Semerjian      None      None         Management
      *Withdrawn Resolution*
2     Advisory Vote to Ratify Named           For       Against      Management
      Executive Officers' Compensation
3     Increase Authorized Common Stock        For       For          Management
4     Amend Omnibus Stock Plan                For       For          Management
5     Approve Qualified Employee Stock        For       For          Management
      Purchase Plan
6     Ratify KPMG LLP as Auditors             For       For          Management


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

INSMED INCORPORATED

Ticker:       INSM           Security ID:  457669307
Meeting Date: MAY 12, 2020   Meeting Type: Annual
Record Date:  MAR 18, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Clarissa Desjardins      For       For          Management
1.2   Elect Director David W.J. McGirr        For       For          Management
1.3   Elect Director Elizabeth McKee Anderson 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 Omnibus Stock Plan                For       For          Management


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

INSULET CORPORATION

Ticker:       PODD           Security ID:  45784P101
Meeting Date: MAY 29, 2020   Meeting Type: Annual
Record Date:  APR 01, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Sally W. Crawford        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     Ratify Grant Thornton LLP as Auditors   For       For          Management


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

INTUITIVE SURGICAL, INC.

Ticker:       ISRG           Security ID:  46120E602
Meeting Date: APR 23, 2020   Meeting Type: Annual
Record Date:  FEB 28, 2020

#     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 Mark J. Rubash           For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors
4     Amend Omnibus Stock Plan                For       For          Management
5     Eliminate Supermajority Vote            For       For          Management
      Requirement
6     Provide Right to Call Special Meeting   For       For          Management


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

IOVANCE BIOTHERAPEUTICS, INC.

Ticker:       IOVA           Security ID:  462260100
Meeting Date: JUN 08, 2020   Meeting Type: Annual
Record Date:  APR 16, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Iain Dukes               For       For          Management
1.2   Elect Director Maria Fardis             For       For          Management
1.3   Elect Director Athena Countouriotis     For       For          Management
1.4   Elect Director Ryan Maynard             For       For          Management
1.5   Elect Director Merrill A. McPeak        For       For          Management
1.6   Elect Director Wayne P. Rothbaum        For       For          Management
1.7   Elect Director Michael Weiser           For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Advisory Vote on Say on Pay Frequency   For       For          Management
      Every Year
4     Amend Omnibus Stock Plan                For       For          Management
5     Approve Qualified Employee Stock        For       For          Management
      Purchase Plan
6     Ratify Marcum LLP as Auditors           For       For          Management


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

JINXIN FERTILITY GROUP LTD.

Ticker:       1951           Security ID:  G5140J101
Meeting Date: JUN 29, 2020   Meeting Type: Annual
Record Date:  JUN 23, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accept Financial Statements and         For       For          Management
      Statutory Reports
2.1   Elect Wang Bin as Director              For       For          Management
2.2   Elect Wang Xiaobo as Director           For       For          Management
2.3   Elect Ye Changqing as Director          For       For          Management
3     Elect Zhong Yong as Director            For       For          Management
4     Authorize Board to Fix Remuneration of  For       For          Management
      Directors
5     Approve Final Dividend                  For       For          Management
6     Approve Deloitte Touche Tohmatsu as     For       For          Management
      Auditors and Authorize Board to Fix
      Their Remuneration
7A    Approve Issuance of Equity or           For       Against      Management
      Equity-Linked Securities without
      Preemptive Rights
7B    Authorize Repurchase of Issued Share    For       For          Management
      Capital
7C    Authorize Reissuance of Repurchased     For       Against      Management
      Shares


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

KARYOPHARM THERAPEUTICS INC.

Ticker:       KPTI           Security ID:  48576U106
Meeting Date: MAY 21, 2020   Meeting Type: Annual
Record Date:  MAR 27, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Barry E. Greene          For       For          Management
1.2   Elect Director Mansoor Raza Mirza       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


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

KODIAK SCIENCES INC.

Ticker:       KOD            Security ID:  50015M109
Meeting Date: JUN 08, 2020   Meeting Type: Annual
Record Date:  APR 09, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Taiyin Yang              For       For          Management
1.2   Elect Director Bassil I. Dahiyat        For       For          Management
1.3   Elect Director Charles A. Bancroft      For       For          Management
2     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors


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

KRYSTAL BIOTECH, INC.

Ticker:       KRYS           Security ID:  501147102
Meeting Date: MAY 29, 2020   Meeting Type: Annual
Record Date:  APR 01, 2020

#     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
2     Ratify Mayer Hoffman McCann P.C. as     For       For          Management
      Auditors


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

LHC GROUP, INC.

Ticker:       LHCG           Security ID:  50187A107
Meeting Date: JUN 11, 2020   Meeting Type: Annual
Record Date:  APR 14, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Jonathan Goldberg        For       For          Management
1.2   Elect Director Clifford S. Holtz        For       For          Management
1.3   Elect Director W.J. 'Billy' Tauzin      For       For          Management
1.4   Elect Director Brent Turner             For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify KPMG LLP  as Auditors            For       For          Management


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

LONZA GROUP AG

Ticker:       LONN           Security ID:  H50524133
Meeting Date: APR 28, 2020   Meeting Type: Annual
Record Date:

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accept Financial Statements and         For       For          Management
      Statutory Reports
2     Approve Remuneration Report             For       For          Management
3     Approve Discharge of Board and Senior   For       For          Management
      Management
4     Approve Allocation of Income and        For       For          Management
      Dividends of CHF 2.75 per Share
5.1.1 Reelect Werner Bauer as Director        For       For          Management
5.1.2 Reelect Albert Baehny as Director       For       For          Management
5.1.3 Reelect Angelica Kohlmann as Director   For       For          Management
5.1.4 Reelect Christoph Maeder as Director    For       For          Management
5.1.5 Reelect Barbara Richmond as Director    For       For          Management
5.1.6 Reelect Juergen Steinemann as Director  For       For          Management
5.1.7 Reelect Olivier Verscheure as Director  For       For          Management
5.2.1 Elect Dorothee Deuring as Director      For       For          Management
5.2.2 Elect Moncef Slaoui as Director         For       For          Management
5.3   Reelect Albert Baehny as Board Chairman For       For          Management
5.4.1 Reappoint Angelica Kohlmann as Member   For       For          Management
      of the Nomination and Compensation
      Committee
5.4.2 Reappoint Christoph Maeder as Member    For       For          Management
      of the Nomination and Compensation
      Committee
5.4.3 Reappoint Juergen Steinemann as Member  For       For          Management
      of the Nomination and Compensation
      Committee
6     Ratify KPMG Ltd as Auditors             For       For          Management
7     Designate ThomannFischer as             For       For          Management
      Independent Proxy
8     Approve Remuneration of Directors in    For       For          Management
      the Amount of CHF 2.9 Million
9.1   Approve Fixed Remuneration of           For       For          Management
      Executive Committee in the Amount of
      CHF 5.8 Million for the Period July 1,
      2020 - June 30, 2021
9.2   Approve Variable Short-Term             For       For          Management
      Remuneration of Executive Committee in
      the Amount of CHF 4 Million for Fiscal
      2019
9.3   Approve Variable Long-Term              For       For          Management
      Remuneration of Executive Committee in
      the Amount of CHF 12 Million for
      Fiscal 2020
10    Transact Other Business (Voting)        For       Abstain      Management


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

MASIMO CORPORATION

Ticker:       MASI           Security ID:  574795100
Meeting Date: MAY 29, 2020   Meeting Type: Annual
Record Date:  MAR 30, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Julie A. Shimer          For       For          Management
1.2   Elect Director H Michael Cohen          For       For          Management
2     Ratify Grant Thornton LLP as Auditors   For       For          Management
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
4     Amend Omnibus Stock Plan                For       For          Management
5     Amend Executive Incentive Bonus Plan    For       For          Management


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

MERCK KGAA

Ticker:       MRK            Security ID:  D5357W103
Meeting Date: MAY 28, 2020   Meeting Type: Annual
Record Date:  MAY 15, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Receive Financial Statements and        None      None         Management
      Statutory Reports for Fiscal 2019
      (Non-Voting)
2     Accept Financial Statements and         For       For          Management
      Statutory Reports for Fiscal 2019
3     Approve Allocation of Income and        For       For          Management
      Dividends of EUR 1.30 per Share
4     Approve Discharge of Management Board   For       For          Management
      for Fiscal 2019
5     Approve Discharge of Supervisory Board  For       For          Management
      for Fiscal 2019
6     Ratify KPMG AG as Auditors for Fiscal   For       For          Management
      2020
7     Approve Affiliation Agreement with      For       For          Management
      BSSN UG


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

MERSANA THERAPEUTICS, INC.

Ticker:       MRSN           Security ID:  59045L106
Meeting Date: JUN 12, 2020   Meeting Type: Annual
Record Date:  APR 15, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director David Mott               For       Withhold     Management
1.2   Elect Director Anna Protopapas          For       For          Management
1.3   Elect Director Lawrence M. Alleva       For       For          Management
2     Ratify Ernst & Young LLP as Auditors    For       For          Management


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

MIRATI THERAPEUTICS, INC.

Ticker:       MRTX           Security ID:  60468T105
Meeting Date: MAY 12, 2020   Meeting Type: Annual
Record Date:  MAR 19, 2020

#     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 Henry J. Fuchs           For       For          Management
1.6   Elect Director Michael Grey             For       For          Management
1.7   Elect Director Faheem Hasnain           For       For          Management
1.8   Elect Director Craig Johnson            For       For          Management
1.9   Elect Director Maya Martinez-Davis      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


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

MOLECULAR TEMPLATES, INC.

Ticker:       MTEM           Security ID:  608550109
Meeting Date: MAY 28, 2020   Meeting Type: Annual
Record Date:  APR 08, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Eric E. Poma             For       For          Management
1.2   Elect Director Harold E. "Barry" Selick 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


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

MOMENTA PHARMACEUTICALS, INC.

Ticker:       MNTA           Security ID:  60877T100
Meeting Date: JUN 23, 2020   Meeting Type: Annual
Record Date:  APR 27, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Bruce L. Downey          For       For          Management
1b    Elect Director Georges Gemayel          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 Omnibus Stock Plan                For       For          Management


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

MORPHIC HOLDING, INC.

Ticker:       MORF           Security ID:  61775R105
Meeting Date: JUN 18, 2020   Meeting Type: Annual
Record Date:  APR 21, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Norbert Bischofberger    For       For          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


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

MYOKARDIA, INC.

Ticker:       MYOK           Security ID:  62857M105
Meeting Date: JUN 18, 2020   Meeting Type: Annual
Record Date:  APR 20, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director David P. Meeker          For       For          Management
1.2   Elect Director Mark L. Perry            For       For          Management
1.3   Elect Director Wendy L. Yarno           For       For          Management
2     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


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

NEKTAR THERAPEUTICS

Ticker:       NKTR           Security ID:  640268108
Meeting Date: JUN 17, 2020   Meeting Type: Annual
Record Date:  APR 20, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Karin Eastham            For       For          Management
1b    Elect Director Myriam J. Curet          For       For          Management
1c    Elect Director Howard W. Robin          For       For          Management
2     Amend 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


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

NEUROCRINE BIOSCIENCES, INC.

Ticker:       NBIX           Security ID:  64125C109
Meeting Date: MAY 19, 2020   Meeting Type: Annual
Record Date:  MAR 23, 2020

#     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
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Approve Omnibus Stock Plan              For       For          Management
4     Ratify Ernst & Young LLP as Auditors    For       For          Management


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

NEVRO CORP.

Ticker:       NVRO           Security ID:  64157F103
Meeting Date: MAY 21, 2020   Meeting Type: Annual
Record Date:  MAR 27, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Frank Fischer            For       For          Management
1.2   Elect Director Shawn T. McCormick       For       For          Management
1.3   Elect Director Kevin O'Boyle            For       For          Management
2     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors
3     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


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

NUVASIVE, INC.

Ticker:       NUVA           Security ID:  670704105
Meeting Date: MAY 28, 2020   Meeting Type: Annual
Record Date:  APR 08, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director J. Christopher Barry     For       For          Management
1b    Elect Director Gregory T. Lucier        For       For          Management
1c    Elect Director Leslie V. Norwalk        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


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

PENUMBRA, INC.

Ticker:       PEN            Security ID:  70975L107
Meeting Date: JUN 03, 2020   Meeting Type: Annual
Record Date:  APR 15, 2020

#     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


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

PING AN HEALTHCARE & TECHNOLOGY COMPANY LIMITED

Ticker:       1833           Security ID:  G71139102
Meeting Date: APR 21, 2020   Meeting Type: Annual
Record Date:  APR 15, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accept Financial Statements and         For       For          Management
      Statutory Reports
2a1   Elect Wang Tao as Director              For       For          Management
2a2   Elect Tan Sin Yin as Director           For       For          Management
2a3   Elect Lin Lijun as Director             For       For          Management
2a4   Elect Pan Zhongwu as Director           For       For          Management
2a5   Elect Tang Yunwei as Director           For       For          Management
2a6   Elect Guo Tianyong as Director          For       For          Management
2b    Authorize Board to Fix Remuneration of  For       For          Management
      Directors
3     Approve PricewaterhouseCoopers as       For       For          Management
      Auditor and Authorize Board to Fix
      Their Remuneration
4A    Approve Issuance of Equity or           For       Against      Management
      Equity-Linked Securities without
      Preemptive Rights
4B    Authorize Repurchase of Issued Share    For       For          Management
      Capital
4C    Authorize Reissuance of Repurchased     For       Against      Management
      Shares


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

PREVAIL THERAPEUTICS INC.

Ticker:       PRVL           Security ID:  74140Y101
Meeting Date: JUN 17, 2020   Meeting Type: Annual
Record Date:  APR 20, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Asa Abeliovich           For       For          Management
1.2   Elect Director Carl Gordon              For       For          Management
1.3   Elect Director Morgan Sheng             For       For          Management
2     Ratify Ernst & Young LLP as Auditors    For       For          Management


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

PRINCIPIA BIOPHARMA INC.

Ticker:       PRNB           Security ID:  74257L108
Meeting Date: JUN 04, 2020   Meeting Type: Annual
Record Date:  APR 07, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Dan Becker               For       For          Management
1.2   Elect Director Patrick Machado          For       For          Management
2     Ratify Ernst & Young LLP as Auditors    For       For          Management


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

PTC THERAPEUTICS, INC.

Ticker:       PTCT           Security ID:  69366J200
Meeting Date: JUN 10, 2020   Meeting Type: Annual
Record Date:  APR 17, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Stephanie S. Okey        For       For          Management
1.2   Elect Director Stuart W. Peltz          For       For          Management
1.3   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


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

RAPT THERAPEUTICS, INC

Ticker:       RAPT           Security ID:  75382E109
Meeting Date: JUN 18, 2020   Meeting Type: Annual
Record Date:  APR 23, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Brian Wong               For       For          Management
1.2   Elect Director Mary Ann Gray            For       For          Management
1.3   Elect Director Peter Svennilson         For       For          Management
2     Ratify Ernst & Young LLP as Auditors    For       For          Management


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

REATA PHARMACEUTICALS, INC.

Ticker:       RETA           Security ID:  75615P103
Meeting Date: JUN 10, 2020   Meeting Type: Annual
Record Date:  APR 16, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director James E. Bass            For       Withhold     Management
1.2   Elect Director R. Kent McGaughy, Jr.    For       Withhold     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     Ratify Ernst & Young LLP as Auditor     For       For          Management


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

REGENERON PHARMACEUTICALS, INC.

Ticker:       REGN           Security ID:  75886F107
Meeting Date: JUN 12, 2020   Meeting Type: Annual
Record Date:  APR 14, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director N. Anthony Coles         For       For          Management
1b    Elect Director Joseph L. Goldstein      For       For          Management
1c    Elect Director Christine A. Poon        For       For          Management
1d    Elect Director P. Roy Vagelos           For       For          Management
1e    Elect Director Huda Y. Zoghbi           For       For          Management
2     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors
3     Amend Omnibus Stock Plan                For       For          Management
4     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


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

SAREPTA THERAPEUTICS, INC.

Ticker:       SRPT           Security ID:  803607100
Meeting Date: JUN 04, 2020   Meeting Type: Annual
Record Date:  APR 13, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Douglas S. Ingram        For       For          Management
1.2   Elect Director Hans Wigzell             For       For          Management
1.3   Elect Director Mary Ann Gray            For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Increase Authorized Common Stock        For       For          Management
4     Amend Omnibus Stock Plan                For       For          Management
5     Ratify KPMG LLP as Auditors             For       For          Management


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

SEATTLE GENETICS, INC.

Ticker:       SGEN           Security ID:  812578102
Meeting Date: MAY 15, 2020   Meeting Type: Annual
Record Date:  MAR 19, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director David W. Gryska          For       For          Management
1.2   Elect Director John A. Orwin            For       Against      Management
1.3   Elect Director Alpna H. Seth            For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Amend Omnibus Stock Plan                For       For          Management
4     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors


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

SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD.

Ticker:       300760         Security ID:  Y774E3101
Meeting Date: APR 27, 2020   Meeting Type: Annual
Record Date:  APR 20, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve Report of the Board of          For       For          Management
      Directors
2     Approve Report of the Board of          For       For          Management
      Supervisors
3     Approve Financial Statements            For       For          Management
4     Approve Profit Distribution             For       For          Management
5     Approve Annual Report and Summary       For       For          Management
6     Approve Social Responsibility Report    For       For          Management
7     Approve Termination of Partial Raised   For       For          Management
      Funds Investment Project
8     Approve Appointment of Auditor          For       For          Management
9     Approve Amendments to Articles of       For       For          Management
      Association
10    Amend Rules and Procedures Regarding    For       For          Management
      General Meetings of Shareholders
11    Amend Related Party Transaction         For       For          Management
      Decision-making System
12    Amend Remuneration Management System    For       For          Management
      of Directors, Supervisors and Senior
      Management Members


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

SONOVA HOLDING AG

Ticker:       SOON           Security ID:  H8024W106
Meeting Date: JUN 11, 2020   Meeting Type: Annual
Record Date:

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Accept Financial Statements and         For       For          Management
      Statutory Reports
1.2   Approve Remuneration Report             For       For          Management
      (Non-Binding)
2     Approve Allocation of Income and        For       For          Management
      Issuance of Scrip Dividend
3     Approve Discharge of Board and Senior   For       For          Management
      Management
4.1.1 Reelect Robert Spoerry as Director and  For       Against      Management
      Board Chairman
4.1.2 Reelect Beat Hess as Director           For       For          Management
4.1.3 Reelect Lynn Bleil as Director          For       For          Management
4.1.4 Reelect Lukas Braunschweiler as         For       Against      Management
      Director
4.1.5 Reelect Michael Jacobi as Director      For       For          Management
4.1.6 Reelect Stacy Seng as Director          For       For          Management
4.1.7 Reelect Ronald van der Vis as Director  For       For          Management
4.1.8 Reelect Jinlong Wang as Director        For       For          Management
4.2   Elect Adrian Widmer as Director         For       Against      Management
4.3.1 Reappoint Robert Spoerry as Member of   For       For          Management
      the Nomination and Compensation
      Committee
4.3.2 Reappoint Beat Hess as Member of the    For       For          Management
      Nomination and Compensation Committee
4.3.3 Reappoint Stacy Seng as Member of the   For       For          Management
      Nomination and Compensation Committee
4.4   Ratify Ernst & Young AG as Auditors     For       For          Management
4.5   Designate Keller KLG as Independent     For       For          Management
      Proxy
5.1   Approve Remuneration of Directors in    For       For          Management
      the Amount of CHF 2.6 Million
5.2   Approve Remuneration of Executive       For       For          Management
      Committee in the Amount of CHF 15.2
      Million
6     Approve Creation of CHF 321,990.65      For       For          Management
      Pool of Capital without Preemptive
      Rights
7     Transact Other Business (Voting)        For       Abstain      Management


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

STOKE THERAPEUTICS, INC.

Ticker:       STOK           Security ID:  86150R107
Meeting Date: JUN 03, 2020   Meeting Type: Annual
Record Date:  APR 06, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Adrian R. Krainer        For       For          Management
1.2   Elect Director Julie Anne Smith         For       For          Management
2     Ratify KPMG LLP as Auditors             For       For          Management


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

STRAUMANN HOLDING AG

Ticker:       STMN           Security ID:  H8300N119
Meeting Date: APR 07, 2020   Meeting Type: Annual
Record Date:

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Accept Financial Statements and         For       For          Management
      Statutory Reports
1.2   Approve Remuneration Report             For       For          Management
2     Approve Allocation of Income and        For       For          Management
      Dividends of CHF 5.75 per Share
3     Approve Discharge of Board and Senior   For       For          Management
      Management
4     Approve Fixed Remuneration of           For       For          Management
      Directors in the Amount of CHF 2.7
      Million
5.1   Approve Fixed Remuneration of           For       For          Management
      Executive Committee in the Amount of
      CHF 9.2 Million
5.2   Approve Long-Term Variable              For       For          Management
      Remuneration of Executive Committee in
      the Amount of CHF 3.2 Million
5.3   Approve Short-Term Variable             For       For          Management
      Remuneration of Executive Committee in
      the Amount of CHF 6.1 Million
6.1   Reelect Gilbert Achermann as Director   For       For          Management
      and as Board Chairman
6.2   Reelect Monique Bourquin as Director    For       For          Management
6.3   Reelect Sebastian Burckhardt as         For       For          Management
      Director
6.4   Reelect Juan-Jose Gonzalez as Director  For       For          Management
6.5   Reelect Beat Luethi as Director         For       For          Management
6.6   Reelect Thomas Straumann as Director    For       For          Management
6.7   Reelect Regula Wallimann as Director    For       For          Management
6.8   Elect Marco Gadola as Director          For       Against      Management
7.1   Appoint Monique Bourquin as Member of   For       For          Management
      the Compensation Committee
7.2   Appoint Beat Luethi as Member of the    For       For          Management
      Compensation Committee
7.3   Appoint Regula Wallimann as Member of   For       For          Management
      the Compensation Committee
8     Designate Neovius AG as Independent     For       For          Management
      Proxy
9     Ratify Ernst & Young AG as Auditors     For       For          Management
10    Transact Other Business (Voting)        For       Abstain      Management


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

SYNDAX PHARMACEUTICALS, INC.

Ticker:       SNDX           Security ID:  87164F105
Meeting Date: JUN 09, 2020   Meeting Type: Annual
Record Date:  APR 14, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Fabrice Egros            For       For          Management
1b    Elect Director Pierre Legault           For       For          Management
1c    Elect Director Michael A. Metzger       For       For          Management
2     Ratify Deloitte & Touche LLP as         For       For          Management
      Auditors


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

TANDEM DIABETES CARE, INC.

Ticker:       TNDM           Security ID:  875372203
Meeting Date: MAY 27, 2020   Meeting Type: Annual
Record Date:  MAR 31, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Kim D. Blickenstaff      For       For          Management
1.2   Elect Director Christopher J. Twomey    For       For          Management
2     Ratify Ernst & Young LLP as Auditor     For       For          Management
3     Advisory Vote to Ratify Named           For       Against      Management
      Executive Officers' Compensation


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

TELADOC HEALTH, INC.

Ticker:       TDOC           Security ID:  87918A105
Meeting Date: MAY 28, 2020   Meeting Type: Annual
Record Date:  APR 03, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Helen Darling            For       For          Management
1.2   Elect Director William H. Frist         For       For          Management
1.3   Elect Director Michael Goldstein        For       For          Management
1.4   Elect Director Jason Gorevic            For       For          Management
1.5   Elect Director Catherine A. Jacobson    For       For          Management
1.6   Elect Director Thomas G. McKinley       For       For          Management
1.7   Elect Director Kenneth H. Paulus        For       For          Management
1.8   Elect Director David Shedlarz           For       For          Management
1.9   Elect Director Mark Douglas Smith       For       For          Management
1.10  Elect Director David B. Snow, Jr.       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


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

TELEFLEX INCORPORATED

Ticker:       TFX            Security ID:  879369106
Meeting Date: MAY 01, 2020   Meeting Type: Annual
Record Date:  MAR 02, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director George Babich, Jr.       For       For          Management
1b    Elect Director Gretchen R. Haggerty     For       For          Management
1c    Elect Director Liam J. Kelly            For       For          Management
2     Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation
3     Ratify PricewaterhouseCoopers LLP as    For       For          Management
      Auditors


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

TRICIDA, INC.

Ticker:       TCDA           Security ID:  89610F101
Meeting Date: JUN 11, 2020   Meeting Type: Annual
Record Date:  APR 15, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Robert J. Alpern         For       For          Management
1.2   Elect Director David P. Bonita          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     Amend Certificate of Incorporation to   For       For          Management
      Add Federal Forum Selection Provision


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

UCB SA

Ticker:       UCB            Security ID:  B93562120
Meeting Date: APR 30, 2020   Meeting Type: Annual/Special
Record Date:  APR 16, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Receive Directors' Reports (Non-Voting) None      None         Management
2     Receive Auditors' Reports (Non-Voting)  None      None         Management
3     Receive Consolidated Financial          None      None         Management
      Statements and Statutory Reports
      (Non-Voting)
4     Approve Financial Statements,           For       For          Management
      Allocation of Income, and Dividends of
      EUR 1.24 per Share
5     Approve Remuneration Report             For       For          Management
6     Approve Remuneration Policy             For       For          Management
7     Approve Discharge of Directors          For       For          Management
8     Approve Discharge of Auditors           For       For          Management
9.1A  Reelect Pierre Gurdjian as Director     For       For          Management
9.1B  Indicate Pierre Gurdjian as             For       For          Management
      Independent Director
9.2A  Reelect Ulf Wiinberg as Director        For       Against      Management
9.2B  Indicate Ulf Wiinberg as Independent    For       Against      Management
      Director
9.3   Reelect Charles-Antoine Janssen as      For       For          Management
      Director
10    Approve Long-Term Incentive Plan        For       For          Management
11.1  Approve Change-of-Control Clause Re:    For       For          Management
      Renewal of EMTN Program
11.2  Approve Change-of-Control Clause Re:    For       For          Management
      Term Facility Agreement
11.3  Approve Change-of-Control Clause Re:    For       For          Management
      Revolving Facility Agreement
1     Amend Articles Re: New Belgian Code of  For       For          Management
      Companies and Associations
2     Receive Special Board Report Re:        None      None         Management
      Renewal of Authorized Capital
3     Renew Authorization to Increase Share   For       For          Management
      Capital within the Framework of
      Authorized Capital
4     Authorize Repurchase of Up to 10        For       For          Management
      Percent of Issued Share Capital


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

UNIQURE N.V.

Ticker:       QURE           Security ID:  N90064101
Meeting Date: JUN 17, 2020   Meeting Type: Annual
Record Date:  MAY 20, 2020

#     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     Elect Director Madhavan Balachandran    For       For          Management
4     Elect Director Jack Kaye                For       For          Management
5     Elect Director Jeremy Springhorn        For       For          Management
6     Elect Director Leonard Post             For       For          Management
7     Grant Board Authority to Issue Shares   For       Against      Management
      and Options
8     Grant Board Authority to Issue Shares   For       Against      Management
      and Restrict/Exclude Preemptive Rights
9     Authorize Repurchase of Up to 10        For       For          Management
      Percent of Issued Share Capital
10    Ratify KPMG Accountants N.V. as         For       For          Management
      Auditors
11    Advisory Vote to Ratify Named           For       For          Management
      Executive Officers' Compensation


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

UNITED THERAPEUTICS CORPORATION

Ticker:       UTHR           Security ID:  91307C102
Meeting Date: JUN 26, 2020   Meeting Type: Annual
Record Date:  APR 30, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Director Raymond Dwek             For       For          Management
1b    Elect Director Christopher Patusky      For       For          Management
1c    Elect Director Tommy Thompson           For       For          Management
2     Declassify the Board of Directors       For       For          Management
3     Advisory Vote to Ratify Named           For       Against      Management
      Executive Officers' Compensation
4     Amend Omnibus Stock Plan                For       For          Management
5     Ratify Ernst & Young LLP as Auditors    For       For          Management


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

VENUS MEDTECH (HANGZHOU) INC.

Ticker:       2500           Security ID:  Y9277Y105
Meeting Date: MAY 21, 2020   Meeting Type: Annual
Record Date:  APR 20, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve 2019 Annual Report              For       For          Management
2     Approve 2019 Work Report of the Board   For       For          Management
      of Directors
3     Approve 2019 Work Report of the         For       For          Management
      Supervisory Committee
4     Approve 2019 Profit Distribution Plan   For       For          Management
5     Approve Ernst & Young Hua Ming LLP as   For       For          Management
      Auditors and Authorize Board to Fix
      Their Remuneration
6     Approve Confirmation of Independent     For       For          Management
      Non-Executive Directors-Related Matters
7     Approve Confirmation of Company Type    For       For          Management
      and Registered Capital
8     Amend Articles of Association           For       For          Management
9     Approve Issuance of Equity or           For       Against      Management
      Equity-Linked Securities without
      Preemptive Rights


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

VERTEX PHARMACEUTICALS INCORPORATED

Ticker:       VRTX           Security ID:  92532F100
Meeting Date: JUN 03, 2020   Meeting Type: Annual
Record Date:  APR 09, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Sangeeta N. Bhatia       For       For          Management
1.2   Elect Director Lloyd Carney             For       For          Management
1.3   Elect Director 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 Yuchun Lee               For       For          Management
1.7   Elect Director Jeffrey M. Leiden        For       For          Management
1.8   Elect Director Margaret G. McGlynn      For       For          Management
1.9   Elect Director Diana McKenzie           For       For          Management
1.10  Elect Director Bruce I. Sachs           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     Report on Lobbying Payments and Policy  Against   Against      Shareholder


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

VOYAGER THERAPEUTICS, INC.

Ticker:       VYGR           Security ID:  92915B106
Meeting Date: JUN 04, 2020   Meeting Type: Annual
Record Date:  APR 06, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director G. Andre Turenne         For       For          Management
1.2   Elect Director Steven Hyman             For       Withhold     Management
1.3   Elect Director James A. Geraghty        For       Withhold     Management
2     Ratify Ernst & Young LLP as Auditors    For       For          Management


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

WUXI APPTEC CO., LTD.

Ticker:       2359           Security ID:  Y971B1118
Meeting Date: MAY 15, 2020   Meeting Type: Annual
Record Date:  APR 14, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve 2019 Report of the Board of     For       For          Management
      Directors
2     Approve 2019 Report of the Supervisory  For       For          Management
      Committee
3     Approve 2019 Annual Report, Annual      For       For          Management
      Report Summary and Annual Results
      Announcements
4     Approve 2019 Financial Report           For       For          Management
5     Approve Provision of External           For       For          Management
      Guarantees for Subsidiaries
6     Approve Deloitte Touche Tohmatsu (a     For       For          Management
      Special General Partnership) as PRC
      Financial Report and Internal Control
      Report Auditors and Deloitte Touche
      Tohmatsu as Offshore Financial Report
      Auditors and Authorize Board to Fix
      their Remuneration
7     Approve Foreign Exchange Hedging Limit  For       For          Management
8     Approve Remuneration of Directors       For       For          Management
9     Approve Remuneration of Supervisors     For       For          Management
10    Approve the Proposal in Relation to     For       For          Management
      the Compliance with Conditions for the
      Proposed Non-Public Issuance of A
      Shares
11    Approve the Remedial Measures           For       For          Management
      Regarding Dilution on Returns for the
      Current Period Due to the Proposed
      Non-Public Issuance of A Shares
12    Approve the Shareholders' Dividend and  For       For          Management
      Return Plan (2020-2022)
13.1  Elect Ge Li as Director                 For       For          Management
13.2  Elect Edward Hu as Director             For       For          Management
13.3  Elect Zhaohui Zhang as Director         For       For          Management
13.4  Elect Ning Zhao as Director             For       For          Management
13.5  Elect Xiaomeng Tong as Director         For       For          Management
13.6  Elect Yibing Wu as Director             For       For          Management
13.7  Elect Steve Qing Yang as Director       For       For          Management
14.1  Elect Jiangnan Cai as Director          For       For          Management
14.2  Elect Yan Liu as Director               For       For          Management
14.3  Elect Dai Feng as Director              For       For          Management
14.4  Elect Hetong Lou as Director            For       For          Management
14.5  Elect Xiaotong Zhang as Director        For       For          Management
15.1  Approve Harry Liang He as Supervisor    For       For          Management
15.2  Approve Jichao Wang as Supervisor       For       For          Management
16    Approve 2019 Profit Distribution Plan   For       For          Management
17    Approve Increase in Registered Capital  For       For          Management
18    Approve Amendments to Articles of       For       For          Management
      Association
19    Amend Rules and Procedures Regarding    For       For          Management
      General Meetings of Shareholders
20    Amend Rules and Procedures Regarding    For       For          Management
      Meetings of Board of Directors
21    Approve Issuance of Equity or           For       For          Management
      Equity-Linked Securities without
      Preemptive Rights for A Shares and/or
      H Shares
22    Authorize Repurchase of Issued A and H  For       For          Management
      Share Capital
23.1  Approve Class and Par Value of Shares   For       For          Management
      to be Issued
23.2  Approve Method and Time of Issuance     For       For          Management
23.3  Approve Target Subscribers and Method   For       For          Management
      of Subscription
23.4  Approve Issue Price and Pricing         For       For          Management
      Principles
23.5  Approve Number of A Shares to be Issued For       For          Management
23.6  Approve Lock-up Period                  For       For          Management
23.7  Approve Place of Listing                For       For          Management
23.8  Approve Arrangement for the Retained    For       For          Management
      Undistributed Profits Prior to the
      Proposed Non-Public Issuance of A
      Shares
23.9  Approve Validity Period of the          For       For          Management
      Resolutions in Relation to the
      Proposed Non-Public Issuance of A
      Shares
23.10 Approve Amount and Use of Proceeds      For       For          Management
24    Approve Feasibility Report              For       For          Management
25    Approve the Report on the Use of        For       For          Management
      Proceeds from Previous Fund Raising
26    Approve the Authorization to the        For       For          Management
      Board, the Chairman and/or Authorized
      Persons of the Chairman in Relation to
      the Proposed Non-Public Issuance of A
      Shares
27    Approve the Proposed Issuance of H      For       For          Management
      Shares Under Specific Mandate


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

WUXI APPTEC CO., LTD.

Ticker:       2359           Security ID:  Y971B1118
Meeting Date: MAY 15, 2020   Meeting Type: Special
Record Date:  APR 14, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve 2019 Profit Distribution Plan   For       For          Management
2     Authorize Repurchase of Issued A and H  For       For          Management
      Share Capital
3     Approve the Proposed Issuance of H      For       For          Management
      Shares Under Specific Mandate


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

WUXI BIOLOGICS (CAYMAN), INC.

Ticker:       2269           Security ID:  G97008109
Meeting Date: JUN 09, 2020   Meeting Type: Annual
Record Date:  JUN 03, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accept Financial Statements and         For       For          Management
      Statutory Reports
2a    Elect Ge Li as Director                 For       For          Management
2b    Elect Zhisheng Chen as Director         For       For          Management
3     Elect Kenneth Walton Hitchner III as    For       For          Management
      Director
4     Authorize Board to Fix Remuneration of  For       For          Management
      Directors
5     Approve Deloitte Touche Tohmatsu as     For       For          Management
      Auditors and Authorize Board to Fix
      Their Remuneration
6     Approve Issuance of Equity or           For       Against      Management
      Equity-Linked Securities without
      Preemptive Rights
7     Authorize Repurchase of Issued Share    For       For          Management
      Capital
8     Authorize Reissuance of Repurchased     For       Against      Management
      Shares
9a    Approve Grant of Specific Mandate to    For       For          Management
      the Directors to Issue and Allot the
      Connected Restricted Shares
9b    Authorize Board to Deal with All        For       For          Management
      Matters in Relation to the Issue and
      Allotment of the Connected Restricted
      Shares Under the Specific Mandate and
      Related Transactions
10    Approve Grant of Connected Restricted   For       For          Management
      Shares Pursuant to the Scheme to
      Zhisheng Chen
11    Approve Grant of Connected Restricted   For       For          Management
      Shares Pursuant to the Scheme to
      Weichang  Zhou
12    Approve Grant of Connected Restricted   For       For          Management
      Shares Pursuant to the Scheme to
      Edward Hu
13    Approve Grant of Connected Restricted   For       For          Management
      Shares Pursuant to the Scheme to
      William  Robert Keller
14    Approve Grant of Connected Restricted   For       For          Management
      Shares Pursuant to the Scheme to
      Teh-Ming  Walter Kwauk


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

ZYMEWORKS INC.

Ticker:       ZYME           Security ID:  98985W102
Meeting Date: MAY 07, 2020   Meeting Type: Annual
Record Date:  MAR 13, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Hollings C. Renton       For       For          Management
1.2   Elect Director Lota Zoth                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     Approve KPMG LLP as Auditors and        For       For          Management
      Authorize Board to Fix Their
      Remuneration

========== 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 II

By:	/s/ John Perlowski
	John Perlowski
	Chief Executive Officer of
	BlackRock Health Sciences Trust II
Date:	August 27, 2020