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, 2020 - JUNE 30, 2021



******************************* FORM N-Px REPORT *******************************
ICA File Number: 81103916D
Reporting Period: 07/01/2020 - 06/30/2021
VANGUARD SPECIALIZED FUNDS

Each investment advisor's votes cast are shown separately below. Sections
without an investment advisor listed reflect votes cast at the discretion of the
Fund. The votes reported do not reflect any votes cast pursuant to a regulatory
requirement.




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


ABBOTT LABORATORIES

Ticker:       ABT            Security ID:  002824100
Meeting Date: APR 23, 2021   Meeting Type: Annual
Record Date:  FEB 24, 2021

#     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 Darren W. McDew                   For       For          Management
1.7   Elect Nancy McKinstry                   For       For          Management
1.8   Elect William A. Osborn                 For       For          Management
1.9   Elect Michael F. Roman                  For       For          Management
1.10  Elect Daniel J. Starks                  For       For          Management
1.11  Elect John G. Stratton                  For       For          Management
1.12  Elect Glenn F. Tilton                   For       For          Management
1.13  Elect Miles D. White                    For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management
4A.   Elimination of Supermajority            For       For          Management
      Requirement for Article Amendments
4B.   Elimination of Supermajority            For       For          Management
      Requirement for Approval of Certain
      Extraordinary Transactions
5.    Shareholder Proposal Regarding          Against   Against      Shareholder
      Lobbying Report
6.    Shareholder Proposal Regarding Company  Against   Against      Shareholder
      Plan to Promote Racial Justice
7.    Shareholder Proposal Regarding          Against   For          Shareholder
      Independent Chair


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ABCAM PLC

Ticker:       ABC            Security ID:  000380204
Meeting Date: DEC 04, 2020   Meeting Type: Annual
Record Date:  NOV 04, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.    Accounts and Reports                    For       For          Management
2.    Remuneration Report (Advisory)          For       For          Management
3.    Appointment of Auditor                  For       For          Management
4.    Authority to Set Auditor's Fees         For       For          Management
5.    Elect Peter V. Allen                    For       For          Management
6.    Elect Alan Hirzel                       For       For          Management
7.    Elect Michael Baldock                   For       For          Management
8.    Elect Louise A.V.C. Patten              For       For          Management
9.    Elect Mara G. Aspinall                  For       For          Management
10.   Elect Giles Kerr                        For       For          Management
11.   Authority to Issue Shares w/            For       For          Management
      Preemptive Rights
12.   Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
13.   Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights (Specified Capital
      Investment)
14.   Authority to Repurchase Shares          For       For          Management


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ACADIA HEALTHCARE COMPANY, INC.

Ticker:       ACHC           Security ID:  00404A109
Meeting Date: MAY 06, 2021   Meeting Type: Annual
Record Date:  MAR 11, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect E. Perot Bissell                  For       For          Management
1B.   Elect Vicky B. Gregg                    For       For          Management
1C.   Elect Debra K. Osteen                   For       For          Management
2.    Amendment to the Incentive              For       For          Management
      Compensation Plan
3.    Advisory Vote on Executive Compensation For       For          Management
4.    Ratification of Auditor                 For       For          Management


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ACCELERON PHARMA INC.

Ticker:       XLRN           Security ID:  00434H108
Meeting Date: JUN 16, 2021   Meeting Type: Annual
Record Date:  APR 19, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Habib J. Dable                    For       For          Management
1B.   Elect Terrence C. Kearney               For       For          Management
1C.   Elect Karen L. Smith                    For       Against      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


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AGILENT TECHNOLOGIES, INC.

Ticker:       A              Security ID:  00846U101
Meeting Date: MAR 17, 2021   Meeting Type: Annual
Record Date:  JAN 19, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Mala Anand                        For       For          Management
1.2   Elect KOH Boon Hwee                     For       For          Management
1.3   Elect Michael R. McMullen               For       For          Management
1.4   Elect Daniel K. Podolsky                For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management


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AGIOS PHARMACEUTICALS INC.

Ticker:       AGIO           Security ID:  00847X104
Meeting Date: MAR 25, 2021   Meeting Type: Special
Record Date:  FEB 08, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.    Sale of the Company's Oncology          For       For          Management
      Portfolio


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AGIOS PHARMACEUTICALS, INC.

Ticker:       AGIO           Security ID:  00847X104
Meeting Date: MAY 20, 2021   Meeting Type: Annual
Record Date:  MAR 31, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Kaye Foster                       For       For          Management
1.2   Elect Maykin Ho                         For       For          Management
1.3   Elect John M. Maraganore                For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management


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AKESO, INC.

Ticker:       9926           Security ID:  G0146B103
Meeting Date: JUN 28, 2021   Meeting Type: Annual
Record Date:  JUN 22, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accounts and Reports                    For       For          Management
2.A.I Elect XIA Yu                            For       For          Management
2.AII Elect LI Baiyong                        For       For          Management
2AIII Elect Maxwell WANG Zhongmin             For       For          Management
2.AIV Elect XIE Ronggang                      For       For          Management
2.B   Directors' fees                         For       For          Management
3     Appointment of Auditor and Authority    For       For          Management
      to Set Fees
4.A   Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
4.B   Authority to Repurchase Shares          For       For          Management
4.C   Authority to Issue Repurchased Shares   For       For          Management


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ALCON AG

Ticker:       ALC            Security ID:  H01301128
Meeting Date: APR 28, 2021   Meeting Type: Annual
Record Date:  APR 20, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accounts and Reports                    For       For          Management
2     Ratification of Board and Management    For       For          Management
      Acts
3     Allocation of Profits/Dividends         For       For          Management
4.1   Compensation Report                     For       For          Management
4.2   Board Compensation                      For       For          Management
4.3   Executive Compensation                  For       For          Management
5.1   Elect F. Michael Ball                   For       For          Management
5.2   Elect Lynn Dorsey Bleil                 For       For          Management
5.3   Elect Arthur Cummings                   For       For          Management
5.4   Elect David J. Endicott                 For       For          Management
5.5   Elect Thomas Glanzmann                  For       For          Management
5.6   Elect D. Keith Grossman                 For       For          Management
5.7   Elect Scott H. Maw                      For       For          Management
5.8   Elect Karen J. May                      For       For          Management
5.9   Elect Ines Poschel                      For       For          Management
5.10  Elect Dieter Spalti                     For       For          Management
6.1   Elect Thomas Glanzmann as Compensation  For       For          Management
      Committee Member
6.2   Elect D. Keith Grossman as              For       For          Management
      Compensation Committee Member
6.3   Elect Karen J. May as Compensation      For       For          Management
      Committee Member
6.4   Elect Ines Poschel as Compensation      For       For          Management
      Committee Member
7     Appointment of Independent Proxy        For       For          Management
8     Appointment of Auditor                  For       For          Management


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ALEXANDRIA REAL ESTATE EQUITIES, INC.

Ticker:       ARE            Security ID:  015271109
Meeting Date: MAY 18, 2021   Meeting Type: Annual
Record Date:  MAR 31, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Joel S. Marcus                    For       For          Management
1B.   Elect Steven R. Hash                    For       For          Management
1C.   Elect James P. Cain                     For       For          Management
1D.   Elect Maria C. Freire                   For       For          Management
1E.   Elect Jennifer Friel Goldstein          For       For          Management
1F.   Elect Richard H. Klein                  For       For          Management
1G.   Elect Michael A. Woronoff               For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management


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ALKERMES PLC

Ticker:       ALKS           Security ID:  G01767105
Meeting Date: JUN 14, 2021   Meeting Type: Annual
Record Date:  MAR 19, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect David A. Daglio, Jr.              For       For          Management
1.2   Elect Nancy L. Snyderman                For       For          Management
1.3   Elect Frank Andy Wilson                 For       For          Management
1.4   Elect Nancy J. Wysenski                 For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management
4.    Amendment to the 2018 Stock Option and  For       For          Management
      Incentive Plan
5.    Repeal of Classified Board              For       For          Management


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ALLAKOS INC.

Ticker:       ALLK           Security ID:  01671P100
Meeting Date: MAY 25, 2021   Meeting Type: Annual
Record Date:  APR 08, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Daniel Janney                     For       For          Management
1.2   Elect Robert E. Andreatta               For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       Against      Management


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ALNYLAM PHARMACEUTICALS, INC.

Ticker:       ALNY           Security ID:  02043Q107
Meeting Date: MAY 18, 2021   Meeting Type: Annual
Record Date:  MAR 29, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Dennis A. Ausiello                For       For          Management
1B.   Elect Olivier Brandicourt               For       For          Management
1C.   Elect Marsha H. Fanucci                 For       For          Management
1D.   Elect David E.I. Pyott                  For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management


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ALX ONCOLOGY HOLDINGS INC.

Ticker:       ALXO           Security ID:  00166B105
Meeting Date: JUN 10, 2021   Meeting Type: Annual
Record Date:  APR 23, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Corey S. Goodman                  For       For          Management
1.2   Elect Jason Lettmann                    For       For          Management
1.3   Elect Sophia Randolph                   For       For          Management
2.    Ratification of Auditor                 For       For          Management


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AMICUS THERAPEUTICS, INC.

Ticker:       FOLD           Security ID:  03152W109
Meeting Date: JUN 10, 2021   Meeting Type: Annual
Record Date:  APR 15, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Craig A. Wheeler                  For       For          Management
1.2   Elect Burke W. Whitman                  For       For          Management
2.    Amendment to the 2007 Equity Incentive  For       For          Management
      Plan
3.    Ratification of Auditor                 For       For          Management
4.    Advisory Vote on Executive Compensation For       For          Management


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ANTHEM, INC.

Ticker:       ANTM           Security ID:  036752103
Meeting Date: MAY 26, 2021   Meeting Type: Annual
Record Date:  MAR 22, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Lewis Hay III                     For       For          Management
1.2   Elect Antonio F. Neri                   For       For          Management
1.3   Elect Ramiro G. Peru                    For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management


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APELLIS PHARMACEUTICALS, INC.

Ticker:       APLS           Security ID:  03753U106
Meeting Date: JUN 01, 2021   Meeting Type: Annual
Record Date:  APR 05, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Paul Fonteyne                     For       For          Management
1.2   Elect Stephanie Monaghan O'Brien        For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management


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ARENA PHARMACEUTICALS, INC.

Ticker:       ARNA           Security ID:  040047607
Meeting Date: JUN 11, 2021   Meeting Type: Annual
Record Date:  APR 15, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Jayson Dallas                     For       For          Management
1.2   Elect Oliver S. Fetzer                  For       For          Management
1.3   Elect Kieran T. Gallahue                For       For          Management
1.4   Elect Jennifer Jarrett                  For       Withhold     Management
1.5   Elect Katharine Knobil                  For       For          Management
1.6   Elect Amit D. Munshi                    For       For          Management
1.7   Elect Garry A. Neil                     For       For          Management
1.8   Elect Tina S. Nova                      For       For          Management
1.9   Elect Nawal Ouzren                      For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Approval of the 2021 Long-Term          For       For          Management
      Incentive Plan
4.    Ratification of Auditor                 For       For          Management


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ARGEN-X SE

Ticker:       ARGX           Security ID:  N0610Q109
Meeting Date: MAY 11, 2021   Meeting Type: Annual
Record Date:  APR 13, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
3.    Remuneration Policy                     For       For          Management
4.    Remuneration Report                     For       For          Management
5.b.  Accounts and Reports                    For       For          Management
5.d.  Allocation of Losses                    For       For          Management
5.e.  Ratification of Board Acts              For       For          Management
6.    Elect Yvonne Greenstreet to the Board   For       For          Management
      of Directors
7.    Elect Anthony A. Rosenberg to the       For       For          Management
      Board of Directors
8.    Authority to Issue Shares w/ or w/o     For       For          Management
      Preemptive Rights
9.    Appointment of Auditor                  For       For          Management


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ASCENDIS PHARMA A/S

Ticker:       ASND           Security ID:  04351P101
Meeting Date: MAY 28, 2021   Meeting Type: Annual
Record Date:  APR 20, 2021

#     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 Loss                      For       For          Management
5A.   Elect James I. Healy                    For       Against      Management
5B.   Elect Jan Moller Mikkelsen              For       For          Management
5C.   Elect Lisa Bright Morrison              For       For          Management
6.    Appointment of Auditor                  For       For          Management
7A.   Authority to Issue share w/o            For       For          Management
      Preemptive Rights
7B.   Authority to Issue Warrants w/o         For       For          Management
      Preemptive Rights Pursuant to LTI
7C.   Authority to Repurchase Shares          For       For          Management


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ASTELLAS PHARMA INC.

Ticker:       4503           Security ID:  J03393105
Meeting Date: JUN 18, 2021   Meeting Type: Annual
Record Date:  MAR 31, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Yoshihiko Hatanaka                For       For          Management
1.2   Elect Kenji Yasukawa                    For       For          Management
1.3   Elect Naoki Okamura                     For       For          Management
1.4   Elect Mamoru Sekiyama                   For       For          Management
1.5   Elect Hiroshi Kawabe                    For       For          Management
1.6   Elect Tatsuro Ishizuka                  For       For          Management
1.7   Elect Takashi Tanaka                    For       For          Management
2     Elect Haruko Shibumura as Audit         For       For          Management
      Committee Director


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ASTRAZENECA PLC

Ticker:       AZN            Security ID:  G0593M107
Meeting Date: MAY 11, 2021   Meeting Type: Ordinary
Record Date:

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Alexion Transaction                     For       For          Management


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ASTRAZENECA PLC

Ticker:       AZN            Security ID:  G0593M107
Meeting Date: MAY 11, 2021   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
5A    Elect Leif Johansson                    For       For          Management
5B    Elect Pascal Soriot                     For       For          Management
5C    Elect Marc Dunoyer                      For       For          Management
5D    Elect Philip Broadley                   For       For          Management
5E    Elect Euan Ashley                       For       For          Management
5F    Elect Michel Demare                     For       For          Management
5G    Elect Deborah DiSanzo                   For       For          Management
5H    Elect Diana Layfield                    For       For          Management
5I    Elect Sheri McCoy                       For       For          Management
5J    Elect Tony SK MOK                       For       For          Management
5K    Elect Nazneen Rahman                    For       For          Management
5L    Elect Marcus Wallenberg                 For       For          Management
6     Remuneration Report (Advisory)          For       For          Management
7     Remuneration Policy (Binding)           For       For          Management
8     Authorisation of Political Donations    For       For          Management
9     Authority to Issue Shares w/            For       For          Management
      Preemptive Rights
10    Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
11    Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights (Specified Capital
      Investment)
12    Authority to Repurchase Shares          For       For          Management
13    Authority to Set General Meeting        For       Against      Management
      Notice Period at 14 Days
14    AstraZeneca Performance Share Plan 2020 For       For          Management


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BAXTER INTERNATIONAL INC.

Ticker:       BAX            Security ID:  071813109
Meeting Date: MAY 04, 2021   Meeting Type: Annual
Record Date:  MAR 11, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Jose E. Almeida                   For       For          Management
1B.   Elect Thomas F. Chen                    For       For          Management
1C.   Elect John D. Forsyth                   For       For          Management
1D.   Elect Peter S. Hellman                  For       For          Management
1E.   Elect Michael F. Mahoney                For       For          Management
1F.   Elect Patricia Morrison                 For       For          Management
1G.   Elect Stephen N. Oesterle               For       For          Management
1H.   Elect Catherine R. Smith                For       For          Management
1I.   Elect Thomas T. Stallkamp               For       For          Management
1J.   Elect Albert P.L. Stroucken             For       For          Management
1K.   Elect Amy M. Wendell                    For       For          Management
1L.   Elect David S. Wilkes                   For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management
4.    Approval of the 2021 Incentive Plan     For       For          Management
5.    Amendment to the Employee Stock         For       For          Management
      Purchase Plan
6.    Shareholder Proposal Regarding Right    Against   For          Shareholder
      to Act by Written Consent
7.    Shareholder Proposal Regarding          Against   For          Shareholder
      Independent Chair


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BEIGENE, LTD.

Ticker:       BGNE           Security ID:  07725L102
Meeting Date: NOV 20, 2020   Meeting Type: Special
Record Date:  SEP 10, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.    Issuance of Common Stock                For       For          Management


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BEIGENE, LTD.

Ticker:       BGNE           Security ID:  07725L102
Meeting Date: JUN 16, 2021   Meeting Type: Annual
Record Date:  APR 20, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
O1    Elect Donald W. Glazer                  For       For          Management
O2    Elect Michael Goller                    For       For          Management
O3    Elect Thomas R. Malley                  For       For          Management
O4    Elect Corazon D. Sanders                For       For          Management
O5    Ratification of Auditor                 For       For          Management
O6    Approval of a Share Issue Mandate       For       For          Management
O7    Connected Person Placing Authorization  For       For          Management
      I
O8    Connected Person Placing Authorization  For       For          Management
      IA (For the Issue of RMB Shares)
O9    Connected Person Placing Authorization  For       For          Management
      II
O10   Connected Person Placing Authorization  For       For          Management
      IIA (For the Issue of RMB Shares)
O11   Approval of Amgen's Direct Purchase     For       For          Management
      Option
O12   Approval of Restricted Share Unit       For       For          Management
      Grant to John V. Oyler
O13   Approval of Restricted Share Unit       For       For          Management
      Grant to Xiaodong Wang
O14   Approval of Restricted Share Unit       For       For          Management
      Grant to Other Non-Executive and
      Independent Non-Executive Directors
O15   Advisory Vote on Executive Compensation For       For          Management
S16   Adoption of New Articles                For       For          Management
O17   Approve the Adjournment of the Annual   For       For          Management
      Meeting


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BIOGEN INC.

Ticker:       BIIB           Security ID:  09062X103
Meeting Date: JUN 02, 2021   Meeting Type: Annual
Record Date:  APR 09, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Alexander J. Denner               For       For          Management
1B.   Elect Caroline D. Dorsa                 For       For          Management
1C.   Elect Maria C. Freire                   For       For          Management
1D.   Elect William A. Hawkins                For       For          Management
1E.   Elect William D. Jones                  For       For          Management
1F.   Elect Nancy L. Leaming                  For       For          Management
1G.   Elect Jesus B. Mantas                   For       For          Management
1H.   Elect Richard C. Mulligan               For       For          Management
1I.   Elect Stelios Papadopoulos              For       For          Management
1J.   Elect Brian S. Posner                   For       For          Management
1K.   Elect Eric K. Rowinsky                  For       For          Management
1L.   Elect Stephen A. Sherwin                For       For          Management
1M.   Elect Michel Vounatsos                  For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management
4.    Approval of Federal Forum Provision     For       For          Management
5.    Shareholder Proposal Regarding          Against   Against      Shareholder
      Lobbying Report
6.    Shareholder Proposal Regarding Median   Against   For          Shareholder
      Gender and Racial Pay Equity Report


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BLUEBIRD BIO, INC.

Ticker:       BLUE           Security ID:  09609G100
Meeting Date: JUN 15, 2021   Meeting Type: Annual
Record Date:  APR 19, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect John Agwunobi                     For       For          Management
1B.   Elect Daniel S. Lynch                   For       For          Management
1C.   Elect William R. Sellers                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.    Amendment to the 2013 Employee Stock    For       For          Management
      Purchase Plan
5.    Ratification of Auditor                 For       For          Management


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BLUEPRINT MEDICINES CORPORATION

Ticker:       BPMC           Security ID:  09627Y109
Meeting Date: JUN 02, 2021   Meeting Type: Annual
Record Date:  APR 09, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect George D. Demetri                 For       For          Management
1.2   Elect Lynn Seely                        For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management


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BOSTON SCIENTIFIC CORPORATION

Ticker:       BSX            Security ID:  101137107
Meeting Date: MAY 06, 2021   Meeting Type: Annual
Record Date:  MAR 12, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Nelda J. Connors                  For       For          Management
1B.   Elect Charles J. Dockendorff            For       For          Management
1C.   Elect Yoshiaki Fujimori                 For       Abstain      Management
1D.   Elect Donna A. James                    For       For          Management
1E.   Elect Edward J. Ludwig                  For       For          Management
1F.   Elect Michael F. Mahoney                For       For          Management
1G.   Elect David J. Roux                     For       For          Management
1H.   Elect John E. Sununu                    For       For          Management
1I.   Elect Ellen M. Zane                     For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management
4.    Shareholder Proposal Regarding Report   Against   Against      Shareholder
      on Non-Management Employee
      Participation in Company Governance


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BRISTOL-MYERS SQUIBB COMPANY

Ticker:       BMY            Security ID:  110122108
Meeting Date: MAY 04, 2021   Meeting Type: Annual
Record Date:  MAR 15, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A)   Elect Peter J. Arduini                  For       For          Management
1B)   Elect Michael W. Bonney                 For       For          Management
1C)   Elect Giovanni Caforio                  For       For          Management
1D)   Elect Julia A. Haller                   For       For          Management
1E)   Elect Paula A. Price                    For       For          Management
1F)   Elect Derica W. Rice                    For       For          Management
1G)   Elect Theodore R. Samuels, II           For       For          Management
1H)   Elect Gerald Storch                     For       For          Management
1I)   Elect Karen H. Vousden                  For       For          Management
1J)   Elect Phyllis R. Yale                   For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Approval of the 2021 Stock Award and    For       For          Management
      Incentive Plan
4.    Ratification of Auditor                 For       For          Management
5.    Reduce Ownership Threshold for          For       For          Management
      Shareholders to Call Special Meetings
6.    Shareholder Proposal Regarding          Against   For          Shareholder
      Independent Chair
7.    Shareholder Proposal Regarding Right    Against   Against      Shareholder
      to Act by Written Consent
8.    Shareholder Proposal Regarding Right    Against   Against      Shareholder
      to Call Special Meetings


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

CENTENE CORPORATION

Ticker:       CNC            Security ID:  15135B101
Meeting Date: APR 27, 2021   Meeting Type: Annual
Record Date:  FEB 26, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Jessica L. Blume                  For       For          Management
1B.   Elect Frederick H. Eppinger             For       For          Management
1C.   Elect David L. Steward                  For       For          Management
1D.   Elect William L. Trubeck                For       For          Management
2.    Advisory Vote on Executive Compensation For       Against      Management
3.    Ratification of Auditor                 For       For          Management
4.    Amendment to the 2012 Stock Incentive   For       For          Management
      Plan
5.    Elimination of Supermajority            For       For          Management
      Requirements
6.    Shareholder Proposal Regarding Board    For       For          Shareholder
      Declassification


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

CERNER CORPORATION

Ticker:       CERN           Security ID:  156782104
Meeting Date: MAY 19, 2021   Meeting Type: Annual
Record Date:  MAR 22, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Mitchell E. Daniels, Jr.          For       For          Management
1B.   Elect Elder Granger                     For       For          Management
1C.   Elect John J. Greisch                   For       For          Management
1D.   Elect Melinda J. Mount                  For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management
4.    Shareholder Proposal Regarding Simple   Against   For          Shareholder
      Majority Vote


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

CHUGAI PHARMACEUTICAL CO.,LTD.

Ticker:       4519           Security ID:  J06930101
Meeting Date: MAR 23, 2021   Meeting Type: Annual
Record Date:  DEC 31, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Allocation of Profits/Dividends         For       For          Management
2.1   Elect Masayuki Oku                      For       For          Management
2.2   Elect Yoichiro Ichimaru                 For       For          Management
2.3   Elect Christoph Franz                   For       For          Management
2.4   Elect William N. Anderson               For       For          Management
2.5   Elect James H. Sabry                    For       For          Management
3     Elect Yoshiaki Ohashi as Statutory      For       For          Management
      Auditor


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

DAIICHI SANKYO COMPANY, LIMITED

Ticker:       4568           Security ID:  J11257102
Meeting Date: JUN 21, 2021   Meeting Type: Annual
Record Date:  MAR 31, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Allocation of Profits/Dividends         For       For          Management
2.1   Elect Sunao Manabe                      For       For          Management
2.2   Elect Satoru Kimura                     For       For          Management
2.3   Elect Masahiko Ohtsuki                  For       For          Management
2.4   Elect Shoji Hirashima                   For       For          Management
2.5   Elect Noritaka  Uji                     For       For          Management
2.6   Elect Tsuguya Fukui                     For       For          Management
2.7   Elect Kazuaki Kama                      For       For          Management
2.8   Elect Sawako Nohara                     For       For          Management
2.9   Elect Hiroyuki Okuzawa                  For       For          Management
3     Elect Masako Watanabe as Statutory      For       For          Management
      Auditor
4     Performance-Based Bonuses               For       For          Management
5     Revision of the Maximum Amount of       For       For          Management
      Compensation for Directors
6     Revision of the Maximum Amount of       For       For          Management
      Compensation for Statutory Auditors
7     Performance-Based Trust Type Equity     For       For          Management
      Plans for Directors and Executive
      Officers


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

DANAHER CORPORATION

Ticker:       DHR            Security ID:  235851102
Meeting Date: MAY 05, 2021   Meeting Type: Annual
Record Date:  MAR 08, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Rainer M. Blair                   For       For          Management
1B.   Elect Linda P. Hefner Filler            For       For          Management
1C.   Elect Teri  List                        For       For          Management
1D.   Elect Walter G. Lohr, Jr.               For       For          Management
1E.   Elect Jessica L. Mega                   For       For          Management
1F.   Elect Mitchell P. Rales                 For       For          Management
1G.   Elect Steven M. Rales                   For       For          Management
1H.   Elect Pardis C. Sabeti                  For       For          Management
1I.   Elect John T. Schwieters                For       For          Management
1J.   Elect Alan G. Spoon                     For       For          Management
1K.   Elect Raymond C. Stevens                For       For          Management
1L.   Elect Elias A. Zerhouni                 For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management
4.    Shareholder Proposal Regarding Right    Against   For          Shareholder
      to Call Special Meetings


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

EDWARDS LIFESCIENCES CORPORATION

Ticker:       EW             Security ID:  28176E108
Meeting Date: MAY 04, 2021   Meeting Type: Annual
Record Date:  MAR 10, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Kieran T. Gallahue                For       For          Management
1.2   Elect Leslie Stone Heisz                For       For          Management
1.3   Elect Paul A. LaViolette                For       For          Management
1.4   Elect Steven R. Loranger                For       For          Management
1.5   Elect Martha H. Marsh                   For       For          Management
1.6   Elect Michael A. Mussallem              For       For          Management
1.7   Elect Ramona Sequeira                   For       For          Management
1.8   Elect Nicholas J. Valeriani             For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Amendment to the 2001 Employee Stock    For       For          Management
      Purchase Plan for U.S. Employees
4.    Amendment to the 2001 Employee Stock    For       For          Management
      Purchase Plan for International
      Employees
5.    Ratification of Auditor                 For       For          Management
6.    Shareholder Proposal Regarding Right    Against   Against      Shareholder
      to Act by Written Consent
7.    Shareholder Proposal Regarding          Against   Against      Shareholder
      Non-Management Employee Representation
      on the Board


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

EISAI CO.,LTD.

Ticker:       4523           Security ID:  J12852117
Meeting Date: JUN 18, 2021   Meeting Type: Annual
Record Date:  MAR 31, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Haruo Naito                       For       For          Management
1.2   Elect Yasuhiko Katoh                    For       For          Management
1.3   Elect Bruce Aronson                     For       For          Management
1.4   Elect Yutaka Tsuchiya                   For       For          Management
1.5   Elect Shuzo Kaihori                     For       For          Management
1.6   Elect Ryuichi Murata                    For       For          Management
1.7   Elect Hideyo Uchiyama                   For       For          Management
1.8   Elect Hideki Hayashi                    For       For          Management
1.9   Elect Yumiko Miwa                       For       For          Management
1.10  Elect Fumihiko Ike                      For       For          Management
1.11  Elect Yoshiteru Kato                    For       For          Management
1.12  Elect Ryota Miura                       For       For          Management


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

ELANCO ANIMAL HEALTH INCORPORATED

Ticker:       ELAN           Security ID:  28414H103
Meeting Date: MAY 19, 2021   Meeting Type: Annual
Record Date:  MAR 15, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect William F. Doyle                  For       Against      Management
1B.   Elect Art A. Garcia                     For       Against      Management
1C.   Elect Denise Scots-Knight               For       Against      Management
1D.   Elect Jeffrey N. Simmons                For       Against      Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management
4.    Amendment to the 2018 Stock Plan        For       For          Management


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

ELI LILLY AND COMPANY

Ticker:       LLY            Security ID:  532457108
Meeting Date: MAY 03, 2021   Meeting Type: Annual
Record Date:  FEB 22, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Katherine Baicker                 For       For          Management
1b.   Elect J. Erik Fyrwald                   For       For          Management
1c.   Elect Jamere Jackson                    For       For          Management
1d.   Elect Gabrielle Sulzberger              For       For          Management
1e.   Elect Jackson P. Tai                    For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management
4.    Repeal of Classified Board              For       For          Management
5.    Elimination of Supermajority            For       For          Management
      Requirement
6.    Shareholder Proposal Regarding          Against   Against      Shareholder
      Lobbying Report
7.    Shareholder Proposal Regarding          Against   For          Shareholder
      Independent Chair
8.    Shareholder Proposal Regarding Bonus    Against   For          Shareholder
      Deferral Policy
9.    Shareholder Proposal Regarding          Against   For          Shareholder
      Recoupment Report


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

ENCOMPASS HEALTH CORPORATION

Ticker:       EHC            Security ID:  29261A100
Meeting Date: MAY 06, 2021   Meeting Type: Annual
Record Date:  MAR 09, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Greg D. Carmichael                For       For          Management
1B.   Elect John W. Chidsey                   For       For          Management
1C.   Elect Donald L. Correll                 For       For          Management
1D.   Elect Yvonne M. Curl                    For       For          Management
1E.   Elect Charles M. Elson                  For       For          Management
1F.   Elect Joan E. Herman                    For       For          Management
1G.   Elect Leo I. Higdon, Jr.                For       For          Management
1H.   Elect Leslye G. Katz                    For       For          Management
1I.   Elect Patricia A. Maryland              For       For          Management
1J.   Elect John E. Maupin, Jr.               For       For          Management
1K.   Elect Nancy M. Schlichting              For       For          Management
1L.   Elect L. Edward Shaw, Jr.               For       For          Management
1M.   Elect Mark J. Tarr                      For       For          Management
1N.   Elect Terrance Williams                 For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management


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

EVEREST MEDICINES LIMITED

Ticker:       01952          Security ID:  G3224E106
Meeting Date: JUN 01, 2021   Meeting Type: Annual
Record Date:  MAY 26, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accounts and Reports                    For       For          Management
2.A   Elect WEI Fu                            For       For          Management
2.B   Elect Ian WOO Ying                      For       For          Management
2.C   Elect ZHANG Xiaofang                    For       For          Management
2.D   Elect KANG  Lan                         For       For          Management
2.E   Directors' Fees                         For       For          Management
3     Appointment of Auditor and Authority    For       For          Management
      to Set Fees
4     Authority to Repurchase Shares          For       For          Management
5     Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
6     Authority to Issue Repurchased Shares   For       For          Management


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

EXACT SCIENCES CORPORATION

Ticker:       EXAS           Security ID:  30063P105
Meeting Date: JUN 30, 2021   Meeting Type: Annual
Record Date:  MAY 06, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Paul J. Clancy                    For       For          Management
1.2   Elect Pierre Jacquet                    For       For          Management
1.3   Elect Daniel J. Levangie                For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management


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

GALAPAGOS NV

Ticker:       GLPG           Security ID:  B44170106
Meeting Date: APR 28, 2021   Meeting Type: Annual
Record Date:  APR 14, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
2     Accounts and Reports; Allocation of     For       For          Management
      Losses
5     Remuneration Report                     For       Against      Management
6     Ratification of Supervisory Board and   For       Against      Management
      Auditor's Acts
8.i   Elect Katrine Bosley                    For       For          Management
8.ii  Elect Rajesh B. Parekh to the           For       For          Management
      Supervisory Board


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

GENMAB A/S

Ticker:       GMAB           Security ID:  K3967W102
Meeting Date: APR 13, 2021   Meeting Type: Annual
Record Date:  APR 06, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
2     Accounts and Reports; Ratification of   For       For          Management
      Board and Management Acts
3     Allocation of Profits/Dividends         For       For          Management
4     Remuneration Report                     For       For          Management
5.A   Elect Deirdre P. Connelly               For       For          Management
5.B   Elect Pernille Erenbjerg                For       For          Management
5.C   Elect Rolf Hoffman                      For       For          Management
5.D   Elect Paolo Paoletti                    For       For          Management
5.E   Elect Jonathan M. Peacock               For       For          Management
5.F   Elect Anders Gersel Pedersen            For       For          Management
6     Appointment of Auditor                  For       For          Management
7.A   Directors' Fees                         For       For          Management
7.B   Amendment to Remuneration Policy        For       For          Management
7.C   Remuneration Policy                     For       For          Management
7.D   Authority to Repurchase Shares          For       For          Management
7.E   Authority to Issue Shares and           For       For          Management
      Convertible Debt w or w/o Preemptive
      Rights
7.F   Issuance of Warrants w/o Preemptive     For       For          Management
      Rights
7.G   Amendments to Articles (Virtual Only    For       For          Management
      Meetings)
8     Authorization of Legal Formalities      For       For          Management


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

GENMAB A/S

Ticker:       GMAB           Security ID:  372303206
Meeting Date: APR 13, 2021   Meeting Type: Annual
Record Date:  MAR 09, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
2.    Accounts and Reports; Ratification of   For       For          Management
      Board and Management Acts
3.    Allocation of Profits/Dividends         For       For          Management
4.    Remuneration Report                     For       For          Management
5A.   Elect Deirdre P. Connelly               For       For          Management
5B.   Elect Pernille Erenbjerg                For       For          Management
5C.   Elect Rolf Hoffman                      For       For          Management
5D.   Elect Paolo Paoletti                    For       For          Management
5E.   Elect Jonathan M. Peacock               For       For          Management
5F.   Elect Anders Gersel Pedersen            For       For          Management
6.    Appointment of Auditor                  For       For          Management
7A.   Directors' Fees                         For       For          Management
7B.   Amendment to Remuneration Policy        For       For          Management
7C.   Remuneration Policy                     For       For          Management
7D.   Authority to Repurchase Shares          For       For          Management
7E.   Authority to Issue Shares and           For       For          Management
      Convertible Debt w or w/o Preemptive
      Rights
7F.   Issuance of Warrants w/o Preemptive     For       For          Management
      Rights
7G.   Amendments to Articles (Virtual Only    For       For          Management
      Meetings)
8.    Authorization of Legal Formalities      For       For          Management


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

HCA HEALTHCARE, INC.

Ticker:       HCA            Security ID:  40412C101
Meeting Date: APR 28, 2021   Meeting Type: Annual
Record Date:  MAR 08, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Thomas F. Frist III               For       For          Management
1B.   Elect Samuel N. Hazen                   For       For          Management
1C.   Elect Meg G. Crofton                    For       For          Management
1D.   Elect Robert J. Dennis                  For       For          Management
1E.   Elect Nancy-Ann DeParle                 For       For          Management
1F.   Elect William R. Frist                  For       For          Management
1G.   Elect Charles O. Holliday, Jr.          For       For          Management
1H.   Elect Michael W. Michelson              For       For          Management
1I.   Elect Wayne J. Riley                    For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management
4.    Shareholder Proposal Regarding Right    Against   Against      Shareholder
      to Act by Written Consent
5.    Shareholder Proposal Regarding Impact   Against   Against      Shareholder
      of Quality Metrics on Executive
      Compensation


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

HIKMA PHARMACEUTICALS PLC

Ticker:       HIK            Security ID:  G4576K104
Meeting Date: APR 23, 2021   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 Douglas Hurt                      For       For          Management
6     Elect Said Darwazah                     For       For          Management
7     Elect Siggi Olafsson                    For       For          Management
8     Elect Mazen Darwazah                    For       For          Management
9     Elect Patrick Butler                    For       For          Management
10    Elect Ali Al-Husry                      For       For          Management
11    Elect Pamela J. Kirby                   For       For          Management
12    Elect John Castellani                   For       For          Management
13    Elect Nina Henderson                    For       For          Management
14    Elect Cynthia S. Schwalm                For       For          Management
15    Remuneration Report (Advisory)          For       For          Management
16    Adoption of New Articles                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


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

HILL-ROM HOLDINGS, INC.

Ticker:       HRC            Security ID:  431475102
Meeting Date: MAR 10, 2021   Meeting Type: Annual
Record Date:  JAN 04, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect William G. Dempsey                For       For          Management
1.2   Elect John P. Groetelaars               For       For          Management
1.3   Elect Gary L. Ellis                     For       For          Management
1.4   Elect Stacy Enxing Seng                 For       For          Management
1.5   Elect Mary Garrett                      For       For          Management
1.6   Elect James R. Giertz                   For       For          Management
1.7   Elect William H. Kucheman               For       For          Management
1.8   Elect Gregory J. Moore                  For       For          Management
1.9   Elect Felicia F. Norwood                For       For          Management
1.10  Elect Nancy M. Schlichting              For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management
4.    Approval of the 2021 Stock Incentive    For       For          Management
      Plan


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

HOLOGIC, INC.

Ticker:       HOLX           Security ID:  436440101
Meeting Date: MAR 11, 2021   Meeting Type: Annual
Record Date:  JAN 12, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Stephen P. MacMillan              For       For          Management
1B.   Elect Sally W. Crawford                 For       For          Management
1C.   Elect Charles J. Dockendorff            For       For          Management
1D.   Elect Scott T. Garrett                  For       For          Management
1E.   Elect Ludwig N. Hantson                 For       For          Management
1F.   Elect Namal Nawana                      For       For          Management
1G.   Elect Christina  Stamoulis              For       For          Management
1H.   Elect Amy M. Wendell                    For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management


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

HORIZON THERAPEUTICS PUBLIC LIMITED COMPANY

Ticker:       HZNP           Security ID:  G46188101
Meeting Date: APR 29, 2021   Meeting Type: Annual
Record Date:  FEB 24, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect William F. Daniel                 For       For          Management
1B.   Elect H. Thomas Watkins                 For       For          Management
1C.   Elect Pascale Witz                      For       For          Management
2.    Appointment of Auditor and Authority    For       For          Management
      to Set Fees
3.    Advisory Vote on Executive Compensation For       For          Management
4.    Authority to Repurchase Overseas        For       For          Management
      Market Shares
5.    Approval of Amended and Restated 2020   For       For          Management
      Equity Incentive Plan


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

HUMANA INC.

Ticker:       HUM            Security ID:  444859102
Meeting Date: APR 22, 2021   Meeting Type: Annual
Record Date:  FEB 22, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A)   Elect Kurt J. Hilzinger                 For       For          Management
1B)   Elect Raquel C. Bono                    For       For          Management
1C)   Elect Bruce D. Broussard                For       For          Management
1D)   Elect Frank A. D'Amelio                 For       For          Management
1E)   Elect Wayne A.I. Frederick              For       For          Management
1F)   Elect John W. Garratt                   For       For          Management
1G)   Elect David A. Jones Jr.                For       For          Management
1H)   Elect Karen W. Katz                     For       For          Management
1I)   Elect Marcy S. Klevorn                  For       For          Management
1J)   Elect William J. McDonald               For       For          Management
1K)   Elect Jorge S. Mesquita                 For       For          Management
1L)   Elect James J. O'Brien                  For       For          Management
1M)   Elect Marissa T. Peterson               For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management


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

HUTCHISON CHINA MEDITECH LIMITED

Ticker:       HCM            Security ID:  44842L103
Meeting Date: APR 28, 2021   Meeting Type: Annual
Record Date:  MAR 18, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.    Accounts and Reports                    For       For          Management
2A.   Elect Simon To                          For       For          Management
2B.   Elect Christian Hogg                    For       For          Management
2C.   Elect Johnny Cheng                      For       For          Management
2D.   Elect Weiguo Su                         For       For          Management
2E.   Elect Dan Eldar                         For       For          Management
2F.   Elect Edith SHIH                        For       For          Management
2G.   Elect Paul R. Carter                    For       For          Management
2H.   Elect Karen J. Ferrante                 For       For          Management
2I.   Elect Graeme A. Jack                    For       For          Management
2J.   Elect Tony Mok                          For       For          Management
3.    Appointment of Auditor and Authority    For       For          Management
      to Set Fees
4A.   Authority to Issue Shares w/            For       For          Management
      Preemptive Rights
4B.   Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
4C.   Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights (Equity Raise)
4D.   Authority to Repurchase Shares          For       For          Management
5.    Amendments to Articles (Change in       For       For          Management
      Company Name)


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

ICON PLC

Ticker:       ICLR           Security ID:  G4705A100
Meeting Date: JUL 21, 2020   Meeting Type: Annual
Record Date:  MAY 29, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Mary Pendergast                   For       For          Management
1.2   Elect Hugh Brady                        For       For          Management
1.3   Elect Ronan Murphy                      For       For          Management
1.4   Elect Julie O'Neill                     For       For          Management
2.    Accounts and Reports                    For       For          Management
3.    Authority to Set Auditor's Fees         For       For          Management
4.    Authority to Issue Shares w/            For       For          Management
      Preemptive Rights
5.    Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
6.    Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights (Specified Capital
      Investment)
7.    Authority to Repurchase Shares          For       For          Management
8.    Issuance of Treasury Shares             For       For          Management


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

ILLUMINA, INC.

Ticker:       ILMN           Security ID:  452327109
Meeting Date: MAY 26, 2021   Meeting Type: Annual
Record Date:  MAR 31, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Caroline D. Dorsa                 For       For          Management
1B.   Elect Robert S. Epstein                 For       For          Management
1C.   Elect Scott Gottlieb                    For       For          Management
1D.   Elect Gary S. Guthart                   For       For          Management
1E.   Elect Philip W. Schiller                For       For          Management
1F.   Elect John W. Thompson                  For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       Against      Management


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

INCYTE CORPORATION

Ticker:       INCY           Security ID:  45337C102
Meeting Date: MAY 26, 2021   Meeting Type: Annual
Record Date:  MAR 29, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Julian C. Baker                   For       For          Management
1.2   Elect Jean-Jacques Bienaime             For       For          Management
1.3   Elect Paul J. Clancy                    For       For          Management
1.4   Elect Wendy L. Dixon                    For       For          Management
1.5   Elect Jacqualyn A. Fouse                For       For          Management
1.6   Elect Edmund P. Harrigan                For       For          Management
1.7   Elect Katherine A. High                 For       For          Management
1.8   Elect Herve Hoppenot                    For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Amendment to the 2010 Stock Incentive   For       For          Management
      Plan
4.    Ratification of Auditor                 For       For          Management


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

INSULET CORPORATION

Ticker:       PODD           Security ID:  45784P101
Meeting Date: MAY 27, 2021   Meeting Type: Annual
Record Date:  APR 01, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Wayne A.I. Frederick              For       For          Management
1.2   Elect Shacey Petrovic                   For       For          Management
1.3   Elect Timothy J. Scannell               For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management


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

IRONWOOD PHARMACEUTICALS, INC.

Ticker:       IRWD           Security ID:  46333X108
Meeting Date: JUN 02, 2021   Meeting Type: Annual
Record Date:  APR 12, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Mark G. Currie                    For       For          Management
1.2   Elect Alexander J. Denner               For       For          Management
1.3   Elect Jon R. Duane                      For       For          Management
1.4   Elect Marla L. Kessler                  For       For          Management
1.5   Elect Catherine Moukheibir              For       For          Management
1.6   Elect Lawrence S. Olanoff               For       For          Management
1.7   Elect Jay P. Shepard                    For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management


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

KARUNA THERAPEUTICS, INC.

Ticker:       KRTX           Security ID:  48576A100
Meeting Date: JUN 16, 2021   Meeting Type: Annual
Record Date:  APR 19, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Christopher J. Coughlin           For       For          Management
1B.   Elect James I. Healy                    For       Abstain      Management
1C.   Elect Jeffrey M. Jonas                  For       Abstain      Management
2.    Ratification of Auditor                 For       For          Management


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

KODIAK SCIENCES INC.

Ticker:       KOD            Security ID:  50015M109
Meeting Date: JUN 07, 2021   Meeting Type: Annual
Record Date:  APR 08, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Felix J. Baker                    For       Withhold     Management
1.2   Elect Victor Perlroth                   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


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

KONINKLIJKE PHILIPS N.V.

Ticker:       PHIA           Security ID:  N7637U112
Meeting Date: MAY 06, 2021   Meeting Type: Annual
Record Date:  APR 08, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
2b.   Accounts and Reports                    For       For          Management
2c.   Allocation of Profits/Dividends         For       For          Management
2d.   Remuneration Report                     For       For          Management
2e.   Ratification of Management Board Acts   For       For          Management
2f.   Ratification of Supervisory Board Acts  For       For          Management
3.    Elect Marnix J. van Ginneken to the     For       For          Management
      Management Board
4.a.  Elect CHUA Sock Koong to the            For       For          Management
      Supervisory Board
4.b.  Elect Indra K. Nooyi to the             For       For          Management
      Supervisory Board
5a.   Authority to Issue Shares w/            For       For          Management
      Preemptive Rights
5b.   Authority to Suppress Preemptive Rights For       For          Management
6.    Authority to Repurchase Shares          For       For          Management
7.    Cancellation of Shares                  For       For          Management


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

LABORATORY CORPORATION OF AMERICA HOLDINGS

Ticker:       LH             Security ID:  50540R409
Meeting Date: MAY 12, 2021   Meeting Type: Annual
Record Date:  MAR 24, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Kerrii B. Anderson                For       For          Management
1B.   Elect Jean-Luc Belingard                For       For          Management
1C.   Elect Jeffrey A. Davis                  For       For          Management
1D.   Elect D. Gary Gilliland                 For       For          Management
1E.   Elect Garheng Kong                      For       For          Management
1F.   Elect Peter M. Neupert                  For       For          Management
1G.   Elect Richelle P. Parham                For       For          Management
1H.   Elect Adam H. Schechter                 For       For          Management
1I.   Elect Kathryn E. Wengel                 For       For          Management
1J.   Elect R. Sanders Williams               For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management
4.    Shareholder Proposal Regarding Proxy    Against   Against      Shareholder
      Access Bylaw Amendment


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

MCKESSON CORPORATION

Ticker:       MCK            Security ID:  58155Q103
Meeting Date: JUL 29, 2020   Meeting Type: Annual
Record Date:  JUN 01, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Dominic J. Caruso                 For       For          Management
1B.   Elect N. Anthony Coles                  For       For          Management
1C.   Elect M. Christine Jacobs               For       For          Management
1D.   Elect Donald R. Knauss                  For       For          Management
1E.   Elect Marie L. Knowles                  For       For          Management
1F.   Elect Bradley E. Lerman                 For       For          Management
1G.   Elect Maria Martinez                    For       For          Management
1H.   Elect Edward A. Mueller                 For       For          Management
1I.   Elect Susan R. Salka                    For       For          Management
1J.   Elect Brian S. Tyler                    For       For          Management
1K.   Elect Kenneth E. Washington             For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management
4.    Shareholder Proposal Regarding Right    Against   Against      Shareholder
      to Act by Written Consent
5.    Shareholder Proposal Regarding          Against   For          Shareholder
      Lobbying Report
6.    Shareholder Proposal Regarding Purpose  Against   Against      Shareholder
      of Corporation


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

MEDTRONIC PLC

Ticker:       MDT            Security ID:  G5960L103
Meeting Date: DEC 11, 2020   Meeting Type: Annual
Record Date:  OCT 15, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Richard H. Anderson               For       For          Management
1B.   Elect Craig Arnold                      For       For          Management
1C.   Elect Scott C. Donnelly                 For       For          Management
1D.   Elect Andrea J. Goldsmith               For       For          Management
1E.   Elect Randall J. Hogan, III             For       For          Management
1F.   Elect Michael O. Leavitt                For       For          Management
1G.   Elect James T. Lenehan                  For       For          Management
1H.   Elect Kevin E. Lofton                   For       For          Management
1I.   Elect Geoffrey S. Martha                For       For          Management
1J.   Elect Elizabeth G. Nabel                For       For          Management
1K.   Elect Denise M. O'Leary                 For       For          Management
1L.   Elect Kendall J. Powell                 For       For          Management
2.    Appointment of Auditor and Authority    For       For          Management
      to Set Fees
3.    Advisory Vote on Executive Compensation For       For          Management
4.    Authority to Issue Shares w/            For       For          Management
      Preemptive Rights
5.    Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
6.    Authority to Repurchase Shares          For       For          Management


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

MIRATI THERAPEUTICS, INC.

Ticker:       MRTX           Security ID:  60468T105
Meeting Date: MAY 12, 2021   Meeting Type: Annual
Record Date:  MAR 15, 2021

#     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       Withhold     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
1.10  Elect Shalini Sharp                     For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management
4.    Amendment to the 2013 Equity Incentive  For       For          Management
      Plan


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

MOLINA HEALTHCARE, INC.

Ticker:       MOH            Security ID:  60855R100
Meeting Date: MAY 06, 2021   Meeting Type: Annual
Record Date:  MAR 09, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Daniel Cooperman                  For       For          Management
1B.   Elect Stephen H. Lockhart               For       For          Management
1C.   Elect Richard M. Schapiro               For       For          Management
1D.   Elect Ronna E. Romney                   For       For          Management
1E.   Elect Dale Wolf                         For       For          Management
1F.   Elect Joseph M. Zubretsky               For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management


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

MORPHOSYS AG

Ticker:       MOR            Security ID:  D55040105
Meeting Date: MAY 19, 2021   Meeting Type: Annual
Record Date:  APR 27, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
2     Ratification of Management Board Acts   For       For          Management
3     Ratification of Supervisory Board Acts  For       For          Management
4     Appointment of Auditor                  For       For          Management
5.1   Elect Marc Cluzel                       For       For          Management
5.2   Elect Krisja Vermeylen                  For       For          Management
5.3   Elect Sharon Curran                     For       For          Management
6     Increase in Authorised Capital 2021-I   For       For          Management
7     Increase in Authorised Capital 2021-II  For       For          Management
8     Increase in Authorised Capital 2021-III For       For          Management
9     Reduction of Conditional Capital        For       For          Management
10    Authority to Issue Convertible Debt     For       For          Management
      Instruments; Increase in Conditional
      Capital
11    Management Board Remuneration Policy    For       Against      Management
12    Supervisory Board Remuneration Policy   For       For          Management
13    Amendments to Articles                  For       For          Management


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

NEKTAR THERAPEUTICS

Ticker:       NKTR           Security ID:  640268108
Meeting Date: JUN 10, 2021   Meeting Type: Annual
Record Date:  APR 12, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Jeff Ajer                         For       For          Management
1B.   Elect Robert B. Chess                   For       For          Management
1C.   Elect Roy A. Whitfield                  For       For          Management
2.    Amendment to the 2017 Performance       For       For          Management
      Incentive Plan
3.    Ratification of Auditor                 For       For          Management
4.    Advisory Vote on Executive Compensation For       For          Management


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

NEOGENOMICS, INC.

Ticker:       NEO            Security ID:  64049M209
Meeting Date: MAY 27, 2021   Meeting Type: Annual
Record Date:  MAR 31, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Douglas M. VanOort                For       For          Management
1B.   Elect Mark Mallon                       For       For          Management
1C.   Elect Lynn A. Tetrault                  For       For          Management
1D.   Elect Bruce K. Crowther                 For       For          Management
1E.   Elect Allison L. Hannah                 For       For          Management
1F.   Elect Kevin C. Johnson                  For       For          Management
1G.   Elect Stephen M. Kanovsky               For       For          Management
1H.   Elect Michael A. Kelly                  For       Abstain      Management
1I.   Elect Rachel A. Stahler                 For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Amendment to the Equity Incentive Plan  For       For          Management
4.    Ratification of Auditor                 For       For          Management


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

NIPPON SHINYAKU CO.,LTD.

Ticker:       4516           Security ID:  J55784102
Meeting Date: JUN 29, 2021   Meeting Type: Annual
Record Date:  MAR 31, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Allocation of Profits/Dividends         For       For          Management
2.1   Elect Shigenobu Maekawa                 For       For          Management
2.2   Elect Shozo Sano                        For       For          Management
2.3   Elect Takashi Takaya                    For       For          Management
2.4   Elect Takanori Edamitsu                 For       For          Management
2.5   Elect Toru Nakai                        For       For          Management
2.6   Elect Kazuchika Takagaki                For       For          Management
2.7   Elect Hitoshi Ishizawa                  For       For          Management
2.8   Elect Hitomi Kimura                     For       For          Management
2.9   Elect Yukio Sugiura                     For       For          Management
2.10  Elect Miyuki Sakurai                    For       For          Management
2.11  Elect Yoshinao Wada                     For       For          Management
2.12  Elect Yukari Kobayashi                  For       For          Management


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

NOTRE DAME INTERMEDICA PARTICIPACOES SA

Ticker:       GNDI3          Security ID:  P7S227106
Meeting Date: MAR 29, 2021   Meeting Type: Special
Record Date:  MAR 25, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Merger Agreement                        For       For          Management
2     Merger of Shares (Hapvida)              For       For          Management
3     Authorization of Legal Formalities      For       For          Management
4     Interim Dividends                       For       For          Management


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

NOTRE DAME INTERMEDICA PARTICIPACOES SA

Ticker:       GNDI3          Security ID:  P7S227106
Meeting Date: APR 26, 2021   Meeting Type: Special
Record Date:  APR 20, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Amendments to Article (Reconciliation   For       For          Management
      of Share Capital)
2     Instructions if Meeting is Held on      N/A       For          Management
      Second Call


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

NOTRE DAME INTERMEDICA PARTICIPACOES SA

Ticker:       GNDI3          Security ID:  P7S227106
Meeting Date: APR 26, 2021   Meeting Type: Annual
Record Date:  APR 20, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accounts and Reports                    For       For          Management
2     Allocation of Profits/Dividends         For       For          Management
3     Remuneration Policy                     For       Against      Management
4     Board Size                              For       For          Management
5     Request Cumulative Voting               N/A       Against      Management
6     Request Separate Election for Board     N/A       Abstain      Management
      Members
7     Election of Directors                   For       Against      Management
8     Approve Recasting of Votes for Amended  N/A       Against      Management
      Slate
9     Proportional Allocation of Cumulative   N/A       Against      Management
      Votes
10.1  Allocate Cumulative Votes to            N/A       For          Management
      Christopher Riley Gordon
10.2  Allocate Cumulative Votes to Irlau      N/A       For          Management
      Machado Filho
10.3  Allocate Cumulative Votes to Michel     N/A       Against      Management
      David Freund
10.4  Allocate Cumulative Votes to T. Devin   N/A       For          Management
      O'Reilly
10.5  Allocate Cumulative Votes to Jose Luiz  N/A       For          Management
      Teixeira Rossi
10.6  Allocate Cumulative Votes to Plinio     N/A       For          Management
      Villares Musetti
10.7  Allocate Cumulative Votes to Ana Paula  N/A       For          Management
      de Assis Bogus
11    Request Establishment of Supervisory    N/A       For          Management
      Council
12.1  Elect Sergio Vicente Bicicchi to the    For       Against      Management
      Supervisory Council
12.2  Elect Adalgiso Fragoso de Faria to the  For       For          Management
      Supervisory Council
12.3  Elect Adelino Dias Pinho to the         N/A       For          Management
      Supervisory Council
12.4  Elect Joao Verner Juenemann to the      N/A       For          Management
      Supervisory Council
13    Instructions if Meeting is Held on      N/A       Against      Management
      Second Call


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

NOVARTIS AG

Ticker:       NOVN           Security ID:  H5820Q150
Meeting Date: MAR 02, 2021   Meeting Type: Annual
Record Date:  FEB 25, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accounts and Reports                    For       For          Management
2     Ratification of Board and Management    For       For          Management
      Acts
3     Allocation of Profits/Dividends         For       For          Management
4     Cancellation of Shares and Reduction    For       For          Management
      in Share Capital
5     Authority to Repurchase Shares          For       For          Management
6.1   Board Compensation                      For       For          Management
6.2   Executive Compensation                  For       For          Management
6.3   Compensation Report                     For       For          Management
7.1   Elect Jorg Reinhardt as Board Chair     For       For          Management
7.2   Elect Nancy C. Andrews                  For       For          Management
7.3   Elect Ton Buchner                       For       For          Management
7.4   Elect Patrice Bula                      For       For          Management
7.5   Elect Elizabeth Doherty                 For       For          Management
7.6   Elect Ann M. Fudge                      For       For          Management
7.7   Elect Bridgette P. Heller               For       For          Management
7.8   Elect Frans van Houten                  For       For          Management
7.9   Elect Simon Moroney                     For       For          Management
7.10  Elect Andreas von Planta                For       For          Management
7.11  Elect Charles L. Sawyers                For       For          Management
7.12  Elect Enrico Vanni                      For       For          Management
7.13  Elect William T. Winters                For       For          Management
8.1   Elect Patrice Bula as Compensation      For       For          Management
      Committee  Member
8.2   Elect Bridgette P. Heller as            For       For          Management
      Compensation Committee  Member
8.3   Elect Enrico Vanni as Compensation      For       For          Management
      Committee  Member
8.4   Elect William T. Winters as             For       For          Management
      Compensation Committee  Member
8.5   Elect Simon Moroney as Compensation     For       For          Management
      Committee  Member
9     Appointment of Auditor                  For       For          Management
10    Appointment of Independent Proxy        For       For          Management
11    Amendments to Articles (Term of Office) For       For          Management
B     Additional or Amended Proposals         N/A       Against      Management


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

ONO PHARMACEUTICAL CO.,LTD.

Ticker:       4528           Security ID:  J61546115
Meeting Date: JUN 17, 2021   Meeting Type: Annual
Record Date:  MAR 31, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Allocation of Profits/Dividends         For       For          Management
2.1   Elect Gyo Sagara                        For       For          Management
2.2   Elect Toshihiro Tsujinaka               For       For          Management
2.3   Elect Toichi Takino                     For       For          Management
2.4   Elect Isao  Ono                         For       For          Management
2.5   Elect Kiyoaki Idemitsu                  For       For          Management
2.6   Elect Masao Nomura                      For       For          Management
2.7   Elect Akiko Okuno                       For       For          Management
2.8   Elect Shusaku Nagae                     For       For          Management
3     Elect Hironobu Tanisaka as Statutory    For       For          Management
      Auditor
4     Equity Compensation Plan                For       For          Management


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

PENUMBRA, INC.

Ticker:       PEN            Security ID:  70975L107
Meeting Date: JUN 02, 2021   Meeting Type: Annual
Record Date:  APR 12, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Adam Elsesser                     For       For          Management
1.2   Elect Harpreet Grewal                   For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Approval of the RSU Sub-Plan for France For       For          Management
4.    Advisory Vote on Executive Compensation For       For          Management


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

PFIZER INC.

Ticker:       PFE            Security ID:  717081103
Meeting Date: APR 22, 2021   Meeting Type: Annual
Record Date:  FEB 24, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Ronald E. Blaylock                For       For          Management
1B.   Elect Albert Bourla                     For       For          Management
1C.   Elect Susan Desmond-Hellmann            For       For          Management
1D.   Elect Joseph J. Echevarria              For       For          Management
1E.   Elect Scott Gottlieb                    For       For          Management
1F.   Elect Helen H. Hobbs                    For       For          Management
1G.   Elect Susan Hockfield                   For       For          Management
1H.   Elect Dan R. Littman                    For       For          Management
1I.   Elect Shantanu Narayen                  For       For          Management
1J.   Elect Suzanne Nora Johnson              For       For          Management
1K.   Elect James Quincey                     For       For          Management
1L.   Elect James C. Smith                    For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management
4.    Shareholder Proposal Regarding          Against   For          Shareholder
      Independent Chair
5.    Shareholder Proposal Regarding Report   Against   Against      Shareholder
      on Political Expenditures and Values
      Congruency
6.    Shareholder Proposal Regarding Report   Against   Against      Shareholder
      on Access to COVID-19 Products


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

PPD, INC.

Ticker:       PPD            Security ID:  69355F102
Meeting Date: APR 23, 2021   Meeting Type: Annual
Record Date:  FEB 25, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Stephen Ensley                    For       For          Management
1.2   Elect Maria Teresa Hilado               For       For          Management
1.3   Elect David Simmons                     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


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

PTC THERAPEUTICS, INC.

Ticker:       PTCT           Security ID:  69366J200
Meeting Date: JUN 08, 2021   Meeting Type: Annual
Record Date:  APR 16, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Emma Reeve                        For       For          Management
1.2   Elect Michael Schmertzler               For       For          Management
1.3   Elect Glenn D. Steele, Jr.              For       For          Management
1.4   Elect Mary Smith                        For       For          Management
2.    Increase in Authorized Common Stock     For       For          Management
3.    Amendment to the 2016 Employee Stock    For       For          Management
      Purchase Plan
4.    Ratification of Auditor                 For       For          Management
5.    Advisory Vote on Executive Compensation For       For          Management


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

QUIDEL CORPORATION

Ticker:       QDEL           Security ID:  74838J101
Meeting Date: MAY 18, 2021   Meeting Type: Annual
Record Date:  MAR 24, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Douglas C. Bryant                 For       For          Management
1.2   Elect Kenneth F. Buechler               For       For          Management
1.3   Elect Edward L. Michael                 For       For          Management
1.4   Elect Kathy Ordonez                     For       For          Management
1.5   Elect Mary Lake Polan                   For       For          Management
1.6   Elect Ann D. Rhoads                     For       For          Management
1.7   Elect Charles P. Slacik                 For       For          Management
1.8   Elect Matthew W. Strobeck               For       For          Management
1.9   Elect Kenneth J. Widder                 For       For          Management
1.10  Elect Joseph D. Wilkins Jr.             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, 2021   Meeting Type: Annual
Record Date:  APR 15, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect William D. McClellan, Jr.         For       For          Management
1.2   Elect William E. Rose                   For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management


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

REGENERON PHARMACEUTICALS, INC.

Ticker:       REGN           Security ID:  75886F107
Meeting Date: JUN 11, 2021   Meeting Type: Annual
Record Date:  APR 13, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect N. Anthony Coles                  For       For          Management
1B.   Elect Arthur F. Ryan                    For       For          Management
1C.   Elect George L. Sing                    For       For          Management
1D.   Elect Marc Tessier-Lavigne              For       For          Management
2.    Ratification of Auditor                 For       For          Management


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

RELAY THERAPEUTICS, INC.

Ticker:       RLAY           Security ID:  75943R102
Meeting Date: MAY 19, 2021   Meeting Type: Annual
Record Date:  MAR 22, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Sanjiv K. Patel                   For       For          Management
1.2   Elect Linda A. Hill                     For       For          Management
2.    Ratification of Auditor                 For       For          Management


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

REVOLUTION MEDICINES, INC.

Ticker:       RVMD           Security ID:  76155X100
Meeting Date: JUN 22, 2021   Meeting Type: Annual
Record Date:  APR 23, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Elizabeth McKee Anderson          For       For          Management
1.2   Elect Neil Exter                        For       For          Management
1.3   Elect Flavia Borellini                  For       For          Management
2.    Ratification of Auditor                 For       For          Management


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

ROCKET PHARMACEUTICALS, INC.

Ticker:       RCKT           Security ID:  77313F106
Meeting Date: JUN 14, 2021   Meeting Type: Annual
Record Date:  APR 16, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Roderick Wong                     For       For          Management
1B.   Elect Carsten Boess                     For       For          Management
1C.   Elect Pedro P. Granadillo               For       For          Management
1D.   Elect Gotham Makker                     For       For          Management
1E.   Elect Gaurav Shah                       For       For          Management
1F.   Elect David P. Southwell                For       For          Management
1G.   Elect Naveen Yalamanchi                 For       Abstain      Management
1H.   Elect Elisabeth Bjork                   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


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

ROYALTY PHARMA PLC

Ticker:       RPRX           Security ID:  G7709Q104
Meeting Date: JUN 24, 2021   Meeting Type: Annual
Record Date:  APR 13, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Pablo Legorreta                   For       For          Management
1B.   Elect Henry A. Fernandez                For       For          Management
1C.   Elect Bonnie L. Bassler                 For       For          Management
1D.   Elect Errol B. De Souza                 For       For          Management
1E.   Elect Catherine Engelbert               For       For          Management
1F.   Elect William E. Ford                   For       For          Management
1G.   Elect Mario G. Giuliani                 For       For          Management
1H.   Elect Ted W. Love                       For       Against      Management
1I.   Elect Gregory Norden                    For       For          Management
1J.   Elect Rory B. Riggs                     For       For          Management
2.    Advisory Vote on Executive Compensation For       Against      Management
3.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation
4.    Ratification of Auditor                 For       For          Management
5.    Accounts and Reports                    For       For          Management
6.    Remuneration Policy                     For       For          Management
7.    Remuneration Report                     For       Against      Management
8.    Reappointment of Auditor                For       For          Management
9.    Authorize Statutory Auditor's           For       For          Management
      Remuneration


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

SAGE THERAPEUTICS, INC.

Ticker:       SAGE           Security ID:  78667J108
Meeting Date: JUN 10, 2021   Meeting Type: Annual
Record Date:  APR 13, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Elizabeth Barrett                 For       Withhold     Management
1.2   Elect Geno Germano                      For       Withhold     Management
1.3   Elect Steven M. Paul                    For       Withhold     Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management


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

SAREPTA THERAPEUTICS, INC.

Ticker:       SRPT           Security ID:  803607100
Meeting Date: JUN 03, 2021   Meeting Type: Annual
Record Date:  APR 09, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Richard J. Barry                  For       For          Management
1.2   Elect M. Kathleen Behrens               For       For          Management
1.3   Elect Claude Nicaise                    For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management


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

SEAGEN INC.

Ticker:       SGEN           Security ID:  81181C104
Meeting Date: MAY 14, 2021   Meeting Type: Annual
Record Date:  MAR 18, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Felix J. Baker                    For       Against      Management
1B.   Elect Clay B. Siegall                   For       For          Management
1C.   Elect Nancy A. Simonian                 For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management


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

SHANDONG WEIGAO GROUP MEDICAL POLYMER CO. LTD.

Ticker:       1066           Security ID:  Y76810103
Meeting Date: OCT 14, 2020   Meeting Type: Special
Record Date:  OCT 08, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Supplemental Logistic and Distribution  For       For          Management
      Services Framework Agreement
2     Supplemental Purchase Framework         For       For          Management
      Agreement


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

SHANDONG WEIGAO GROUP MEDICAL POLYMER COMPANY LIMITED

Ticker:       1066           Security ID:  Y76810103
Meeting Date: JUL 22, 2020   Meeting Type: Annual
Record Date:  JUN 22, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accounts and Reports                    For       For          Management
2     Directors' Report                       For       For          Management
3     Supervisors' Report                     For       For          Management
4     Allocation of Profits/Dividends         For       For          Management
5     Appointment of Auditor and Authority    For       For          Management
      to Set Fees
6     Remuneration of Directors, Supervisors  For       For          Management
      and Senior  Management
7     Elect ZHANG Huawei                      For       For          Management
8     Elect WANG Yi                           For       For          Management
9     Elect ZHOU Shu Hua                      For       For          Management
10    Elect HU Yun Yong as Supervisor         For       Against      Management
11    Elect GU Mei Jun as Supervisor          For       For          Management
12    Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
13    Authority to Repurchase Shares          For       For          Management
14    Amendments to Articles                  For       Against      Management


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

SHANDONG WEIGAO GROUP MEDICAL POLYMER COMPANY LIMITED

Ticker:       1066           Security ID:  Y76810103
Meeting Date: OCT 14, 2020   Meeting Type: Special
Record Date:  OCT 08, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Distribution of Interim Dividend        For       For          Management


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

SHANDONG WEIGAO GROUP MEDICAL POLYMER COMPANY LIMITED

Ticker:       1066           Security ID:  Y76810103
Meeting Date: DEC 03, 2020   Meeting Type: Special
Record Date:  NOV 30, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Revised Purchase Framework Agreement    For       For          Management
1     Authority to Issue Debt Instruments     For       For          Management


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

SHANDONG WEIGAO GROUP MEDICAL POLYMER COMPANY LIMITED

Ticker:       1066           Security ID:  Y76810103
Meeting Date: MAY 24, 2021   Meeting Type: Annual
Record Date:  MAY 14, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accounts and Reports                    For       For          Management
2     Directors' Report                       For       For          Management
3     Supervisors' Report                     For       For          Management
4     Allocation of Profits/Dividends         For       For          Management
5     Appointment of Auditor and Authority    For       For          Management
      to Set Fees
6     Directors' Fees                         For       For          Management
7     Elect CONG Rinan                        For       For          Management
8     Elect LIANG Xiaoming                    For       For          Management
9     Elect LO Wai Hung                       For       For          Management
10    Elect FU Ming Zhong                     For       For          Management
11    Elect WANG Jinxia                       For       For          Management
12    Authority to Issue Shares w/o           For       Against      Management
      Preemptive Rights
13    Authority to Repurchase Shares          For       For          Management
14    Amendments to Articles                  For       For          Management


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

SHANGHAI FOSUN PHARMACEUTICAL (GROUP)

Ticker:       2196           Security ID:  Y7687D109
Meeting Date: DEC 29, 2020   Meeting Type: Special
Record Date:  DEC 22, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Fulfilment of Conditions for the        For       For          Management
      Non-public Issuance of A Shares
2.1   Class and nominal value of the shares   For       For          Management
      to be issued
2.2   Method of issuance                      For       For          Management
2.3   Subscribers and subscription method     For       For          Management
2.4   Price Determination Date, issue price   For       For          Management
      and pricing principles
2.5   Number of the shares to be issued       For       For          Management
2.6   Amount and use of proceeds              For       For          Management
2.7   Lock-up period                          For       For          Management
2.8   Place of listing                        For       For          Management
2.9   Arrangements for the accumulated        For       For          Management
      profits
2.10  Validity period                         For       For          Management
3     Proposal for the Proposed Non-public    For       For          Management
      Issuance
4     Feasibility Report on the use of        For       For          Management
      Proceeds from the Proposed Non-public
      Issuance
5     Report on the Use of Proceeds           For       For          Management
      Previously Raised
6     Dilution of Immediate Return and        For       For          Management
      Remedial Measures
7     Undertakings Given in Respect of        For       For          Management
      Remedial Measures
8     Shareholder Return Plan (2020-2022)     For       For          Management
9     Board Authorization in Relation to A    For       For          Management
      Share Issuance


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

SHANGHAI FOSUN PHARMACEUTICAL (GROUP)

Ticker:       2196           Security ID:  Y7687D109
Meeting Date: MAY 27, 2021   Meeting Type: Special
Record Date:  MAY 21, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Transfer Contract                       For       For          Management


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

SHANGHAI FOSUN PHARMACEUTICAL (GROUP)

Ticker:       2196           Security ID:  Y7687D109
Meeting Date: JUN 11, 2021   Meeting Type: Other
Record Date:  JUN 04, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Authority to Repurchase H Shares        For       For          Management
2     Authority to Repurchase A Shares        For       For          Management
3     Adoption of 2021 Restricted Share       For       For          Management
      Incentive Scheme
4     Management Measures for Appraisal       For       For          Management
      System of 2021 Restricted Share
      Incentive Scheme
5     Board Authorization to Handle Matters   For       For          Management
      Related to 2021 Restricted Share
      Incentive Scheme


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

SHANGHAI FOSUN PHARMACEUTICAL (GROUP)

Ticker:       2196           Security ID:  Y7687D109
Meeting Date: JUN 11, 2021   Meeting Type: Annual
Record Date:  JUN 04, 2021

#     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     Estimates of 2021 Ongoing Related       For       For          Management
      Party Transactions
9     Renewed and Entrusted Loans             For       For          Management
10    Line of Credit                          For       For          Management
11    Management Authorization to Dispose     For       For          Management
      Shares of Listed Companies Held by the
      Group
12    Authority to Give Guarantees            For       For          Management
13    Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
14    Authority to Repurchase H Shares        For       For          Management
15    Authority to Repurchase A Shares        For       For          Management
16    Adoption of 2021 Restricted Share       For       For          Management
      Incentive Scheme
17    Management Measures for Appraisal       For       For          Management
      System of 2021 Restricted Share
      Incentive Scheme
18    Board Authorization to Handle Matters   For       For          Management
      Related to 2021 Restricted Share
      Incentive Scheme
19.A  Elect WANG Quandi                       For       For          Management
19.B  Elect YU Tze Shan Hailson               For       For          Management


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

SHANGHAI FOSUN PHARMACEUTICAL (GROUP) CO., LTD.

Ticker:       2196           Security ID:  Y7687D109
Meeting Date: OCT 09, 2020   Meeting Type: Special
Record Date:  SEP 25, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Amendments to Articles of Association   For       For          Management
2     Amendments to Procedural Rules for      For       For          Management
      General Meetings
3     Amendments to Procedural Rules of the   For       For          Management
      Board
4     Elect ZHANG Houlin                      For       For          Management


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

SHANGHAI HENLIUS BIOTECH INC.

Ticker:       2696           Security ID:  Y7690X100
Meeting Date: NOV 19, 2020   Meeting Type: Special
Record Date:  OCT 19, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Wenjie Zhang                      For       For          Management
2     Amendment to Article 43                 For       For          Management
3     Further Amendment to Article 43 to      For       For          Management
      Take Effect From the Date of the A
      Share Offering and Listing


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

SHANGHAI HENLIUS BIOTECH INC.

Ticker:       2696           Security ID:  Y7690X100
Meeting Date: DEC 10, 2020   Meeting Type: Special
Record Date:  DEC 04, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Amendment to 2018 Share Award Scheme    For       For          Management
2     Adoption of 2020 Share Award Scheme     For       For          Management


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

SHANGHAI HENLIUS BIOTECH INC.

Ticker:       2696           Security ID:  Y7690X100
Meeting Date: MAY 25, 2021   Meeting Type: Other
Record Date:  MAY 18, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approval of the Extension of the        For       For          Management
      Validity Period in relation to A Share
      Offering and Listing
2     Extension of the Authorization Granted  For       For          Management
      to the Board to Deal with Matters
      relating to A Share Offering and
      Listing
3     Updated Plan for Use of Proceeds        For       For          Management


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

SHANGHAI HENLIUS BIOTECH INC.

Ticker:       2696           Security ID:  Y7690X100
Meeting Date: MAY 25, 2021   Meeting Type: Annual
Record Date:  MAY 18, 2021

#     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     Financial Budget 2021                   For       For          Management
7     Appointment of International and        For       For          Management
      Domestic Auditor and Authority to Set
      Fees
8     Approval of Report on the Use of        For       For          Management
      Previously Raised Proceeds
9     Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
10    Approval of the Extension of the        For       For          Management
      Validity Period in relation to A Share
      Offering and Listing
11    Extension of the Authorization Granted  For       For          Management
      to the Board to Deal with Matters
      relating to A Share Offering and
      Listing
12    Updated Plan for Use of Proceeds        For       For          Management


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

SMITH & NEPHEW PLC

Ticker:       SN.            Security ID:  G82343164
Meeting Date: APR 14, 2021   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     Final Dividend                          For       For          Management
4     Elect Roland Diggelmann                 For       For          Management
5     Elect Erik Engstrom                     For       For          Management
6     Elect Robin Freestone                   For       For          Management
7     Elect John Ma                           For       For          Management
8     Elect Katarzyna Mazur-Hofsaess          For       For          Management
9     Elect Rick Medlock                      For       For          Management
10    Elect Anne-Francoise Nesmes             For       For          Management
11    Elect Marc Owen                         For       For          Management
12    Elect Roberto Quarta                    For       For          Management
13    Elect Angie Risley                      For       For          Management
14    Elect Bob White                         For       For          Management
15    Appointment of Auditor                  For       For          Management
16    Authority to Set Auditor's Fees         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       Against      Management
      Notice Period at 14 Days
22    Adoption of New Articles                For       For          Management


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

STRYKER CORPORATION

Ticker:       SYK            Security ID:  863667101
Meeting Date: MAY 05, 2021   Meeting Type: Annual
Record Date:  MAR 08, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A)   Elect Mary K. Brainerd                  For       For          Management
1B)   Elect Giovanni Caforio                  For       For          Management
1C)   Elect Srikant M. Datar                  For       For          Management
1D)   Elect Allan C. Golston                  For       For          Management
1E)   Elect Kevin A. Lobo                     For       For          Management
1F)   Elect Sherilyn S. McCoy                 For       Against      Management
1G)   Elect Andrew K. Silvernail              For       For          Management
1H)   Elect Lisa M. Skeete Tatum              For       For          Management
1I)   Elect Ronda E. Stryker                  For       For          Management
1J)   Elect Rajeev Suri                       For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management
4.    Shareholder Proposal Regarding Report   Against   Against      Shareholder
      on Non-Management Employee
      Representation on the Board
5.    Shareholder Proposal Regarding Right    Against   For          Shareholder
      to Call Special Meetings


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

SYNEOS HEALTH, INC.

Ticker:       SYNH           Security ID:  87166B102
Meeting Date: MAY 12, 2021   Meeting Type: Annual
Record Date:  MAR 19, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Thomas Allen                      For       For          Management
1B.   Elect Linda A. Harty                    For       For          Management
1C.   Elect Alistair Macdonald                For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management


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

TELEFLEX INCORPORATED

Ticker:       TFX            Security ID:  879369106
Meeting Date: APR 30, 2021   Meeting Type: Annual
Record Date:  MAR 05, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Candace H. Duncan                 For       For          Management
1B.   Elect Stephen K. Klasko                 For       For          Management
1C.   Elect Stuart A. Randle                  For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management
4.    Shareholder Proposal Regarding Board    Abstain   For          Shareholder
      Declassification


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

TERUMO CORPORATION

Ticker:       4543           Security ID:  J83173104
Meeting Date: JUN 22, 2021   Meeting Type: Annual
Record Date:  MAR 31, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Allocation of Profits/Dividends         For       For          Management
2.1   Elect Takayoshi Mimura                  For       For          Management
2.2   Elect Shinjiro Sato                     For       For          Management
2.3   Elect Toshiaki Takagi                   For       For          Management
2.4   Elect Shoji Hatano                      For       For          Management
2.5   Elect Kyo Nishikawa                     For       For          Management
2.6   Elect Yukiko Kuroda @ Yukiko Matsumoto  For       For          Management
2.7   Elect Hidenori Nishi                    For       For          Management
2.8   Elect Keiya Ozawa                       For       For          Management
3.1   Elect Takanori Shibazaki                For       For          Management
3.2   Elect Masaichi Nakamura                 For       For          Management
3.3   Elect Soichiro Uno                      For       For          Management
4     Elect Koichi Sakaguchi as Alternate     For       For          Management
      Audit Committee Director


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

TG THERAPEUTICS, INC.

Ticker:       TGTX           Security ID:  88322Q108
Meeting Date: JUN 16, 2021   Meeting Type: Annual
Record Date:  APR 20, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Laurence N. Charney               For       Withhold     Management
1.2   Elect Yann Echelard                     For       Withhold     Management
1.3   Elect William J. Kennedy                For       Withhold     Management
1.4   Elect Kenneth Hoberman                  For       Withhold     Management
1.5   Elect Daniel Hume                       For       Withhold     Management
1.6   Elect Sagar Lonial                      For       Withhold     Management
1.7   Elect Michael S. Weiss                  For       Withhold     Management
2.    Increase in Authorized Common Stock     For       For          Management
3.    Ratification of Auditor                 For       For          Management


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

THERMO FISHER SCIENTIFIC INC.

Ticker:       TMO            Security ID:  883556102
Meeting Date: MAY 19, 2021   Meeting Type: Annual
Record Date:  MAR 26, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Marc N. Casper                    For       For          Management
1B.   Elect Nelson J. Chai                    For       For          Management
1C.   Elect C. Martin Harris                  For       For          Management
1D.   Elect Tyler Jacks                       For       For          Management
1E.   Elect R. Alexandra Keith                For       For          Management
1F.   Elect Thomas J. Lynch                   For       For          Management
1G.   Elect Jim P. Manzi                      For       For          Management
1H.   Elect James C. Mullen                   For       For          Management
1I.   Elect Lars Rebien Sorensen              For       For          Management
1J.   Elect Debora L. Spar                    For       For          Management
1K.   Elect Scott M. Sperling                 For       For          Management
1L.   Elect Dion J. Weisler                   For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management
4.    Shareholder Proposal Regarding Right    Against   For          Shareholder
      to Call Special Meetings


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

TURNING POINT THERAPEUTICS, INC.

Ticker:       TPTX           Security ID:  90041T108
Meeting Date: JUN 02, 2021   Meeting Type: Annual
Record Date:  APR 07, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Simeon J. George                  For       For          Management
1.2   Elect Carol Gallagher                   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


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

UCB SA

Ticker:       UCB            Security ID:  B93562120
Meeting Date: APR 29, 2021   Meeting Type: Ordinary
Record Date:  APR 15, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
4     Accounts and Reports; Allocation of     For       For          Management
      Profits and Dividends
5     Remuneration Report                     For       For          Management
6     Remuneration Policy                     For       For          Management
7     Ratification of Board Acts              For       For          Management
8     Ratification of Auditor's Acts          For       For          Management
9.1.A Elect Stefan Oschmann to the Board of   For       For          Management
      Directors
9.1.B Ratification of Independence of         For       For          Management
      Stefan Oschmann
9.2   Elect Fiona du Monceau to the Board of  For       For          Management
      Directors
9.3.A Ratification of Co-option of  Susan     For       For          Management
      Gasser
9.3.B Elect Susan Gasser to the Board of      For       For          Management
      Directors
9.3.C Ratification of Independence of  Susan  For       For          Management
      Gasser
9.4.A Elect Jonathan M. Peacock to the Board  For       For          Management
      of Directors
9.4.B Ratification of Independence of         For       For          Management
      Jonathan M. Peacock
9.5.A Elect Bert de Graeve to the Board of    For       For          Management
      Directors
9.5.B Ratification of Independence of Bert    For       For          Management
      de Graeve
9.6.A Elect Viviane Monges to the Board of    For       For          Management
      Directors
9.6.B Ratification of Independence of         For       For          Management
      Viviane Monges
10    Appointment of Auditor and Authority    For       For          Management
      to Set Fees
11    Long Term Incentive Plan (Free          For       For          Management
      Allocation of Shares)
12.1  Change in Control Clause                For       For          Management


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

UNITEDHEALTH GROUP INCORPORATED

Ticker:       UNH            Security ID:  91324P102
Meeting Date: JUN 07, 2021   Meeting Type: Annual
Record Date:  APR 09, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Richard T. Burke                  For       For          Management
1B.   Elect Timothy P. Flynn                  For       For          Management
1C.   Elect Stephen J. Hemsley                For       For          Management
1D.   Elect Michele J. Hooper                 For       For          Management
1E.   Elect F. William McNabb, III            For       For          Management
1F.   Elect Valerie C. Montgomery Rice        For       For          Management
1G.   Elect John H. Noseworthy                For       For          Management
1H.   Elect Gail R. Wilensky                  For       For          Management
1I.   Elect Andrew Witty                      For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management
4.    Amendment to the 1993 Employee Stock    For       For          Management
      Purchase Plan
5.    Shareholder Proposal Regarding Right    Against   Against      Shareholder
      to Call Special Meetings


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

UNIVERSAL HEALTH SERVICES, INC.

Ticker:       UHS            Security ID:  913903100
Meeting Date: MAY 19, 2021   Meeting Type: Annual
Record Date:  MAR 25, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
2.    Ratification of Auditor                 For       For          Management


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

VERTEX PHARMACEUTICALS INCORPORATED

Ticker:       VRTX           Security ID:  92532F100
Meeting Date: MAY 19, 2021   Meeting Type: Annual
Record Date:  MAR 25, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Sangeeta N. Bhatia                For       For          Management
1B.   Elect Lloyd A. Carney                   For       For          Management
1C.   Elect Alan M. Garber                    For       For          Management
1D.   Elect Terrence C. Kearney               For       For          Management
1E.   Elect Reshma Kewalramani                For       For          Management
1F.   Elect Yuchun Lee                        For       For          Management
1G.   Elect Jeffrey M. Leiden                 For       For          Management
1H.   Elect Margaret G. McGlynn               For       For          Management
1I.   Elect Diana McKenzie                    For       For          Management
1J.   Elect Bruce I. Sachs                    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   Against      Shareholder
      Political Contributions and
      Expenditures Report


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

WUXI APPTEC CO. LTD.

Ticker:       2359           Security ID:  Y971B1118
Meeting Date: AUG 31, 2020   Meeting Type: Special
Record Date:  AUG 26, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Adoption of the H Share Award and       For       For          Management
      Trust Scheme
2     Grant of Awards under the H Share       For       For          Management
      Award and Trust Scheme
3     Board Authorization to implement  H     For       For          Management
      Share Award and Trust Scheme
4     Elect Boyang Wu as Supervisor           For       For          Management
5     Amend Supervisors Remuneration Scheme   For       For          Management
6     Increase in Registered Capital          For       For          Management
7     Amendments to Articles of Association   For       For          Management
8     Amendments to Procedural Rules for      For       For          Management
      Shareholder Meetings
9     Amendments to Procedural Rules for      For       For          Management
      Board Meetings


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

WUXI APPTEC CO. LTD.

Ticker:       2359           Security ID:  Y971B1118
Meeting Date: MAY 13, 2021   Meeting Type: Other
Record Date:  MAY 06, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Allocation of Profits/Dividends         For       For          Management
2     Authority to Repurchase A and/or H      For       For          Management
      Shares
3     Authority to Issue Shares under         For       For          Management
      Convertible Bonds-Related Specific
      Mandate


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

WUXI APPTEC CO. LTD.

Ticker:       2359           Security ID:  Y971B1118
Meeting Date: MAY 13, 2021   Meeting Type: Annual
Record Date:  MAY 06, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Directors' Report                       For       For          Management
2     Supervisors' Report                     For       For          Management
3     Financial Report                        For       For          Management
4     Approve External Guarantees             For       For          Management
5     Approval to Dispose Listed and Trading  For       For          Management
      Shares
6     Approval of Amendments to Work          For       For          Management
      Policies of Independent Director
7     Appointment of Auditor and Authority    For       For          Management
      to Set Fees
8     Approve Foreign Exchange Hedging Limit  For       For          Management
9     Directors' Fees                         For       For          Management
10    Approval for Asset Transfer Agreement   For       For          Management
      and Transactions contemplated
      thereunder
11    Allocation of Profits/Dividends         For       For          Management
12    Increase of Registered Capital          For       For          Management
13    Amendments to Articles                  For       For          Management
14    Authority to Issue A and/or H Shares    For       For          Management
      w/o Preemptive Rights
15    Authority to Repurchase A and/or H      For       For          Management
      Shares
16    Authority to Issue Shares under         For       For          Management
      Convertible Bonds-Related Specific
      Mandate


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

WUXI BIOLOGICS (CAYMAN) INC.

Ticker:       2269           Security ID:  G97008109
Meeting Date: NOV 12, 2020   Meeting Type: Special
Record Date:  NOV 06, 2020

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Share Subdivision                       For       For          Management


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

WUXI BIOLOGICS (CAYMAN) INC.

Ticker:       2269           Security ID:  G97008117
Meeting Date: JUN 16, 2021   Meeting Type: Annual
Record Date:  JUN 09, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accounts and Reports                    For       For          Management
2.A   Elect William Robert Keller             For       For          Management
2.B   Elect KWAUK Teh Ming, Walter            For       For          Management
3     Elect Ning Zhao                         For       For          Management
4     Directors' Fees                         For       For          Management
5     Appointment of Auditor and Authority    For       For          Management
      to Set Fees
6     Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
7     Authority to Repurchase Shares          For       For          Management
8     Authority to Issue Repurchased Shares   For       For          Management
9     Specific Mandate to Issue Connected     For       For          Management
      Awarded Shares
10    Grant of 945,200 Connected Rewarded     For       For          Management
      Shares to Zhisheng Chen
11    Grant of 263,679 Connected Restricted   For       For          Management
      Shares to Weichang Zhou
12    Grant of 2,467 Connected Restricted     For       For          Management
      Shares to William Robert Keller
13    Grant of 4,934 Connected Restricted     For       For          Management
      Shares to Walter KWAUK Teh-Ming
14    Grant of 4,934 Connected Restricted     For       For          Management
      Shares to Kenneth Walton Hitchner III
15    Grant of 156,202 Connected Restricted   For       For          Management
      Shares to Jian Dong
16    Grant of 98,305 Connected Restricted    For       For          Management
      Shares to Angus Scott Marshall Turner
17    Grant of 17,420 Connected Restricted    For       For          Management
      Shares to Brendan McGrath


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

YIFENG PHARMACY CHAIN CO.LTD.

Ticker:       603939         Security ID:  Y982AC104
Meeting Date: MAR 29, 2021   Meeting Type: Special
Record Date:  MAR 19, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Directors' Fees                         For       For          Management
2     Supervisors' Fees                       For       For          Management
3     Replenish Working Capital with Surplus  For       For          Management
      Funds Raised from Non-Public Share
      Offering
4.1   Re-elect GAO Yi                         For       For          Management
4.2   Re-elect GAO Feng                       For       For          Management
4.3   Re-elect GAO Youcheng                   For       For          Management
4.4   Re-elect XU Xin                         For       For          Management
4.5   Elect CHAI Mingang                      For       For          Management
4.6   Elect YE Weitao                         For       For          Management
5.1   Re-elect YAN Aiming                     For       For          Management
5.2   Re-elect WANG Hongxia                   For       For          Management
5.3   Re-elect YI Languang                    For       For          Management
6.1   Re-elect CHEN Bin                       For       For          Management
6.2   Re-elect LIU Yi                         For       Against      Management


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

YIFENG PHARMACY CHAIN CO.LTD.

Ticker:       603939         Security ID:  Y982AC104
Meeting Date: MAY 20, 2021   Meeting Type: Annual
Record Date:  MAY 13, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     2020 Work Report Of The Board Of        For       For          Management
      Directors
2     2020 Work Report Of The Supervisory     For       For          Management
      Committee
3     2020 Annual Report And Its Summary      For       For          Management
4     2020 Annual Accounts                    For       For          Management
5     2020 Profit Distribution Plan           For       For          Management
6     Reappointment Of 2021 Audit Firm        For       For          Management
7     Application for Comprehensive Credit    For       For          Management
      Line to banks and Accepting the
      Guarantee by Related Parties
8     The Company and De Facto Controller's   For       For          Management
      Provision of Guarantee for
      Subsidiaries Application for Bank
      Credit
9     Purchase Of Wealth Management Products  For       For          Management
      With Some Idle Proprietary Funds
10    Purchase Of Wealth Management Products  For       For          Management
      With Some Idle Raised Funds
11    Change of the Company's Registered      For       For          Management
      Capital and Business Scope, and
      Amendments to the Company's Articles
      of Association


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

ZAI LAB LIMITED

Ticker:       ZLAB           Security ID:  G9887T108
Meeting Date: JUN 24, 2021   Meeting Type: Annual
Record Date:  APR 27, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Repeal of Classified Board              For       For          Management
2     Amendments to Articles to Reflect       For       For          Management
      Changes Required or Recommended by the
      Hong Kong Stock Exchange
3     Adoption of Fifth Amended and Restated  For       For          Management
      Articles of Association
4     Ratification of Auditor                 For       For          Management


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

ZAI LAB LIMITED

Ticker:       ZLAB           Security ID:  98887Q104
Meeting Date: JUN 24, 2021   Meeting Type: Annual
Record Date:  APR 27, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.    Repeal of Classified Board              For       For          Management
2.    Amendments to Articles to Reflect       For       For          Management
      Changes Required or Recommended by the
      Hong Kong Stock Exchange
3.    Adoption of Fifth Amended and Restated  For       For          Management
      Articles of Association
4.    Ratification of Auditor                 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 24, 2021
*By:    /s/Anne E. Robinson

Anne E. Robinson, pursuant to a Power of Attorney filed on October 23, 2020, see
File Number 2-52698. Incorporated by Reference.