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, 2021 - JUNE 30, 2022



 ******************************* FORM N-Px REPORT ******************************
ICA File Number: 81103916D
Reporting Period: 07/01/2021 - 06/30/2022
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 ====================


2SEVENTY BIO, INC.

Ticker:       TSVT           Security ID:  901384107
Meeting Date: JUN 08, 2022   Meeting Type: Annual
Record Date:  APR 11, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect Nick Leschly                      For       For          Management
1.02  Elect Ramy Ibrahim                      For       For          Management
2     Ratification of Auditor                 For       For          Management


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ABCAM PLC

Ticker:       ABC            Security ID:  000380204
Meeting Date: JUL 01, 2021   Meeting Type: Annual
Record Date:  JUN 03, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
O1.   Remuneration Policy (Binding)           For       For          Management
O2.   Profitable Growth Incentive Plan        For       For          Management
O3.   Authority to Issue Shares w/            For       For          Management
      Preemptive Rights
S4.   Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
S5.   Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights (Specified Capital
      Investment)
S6.   Authority to Repurchase Shares          For       For          Management


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ABCAM PLC

Ticker:       ABC            Security ID:  000380204
Meeting Date: MAY 18, 2022   Meeting Type: Annual
Record Date:  APR 06, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
O1    Accounts and Reports                    For       For          Management
O2    Remuneration Report                     For       For          Management
O3    Remuneration Policy                     For       For          Management
O4    Appointment of Auditor                  For       For          Management
O5    Authority to Set Auditor's Fees         For       For          Management
O6    Elect Peter V. Allen                    For       For          Management
O7    Elect Alan Hirzel                       For       For          Management
O8    Elect Michael Baldock                   For       For          Management
O9    Elect Mara G. Aspinall                  For       For          Management
O10   Elect Giles Kerr                        For       For          Management
O11   Elect Mark C. Capone                    For       For          Management
O12   Elect Sally W. Crawford                 For       For          Management
O13   Elect Bessie Lee                        For       For          Management
O14   Authority to Issue Shares w/            For       For          Management
      Preemptive Rights
S15   Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
S16   Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights (Specified Capital
      Investment)
S17   Authority to Repurchase Shares          For       For          Management


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ACADIA HEALTHCARE COMPANY, INC.

Ticker:       ACHC           Security ID:  00404A109
Meeting Date: MAY 19, 2022   Meeting Type: Annual
Record Date:  MAR 24, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Jason R. Bernhard                 For       For          Management
1B.   Elect William F. Grieco                 For       For          Management
1C.   Elect Reeve B. Waud                     For       For          Management
2     Advisory Vote on Executive Compensation For       For          Management
3     Ratification of Auditor                 For       For          Management


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AGILENT TECHNOLOGIES, INC.

Ticker:       A              Security ID:  00846U101
Meeting Date: MAR 16, 2022   Meeting Type: Annual
Record Date:  JAN 18, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Hans E. Bishop                    For       For          Management
1.2   Elect Otis W. Brawley                   For       For          Management
1.3   Elect Mikael Dolsten                    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


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AGILON HEALTH, INC.

Ticker:       AGL            Security ID:  00857U107
Meeting Date: MAY 24, 2022   Meeting Type: Annual
Record Date:  APR 01, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Richard J. Schnall                For       For          Management
1b.   Elect Sharad Mansukani                  For       For          Management
1c.   Elect Michael L. Smith                  For       For          Management
1d.   Elect Clay Richards                     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


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AGIOS PHARMACEUTICALS, INC.

Ticker:       AGIO           Security ID:  00847X104
Meeting Date: JUN 21, 2022   Meeting Type: Annual
Record Date:  APR 25, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Jacqualyn A. Fouse                For       For          Management
1.2   Elect David T. Scadden                  For       For          Management
1.3   Elect David P. Schenkein                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


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AKESO, INC.

Ticker:       9926           Security ID:  G0146B103
Meeting Date: JUN 28, 2022   Meeting Type: Annual
Record Date:  JUN 22, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accounts and Reports                    For       For          Management
2.AI  Elect XIA Yu                            For       For          Management
2.AII Elect ZHOU Yi                           For       For          Management
2AIII Elect ZENG Junwen                       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       Against      Management
      Preemptive Rights
4.B   Authority to Repurchase Shares          For       For          Management
4.C   Authority to Issue Repurchased Shares   For       Against      Management
5     Adoption of Share Option Scheme         For       Against      Management


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ALCON AG

Ticker:       ALC            Security ID:  H01301128
Meeting Date: APR 27, 2022   Meeting Type: Annual
Record Date:  APR 19, 2022

#     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
4A.   Compensation Report                     For       For          Management
4B.   Board Compensation                      For       For          Management
4C.   Executive Compensation                  For       For          Management
5A.   Elect F. Michael Ball                   For       For          Management
5B.   Elect Lynn Dorsey Bleil                 For       For          Management
5C.   Elect Arthur Cummings                   For       For          Management
5D.   Elect David J. Endicott                 For       For          Management
5E.   Elect Thomas Glanzmann                  For       For          Management
5F.   Elect D. Keith Grossman                 For       For          Management
5G.   Elect Scott H. Maw                      For       For          Management
5H.   Elect Karen J. May                      For       For          Management
5I.   Elect Ines Poschel                      For       For          Management
5J.   Elect Dieter Spalti                     For       For          Management
5K.   Elect Raquel C. Bono                    For       For          Management
6A.   Elect Thomas Glanzmann as Compensation  For       For          Management
      Committee Member
6B.   Elect Karen J. May as Compensation      For       For          Management
      Committee Member
6C.   Elect Ines Poschel as Compensation      For       For          Management
      Committee Member
6D.   Elect Scott H. Maw 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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ALIGN TECHNOLOGY, INC.

Ticker:       ALGN           Security ID:  016255101
Meeting Date: MAY 18, 2022   Meeting Type: Annual
Record Date:  MAR 23, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Kevin J. Dallas                   For       For          Management
1b.   Elect Joseph M. Hogan                   For       For          Management
1c.   Elect Joseph Lacob                      For       For          Management
1d.   Elect C. Raymond Larkin, Jr.            For       For          Management
1e.   Elect George J. Morrow                  For       For          Management
1f.   Elect Anne M. Myong                     For       For          Management
1g.   Elect Andrea L. Saia                    For       For          Management
1h.   Elect Greg J. Santora                   For       For          Management
1i.   Elect Susan E. Siegel                   For       For          Management
1j.   Elect Warren S. Thaler                  For       For          Management
2     Ratification of Auditor                 For       For          Management
3     Advisory Vote on Executive Compensation For       For          Management


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ALKERMES PLC

Ticker:       ALKS           Security ID:  G01767105
Meeting Date: MAY 13, 2022   Meeting Type: Special
Record Date:  APR 13, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Adoption of Plurality Vote for          For       For          Management
      Contested Elections


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ALMIRALL, S.A.

Ticker:       ALM            Security ID:  E0459H111
Meeting Date: MAY 06, 2022   Meeting Type: Ordinary
Record Date:  APR 29, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Individual Accounts and Reports         For       For          Management
2     Consolidated Accounts and Reports       For       For          Management
3     Report on Non-Financial Information     For       For          Management
4     Ratification of Board Acts              For       For          Management
5     Allocation of Profits/Dividends         For       For          Management
6     Special Dividend                        For       For          Management
7     Scrip Dividend                          For       For          Management
8     Remuneration Report                     For       Against      Management
9     Directors' Fees                         For       For          Management
10    Remuneration Policy                     For       Against      Management
11    Authority to Repurchase and Reissue     For       For          Management
      Shares
12    Authorisation of Legal Formalities      For       For          Management


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ALNYLAM PHARMACEUTICALS, INC.

Ticker:       ALNY           Security ID:  02043Q107
Meeting Date: MAY 18, 2022   Meeting Type: Annual
Record Date:  MAR 28, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Margaret A. Hamburg               For       For          Management
1B.   Elect Colleen F. Reitan                 For       For          Management
1C.   Elect Amy W. Schulman                   For       For          Management
2     Amendment to the 2018 Stock Incentive   For       For          Management
      Plan
3     Advisory Vote on Executive Compensation For       For          Management
4     Ratification of Auditor                 For       For          Management


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ALX ONCOLOGY HOLDINGS INC.

Ticker:       ALXO           Security ID:  00166B105
Meeting Date: JUN 14, 2022   Meeting Type: Annual
Record Date:  APR 18, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect Itziar Canamasas                  For       For          Management
1.02  Elect Jack B. Nielsen                   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


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AMICUS THERAPEUTICS, INC.

Ticker:       FOLD           Security ID:  03152W109
Meeting Date: JUN 09, 2022   Meeting Type: Annual
Record Date:  APR 14, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect John F. Crowley                   For       For          Management
1.02  Elect Michael A. Kelly                  For       For          Management
1.03  Elect Margaret G. McGlynn               For       For          Management
1.04  Elect Michael Raab                      For       Withhold     Management
1.05  Elect Glenn P. Sblendorio               For       Withhold     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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AMPLIFON

Ticker:       AMP            Security ID:  T0388E118
Meeting Date: APR 22, 2022   Meeting Type: Annual
Record Date:  APR 11, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
O.1.1 Accounts and Reports                    For       For          Management
O.1.2 Allocation of Profits/Dividends         For       For          Management
O.2.1 Board Size                              For       For          Management
O.221 List Presented by Ampliter S.r.l.       For       N/A          Management
O.222 List Presented by Group of              For       For          Management
      Institutional Investors Representing 2.
      65% of Share Capital
O.3   Directors' Fees                         For       For          Management
O.4.1 Remuneration Policy                     For       Against      Management
O.4.2 Remuneration Report                     For       Against      Management
O.5   2022-2027 Sustainable Value Sharing     For       For          Management
      Plan
O.6   Authority to Repurchase and Reissue     For       For          Management
      Shares


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ANTHEM, INC.

Ticker:       ANTM           Security ID:  036752103
Meeting Date: MAY 18, 2022   Meeting Type: Annual
Record Date:  MAR 17, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Susan D. DeVore                   For       For          Management
1.2   Elect Bahija Jallal                     For       For          Management
1.3   Elect Ryan M. Schneider                 For       For          Management
1.4   Elect Elizabeth E. Tallett              For       For          Management
2     Advisory Vote on Executive Compensation For       For          Management
3     Ratification of Auditor                 For       For          Management
4     Company Name Change                     For       For          Management
5     Shareholder Proposal Regarding          Against   Against      Shareholder
      Prohibiting Political Contributions
6     Shareholder Proposal Regarding Racial   Against   For          Shareholder
      Impact Audit


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APELLIS PHARMACEUTICALS, INC.

Ticker:       APLS           Security ID:  03753U106
Meeting Date: JUN 01, 2022   Meeting Type: Annual
Record Date:  APR 05, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect A. Sinclair Dunlop                For       For          Management
1.2   Elect Alec Machiels                     For       For          Management
2     Ratification of Auditor                 For       For          Management
3     Advisory Vote on Executive Compensation For       For          Management


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ARGEN-X SE

Ticker:       ARGX           Security ID:  N0610Q109
Meeting Date: MAY 10, 2022   Meeting Type: Annual
Record Date:  APR 12, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
3     Remuneration Report                     For       Against      Management
4b.   Accounts and Reports                    For       For          Management
4d.   Allocation of Losses                    For       For          Management
4e.   Ratification of Board Acts              For       For          Management
5     Elect Tim Van Hauwermeiren to the       For       For          Management
      Board of Directors
6     Elect Peter K.M. Verhaeghe to the       For       For          Management
      Board of Directors
7     Elect James M. Daly to the Board of     For       Against      Management
      Directors
8     Elect Werner Lanthaler to the Board of  For       Against      Management
      Directors
9     Authority to Issue Shares w/ or w/o     For       For          Management
      Preemptive Rights
10    Amendments to Articles                  For       For          Management
11    Appointment of Auditor                  For       For          Management


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ASCENDIS PHARMA A/S

Ticker:       ASND           Security ID:  04351P101
Meeting Date: NOV 18, 2021   Meeting Type: Special
Record Date:  NOV 04, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Election of Presiding Chair             For       For          Management
2     Elect Rafaele Tordjman                  For       For          Management
3     Authorize Chair to Register Resolutions For       For          Management


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ASCENDIS PHARMA A/S

Ticker:       ASND           Security ID:  04351P101
Meeting Date: MAY 30, 2022   Meeting Type: Annual
Record Date:  APR 22, 2022

#     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 Albert Cha                        For       For          Management
5b.   Elect Rafaele Tordjman                  For       For          Management
5c.   Elect Lars Holtug                       For       For          Management
6     Appointment of Auditor                  For       For          Management
7a.   Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
7b.   Authority to Issue Warrants w/o         For       For          Management
      Preemptive Rights Pursuant to LTI


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ASTELLAS PHARMA INC.

Ticker:       4503           Security ID:  J03393105
Meeting Date: JUN 20, 2022   Meeting Type: Annual
Record Date:  MAR 31, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Amendments to Articles                  For       For          Management
2.1   Elect Kenji Yasukawa                    For       For          Management
2.2   Elect Naoki Okamura                     For       For          Management
2.3   Elect Mamoru Sekiyama                   For       For          Management
2.4   Elect Hiroshi Kawabe                    For       For          Management
2.5   Elect Takashi Tanaka                    For       For          Management
2.6   Elect Eriko Sakurai                     For       For          Management
3.1   Elect Toru Yoshimitsu                   For       For          Management
3.2   Elect Raita Takahashi                   For       For          Management
3.3   Elect Mika Nakayama                     For       For          Management


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ASTRAZENECA PLC

Ticker:       AZN            Security ID:  G0593M107
Meeting Date: APR 29, 2022   Meeting Type: Annual
Record Date:  APR 27, 2022

#     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 Aradhana Sarin                    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 Sherilyn S. McCoy                 For       For          Management
5J.   Elect Tony Mok                          For       For          Management
5K.   Elect Nazneen Rahman                    For       For          Management
5L.   Elect Andreas Rummelt                   For       For          Management
5M.   Elect Marcus Wallenberg                 For       Against      Management
6     Remuneration Report                     For       For          Management
7     Authorisation of Political Donations    For       For          Management
8     Authority to Issue Shares w/            For       For          Management
      Preemptive Rights
9     Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
10    Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights (Specified Capital
      Investment)
11    Authority to Repurchase Shares          For       For          Management
12    Authority to Set General Meeting        For       Against      Management
      Notice Period at 14 Days
13    Extension of Savings-Related Share      For       For          Management
      Option Scheme


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BAXTER INTERNATIONAL INC.

Ticker:       BAX            Security ID:  071813109
Meeting Date: MAY 03, 2022   Meeting Type: Annual
Record Date:  MAR 11, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Jose E. Almeida                   For       For          Management
1B.   Elect Thomas F. Chen                    For       For          Management
1C.   Elect Peter S. Hellman                  For       For          Management
1D.   Elect Michael F. Mahoney                For       For          Management
1E.   Elect Patricia Morrison                 For       For          Management
1F.   Elect Stephen N. Oesterle               For       For          Management
1G.   Elect Nancy M. Schlichting              For       For          Management
1H.   Elect Catherine R. Smith                For       For          Management
1I.   Elect Albert P.L. Stroucken             For       For          Management
1J.   Elect Amy M. Wendell                    For       For          Management
1K.   Elect David S. Wilkes                   For       For          Management
2     Advisory Vote on Executive Compensation For       For          Management
3     Ratification of Auditor                 For       For          Management
4     Permit Shareholders to Act by Written   For       For          Management
      Consent
5     Reduce Ownership Threshold for          For       For          Management
      Shareholders to Call Special Meetings
6     Shareholder Proposal Regarding Right    Against   Against      Shareholder
      to Call Special Meetings
7     Shareholder Proposal Regarding          Against   Against      Shareholder
      Independent Chair


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BIOGEN INC.

Ticker:       BIIB           Security ID:  09062X103
Meeting Date: JUN 15, 2022   Meeting Type: Annual
Record Date:  APR 21, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Alexander J. Denner               For       For          Management
1b.   Elect Caroline D. Dorsa                 For       Against      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 Jesus B. Mantas                   For       For          Management
1g.   Elect Richard C. Mulligan               For       Against      Management
1h.   Elect Stelios Papadopoulos              For       For          Management
1i.   Elect Eric K. Rowinsky                  For       For          Management
1j.   Elect Stephen A. Sherwin                For       For          Management
1k.   Elect Michel Vounatsos                  For       For          Management
2     Ratification of Auditor                 For       For          Management
3     Advisory Vote on Executive Compensation For       For          Management


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BLUEBIRD BIO, INC.

Ticker:       BLUE           Security ID:  09609G100
Meeting Date: JUN 22, 2022   Meeting Type: Annual
Record Date:  APR 25, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Nick Leschly                      For       For          Management
1b.   Elect Najoh Tita-Reid                   For       For          Management
2     Advisory Vote on Executive Compensation For       For          Management
3     Ratification of Auditor                 For       For          Management


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BLUEPRINT MEDICINES CORPORATION

Ticker:       BPMC           Security ID:  09627Y109
Meeting Date: JUN 21, 2022   Meeting Type: Annual
Record Date:  APR 25, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect Jeffrey W. Albers                 For       For          Management
1.02  Elect Mark A. Goldberg                  For       Withhold     Management
1.03  Elect Nicholas Lydon                    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 05, 2022   Meeting Type: Annual
Record Date:  MAR 11, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Nelda J. Connors                  For       For          Management
1B.   Elect Charles J. Dockendorff            For       Against      Management
1C.   Elect Yoshiaki Fujimori                 For       For          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 David S. Wichmann                 For       For          Management
1J.   Elect Ellen M. Zane                     For       For          Management
2     Advisory Vote on Executive Compensation For       For          Management
3     Ratification of Auditor                 For       For          Management
4     Amendment to the 2006 Employee Stock    For       For          Management
      Purchase Plan


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BRISTOL-MYERS SQUIBB COMPANY

Ticker:       BMY            Security ID:  110122108
Meeting Date: MAY 03, 2022   Meeting Type: Annual
Record Date:  MAR 14, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A)   Elect Peter J. Arduini                  For       For          Management
1B)   Elect Giovanni Caforio                  For       For          Management
1C)   Elect Julia A. Haller                   For       For          Management
1D)   Elect Manuel Hidalgo Medina             For       For          Management
1E)   Elect Paula A. Price                    For       For          Management
1F)   Elect Derica W. Rice                    For       Against      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     Ratification of Auditor                 For       For          Management
4     Shareholder Proposal Regarding Right    Against   For          Shareholder
      to Call Special Meetings
5     Shareholder Proposal Regarding          Against   For          Shareholder
      Independent Chair


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CENTENE CORPORATION

Ticker:       CNC            Security ID:  15135B101
Meeting Date: APR 26, 2022   Meeting Type: Annual
Record Date:  FEB 25, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Orlando Ayala                     For       For          Management
1B.   Elect Kenneth A. Burdick                For       For          Management
1C.   Elect H. James Dallas                   For       Against      Management
1D.   Elect Sarah M London                    For       For          Management
1E.   Elect Theodore R. Samuels, II           For       For          Management
2     Advisory Vote on Executive Compensation For       Against      Management
3     Ratification of Auditor                 For       For          Management
4     Repeal of Classified Board              For       For          Management
5     Advisory Proposal Regarding             For       Against      Management
      Shareholders' Right to Call Special
      Meetings
6     Shareholder Proposal Regarding Right    Against   For          Shareholder
      to Call Special Meetings


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CHUGAI PHARMACEUTICAL CO.,LTD.

Ticker:       4519           Security ID:  J06930101
Meeting Date: MAR 29, 2022   Meeting Type: Annual
Record Date:  DEC 31, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Allocation of Profits/Dividends         For       For          Management
2     Amendments to Articles                  For       For          Management
3.1   Elect Osamu Okuda                       For       For          Management
3.2   Elect Hisafumi Yamada                   For       For          Management
3.3   Elect Toshiaki Itagaki                  For       For          Management
3.4   Elect Mariko Momoi                      For       For          Management


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

DAIICHI SANKYO COMPANY LIMITED

Ticker:       4568           Security ID:  J11257102
Meeting Date: JUN 27, 2022   Meeting Type: Annual
Record Date:  MAR 31, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Allocation of Profits/Dividends         For       For          Management
2     Amendments to Articles                  For       For          Management
3.1   Elect Sunao Manabe                      For       For          Management
3.2   Elect Shoji Hirashima                   For       For          Management
3.3   Elect Masahiko Ohtsuki                  For       For          Management
3.4   Elect Hiroyuki Okuzawa                  For       For          Management
3.5   Elect Noritaka Uji                      For       For          Management
3.6   Elect Kazuaki Kama                      For       For          Management
3.7   Elect Sawako Nohara                     For       For          Management
3.8   Elect Takashi Fukuoka                   For       For          Management
3.9   Elect Yasuhiro Komatsu                  For       For          Management
4.1   Elect Yukiko Imazu Yukiko Shimato       For       For          Management
4.2   Elect Mitsuhiro Matsumoto               For       For          Management
5     Amendment to the Medium-term            For       For          Management
      Performance-based Equity Compensation


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

DANAHER CORPORATION

Ticker:       DHR            Security ID:  235851102
Meeting Date: MAY 10, 2022   Meeting Type: Annual
Record Date:  MAR 11, 2022

#     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 L. 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 A. Shane Sanders                  For       For          Management
1J.   Elect John T. Schwieters                For       For          Management
1K.   Elect Alan G. Spoon                     For       For          Management
1L.   Elect Raymond C. Stevens                For       For          Management
1M.   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


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

DEXCOM, INC.

Ticker:       DXCM           Security ID:  252131107
Meeting Date: MAY 19, 2022   Meeting Type: Annual
Record Date:  MAR 31, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Steven R. Altman                  For       For          Management
1.2   Elect Barbara E. Kahn                   For       For          Management
1.3   Elect Kyle Malady                       For       For          Management
1.4   Elect Jay S. Skyler                     For       For          Management
2     Ratification of Auditor                 For       For          Management
3     Advisory Vote on Executive Compensation For       For          Management
4     Stock Split                             For       For          Management


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

DIASORIN S.P.A.

Ticker:       DIA            Security ID:  T3475Y104
Meeting Date: OCT 04, 2021   Meeting Type: Special
Record Date:  SEP 23, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
E.1   Conversion of Equity-linked Bond;       For       For          Management
      Authority to Issue Shares w/o
      Preemptive Rights


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

DIASORIN S.P.A.

Ticker:       DIA            Security ID:  T3475Y104
Meeting Date: APR 29, 2022   Meeting Type: Annual
Record Date:  APR 20, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
O.1.1 Accounts and Reports                    For       For          Management
O.1.2 Allocation of Profits/Dividends         For       For          Management
O.2.1 Remuneration Policy                     For       For          Management
O.2.2 Remuneration Report                     For       For          Management
O.3.1 Board Size                              For       For          Management
O.3.2 Board Term Length                       For       For          Management
O.3.3 List Presented by IP Investimenti e     N/A       For          Management
      Partecipazioni S.r.l.
O.3.4 Directors' Fees                         For       For          Management
O.411 List Presented by IP Investimenti e     For       N/A          Management
      Partecipazioni S.r.l.
O.412 List Presented by Group of              For       For          Management
      Institutional Investors Representing 1.
      012% of Share Capital
O.4.3 Statutory Auditors' Fees                For       For          Management
O.5   2022-2025 Equity awards plan            For       For          Management
O.6   Authority to Repurchase and Reissue     For       For          Management
      Shares


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

EDWARDS LIFESCIENCES CORPORATION

Ticker:       EW             Security ID:  28176E108
Meeting Date: MAY 03, 2022   Meeting Type: Annual
Record Date:  MAR 09, 2022

#     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     Ratification of Auditor                 For       For          Management
4     Shareholder Proposal Regarding Right    Against   Against      Shareholder
      to Call Special Meetings


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

EISAI CO.,LTD.

Ticker:       4523           Security ID:  J12852117
Meeting Date: JUN 17, 2022   Meeting Type: Annual
Record Date:  MAR 31, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Amendments to Articles                  For       For          Management
2A.   Elect Haruo Naito                       For       For          Management
2B.   Elect Yasuhiko Katoh                    For       For          Management
2C.   Elect Shuzo Kaihori                     For       For          Management
2D.   Elect Hideyo Uchiyama                   For       For          Management
2E.   Elect Hideki Hayashi                    For       For          Management
2F.   Elect Yumiko Miwa Yumiko Shibata        For       For          Management
2G.   Elect Fumihiko Ike                      For       For          Management
2H.   Elect Yoshiteru Kato                    For       For          Management
2I.   Elect Ryota Miura                       For       For          Management
2J.   Elect Hiroyuki Kato                     For       For          Management
2K.   Elect Richard Thornley                  For       For          Management


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

ELI LILLY AND COMPANY

Ticker:       LLY            Security ID:  532457108
Meeting Date: MAY 02, 2022   Meeting Type: Annual
Record Date:  FEB 22, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Raul Alvarez                      For       For          Management
1B.   Elect Kimberly H. Johnson               For       For          Management
1C.   Elect Juan R. Luciano                   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
      Requirements
6     Amendment to Articles to Allow          For       For          Management
      Shareholders to Amend Bylaws
7     Shareholder Proposal Regarding          Against   For          Shareholder
      Independent Chair
8     Shareholder Proposal Regarding          Against   Against      Shareholder
      Lobbying Report
9     Shareholder Proposal Regarding Report   Against   Against      Shareholder
      on Alignment of Lobbying Activities
      with Company Policies
10    Shareholder Proposal Regarding          Against   Against      Shareholder
      Anticompetitive Practices


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

ENCOMPASS HEALTH CORPORATION

Ticker:       EHC            Security ID:  29261A100
Meeting Date: MAY 05, 2022   Meeting Type: Annual
Record Date:  MAR 14, 2022

#     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 Joan E. Herman                    For       For          Management
1E.   Elect Leslye G. Katz                    For       For          Management
1F.   Elect Patricia A. Maryland              For       For          Management
1G.   Elect Kevin J. O'Connor                 For       For          Management
1H.   Elect Christopher R. Reidy              For       For          Management
1I.   Elect Nancy M. Schlichting              For       For          Management
1J.   Elect Mark J. Tarr                      For       For          Management
1k.   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 29, 2022   Meeting Type: Annual
Record Date:  JUN 23, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accounts and Reports                    For       For          Management
2.A   Elect Kerry Levan Blanchard             For       For          Management
2.B   Elect GONG Yubo                         For       For          Management
2.C   Elect JIANG Shidong                     For       For          Management
2.D   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       Against      Management
      Preemptive Rights
6     Authority to Issue Repurchased Shares   For       Against      Management
7.A   Grant of 2021 Share Awards to Kerry     For       Against      Management
      Levan Blanchard
7.B   Grant of 2021 Share Awards to Ian WOO   For       Against      Management
      Ying
7.C   Grant of 2021 Share Awards to ZHANG     For       Against      Management
      Xiaofang
7.D   Grant of 2021 Share Awards to XU Zhu    For       Against      Management
7.E   Grant of 2021 Share Awards to YANG Shi  For       Against      Management
7.F   Grant of 2021 Share Awards to           For       Against      Management
      ZHENGYING Zhu
7.G   Grant of 2021 Share Awards to YUAN Gao  For       Against      Management
7.H   Grant of 2021 Share Awards to MIN Yu    For       Against      Management
7.I   Grant of 2021 Share Awards to ZIXIN     For       Against      Management
      Qiao
7.J   Board Authorization                     For       Against      Management
8.A   Grant of 2022 Share Awards to MIN Yu    For       Against      Management
8.B   Grant of 2022 Share Awards to ZIXIN     For       Against      Management
      Qiao
8.C   Grant of 2022 Share Awards to Heasun    For       Against      Management
      PARK
8.D   Grant of 2022 Share Awards to NG Kah    For       Against      Management
      San
8.E   Grant of 2022 Share Awards to YUAN Gao  For       Against      Management
8.F   Board Authorization                     For       Against      Management
9.A   Grant of Performance Target Awards to   For       Against      Management
      Kerry Levan Blanchard
9.B   Grant of Performance Target Awards to   For       Against      Management
      Ian WOO Ying
9.C   Grant of Performance Target Awards to   For       Against      Management
      ZHANG Xiaofan
9.D   Board Authorization                     For       Against      Management
10    Increase Scheme Limit of Post-IPO       For       Against      Management
      Share Award Scheme
11    Amendments to Articles                  For       For          Management


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

EXACT SCIENCES CORPORATION

Ticker:       EXAS           Security ID:  30063P105
Meeting Date: JUN 09, 2022   Meeting Type: Annual
Record Date:  APR 14, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect Kevin T. Conroy                   For       For          Management
1.02  Elect Shacey Petrovic                   For       For          Management
1.03  Elect Katherine S. Zanotti              For       Withhold     Management
2     Ratification of Auditor                 For       For          Management
3     Advisory Vote on Executive Compensation For       For          Management
4     Amendment to the 2019 Omnibus           For       For          Management
      Long-Term Incentive Plan
5     Amendment to the 2010 Employee Stock    For       For          Management
      Purchase Plan
6     Shareholder Proposal Regarding Proxy    Against   Against      Shareholder
      Access Bylaw Amendment


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

GALAPAGOS NV

Ticker:       GLPG           Security ID:  B44170106
Meeting Date: APR 26, 2022   Meeting Type: Annual
Record Date:  APR 12, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
E1    Amendments to Articles regarding the    For       For          Management
      Company's Governance Structure
E2    Election of Directors to the Board      For       For          Management
E3    Authority to Coordinate Articles        For       For          Management
E4    Authorization of Legal Formalities      For       For          Management
E5    Authorization of Legal Formalities      For       For          Management
      (Power of Attorney)
A2    Accounts and Reports; Allocation of     For       For          Management
      Losses
A5    Remuneration Report                     For       Against      Management
A6    Remuneration Policy                     For       Against      Management
A7    Ratification of Supervisory Board and   For       Against      Management
      Auditors' Acts
A9    Elect Paul Stoffels to the Board of     For       Against      Management
      Directors
A10   Elect Jerome Contamine to the Board of  For       For          Management
      Directors
A11   Elect Dan Baker to the Board of         For       For          Management
      Directors


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

GENMAB A/S

Ticker:       GMAB           Security ID:  K3967W102
Meeting Date: MAR 29, 2022   Meeting Type: Annual
Record Date:  MAR 22, 2022

#     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 Anders Gersel Pedersen            For       For          Management
5F.   Elect Elizabeth O'Farrell               For       For          Management
6.    Appointment of Auditor                  For       For          Management
7A.   Directors' Fees                         For       For          Management
8.    Authorization of Legal Formalities      For       For          Management


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

GENMAB A/S

Ticker:       GMAB           Security ID:  372303206
Meeting Date: MAR 29, 2022   Meeting Type: Annual
Record Date:  FEB 22, 2022

#     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 Anders Gersel Pedersen            For       For          Management
5F.   Appointment of Auditor                  For       For          Management
6.    Directors' Fees                         For       For          Management
7A.   Authorization of Legal Formalities      For       For          Management
8.    Elect Elizabeth O'Farrell               For       For          Management


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

GLAUKOS CORPORATION

Ticker:       GKOS           Security ID:  377322102
Meeting Date: JUN 02, 2022   Meeting Type: Annual
Record Date:  APR 06, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect Mark J. Foley                     For       For          Management
1.02  Elect David F. Hoffmeister              For       For          Management
1.03  Elect Gilbert H. Kliman                 For       For          Management
2     Advisory Vote on Executive Compensation For       For          Management
3     Ratification of Auditor                 For       For          Management


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

HAPVIDA PARTICIPACOES INVESTIMENTO SA

Ticker:       HAPV3          Security ID:  P5R526106
Meeting Date: APR 25, 2022   Meeting Type: Annual
Record Date:  APR 20, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accounts and Reports                    For       For          Management
2     Capital Expenditure Budget              For       For          Management
3     Allocation of Profits/Dividends         For       For          Management
4     Remuneration Policy                     For       For          Management
5     Request Establishment of Supervisory    N/A       Abstain      Management
      Council


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

HAPVIDA PARTICIPACOES INVESTIMENTO SA

Ticker:       HAPV3          Security ID:  P5R526106
Meeting Date: APR 25, 2022   Meeting Type: Special
Record Date:  APR 20, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Amendments to Articles 13 and 24        For       For          Management
      (General Meeting's Competencies)
2     Amendments to Article 13 d (General     For       For          Management
      Meeting's Competencies)
3     Amendments to Articles 25 and 32        For       For          Management
      (Management Board and its Competencies)
4     Amendments to Article 24 r (Board of    For       For          Management
      Directors' Competencies)
5     Amendments to Article 6                 For       For          Management
      (Reconciliation of Share Capital)
6     Ratify Updated Global Remuneration      For       For          Management
      Amount


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

HCA HEALTHCARE, INC.

Ticker:       HCA            Security ID:  40412C101
Meeting Date: APR 21, 2022   Meeting Type: Annual
Record Date:  FEB 25, 2022

#     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 Hugh F. Johnston                  For       For          Management
1I.   Elect Michael W. Michelson              For       For          Management
1J.   Elect Wayne J. Riley                    For       For          Management
1K.   Elect Andrea B. 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   Against      Shareholder
      Political Contributions and
      Expenditures Report
5     Shareholder Proposal Regarding          Against   Against      Shareholder
      Lobbying Report


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

HIKMA PHARMACEUTICALS PLC

Ticker:       HIK            Security ID:  G4576K104
Meeting Date: APR 25, 2022   Meeting Type: Annual
Record Date:

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accounts and Reports                    For       For          Management
1     Final Dividend                          For       For          Management
2     Appointment of Auditor                  For       For          Management
3     Authority to Set Auditor's Fees         For       For          Management
4     Elect Said Darwazah                     For       For          Management
5     Elect Siggi Olafsson                    For       For          Management
6     Elect Mazen Darwazah                    For       For          Management
7     Elect Patrick Butler                    For       For          Management
8     Elect Ali Al-Husry                      For       For          Management
9     Elect John Castellani                   For       For          Management
10    Elect Nina Henderson                    For       For          Management
11    Elect Cynthia Flowers                   For       For          Management
12    Elect Douglas Hurt                      For       For          Management
13    Remuneration Report                     For       For          Management
14    Reduction in Share Premium Account      For       For          Management
15    Authority to Issue Shares w/            For       For          Management
      Preemptive Rights
16    Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
17    Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights (Specified Capital
      Investment)
18    Authority to Repurchase Shares          For       For          Management
19    Authority to Set General Meeting        For       Against      Management
      Notice Period at 14 Days


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

HIKMA PHARMACEUTICALS PLC

Ticker:       HIK            Security ID:  G4576K104
Meeting Date: MAY 20, 2022   Meeting Type: Ordinary
Record Date:

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
20    Reduction in Merger Reserve             For       For          Management


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

HORIZON THERAPEUTICS PUBLIC LIMITED COMPANY

Ticker:       HZNP           Security ID:  G46188101
Meeting Date: APR 28, 2022   Meeting Type: Annual
Record Date:  FEB 24, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Michael Grey                      For       For          Management
1B.   Elect Jeff Himawan                      For       Against      Management
1C.   Elect Susan Mahony                      For       Against      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     Amendment to the 2020 Equity Incentive  For       For          Management
      Plan


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

HUMANA INC.

Ticker:       HUM            Security ID:  444859102
Meeting Date: APR 21, 2022   Meeting Type: Annual
Record Date:  FEB 28, 2022

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


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

ILLUMINA, INC.

Ticker:       ILMN           Security ID:  452327109
Meeting Date: MAY 26, 2022   Meeting Type: Annual
Record Date:  MAR 31, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Frances Arnold                    For       For          Management
1B.   Elect Francis A. deSouza                For       For          Management
1C.   Elect Caroline D. Dorsa                 For       Against      Management
1D.   Elect Robert S. Epstein                 For       For          Management
1E.   Elect Scott Gottlieb                    For       For          Management
1F.   Elect Gary S. Guthart                   For       For          Management
1G.   Elect Philip W. Schiller                For       For          Management
1H.   Elect Susan E. Siegel                   For       For          Management
1I.   Elect John W. Thompson                  For       For          Management
2     Ratification of Auditor                 For       For          Management
3     Advisory Vote on Executive Compensation For       Against      Management
4     Shareholder Proposal Regarding Right    Against   For          Shareholder
      to Call Special Meetings
5     Restoration of Right to Call a Special  For       Abstain      Management
      Meeting


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

INCYTE CORPORATION

Ticker:       INCY           Security ID:  45337C102
Meeting Date: JUN 15, 2022   Meeting Type: Annual
Record Date:  APR 18, 2022

#     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 Otis W. Brawley                   For       For          Management
1.4   Elect Paul J. Clancy                    For       Against      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     Ratification of Auditor                 For       For          Management


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

INSULET CORPORATION

Ticker:       PODD           Security ID:  45784P101
Meeting Date: MAY 24, 2022   Meeting Type: Annual
Record Date:  MAR 28, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect James R. Hollingshead             For       For          Management
1.02  Elect Jessica Hopfield                  For       For          Management
1.03  Elect Elizabeth H. Weatherman           For       For          Management
2     Advisory Vote on Executive Compensation For       For          Management
3     Ratification of Auditor                 For       For          Management


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

INTRA-CELLULAR THERAPIES, INC.

Ticker:       ITCI           Security ID:  46116X101
Meeting Date: JUN 09, 2022   Meeting Type: Annual
Record Date:  APR 19, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Sharon Mates                      For       For          Management
1.2   Elect Rory B. Riggs                     For       For          Management
1.3   Elect Robert L. Van Nostrand            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


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

IQVIA HOLDINGS INC.

Ticker:       IQV            Security ID:  46266C105
Meeting Date: APR 12, 2022   Meeting Type: Annual
Record Date:  FEB 15, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect John P. Connaughton               For       For          Management
1.02  Elect John G. Danhakl                   For       For          Management
1.03  Elect James A. Fasano                   For       For          Management
1.04  Elect Leslie Wims Morris                For       For          Management
2     Repeal of Classified Board              For       For          Management
3     Advisory Vote on Executive Compensation For       For          Management
4     Shareholder Proposal Regarding          Against   For          Shareholder
      Majority Vote for Election of Directors
5     Ratification of Auditor                 For       For          Management


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

IRONWOOD PHARMACEUTICALS, INC.

Ticker:       IRWD           Security ID:  46333X108
Meeting Date: JUN 01, 2022   Meeting Type: Annual
Record Date:  APR 06, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect Mark G. Currie                    For       For          Management
1.02  Elect Alexander J. Denner               For       For          Management
1.03  Elect Andrew Dreyfus                    For       For          Management
1.04  Elect Jon R. Duane                      For       For          Management
1.05  Elect Marla L. Kessler                  For       For          Management
1.06  Elect Thomas A. McCourt                 For       For          Management
1.07  Elect Julie H. McHugh                   For       For          Management
1.08  Elect Catherine Moukheibir              For       For          Management
1.09  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 15, 2022   Meeting Type: Annual
Record Date:  APR 18, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Steven M. Paul                    For       For          Management
1b.   Elect Atul Pande                        For       For          Management
1c.   Elect Denice M. Torres                  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


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

KODIAK SCIENCES INC.

Ticker:       KOD            Security ID:  50015M109
Meeting Date: OCT 13, 2021   Meeting Type: Special
Record Date:  SEP 01, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approval of the 2021 Long-Term          For       For          Management
      Performance Incentive Plan


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

KONINKLIJKE PHILIPS N.V.

Ticker:       PHIA           Security ID:  N7637U112
Meeting Date: MAY 10, 2022   Meeting Type: Annual
Record Date:  APR 12, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
3     Accounts and Reports                    For       For          Management
4     Allocation of Profits/Dividends         For       For          Management
5.b.  Remuneration Report                     For       Against      Management
6.a.  Ratification of Management Board Acts   For       For          Management
6.b.  Ratification of Supervisory Board Acts  For       For          Management
7     Elect Paul Stoffels to the Supervisory  For       For          Management
      Board
8     Elect Marc Harrison to the Supervisory  For       For          Management
      Board
9     Elect Herna Verhagen to the             For       For          Management
      Supervisory Board
10.a. Elect Sanjay J. Poonem to the           For       For          Management
      Supervisory Board
10.b. Appointment of Auditor                  For       For          Management
11    Authority to Issue Shares w/            For       For          Management
      Preemptive Rights
12    Authority to Suppress Preemptive Rights For       For          Management
13    Authority to Repurchase Shares          For       For          Management
14    Cancellation of Shares                  For       For          Management


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

LABORATORY CORPORATION OF AMERICA HOLDINGS

Ticker:       LH             Security ID:  50540R409
Meeting Date: MAY 11, 2022   Meeting Type: Annual
Record Date:  MAR 16, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Kerrii B. Anderson                For       Against      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       Against      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 Right    Against   Against      Shareholder
      to Call Special Meetings


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

LONZA GROUP AG

Ticker:       LONN           Security ID:  H50524133
Meeting Date: MAY 05, 2022   Meeting Type: Annual
Record Date:  APR 21, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accounts and Reports                    For       TNA          Management
2     Compensation Report                     For       TNA          Management
3     Ratification of Board and Management    For       TNA          Management
      Acts
4     Allocation of Profits/Dividends         For       TNA          Management
5.1.A Elect Albert M. Baehny                  For       TNA          Management
5.1.B Elect Angelica Kohlmann                 For       TNA          Management
5.1.C Elect Christoph Mader                   For       TNA          Management
5.1.D Elect Barbara M. Richmond               For       TNA          Management
5.1.E Elect Jurgen B. Steinemann              For       TNA          Management
5.1.F Elect Olivier Verscheure                For       TNA          Management
5.2.A Elect Marion Helmes                     For       TNA          Management
5.2.B Elect Roger Nitsch                      For       TNA          Management
5.3   Appoint Albert M. Baehny as Board Chair For       TNA          Management
5.4.A Elect Angelica Kohlmann as Nominating   For       TNA          Management
      and Compensation Committee Member
5.4.B Elect Christoph Mader as Nominating     For       TNA          Management
      and Compensation Committee Member
5.4.C Elect Jurgen B. Steinemann as           For       TNA          Management
      Nominating and Compensation Committee
      Member
6     Appointment of Auditor                  For       TNA          Management
7     Appointment of Independent Proxy        For       TNA          Management
8     Board Compensation                      For       TNA          Management
9.1   Approval of Executive Remuneration      For       TNA          Management
      (Fixed)
9.2   Executive Compensation (Short-Term)     For       TNA          Management
9.3   Executive Compensation (Long-Term)      For       TNA          Management
10    Additional or Amended Shareholder       N/A       TNA          Shareholder
      Proposals


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

MIRATI THERAPEUTICS, INC.

Ticker:       MRTX           Security ID:  60468T105
Meeting Date: MAY 12, 2022   Meeting Type: Annual
Record Date:  MAR 15, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect Charles M. Baum                   For       For          Management
1.02  Elect Bruce L.A. Carter                 For       For          Management
1.03  Elect Julie M. Cherrington              For       For          Management
1.04  Elect Aaron I. Davis                    For       For          Management
1.05  Elect Henry J. Fuchs                    For       For          Management
1.06  Elect Faheem Hasnain                    For       For          Management
1.07  Elect Craig A. Johnson                  For       For          Management
1.08  Elect Maya Martinez-Davis               For       For          Management
1.09  Elect David Meek                        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     Approval of the 2022 Equity Incentive   For       For          Management
      Plan


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

MOLINA HEALTHCARE, INC.

Ticker:       MOH            Security ID:  60855R100
Meeting Date: MAY 04, 2022   Meeting Type: Annual
Record Date:  MAR 07, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Barbara L. Brasier                For       For          Management
1B.   Elect Daniel Cooperman                  For       For          Management
1C.   Elect Stephen H. Lockhart               For       For          Management
1D.   Elect Steven J. Orlando                 For       For          Management
1E.   Elect Ronna E. Romney                   For       For          Management
1F.   Elect Richard M. Schapiro               For       For          Management
1G.   Elect Dale Wolf                         For       For          Management
1H.   Elect Richard Zoretic                   For       For          Management
1I.   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 18, 2022   Meeting Type: Annual
Record Date:  APR 26, 2022

#     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     Elect Andrew Cheng as Member of the     For       For          Management
      Supervisory Board
6     Cancellation of Conditional and         For       For          Management
      Authorised Capital
7     Increase in Authorised Capital          For       For          Management
8     Management Board Remuneration Policy    For       For          Management
9     Remuneration Report                     For       For          Management


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

NANOSTRING TECHNOLOGIES, INC.

Ticker:       NSTG           Security ID:  63009R109
Meeting Date: JUN 17, 2022   Meeting Type: Annual
Record Date:  APR 21, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect Dana Rollison                     For       For          Management
1.02  Elect William D. Young                  For       For          Management
2     Ratification of Auditor                 For       For          Management
3     Advisory Vote on Executive Compensation For       For          Management
4     Approval of the 2022 Equity Incentive   For       For          Management
      Plan
5     Shareholder Proposal Regarding Board    N/A       For          Shareholder
      Declassification


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

NEKTAR THERAPEUTICS

Ticker:       NKTR           Security ID:  640268108
Meeting Date: JUN 08, 2022   Meeting Type: Annual
Record Date:  APR 11, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Diana M. Brainard                 For       For          Management
1b.   Elect R. Scott Greer                    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       Against      Management


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

NEOGENOMICS, INC.

Ticker:       NEO            Security ID:  64049M209
Meeting Date: JUN 02, 2022   Meeting Type: Annual
Record Date:  APR 05, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Lynn A. Tetrault                  For       For          Management
1B.   Elect Bruce K. Crowther                 For       For          Management
1C.   Elect David J. Daly                     For       For          Management
1D.   Elect Allison L. Hannah                 For       For          Management
1E.   Elect Stephen M. Kanovsky               For       For          Management
1F.   Elect Michael A. Kelly                  For       Withhold     Management
1G.   Elect Rachel A. Stahler                 For       For          Management
2     Advisory Vote on Executive Compensation For       Against      Management
3     Amendment to the Employee Stock         For       For          Management
      Purchase Plan
4     Ratification of Auditor                 For       For          Management


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

NEVRO CORP.

Ticker:       NVRO           Security ID:  64157F103
Meeting Date: MAY 26, 2022   Meeting Type: Annual
Record Date:  MAR 28, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect D. Keith Grossman                 For       For          Management
1.02  Elect Michael DeMane                    For       For          Management
1.03  Elect Frank Fischer                     For       For          Management
1.04  Elect Sri Kosaraju                      For       For          Management
1.05  Elect Shawn T. McCormick                For       For          Management
1.06  Elect Kevin C. O'Boyle                  For       For          Management
1.07  Elect Karen N. Prange                   For       For          Management
1.08  Elect Susan E. Siegel                   For       For          Management
1.09  Elect Elizabeth H. Weatherman           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


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

NIPPON SHINYAKU CO.,LTD.

Ticker:       4516           Security ID:  J55784102
Meeting Date: JUN 29, 2022   Meeting Type: Annual
Record Date:  MAR 31, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Allocation of Profits/Dividends         For       For          Management
2     Amendments to Articles                  For       For          Management
3.1   Elect Shigenobu Maekawa                 For       For          Management
3.2   Elect Toru Nakai                        For       For          Management
3.3   Elect Shozo Sano                        For       For          Management
3.4   Elect Takashi Takaya                    For       For          Management
3.5   Elect Takanori Edamitsu                 For       For          Management
3.6   Elect Kazuchika Takagaki                For       For          Management
3.7   Elect Hitoshi Ishizawa                  For       For          Management
3.8   Elect Hitomi Kimura                     For       For          Management
3.9   Elect Yukio Sugiura                     For       For          Management
3.10  Elect Miyuki Sakurai                    For       For          Management
3.11  Elect Yoshinao Wada                     For       For          Management
3.12  Elect Yukari Kobayashi                  For       For          Management


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

NOVARTIS AG

Ticker:       NOVN           Security ID:  H5820Q150
Meeting Date: MAR 04, 2022   Meeting Type: Annual
Record Date:  MAR 01, 2022

#     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
6A.   Board Compensation                      For       For          Management
6B.   Executive Compensation                  For       For          Management
6C.   Compensation Report                     For       For          Management
7A.   Elect Jorg Reinhardt As Board Chair     For       For          Management
7B.   Elect Nancy C. Andrews                  For       For          Management
7C.   Elect Ton Buchner                       For       For          Management
7D.   Elect Patrice Bula                      For       For          Management
7E.   Elect Elizabeth Doherty                 For       For          Management
7F.   Elect Bridgette P. Heller               For       For          Management
7G.   Elect Frans van Houten                  For       For          Management
7H.   Elect Simon Moroney                     For       For          Management
7I.   Elect Andreas von Planta                For       For          Management
7J.   Elect Charles L. Sawyers                For       For          Management
7K.   Elect William T. Winters                For       For          Management
7L.   Elect Ana de Pro Gonzalo                For       For          Management
7M.   Elect Daniel Hochstrasser               For       For          Management
8A.   Elect Patrice Bula as Compensation      For       For          Management
      Committee Member
8B.   Elect Bridgette P. Heller as            For       For          Management
      Compensation Committee Member
8C.   Elect Simon Moroney as Compensation     For       For          Management
      Committee Member
8D.   Elect William T. Winters as             For       For          Management
      Compensation Committee Member
9.    Appointment of Auditor                  For       For          Management
10.   Appointment of Independent Proxy        For       For          Management
11.   Additional or Amended Proposals         N/A       Against      Management


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

OAK STREET HEALTH, INC.

Ticker:       OSH            Security ID:  67181A107
Meeting Date: APR 27, 2022   Meeting Type: Annual
Record Date:  MAR 07, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Mohit Kaushal                     For       For          Management
1.2   Elect Kim Keck                          For       For          Management
1.3   Elect Paul B. Kusserow                  For       For          Management
1.4   Elect Griffin Myers                     For       For          Management
2     Ratification of Auditor                 For       For          Management
3     Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation


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

ONO PHARMACEUTICAL CO.,LTD.

Ticker:       4528           Security ID:  J61546115
Meeting Date: JUN 23, 2022   Meeting Type: Annual
Record Date:  MAR 31, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Allocation of Profits/Dividends         For       For          Management
2     Amendments to Articles                  For       For          Management
3.1   Elect Gyo Sagara                        For       For          Management
3.2   Elect Toshihiro Tsujinaka               For       For          Management
3.3   Elect Toichi Takino                     For       For          Management
3.4   Elect Isao Ono                          For       For          Management
3.5   Elect Kiyoaki Idemitsu                  For       For          Management
3.6   Elect Masao Nomura                      For       For          Management
3.7   Elect Akiko Okuno                       For       For          Management
3.8   Elect Shusaku Nagae                     For       For          Management
4     Directors' Fees                         For       For          Management
5     Adoption of Restricted Stock Plan       For       For          Management


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

OSCAR HEALTH, INC.

Ticker:       OSCR           Security ID:  687793109
Meeting Date: JUN 09, 2022   Meeting Type: Annual
Record Date:  APR 14, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect Jeffery H. Boyd                   For       For          Management
1.02  Elect Joel Cutler                       For       For          Management
1.03  Elect Joshua Kushner                    For       For          Management
1.04  Elect Charles E. Phillips, Jr.          For       For          Management
1.05  Elect David Plouffe                     For       For          Management
1.06  Elect Elbert O. Robinson, Jr.           For       For          Management
1.07  Elect Siddhartha Sankaran               For       For          Management
1.08  Elect Mario Schlosser                   For       For          Management
1.09  Elect Vanessa A. Wittman                For       For          Management
2     Ratification of Auditor                 For       For          Management
3     Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation


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

PFIZER INC.

Ticker:       PFE            Security ID:  717081103
Meeting Date: APR 28, 2022   Meeting Type: Annual
Record Date:  MAR 02, 2022

#     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 Proxy    Against   Against      Shareholder
      Access Bylaw Amendment
5     Shareholder Proposal Regarding Report   Against   Against      Shareholder
      on Political Expenditures and Values
      Congruency
6     Shareholder Proposal Regarding          Against   Against      Shareholder
      Intellectual Property
7     Shareholder Proposal Regarding          Against   Against      Shareholder
      Anticompetitive Practices
8     Shareholder Proposal Regarding Public   Against   Against      Shareholder
      Health Costs of Limiting COVID-19
      Vaccine Technologies


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

PTC THERAPEUTICS, INC.

Ticker:       PTCT           Security ID:  69366J200
Meeting Date: JUN 08, 2022   Meeting Type: Annual
Record Date:  APR 14, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect Allan Jacobson                    For       For          Management
1.02  Elect David P. Southwell                For       For          Management
1.03  Elect Dawn Svoronos                     For       For          Management
1.04  Elect Alethia Young                     For       For          Management
2     Amendment to the 2013 Long-Term         For       For          Management
      Incentive Plan
3     Ratification of Auditor                 For       For          Management
4     Advisory Vote on Executive Compensation For       For          Management
5     Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation


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

REATA PHARMACEUTICALS, INC.

Ticker:       RETA           Security ID:  75615P103
Meeting Date: JUN 08, 2022   Meeting Type: Annual
Record Date:  APR 13, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect J. Warren Huff                    For       For          Management
1.2   Elect Shamim Ruff                       For       For          Management
2     Advisory Vote on Executive Compensation For       Against      Management
3     Ratification of Auditor                 For       For          Management
4     Approval of the 2022 Employee Stock     For       For          Management
      Purchase Plan


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

REGENERON PHARMACEUTICALS, INC.

Ticker:       REGN           Security ID:  75886F107
Meeting Date: JUN 10, 2022   Meeting Type: Annual
Record Date:  APR 12, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Bonnie L. Bassler                 For       For          Management
1b.   Elect Michael S. Brown                  For       For          Management
1c.   Elect Leonard S. Schleifer              For       For          Management
1d.   Elect George D. Yancopoulos             For       For          Management
2     Ratification of Auditor                 For       For          Management
3     Advisory Vote on Executive Compensation For       For          Management


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

RELAY THERAPEUTICS, INC.

Ticker:       RLAY           Security ID:  75943R102
Meeting Date: MAY 27, 2022   Meeting Type: Annual
Record Date:  MAR 28, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Alexis A. Borisy                  For       For          Management
1.2   Elect Mark Murcko                       For       For          Management
1.3   Elect Laura Shawver                     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     Increase in Authorized Common Stock     For       For          Management
5     Ratification of Auditor                 For       For          Management


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

REMEGEN CO. LTD.

Ticker:       9995           Security ID:  Y7S9CK101
Meeting Date: DEC 20, 2021   Meeting Type: Special
Record Date:  NOV 19, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Strategic Allotment under the Special   For       For          Management
      Assets Management Plan


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

REMEGEN CO. LTD.

Ticker:       9995           Security ID:  Y7S9CK101
Meeting Date: MAY 05, 2022   Meeting Type: Special
Record Date:  APR 27, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect CHEN Yunjin                       For       For          Management


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

REMEGEN CO. LTD.

Ticker:       9995           Security ID:  Y7S9CK101
Meeting Date: JUN 29, 2022   Meeting Type: Annual
Record Date:  JUN 22, 2022

#     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     Allocation of Profits/Dividends         For       For          Management
5     2022 Financial Budget                   For       For          Management
6     Accounts and Reports                    For       For          Management
7     Directors' Fees                         For       For          Management
8     Supervisors' Fees                       For       For          Management
9     Adjustment to 2022 Related Party        For       For          Management
      Transactions
10    Expected 2023 to 2025 Related Party     For       For          Management
      Transactions
11    Appointment of Auditor and Authority    For       For          Management
      to Set Fees
12    Purchase of Liability Insurance         For       For          Management


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

REVOLUTION MEDICINES, INC.

Ticker:       RVMD           Security ID:  76155X100
Meeting Date: JUN 16, 2022   Meeting Type: Annual
Record Date:  APR 21, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect Eric Schmidt                      For       For          Management
1.02  Elect Thilo Schroeder                   For       For          Management
1.03  Elect Sushil Patel                      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


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

ROCKET PHARMACEUTICALS, INC.

Ticker:       RCKT           Security ID:  77313F106
Meeting Date: JUN 13, 2022   Meeting Type: Annual
Record Date:  APR 18, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Elisabeth Bjork                   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 Fady Malik                        For       For          Management
1f.   Elect Gaurav Shah                       For       For          Management
1g.   Elect David P. Southwell                For       For          Management
1h.   Elect Roderick Wong                     For       For          Management
1i.   Elect Naveen Yalamanchi                 For       For          Management
2     Ratification of Auditor                 For       For          Management
3     Advisory Vote on Executive Compensation For       Against      Management


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

ROYALTY PHARMA PLC

Ticker:       RPRX           Security ID:  G7709Q104
Meeting Date: JUN 23, 2022   Meeting Type: Annual
Record Date:  APR 12, 2022

#     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 Mario G. Giuliani                 For       For          Management
1g.   Elect David C. Hodgson                  For       For          Management
1h.   Elect Ted W. Love                       For       Against      Management
1i.   Elect Gregory Norden                    For       Against      Management
1j.   Elect Rory B. Riggs                     For       For          Management
2     Advisory Vote on Executive Compensation For       For          Management
3     Ratification of Auditor                 For       For          Management
4     Accounts and Reports                    For       For          Management
5     Remuneration Report                     For       For          Management
6     Reappointment of Auditor                For       For          Management
7     Authorize Statutory Auditor's           For       For          Management
      Remuneration
8     Approve Share Repurchase Contracts and  For       For          Management
      Counterparties


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

SAGE THERAPEUTICS, INC.

Ticker:       SAGE           Security ID:  78667J108
Meeting Date: JUN 16, 2022   Meeting Type: Annual
Record Date:  APR 19, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect James M. Frates                   For       For          Management
1.02  Elect George Golumbeski                 For       For          Management
1.03  Elect Kevin P. Starr                    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
5     Amendment to the 2014 Employee Stock    For       For          Management
      Purchase Plan


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

SAREPTA THERAPEUTICS, INC.

Ticker:       SRPT           Security ID:  803607100
Meeting Date: JUN 02, 2022   Meeting Type: Annual
Record Date:  APR 08, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Kathryn J. Boor                   For       For          Management
1.2   Elect Michael Chambers                  For       For          Management
1.3   Elect Douglas S. Ingram                 For       For          Management
1.4   Elect Hans Wigzell                      For       For          Management
2     Advisory Vote on Executive Compensation For       For          Management
3     Amendment to the 2018 Equity Incentive  For       For          Management
      Plan
4     Ratification of Auditor                 For       For          Management


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

SEAGEN INC.

Ticker:       SGEN           Security ID:  81181C104
Meeting Date: MAY 13, 2022   Meeting Type: Annual
Record Date:  MAR 17, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Ted W. Love                       For       Against      Management
1B.   Elect Daniel G. Welch                   For       For          Management
2     Advisory Vote on Executive Compensation For       Against      Management
3     Ratification of Auditor                 For       For          Management


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

SHANDONG WEIGAO GROUP MEDICAL POLYMER COMPANY LIMITED

Ticker:       1066           Security ID:  Y76810103
Meeting Date: SEP 24, 2021   Meeting Type: Special
Record Date:  SEP 17, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Supplemental Logistic and Distribution  For       For          Management
      Services Framework Agreement
2     Allocation of Interim Dividend          For       For          Management
3     Amendments to Articles                  For       For          Management


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

SHANDONG WEIGAO GROUP MEDICAL POLYMER COMPANY LIMITED

Ticker:       1066           Security ID:  Y76810103
Meeting Date: DEC 30, 2021   Meeting Type: Special
Record Date:  DEC 23, 2021

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


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

SHANDONG WEIGAO GROUP MEDICAL POLYMER COMPANY LIMITED

Ticker:       1066           Security ID:  Y76810103
Meeting Date: JUN 06, 2022   Meeting Type: Annual
Record Date:  MAY 27, 2022

#     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 LU Junqiang                       For       For          Management
8     Elect NI Shili                          For       For          Management
9     Elect LONG Jing                         For       For          Management
10    Elect LI Guohui                         For       For          Management
11    Elect SONG Dapeng                       For       For          Management
12    Authority to Issue H and Non-Listed     For       For          Management
      Domestic Shares w/o Preemptive Rights
13    Authority to Repurchase H Shares        For       For          Management
14    Authority to Issue Debt Securities      For       For          Management
15    Amendments to Articles                  For       For          Management


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

SHANGHAI HENLIUS BIOTECH INC.

Ticker:       2696           Security ID:  Y7690X100
Meeting Date: JUL 27, 2021   Meeting Type: Special
Record Date:  JUL 21, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Amendments to Article 4 (Effective      For       For          Management
      From the Date of Approval at the EGM)
2     Amendments to Article 4 (Effective      For       For          Management
      From the Date of Completion of the A
      Share Offering and Listing)


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

SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO. LTD.

Ticker:       300760         Security ID:  Y774E3101
Meeting Date: FEB 10, 2022   Meeting Type: Special
Record Date:  JAN 27, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Purpose of the Share Repurchase         For       For          Management
1.2   The Share Repurchase Satisfies          For       For          Management
      Relevant Conditions
1.3   Share Repurchase Method and Price       For       For          Management
      Range of Shares to Be Repurchased
1.4   Type, Purpose, Total Amount, Number     For       For          Management
      and Percentage to the Total Capital of
      Shares to Be Repurchased
1.5   Source of the Funds to Be Used for the  For       For          Management
      Share Repurchase
1.6   Time Limit of the Share Repurchase      For       For          Management
2     Authorization To The Board To Handle    For       For          Management
      Matters Regarding The Repurchase
3     2022 Employee Stock Ownership Plan      For       For          Management
      (Draft) And Its Summary
4     Management Measures For 2022 Employee   For       For          Management
      Stock Ownership Plan
5     Authorization to the Board to Handle    For       For          Management
      Matters Regarding the Employee Stock
      Ownership Plan


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

SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO. LTD.

Ticker:       300760         Security ID:  Y774E3101
Meeting Date: MAY 10, 2022   Meeting Type: Annual
Record Date:  APR 28, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     2021 Annual Work Report of the Board    For       For          Management
      of Directors
2     2021 Work Report Of The Supervisory     For       For          Management
      Committee
3     2021 Annual Accounts                    For       For          Management
4     2021 Profit Distribution Plan           For       For          Management
5     Shareholder Return Plan For The Next    For       For          Management
      Three Years From 2022 To 2024
6     2021 Annual Report And Its Summary      For       For          Management
7     2021 Report on Sustainable Development  For       For          Management
8     Ettlement of Some Projects Financed     For       For          Management
      with Raised Funds and Permanently
      Supplementing the Working Capital with
      the Surplus Raised Funds
9     Re-appointment of 2022 Accounting Firm  For       For          Management
10    Reduce the Company's Registered         For       For          Management
      Capital and Amend the "articles of
      Association"
11.1  Amendment to the Rules of Procedure     For       For          Management
      for the General Meeting of Shareholders
11.2  Amendment to the Rules of Procedure of  For       For          Management
      the Board of Directors
11.3  Amendment to the Rules of Procedure of  For       For          Management
      External Guarantee System
11.4  Amendment to the Rules of Related       For       For          Management
      Party Transaction Decision-making
      System
11.5  Amendment to the Rules of Independent   For       For          Management
      Director Work System


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

STRYKER CORPORATION

Ticker:       SYK            Security ID:  863667101
Meeting Date: MAY 04, 2022   Meeting Type: Annual
Record Date:  MAR 07, 2022

#     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       For          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 Proxy    Against   Against      Shareholder
      Access Bylaw Amendment


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

SYNEOS HEALTH, INC.

Ticker:       SYNH           Security ID:  87166B102
Meeting Date: MAY 25, 2022   Meeting Type: Annual
Record Date:  MAR 28, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Todd Abbrecht                     For       For          Management
1B.   Elect John M. Dineen                    For       For          Management
1C.   Elect William E. Klitgaard              For       For          Management
1D.   Elect David S. Wilkes                   For       For          Management
2     Amendment to the Certificate of         For       For          Management
      Incorporation to Declassify the Board
3     Advisory Vote on Executive Compensation For       For          Management
4     Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation
5     Ratification of Auditor                 For       For          Management


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

TECAN GROUP AG

Ticker:       TECN           Security ID:  H84774167
Meeting Date: APR 12, 2022   Meeting Type: Annual
Record Date:  MAR 31, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accounts and Reports                    For       TNA          Management
2.A   Allocation of Profits/ Dividends        For       TNA          Management
2.B   Dividend from Reserves                  For       TNA          Management
3     Ratification of Board and Management    For       TNA          Management
      Acts
4     Elect Myra Eskes                        For       TNA          Management
5.A   Elect Lukas Braunschweiler              For       TNA          Management
5.B   Elect Oliver S. Fetzer                  For       TNA          Management
5.C   Elect Heinrich Fischer                  For       TNA          Management
5.D   Elect Karen Hubscher                    For       TNA          Management
5.E   Elect Christa Kreuzburg                 For       TNA          Management
5.F   Elect Daniel R. Marshak                 For       TNA          Management
6     Elect Lukas Braunschweiler as Board     For       TNA          Management
      Chair
7.A   Elect Oliver S. Fetzer as Compensation  For       TNA          Management
      Committee Member
7.B   Elect Christa Kreuzburg as              For       TNA          Management
      Compensation Committee Member
7.C   Elect Daniel R. Marshak as              For       TNA          Management
      Compensation Committee Member
7.D   Elect Myra Eskes as Compensation        For       TNA          Management
      Committee Member
8     Appointment of Auditor                  For       TNA          Management
9     Appointment of Independent Proxy        For       TNA          Management
10.1  Compensation Report                     For       TNA          Management
10.2  Board Compensation                      For       TNA          Management
10.3  Executive Compensation                  For       TNA          Management
11    Increase in Authorised Capital          For       TNA          Management


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

TELEFLEX INCORPORATED

Ticker:       TFX            Security ID:  879369106
Meeting Date: APR 29, 2022   Meeting Type: Annual
Record Date:  MAR 04, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect John C. Heinmiller                For       For          Management
1B.   Elect Andrew A. Krakauer                For       For          Management
1C.   Elect Neena M. Patil                    For       For          Management
2     Advisory Vote on Executive Compensation For       For          Management
3     Ratification of Auditor                 For       For          Management
4A.   Amendment to the Bylaws to Declassify   For       For          Management
      the Board
4B.   Amendment to the Certificate of         For       For          Management
      Incorporation to Declassify the Board
5     Shareholder Proposal Regarding Simple   Against   For          Shareholder
      Majority Vote


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

TERUMO CORPORATION

Ticker:       4543           Security ID:  J83173104
Meeting Date: JUN 22, 2022   Meeting Type: Annual
Record Date:  MAR 31, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Allocation of Profits/Dividends         For       For          Management
2     Amendments to Articles                  For       For          Management
3.1   Elect Toshiaki Takagi                   For       For          Management
3.2   Elect Shinjiro Sato                     For       For          Management
3.3   Elect Shoji Hatano                      For       For          Management
3.4   Elect Kyo Nishikawa                     For       For          Management
3.5   Elect Kazunori Hirose                   For       For          Management
3.6   Elect Yukiko Kuroda Yukiko Matsumoto    For       For          Management
3.7   Elect Hidenori Nishi                    For       For          Management
3.8   Elect Keiya Ozawa                       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, 2022   Meeting Type: Annual
Record Date:  APR 20, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect Laurence N. Charney               For       For          Management
1.02  Elect Yann Echelard                     For       For          Management
1.03  Elect Kenneth Hoberman                  For       For          Management
1.04  Elect Daniel Hume                       For       For          Management
1.05  Elect Sagar Lonial                      For       Withhold     Management
1.06  Elect Michael S. Weiss                  For       Withhold     Management
2     Approval of the 2022 Incentive Plan     For       For          Management
3     Ratification of Auditor                 For       For          Management
4     Advisory Vote on Executive Compensation For       For          Management
5     Frequency of Advisory Vote on           3 Years   1 Year       Management
      Executive Compensation


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

THERMO FISHER SCIENTIFIC INC.

Ticker:       TMO            Security ID:  883556102
Meeting Date: MAY 18, 2022   Meeting Type: Annual
Record Date:  MAR 25, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Marc N. Casper                    For       For          Management
1B.   Elect Nelson J. Chai                    For       For          Management
1C.   Elect Ruby R. Chandy                    For       For          Management
1D.   Elect C. Martin Harris                  For       For          Management
1E.   Elect Tyler Jacks                       For       For          Management
1F.   Elect R. Alexandra Keith                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


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

TURNING POINT THERAPEUTICS, INC.

Ticker:       TPTX           Security ID:  90041T108
Meeting Date: JUN 16, 2022   Meeting Type: Annual
Record Date:  APR 18, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Mark J. Alles                     For       For          Management
1.2   Elect Barbara W. Bodem                  For       Withhold     Management
2     Advisory Vote on Executive Compensation For       For          Management
3     Ratification of Auditor                 For       For          Management


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

UCB SA

Ticker:       UCB            Security ID:  B93562120
Meeting Date: APR 28, 2022   Meeting Type: Mix
Record Date:  APR 14, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
I.4.  Accounts and Reports; Allocation of     For       For          Management
      Profits and Dividends
I.5.  Remuneration Report                     For       For          Management
I.6.  Non-Executive Remuneration Policy       For       For          Management
I.7.  Ratification of Board Acts              For       For          Management
I.8.  Ratification of Auditor's Acts          For       For          Management
I.91A Elect Kay Davies to the Board of        For       For          Management
      Directors
I.91B Ratification of Independence of Kay     For       For          Management
      Davies
I.92. Elect Jean-Christophe Tellier to the    For       For          Management
      Board of Directors
I.93. Elect Cedric Van Rijckevorsel to the    For       For          Management
      Board of Directors
I.10. Long Term Incentive Plan (Free          For       For          Management
      Allocation of Shares)
I.111 Change in Control Clause (EMTN Program) For       For          Management
I.112 Change in Control Clause (European      For       For          Management
      Investment Bank Facility Agreement)
I.113 Change in Control Clause (Term          For       For          Management
      Facility Agreement)
II.2. Increase in Authorised Capital          For       For          Management
II.3. Authority to Repurchase Shares          For       For          Management
II.4. Amendment to Articles Regarding Board   For       For          Management
      Minutes


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

UNITEDHEALTH GROUP INCORPORATED

Ticker:       UNH            Security ID:  91324P102
Meeting Date: JUN 06, 2022   Meeting Type: Annual
Record Date:  APR 08, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Timothy P. Flynn                  For       For          Management
1b.   Elect Paul R. Garcia                    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 Andrew Witty                      For       For          Management
2     Advisory Vote on Executive Compensation For       For          Management
3     Ratification of Auditor                 For       For          Management
4     Shareholder Proposal Regarding          Against   Against      Shareholder
      Severance Approval Policy
5     Shareholder Proposal Regarding Report   Against   Against      Shareholder
      on Political Expenditures and Values
      Congruency


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

UNIVERSAL HEALTH SERVICES, INC.

Ticker:       UHS            Security ID:  913903100
Meeting Date: MAY 18, 2022   Meeting Type: Annual
Record Date:  MAR 24, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Maria Singer                      For       For          Management
2     Amendment to the 2020 Omnibus Stock     For       For          Management
      and Incentive Plan
3     Ratification of Auditor                 For       For          Management
4     Shareholder Proposal Regarding          Against   For          Shareholder
      Majority Vote for Director Election


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

VERTEX PHARMACEUTICALS INCORPORATED

Ticker:       VRTX           Security ID:  92532F100
Meeting Date: MAY 18, 2022   Meeting Type: Annual
Record Date:  MAR 24, 2022

#     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 L. McKenzie                 For       For          Management
1J.   Elect Bruce I. Sachs                    For       For          Management
1K.   Elect Suketu Upadhyay                   For       For          Management
2     Ratification of Auditor                 For       For          Management
3     Advisory Vote on Executive Compensation For       For          Management
4     Amendment to the 2013 Stock and Option  For       For          Management
      Plan


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

VIATRIS INC.

Ticker:       VTRS           Security ID:  92556V106
Meeting Date: DEC 10, 2021   Meeting Type: Annual
Record Date:  OCT 21, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Neil F. Dimick                    For       For          Management
1B.   Elect Michael Goettler                  For       For          Management
1C.   Elect Ian C. Read                       For       For          Management
1D.   Elect Pauline van der Meer Mohr         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


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

WATERS CORPORATION

Ticker:       WAT            Security ID:  941848103
Meeting Date: MAY 24, 2022   Meeting Type: Annual
Record Date:  MAR 25, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Udit Batra                        For       For          Management
1.2   Elect Linda Baddour                     For       For          Management
1.3   Elect Edward Conard                     For       For          Management
1.4   Elect Pearl S. Huang                    For       For          Management
1.5   Elect Wei Jiang                         For       For          Management
1.6   Elect Christopher A. Kuebler            For       For          Management
1.7   Elect Flemming Ornskov                  For       For          Management
1.8   Elect Thomas P. Salice                  For       For          Management
2     Ratification of Auditor                 For       For          Management
3     Advisory Vote on Executive Compensation For       For          Management


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

WUXI APPTEC CO. LTD.

Ticker:       2359           Security ID:  Y971B1118
Meeting Date: AUG 30, 2021   Meeting Type: Special
Record Date:  AUG 24, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Adoption of the 2021 H Share Award and  For       For          Management
      Trust Scheme
2     Proposed Grant of Awards to the         For       For          Management
      Connected Selected Participants under
      the 2021 H Share Award and Trust Scheme
3     Board Authorization to Implement H      For       For          Management
      Share Award and Trust Scheme
4     Adoption of the 2021 Shareholder        For       For          Management
      Alignment Incentive H Share Scheme
5     Proposed Grant of SAI Awards to the     For       For          Management
      SAI Connected Selected Participants
      under the 2021 Shareholder Alignment
      Incentive H Share Scheme
6     Board Authorization to Implement the    For       For          Management
      2021 Shareholder Alignment Incentive H
      Share Scheme
7     Change in Registered Capital            For       For          Management
8     Amendments to Articles of Association   For       For          Management


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

WUXI APPTEC CO. LTD.

Ticker:       2359           Security ID:  Y971B1118
Meeting Date: MAY 06, 2022   Meeting Type: Annual
Record Date:  APR 28, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Directors' Report                       For       For          Management
2     Supervisors' Report                     For       For          Management
3     Accounts and Reports                    For       For          Management
4     Allocation of Profits/Dividends         For       For          Management
5     Authority to Give Guarantees            For       For          Management
6     Elect CHEN Mingzhang                    For       For          Management
7     Appointment of Auditor and Authority    For       For          Management
      to Set Fees
8     Amendments to External Investment       For       For          Management
      Management Policy
9     Amendments to Connected Transactions    For       For          Management
      Management Policy
10    Amendments to External Guarantees       For       For          Management
      Policy
11    Approval of the Foreign Exchange        For       For          Management
      Hedging Limit
12    Approval of Change in Implementation    For       For          Management
      Entity and  Implementation Location of
      the Suzhou Project
13    Approval of the Use of Surplus Net      For       For          Management
      proceeds to Replenish Working Capital
14    Increase in Registered Capital          For       For          Management
15    Amendments to Articles                  For       For          Management
16    Amendments to Rules of Procedures for   For       For          Management
      the Shareholder Meetings
17    Amendments to Rules of Procedures for   For       For          Management
      the Board Meetings
18    Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
19    Authority to Repurchase Shares          For       For          Management
20    Authority to Issue Debt Financing       For       For          Management
      Instruments


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

WUXI APPTEC CO. LTD.

Ticker:       2359           Security ID:  Y971B1118
Meeting Date: MAY 06, 2022   Meeting Type: Other
Record Date:  APR 28, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Authority to Repurchase Shares          For       For          Management


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

WUXI BIOLOGICS (CAYMAN) INC.

Ticker:       2269           Security ID:  G97008117
Meeting Date: NOV 23, 2021   Meeting Type: Special
Record Date:  NOV 17, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Adoption of Subsidiary Share Option     For       For          Management
      Schemes


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

WUXI BIOLOGICS (CAYMAN) INC.

Ticker:       2269           Security ID:  G97008117
Meeting Date: JUN 10, 2022   Meeting Type: Annual
Record Date:  JUN 06, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accounts and Reports                    For       For          Management
2.A   Elect Weichang Zhou                     For       For          Management
2.B   Elect Yibing Wu                         For       For          Management
2.C   Elect CAO Yanling                       For       Against      Management
3     Directors' Fees                         For       For          Management
4     Appointment of Auditor and Authority    For       For          Management
      to Set Fees
5     Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
6     Authority to Repurchase Shares          For       For          Management
7     Specific Mandate to Issue Connected     For       For          Management
      Restricted Shares
8     Grant of 1,324,333 Connected            For       For          Management
      Restricted Shares (Scheme); Grant of
      877,694 Connected Restricted Shares
      (Program) to Zhisheng Chen
9     Grant of 450,281 Connected Restricted   For       For          Management
      Shares (Scheme); Grant of 298,416
      Connected Restricted Shares (Program)
      to Weichang Zhou
10    Grant of 4,145 Connected Restricted     For       For          Management
      Shares to William Robert Keller
11    Grant of 4,145 Connected Restricted     For       For          Management
      Shares to Walter KWAUK Teh-Ming
12    Grant of 8,291 Connected Restricted     For       For          Management
      Shares to Kenneth Walton Hitchner III
13    Grant of 33,565 Connected Restricted    For       For          Management
      Shares (Scheme); Grant of 29,251
      Connected Restricted Shares (Program)
      to Angus Scott Marshall Turner
14    Grant of 12,424 Connected Restricted    For       For          Management
      Shares (Scheme); Grant of 17,786
      Connected Restricted Shares (Program)
      to Brendan McGrath
15    Grant of 32,160,000 Share Options of    For       Against      Management
      WuXi XDC to Jincai Li
16    Grant of 31,980,000 Share Options of    For       Against      Management
      WuXi Vaccines to Jian Dong
17    Amendments to Articles                  For       For          Management


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

YIFENG PHARMACY CHAIN CO.LTD.

Ticker:       603939         Security ID:  Y982AC104
Meeting Date: SEP 15, 2021   Meeting Type: Special
Record Date:  SEP 08, 2021

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Change the registered capital and       For       For          Management
      amend the Articles of Association
2     Amendments to Procedural Rules for      For       For          Management
      Shareholder Meetings
3     Amendments to Rules of Procedure of     For       For          Management
      the Board of Directors
4     Amendments to Rules of Procedure of     For       For          Management
      the Board of Supervisors
5     Amendments to Independent director      For       For          Management
      work system
6     Amendments to Related party             For       For          Management
      transaction management system
7     Amendments to Raised funds management   For       For          Management
      system
8     Amendments to External guarantee        For       For          Management
      management system
9     Amendments to Foreign investment        For       For          Management
      management system


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

YIFENG PHARMACY CHAIN CO.LTD.

Ticker:       603939         Security ID:  Y982AC104
Meeting Date: APR 18, 2022   Meeting Type: Special
Record Date:  APR 08, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Change of the Company's Business Scope  For       For          Management
      and Amendments to the Company's
      Articles of Association


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

YIFENG PHARMACY CHAIN CO.LTD.

Ticker:       603939         Security ID:  Y982AC104
Meeting Date: MAY 31, 2022   Meeting Type: Annual
Record Date:  MAY 23, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     2021 Report Of The Board Of Directors   For       For          Management
2     2021 Work Report Of The Supervisory     For       For          Management
      Committee
3     2021 Annual Report And Its Summary      For       For          Management
4     2021 Annual Accounts                    For       For          Management
5     2021 Profit Distribution Plan: the      For       For          Management
      Detailed Profit Distribution Plan Are
      As Follows: 1) Cash Dividend/10 Shares
      (tax Included):cny3.00000000 2) Bonus
      Issue from Profit (share/10
      Shares):none 3) Bonus Issue from
      Capital Reserve (share/10 Shares):none
6     Reappointment Of 2022 Audit Firm        For       For          Management
7     Application for Comprehensive Credit    For       For          Management
      Line to Banks and Accepting the
      Guarantee by Related Parties
8     Provision Of Guarantee For The Bank     For       For          Management
      Credit Line Of Subsidiaries


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

ZAI LAB LIMITED

Ticker:       ZLAB           Security ID:  G9887T108
Meeting Date: MAR 28, 2022   Meeting Type: Special
Record Date:  FEB 18, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.    Subdivision of Shares (Stock Split)     For       For          Management


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

ZAI LAB LIMITED

Ticker:       ZLAB           Security ID:  98887Q104
Meeting Date: MAR 28, 2022   Meeting Type: Special
Record Date:  FEB 18, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.    Subdivision of Shares (Stock Split)     For       For          Management


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

ZAI LAB LIMITED

Ticker:       ZLAB           Security ID:  98887Q104
Meeting Date: JUN 22, 2022   Meeting Type: Annual
Record Date:  MAY 03, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
O1    Elect Samantha Du                       For       For          Management
O2    Elect Kai-Xian Chen                     For       For          Management
O3    Elect John D. Diekman                   For       For          Management
O4    Elect Richard Gaynor                    For       For          Management
O5    Elect Nisa Leung                        For       For          Management
O6    Elect William Lis                       For       For          Management
O7    Elect Scott W. Morrison                 For       Against      Management
O8    Elect Leon O. Moulder, Jr.              For       For          Management
O9    Elect Peter Wirth                       For       For          Management
S10   Adoption of New Memorandum and          For       For          Management
      Articles of Association
O11   Approval of the 2022 Equity Incentive   For       For          Management
      Plan
O12   Ratification of Auditor                 For       For          Management
O13   General Mandate to Issue Shares         For       For          Management
O14   Advisory Vote on Executive Compensation For       For          Management
O15   Frequency of Advisory Vote on           3 Years   1 Year       Management
      Executive Compensation


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ZOETIS INC.

Ticker:       ZTS            Security ID:  98978V103
Meeting Date: MAY 19, 2022   Meeting Type: Annual
Record Date:  MAR 25, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Paul M. Bisaro                    For       For          Management
1B.   Elect Frank A. D'Amelio                 For       For          Management
1C.   Elect Michael B. McCallister            For       For          Management
2     Advisory Vote on Executive Compensation For       For          Management
3     Amendment to the 2013 Equity and        For       For          Management
      Incentive Plan
4     Ratification of Auditor                 For       For          Management
5     Amendment to the Certificate of         For       For          Management
      Incorporation to Eliminate
      Supermajority Requirements and Pfizer
      Provisions
6     Repeal of Classified Board              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 26, 2022
*By:    /s/Anne E. Robinson

Anne E. Robinson, pursuant to a Power of Attorney filed on November 29, 2021
(see File Number 33-64845) and a Power of Attorney filed on August 26, 2021 (see
file Number 811-02652), Incorporated by Reference.