UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

                                   FORM N-PX

                      ANNUAL REPORT OF PROXY VOTING RECORD
                                       OF
                   REGISTERED MANAGEMENT INVESTMENT COMPANIES

INVESTMENT COMPANY ACT FILE NUMBER:       811-3916

NAME OF REGISTRANT:                       VANGUARD SPECIALIZED FUNDS

ADDRESS OF REGISTRANT:                    PO BOX 2600, VALLEY FORGE, PA 19482

NAME AND ADDRESS OF AGENT FOR SERVICE:    ANNE E. ROBINSON
                                          PO BOX 876
                                          VALLEY FORGE, PA 19482

REGISTRANT'S TELEPHONE NUMBER, INCLUDING AREA CODE:  (610) 669-1000

DATE OF FISCAL YEAR END:                  JANUARY 31

DATE OF REPORTING PERIOD:                 JULY 1, 2019 - JUNE 30, 2020




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

ICA File Number: 81103916D
Reporting Period: 07/01/2019 - 06/30/2020
VANGUARD SPECIALIZED FUNDS









======= VANGUARD HEALTH CARE FUND - Voted at the discretion of the Fund ========

Each investment advisor's votes cast are shown separately below. The votes
reported reflect votes cast at the Fund's/advisor's discretion and exclude any
votes cast pursuant to a regulatory requirement.


ABIOMED, INC.

Ticker:       ABMD           Security ID:  003654100
Meeting Date: AUG 07, 2019   Meeting Type: Annual
Record Date:  JUN 10, 2019

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


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

ICON PLC

Ticker:       ICLR           Security ID:  G4705A100
Meeting Date: JUL 23, 2019   Meeting Type: Annual
Record Date:  MAY 28, 2019

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


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

MCKESSON CORPORATION

Ticker:       MCK            Security ID:  58155Q103
Meeting Date: JUL 31, 2019   Meeting Type: Annual
Record Date:  JUN 04, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Dominic J. Caruso        For       For          Management
1.2   Elect Director N. Anthony Coles         For       For          Management
1.3   Elect Director M. Christine Jacobs      For       For          Management
1.4   Elect Director Donald R. Knauss         For       For          Management
1.5   Elect Director Marie L. Knowles         For       For          Management
1.6   Elect Director Bradley E. Lerman        For       For          Management
1.7   Elect Director Edward A. Mueller        For       For          Management
1.8   Elect Director Susan R. Salka           For       For          Management
1.9   Elect Director Brian S. Tyler           For       For          Management
1.10  Elect Director Kenneth E. Washington    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     Report on Lobbying Payments and Policy  Against   Against      Shareholder
5     Reduce Ownership Threshold for          Against   Against      Shareholder
      Shareholders to Call Special Meeting


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

SHANGHAI FOSUN PHARMACEUTICAL (GROUP) CO., LTD.

Ticker:       2196           Security ID:  Y7687D109
Meeting Date: OCT 21, 2019   Meeting Type: Special
Record Date:  SEP 20, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve Transaction Agreement,          For       For          Management
      Rollover Agreement and Related
      Transactions
2     Approve Renewal of Continuing           For       For          Management
      Connected Transactions


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

WUXI APPTEC CO., LTD.

Ticker:       2359           Security ID:  Y971B1118
Meeting Date: SEP 20, 2019   Meeting Type: Special
Record Date:  AUG 20, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve Amendments to the Business      For       For          Management
      Scope
2     Approve 2019 A Share Incentive Plan     For       For          Management
3     Approve Grant of Restricted A Shares    For       For          Management
      to the Connected Participants
4     Approve List of Grantees Under the      For       For          Management
      Initial Grant of the 2019 A Share
      Incentive Plan
5     Approve 2019 Share Appreciation Scheme  For       For          Management
6     Approve Adoption of the Administrative  For       For          Management
      Measures for Appraisal System of the
      2019 Share Incentive Schemes
7     Authorize Board to Handle Matters       For       For          Management
      Pertaining to the 2019 Share Incentive
      Schemes
8     Approve Change of Registered Capital    For       For          Management
9     Amend Articles of Association           For       For          Management


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

WUXI APPTEC CO., LTD.

Ticker:       2359           Security ID:  Y971B1118
Meeting Date: SEP 20, 2019   Meeting Type: Special
Record Date:  AUG 20, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve 2019 A Share Incentive Plan     For       For          Management
2     Approve Grant of Restricted A Shares    For       For          Management
      to the Connected Participants
3     Approve List of Grantees Under the      For       For          Management
      Initial Grant of the 2019 A Share
      Incentive Plan
4     Approve Adoption of the Administrative  For       For          Management
      Measures for Appraisal System of the
      2019 Share Incentive Schemes
5     Authorize Board to Handle Matters       For       For          Management
      Pertaining to the 2019 Share Incentive
      Schemes




==================== VANGUARD HEALTH CARE FUND - WELLINGTON ====================

Each investment advisor's votes cast are shown separately below. The votes
reported reflect votes cast at the Fund's/advisor's discretion and exclude any
votes cast pursuant to a regulatory requirement.


ABBOTT LABORATORIES

Ticker:       ABT            Security ID:  002824100
Meeting Date: APR 24, 2020   Meeting Type: Annual
Record Date:  FEB 26, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Robert J. Alpern                  For       For          Management
1.2   Elect Roxanne S. Austin                 For       For          Management
1.3   Elect Sally E. Blount                   For       For          Management
1.4   Elect Robert B. Ford                    For       For          Management
1.5   Elect Michelle A. Kumbier               For       For          Management
1.6   Elect Edward M. Liddy                   For       For          Management
1.7   Elect Darren W. McDew                   For       For          Management
1.8   Elect Nancy McKinstry                   For       For          Management
1.9   Elect Phebe N. Novakovic                For       For          Management
1.10  Elect William A. Osborn                 For       For          Management
1.11  Elect Daniel J. Starks                  For       For          Management
1.12  Elect John G. Stratton                  For       For          Management
1.13  Elect Glenn F. Tilton                   For       For          Management
1.14  Elect Miles D. White                    For       For          Management
2     Ratification of Auditor                 For       For          Management
3     Advisory Vote on Executive Compensation For       For          Management
4     Shareholder Proposal Regarding          Against   Against      Shareholder
      Lobbying Report
5     Shareholder Proposal Regarding          Against   For          Shareholder
      Disclosure of Adjustments to Non-GAAP
      Metrics in Executive Compensation
6     Shareholder Proposal Regarding          Against   Against      Shareholder
      Shareholder Approval of Bylaw
      Amendments
7     Shareholder Proposal Regarding Simple   Against   For          Shareholder
      Majority Vote


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

ACADIA HEALTHCARE COMPANY, INC.

Ticker:       ACHC           Security ID:  00404A109
Meeting Date: MAY 07, 2020   Meeting Type: Annual
Record Date:  MAR 12, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Wade D. Miquelon                  For       For          Management
2     Elect William M. Petrie                 For       For          Management
3     Advisory Vote on Executive Compensation For       For          Management
4     Ratification of Auditor                 For       For          Management


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

AGILENT TECHNOLOGIES, INC.

Ticker:       A              Security ID:  00846U101
Meeting Date: APR 17, 2020   Meeting Type: Annual
Record Date:  JAN 22, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Heidi K. Kunz                     For       For          Management
2     Elect Sue H. Rataj                      For       For          Management
3     Elect George A. Scangos                 For       For          Management
4     Elect Dow R. Wilson                     For       For          Management
5     Approval of the 2020 Employee Stock     For       For          Management
      Purchase Plan
6     Advisory Vote on Executive Compensation For       For          Management
7     Ratification of Auditor                 For       For          Management


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

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
1.1   Elect Paul J. Clancy                    For       For          Management
1.2   Elect Ian T. Clark                      For       For          Management
2     Advisory Vote on Executive Compensation For       For          Management
3     Ratification of Auditor                 For       For          Management


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

ALCON AG

Ticker:       ALC            Security ID:  H01301128
Meeting Date: MAY 06, 2020   Meeting Type: Annual
Record Date:  APR 27, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Non-Voting Meeting Note                 N/A       TNA          Management
2     Non-Voting Meeting Note                 N/A       TNA          Management
3     Accounts and Reports                    For       TNA          Management
4     Ratification of Board and Management    For       TNA          Management
      Acts
5     Allocation of Profits                   For       TNA          Management
6     Compensation Report                     For       TNA          Management
7     Board Compensation                      For       TNA          Management
8     Executive Compensation                  For       TNA          Management
9     Elect F. Michael Ball as Board Chair    For       TNA          Management
10    Elect Lynn D. Bleil                     For       TNA          Management
11    Elect Arthur Cummings                   For       TNA          Management
12    Elect David Endicott                    For       TNA          Management
13    Elect Thomas Glanzmann                  For       TNA          Management
14    Elect D. Keith Grossman                 For       TNA          Management
15    Elect Scott H. Maw                      For       TNA          Management
16    Elect Karen J. May                      For       TNA          Management
17    Elect Ines Poschel                      For       TNA          Management
18    Elect Dieter Spalti                     For       TNA          Management
19    Elect Thomas Glanzmann as Compensation  For       TNA          Management
      Committee Member
20    Elect D. Keith Grossman as              For       TNA          Management
      Compensation Committee Member
21    Elect Karen J. May as Compensation      For       TNA          Management
      Committee Member
22    Elect Ines Poschel as Compensation      For       TNA          Management
      Committee Member
23    Appointment of Independent Proxy        For       TNA          Management
24    Appointment of Auditor                  For       TNA          Management


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

ALEXANDRIA REAL ESTATE EQUITIES, INC.

Ticker:       ARE            Security ID:  015271109
Meeting Date: JUN 08, 2020   Meeting Type: Annual
Record Date:  MAR 31, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Joel S. Marcus                    For       For          Management
2     Elect Steven R. Hash                    For       For          Management
3     Elect John L. Atkins, III               For       For          Management
4     Elect James P. Cain                     For       For          Management
5     Elect Maria C. Freire                   For       For          Management
6     Elect Jennifer Friel Goldstein          For       For          Management
7     Elect Richard H. Klein                  For       For          Management
8     Elect James H. Richardson               For       For          Management
9     Elect Michael A. Woronoff               For       For          Management
10    Amendment to the 1997 Stock Award and   For       For          Management
      Incentive Plan
11    Advisory Vote on Executive Compensation For       For          Management
12    Ratification of Auditor                 For       For          Management


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

ALKERMES PLC

Ticker:       ALKS           Security ID:  G01767105
Meeting Date: MAY 20, 2020   Meeting Type: Annual
Record Date:  MAR 17, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Shane M. Cooke                    For       For          Management
2     Elect Richard Gaynor                    For       For          Management
3     Elect Paul J. Mitchell                  For       For          Management
4     Elect Richard F. Pops                   For       For          Management
5     Advisory Vote on Executive Compensation For       For          Management
6     Ratification of Auditor                 For       For          Management
7     Amendment to the 2018 Stock Option and  For       For          Management
      Incentive Plan


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

ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.

Ticker:       MDRX           Security ID:  01988P108
Meeting Date: MAY 21, 2020   Meeting Type: Annual
Record Date:  MAR 27, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Mara G. Aspinall                  For       Against      Management
2     Elect Paul M. Black                     For       Against      Management
3     Elect P. Gregory Garrison               For       Against      Management
4     Elect Jonathan J. Judge                 For       Against      Management
5     Elect Michael A. Klayko                 For       Against      Management
6     Elect Dave B. Stevens                   For       Against      Management
7     Elect David D. Stevens                  For       Against      Management
8     Amendment to the 2019 Stock Incentive   For       For          Management
      Plan
9     Amendment to the Employee Stock         For       For          Management
      Purchase Plan
10    Ratification of Auditor                 For       For          Management
11    Advisory Vote on Executive Compensation For       For          Management


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

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
1     Elect Michael W. Bonney                 For       For          Management
2     Elect John M. Maraganore                For       For          Management
3     Elect Phillip A. Sharp                  For       For          Management
4     Amendment to the 2018 Stock Incentive   For       For          Management
      Plan
5     Amendment to the 2004 Employee Stock    For       For          Management
      Purchase Plan
6     Advisory Vote on Executive Compensation For       For          Management
7     Ratification of Auditor                 For       For          Management


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

AMNEAL PHARMACEUTICALS, INC.

Ticker:       AMRX           Security ID:  03168L105
Meeting Date: MAY 05, 2020   Meeting Type: Annual
Record Date:  MAR 12, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Emily Peterson Alva               For       For          Management
2     Elect J. Kevin Buchi                    For       For          Management
3     Elect Jeff George                       For       For          Management
4     Elect John Kiely                        For       For          Management
5     Elect Paul M. Meister                   For       For          Management
6     Elect Ted Nark                          For       For          Management
7     Elect Chintu Patel                      For       For          Management
8     Elect Chirag Patel                      For       For          Management
9     Elect Gautam Patel                      For       For          Management
10    Elect Shlomo Yanai                      For       For          Management
11    Advisory Vote on Executive Compensation For       For          Management
12    Amendment to the 2018 Incentive Award   For       For          Management
      Plan
13    Ratification of Auditor                 For       For          Management


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

ANTHEM, INC.

Ticker:       ANTM           Security ID:  036752103
Meeting Date: MAY 21, 2020   Meeting Type: Annual
Record Date:  MAR 16, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Gail K. Boudreaux                 For       For          Management
2     Elect R. Kerry Clark                    For       For          Management
3     Elect Robert L. Dixon, Jr.              For       For          Management
4     Advisory Vote on Executive Compensation For       For          Management
5     Ratification of Auditor                 For       For          Management
6     Shareholder Proposal Regarding Right    Against   Against      Shareholder
      to Call Special Meetings


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

ARGEN-X SE

Ticker:       ARGX           Security ID:  N0610Q109
Meeting Date: NOV 25, 2019   Meeting Type: Special
Record Date:  OCT 28, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Non-Voting Meeting Note                 N/A       N/A          Management
2     Non-Voting Agenda Item                  N/A       N/A          Management
3     Increase in Authorized Capital          For       Against      Management
4     Approval of the Amended Stock Option    For       For          Management
      Plan
5     Authority to Issue Stock Options        For       For          Management
6     Non-Voting Agenda Item                  N/A       N/A          Management
7     Non-Voting Agenda Item                  N/A       N/A          Management


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

ARGEN-X SE

Ticker:       ARGX           Security ID:  N0610Q109
Meeting Date: MAY 12, 2020   Meeting Type: Annual
Record Date:  APR 14, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Non-Voting Meeting Note                 N/A       N/A          Management
2     Non-Voting Agenda Item                  N/A       N/A          Management
3     Non-Voting Agenda Item                  N/A       N/A          Management
4     Remuneration Policy                     For       For          Management
5     Remuneration Report                     For       For          Management
6     Non-Voting Agenda Item                  N/A       N/A          Management
7     Accounts and Reports                    For       For          Management
8     Non-Voting Agenda Item                  N/A       N/A          Management
9     Allocation of Losses                    For       For          Management
10    Ratification of Board Acts              For       For          Management
11    Elect Pamela Klein to the Board of      For       For          Management
      Directors
12    Authority to Issue Stock Options        For       For          Management
13    Authority to Issue Shares w/ or w/o     For       For          Management
      Preemptive Rights
14    Authority to Issue Shares w/ or w/o     For       For          Management
      Preemptive Rights (Public Offering)
15    Appointment of Auditor                  For       For          Management
16    Non-Voting Agenda Item                  N/A       N/A          Management
17    Non-Voting Agenda Item                  N/A       N/A          Management


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

ASCENDIS PHARMA A/S

Ticker:       ASND           Security ID:  04351P101
Meeting Date: MAY 29, 2020   Meeting Type: Annual
Record Date:  APR 24, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Election of Presiding Chair             For       For          Management
2     Presentation of Accounts and Reports    For       For          Management
3     Accounts and Reports; Ratification of   For       For          Management
      Board and Management Acts
4     Allocation of Profits/Dividends         For       For          Management
5     Elect Albert Cha                        For       For          Management
6     Elect Birgitte Volck                    For       For          Management
7     Elect Lars Holtug                       For       For          Management
8     Appointment of Auditor                  For       For          Management
9     Authority to Issue Warrants w/o         For       For          Management
      Preemptive Rights Pursuant to LTI


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

ASTELLAS PHARMA INC.

Ticker:       4503           Security ID:  J03393105
Meeting Date: JUN 18, 2020   Meeting Type: Annual
Record Date:  MAR 31, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Non-Voting Meeting Note                 N/A       N/A          Management
2     Elect Yoshihiko Hatanaka                For       For          Management
3     Elect Kenji Yasukawa                    For       For          Management
4     Elect Naoki Okamura                     For       For          Management
5     Elect Mamoru Sekiyama                   For       For          Management
6     Elect Keiko Yamagami                    For       For          Management
7     Elect Hiroshi Kawabe                    For       For          Management
8     Elect Tatsuro Ishizuka                  For       For          Management
9     Elect Toru Yoshimitsu                   For       For          Management
10    Elect Hiro Sasaki                       For       For          Management
11    Elect Raita Takahashi                   For       For          Management


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

ASTRAZENECA PLC

Ticker:       AZN            Security ID:  G0593M107
Meeting Date: APR 29, 2020   Meeting Type: Annual
Record Date:

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accounts and Reports                    For       For          Management
2     Allocation of Profits/Dividends         For       For          Management
3     Appointment of Auditor                  For       For          Management
4     Authority to Set Auditor's Fees         For       For          Management
5     Elect Leif Johansson                    For       For          Management
6     Elect Pascal Soriot                     For       For          Management
7     Elect Marc Dunoyer                      For       For          Management
8     Elect Genevieve B. Berger               For       Against      Management
9     Elect Philip Broadley                   For       For          Management
10    Elect Graham A. Chipchase               For       For          Management
11    Elect Michel Demare                     For       For          Management
12    Elect Deborah DiSanzo Eldracher         For       For          Management
13    Elect Sheri McCoy                       For       For          Management
14    Elect Tony SK MOK                       For       For          Management
15    Elect Nazneen Rahman                    For       For          Management
16    Elect Marcus Wallenberg                 For       For          Management
17    Remuneration Report (Advisory)          For       For          Management
18    Remuneration Policy (Binding)           For       For          Management
19    Authorisation of Political Donations    For       For          Management
20    Authority to Issue Shares w/            For       For          Management
      Preemptive Rights
21    Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
22    Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights (Specified Capital
      Investment)
23    Authority to Repurchase Shares          For       For          Management
24    Authority to Set General Meeting        For       For          Management
      Notice Period at 14 Days
25    2020 Performance Share Plan             For       For          Management


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

BAXTER INTERNATIONAL INC.

Ticker:       BAX            Security ID:  071813109
Meeting Date: MAY 05, 2020   Meeting Type: Annual
Record Date:  MAR 12, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Jose E. Almeida                   For       For          Management
2     Elect Thomas F. Chen                    For       For          Management
3     Elect John D. Forsyth                   For       For          Management
4     Elect James R. Gavin III                For       For          Management
5     Elect Peter S. Hellman                  For       For          Management
6     Elect Michael F. Mahoney                For       For          Management
7     Elect Patricia Morrison                 For       For          Management
8     Elect Stephen N. Oesterle               For       For          Management
9     Elect Cathy R. Smith                    For       For          Management
10    Elect Thomas T. Stallkamp               For       For          Management
11    Elect Albert P.L. Stroucken             For       For          Management
12    Elect Amy M. Wendell                    For       For          Management
13    Advisory Vote on Executive Compensation For       For          Management
14    Ratification of Auditor                 For       For          Management
15    Shareholder Proposal Regarding          Against   For          Shareholder
      Independent Chair
16    Shareholder Proposal Regarding Right    Against   Against      Shareholder
      to Act by Written Consent


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

BEIGENE, LTD.

Ticker:       BGNE           Security ID:  07725L102
Meeting Date: DEC 27, 2019   Meeting Type: Special
Record Date:  NOV 27, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Issuance of Common Stock to Amgen       For       For          Management
2     Collaboration Agreement                 For       For          Management
3     Annual Royalty Caps in Relation to      For       For          Management
      Collaboration Agreement
4     Elect Anthony C. Hooper                 For       For          Management


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

BEIGENE, LTD.

Ticker:       BGNE           Security ID:  07725L102
Meeting Date: JUN 17, 2020   Meeting Type: Annual
Record Date:  APR 16, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect John V. Oyler                     For       For          Management
2     Elect Timothy Y. Chen                   For       For          Management
3     Elect Jing-Shyh S. Su                   For       For          Management
4     Ratification of Auditor                 For       For          Management
5     General Mandate to Issue Shares         For       For          Management
6     Connected Person Placing Authorization  For       For          Management
      I
7     Connected Person Placing Authorization  For       For          Management
      II
8     Amendment to the 2016 Share Option and  For       For          Management
      Incentive Plan
9     Advisory Vote on Executive Compensation For       For          Management


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

BIOGEN INC.

Ticker:       BIIB           Security ID:  09062X103
Meeting Date: JUN 03, 2020   Meeting Type: Annual
Record Date:  APR 06, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Alexander J. Denner               For       For          Management
2     Elect Caroline D. Dorsa                 For       For          Management
3     Elect William A. Hawkins                For       For          Management
4     Elect Nancy L. Leaming                  For       For          Management
5     Elect Jesus B. Mantas                   For       For          Management
6     Elect Richard C. Mulligan               For       For          Management
7     Elect Robert W. Pangia                  For       For          Management
8     Elect Stelios Papadopoulos              For       For          Management
9     Elect Brian S. Posner                   For       For          Management
10    Elect Eric K. Rowinsky                  For       For          Management
11    Elect Stephen A. Sherwin                For       For          Management
12    Elect Michel Vounatsos                  For       For          Management
13    Ratification of Auditor                 For       For          Management
14    Advisory Vote on Executive Compensation For       For          Management


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

BLUEBIRD BIO, INC.

Ticker:       BLUE           Security ID:  09609G100
Meeting Date: JUN 18, 2020   Meeting Type: Annual
Record Date:  APR 23, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Nick Leschly                      For       For          Management
2     Elect Douglas A. Melton                 For       For          Management
3     Elect Mark Vachon                       For       For          Management
4     Advisory Vote on Executive Compensation For       For          Management
5     Ratification of Auditor                 For       For          Management


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

BOSTON SCIENTIFIC CORPORATION

Ticker:       BSX            Security ID:  101137107
Meeting Date: MAY 07, 2020   Meeting Type: Annual
Record Date:  MAR 13, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Nelda J. Connors                  For       For          Management
2     Elect Charles J. Dockendorff            For       For          Management
3     Elect Yoshiaki Fujimori                 For       Abstain      Management
4     Elect Donna A. James                    For       For          Management
5     Elect Edward J. Ludwig                  For       For          Management
6     Elect Stephen P. MacMillan              For       For          Management
7     Elect Michael F. Mahoney                For       For          Management
8     Elect David J. Roux                     For       For          Management
9     Elect John E. Sununu                    For       For          Management
10    Elect Ellen M. Zane                     For       For          Management
11    Advisory Vote on Executive Compensation For       For          Management
12    Amendment to the 2011 Long-Term         For       For          Management
      Incentive Plan
13    Ratification of Auditor                 For       For          Management
14    Shareholder Proposal Regarding Report   Against   Against      Shareholder
      on Non-Management Employee
      Representation on the Board


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

BRISTOL-MYERS SQUIBB COMPANY

Ticker:       BMY            Security ID:  110122108
Meeting Date: MAY 05, 2020   Meeting Type: Annual
Record Date:  MAR 16, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Peter J. Arduini                  For       For          Management
2     Elect Robert J. Bertolini               For       For          Management
3     Elect Michael W. Bonney                 For       For          Management
4     Elect Giovanni Caforio                  For       For          Management
5     Elect Matthew W. Emmens                 For       For          Management
6     Elect Julia A. Haller                   For       For          Management
7     Elect Dinesh C. Paliwal                 For       For          Management
8     Elect Theodore R. Samuels, II           For       For          Management
9     Elect Vicki L. Sato                     For       For          Management
10    Elect Gerald Storch                     For       For          Management
11    Elect Karen H. Vousden                  For       For          Management
12    Elect Phyllis R. Yale                   For       For          Management
13    Advisory Vote on Executive Compensation For       For          Management
14    Ratification of Auditor                 For       For          Management
15    Shareholder Proposal Regarding          Against   For          Shareholder
      Independent Chair
16    Shareholder Proposal Regarding Right    Against   Against      Shareholder
      to Act by Written Consent


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

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
1     Elect Michael F. Neidorff               For       For          Management
2     Elect H. James Dallas                   For       For          Management
3     Elect Robert K. Ditmore                 For       For          Management
4     Elect Richard A. Gephardt               For       For          Management
5     Elect Lori J. Robinson                  For       For          Management
6     Elect William L. Trubeck                For       For          Management
7     Advisory Vote on Executive Compensation For       Against      Management
8     Ratification of Auditor                 For       For          Management
9     Amendment to the  2002 Employee Stock   For       For          Management
      Purchase Plan
10    Shareholder Proposal Regarding          Against   For          Shareholder
      Political Contributions and
      Expenditures Report
11    Shareholder Proposal Regarding Simple   Against   For          Shareholder
      Majority Vote


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

CERNER CORPORATION

Ticker:       CERN           Security ID:  156782104
Meeting Date: MAY 22, 2020   Meeting Type: Annual
Record Date:  MAR 24, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Julie L. Gerberding               For       For          Management
2     Elect Brent Shafer                      For       For          Management
3     Elect William D. Zollars                For       For          Management
4     Ratification of Auditor                 For       For          Management
5     Advisory Vote on Executive Compensation For       For          Management
6     Repeal of Classified Board              For       For          Management
7     Amendment to the Advance Notice         For       For          Management
      Provisions


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

CHUGAI PHARMACEUTICAL CO.,LTD.

Ticker:       4519           Security ID:  J06930101
Meeting Date: MAR 30, 2020   Meeting Type: Annual
Record Date:  DEC 31, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Non-Voting Meeting Note                 N/A       N/A          Management
2     Allocation of Profits/Dividends         For       For          Management
3     Elect Tatsuro Kosaka                    For       For          Management
4     Elect Motoo Ueno                        For       For          Management
5     Elect Osamu Okuda                       For       For          Management
6     Elect Mariko Momoi                      For       For          Management
7     Elect Takaaki Nimura                    For       For          Management
8     Elect Kenichi Masuda                    For       For          Management
9     Statutory Auditors' Fees                For       For          Management


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

CONVATEC GROUP PLC

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

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accounts and Reports                    For       For          Management
2     Remuneration Report (Advisory)          For       For          Management
3     Remuneration Policy (Binding)           For       For          Management
4     Allocation of Profits/Dividends         For       For          Management
5     Elect John D.G. McAdam                  For       For          Management
6     Elect Karim Bitar                       For       For          Management
7     Elect Brian M. May                      For       For          Management
8     Elect Frank Schulkes                    For       For          Management
9     Elect Margaret Ewing                    For       For          Management
10    Elect Rick D. Anderson                  For       For          Management
11    Elect Regina Benjamin                   For       For          Management
12    Elect Rosalind C. Rivaz                 For       For          Management
13    Elect Sten Scheibye                     For       For          Management
14    Appointment of Auditor                  For       For          Management
15    Authority to Set Auditor's Fees         For       For          Management
16    Authorisation of Political Donations    For       For          Management
17    Authority to Issue Shares w/            For       For          Management
      Preemptive Rights
18    Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
19    Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights (Specified Capital
      Investment)
20    Authority to Repurchase Shares          For       For          Management
21    Authority to Set General Meeting        For       For          Management
      Notice Period at 14 Days
22    Non-Voting Meeting Note                 N/A       N/A          Management


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

CVS HEALTH CORPORATION

Ticker:       CVS            Security ID:  126650100
Meeting Date: MAY 14, 2020   Meeting Type: Annual
Record Date:  MAR 18, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Fernando Aguirre                  For       For          Management
2     Elect C. David Brown II                 For       For          Management
3     Elect Alecia A. DeCoudreaux             For       For          Management
4     Elect Nancy-Ann M. DeParle              For       For          Management
5     Elect David W. Dorman                   For       For          Management
6     Elect Roger N. Farah                    For       For          Management
7     Elect Anne M. Finucane                  For       For          Management
8     Elect Edward J. Ludwig                  For       For          Management
9     Elect Larry J. Merlo                    For       For          Management
10    Elect Jean-Pierre Millon                For       For          Management
11    Elect Mary L. Schapiro                  For       For          Management
12    Elect William C. Weldon                 For       For          Management
13    Elect Tony L. White                     For       For          Management
14    Ratification of Auditor                 For       For          Management
15    Advisory Vote on Executive Compensation For       For          Management
16    Amendment to the 2017 Incentive         For       For          Management
      Compensation Plan
17    Amendment to the 2007 Employee Stock    For       For          Management
      Purchase Plan
18    Shareholder Proposal Regarding          Against   Against      Shareholder
      Reducing Ownership Threshold Required
      to Act by Written Consent
19    Shareholder Proposal Regarding          Against   Against      Shareholder
      Independent Chair


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

DAIICHI SANKYO COMPANY, LIMITED

Ticker:       4568           Security ID:  J11257102
Meeting Date: JUN 15, 2020   Meeting Type: Annual
Record Date:  MAR 31, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Non-Voting Meeting Note                 N/A       N/A          Management
2     Allocation of Profits/Dividends         For       For          Management
3     Elect Sunao Manabe                      For       For          Management
4     Elect Toshiaki Sai                      For       For          Management
5     Elect Satoru Kimura                     For       For          Management
6     Elect Noritaka  Uji                     For       For          Management
7     Elect Tsuguya Fukui                     For       For          Management
8     Elect Kazuaki Kama                      For       For          Management
9     Elect Sawako Nohara                     For       For          Management
10    Elect Masahiko Ohtsuki                  For       For          Management
11    Elect Shoji Hirashima                   For       For          Management
12    Bonus                                   For       For          Management
13    Amendments to Restricted Stock Plan     For       For          Management


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

DANAHER CORPORATION

Ticker:       DHR            Security ID:  235851102
Meeting Date: MAY 05, 2020   Meeting Type: Annual
Record Date:  MAR 09, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Linda P. Hefner Filler            For       For          Management
2     Elect Thomas P. Joyce, Jr.              For       For          Management
3     Elect Teri  List-Stoll                  For       For          Management
4     Elect Walter G. Lohr, Jr.               For       For          Management
5     Elect Jessica L. Mega                   For       For          Management
6     Elect Pardis C. Sabeti                  For       For          Management
7     Elect Mitchell P. Rales                 For       For          Management
8     Elect Steven M. Rales                   For       For          Management
9     Elect John T. Schwieters                For       For          Management
10    Elect Alan G. Spoon                     For       For          Management
11    Elect Raymond C. Stevens                For       For          Management
12    Elect Elias A. Zerhouni                 For       For          Management
13    Ratification of Auditor                 For       For          Management
14    Advisory Vote on Executive Compensation For       For          Management
15    Shareholder Proposal Regarding Right    Against   Against      Shareholder
      to Call Special Meetings


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

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
1     Elect Michael A. Mussallem              For       For          Management
2     Elect Kieran T. Gallahue                For       For          Management
3     Elect Leslie S. Heisz                   For       For          Management
4     Elect William J. Link                   For       For          Management
5     Elect Steven R. Loranger                For       For          Management
6     Elect Martha H. Marsh                   For       For          Management
7     Elect Ramona Sequeira                   For       For          Management
8     Elect Nicholas J. Valeriani             For       For          Management
9     Advisory Vote on Executive Compensation For       For          Management
10    Approval of the 2020 Non-Employee       For       For          Management
      Directors Stock Incentive Plan
11    Increase of Authorized Common Stock     For       For          Management
      for Stock Split
12    Ratification of Auditor                 For       For          Management
13    Shareholder Proposal Regarding Right    Against   Against      Shareholder
      to Act by Written Consent


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

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     Non-Voting Meeting Note                 N/A       N/A          Management
2     Elect Haruo Naito                       For       For          Management
3     Elect Yasuhiko Katoh                    For       For          Management
4     Elect Hirokazu Kanai                    For       For          Management
5     Elect Daiken  Tsunoda                   For       For          Management
6     Elect Bruce Aronson                     For       For          Management
7     Elect Yutaka Tsuchiya                   For       For          Management
8     Elect Shuzo Kaihori                     For       For          Management
9     Elect Ryuichi Murata                    For       For          Management
10    Elect Hideyo Uchiyama                   For       For          Management
11    Elect Hideki Hayashi                    For       For          Management
12    Elect Yumiko Miwa                       For       For          Management


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

ELANCO ANIMAL HEALTH INCORPORATED

Ticker:       ELAN           Security ID:  28414H103
Meeting Date: MAY 21, 2020   Meeting Type: Annual
Record Date:  MAR 16, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Michael J. Harrington             For       For          Management
2     Elect Deborah T. Kochevar               For       For          Management
3     Elect Kirk McDonald                     For       For          Management
4     Ratification of Auditor                 For       For          Management
5     Advisory Vote on Executive Compensation For       For          Management


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

ELI LILLY AND COMPANY

Ticker:       LLY            Security ID:  532457108
Meeting Date: MAY 04, 2020   Meeting Type: Annual
Record Date:  MAR 09, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Michael L. Eskew                  For       For          Management
2     Elect William G. Kaelin, Jr.            For       For          Management
3     Elect David A. Ricks                    For       For          Management
4     Elect Marschall S. Runge                For       For          Management
5     Elect Karen Walker                      For       For          Management
6     Advisory Vote on Executive Compensation For       For          Management
7     Ratification of Auditor                 For       For          Management
8     Repeal of Classified Board              For       For          Management
9     Elimination of Supermajority            For       For          Management
      Requirement
10    Shareholder Proposal Regarding          Against   Against      Shareholder
      Lobbying Report
11    Shareholder Proposal Regarding Forced   Against   Against      Shareholder
      Swim Test
12    Shareholder Proposal Regarding          Against   For          Shareholder
      Independent Chair
13    Shareholder Proposal Regarding          Against   Against      Shareholder
      Disclosure of Board Qualifications
14    Shareholder Proposal Regarding Report   Against   For          Shareholder
      on Linking Executive Compensation to
      Public Concern Over Drug Pricing
15    Shareholder Proposal Regarding Bonus    Against   For          Shareholder
      Deferral Policy
16    Shareholder Proposal Regarding          Against   For          Shareholder
      Recoupment Report


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

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
1     Elect Greg D. Carmichael                For       For          Management
2     Elect John W. Chidsey                   For       For          Management
3     Elect Donald L. Correll                 For       For          Management
4     Elect Yvonne M. Curl                    For       For          Management
5     Elect Charles M. Elson                  For       For          Management
6     Elect Joan E. Herman                    For       For          Management
7     Elect Leo I. Higdon, Jr.                For       For          Management
8     Elect Leslye G. Katz                    For       For          Management
9     Elect Patricia A. Maryland              For       For          Management
10    Elect John E. Maupin, Jr.               For       For          Management
11    Elect Nancy M. Schlichting              For       For          Management
12    Elect L. Edward Shaw, Jr.               For       For          Management
13    Elect Mark J. Tarr                      For       For          Management
14    Elect Terrance Williams                 For       For          Management
15    Ratification of Auditor                 For       For          Management
16    Advisory Vote on Executive Compensation For       For          Management


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

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
1.1   Elect Kieran T. Gallahue                For       For          Management
2     Ratification of Auditor                 For       For          Management
3     Advisory Vote on Executive Compensation For       For          Management
4     Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation


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

GALAPAGOS NV

Ticker:       GLPG           Security ID:  B44170106
Meeting Date: OCT 22, 2019   Meeting Type: Mix
Record Date:  OCT 08, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Non-Voting Meeting Note                 N/A       N/A          Management
2     Non-Voting Meeting Note                 N/A       N/A          Management
3     Elect Daniel P. O'Day                   For       For          Management
4     Elect Linda Higgins                     For       For          Management
5     Authority to Set Auditor's Fees         For       For          Management
6     Non-Voting Agenda Item                  N/A       N/A          Management
7     Non-Voting Agenda Item                  N/A       N/A          Management
8     Equity Grant (Gilead Therapeutics)      For       For          Management
9     Non-Voting Agenda Item                  N/A       N/A          Management
10    Increase in Authorised Capital          For       For          Management
11    Non-Voting Meeting Note                 N/A       N/A          Management
12    Non-Voting Meeting Note                 N/A       N/A          Management
13    Non-Voting Meeting Note                 N/A       N/A          Management


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

GALAPAGOS NV

Ticker:       GLPG           Security ID:  B44170106
Meeting Date: APR 28, 2020   Meeting Type: Mix
Record Date:  APR 14, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Non-Voting Meeting Note                 N/A       N/A          Management
2     Non-Voting Meeting Note                 N/A       N/A          Management
3     Non-Voting Agenda Item                  N/A       N/A          Management
4     Accounts and Reports; Allocation of     For       For          Management
      Profits
5     Non-Voting Agenda Item                  N/A       N/A          Management
6     Non-Voting Agenda Item                  N/A       N/A          Management
7     Executive Remuneration Policy           For       For          Management
8     Remuneration Report                     For       For          Management
9     Ratification of Board and Auditors'     For       For          Management
      Acts
10    Non-Voting Agenda Item                  N/A       N/A          Management
11    Appointment of Auditor and Authority    For       For          Management
      to Set Fees
12    Elect Mary Kerr to the Board of         For       For          Management
      Directors
13    Elect Elisabeth Svanberg to the Board   For       For          Management
      of Directors
14    Non-Executive Directors' Fees           For       For          Management
15    Subscription Right Grant to the CEO     For       For          Management
16    Non-Voting Agenda Item                  N/A       N/A          Management
17    Amendments to Articles (Company's       For       For          Management
      Purpose)
18    Opt-in to the Companies and             For       For          Management
      Associations Code
19    Election of Supervisory Board Members   For       For          Management
      (Slate)
20    Authority to Coordinate Articles        For       For          Management
21    Authorisation of Legal Formalities      For       For          Management
22    Non-Voting Meeting Note                 N/A       N/A          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     Accounts and Reports; Ratification of   For       For          Management
      Board and Management Acts
2     Allocation of Profits/Dividends         For       For          Management
3     Elect Deirdre P. Connelly               For       For          Management
4     Elect Pernille Erenbjerg                For       For          Management
5     Elect Rolf Hoffman                      For       For          Management
6     Elect Paolo Paoletti                    For       For          Management
7     Elect Anders Gersel Pedersen            For       For          Management
8     Elect Jonathan M. Peacock               For       For          Management
9     Appointment of Auditor                  For       For          Management
10    Remuneration Policy                     For       For          Management
11    Directors' Fees                         For       For          Management
12    Amendments to Articles Regarding Share  For       For          Management
      Register
13    Transaction of Other Business           For       Against      Management


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

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     Non-Voting Meeting Note                 N/A       N/A          Management
2     Non-Voting Meeting Note                 N/A       N/A          Management
3     Non-Voting Meeting Note                 N/A       N/A          Management
4     Non-Voting Agenda Item                  N/A       N/A          Management
5     Accounts and Reports; Ratification of   For       For          Management
      Board and Management Acts
6     Allocation of Profits/Dividends         For       For          Management
7     Elect Deirdre P. Connelly               For       For          Management
8     Elect Pernille Erenbjerg                For       For          Management
9     Elect Rolf Hoffman                      For       For          Management
10    Elect Paolo Paoletti                    For       For          Management
11    Elect Anders Gersel Pedersen            For       For          Management
12    Elect Jonathan M. Peacock               For       For          Management
13    Appointment of Auditor                  For       For          Management
14    Remuneration Policy                     For       For          Management
15    Directors' Fees                         For       For          Management
16    Amendments to Articles Regarding Share  For       For          Management
      Register
17    Authority to Carry Out Formalities      For       For          Management
18    Non-Voting Agenda Item                  N/A       N/A          Management
19    Non-Voting Meeting Note                 N/A       N/A          Management


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

HCA HEALTHCARE, INC.

Ticker:       HCA            Security ID:  40412C101
Meeting Date: MAY 01, 2020   Meeting Type: Annual
Record Date:  MAR 09, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Thomas F. Frist III               For       For          Management
2     Elect Samuel N. Hazen                   For       For          Management
3     Elect Meg G. Crofton                    For       For          Management
4     Elect Robert J. Dennis                  For       For          Management
5     Elect Nancy-Ann DeParle                 For       For          Management
6     Elect William R. Frist                  For       For          Management
7     Elect Charles O. Holliday, Jr.          For       For          Management
8     Elect Michael W. Michelson              For       For          Management
9     Elect Wayne J. Riley                    For       For          Management
10    Ratification of Auditor                 For       For          Management
11    Advisory Vote on Executive Compensation For       For          Management
12    Approval of the 2020 Stock Incentive    For       For          Management
      Plan
13    Adoption of Right to Call Special       For       For          Management
      Meetings
14    Shareholder Proposal Regarding Right    Against   Against      Shareholder
      to Act by Written Consent


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

HIKMA PHARMACEUTICALS PLC

Ticker:       HIK            Security ID:  G4576K104
Meeting Date: APR 30, 2020   Meeting Type: Annual
Record Date:

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accounts and Reports                    For       For          Management
2     Final Dividend                          For       For          Management
3     Appointment of Auditor                  For       For          Management
4     Authority to Set Auditor's Fees         For       For          Management
5     Elect Cynthia L. Schwalm                For       For          Management
6     Elect Said Darwazah                     For       For          Management
7     Elect Sigurdur Olafsson                 For       For          Management
8     Elect Mazen Darwazah                    For       For          Management
9     Elect Robert Pickering                  For       For          Management
10    Elect Ali Al-Husry                      For       For          Management
11    Elect Pat Butler                        For       For          Management
12    Elect Pamela J. Kirby                   For       For          Management
13    Elect Jochen Gann                       For       For          Management
14    Elect John Castellani                   For       For          Management
15    Elect Nina Henderson                    For       For          Management
16    Remuneration Policy (Binding)           For       For          Management
17    Remuneration Report (Advisory)          For       For          Management
18    Authority to Issue Shares w/            For       For          Management
      Preemptive Rights
19    Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
20    Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights (Specified Capital
      Investment)
21    Authority to Repurchase Shares          For       For          Management
22    Authority to Set General Meeting        For       For          Management
      Notice Period at 14 Days


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

HILL-ROM HOLDINGS, INC.

Ticker:       HRC            Security ID:  431475102
Meeting Date: FEB 25, 2020   Meeting Type: Annual
Record Date:  JAN 02, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect William G. Dempsey                For       For          Management
1.2   Elect Gary L. Ellis                     For       For          Management
1.3   Elect Stacy Enxing Seng                 For       For          Management
1.4   Elect Mary Garrett                      For       For          Management
1.5   Elect James R. Giertz                   For       For          Management
1.6   Elect John P. Groetelaars               For       For          Management
1.7   Elect William H. Kucheman               For       For          Management
1.8   Elect Ronald A. Malone                  For       For          Management
1.9   Elect Gregory J. Moore                  For       For          Management
1.10  Elect Felicia F. Norwood                For       For          Management
1.11  Elect Nancy M. Schlichting              For       For          Management
2     Advisory Vote on Executive Compensation For       For          Management
3     Ratification of Auditor                 For       For          Management
4     Amendment to the Employee Stock         For       For          Management
      Purchase Plan


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

HOLOGIC, INC.

Ticker:       HOLX           Security ID:  436440101
Meeting Date: MAR 05, 2020   Meeting Type: Annual
Record Date:  JAN 08, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Stephen P. MacMillan              For       For          Management
1.2   Elect Sally Crawford                    For       For          Management
1.3   Elect Charles J. Dockendorff            For       For          Management
1.4   Elect Scott T. Garrett                  For       For          Management
1.5   Elect Ludwig N. Hantson                 For       For          Management
1.6   Elect Namal Nawana                      For       For          Management
1.7   Elect Christina  Stamoulis              For       For          Management
1.8   Elect Amy M. Wendell                    For       For          Management
2     Advisory Vote on Executive Compensation For       For          Management
3     Ratification of Auditor                 For       For          Management


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

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
1     Elect Kurt J. Hilzinger                 For       For          Management
2     Elect Frank J. Bisignano                For       For          Management
3     Elect Bruce D. Broussard                For       For          Management
4     Elect Frank A. D'Amelio                 For       For          Management
5     Elect W. Roy Dunbar                     For       For          Management
6     Elect Wayne A.I. Frederick              For       For          Management
7     Elect John W. Garratt                   For       For          Management
8     Elect David A. Jones Jr.                For       For          Management
9     Elect Karen W. Katz                     For       For          Management
10    Elect William J. McDonald               For       For          Management
11    Elect James J. O'Brien                  For       For          Management
12    Elect Marissa T. Peterson               For       For          Management
13    Ratification of Auditor                 For       For          Management
14    Advisory Vote on Executive Compensation For       For          Management


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

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
1     Elect Caroline D. Dorsa                 For       For          Management
2     Elect Robert S. Epstein                 For       For          Management
3     Elect Scott Gottlieb                    For       For          Management
4     Elect Philip W. Schiller                For       For          Management
5     Ratification of Auditor                 For       For          Management
6     Advisory Vote on Executive Compensation For       For          Management
7     Shareholder Proposal Regarding          Against   For          Shareholder
      Political Contributions and
      Expenditures Report


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

INCYTE CORPORATION

Ticker:       INCY           Security ID:  45337C102
Meeting Date: MAY 26, 2020   Meeting Type: Annual
Record Date:  APR 01, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Julian C. Baker                   For       For          Management
2     Elect Jean-Jacques Bienaime             For       For          Management
3     Elect Paul J. Clancy                    For       For          Management
4     Elect Wendy L. Dixon                    For       For          Management
5     Elect Jacqualyn A. Fouse                For       For          Management
6     Elect Paul A. Friedman                  For       For          Management
7     Elect Edmund P. Harrigan                For       For          Management
8     Elect Katherine A. High                 For       For          Management
9     Elect Herve Hoppenot                    For       For          Management
10    Advisory Vote on Executive Compensation For       For          Management
11    Amendment to the 1997 Employee Stock    For       For          Management
      Purchase Plan
12    Ratification of Auditor                 For       For          Management
13    Shareholder Proposal Regarding          Against   For          Shareholder
      Independent Chair


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

IQVIA HOLDINGS INC.

Ticker:       IQV            Security ID:  46266C105
Meeting Date: APR 06, 2020   Meeting Type: Annual
Record Date:  FEB 12, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Carol J. Burt                     For       For          Management
1.2   Elect Colleen A. Goggins                For       For          Management
1.3   Elect Ronald A. Rittenmeyer             For       For          Management
2     Advisory Vote on Executive Compensation For       Against      Management
3     Ratification of Auditor                 For       For          Management


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

IRONWOOD PHARMACEUTICALS, INC.

Ticker:       IRWD           Security ID:  46333X108
Meeting Date: JUN 03, 2020   Meeting Type: Annual
Record Date:  APR 13, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Mark G. Currie                    For       For          Management
1.2   Elect Jon R. Duane                      For       For          Management
1.3   Elect Mark Mallon                       For       For          Management
2     Advisory Vote on Executive Compensation For       For          Management
3     Ratification of Auditor                 For       For          Management


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

KONINKLIJKE PHILIPS N.V.

Ticker:       PHIA           Security ID:  N7637U112
Meeting Date: APR 30, 2020   Meeting Type: Annual
Record Date:  APR 02, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Non-Voting Agenda Item                  N/A       N/A          Management
2     Non-Voting Agenda Item                  N/A       N/A          Management
3     Accounts and Reports                    For       For          Management
4     Allocation of Profits/Dividends         For       For          Management
5     Remuneration Report                     For       For          Management
6     Ratification of Management Board Acts   For       For          Management
7     Ratification of Supervisory Board Acts  For       For          Management
8     Management Board Remuneration Policy    For       For          Management
9     Long-Term Incentive Plan                For       For          Management
10    Supervisory Board Remuneration Policy   For       For          Management
11    Elect Neelam Dhawan                     For       For          Management
12    Elect Feike Sijbesma                    For       For          Management
13    Elect Peter Loscher                     For       For          Management
14    Authority to Issue Shares w/            For       For          Management
      Preemptive Rights
15    Authority to Suppress Preemptive Rights For       For          Management
16    Authority to Repurchase Shares          For       For          Management
17    Cancellation Of Shares                  For       For          Management
18    Non-Voting Agenda Item                  N/A       N/A          Management
19    Non-Voting Meeting Note                 N/A       N/A          Management
20    Non-Voting Meeting Note                 N/A       N/A          Management


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

KONINKLIJKE PHILIPS N.V.

Ticker:       PHIA           Security ID:  N7637U112
Meeting Date: JUN 26, 2020   Meeting Type: Special
Record Date:  MAY 29, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Non-Voting Meeting Note                 N/A       N/A          Management
2     Allocation of Scrip Dividend            For       For          Management


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

MEDTRONIC PLC

Ticker:       MDT            Security ID:  G5960L103
Meeting Date: DEC 06, 2019   Meeting Type: Annual
Record Date:  OCT 10, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Richard H. Anderson               For       For          Management
2     Elect Craig Arnold                      For       For          Management
3     Elect Scott C. Donnelly                 For       For          Management
4     Elect Andrea J. Goldsmith               For       For          Management
5     Elect Randall J. Hogan, III             For       For          Management
6     Elect Omar Ishrak                       For       For          Management
7     Elect Michael O. Leavitt                For       For          Management
8     Elect James T. Lenehan                  For       For          Management
9     Elect Geoffrey Straub  Martha           For       For          Management
10    Elect Elizabeth G. Nabel                For       For          Management
11    Elect Denise M. O'Leary                 For       For          Management
12    Elect Kendall J. Powell                 For       For          Management
13    Appointment of Auditor and Authority    For       For          Management
      to Set Fees
14    Advisory Vote on Executive Compensation For       For          Management
15    Authority to Issue Shares w/            For       For          Management
      Preemptive Rights
16    Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
17    Authority to Repurchase Shares          For       For          Management


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

MERCK & CO., INC.

Ticker:       MRK            Security ID:  58933Y105
Meeting Date: MAY 26, 2020   Meeting Type: Annual
Record Date:  MAR 27, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Leslie A. Brun                    For       For          Management
2     Elect Thomas R. Cech                    For       For          Management
3     Elect Mary Ellen Coe                    For       For          Management
4     Elect Pamela J. Craig                   For       For          Management
5     Elect Kenneth C. Frazier                For       For          Management
6     Elect Thomas H. Glocer                  For       For          Management
7     Elect Risa Lavizzo-Mourey               For       For          Management
8     Elect Paul B. Rothman                   For       For          Management
9     Elect Patricia F. Russo                 For       For          Management
10    Elect Christine E. Seidman              For       For          Management
11    Elect Inge G. Thulin                    For       For          Management
12    Elect Kathy J. Warden                   For       For          Management
13    Elect Peter C. Wendell                  For       For          Management
14    Advisory Vote on Executive Compensation For       For          Management
15    Ratification of Auditor                 For       For          Management
16    Shareholder Proposal Regarding Right    Against   Against      Shareholder
      to Act by Written Consent
17    Shareholder Proposal Regarding Report   Against   Against      Shareholder
      on Tax Savings as a Result of the Tax
      Cut and Jobs Act


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

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 Charles M. Baum                   For       For          Management
1.2   Elect Bruce L.A. Carter                 For       For          Management
1.3   Elect Julie M. Cherrington              For       For          Management
1.4   Elect Aaron I. Davis                    For       For          Management
1.5   Elect Henry J. Fuchs                    For       For          Management
1.6   Elect Michael Grey                      For       For          Management
1.7   Elect Faheem Hasnain                    For       For          Management
1.8   Elect Craig A. Johnson                  For       For          Management
1.9   Elect Maya Martinez-Davis               For       For          Management
2     Advisory Vote on Executive Compensation For       For          Management
3     Ratification of Auditor                 For       For          Management


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

MOLINA HEALTHCARE, INC.

Ticker:       MOH            Security ID:  60855R100
Meeting Date: MAY 07, 2020   Meeting Type: Annual
Record Date:  MAR 10, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Ronna E. Romney                   For       For          Management
2     Elect Dale Wolf                         For       For          Management
3     Elect Joseph M. Zubretsky               For       For          Management
4     Advisory Vote on Executive Compensation For       For          Management
5     Ratification of Auditor                 For       For          Management


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

MYLAN N.V.

Ticker:       MYL            Security ID:  N59465109
Meeting Date: JUN 30, 2020   Meeting Type: Special
Record Date:  JUN 02, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Heather Bresch                    For       For          Management
2     Elect Robert J. Cindrich                For       For          Management
3     Elect Robert J. Coury                   For       For          Management
4     Elect JoEllen Lyons Dillon              For       For          Management
5     Elect Neil F. Dimick                    For       For          Management
6     Elect Melina Higgins                    For       For          Management
7     Elect Harry A. Korman                   For       For          Management
8     Elect Rajiv Malik                       For       For          Management
9     Elect Richard A. Mark                   For       For          Management
10    Elect Mark W. Parrish                   For       For          Management
11    Elect Pauline van der Meer Mohr         For       For          Management
12    Elect Randall L. Vanderveen             For       For          Management
13    Elect Sjoerd S. Vollebregt              For       For          Management
14    Advisory Vote on Executive Compensation For       For          Management
15    Adoption of Dutch Annual Accounts for   For       For          Management
      2019
16    Ratification of Auditor                 For       For          Management
17    Appointment of Auditor for Dutch        For       For          Management
      Annual Accounts
18    Authority to Repurchase Shares          For       For          Management
19    Authority to Issue Shares w/ or w/o     For       For          Management
      Preemptive Rights
20    Business Combination                    For       For          Management
21    Advisory Vote on Golden Parachutes      For       Against      Management
22    Advisory Vote Regarding Governance      For       For          Management
      Features
23    Advisory Vote Regarding Right of        For       For          Management
      Shareholders to Call Special Meetings


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

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
1     Elect Karin Eastham                     For       For          Management
2     Elect Myriam J. Curet                   For       For          Management
3     Elect Howard W. Robin                   For       For          Management
4     Amendment to the 2017 Performance       For       For          Management
      Incentive Plan
5     Amendment to the Employee Stock         For       For          Management
      Purchase Plan
6     Ratification of Auditor                 For       For          Management
7     Advisory Vote on Executive Compensation For       For          Management


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

NIPPON SHINYAKU CO.,LTD.

Ticker:       4516           Security ID:  J55784102
Meeting Date: JUN 26, 2020   Meeting Type: Annual
Record Date:  MAR 31, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Non-Voting Meeting Note                 N/A       N/A          Management
2     Allocation of Profits/Dividends         For       For          Management
3     Elect Shigenobu Maekawa                 For       For          Management
4     Elect Akira Matsuura                    For       For          Management
5     Elect Shozo Sano                        For       For          Management
6     Elect Hitoshi Saito                     For       For          Management
7     Elect Kenro Kobayashi                   For       For          Management
8     Elect Takashi Takaya                    For       For          Management
9     Elect Takanori Edamitsu                 For       For          Management
10    Elect Toru Nakai                        For       For          Management
11    Elect Yukio Sugiura                     For       For          Management
12    Elect Hitoshi Sakata                    For       For          Management
13    Elect Miyuki Sakurai                    For       For          Management
14    Elect Yoshinao Wada                     For       For          Management
15    Elect Kenji Kuwabara                    For       For          Management
16    Elect Tsuyoshi Kondo                    For       For          Management


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

NMC HEALTH PLC

Ticker:       NMC            Security ID:  G65836101
Meeting Date: DEC 05, 2019   Meeting Type: Ordinary
Record Date:

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Authority to Repurchase Shares          For       For          Management
2     Remuneration Policy (Binding)           For       For          Management
3     Non-Voting Meeting Note                 N/A       N/A          Management


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

NOTRE DAME INTERMEDICA PARTICIPACOES SA

Ticker:       GNDI3          Security ID:  P7S227106
Meeting Date: MAR 25, 2020   Meeting Type: Special
Record Date:

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Non-Voting Meeting Note                 N/A       N/A          Management
2     Non-Voting Meeting Note                 N/A       N/A          Management
3     Amendment to the Stock Option Plan      For       For          Management
4     Amendments to Article 5                 For       For          Management
      (Reconciliation of Share Capital)
5     Approve Recasting of Votes if Meeting   N/A       For          Management
      Held on Second Call


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

NOTRE DAME INTERMEDICA PARTICIPACOES SA

Ticker:       GNDI3          Security ID:  P7S227106
Meeting Date: MAR 25, 2020   Meeting Type: Annual
Record Date:

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Non-Voting Meeting Note                 N/A       N/A          Management
2     Non-Voting Meeting Note                 N/A       N/A          Management
3     Accounts and Reports                    For       For          Management
4     Allocation of Profits/Dividends         For       For          Management
5     Remuneration Policy                     For       For          Management
6     Request Establishment of Supervisory    N/A       Against      Management
      Council
7     Approve Recasting of Votes if Meeting   N/A       For          Management
      is Held on Second Call


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

NOVARTIS AG

Ticker:       NOVN           Security ID:  H5820Q150
Meeting Date: FEB 28, 2020   Meeting Type: Annual
Record Date:  FEB 25, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Non-Voting Meeting Note                 N/A       TNA          Management
2     Non-Voting Meeting Note                 N/A       TNA          Management
3     Accounts and Reports                    For       TNA          Management
4     Ratification of Board and Management    For       TNA          Management
      Acts
5     Allocation of Profits/Dividends         For       TNA          Management
6     Cancellation of Shares and Reduction    For       TNA          Management
      in Share Capital
7     Board Compensation                      For       TNA          Management
8     Executive Compensation                  For       TNA          Management
9     Compensation Report                     For       TNA          Management
10    Elect Jorg Reinhardt as Board Chair     For       TNA          Management
11    Elect Nancy C. Andrews                  For       TNA          Management
12    Elect Ton Buchner                       For       TNA          Management
13    Elect Patrice Bula                      For       TNA          Management
14    Elect Srikant M. Datar                  For       TNA          Management
15    Elect Elizabeth Doherty                 For       TNA          Management
16    Elect Ann M. Fudge                      For       TNA          Management
17    Elect Frans van Houten                  For       TNA          Management
18    Elect Andreas von Planta                For       TNA          Management
19    Elect Charles L. Sawyers                For       TNA          Management
20    Elect Enrico Vanni                      For       TNA          Management
21    Elect William T. Winters                For       TNA          Management
22    Elect Bridgette P. Heller               For       TNA          Management
23    Elect Simon Moroney                     For       TNA          Management
24    Elect Patrice Bula as Compensation      For       TNA          Management
      Committee  Member
25    Elect Srikant M. Datar as Compensation  For       TNA          Management
      Committee  Member
26    Elect Enrico Vanni as Compensation      For       TNA          Management
      Committee  Member
27    Elect William T. Winters as             For       TNA          Management
      Compensation Committee  Member
28    Elect Bridgette P. Heller as            For       TNA          Management
      Compensation Committee  Member
29    Appointment of Auditor                  For       TNA          Management
30    Appointment of Independent Proxy        For       TNA          Management
31    Additional or Amended Proposals         For       TNA          Management


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

ONO PHARMACEUTICAL CO.,LTD.

Ticker:       4528           Security ID:  J61546115
Meeting Date: JUN 18, 2020   Meeting Type: Annual
Record Date:  MAR 31, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Non-Voting Meeting Note                 N/A       N/A          Management
2     Allocation of Profits/Dividends         For       For          Management
3     Elect Gyo Sagara                        For       For          Management
4     Elect Hiroshi Awata                     For       For          Management
5     Elect Isao  Ono                         For       For          Management
6     Elect Toshihiro Tsujinaka               For       For          Management
7     Elect Toichi Takino                     For       For          Management
8     Elect Jun Kurihara                      For       For          Management
9     Elect Masao Nomura                      For       For          Management
10    Elect Akiko Okuno                       For       For          Management
11    Elect Katsuyoshi Nishimura              For       For          Management
12    Elect Yasuo Hishiyama                   For       For          Management
13    Elect Akiko Tanabe                      For       For          Management


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

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 Arani Bose                        For       For          Management
1.2   Elect Bridget O'Rourke                  For       For          Management
1.3   Elect Surbhi Sarna                      For       For          Management
2     Ratification of Auditor                 For       For          Management
3     Advisory Vote on Executive Compensation For       For          Management


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

PFIZER INC.

Ticker:       PFE            Security ID:  717081103
Meeting Date: APR 23, 2020   Meeting Type: Annual
Record Date:  FEB 25, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Ronald E. Blaylock                For       For          Management
2     Elect Albert Bourla                     For       For          Management
3     Elect W. Don Cornwell                   For       For          Management
4     Elect Joseph J. Echevarria              For       For          Management
5     Elect Scott Gottlieb                    For       For          Management
6     Elect Helen H. Hobbs                    For       For          Management
7     Elect Susan Hockfield                   For       For          Management
8     Elect James M. Kilts                    For       For          Management
9     Elect Dan R. Littman                    For       For          Management
10    Elect Shantanu Narayen                  For       For          Management
11    Elect Suzanne Nora Johnson              For       For          Management
12    Elect James Quincey                     For       For          Management
13    Elect James C. Smith                    For       For          Management
14    Ratification of Auditor                 For       For          Management
15    Advisory Vote on Executive Compensation For       For          Management
16    Shareholder proposal regarding right    Against   Against      Shareholder
      to act by written consent
17    Shareholder Proposal Regarding Proxy    Against   Against      Shareholder
      Access Bylaw Amendment
18    Shareholder Proposal Regarding          Against   Against      Shareholder
      Lobbying Report
19    Shareholder Proposal Regarding          Against   For          Shareholder
      Independent Chair
20    Shareholder Proposal Regarding Gender   Against   For          Shareholder
      Pay Equity Report
21    Elect Susan Desmond-Hellmann            For       For          Management


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

PORTOLA PHARMACEUTICALS, INC.

Ticker:       PTLA           Security ID:  737010108
Meeting Date: JUN 12, 2020   Meeting Type: Annual
Record Date:  APR 17, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Jeffrey W. Bird                   For       For          Management
1.2   Elect John H. Johnson                   For       For          Management
1.3   Elect H. Ward Wolff                     For       For          Management
2     Advisory Vote on Executive Compensation For       For          Management
3     Ratification of Auditor                 For       For          Management


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

PRA HEALTH SCIENCES, INC.

Ticker:       PRAH           Security ID:  69354M108
Meeting Date: MAY 18, 2020   Meeting Type: Annual
Record Date:  MAR 20, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Colin Shannon                     For       For          Management
1.2   Elect James C. Momtazee                 For       For          Management
1.3   Elect Alexander G. Dickinson            For       For          Management
2     Ratification of Auditor                 For       For          Management
3     Advisory Vote on Executive Compensation For       For          Management
4     Approval of the 2020 Stock Incentive    For       For          Management
      Plan


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

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 Stephanie S. Okey                 For       For          Management
1.2   Elect Stuart W. Peltz                   For       For          Management
1.3   Elect Jerome B. Zeldis                  For       For          Management
2     Ratification of Auditor                 For       For          Management
3     Advisory Vote on Executive Compensation 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 James E. Bass                     For       For          Management
1.2   Elect R. Kent McGaughy Jr.              For       For          Management
2     Advisory Vote on Executive Compensation For       For          Management
3     Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation
4     Ratification of 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
1     Elect N. Anthony Coles                  For       For          Management
2     Elect Joseph L. Goldstein               For       For          Management
3     Elect Christine A. Poon                 For       For          Management
4     Elect P. Roy Vagelos                    For       For          Management
5     Elect Huda Y. Zoghbi                    For       For          Management
6     Ratification of Auditor                 For       For          Management
7     Amendment to the 2014 Long-Term         For       For          Management
      Incentive Plan
8     Advisory Vote on Executive Compensation For       For          Management


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

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     Elect Douglas S. Ingram                 For       For          Management
2     Elect Hans Wigzell                      For       For          Management
3     Elect Mary Ann Gray                     For       For          Management
4     Advisory Vote on Executive Compensation For       For          Management
5     Increase of Authorized Common Stock     For       For          Management
6     Amendment to the 2018 Equity Incentive  For       For          Management
      Plan
7     Ratification of Auditor                 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     Elect David W. Gryska                   For       For          Management
2     Elect John A. Orwin                     For       For          Management
3     Elect Alpna Seth                        For       For          Management
4     Advisory Vote on Executive Compensation For       For          Management
5     Amendment to the 2007 Equity Incentive  For       For          Management
      Plan
6     Ratification of Auditor                 For       For          Management


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

SHANDONG WEIGAO GROUP MEDICAL POLYMER COMPANY LIMITED

Ticker:       1066           Security ID:  Y76810103
Meeting Date: NOV 15, 2019   Meeting Type: Special
Record Date:  OCT 15, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Non-Voting Meeting Note                 N/A       N/A          Management
2     Non-Voting Meeting Note                 N/A       N/A          Management
3     Allocation of Interim Dividends         For       For          Management
3     Logistic and Distribution Services      For       For          Management
      Agreement
4     Finance Leasing and Factoring           For       For          Management
      Framework Agreement
5     Purchase Framework Agreement            For       For          Management


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

SHANDONG WEIGAO GROUP MEDICAL POLYMER COMPANY LIMITED

Ticker:       1066           Security ID:  Y76810103
Meeting Date: JUN 08, 2020   Meeting Type: Special
Record Date:  MAY 08, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approval of Agreements                  For       For          Management
2     Authorization of Legal Formalities      For       For          Management
3     Approval of Board Actions               For       For          Management
4     Non-Voting Meeting Note                 N/A       N/A          Management
5     Non-Voting Meeting Note                 N/A       N/A          Management


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

SHANGHAI FOSUN PHARMACEUTICAL (GROUP)

Ticker:       2196           Security ID:  Y7687D109
Meeting Date: DEC 30, 2019   Meeting Type: Special
Record Date:  NOV 29, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Non-Voting Meeting Note                 N/A       N/A          Management
2     Compliance and Regulations of Listing   For       For          Management
3     Issuing Entity                          For       For          Management
4     Listing Place                           For       For          Management
5     Type of Securities to be Issued         For       For          Management
6     Nominal Value                           For       For          Management
7     Target Subscribers                      For       For          Management
8     Listing Date                            For       For          Management
9     Method of Issuance                      For       For          Management
10    Size of Issuance                        For       For          Management
11    Pricing Method                          For       For          Management
12    Underwriting                            For       For          Management
13    Use of Proceeds                         For       For          Management
14    Public Offering Arrangement             For       For          Management
15    Undertaking to Maintain Independent     For       For          Management
      Listing Status
16    Statement on Sustainable Profitability  For       For          Management
      and Prospects
17    Board Authorization to Implement        For       For          Management
      Overseas Listing of Gland Pharma


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

SHANGHAI FOSUN PHARMACEUTICAL (GROUP)

Ticker:       2196           Security ID:  Y7687D109
Meeting Date: MAY 28, 2020   Meeting Type: Special
Record Date:  APR 27, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Non-Voting Meeting Note                 N/A       N/A          Management
2     Amendments to Articles                  For       Against      Management
3     Amendments to Procedural Rules of       For       Against      Management
      General Meetings
4     Issuing Entity                          For       For          Management
5     Type of Securities                      For       For          Management
6     Par Value of Shares                     For       For          Management
7     Size of issuance                        For       For          Management
8     Target subscribers                      For       For          Management
9     Issuance price and pricing methodology  For       For          Management
10    Method of Issuance                      For       For          Management
11    Place of Listing                        For       For          Management
12    Time of Issuance and Listing            For       For          Management
13    Use of Proceeds                         For       For          Management
14    Board Authority to Handle Matters       For       For          Management
      Related to Listing
15    Framework Agreement                     For       For          Management
16    Estimates of Related Party Transactions For       For          Management


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

SHANGHAI FOSUN PHARMACEUTICAL (GROUP)

Ticker:       2196           Security ID:  Y7687D109
Meeting Date: JUN 30, 2020   Meeting Type: Annual
Record Date:  JUN 19, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Annual Report                           For       For          Management
2     Directors' Report                       For       For          Management
3     Supervisors' Report                     For       For          Management
4     Accounts and Reports                    For       For          Management
5     Allocation of Profits/Dividends         For       For          Management
6     Appointment of Auditor and Authority    For       For          Management
      to Set Fees
7     Appraisal Results and Directors' Fees   For       For          Management
8     Appraisal Program for 2020              For       For          Management
9     Approval of Entrusted Loans             For       For          Management
10    Approval of Line of Credit              For       For          Management
11    Authority to Issue Debt Financing       For       For          Management
      Instruments
12    Approval to Dispose of Listed Shares    For       For          Management
      and Securities
13    Authority to Give Guarantees            For       For          Management
14    Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
15    Authority to Repurchase H Shares        For       For          Management
16    Authority to Repurchase A Shares        For       For          Management
17    Non-Voting Agenda Item                  N/A       N/A          Management
18    Elect GONG Ping                         For       For          Management
19    Elect PAN Donghui                       For       For          Management
20    Non-Voting Meeting Note                 N/A       N/A          Management


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

SHANGHAI FOSUN PHARMACEUTICAL (GROUP)

Ticker:       2196           Security ID:  Y7687D109
Meeting Date: JUN 30, 2020   Meeting Type: Other
Record Date:  JUN 19, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Non-Voting Meeting Note                 N/A       N/A          Management
2     Authority to Repurchase H Shares        For       For          Management
3     Authority to Repurchase A Shares        For       For          Management


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

SHANGHAI HENLIUS BIOTECH INC.

Ticker:       2696           Security ID:  Y7690X100
Meeting Date: FEB 19, 2020   Meeting Type: Special
Record Date:  JAN 17, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Non-Voting Meeting Note                 N/A       N/A          Management
2     Elect Zihou Yan                         For       For          Management
3     Elect Kun Dai as Supervisor             For       For          Management
4     Amendments to Management Rules for      For       For          Management
      External Guarantees
5     Amendments to Management Rules for      For       For          Management
      Transaction and External Investment
      and Financing
6     Amendments to Decision-making Rules     For       For          Management
      for Connected Transactions
7     Amendments to Articles of Association   For       For          Management
8     Amendments to Procedural Rules for      For       For          Management
      General Meetings
9     Amendments to Procedural Rules for      For       For          Management
      Board of Directors


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

SHANGHAI HENLIUS BIOTECH INC.

Ticker:       2696           Security ID:  Y7690X100
Meeting Date: MAY 23, 2020   Meeting Type: Annual
Record Date:  APR 22, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Non-Voting Meeting Note                 N/A       N/A          Management
2     Non-Voting Meeting Note                 N/A       N/A          Management
3     Annual Report                           For       For          Management
4     Directors' Report                       For       For          Management
5     Supervisors' Report                     For       For          Management
6     Accounts and Reports                    For       For          Management
7     Allocation of Profits/Dividends         For       For          Management
8     Financial Budget 2020                   For       For          Management
9     Appointment of International and        For       For          Management
      Domestic Auditor and Authority to Set
      Fees
10    Authority to Issue Shares w/o           For       Against      Management
      Preemptive Rights
11    Elect Rongli FENG                       For       Against      Management


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

SHANGHAI HENLIUS BIOTECH INC.

Ticker:       2696           Security ID:  Y7690X100
Meeting Date: JUN 12, 2020   Meeting Type: Other
Record Date:  APR 22, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Undertakings in Connection with the A   For       For          Management
      Share Listing
2     Public Offering of Shares               For       For          Management
3     Class of Shares                         For       For          Management
4     Nominal Value                           For       For          Management
5     Offering Size                           For       For          Management
6     Target Subscribers                      For       For          Management
7     Offer Price and Methodology             For       For          Management
8     Method of Offering                      For       For          Management
9     Place of Listing                        For       For          Management
10    Time of Listing                         For       For          Management
11    Engagement of Agents                    For       For          Management
12    Validity Period                         For       For          Management
13    Board Authority to Deal with Matters    For       For          Management
      related to Listing
14    Approval of Use of Proceeds Raised      For       For          Management
      from Listing
15    Accumulated Profit Distribution and     For       For          Management
      Plan for Uncovered Losses Prior to A
      Share Offering
16    Price Stabilization Plan                For       For          Management
17    Profit Distribution Plan                For       For          Management
18    Recovery Measures for Dilution          For       For          Management
19    Non-Voting Meeting Note                 N/A       N/A          Management


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

SHANGHAI HENLIUS BIOTECH INC.

Ticker:       2696           Security ID:  Y7690X100
Meeting Date: JUN 12, 2020   Meeting Type: Special
Record Date:  APR 22, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Non-Voting Meeting Note                 N/A       N/A          Management
2     Non-Voting Meeting Note                 N/A       N/A          Management
3     Undertakings in Connection with the A   For       For          Management
      Share Listing
4     Amendments to Procedural Rules of       For       For          Management
      Independent Non-Executive Directors
5     Amendments to Decision-Making Rules     For       For          Management
      for Connected/Related Transactions
6     Amendments to Management Rules for      For       For          Management
      Raised Funds
7     Amendments to Management Rules for      For       For          Management
      External Guarantees
8     Amendments to Management Rules for      For       For          Management
      External Investments and Financing
9     Report on Use of Previously Raised      For       For          Management
      Proceeds
10    Public Offering of Shares               For       For          Management
11    Class of Shares                         For       For          Management
12    Nominal Value                           For       For          Management
13    Offering Size                           For       For          Management
14    Target Subscribers                      For       For          Management
15    Offer Price and Methodology             For       For          Management
16    Method of Offering                      For       For          Management
17    Place of Listing                        For       For          Management
18    Time of Listing                         For       For          Management
19    Engagement of Agents                    For       For          Management
20    Validity Period                         For       For          Management
21    Board Authority to Deal with Matters    For       For          Management
      related to Listing
22    Approval of Use of Proceeds Raised      For       For          Management
      from Listing
23    Accumulated Profit Distribution and     For       For          Management
      Plan for Uncovered Losses Prior to A
      Share Offering
24    Price Stabilization Plan                For       For          Management
25    Profit Distribution Plan                For       For          Management
26    Recovery Measures for Dilution          For       For          Management
27    Amendments to Articles and Rules of     For       Against      Management
      Procedures for the General Meeting
      Relating to PRC Regulatory Updates
28    Amendments to Articles and Rules of     For       Against      Management
      Procedures for the General Meeting
      Relating to A Share Offering and
      Listing
29    Distribution Framework Agreement        For       For          Management


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

SMITH & NEPHEW PLC

Ticker:       SN             Security ID:  G82343164
Meeting Date: APR 09, 2020   Meeting Type: Annual
Record Date:

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accounts and Reports                    For       For          Management
2     Remuneration Policy (Binding)           For       For          Management
3     Remuneration Report (Advisory)          For       For          Management
4     Final Dividend                          For       For          Management
5     Elect Graham Baker                      For       For          Management
6     Elect Vinita Bali                       For       For          Management
7     Elect Virginia Bottomley                For       For          Management
8     Elect Roland Diggelmann                 For       For          Management
9     Elect Erik Engstrom                     For       For          Management
10    Elect Robin Freestone                   For       For          Management
11    Elect Marc Owen                         For       For          Management
12    Elect Angie Risley                      For       For          Management
13    Elect Roberto Quarta                    For       For          Management
14    Appointment of Auditor                  For       For          Management
15    Authority to Set Auditor's Fees         For       For          Management
16    Global Share Plan                       For       For          Management
17    Authority to Issue Shares w/            For       For          Management
      Preemptive Rights
18    Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
19    Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights (Specified Capital
      Investment)
20    Authority to Repurchase Shares          For       For          Management
21    Authority to Set General Meeting        For       For          Management
      Notice Period at 14 Days
22    Non-Voting Meeting Note                 N/A       N/A          Management


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

SYNEOS HEALTH, INC.

Ticker:       SYNH           Security ID:  87166B102
Meeting Date: MAY 27, 2020   Meeting Type: Annual
Record Date:  MAR 30, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Bernadette M. Connaughton         For       For          Management
2     Elect Kenneth F. Meyers                 For       For          Management
3     Elect Matthew E. Monaghan               For       For          Management
4     Elect Joshua M. Nelson                  For       For          Management
5     Advisory Vote on Executive Compensation For       For          Management
6     Ratification of Auditor                 For       For          Management


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

SYSMEX CORPORATION

Ticker:       6869           Security ID:  J7864H102
Meeting Date: JUN 19, 2020   Meeting Type: Annual
Record Date:  MAR 31, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Non-Voting Meeting Note                 N/A       N/A          Management
2     Allocation of Profits/Dividends         For       For          Management
3     Elect Hisashi Ietsugu                   For       For          Management
4     Elect Yukio Nakajima                    For       For          Management
5     Elect Kaoru Asano                       For       For          Management
6     Elect Kenji Tachibana                   For       For          Management
7     Elect Junzo Yamamoto                    For       For          Management
8     Elect Iwane Matsui                      For       For          Management
9     Elect Hiroshi Kanda                     For       For          Management
10    Elect Masayo Takahashi                  For       For          Management
11    Elect Kazuo Ota                         For       For          Management
12    Elect Yukitoshi Kamao                   For       Against      Management
13    Elect Kazumasa Hashimoto                For       For          Management
14    Elect Michihide Iwasa                   For       For          Management


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

TAKEDA PHARMACEUTICAL COMPANY LIMITED

Ticker:       4502           Security ID:  J8129E108
Meeting Date: JUN 24, 2020   Meeting Type: Annual
Record Date:  MAR 31, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Non-Voting Meeting Note                 N/A       N/A          Management
2     Allocation of Profits/Dividends         For       For          Management
3     Elect Christophe Weber                  For       For          Management
4     Elect Masato Iwasaki                    For       For          Management
5     Elect Andrew Plump                      For       For          Management
6     Elect Constantine Saroukos              For       For          Management
7     Elect Masahiro Sakane                   For       For          Management
8     Elect Olivier Bohuon                    For       For          Management
9     Elect Jean-Luc Butel                    For       For          Management
10    Elect Ian T. Clark                      For       Against      Management
11    Elect Yoshiaki Fujimori                 For       Against      Management
12    Elect Steven Gillis                     For       For          Management
13    Elect Shiro Kuniya                      For       For          Management
14    Elect Toshiyuki Shiga                   For       For          Management
15    Elect Yasuhiko Yamanaka                 For       For          Management
16    Elect Koji Hatsukawa                    For       For          Management
17    Elect Emiko Higashi                     For       For          Management
18    Elect Michel Orsinger                   For       For          Management
19    Bonus                                   For       For          Management
20    Shareholder Proposal Regarding          Against   Against      Shareholder
      Election of Takeshi Ito to the Audit
      and Supervisory Committee


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

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
1     Elect George Babich, Jr.                For       For          Management
2     Elect Gretchen R. Haggerty              For       For          Management
3     Elect Liam J. Kelly                     For       For          Management
4     Advisory Vote on Executive Compensation For       For          Management
5     Ratification of Auditor                 For       For          Management


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

TERUMO CORPORATION

Ticker:       4543           Security ID:  J83173104
Meeting Date: JUN 25, 2020   Meeting Type: Annual
Record Date:  MAR 31, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Non-Voting Meeting Note                 N/A       N/A          Management
2     Allocation of Profits/Dividends         For       For          Management
3     Elect Takayoshi Mimura                  For       For          Management
4     Elect Shinjiro Sato                     For       For          Management
5     Elect Toshiaki Takagi                   For       For          Management
6     Elect Shoji Hatano                      For       For          Management
7     Elect Kyo Nishikawa                     For       For          Management
8     Elect Ryuzo Ueda                        For       For          Management
9     Elect Yukiko Kuroda  Yukiko Matsumoto   For       For          Management
10    Elect Hidenori Nishi                    For       For          Management
11    Elect Koichi Sakaguchi as Alternate     For       For          Management
      Audit Committee Director


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

THERMO FISHER SCIENTIFIC INC.

Ticker:       TMO            Security ID:  883556102
Meeting Date: MAY 20, 2020   Meeting Type: Annual
Record Date:  MAR 27, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Marc N. Casper                    For       For          Management
2     Elect Nelson J. Chai                    For       For          Management
3     Elect C. Martin Harris                  For       For          Management
4     Elect Tyler Jacks                       For       For          Management
5     Elect Judy C. Lewent                    For       For          Management
6     Elect Thomas J. Lynch                   For       For          Management
7     Elect Jim P. Manzi                      For       For          Management
8     Elect James C. Mullen                   For       For          Management
9     Elect Lars Rebien Sorensen              For       For          Management
10    Elect Debora L. Spar                    For       For          Management
11    Elect Scott M. Sperling                 For       For          Management
12    Elect Dion J. Weisler                   For       For          Management
13    Advisory Vote on Executive Compensation For       For          Management
14    Ratification of Auditor                 For       For          Management


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

UCB SA

Ticker:       UCB            Security ID:  B93562120
Meeting Date: APR 30, 2020   Meeting Type: Mix
Record Date:  APR 16, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Non-Voting Meeting Note                 N/A       N/A          Management
2     Non-Voting Meeting Note                 N/A       N/A          Management
3     Non-Voting Agenda Item                  N/A       N/A          Management
4     Non-Voting Agenda Item                  N/A       N/A          Management
5     Non-Voting Agenda Item                  N/A       N/A          Management
6     Accounts and Reports; Allocation of     For       For          Management
      Profit/Dividends
7     Remuneration Report                     For       For          Management
8     Remuneration Policy                     For       For          Management
9     Ratification of Board Acts              For       For          Management
10    Ratification of Auditor's Acts          For       For          Management
11    Elect Pierre Gurdjian                   For       For          Management
12    Ratification of Independence of Pierre  For       For          Management
      Gurdjian
13    Elect Ulf Wiinberg                      For       Against      Management
14    Ratification of Independence of Ulf     For       For          Management
      Wiinberg
15    Elect Charles Antoine Janssen           For       For          Management
16    Long Term Incentive Plan (Free          For       For          Management
      Allocation of Shares)
17    Change in Control Clause (EMTN Program) For       For          Management
18    Change in Control Clause (Term          For       For          Management
      Facility Agreement)
19    Change in Control Clause (Revolving     For       For          Management
      Facility Agreement)
20    Opt-in to the Companies and             For       For          Management
      Associations Code
21    Non-Voting Agenda Item                  N/A       N/A          Management
22    Increase in Authorised Capital          For       For          Management
23    Authority to Repurchase Shares          For       For          Management
24    Non-Voting Meeting Note                 N/A       N/A          Management


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

UNITEDHEALTH GROUP INCORPORATED

Ticker:       UNH            Security ID:  91324P102
Meeting Date: JUN 01, 2020   Meeting Type: Annual
Record Date:  APR 07, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Richard T. Burke                  For       For          Management
2     Elect Timothy P. Flynn                  For       For          Management
3     Elect Stephen J. Hemsley                For       For          Management
4     Elect Michele J. Hooper                 For       For          Management
5     Elect F. William McNabb, III            For       For          Management
6     Elect Valerie C. Montgomery Rice        For       For          Management
7     Elect John H. Noseworthy                For       For          Management
8     Elect Glenn M. Renwick                  For       For          Management
9     Elect David S. Wichmann                 For       For          Management
10    Elect Gail R. Wilensky                  For       For          Management
11    Advisory Vote on Executive Compensation For       For          Management
12    Ratification of Auditor                 For       For          Management
13    Approval of the 2020 Stock Incentive    For       For          Management
      Plan
14    Shareholder Proposal Regarding          Against   Against      Shareholder
      Shareholder Approval of Bylaw
      Amendments


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

UNIVERSAL HEALTH SERVICES, INC.

Ticker:       UHS            Security ID:  913903100
Meeting Date: MAY 20, 2020   Meeting Type: Annual
Record Date:  MAR 24, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Lawrence S. Gibbs                 For       Withhold     Management
2     Approval of the 2020 Omnibus Stock      For       For          Management
      Incentive Plan
3     Advisory Vote on Executive Compensation For       Against      Management
4     Ratification of Auditor                 For       For          Management


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

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     Elect Sangeeta N. Bhatia                For       For          Management
2     Elect Lloyd A. Carney                   For       For          Management
3     Elect Alan M. Garber                    For       For          Management
4     Elect Terrence C. Kearney               For       For          Management
5     Elect Reshma Kewalramani                For       For          Management
6     Elect Yuchun Lee                        For       For          Management
7     Elect Jeffrey M. Leiden                 For       For          Management
8     Elect Margaret G. McGlynn               For       For          Management
9     Elect Diana McKenzie                    For       For          Management
10    Elect Bruce I. Sachs                    For       For          Management
11    Ratification of Auditor                 For       For          Management
12    Advisory Vote on Executive Compensation For       For          Management
13    Shareholder Proposal Regarding          Against   Against      Shareholder
      Lobbying Report


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

WUXI APPTEC CO. LTD.

Ticker:       2359           Security ID:  Y971B1118
Meeting Date: NOV 18, 2019   Meeting Type: Other
Record Date:  OCT 18, 2019

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Non-Voting Meeting Note                 N/A       N/A          Management
2     List of Incentive Participants          For       For          Management


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

WUXI APPTEC CO. LTD.

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

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Non-Voting Meeting Note                 N/A       N/A          Management
2     Allocation of Profits/Dividends         For       For          Management
3     Authority to Repurchase A and/or H      For       For          Management
      Shares
4     Authority to Issue H Shares under       For       For          Management
      Specific Mandate


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

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     Non-Voting Meeting Note                 N/A       N/A          Management
2     Directors' Report                       For       For          Management
3     Supervisors' Report                     For       For          Management
4     Annual Report                           For       For          Management
5     Financial Report                        For       For          Management
6     Approve External Guarantees             For       For          Management
7     Appointment of PRC Auditor and          For       For          Management
      Authority to Set Fees
8     Approve Foreign Exchange Hedging Limit  For       For          Management
9     Directors' Fees                         For       For          Management
10    Supervisors' Fees                       For       For          Management
11    Compliance with Conditions for          For       For          Management
      Non-Public Issuance of A Shares
12    Remedial Measures regarding Dilution    For       For          Management
      on Current Returns
13    Dividend and Return Plan (2020-2022)    For       For          Management
14    Non-Voting Agenda Item                  N/A       N/A          Management
15    Elect Ge Li                             For       For          Management
16    Elect Edward Hu                         For       For          Management
17    Elect Zhaohui Zhang                     For       For          Management
18    Elect Ning Zhao                         For       For          Management
19    Elect Xiaomeng Tong                     For       For          Management
20    Elect Yibing Wu                         For       For          Management
21    Elect Steve Qing Yang                   For       For          Management
22    Non-Voting Agenda Item                  N/A       N/A          Management
23    Elect Jiangnan Cai                      For       For          Management
24    Elect Yan Liu                           For       For          Management
25    Elect Dai Feng                          For       For          Management
26    Elect Hetong Lou                        For       For          Management
27    Elect Xiaotong Zhang                    For       For          Management
28    Non-Voting Agenda Item                  N/A       N/A          Management
29    Elect Harry Liang He                    For       For          Management
30    Elect Jichao Wang                       For       Against      Management
31    Allocation of Profits/Dividends         For       For          Management
32    Increase of Registered Capital          For       For          Management
33    Amendments to Articles                  For       For          Management
34    Amendments to Procedural Rules of       For       Against      Management
      Shareholder' Meetings
35    Amendments to Procedural Rules of       For       For          Management
      Board Meetings
36    Authority to Issue A and/or H Shares    For       For          Management
      w/o Preemptive Rights
37    Authority to Repurchase A and/or H      For       For          Management
      Shares
38    Class and par value of Shares           For       For          Management
39    Method and Time of Issuance             For       For          Management
40    Target Subscribers and Method of        For       For          Management
      Subscription
41    Issue Price and Pricing Principles      For       For          Management
42    Number of A Shares                      For       For          Management
43    Lock-Up Period                          For       For          Management
44    Place of Listing                        For       For          Management
45    Arrangement for Retained Undistributed  For       For          Management
      Profits prior to Proposed Non-public
      Issuance of A Shares
46    Validity Period                         For       For          Management
47    Amount and Use of Proceeds              For       For          Management
48    Feasibility Report                      For       For          Management
49    Report on Use of Proceeds from          For       For          Management
      previous Fund Raising
50    Board Authority regarding Proposed      For       For          Management
      Non-Public Issuance of A Shares
51    Authority to Issue H Shares under       For       For          Management
      Specific Mandate


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

WUXI BIOLOGICS (CAYMAN) INC.

Ticker:       02269          Security ID:  G97008109
Meeting Date: JUN 09, 2020   Meeting Type: Annual
Record Date:  JUN 03, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Non-Voting Meeting Note                 N/A       N/A          Management
2     Non-Voting Meeting Note                 N/A       N/A          Management
3     Accounts and Reports                    For       For          Management
4     Elect Ge Li                             For       For          Management
5     Elect Zhisheng Chen                     For       For          Management
6     Elect Kenneth Walton Hitchner III       For       For          Management
7     Directors' Fees                         For       For          Management
8     Appointment of Auditor and Authority    For       For          Management
      to Set Fees
9     Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
10    Authority to Repurchase Shares          For       For          Management
11    Authority to Issue Repurchased Shares   For       For          Management
12    Specific Mandate to Issue Connected     For       For          Management
      Awarded Shares
13    Board Authority to Issue Connected      For       For          Management
      Restricted Shares
14    Grant of 392,932 Connected Rewarded     For       For          Management
      Shares to Zhisheng Chen
15    Grant of 117,879 Connected Restricted   For       For          Management
      Shares to Weichang Zhou
16    Grant of 4,560 Connected Restricted     For       For          Management
      Shares to Edward Hu
17    Grant of 2,280 Connected Restricted     For       For          Management
      Shares to William Robert Keller
18    Grant of 4,560 Connected Restricted     For       For          Management
      Shares to Walter KWAUK Teh-Ming


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

ZIMMER BIOMET HOLDINGS, INC.

Ticker:       ZBH            Security ID:  98956P102
Meeting Date: MAY 08, 2020   Meeting Type: Annual
Record Date:  MAR 09, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Christopher B. Begley             For       For          Management
2     Elect Betsy J. Bernard                  For       For          Management
3     Elect Gail K. Boudreaux                 For       For          Management
4     Elect Michael J. Farrell                For       For          Management
5     Elect Larry C. Glasscock                For       For          Management
6     Elect Robert A. Hagemann                For       For          Management
7     Elect Bryan C Hanson                    For       For          Management
8     Elect Arthur J. Higgins                 For       For          Management
9     Elect Maria Teresa Hilado               For       For          Management
10    Elect Syed Jafry                        For       For          Management
11    Elect Michael W. Michelson              For       For          Management
12    Ratification of Auditor                 For       For          Management
13    Advisory Vote on Executive Compensation For       For          Management

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




                                   SIGNATURES

Pursuant to the requirements of the Investment Company Act of 1940, the
registrant has duly caused this report to be signed on its behalf by the
undersigned, thereunto duly authorized.

VANGUARD SPECIALIZED FUNDS

By:     /s/Mortimer J. Buckley
           Mortimer J. Buckley*
           Chief Executive Officer, President, and Trustee

Date:   August 27, 2020
*By:    /s/Anne E. Robinson

  Anne E. Robinson, pursuant to a Power of Attorney filed on January 18, 2018,
              see File Number 33-32216. Incorporated by Reference.